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CQC report explained · a residential care home

What the CQC found at Chatterton Hey

Goodpublished 20 June 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were managed, including PPE, testing, visiting, admissions, social distancing and vaccination requirements. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2022

Chatterton Hey was inspected but not rated; inspectors were assured about infection control and support during COVID-19 restrictions.

This was an announced, targeted inspection on 25 January 2022. Inspectors gave the home 24 hours' notice.

They looked at infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures. The home was inspected but not rated, so this report does not give an overall quality rating.

Inspectors were assured that the home used PPE safely, arranged testing, managed visiting and admissions safely, and kept its infection control policy up to date. Staff also supported men who had to isolate with activities, tablets and access to snacks and drinks.

What inspectors praised
  • Support during isolation

    Men isolating because of COVID-19 restrictions were offered activities and communication tools suited to their needs. They were also given mini fridges for drinks and snacks.

    “Staff gave men who had to isolate due to COVID-19 restrictions, distraction packs as well as offering computer tablets to maintain communication.” from the report
  • Supported visits

    Visits outside the home were arranged where possible. Each visit was risk assessed and could be supported by staff and transport.

    “The service faciltated visits outside the home wherever possible.” from the report
  • Infection control

    Inspectors were assured that the home had arrangements covering visitors, PPE, testing, hygiene, outbreaks and its infection control policy.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Staff safety measures

    Staff completed COVID-19 risk assessments. New staff completed them when they started, and staff received money to buy separate work clothes.

    “All staff had completed COVID-19 risk assessments to understand the impact being in the workplace might have on them” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visits arranged now, and how are visitors protected from infection?
  2. 02What support would my relative receive if they had to isolate?
  3. 03How do you manage staffing pressures when staff are absent because of COVID-19?
  4. 04How do you check that staff and visiting professionals meet current vaccination or exemption requirements?
  5. 05How are visits outside the home risk assessed and supported?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 15 February 2022 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.

An earlier report, explained

What inspectors found, June 2019

Rated Good; inspectors found safe, kind and personalised care, with some recruitment and record-keeping improvements needed.

This was an unannounced scheduled inspection on 03 June 2019. One inspector spoke with all five people living in the home, six staff members and reviewed care, medicines, recruitment and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and spoke very positively about the support, staff and atmosphere.

Inspectors found that staff understood people's needs, medicines were managed safely, and people were supported with rehabilitation goals, activities, health and independence. Complaints were investigated and the home used feedback and incidents to make improvements.

The inspection found some gaps in staff recruitment records. Inspectors also found conflicting information about one person's capacity and noted that end-of-life wishes were not yet recorded. The provider said it would address these points.

What inspectors praised
  • Kind and respectful staff

    People gave consistently positive feedback about staff. Inspectors saw warm and respectful interactions and found that people were treated as individuals.

    “Staff care about us like friends and family would do and not just because it's a job.” from the report
  • Support for independence

    The home helped people work towards rehabilitation goals and move on to less supported accommodation. People could have privacy while still receiving support when needed.

    “Staff respect the fact that I am living independently here but I can still get support when I need it.” from the report
  • Personalised support

    People helped create their own support plans. Staff supported activities, daily living skills and relationships with family and friends.

    “People who used the service were involved in co-producing their support plans with staff.” from the report
  • Safe medicines practice

    Staff were trained and had their medicines skills checked. Inspectors found the medicines administration records they reviewed were complete, and audits were being carried out.

    “We looked at the medicine administration records for two people and found these had been fully completed.” from the report
  • Open management

    People and staff could raise suggestions through meetings and other groups. Managers used audits, feedback and incident reviews to improve the service.

    “The provider and registered manager demonstrated a commitment to continuous improvement in the service.” from the report
What inspectors were concerned about
  • Incomplete recruitment records

    needs fixing

    Two recruitment files did not contain a full employment history, and it was not clear that gaps had been explored. The provider updated its recruitment policy after the inspection and said it would complete the missing checks.

    “We found these did not contain a full employment history and it was not clear that the reasons for any gaps in employment had been explored.” from the report
  • Conflicting capacity information

    needs fixing

    Records about one person's capacity to make a particular decision contained conflicting information from external professionals. The manager said a review of the authorisation would be requested.

    “We saw conflicting information from external professionals on one person's care records regarding their capacity to make a particular decision.” from the report
  • Future care wishes not recorded

    minor

    Nobody was receiving end-of-life care during the inspection. The manager said the home's records would be improved to capture people's wishes if their health later deteriorated.

    “They told us they would improve their documentation to record any wishes people had about the care and treatment they would wish to receive if their health deteriorated.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure every new staff member has a complete employment history and that any gaps are checked?
  2. 02What was the outcome of the review of the conflicting capacity information and authorisation mentioned in the report?
  3. 03How do you record each person's wishes about future care if their health deteriorates?
  4. 04How are people involved in creating and reviewing their support plans and rehabilitation goals?
  5. 05How do you use feedback, complaints and incidents to make changes to the home?

This was an unannounced scheduled inspection of the care, premises and management, and it assessed all five CQC question areas; the previous overall rating was Good. This explanation was written from the published report of 20 June 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.

The story over the years

Every inspection of Chatterton Hey

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Chatterton Hey →

  2. June 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Chatterton Hey →

  3. December 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2012

    Registered with the Care Quality Commission on 27 July 2012.

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.

Next steps

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