Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Chestnut Grove Rest Home St Catherines Way Todd Lane South Lostock Hall, Preston Lancashire PR5 5XE The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Felicity Lacey Date: 1 2 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Chestnut Grove Rest Home St Catherines Way Todd Lane South Lostock Hall, Preston Lancashire PR5 5XE 01772337061 Telephone number: Fax number: Email address: Provider web address: kneen3@aol.com Name of registered provider(s): Type of registration: Number of places registered: Ms Doris Mary Kneen care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 11 Conditions of registration: The registered person may provide the following category of service only: Care Home only - Code PC To Service Users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP The maximum number of Service Users who can be accommodated is: 11 Date of last inspection Brief description of the care home Chestnut Grove is a care home that has eleven places for older people of either sex. The home is set in its own grounds in a quiet residential area in Lostock Hall, Preston. Chestnut Grove is close to motorway links and main bus routes. Accommodation is provided on two floors. The first floor is accessed by stair lifts at each end of the home. In one part of the home there are three steps from the stair lift to the bedrooms, in the other part the stair lift provides direct access to bedrooms. People living at the Care Homes for Older People Page 2 of 8 home with mobility problems can be accommodated on the ground floor. The home has a large lounge and separate dining area. There is ramped access to the grounds which are safe and well maintained, outdoor seating is provided so people living at the home are able to enjoy the garden. Care Homes for Older People Page 3 of 8 What we found:
At the last key inspection in February 2007 this service was given an excellent 3 star quality rating. The purpose of this random inspection was to look at the quality of outcomes across all areas to ensure that the high standards identified in the report of February 2007 were being maintained. At the time of this unannounced visit to the home there were 11 people living at Chestnut Grove. The assessment information regarding an individual who has been admitted to the home since the last key inspection was viewed. An assessment of this persons needs had taken place and this was supported by documentation from health and social services. The care plan was being added to as the person settled at the home and their needs became evident. There was evidence of the involvement of a range of health and social care professionals and the records showed that staff were responsive to the requests of people living at the home. Risk assessments had been carried out, with plans then put in place regarding how any risks were to be managed. These risk management plans ensure that staff are working in a consistent manner and help to maintain the safety of the person concerned. Consideration is also given to the preferences of the individual and the right to take reasonable risks is respected. Records regarding health and personal care were viewed in relation to three people living at the home. There was evidence of involvement of a range of health professionals and on going monitoring of health needs. Care plans are in place and these are reviewed regularly. These provide good information regarding how practical and personal care needs are to be supported. The people who live at Chestnut Grove consider it to be well run and a good place to live. The food is of good quality and personal preferences are respected. One person spoken with commented on the lovely presentation of the dining room at Christmas, when the table was laid and decorated for Christmas Dinner. Neither the home or the commission have received any complaints since the last key inspection. People who live at the home who were spoken with during the visit were confident that any concerns they may have would be acted upon without delay. What the care home does well:
During the visit to Chestnut Grove five people were spoken with who live there. Their comments about the standards of care and the attitude of the staff were very positive and included the following: The home was recommended to me and it has certainly lived up to recommendations. This suits me every well. I am left to do as I please but the staff are always there if I need them. Its all about what we want, not what the staff want. It couldnt be better, its a real home from home. Care Homes for Older People
Page 4 of 8 The food is splendid The food is excellent-a good selection. Staff are very helpful and quick to respond if needed. Very comfortable , family always welcome. The support provided by staff at the home is of a consistently good standard. People living at the home felt in control of their daily lives and confident that the staff would help when needed. The people living at Chestnut Grove felt valued and appreciated and in turn they felt the staff make every effort to make their day to day lives enjoyable and comfortable. The owner is held in high regard by people living at the home and the staff. She is considered to be very approachable and interested. The home continues to provide excellent outcomes for people who live there. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 2 7 9 Risk assessments should be signed and dated to ensure they provide current information. Robust policies should be in place with regard to secondary dispensing of medication. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
