CQC report explained · a residential care home
What the CQC found at Chestnut Grove Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and there were enough safely recruited staff. Inspectors found medicines recording problems and some environmental repairs were needed, but the manager addressed these after feedback.
- Effective?
- Good
- Staff were trained and supported people's health, eating, drinking and access to healthcare. People were involved in decisions and staff followed the principles of the Mental Capacity Act.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in decisions and encouraged to remain independent.
- Responsive?
- Good
- Care plans reflected people's needs and communication needs. People were supported with activities, trips, relationships and end-of-life care.
- Well-led?
- Good
- Inspectors found a positive culture and clear management. The home used audits, meetings, feedback and further training to monitor and improve care.
What inspectors found, January 2024
Rated Good; inspectors found kind, safe care, but medicines records and guidance needed improvement.
Inspectors made an unannounced visit on 28 November 2023. They spoke with 9 people, 7 relatives and 7 staff. They checked care plans, medicines records, recruitment files, audits, rotas and safety records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were described as safe, well cared for and supported by staff who knew their needs.
Inspectors found some problems with medicines documentation. There was no guidance for some medicines given when needed, and staff did not always record the time certain medicines were given. The manager addressed these concerns after the inspection, and CQC made a recommendation about improving records.
The previous provider's rating was Outstanding, published in July 2021. Caring, Responsive and Well-led changed from Outstanding to Good at this inspection.
Enough trained staff
People were supported by enough staff who had been safely recruited. Staff completed inductions and regular training.
“People were supported by enough staff who had been recruited safely.” from the report
Kind and respectful care
People spoke highly of staff. Inspectors found that staff respected people's privacy, dignity, choices and independence.
“Staff were kind and caring, and treated people with dignity and respect.” from the report
Personalised support
Care plans reflected people's needs and communication preferences. People and relatives were involved in care decisions.
“Care was planned according to people's needs and people and their relatives were involved.” from the report
Activities and community links
People could take part in activities and local trips. The home had a minibus and links with community groups.
“The service owned a minibus and people were regularly supported to visit local activities.” from the report
Positive management
Inspectors found a positive culture, with people, relatives and staff able to give feedback. The manager used audits and training to improve care.
“We found a positive culture within the home.” from the report
Medicines guidance and records
needs fixingSome medicines prescribed for use when needed did not have guidance for staff. Staff did not always record the time that some time-specific medicines were given.
“Some people had medicines prescribed 'as and when required', however there was no guidance for staff about these.” from the report
Environmental repairs
minorTwo window restrictors were broken on the first floor and some communal bathroom items needed replacing. The manager addressed these issues after inspectors raised them.
“2 window restrictors were broken on the first floor, and some items required replacing in the communal bathrooms.” from the report
- 01What guidance do staff now have for medicines prescribed 'as and when required'?
- 02How do you check and record the exact time that time-specific medicines are given?
- 03Have the broken window restrictors and communal bathroom items all been repaired or replaced?
- 04Why did the ratings for Caring, Responsive and Well-led change from Outstanding to Good?
- 05How are people and relatives involved in reviewing care plans and decisions about activities and support?
This was an unannounced inspection covering all five CQC questions, including the premises and care provided; the previous provider's rating was published in July 2021. This explanation was written from the published report of 20 January 2024 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 Grove Rest Home
3 rated inspections over 8 years: the service has slipped, from Outstanding to Good.
- January 2024Goodcurrent ratingdown from OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2018Outstandingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- May 2016OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- July 2021
Registered with the Care Quality Commission on 19 July 2021.
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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85 live-in carers within about an hour of Lancashire
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 £980 to £1,260 a week. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.