Carlton Court Care Home is a residential care home providing personal and nursing care to up to 85 people. The service provides support to older people, people living with dementia and younger adults. At the time of our inspection there were 68 people using the service.
People’s experience of using this service and what we found
People told us they felt safe. Staff received training in safeguarding people from abuse. Staff demonstrated that they understood the signs of abuse and how to report any concerns in line with the provider's policy.
People's medicines were managed and administered in a safe way by staff who had been trained to carry out the task. There were sufficient staff deployed to meet people's needs in a timely manner.
Risk assessments were in place and reviewed regularly to minimise the potential risk of harm to people during the delivery of their care. People's care records were reviewed and any changes to people's care and support needs had been recorded.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The environment was safe, clean and hygienic. Suitable checks were made on the premises and equipment to ensure they were safe.
There was a clear management structure and staff told us they felt supported and valued. The management team had developed good working relationships with professionals which had positive outcomes for people.
The registered manager and senior management team had implemented several audits and checks to monitor the overall quality of care people received. Issues identified during audits were linked into an evolving action plan which was reviewed and updated regularly.
The provider worked closely with the local authority to continuously implement and sustain improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 01 August 2018).
At our last inspection we made a recommendation around medicines management. At this inspection we found the provider had acted on the recommendation and they had made improvements.
Why we inspected
We received information of concern in relation to staffing levels, poor care and management failing to take concerns seriously. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained the same. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.
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 COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Carlton Court Care Home on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.