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Charlton Park Care Home Requires improvement

We are carrying out a review of quality at Charlton Park Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 November 2020

About the service

Charlton Park Care Home is a 'care home' providing residential and nursing care for older people with dementia. Charlton Park Care Home accommodates up to 66 people. There were 59 people using the service at the time of our inspection.

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

During the inspection, improvement was needed as discrepancies were found in relation to people’s safety checks, malnutrition and dehydration and PEG monitoring. Medicines were not managed safely as discrepancies were found in relation to medicines records, PRN protocols, fridge temperatures and medicines being used beyond their expiry dates. There were systems in place to monitor the quality and safety of the service however, these systems were not always robust to monitor the service effectively.

There were enough staff available to meet people’s care and support needs. The provider had appropriate arrangements to help prevent the spread of Covid 19. The registered manager was being supported by the regional management team and worked with the local authority and local clinical commissioning group to drive improvements to deliver an effective service. People, their relatives and staff provided positive feedback about the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service was good (published 19 June 2018).

Why we inspected

We received concerns in relation to the support people received with their nursing care needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

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.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Charlton Park care home on our website at www.cqc.org.uk.

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 have identified breaches in relation to medicines management and maintaining accurate and complete records in relation to people’s care.

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 5 November 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 5 November 2020

Caring

Good

Updated 5 November 2020

Responsive

Good

Updated 5 November 2020

Well-led

Requires improvement

Updated 5 November 2020

The service was not always well-led.

Details are in our well-Led findings below.