CQC report explained · a residential care home
What the CQC found at Chesterfield Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective safeguarding, risk assessment, staffing, recruitment, medicines and infection control arrangements. Incidents were reviewed and used to reduce future risks.
- Effective?
- Good
- People's needs were assessed and care plans were developed with them. Staff had suitable training and people had access to health professionals, a choice of food and support with healthy eating.
- Caring?
- Outstanding
- Inspectors found exceptionally compassionate and kind care. People were treated with dignity, involved in decisions and supported to become more independent.
- Responsive?
- Good
- Care plans reflected people's needs, preferences and goals. The home supported activities, community involvement and mental health crisis planning, although inspectors said more documents should be available in easy read formats.
- Well-led?
- Good
- The home had a positive culture, supportive leadership and quality checks. Inspectors noted that some policies and procedures would benefit from being reviewed.
What inspectors found, July 2019
Rated Good overall, with Outstanding caring; inspectors found safe, personalised support and only minor areas for improvement.
This was an unannounced inspection on 26 June 2019. One inspector spoke with six people and seven staff, reviewed three care records, medicines records and staff files, and checked the building and management records.
The home was rated Good in Safe, Effective, Responsive and Well-led. It was rated Outstanding for Caring. Inspectors found enough staff, safe medicines systems, suitable training, personalised care and strong support for people's independence.
Inspectors noted that some policies needed review and that more information could be available in easy read formats. The home was rated Good overall, the same as at the previous inspection published in March 2017.
Exceptionally caring support
Inspectors found a strong person-centred culture. Staff were described as highly motivated and exceptionally compassionate and kind.
“There was a strong, visible person-centred culture. The service ensured that staff in all roles were highly motivated and offered care and support that was exceptionally compassionate and kind.” from the report
Safe staffing
There were enough staff to meet people's needs, and staff were available promptly during the inspection.
“There were enough staff to keep people safe and meet their needs.” from the report
Choice and independence
People were supported to make decisions, develop skills, travel independently where possible and take part in daily activities.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Personalised care
Care plans included people's history, interests, hopes and beliefs. Mental health crisis plans helped staff respond when people's wellbeing changed.
“We found people's care planning was person centred. An account of the person, their personality and life experience, interests, aspirations, their religious and spiritual beliefs had been recorded.” from the report
Easy read information
minorInspectors said it would be helpful to provide more documents in easy read formats, including the complaints procedure and service user guide.
“We saw it would be beneficial if there were more documents available in an easy read format such as the complaints procedure and service user guide.” from the report
Policies needed review
minorSome policies and procedures needed reviewing. The registered manager said this feedback would be shared with the provider.
“During the inspection we noted that some of the policies and procedures within the service would benefit from being reviewed.” from the report
- 01Have the policies and procedures identified in the 2019 report now been reviewed?
- 02Are the complaints procedure and service user guide available in easy read formats?
- 03How are people involved in writing and reviewing their care plans and risk assessments?
- 04How do residents take part in recruiting new staff?
- 05What activities and community opportunities are available for someone with my relative's needs?
This was an unannounced inspection covering all five CQC questions, including care, accommodation, records, staffing, medicines and management systems. This explanation was written from the published report of 12 July 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.
What inspectors found, March 2017
Sandford House - Chesterfield Road was rated Good; inspectors found safe, kind and personalised care, with a few safety and policy issues addressed or needing review.
This was the home's first CQC inspection. It was unannounced and took place on 30 January 2017. Inspectors spoke with 11 people living there, eight staff members and a visiting social care professional. They also observed daily life and checked care, staff and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe, liked the staff and were positive about living there. Inspectors saw kind and respectful interactions, enough staff, safe medicines systems and care plans that reflected people's needs and preferences.
A few issues were found during the visit. Two windows needed safety restrictors and storage for controlled drugs was not suitable, although no one was prescribed these medicines. The window restrictors were fitted during the inspection, suitable storage was ordered, and the manager said some older policies would be reviewed.
People felt safe
People living at the home said they felt safe. Staff recruitment, safeguarding training and staffing arrangements supported people's safety.
“People expressed no fears or concerns for their safety and told us they felt safe.” from the report
Kind and respectful staff
Inspectors saw staff communicating patiently and respectfully. Staff knew people well and supported privacy, dignity and independence.
“We saw in all cases people were cared for by staff that were kind, patient and respectful.” from the report
Personalised support
Care plans included people's histories, preferences and interests. People were involved in decisions and could choose activities and daily routines.
“The plans contained information on people's life history, preferences and interests so these could be supported.” from the report
Good health and food support
People had access to relevant health professionals and were offered varied food with alternatives that reflected their choices and dietary needs.
“This demonstrated a flexible approach to providing nutrition.” from the report
Quality checks
The home used audits and checks covering areas such as care plans, medicines, health and safety, the environment and incidents.
“Records showed the registered manager undertook regular audits.” from the report
Window safety
needs fixingTwo second-floor bedroom windows did not have restrictors, creating a risk of someone falling. Restrictors were fitted during the inspection and evidence was provided the following day.
“Two windows had not been fitted with opening restrictors which meant people could climb out and fall from the window.” from the report
Controlled-drug storage
needs fixingThe storage available for controlled drugs did not meet the required safety standard, although no one was prescribed these medicines at the time. Suitable storage was ordered during the inspection.
“The registered manager gave assurances appropriate storage facilities would be obtained so that safe storage was available should this resource ever be needed.” from the report
Older policies
minorSome policies were dated 2013 and 2014. The manager said the provider would review them to ensure they were still relevant and up to date.
“Some of the policies seen were dated 2013 and 2014.” from the report
- 01Have all window safety restrictors now been checked and kept in working order?
- 02What suitable storage is now available if a resident needs controlled drugs?
- 03Have the policies dated 2013 and 2014 been reviewed and updated?
- 04How will you make sure care plans remain personalised and reflect my relative's choices and interests?
- 05How are staffing levels decided when residents' needs or the number of residents change?
This was the home's first unannounced inspection and covered all five CQC questions, with a Good rating in each. This explanation was written from the published report of 8 March 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 Chesterfield Road
2 rated inspections over 2 years: the service has held its Good rating throughout.
- July 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- March 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016
Registered with the Care Quality Commission on 1 April 2016.
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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Most charge £1,020 to £1,270 a week. 76 can care for a couple. 11 years' experience on average.
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