CQC report explained · a nursing home
What the CQC found at Chelston Gardens Dementia Nursing Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infection risks, including visitor safety, admissions, protective equipment, testing, cleanliness and outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Outstanding
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Outstanding
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, March 2021
Inspected but not rated; inspectors found infection prevention arrangements were in place during this targeted visit.
The inspection took place on 3 March 2021 and was announced. It was a targeted inspection during the coronavirus pandemic, looking at infection prevention and control.
Inspectors were assured that the home was managing visitors, social distancing, admissions, protective equipment, testing, cleanliness and possible outbreaks. New residents were placed in a separate wing to reduce possible cross-infection.
The home had visitor rooms with screens and garden access. An external infection prevention and control consultant had also audited the home. The service was inspected but not rated, so this report does not give an overall quality rating.
Safer admissions
New residents were placed in a separate wing when they arrived. Inspectors said this helped reduce the risk of cross-infection.
“When new people were admitted to the service, they were accommodated in a separate wing of the home.” from the report
Visitor arrangements
Each building had a visitor room with garden access and a screen to reduce infection risks during visits.
“There were two visitor rooms, one in each building which had been adapted to ensure visitors were able to enter from the garden and then meet their relative with a screen between them to reduce the risks of infection.” from the report
External infection audit
An outside infection prevention and control consultant audited the home. The report says this gave additional assurance and supported improvements.
“An external Infection prevention and control consultant had conducted an audit of the service and produced a report.” from the report
Inspectors raised no specific concerns in this report.
- 01How are new residents currently admitted and kept separate from others when needed?
- 02Are the visitor rooms and screened visiting arrangements still in use?
- 03What improvements were made after the external infection prevention and control audit?
- 04How does the home currently provide protective equipment and testing for residents and staff?
- 05How would the home manage an infection outbreak now?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the report does not assess the other quality areas. This explanation was written from the published report of 18 March 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, December 2017
Chelston Park Nursing and Residential Home - Chelston Gardens Dementia Nursing Home was rated Outstanding overall; inspectors found caring and well-led support, with the other areas rated Good.
Inspectors visited on 20, 21 and 25 September 2017. The first visit was unannounced. They spoke with 29 people living at the home, 11 relatives and 17 staff. They also reviewed care plans, staff files, medicines records and quality checks.
The home provided nursing and residential care across two buildings. One building supported older people, while the other supported up to 50 older people living with dementia. There were 79 people living at the home during the inspection.
People were found to be safe and to receive effective, responsive care. Staff had suitable training, medicines were managed safely, and people's health needs were monitored. Inspectors rated care as Outstanding because staff were kind, respectful and highly committed.
The home had improved from Good at the previous inspection to Outstanding overall. Safe, Effective and Responsive remained Good. Caring remained Outstanding, while Well-led improved to Outstanding.
Kind and dignified care
Staff were consistently described as kind and attentive. Inspectors observed that people were approached calmly, respectfully and without rushing.
“When staff interacted with people they did so in a relaxed, dignified and unhurried manner.” from the report
Individual activities
The home supported people to continue interests and take part in activities suited to their histories and preferences. Examples included swimming, carriage riding, a dog show and virtual reality flying.
“People were supported to follow their interests and take part in social activities.” from the report
Strong management
The managers knew people, relatives and staff well and were easy to approach. Inspectors found strong systems for checking quality and making improvements.
“There continued to be a very effective quality assurance system in place to monitor care and plan on-going improvements.” from the report
Support for relatives
Relatives were involved in care planning and could attend the Friends of Chelston support group. The group also received training about dementia and end of life care.
“The support group provided the relatives of people who lived at the home and of those who had passed away there, to get together to discuss and share their experiences.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff and registered nurses are on duty on each shift now, especially in the dementia units?
- 02How are my relative's risks of falls, malnutrition and pressure damage assessed and reviewed?
- 03How will you record and review my relative's personal preferences, interests and activities?
- 04How will you involve our family in care plan reviews and updates about health needs?
- 05What support is currently available for relatives of people living with dementia?
This was a comprehensive inspection covering all five CQC questions, and the report says the service had improved from Good at the previous inspection to Outstanding overall. This explanation was written from the published report of 30 December 2017 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 Chelston Gardens Dementia Nursing Home
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Chelston Gardens Dementia Nursing Home →
- December 2017Outstandingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
Read what inspectors found at Chelston Gardens Dementia Nursing Home →
- August 2015GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 23 December 2010.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
76 live-in carers within about two hours of Somerset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.