We carried out a review of the data available to us about Carlton Hall Residential Home and Village on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Carlton Hall Residential Home and Village, you can give feedback on this service.
Carlton Hall Residential Home and Village is a residential care home and domiciliary care service providing personal care for up 86 people in the residential care home and for people living in their own bungalows on site.
The residential care home was in one adapted building, with four units. The units were Main Hall, Granary, Orangery and Courtyard. At the time of our inspection there were 74 people receiving care and support in the residential care home, some people were living with dementia.
For the domiciliary care service, not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. There were 15 people using the personal care service at the time of our inspection.
People’s experience of using this service and what we found
There were systems in place to reduce the risk of abuse and avoidable harm. People received their medicines when they needed them, and monitoring systems supported the management team to identify any risks and address them. There were systems in place to learn lessons when, for example incidents happened, to reduce the risk of them happening again.
The environment was suitable and accessible to people who used the service. There were infection control systems in place to reduce risks of cross infection, and staff wore personal protective equipment (PPE) where required. Policies, procedures and risk assessments were in place in relation to infection control and the pandemic. People were supported to have visits from their family and friends.
Staffing levels were kept under review and recruitment was ongoing to reduce the risks of people not receiving the care they needed. Staff recruitment was undertaken safely. People were supported by staff who were trained and supported to meet their needs.
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; the policies and systems in the service supported this practice.
Prior to using the service, people’s needs were assessed. These assessments were used to develop care plans and risk assessments for people which identified how their needs were met and risks reduced. There was a range of meaningful social activity provided to reduce the risks of boredom and isolation.
People were supported to access health professionals where required and staff worked with health professionals to achieve good outcomes for people. People received a choice of food and drink to reduce the risks of malnutrition and dehydration.
There was a complaints procedure in place and complaints were addressed and used to drive improvement. Governance systems, including audits, supported the management team to monitor the service provided and independently identify shortfalls and address them promptly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was good, published on 29 December 2018. This service was registered with us on 6 September 2021 under a new provider and location name and this is the first inspection.
Why we inspected
Under the new provider name, this service had not yet been inspected and received a rating. Therefore, we undertook this comprehensive inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection under the previous provider, by selecting the ‘all reports’ link for Carlton Hall Residential Home on our website at www.cqc.org.uk.
Recommendations
We have recommended that the provider develop their existing risk assessment for the stairs in the residential care home, to identify that people may accidentally try to climb the stairs and may fall, and to assess how this risk can be mitigated. See the Safe section of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.