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CQC report explained · a residential care home

What the CQC found at The Chantry

Goodpublished 30 April 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 prevention and control procedures were being followed. They were also assured about testing, PPE, visiting, social distancing and managing outbreaks.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Outstanding
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed as a separate question in this targeted inspection, although the report noted an up-to-date business continuity plan.
The latest report, explained

What inspectors found, September 2020

Inspected but not rated; inspectors were assured that infection control measures were keeping people safe.

This was an announced, targeted inspection on 14 August 2020. It looked only at infection prevention and control during the coronavirus pandemic.

Inspectors found several good practices. These included regular testing, prompt action after two positive cases, staff infection control training, careful cleaning, and a garden cabin for safer visits.

The home was assured to be following safe infection prevention and control procedures. It was not given an overall quality rating, and the inspection did not assess the other four areas of care.

What inspectors praised
  • Regular testing

    The home started regular testing for staff and residents as soon as it was available. This found two cases without symptoms, and action was taken to contain the virus.

    “This identified two asymptomatic cases of Covid 19 and prompt action was taken which contained the virus and prevented spread to others.” from the report
  • Public health advice

    The home sought advice from Public Health England when a positive case was confirmed and changed cleaning products following that advice.

    “They found the advice useful and this also provided reassurance to the staff team.” from the report
  • Safer visits

    A cabin in the garden allowed visits without visitors entering the main building. It was cleaned before and after visits.

    “The cabin was cleaned before and after visits to reduce the risk of cross infection.” from the report
  • Cleaning arrangements

    Each resident had a designated worker on every shift, with responsibility for regular room cleaning and cleaning the cabin. Extra cleaning was provided when someone found self-isolation difficult.

    “Each person using the service had a one to one worker on each shift” from the report
  • Preparedness

    The home had a current business continuity plan and reviewed it regularly to prepare for coronavirus-related problems.

    “The service had an up to date and carefully considered business continuity plan which was regularly reviewed.” 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. 01Are regular Covid-19 or other infection tests still offered to residents and staff, and what happens when a result is positive?
  2. 02Is the garden cabin still being used for visits, and how is it cleaned between visits?
  3. 03How are rooms and shared areas cleaned when a resident is unable to self-isolate?
  4. 04What infection control training do staff receive now, and how is their practical understanding checked?
  5. 05When was the business continuity plan last reviewed, and what changes have been made since this inspection?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care quality areas were not assessed. This explanation was written from the published report of 2 September 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.

An earlier report, explained

What inspectors found, April 2019

The Chantry was rated Good overall, with Outstanding responsive care and only minor issues identified during the inspection.

Inspectors made an unannounced visit on 13 February 2019. They spoke with people living in the home, relatives, staff and a healthcare professional. They also reviewed care records, policies and management records.

People were described as safe and well supported. Staff understood people's needs, medicines were managed safely, and people were treated with kindness, dignity and respect. There were enough staff to meet people's needs, although some posts were vacant.

Responsive care was rated Outstanding. Inspectors found highly personalised support that helped people manage fears, become more independent, take part in community life and achieve personal goals. The home retained its overall Good rating from the previous inspection and improved from Good to Outstanding in responsive care.

What inspectors praised
  • Highly personalised support

    Support plans were very detailed and reflected people's histories, preferences, anxieties and goals. Staff adapted their approach to help people make lasting progress.

    “People received care that was exceptionally personalised and responsive to their specific and complex needs.” from the report
  • Building independence

    People were supported with cooking, shopping, laundry, education, volunteering and employment. Staff helped people take part in ordinary activities and manage fears.

    “Two people who used the service had gained employment and volunteer opportunities following completion of their education.” from the report
  • Kind and respectful care

    Inspectors saw positive relationships and a relaxed atmosphere. Staff understood the importance of privacy, dignity and involving people in decisions.

    “During our visit, we observed a warm, caring culture and relaxed atmosphere.” from the report
What inspectors were concerned about
  • Staff vacancies

    needs fixing

    Some posts were vacant and staff said they were short staffed at times. Inspectors found that people's needs were still being met, and the manager was recruiting.

    “We are short staffed at times, but it doesn't stop people getting out.” from the report
  • Creams recording

    minor

    People using topical creams did not initially have body maps showing where the creams should be applied. The deputy manager put body maps in place before inspectors left.

    “We noted that people prescribed topical preparations (creams) did not have body maps in place to instruct where the creams should be applied.” from the report
Questions to ask them, based on this report
  1. 01How many staff vacancies are there now, and how do you make sure there are enough staff on every shift?
  2. 02How are topical creams recorded and checked now that body maps have been introduced?
  3. 03How would you learn about my relative's fears, preferences and personal goals before they moved in?
  4. 04What activities, education, work or volunteering opportunities could you support my relative to take part in?
  5. 05How are relatives involved in care plan reviews and decisions made in their relative's best interests?

This unannounced inspection looked at all five CQC questions and both the premises and care; staff recruitment files were not reviewed. This explanation was written from the published report of 30 April 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 The Chantry

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

  1. September 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Chantry →

  2. April 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at The Chantry →

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

    Read this report on cqc.org.uk

  4. June 2014

    Registered with the Care Quality Commission on 12 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.

Next steps

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