Latest Inspection
This is the latest available inspection report for this service, carried out on 20th April 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for The Chestnuts.
Annual service review
Name of Service: The Chestnuts The quality rating for this care home is: The rating was made on: three star excellent service 2 7 0 2 2 0 0 9 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Anne Prankitt Date of this annual service review: 1 5 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 72 Church Road Altofts Normanton West Yorks WF6 2QG 01924220019 01924223460 maggie-thechestnuts@homecall.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Bond Care Ltd Number of places (if applicable): Under 65 Over 65 0 41 Can accommodate one named service user under 65 years of age in PD category One specific service user under the age of 65, named on variation dated 9th February 2007, may reside at the home. To accommodate a maximum of 5 persons in category TI(E) (Terminally Ill - Older People) at any one time. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Chestnuts provides personal and nursing care for up to forty one older people. It is set back in its own grounds. It is situated in a residential part of Altofts, between Wakefield and Castleford. There is car parking provided to the front, and a large garden and patio area to the rear. Through the main entrance to the front there is a large hallway, which leads to all areas including lounges to the front and left, and dining room to the right. There is a passenger lift to bedrooms on the first and ground
Annual Service Review Page 2 of 7 2 7 0 2 2 0 0 9 floors. All bedrooms provide single accommodation, and there are assisted baths with hoists for those who require it. There are qualified nurses on duty at all times. The home is close to local shops, churches and public houses and the M62/A1 link roads are close by. The registered manager should be contacted direct for information about the current weekly fees, and what people pay extra for. Written information about the home is included in the Statement of Purpose and service users guide. These, and the last key inspection report written by our predecessor, the Commission for Social Care Inspection, are available from the manager on request. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection, which took place on 27 February 2009. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Eleven returned surveys completed by people using the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service. These are called notifications and are a legal requirement. The previous key inspection. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their Annual Quality Assurance Assessment (AQAA) when we asked for it. It was clear and gave us a lot of the information we asked for. We looked at the information in the AQAA, and after speaking to the registered manager, our judgement is that the home is still providing an excellent service, and that they know what further improvements they need to make. The AQAA showed that people are involved in the running of the home where possible, and that changes are made in accordance with their views. In their surveys, we asked people questions like: Do you receive the care and support you need? Do the staff listen and act on what you say? Does the home make sure you get the medical care you need? To each of these questions, the most popular reply was always, although some people did answer usually or sometimes. This suggests that people may be experiencing different outcomes at the home. When we asked what the home could do better, we received responses like To help residents bond with each other and form friendships, Set up a sweet trolley so I could have Mars Bar, and Take notice of what I say. However, people also made some very positive comments about their home. When asked what the home does well, they said Laundry. Seeing to our needs. Staff try to Annual Service Review Page 4 of 7 satisfy my food needs, Good food, well looked after, Makes me laugh at dinnertime when staff joke. Its like a pantomime, and Standard of care is excellent. I dont think there is anything more they could do for me. They also said Looks after me well. Gives as much help as they can, Good care always. Good food. Happy living here, Arrange appointments for the hospital and doctors. Help me with my care needs. Staff are very helpful and, finally, I am very well cared for. The food is good, and the chefs are excellent. We received a very mixed response when we asked people in their surveys whether the home arranges activities for them to take part in if they want to. We also received a mixed response when we asked people whether the staff were available when they needed them. However, the management told us in the AQAA that these were areas they knew they needed to make better, because they had asked people their views already. The management told us that they needed to Have more efficient staff rotas to free up more time for staff to talk and listen to service users, and Have a more extensive range of activities that meet the changing needs of the service users. A part time activities co-ordinator has been appointed, to look more closely at peoples individual social needs, and how these can best be met. The management told us that in the next twelve months they also intend to find alternative methods of including people in decision making, and to explore other activities that they can participate in. This will help to make peoples lives more interesting, and will help to make sure that individuals needs and wishes are always met. However, the management told us they have already changed the menu, because people had told them they wanted to see improvements made. Feedback from our surveys told us that six out of eleven people always like the meals, three usually do, and one person sometimes does. One person did not respond. We discussed the overall feedback from people with the management, so they were aware of the areas where people have more mixed views about the service they get. A further survey carried out by the home may help to determine whether there are any similar trends which may need to be considered. Nine out of eleven people said there was someone they could speak to informally if they were not happy. The same number of people said they knew how to make a formal complaint. The registered manager told us, and kept us informed, about one complaint made direct to the home. She has shown us that she took this complaint seriously, and made sure it was properly investigated. The home has also reported one safeguarding incident, correctly, to the local authority. The right steps were taken to make sure people were kept safe from harm. The home continues to let us know about things that have happened since our last key inspection. And speaking to the management has assured us that they have managed issues well. They work well with us and have shown us that their service continues to provide excellent outcomes for the people who use it. What are we going to do as a result of this annual service review? Annual Service Review Page 5 of 7 It is our statutory responsibility to inspect all care services at least once every three years. Therefore we are not planning to inspect this service before 26 February 2012. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using it. Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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