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Archived: Carham Hall Good

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 20 April 2016

Carham Hall provides accommodation, personal care and support for up to 22 older people, some of whom are living with dementia. At the time of our inspection there were 17 people living at the service.

We carried out an unannounced focused inspection of Carham Hall Care Home on 24 March 2016. At the last inspection on 29 and 30 July 2015 we asked the provider to take action to make improvements to governance arrangements and this action has been completed.

A registered manager was in post, who was also one of two registered providers for the service. A registered manager is a person who has registered with the Care Quality Commission [CQC] 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.

People and a relative told us they were happy with the way the service was managed. Two people told us they felt a bit cold and we told the provider who arranged for the heating to be turned up immediately and said they would monitor the temperature in the service.

Systems were in place to monitor the quality and safety of the service. Audits in key areas such as medicines management, infection control, health and safety, and care plans had been carried out.

CQC had been notified of incidents in line with legal requirements.

Staff told us they felt well supported and that the provider, manager and deputy were visible, accessible and approachable. A reviewing officer told us that they had no significant concerns about the service and found that when any minor concerns were raised with the provider and manager that these were acted upon. A District Nurse told us they had no concerns about the service and that when they asked for things to be done that they were carried out. People told us that they felt the service was well run.

Regular meetings were held and surveys were provided to people using the service, relatives, staff, and other stakeholders, to obtain their views about the service. The views of people in the surveys we read had been acted upon.

The service had accessed and was involved with a quality improvement initiative designed to improve the quality of the experience of people living with dementia in the service.

The service maintained links with the local community and supported people to participate in traditional local celebrations.

Inspection areas



Updated 30 September 2015

The service was safe.

Medicines were managed properly and safely.

Safeguarding policies and procedures were in place and staff were aware of their personal responsibility to report incidences of abuse or potential abuse.

Recruitment processes were safe and staffing levels were sufficient to meet people’s needs.



Updated 30 September 2015

The service was effective.

The Mental Capacity Act 2005 was applied appropriately and decisions were made in people’s best interests where applicable. Records related to these decisions needed to be maintained.

People spoke highly of the staff team and the care they delivered. We received positive feedback from people’s relatives about the service.

People were happy with the food they received and those with specific nutritional needs were supported appropriately by staff.



Updated 30 September 2015

The service was caring.

People told us they enjoyed good relationships with staff whom they found to be kind and caring. We observed pleasant interactions between people and staff during our inspection.

People were treated with dignity and respect and they were involved in their care.

Where necessary, advocates in the form of family members, acted on people’s behalf. The provider told us that she would arrange an independent advocate for any person should the need arise.



Updated 30 September 2015

The service was responsive.

People received care that met their needs and they were given choices in their day to day lives. Staff provided person-centred care and activities were provided to stimulate people and promote social inclusion.

Records related to people’s care needs were maintained and regularly reviewed, although some of these records would benefit from further detail and description being added.

A policy and procedure was in place to deal with complaints although the service had not received any formal complaints recently. People told us they would feel comfortable if they needed to make a complaint to either staff, or the registered providers directly.



Updated 20 April 2016

The service was well led.

There were systems in place to monitor the quality and safety of the service.

Staff felt well supported and told us that the providers were visible and accessible at all times.

The service took part in a quality improvement initiative to improve the quality of the experience of people living with dementia.