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Archived: Carlton Care Home Good

The provider of this service changed - see new profile

Reports


Inspection carried out on 24 October 2014

During a routine inspection

This inspection took place on 24 October 2014 and was unannounced. When we last inspected the service in November 2013. The provider was meeting all expectations.

Carlton Care Home provides accommodation and nursing for up to 29 people who have nursing or dementia care needs. There were 25 people living in the home at the time of our inspection.

The manager was present on the day of our visit. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found staff were knowledgeable in how to safeguard people from abuse. They had attended relevant training, which helped them protect people from abuse.

We found the provider had a robust recruitment process to ensure they employed qualified and skilled staff to meet people’s needs.

People received their medicines as prescribed and in a safe way. Relevant records were completed and staff had attended appropriate training to ensure medicines were administered safely.

We found staff were aware of the mental Capacity Act 2005 (MCA), and Deprivation of Liberty Safeguards (DoLS). This meant people would not be restricted without the appropriate safeguards being in place. We found the provider made suitable arrangements to ensure people who lacked the capacity were appropriate assessed. We saw mental capacity assessments had been implemented for all the people living in the home.

Risk assessments had taken place to ensure people’s needs were met. We saw sufficient staff on duty at the time of our inspection.

People we spoke with described ways in which their needs were met by knowledgeable staff who understood their individual care needs. Staff told us they completed an appropriate induction when they first started work at the home. We saw relevant training had been undertaken by all staff to ensure people were cared for by suitably skilled and qualified staff.

People told us they felt their privacy and dignity were respected. We saw staff interacting with people and they were caring for people in a calm and respectful manner. People’s needs were assessed and monitored to ensure they maintained good health and wellbeing. The provider consulted other professionals and followed advice when required to ensure people’s changing needs were met.

People received suitable support to help them eat and drink independently. We saw people received sufficient to eat and drink. Staff were knowledgeable about people’s dietary requirements to ensure they received a nutritional diet.

People were encouraged to be involved with their care and how the home was run. Staff had good knowledge about people and what was important to them. They were able to describe individual’s preferences, wishes and aspirations. Complaints and concerns were dealt with in a timely manner. People we spoke with told us they were able to raise concerns and knew who they should raise them with.

We found the manager was open and approachable. They had appropriate systems in place to gather, record and evaluate information about the quality of the service. The manager had a good relationship with other healthcare professionals. When we spoke with other healthcare professional they told us they had a good positive relationship with the manager and there were no concerns with the care that was given.

Inspection carried out on 3 December 2013

During a routine inspection

We spoke to three people who used the service, four relatives and three members of staff during our visit.

We found where people did not have capacity to consent there were appropriate assessments in place.

People who used the service said they were happy with care they received. One relative said, “My relative has improved since being here.” Another relative told us they felt their family member’s needs were met. We saw people were happy and content living at the home.

We found the home to be clean and tidy throughout. People we spoke with told us they felt the home was very clean and always smelled nice.

We looked at a number of different documents during our visit these included four care files, service users daily notes and individual allocation sheets, which we found to be accurate and kept secure.

Inspection carried out on 30 January 2013

During a routine inspection

We spoke with four people who used the service and they told us they loved living at the home. It had a good family atmosphere. We observed the relatives and other visitors visiting the home throughout the day during our visit.

The registered person told us they completed a pre- assessment before people came to live at the home. People who used the service and their relatives confirmed they had been visited and involved with these assessments.

We saw that people were given enough information to make informed choices about their care and treatment. We saw a copy of the service user guide and the statement of purpose, they contained enough information to help people make those choices.

Everyone living at the home said the staff were very supportive and they all got on well with each other. We saw staff speaking to people in a happy and respectful manner.

We spoke with six relatives of people who used the service. They told us they were happy with the care and treatment provided by the home.

People said they felt safe living in the home and with the people who worked there.

During our visit we saw sufficient staff to meet people's needs. We observed staff attending to people and supporting them as required.