Charlotte James Nursing Home

Updated 22 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was completed by 2 Inspectors and an Expert by Experience on the first day and 1 Inspector on the second day.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Charlotte James Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Charlotte James Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and we sought feedback from the local authority. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who used the service and 1 relative of their experiences of the care provided. We spoke with 10 members of staff including the registered manager, administrator, the maintenance worker, a cook, a domestic worker and care workers. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records, this included 2 people's care records and multiple medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 22 February 2023

About the service

Charlotte James Nursing Home is a residential care home providing personal and nursing care to up to 28 people. The service provides support to older people with complex physical and mental health needs across 2 floors. At the time of our inspection there were 27 people using the service.

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

People were protected from the risk of abuse through effective systems in place and people were supported by enough staff who were safely recruited. People’s risks were assessed, monitored and managed and their medicines were managed safely. There were effective infection prevention and control processes in place and lessons were learnt when things went wrong.

People’s needs and choices were assessed, and they were supported by staff who were trained to meet their needs. People were supported to eat and drink enough to maintain a healthy diet. Staff worked effectively with other health and social care organisations to provide consistent and timely care for people. People were supported to access health care services and live healthier lives and their care and support was provided in a safe, clean and well-maintained environment.

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 passionate about ensuring people were treated well and they respected their equality and diversity. People were supported to express their views and be involved in their care and their privacy and dignity was respected and promoted.

People’s care was tailored to their needs and preferences. People’s communication needs were assessed and detailed in their care plan and they were supported to develop and maintain relationships and take part in things of an interest to them. The provider had a complaints process in place to record, respond to and action any complaints. People’s care plans contained details of the care they required in an emergency.

The registered manager created a positive culture to help provide good outcomes for people and they understood their obligation under the duty of candour. Managers and staff were clear about their roles and responsibilities and people, their relatives and staff were involved and a part of the service. The provider had effective systems in place to ensure continuous learning and improvements to people’s care. Staff worked in partnership with others to achieve good outcomes for people.

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