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Carlton Care Home Requires improvement

The provider of this service changed - see old profile

Reports


Inspection carried out on 11 June 2019

During a routine inspection

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 carried out on 14 September 2016

During a routine inspection

This inspection took place on 14 and 15 September 2016. Carlton Care Home is a residential care home which provides accommodation and nursing care for up to 29 people. At the time of our inspection the service had 26 people living there.

There was a registered manager in place and they were available during the inspection. 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.

People received safe and effective care from staff. Staff had a good understanding of the various types of harm and their roles and responsibilities in reporting any safeguarding concerns.

Risks to people's individual needs and the environment had been assessed. Staff had information available about how to meet people’s needs, including action required to reduce and manage known risks.

There were sufficient numbers of staff to meet people’s care needs and staff were recruited safely. Staff received regular training and supervision and were able to reflect on the care and support they delivered and identified further training requirements.

People received their medication as prescribed. Staff were able to explain the process they followed when supporting people to safely take their medication.

People’s rights were protected under the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their nutritional needs. External health professionals were involved in people’s care when required.

People’s care plans reflected their individual needs and personal wishes. People and their relatives were involved in the development of their care plans and these were reviewed regularly.

The service encouraged feedback from all people involved with the service. A complaints process was in place. People felt able to make a complaint and felt confident that staff would respond appropriately.

People were very satisfied with all aspects of the service provided and spoke positively of both staff and management team. People received care and support from kind, caring and compassionate staff, who respected their privacy and dignity at all times.

People had confidence in the registered manager and the way the service was run. There were systems in place to monitor and improve the quality of the service provided. The vision and values of the staff team were person-centred and made sure people were at the heart of the service.