Charlesworth Rest Home

Updated 30 April 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector.

The service type:

Charlesworth Rest Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during the inspection. The home accommodates up to 18 people and is split across four floors. Access to all floors was by lift and stairlift.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced and took place on 9 and 10 April 2019.

What we did:

Before the inspection we reviewed all the information we held about the service. This included notifications the home had sent us. A notification is the means by which providers tell us important information that affects the running of the service and the care people receive. We used the information the provider sent us in the Provider Information Return. This is information we require providers to send us when requested to give some key information about the service, what the service does well and improvements they plan to make.

We spoke with six people who used the service, to ask about their experience of the care provided and five visiting relatives. We spoke with the registered manager, deputy manager, three senior care assistants and the cook. We received feedback from three health and social care professionals.

We reviewed a range of records which included, three people’s care files, four medicine administration records, policies, risk assessments, health and safety records, consent to care and quality audits. We looked at two staff files, the recruitment process, complaints, training and supervision records.

We walked around the building and observed care practice and interactions between staff and people who live there. We used the Short Observational Framework for Inspection (SOFI) at meal times. SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 30 April 2019

About the service:

Charlesworth Rest Home is a small family run residential care home, providing accommodation for up to 18 people, some of whom are living with dementia and who may require support with their personal care. There were 15 people living at the home on the day of inspection. The home is a large property situated in Brighton, East Sussex. It has a communal lounge, dining room and garden.

People’s experience of using this service:

People told us they felt safe living at Charlesworth Rest Home. The staff demonstrated a good understanding of how to meet people’s individual needs. People’s outcomes were known, and staff worked with people to help achieve these. People were supported and encouraged to maintain their independence and live their lives as fully as possible.

People were supported to maintain contact with those important to them including friends, family and their community. Staff understood the importance of these contacts for people’s health and well-being. Staff knew people well and what made them individuals.

The management of the service were respected. Staff had a good understanding of their roles and responsibilities and were supported to reflect on their practice and pursue learning opportunities. The staff team worked and got on well together demonstrating team work and flexibility.

Quality and safety checks helped ensure people were safe and protected from harm. This meant the service could continually improve. Audits helped identify areas for improvement and this learning was shared with staff.

The service met the characteristics of good in all areas; more information is in the full report.

Rating at the last inspection:

At the last comprehensive inspection, the service was rated good overall with requires improvement in Well-Led (30 November 2016). We undertook a focussed inspection on 3 May 2018 of the Well-Led domain and found that improvements had been made and it received a rating of good.

Why we inspected:

This inspection was scheduled and based on the previous rating.

Follow up:

We will continue to monitor intelligence we receive about the home until we return to visit as per our re-inspection programme. 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