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CQC report explained · a residential care home, run by Stowcare

Chilton Court

Gainsborough Road, Stowmarket, IP14 1LL

Requires improvementpublished 25 January 2024, 2 years ago

Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.

The five questions inspectors ask
Safe?
Requires improvement
Care and risk plans did not always give staff enough guidance. Food and drink records, fire safety checks, overnight staffing and some medicines also needed improvement.
Effective?
Good
This question was not inspected during this visit. Its previous rating was carried forward into the overall rating.
Caring?
Good
This question was not inspected during this visit. Its previous rating was carried forward into the overall rating.
Responsive?
Good
This question was not inspected during this visit. Its previous rating was carried forward into the overall rating.
Well-led?
Requires improvement
Quality checks did not identify or address all the problems found. Oversight of care records, medicines, infection control, training and recruitment was not robust.
The latest report, explained

What inspectors found, January 2024

Chilton Court was rated Requires Improvement; inspectors found kind care but gaps in risk planning, staffing, medicines and management oversight.

Inspectors visited without notice on 22 and 30 November 2023. Four inspectors visited over two days. They spoke with people, relatives, staff and managers, and reviewed care records, medicines records, recruitment files and quality checks.

The home was not always safe. Some people did not have clear care and risk plans. Food and drink records had gaps, fire safety checks were incomplete, and some medicines were not given exactly as prescribed. There were also too few staff overnight, although the provider increased staffing during the inspection.

Staff were described and observed as kind and respectful. Safeguarding systems were effective, and the home was working within the principles of the Mental Capacity Act. However, quality checks had not found or fixed all the problems, so the home was rated Requires Improvement for Safe and Well-led.

The previous overall rating was Good, published in July 2018. This inspection only assessed Safe and Well-led. The other question ratings were carried forward from the previous inspection.

What inspectors praised
  • Safeguarding

    People were protected from abuse. Staff knew how to report concerns, and information about raising concerns was available.

    People were protected from the risk of abuse because the provider had effective safeguarding systems in place.from the report
  • Kind interactions

    Inspectors saw staff being attentive and respectful. Relatives also described positive relationships between people and care staff.

    We observed a kind and caring culture at the service. Staff were attentive and were respectful in their interactions.from the report
  • Mental capacity

    The home was following the principles of the Mental Capacity Act. Legal authorisations were in place when needed.

    We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty.from the report
  • Daytime support

    During the visit, there were enough staff during the day to spend time with people. Staff were available and interacted with people rather than focusing only on tasks.

    Staff were not task orientated and were available and interacting with people.from the report
What inspectors were concerned about
  • Incomplete risk plans

    serious

    Care plans and risk assessments did not always explain how staff should support people safely. This included people living with advanced dementia and people at risk of weight loss.

    People's care plans and risk assessments did not always give staff all the information they needed on how to safely care for people.from the report
  • Overnight staffing

    serious

    Inspectors were concerned that there were not enough staff overnight to keep people safe and meet their needs promptly. The provider increased overnight staffing during the inspection.

    We were concerned that there were not enough staff to keep people safe and meet their care needs during the nighttime.from the report
  • Medicines

    needs fixing

    For one person, a medicine prescribed to be given when needed was given routinely. Guidance for staff was not always clear.

    for one person, medicines that were prescribed to be administered 'when required' were administered routinely.from the report
  • Management oversight

    serious

    Audits and checks did not identify or resolve all the issues found. Inspectors were also not fully assured that staff recruitment was consistently safe.

    Systems designed to monitor the safety and quality of the service and take action to mitigate risk, were not robust.from the report
  • Cleaning details

    minor

    Most areas were visibly clean, but the undersides of some equipment and many light pull cords were heavily soiled.

    the underside of some pieces of equipment was soiled and many light pull cords were heavily soiled.from the report
Questions to ask them, based on this report
  1. 01What has changed in care plans and risk assessments, especially for people living with advanced dementia or at risk of weight loss?
  2. 02How many staff are now scheduled overnight and at weekends, and how do you check that people's needs are met promptly?
  3. 03How do you make sure food and drink records are complete and acted on when someone is losing weight?
  4. 04How do you check that medicines prescribed to be given when needed are only given when appropriate?
  5. 05What checks now show that recruitment, medicines, infection control and care records are being properly monitored?

This was a focused inspection of Safe and Well-led, including infection prevention and control; the other question ratings were carried forward from the previous inspection. This explanation was written from the published report of 25 January 2024 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 Chilton Court

4 rated inspections over 9 years: the service has slipped, from Good to Requires improvement.

  1. January 2024Requires improvementcurrent ratingdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Chilton Court

  2. July 2018Goodup from Requires improvement
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. May 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. June 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 20 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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Same provider

Other services run by Stowcare Limited

1 other service on the CQC register. A pattern across a group tells you more than one report.

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