29 April 2019
During a routine inspection
About the service.
The Chestnuts is a purpose-built care home set in its own grounds and provides care and accommodation for up to 64 people including those living with dementia. At the time of our inspection 42 people were using the service.
People’s experience of using this service.
Medicines were not managed effectively. We found several people had not received their medicines as the prescriber intended.
Staff did not always receive regular supervisions to support them in their role.
We found two people were being deprived of their liberty. The provider had not re-applied to renew these applications until two months after the expiry date.
Audits were undertaken by the provider. However, the audits had not identified the issues we found in relation to medicines, supervisions and DoLS applications.
People reported they felt safe and were treated in a dignified manner.
People told us they enjoyed the food at the service. Where people were at risk of malnutrition appropriate steps were taken.
Activities were available for people to avoid social isolation. Complaints were recorded and responded to appropriately. CQC notifications were sent where appropriate.
Rating at last inspection.
At the last inspection the service was rated Good (the report was published on 16 September 2016).
Why we inspected.
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up.
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk