CQC report explained · a residential care home
What the CQC found at Chestnut Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection prevention and control measures were in place. This included safe use of protective equipment, testing, cleaning, social distancing and plans for managing outbreaks.
- 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.
What inspectors found, December 2020
Chestnut Grange was inspected but not rated; inspectors were assured that infection prevention and control measures were safe.
This was an announced inspection on 09 December 2020. It was a targeted inspection because the CQC was checking infection prevention and control in care homes during the coronavirus outbreak.
Inspectors found good practice. Visiting was restricted, but families were kept informed and people were supported to stay in touch by video calls, telephone calls and letters. The home had visitor safety measures, regular COVID-19 testing, suitable personal protective equipment and plans for managing positive tests or staff shortages.
The home was clean and tidy, with cleaning schedules completed. Inspectors were assured that infection risks were being managed safely. The service was inspected but not rated, so this report does not give an overall quality rating.
Keeping families in touch
Although visiting was restricted, the home kept families informed and helped people maintain contact through video calls, telephone calls and letters.
“The provider ensured people-maintained contact with relatives by staff supporting them with facetime, telephone calls and letter writing.” from the report
Protective equipment and testing
Staff had a good supply of protective equipment and followed procedures for using and disposing of it. There was also a regular testing programme for staff and residents.
“Staff followed procedures for don and doffing PPE and how to dispose of it safely, in line with government guidelines.” from the report
Outbreak planning
The home had a contingency plan for positive tests, isolation and staffing shortages. Individual risks, including risks for people in higher-risk groups, were assessed.
“A robust contingency plan was in place and used for when positive testing or isolation for staff or people arose.” from the report
Clean environment
Inspectors found the home clean and tidy. Cleaning schedules for regular tasks and frequently touched surfaces had been completed consistently.
“The home was very clean and tidy with easy wipe surfaces and floors.” from the report
Inspectors raised no specific concerns in this report.
- 01How have visiting arrangements changed since the inspection, and how will you keep relatives informed if visits are restricted?
- 02How often are people using the service and staff tested for infections now?
- 03How do you make sure staff continue to use and dispose of protective equipment safely?
- 04What is your current plan if a person or staff member tests positive or needs to isolate?
- 05How are cleaning schedules and cleaning of frequently touched surfaces checked?
This was a targeted, announced inspection of infection prevention and control practices during the COVID-19 response; it did not rate the service. This explanation was written from the published report of 23 December 2020 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, May 2019
Rated Good in all areas; inspectors found safe, kind and person-centred care at Chestnut Grange.
This was an unannounced inspection on 14 March 2019. One inspector and an expert by experience observed care, spoke with seven people, three relatives and staff, and reviewed care and other records.
Inspectors found people were safe, treated with kindness and supported to make choices. Staff knew people well, supported their health and independence, and helped them take part in activities and community life.
The home had enough staff, managed medicines safely, and had clean and suitable surroundings. Staff were trained and supported, and managers used checks, feedback and action plans to improve the service.
The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. The previous inspection in 2016 was also rated Good.
Safe staffing and medicines
There were enough staff to meet people's needs and spend time with them. Medicines records were accurate and staff had their competence checked.
“There were enough staff to meet people's needs. Staff had enough time to spend with people.” from the report
Kind and respectful care
Staff built positive relationships and supported people's dignity, choices and independence.
“People were treated with kindness and compassion. We observed staff spending time with people. Interactions were positive.” from the report
Active, personalised lives
People were supported to follow their interests, keep in touch with family and take part in activities inside and outside the home.
“People led busy and active lives. People were supported to follow their interests and take part in activities and holidays that were socially and culturally relevant.” from the report
Strong management checks
Managers had clear systems for monitoring quality, acting on shortfalls and using feedback to improve.
“There was effective quality monitoring. Checks and audits were carried out internally and by the providers quality assurance team.” from the report
Inspectors raised no specific concerns in this report.
- 01What has changed in the home since the March 2019 inspection?
- 02How will you support my relative's specific communication needs and help them make choices?
- 03How do you review medicines with the prescribing doctor and check that they remain necessary?
- 04What activities and community opportunities would be available for my relative?
- 05How would you manage any risks linked to my relative's health, eating, swallowing or behaviour?
This was an unannounced planned inspection that looked at the premises, care and all five CQC questions. This explanation was written from the published report of 4 May 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 Chestnut Grange
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Registered with the Care Quality Commission on 30 June 2014.
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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