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Charnley House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 11 February 2021

About the service

Charnley House is a residential care home providing personal care to 37 people aged 65 and over at the time of the inspection. The service can support up to 40 people. The home provided care to people across three floors, people have their own bedrooms and can access communal areas including adapted bathrooms, communal lounges and dinning room.

People’s experience of using this service and what we found

We found there were shortcomings in the way the service handled medicines. Records to show how many medicines were in stock did not always match the actual amount of medicines. Staff did not record when they used thickeners to thicken people’s drinks and records for staff were not kept up to date. We found no evidence that people had been harmed but people had been put at an increased risk of harm.

People and their relatives told us they felt safe in the home. Risks to people were assessed and managed well. The home was clean and work was being done to renovate areas in the home. Staff were busy but people told us they felt there were enough staff on duty. Additional staff had been recruited to provide activities for people to do.

People told us there was a culture in the home where people were able to raise concerns and suggestions to improve the home. People felt the registered manager and was approachable and would act on suggestions. We saw the registered manager and other staff worked well with other care providers and organisations such as the local authority to ensure people received the support they needed.

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 this service was good (published 14 February 2019).

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in part due to concerns received about the management of medicines. A decision was made for us to inspect and examine those risks.

We inspected and found there was a concern with the management of medicines, so we widened the scope of the inspection to become a focused inspection which included the key questions of safe and well-led.

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 coronavirus and other infection outbreaks effectively.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service

We have identified breaches in relation to the safe management of medicines meaning we were not assured systems were in place to ensure people received their medicines as they had been prescribed.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 11 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 11 February 2021

Caring

Good

Updated 11 February 2021

Responsive

Good

Updated 11 February 2021

Well-led

Requires improvement

Updated 11 February 2021

The service was not always well-led.

Details are in our well-led findings below.