# Chilton Croft Nursing Home *Operated by Chilton Care Homes Ltd.* Chilton Croft Nursing Home is a CQC-regulated home-care agency in Sudbury. ## CQC Ratings | Key question | Rating | | --- | --- | | Overall | Requires improvement | | Safe | Requires improvement | | Effective | Good | | Caring | Good | | Responsive | Good | | Well-led | Requires improvement | Rating published: 29/08/2018 ## Practical info - Postcode: CO10 2RN - Local authority: Suffolk - Region: East - City: Sudbury - Last CQC check: 09/Mar/2023 - 00:00 ## Inspection findings ### Other - Finding - Evidence: Staff received updated training in record keeping, pressure wound management, care planning, nutrition and safeguarding. - Published: 2025-10-01 - Finding - Evidence: MCA compliance improved with local authority support; appropriate DoLS authorisations in place. - Published: 2025-10-01 - Finding - Evidence: Infection prevention control audits introduced monthly; environment free from offensive odours. - Published: 2025-10-01 - Finding - Evidence: Acting manager demonstrated duty of candour, openness and transparency when things went wrong. - Published: 2025-10-01 - Finding - Evidence: Fire safety overhauled following fire service inspection; detailed PEEPs now in place for all residents. - Published: 2025-10-01 - Finding - Evidence: Safeguarding processes improved; provider no longer in breach of regulation 13; staff more confident to raise concerns. - Published: 2025-10-01 - Finding - Evidence: Sufficient staffing levels restored following previous breach; people and staff reported improvement in staffing numbers and person-centred time. - Published: 2025-10-01 - **record_keeping** _(critical)_ - Evidence: We noted gaps of up to 7 hours where repositioning should have taken place every 3 hours. This continued to place people at risk of skin breakdown. - Published: 2025-10-01 - **person_centred_care** _(moderate)_ - Evidence: Care plans did not record people's preferences as to the gender of staff allocated to support them with personal care. One person told us, 'I don't like male staff washing me but it still happens sometimes.' - Published: 2025-10-01 - **infection_control** _(critical)_ - Evidence: We found two suction machines which had not been cleaned after use. There was no system of cleaning and maintenance checks in place. - Published: 2025-10-01 - **leadership** _(critical)_ - Evidence: Three clinical leads had been appointed within the last 8 months and all had now left. - Published: 2025-10-01 - **governance** _(critical)_ - Evidence: The lack of consistent leadership structure and clinical oversight demonstrated a continued breach of 17 (good governance) of the Health and Social Care Act 2008. - Published: 2025-10-01 - **medication_management** _(moderate)_ - Evidence: Time specific medicines such as those for people diagnosed with Parkinson's were being administered...up to 45 minutes earlier than the scheduled time on administration(MAR) records. - Published: 2025-10-01 - **record_keeping** _(critical)_ - Evidence: Care plans for people at risk of choking where suction machines were in use did not provide guidance for staff as to how and when to use this equipment. - Published: 2025-10-01 - **care_planning** _(critical)_ - Evidence: We found conflicting information in care plans located in the nurses office and those available to care staff located in people's rooms. - Published: 2025-10-01 - Finding - Evidence: Positive feedback received about levels of support and quality of meals. - Published: 2025-03-01 - Finding - Evidence: The provider was assured to be preventing visitors from catching and spreading infections, using PPE effectively, and accessing testing for people and staff. - Published: 2025-03-01 - Finding - Evidence: The service was working within the principles of the MCA and appropriate legal authorisations were in place to deprive a person of their liberty where needed. - Published: 2025-03-01 - Finding - Evidence: People benefited from a stable staff team and there was a clear process in place to check staff suitability before they started work. - Published: 2025-03-01 - Finding - Evidence: People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. - Published: 2025-03-01 - **staff_training** _(critical)_ - Evidence: Staff on duty on the night of our inspection had not been trained to know what procedures were in place to respond in the event of a fire. - Published: 2025-03-01 - **infection_control** _(moderate)_ - Evidence: We found equipment such as bedrail covers which were soiled, hoists which were in need of cleaning and a suction machine which was dirty stored on the floor. - Published: 2025-03-01 ### safe - Finding - Preventing and controlling infection - Published: 2025-03-01 - Finding - Systems and processes to safeguard people from the risk of abuse - Published: 2025-03-01 - Finding - Staffing and recruitment - Published: 2025-03-01 - Finding - Using medicines safely - Published: 2025-03-01 - Finding - Assessing risk, safety monitoring and management; Learning lessons when things go wrong - Published: 2025-03-01 ### well_led - Finding - Engaging and involving people using the service, the public and staff; Promoting a positive culture - Published: 2025-03-01 - Finding - How the provider understands and acts on the duty of candour; Working in partnership with others - Published: 2025-03-01 - Finding - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care - Published: 2025-03-01 ## Source Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-138373825 HomeCare Compass is an independent guide and is not affiliated with the CQC.