Updated 28 January 2020
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
An inspector, an assistant inspector, a specialist advisor pharmacist and a specialist advisor nurse carried out this inspection.
Service and service type
Ann Charlton Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
An interim manager was appointed to manage the service in June 2019 while the provider recruited a new registered manager. A new manager was appointed in January 2020, who intended to apply to be registered manager. In this report ‘the manager’ will refer to the interim manager, who was still in post during our inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we held about the service, including the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally obliged to send us within required timescales.
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection
During the inspection
We spoke with four people who used the service and five relatives about their experience of the care provided. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with nine members of staff, including the manager, clinical, care, activities, kitchen and maintenance staff.
We reviewed a range of records. This included five people’s care records and 23 medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at staffing records.