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Inspection Summary


Overall summary & rating

Good

Updated 5 December 2018

This comprehensive inspection took place on 23 October 2018 and was unannounced.

Carlton Gate consists of two ground floor properties providing accommodation and personal care for adults with learning disabilities. The two properties, Florey Lodge and Barnard Lodge are identical, each having three bedrooms, shared bathroom facilities, a communal lounge/dining area and a kitchen. People have access to several small courtyard gardens shared with other flats within the complex. The service provides accommodation and personal care for up to six adults with learning disabilities. At the time of our visit there were two people living at Barnard Lodge. Florey Lodge was closed awaiting refurbishments.

At our previous inspection of Carlton Gate on 8 March 2016 we rated the service ‘good’ overall. You can read the report from our last inspection, by selecting the 'all reports' link for Carlton Gate - Care Home Learning Disabilities on our website at www.cqc.org.uk. At this inspection we found people continued to receive good care and support. We rated the service good overall.

The manager in post had applied to become the registered manager of the service. 'A registered manager is a person who has registered with the Care Quality Commission 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.

The provider had systems in place to assess and meet people's care needs in a way which suited them. Where appropriate, people, relatives and healthcare professionals contributed to the care planning process. Care plans were reviewed as people's needs changed.

Risks in relation to people’s safety were identified and managed through the implementation of a risk assessment process. Risk assessments were reviewed in line with the provider’s policies and procedures.

The provider had safeguarding policies and procedures in place. Staff demonstrated a good understanding and awareness of how to keep people safe from harm.

People using the service were being protected from improper treatment. The provider made sure that people's capacity was assessed when needed and that care was delivered in people's best interests.

Staff respected people’s choices and requested people’s consent before offering them support.

People were treated with dignity and respect. Staff supported people in a kind and compassionate manner.

Staff gathered information and took account of people's cultural needs and preferences to ensure staff supported people in an appropriate manner.

People's medicines were managed safely. Staff completed appropriate medicines training and competency assessments before carrying out medicines related tasks and were confident supporting people with their medicines.

People were supported to have sufficient amounts of nutritious food and drink to meet their needs. Mealtimes were organised in a way that promoted people’s choices and preferences.

People had access to healthcare professionals to monitor and maintain their health care needs. Staff supported people to attend medical appointments.

The service was complying with the Accessible Information Standard (AIS). The AIS applies to people using the service who have information and communication needs relating to a disability, impairment or sensory loss.

Staff were employed following a thorough recruitment process. Staff were receiving appropriate support and training to enable them to carry out the duties they were employed to perform.

Sufficient numbers of staff were deployed to the service in order to meet people's needs.

Audits were carried out to ensure the environment and people were safe. The home was clean and tidy and staff were following correct infection control procedures.

Staff told us that incidents, accidents, concerns and complaints were discussed at team meetings an

Inspection areas

Safe

Good

Updated 5 December 2018

The service remains safe.

Effective

Good

Updated 5 December 2018

The service remains effective.

Caring

Good

Updated 5 December 2018

The service remains caring.

Responsive

Good

Updated 5 December 2018

The service remains responsive.

Well-led

Good

Updated 5 December 2018

The service continues to be well-led.