Chestnut Grange

We found the following examples of good practice.

There was a restriction on visiting the service at the time of the inspection. However, family were kept fully informed through email and phone calls. A visitor and staff sanitising station with appropriate PPE, sanitiser and check lists were made available at the main entrance. Signage in picture format and written instructions for what visitor should do was also at the main entrance.

The provider ensured people-maintained contact with relatives by staff supporting them with facetime, telephone calls and letter writing. The deputy manager told us they had accommodated garden visits during the summer and was reviewing visits for the winter once they had reviewed current guidance on accepting visitors.

There was a clear regular programme for staff and people living in the home to be tested for COVID-19. This meant swift action could be taken if or when positive tests were received.

Staff followed procedures for don and doffing PPE and how to dispose of it safely, in line with government guidelines. All staff wore appropriate PPE, which was in good supply. Posters and information about COVID- 19 were visible throughout the service. The provider was working closely with Public Health England and local infection control teams to ensure they had appropriate safety measures in place.

A robust contingency plan was in place and used for when positive testing or isolation for staff or people arose. Agency staff were used to cover shortfalls in staffing, due to staff testing positive for COVID-19.

Handover meetings were completed in line with safe distancing guidelines.

A robust individual risk assessment was in place for people in high risk groups. The provider considered and reduced any impact to people/staff who may be disproportionately at risk of COVID-19. The registered manager gave an example of vulnerability for people and they had assessed if any staff were at risk and how they managed those risks safely.

People using the service had tested positive and were self-isolating in their own rooms or communal areas when appropriate. Arrangements were in place to reduce the spread of infection. People's individual needs were considered to ensure everyone was kept safe.

The home was very clean and tidy with easy wipe surfaces and floors. The provider had increased the cleaning regime. The cleaning schedules had been consistently completed for the weekly and monthly tasks

around the home environment and touch point cleaning.

Further information is in the detailed findings below.

The five questions we ask about services and what we found