CQC report explained · a residential care home
What the CQC found at Chatsworth Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including protective equipment, testing, cleaning, visiting, admissions and outbreak management.
- Effective?
- Good
- This was not covered by this targeted inspection.
- Caring?
- Good
- This was not covered by this targeted inspection.
- Responsive?
- Good
- This was not covered by this targeted inspection.
- Well-led?
- Good
- This was not covered by this targeted inspection.
What inspectors found, January 2021
Inspected but not rated; inspectors found good infection prevention and control arrangements.
This was an unannounced, targeted inspection on 18 December 2020. It was carried out because of coronavirus outbreaks in care homes and focused on infection prevention and control.
Inspectors found updated infection control guidance, regular checks, enough protective equipment and staff training. They were also assured about testing, cleaning, social distancing, admissions and managing outbreaks.
The home had arrangements to maintain staffing during sickness or leave. Staff worked on designated floors, and visitors could use an outside visiting booth.
The home was inspected but not rated. This means the visit did not give an overall quality rating or ratings for the other areas of care.
Infection control policy
The home had updated infection control guidance and used regular audits to maintain standards or make improvements.
“The registered manager had an updated infection control policy which reflected new guidance.” from the report
Protective equipment and testing
There were adequate supplies of protective equipment, staff had been trained to use it, and testing was being carried out for staff and residents.
“There were adequate supplies of personal protective equipment and staff had received training in how to use it appropriately.” from the report
Staffing arrangements
Inspectors found enough staff to meet people's needs, with plans to arrange agency staff during sickness or annual leave.
“There were sufficient staff to support people's needs and contingency arrangements to block book agency staff in the case of annual leave or sickness.” from the report
Safe visiting
Relatives could see and speak to people through an outside visiting booth, reducing the risk of infection entering the home.
“Visitors were able to see and speak to their relative through a visiting booth, this was on the outside of the home to reduce the risk of the infection.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the home's current overall CQC rating, given that this inspection was not rated?
- 02How are staff and residents currently tested for infections?
- 03How does the home maintain staffing levels when staff are sick or on leave?
- 04How are visits arranged now, and what infection checks are required for visitors?
- 05What cleaning checks and infection control audits are carried out, and how are improvements followed up?
This was an unannounced targeted inspection of infection prevention and control practices only; it did not rate the other areas of care. This explanation was written from the published report of 6 January 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2019
Rated Good; inspectors found kind, safe and well-organised care, but fire safety improvements were required after a separate inspection.
The inspection took place without warning on 28 February 2019. One inspector and an expert by experience spoke with people, visitors and staff, observed care and checked records such as care plans, medicines, incidents, recruitment files and audits.
The inspectors rated the home Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. They found that people were treated with kindness, had suitable support with medicines, food, health needs and activities, and were involved in decisions about their care.
The home had improved from Requires Improvement at the previous inspection. Electronic care plans and risk assessments were now in use, medicines were stored better, and monitoring systems had improved. After this inspection, the fire service issued an enforcement notice requiring action to protect people from fire risks.
Kind and respectful care
Inspectors saw people being treated with consideration. Staff supported privacy and dignity during personal care.
“We saw that people's dignity was promoted when they were supported to use the bathroom; this was done discreetly and with consideration to the person.” from the report
Activities and community links
People could take part in varied social activities and outings. Support was also available for faith, family relationships and visits from community groups.
“People were supported to participate in social and recreational activities.” from the report
Improved oversight
The home had introduced audits and action plans to identify and address improvements. This was an improvement from the previous inspection.
“Audits were in place to monitor the service and drive improvement.” from the report
Fire safety enforcement notice
seriousAfter the CQC visit, the fire service issued an enforcement notice requiring improvements so people were adequately protected from fire risks. The provider had an action plan, but the fire service was due to check the work again.
“Since our inspection we have received feedback from Derbyshire Fire and Rescue Service regarding an enforcement notice they have served on the provider, following their inspection at Chatsworth Lodge on the 14 March 2019.” from the report
Limited outdoor access
needs fixingThe main accessible outdoor area was by the entrance and opened towards the main road. A separate grassed area needed alteration before it could be used.
“The only accessible outdoor area available to people at the time of the inspection, was outside the main entrance with access to the main road; however, the entrance to the home was kept locked.” from the report
Bathing facilities being developed
needs fixingThere were no shower facilities available at the time. A wet room was being installed, and the report recommended checking whether one wet room would meet people's needs.
“We recommend the provider assesses if one wet room will be sufficient to meet people's preferences regarding bathing or showering.” from the report
One care record error
minorOne person's care plan had an incorrect weight record. Inspectors said this had not affected the person's health and that their weight had been stable recently.
“an error had been made regarding a record of their weight during a period of time” from the report
- 01What work was completed in response to the fire safety enforcement notice, and did the fire service later confirm that the improvements were satisfactory?
- 02Is the planned wet room now available, and are there enough bathing and showering facilities for people's preferences and needs?
- 03Can people use the grassed outdoor area now, and what safe outdoor access is available to people who use wheelchairs?
- 04How are care records checked for errors, including weight and nutrition records?
- 05What has changed at the home since this 2019 inspection, and what was the outcome of the next inspection?
This was a planned, unannounced inspection over one day that looked at the home, the care provided and all five CQC questions; all five ratings were Good. This explanation was written from the published report of 10 April 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Chatsworth Lodge
2 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- February 2017
Registered with the Care Quality Commission on 8 February 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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