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Carlton Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 July 2019

About the service

Carlton Care Home is a residential care home providing personal and nursing care to 26 people at the time of the inspection. Four people received residential care and twenty-two people received nursing care. The service can support up to 29 younger and older adults in one adapted building.

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

Not all steps had been taken to ensure medicines were administered as required and managed safely. Some improvements were required to help prevent the risks associated from infections. Incident reports did not always include a conclusion and show whether any further actions were required to reduce risks.

Risks associated with people’s healthcare conditions were assessed. The provider had taken actions to help prevent the abuse of people using the service. There were enough staff to meet people’s needs and staff were checked to ensure they were suitable to work at the service.

Improvements were required to help ensure people received food that was consistent with their assessed needs. Some adaptations had been made to the premises and people had personalised their bedroom; however, signage around the premises was limited. People’s needs were assessed, and staff were trained in areas relevant to people’s needs. People had access to other healthcare services when required. Staff had opportunities to discuss their performance and training needs with their manager. People told us they enjoyed the choice and variety of meals at the service.

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.

Staff were caring and respectful to people. People’s cultural needs were known and respected. People and their relatives were involved in their care and in making decisions. People’s choices were promoted. People told us staff respected their privacy and promoted their independence.

Staff had a good understanding of people’s life histories and interests. People were supported to maintain their connections with their local communities. People told us they enjoyed a variety of activities. Staff were able to support people who spoke languages other than English. People’s communication needs were assessed and met. Where people required care at the end of their lives, this had been assessed and care plans were in place to help ensure people received the care they wanted.

Not all statutory notifications had been submitted as required. Some audits had not identified shortfalls effectively. Medicines records were not always complete.

The service was run with an open and approachable management team. People, their relatives and staff were involved in the development of the service. Both registered managers were involved in quality improvements initiatives and the service had been recognised for their achievements.

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 6 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.

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

Follow up

We will continue to monitor information we receive about the service until we 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 24 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 24 July 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 July 2019

The service was not always well-led.

Details are in our well-Led findings below.