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Carrick House Nursing Home Requires improvement

We are carrying out a review of quality at Carrick House Nursing 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 24 May 2019

About the service:

Carrick House Nursing Home is a care home that provides personal and nursing care for up to 24 people, some of whom live with dementia. At the time of the inspection there were 23 people using the service. Accommodation was provided across two floors, with communal areas located on the ground floor.

People’s experience of using this service:

Since the previous inspection on 5 and 6 April 2018 the service had made improvements to the management and administration of medicines. This helped ensure that people received their prescribed medicines safely. However, there were occasions when there had been a delay in people receiving prescribed medicines. We also noted that there was a lack of detail and guidance in care plans about some aspects of people’s healthcare needs.

Improvements had also been made in the provision of activities so that people’s risk of social isolation was lessened.

Since the last inspection improvements to the décor of some communal areas and bedrooms had been made and an extension to the building was in the process of being completed. The registered manager and managing director told us they had plans to make further improvements to the premises once that extension had been finished.

Staff knew people well. People’s differences including cultural and religious needs were understood and respected by staff.

People told us they felt safe living in the home. Staff knew what their responsibilities were in relation to keeping people safe. Staff knew how to recognise and report any concerns they had about people's welfare.

Systems were in place to assess and monitor the safety of the environment. Risks to the health and wellbeing of people were regularly assessed. Guidance to minimise these risks and keep people safe was in place. Regular health and safety audits including fire safety checks were carried out.

The home was clean and safely maintained.

Engagement between staff and people using the service was caring and respectful. People’s relatives spoke positively about the care provided by staff.

People were supported to have the relationships that they wanted with family and friends.

People’s nutritional needs were assessed and monitored. The service provided people with a variety of meals that met their dietary needs and preferences.

People received the care and treatment that they needed and were supported to access healthcare services.

The provider recruited staff carefully to ensure that staff were suitable for their role. Staffing numbers and skill mix were flexible to ensure that people’s needs were met by the service.

Staff received the training and support they needed to carry out their roles and responsibilities in meeting people’s care needs.

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 supported this practice. Staff knew that when people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) needed to be followed.

Systems were in place to assess and monitor the quality and delivery of care to people and drive improvement.

During the past year the registered manager had worked hard to make improvements to the service. Staff had an awareness of how the changes had benefited the service for people.

More information is in the full report.

We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 relating to safe care and treatment and good governance. Details of action we have asked the provider to take can be found at the end of this report.

Rating at last inspection: Requires Improvement. The report was published in May 2018. Following this inspection, the rating remains as Requires Improvement.

Why we inspected: This was a scheduled planned comprehensive inspection based on the rating of the service at the last inspection.

Follow up

Inspection areas

Safe

Requires improvement

Updated 24 May 2019

The service was not always safe

Details are in our Safe findings below

Effective

Requires improvement

Updated 24 May 2019

The service was not always effective

Details are in our Effective findings below

Caring

Good

Updated 24 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 24 May 2019

The service was responsive

Details are in our Responsive findings below

Well-led

Requires improvement

Updated 24 May 2019

The service was not always well-led

Details are in our Well-Led findings below.