You are here

Carlisle Dementia Centre - Parkfield Good

Inspection Summary


Overall summary & rating

Good

Updated 23 October 2018

Carlisle Dementia Centre is a care home providing personal care and nursing care for up to 42 people, some of whom may be living with dementia or physical disabilities. There were 38 people living at the home at the time of our inspection.

Accommodation is provided over two floors. The bedrooms are single occupancy and have en-suite toilet and wash basin facilities. There are shared bath and shower rooms, as well as lounge and dining areas throughout the home. There is a sheltered, accessible garden and car parking at the home.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection. At this inspection we found the service remained Good. However, there are areas that would benefit from some improvements. We have made some recommendations to the registered provider.

There was a registered manager in post. A registered manager is a person who has registered with the (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.

Medicines were not consistently stored safely or recorded accurately and appropriately. We have made a recommendation about this.

The hot water supply in some areas of the home was not always reliable. The water temperature monitoring procedures were not clear or fully understood by staff. We have made a recommendation about this.

The schedules in place for cleaning had not always been followed. We found some areas of the home required better cleaning. There was a refurbishment plan in place at the home to help make improvements to the environment and the facilities.

The provider had systems in place to help monitor and assess the quality and safety of the service. We found that actions were taken to make improvements to the service. However, the monitoring systems could have been more robustly applied across the service.

Safeguarding concerns or incidents had been reported by the registered manager to the appropriate authorities to help keep people safe.

During the inspection we found that there were sufficient numbers of suitable staff to meet people's needs that plans were in place should extra staff be needed.

Staff were provided with training and support. We saw that staff were confident and competent when supporting the people who used this service.

People were provided with a good variety of food and drink. We saw that mealtimes were a pleasant and sociable event. Staff provided support with eating and drinking in a sensitive and discreet manner. Records about eating and drinking did not always contain enough information about people at risk of poor nutrition.

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 support this practice.

Staff were caring, capable and engaged with people throughout the day. They worked very well as a team including the domestic and administrative staff.

People who lived at the home were smartly groomed and appeared relaxed and content. Some people became distressed and anxious in the late afternoon but staff supported them expertly and with kindness.

People were provided with opportunities to have their say on how the service was operated. However, there had been few responses to surveys and meetings.

Further information is in the detailed findings below.

Inspection areas

Safe

Requires improvement

Updated 23 October 2018

Some areas of safe require improvement.

Effective

Good

Updated 23 October 2018

The service remains Good

Caring

Good

Updated 23 October 2018

The service remains Good

Responsive

Good

Updated 23 October 2018

The service remains Good.

Well-led

Good

Updated 23 October 2018

The service remains Good.