Archived: Carr Bank House

Updated 23 May 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was an unannounced comprehensive inspection which took place on the 28 March and 5 April 2018. The inspection was undertaken by two adult social care inspectors on day one and one adult social care inspector on day two.

We did not request a Provider Information Return (PIR) on this occasion. This is a form that asks the provider to give some key information about the service, what the service does well and what improvements they plan to make.

During our inspection we spoke with six people who used the service, the registered manager, the deputy manager, a business consultant and two care staff.

We carried out observations in shared areas, such as lounge and dining room and those bedrooms people invited us to see. We looked at care records for three people who used the service and medication administration records in detail for two people. We also looked at the recruitment, training and supervision records for three members of staff, minutes of meetings and a variety of other records related to the management of the service.

Updated 23 May 2018

This inspection was unannounced and took place on 28 March and 5 April 2018. The last inspection of Carr Bank House took place in January 2017 when we found all the regulations we reviewed were met.

Carr Bank House is a privately owned care home providing accommodation for up to 14 adults with mental health needs. The home consists of two adjoining properties that have been adapted to form a large house. There is a small garden to the front of the home. It is located in a residential area, close to Bury town centre, and is within easy reach of public transport. There were 13 people accommodated at the home on the days of the inspection.

Prior to this inspection we received information that raised some concerns around record keeping at the service.

At our last inspection on 10 January 2017 we rated the service Good overall. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in the shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated good.

The service has a registered manager. 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 requirement in the Health and Social Care Act 2008 and associated Regulations about how the service is run. People were positive about the registered manager and the way the home was run.

The people who used the service felt safe and staff we spoke with understood their role in protecting vulnerable adults. Recruitment procedures were robust and minimised the risk of unsuitable people being employed.

People enjoyed support from a stable team of staff who knew the people living at Carr Bank House well.

People received support that maximised their independence and risk assessments were in place to support them in the least restrictive way possible.

Appropriate action was taken to keep the property clean and to remain free of any offensive odours.

Medicines were safely managed and people told us they received their medicines as prescribed by their doctor.

Care plans and risk assessments were in place and were based on the individual needs of each person and were regularly reviewed.

Staff we spoke with and records seen showed that staff received the training and support they needed to carry out their job roles effectively.

Care records were stored securely in order to maintain confidentiality.

There was a suitable complaints procedure located in the hallway and each person was provided with their own copy as part of the service user guide information provided on admission.

Systems were in place to monitor and help maintain the quality of service being provided.