Updated 25 May 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The Inspection was conducted by one inspector, a pharmacy inspector, an assistant inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type:
Chesterton Lodge is a care home that accommodates up to 64 people, some of whom may have a diagnosis of dementia. People in care homes receive accommodation and nursing or personal care. Chesterton Lodge is not registered to provide Nursing Care. The Care Quality Commission (CQC) regulates both the premises and care provided and both were looked at during the inspection. The home was spread over three floors.
The service did not have a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The Care Manager was applying to register with the CQC at the time of the inspection.
Notice of inspection:
The inspection was unannounced.
What we did:
We used the information we held about the service, including notifications, to plan our inspection. A notification is information about events that by law the provider should tell us about, for example; safeguarding concerns, serious injuries, and deaths that have occurred at the service. We also used information the provider sent to us in the Provider Information Return (PIR) to formulate our inspection plan. A PIR is key information we require from providers on an annual basis giving us key information about the service.
We spoke with six people who use the service and three relatives. We observed care and support in communal areas to assess how people were supported by staff. We spoke to the regional support manager, care manager, two team leaders, one care assistant, the head of housekeeping, the cook and one visiting health professional.
We viewed three people’s care records to clarify what we had observed and what staff had told us. We looked at how medicines were stored, administered and recorded for 18 people. We looked at documents that showed how the home was managed which included training and induction records for staff employed at the service and records that showed how the service was monitored by the care manager and provider.