We carried out a review of the data available to us about Charlton Kings Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Charlton Kings Care Home, you can give feedback on this service.
Charlton Kings Care Home is a residential care home providing personal and nursing care to up to 36 people. The service provides support to older people, some of whom live with dementia. At the time of our inspection there were 31 people using the service. People are accommodated in one adapted building.
People’s experience of using this service and what we found
People told us they felt safe and staff were available for them when needed. People’s relatives told us their relative was safe and well cared for. The provider ensured there were enough staff to respond to people’s needs. People told us they received support to take their medicines. We found there were arrangements in place to ensure the safe management of medicines. There were processes in place to reduce and remove risks to people and to safeguard people from abuse.
People told us they thought the service was well managed. People and their relatives knew who the registered manager was; they told us they were visible and approachable. People and their relatives told us they felt well communicated with and able to speak with any of the senior staff if they needed to. They told us they also had access to the provider representative if needed and confirmed all management staff were responsive to their feedback. Staff told us they felt well supported and valued. There was a strong culture of reflection and learning from situations which had not gone to plan, challenges and feedback so continued improvements could be made to the service.
People were supported to have maximum choice and control of their lives and staff supported /did them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
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 15 May 2018).
Why we inspected
The inspection was prompted in part due to concerns received about the management of people’s medicines. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. 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.
For those key questions not inspected, we used the ratings awarded at the last inspection these were inspected, to calculate the overall rating. The overall rating for the service has remained good.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Charlton Kings Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
There was a registered manager in post at the service. 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 of the Health and Social Care Act 2008 and associated Regulations about how the service is run
This was the first inspection under the current provider registration which started in March 2015. Previously the service was inspected under a previous provider name in May 2014 and had never formally been rated. While the provider name had changed the service and its staff had remained the same. At this inspection we rated the service as ‘Good’ overall.
Staff had received training appropriate to their role. Staff had received training around safeguarding and were confident raising any concerns relating to potential abuse or neglect. Staff received regular supervision from the management team. The administration and management of medicines was safe. There were sufficient numbers of staff working at Charlton Kings Care Home. There was a robust recruitment process to ensure suitable staff were recruited.
Risk assessments were updated to ensure people were supported in a safe manner and risks were minimised. Where people had suffered an accident, action had been taken to ensure the on-going safety of the person.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were encouraged to make choices about their day to day lives. People were supported to access health professionals. They could choose what they liked to eat and drink and were supported on a regular basis to participate in meaningful activities.
People and their relatives were positive about the care and support they received. They told us staff were caring and kind and they felt safe living in the home. We observed staff supporting people in a caring and patient way. Staff knew people they supported well and were able to describe what they liked to do and how they liked to be supported.
The service was responsive to people’s needs. Care plans were person centred to guide staff to provide consistent, high quality care and support. Daily records were detailed and provided evidence of person centred care.
People at the end of their life received emphatic person centred care. The service was working towards a nationally recognised end of life care practice accreditation. We made a recommendation to support the service to develop outstanding and innovative person-centred end of life care.
The service was well led. Quality assurance checks were in place and identified actions to improve the service. Staff and relatives spoke positively about the management team. People’s feedback and the views of relatives and staff were sought to make improvements to their experience of the service.