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Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 July 2019

About the service:

Charnwood is a ‘care home’ without nursing and is registered to provide accommodation and support for 19 people. At the time of our inspection, there were 14 people living at the service. People living at Charnwood were older people, some of whom were living with dementia.

People’s experience of using this service:

People were not always safe living at Charnwood. Whilst most risks to individual people’s health, safety and well-being had been assessed and acted upon, we identified avoidable environmental risks during the inspection.

The provider had not addressed the areas of the building which required updating, maintenance and making safe. Some of these areas posed both safety and infection risks to people and staff.

People were happy living at Charnwood, felt safe and enjoyed their lives there. They received personalised care and support which met their needs and preferences. Each person had a care plan in place.

Staff were recruited safely and only those staff suitable to work with vulnerable people were employed. Staff received supervision and appraisals in their work. People received care and support from staff who had been trained to do their jobs properly and who worked as a team.

People were supported by kind and caring staff who promoted independence and a sense of well-being. There was enough staff on duty to meet people’s needs. Positive and trusting relationships had been built up and staff knew people and their families well. People were treated with privacy and dignity and spoken to in a respectful way. The service ensured people were not discriminated against and promoted equality and diversity.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this.

Accidents and incidents were analysed to identify any patterns or trends. People were protected from potential abuse by staff who had received training and knew how to raise concerns.

Where specialist advice was required, the service contacted the appropriate professionals.

People received their prescribed medicines safely and were offered and enjoyed a variety of meals.

There was new leadership at the service and the registered manager promoted an open culture.

There was a homely and welcoming atmosphere at the home. People were aware of how to raise concerns if they needed to.

There were effective quality assurance systems in place to assess, monitor and improve the quality of the service provided. People, relatives and professionals’ views were regularly sought and acted upon.

We have made one recommendation about the lunchtime experience.

Following the inspection, the registered manager sent a comprehensive service improvement plan as agreed with the provider. This included all the areas of concern identified during the inspection and gave timescales for completion. This will be monitored and followed up on the next inspection visit to the service.

Rating at last inspection:

At the last inspection the service was rated good in all areas and as an overall rating (4 November 2016).

Why we inspected:

This was a planned comprehensive inspection based on the last report rating.

Follow up:

We will continue to monitor the intelligence we receive about the service. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 16 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 16 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 16 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 16 July 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 16 July 2019

The service was not always well-led.

Details are in our Well Led findings below.