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Charlton House Community Resource Centre Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 April 2019

About the service:

Charlton House Community Resource Centre is a nursing home. It was providing personal and nursing care to 28 people aged 65 and over at the time of the inspection.

People’s experience of using this service:

• Risks to people and staff had not been consistently assessed. For example, regular checks of some areas of health and safety.

• The provider had failed to notify CQC about some incidents which had taken place at the service.

• There were enough staff to meet people’s needs. The provider was recruiting to vacant posts, and safe recruitment processes were followed.

• People's medicines were mostly administered as prescribed and managed safely by competent staff. Staff did not consistently record information about the application of creams and ointments.

• Staff felt supported by the management team, and received training and induction to ensure they could effectively perform their role. Staff received supervision, but this had not consistently met the provider’s standard for supervision to take place every 4-6 weeks since the last inspection.

• People were supported by staff to eat and drink enough to maintain a balanced diet. We received mixed feedback about the meals provided.

• The environment was bright, clean and well maintained, although there were few points of interest for people to interact with. The registered manager had plans to improve areas of the service.

• People accessed routine and specialist healthcare appointments. Relatives told us they were consulted with and informed about people’s care.

• People were assisted to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.

• People were supported by staff who were kind and respectful. Staff knew people well and were aware of their preferences, likes and dislikes.

• People were supported to participate in activities, and choices were respected.

• People's care considered their individual needs and preferences. Some care plans and records required reviewing to ensure staff had the information they needed to provide high quality care. Care records were being updated at the time of our inspection.

• Some checks and quality assurance systems were in place, but other tools were being set up. These needed to be put into practice and checks recorded. Where these were in place, they were clear and action plans identified ways to improve the service.

• The service met the characteristics for a rating of "good" in caring and responsive. The other areas were rated as “requires improvement". The overall rating for the service remained at "requires improvement".

• More information is in our full report.

Rating at last inspection:

Requires improvement (report published 16 March 2018)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We will continue to monitor the service through the information we receive. We will visit the service in line with our inspection schedule, or sooner if required.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 30 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 30 April 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 30 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 30 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 30 April 2019

The service was not always well-led

Details are in our Well-Led findings below.