Chestnut Lodge

This was the first assessment of the service since their registration with CQC. We found some improvements where needed in relation to the management of safety checks and the cleanliness of the home. Improvements were also needed to ensure all identified risks were assessed and measures were in place to reduce any risk identified and that people had the necessary protocols in place for their when required medicines. Additional areas of improvement included processes to ensure effective analysis of accidents and incidents and in relation to the induction, training, ongoing support, and monitoring of staff to ensure they had the skills and necessary knowledge to meet people's needs and provide good quality care. The majority of people felt safe at the home and with the staff who supported them. The service had safe systems for pathways and transitions in place.

This was the first assessment of the service since their registration with CQC.

Systems were in place to seek consent from people; however this was not always sought in line with guidance.

Improvements were required to ensure people received a personalised mealtime experience.

People received care that was based on their assessed individual needs in line with evidence based guidance.

People’s outcomes were consistently good, and people’s feedback confirmed this.

This was the first assessment of the service since their registration with CQC.

Although during the assessment we observed one interaction when a person was not supported in a person centered manner, people and relatives told us were caring, treated people with kindness and promoted privacy and dignity.

The provider had considered people's personal histories, cultural needs, and protected characteristics as part of their assessment and care planning improvements, however improvements were needed to ensure consistency in relation to the information they gave regarding how staff should encourage people’s independence.

The provider had processes in place to ensure workforce wellbeing and enablement.

We observed staff offering people choices. People had access to activities of their choice both within and outside the home.

This was the first assessment of the service since their registration with CQC.

Staff understood what was meant by person centred care and knew people well. This was confirmed by people and their relatives.

The service complied with the Accessible Information Standard by meeting people’s information and communication needs.

The provider had policies and processes in place which enabled them to continuously seek feedback from people, however some improvements were needed in how the service assured people their feedback was being followed.

When necessary, people received good and compasionate end of life and support.

This was the first assessment of the service since their registration with CQC. During this assessment we found that systems of oversight of the service were not always effective and robust to assess, monitor and improve the quality of care people received. Feedback from staff and people was positive in relation to the management of the service. Staff felt well supported by the management team. The provider and registered manager were passionate about delivering quality and compassionate care which was person centred to meet people’s needs. There were processes in place to ensure the service worked in partnership with other professionals to make sure people received the care and treatment they needed.