Archived: Carlton Care Home

Updated 1 October 2015

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.

The inspection took place on 24 October 2014 and was unannounced.

The inspection team consisted of two inspectors and an Expert by Experience who had experience with relatives and immediate family using adult social care services.

We spoke with 21 people who use the service and six relatives and friends of people living at the home. We also spoke with three care workers, one nurse, the manager and the registered provider. We looked at some information in documents, which included five care files, three staff files and relevant management files.

Some people were not able to express their views due to their specific needs, so we used a Short Observational Framework for Inspection (SOFI). This is a method designed to help us collect evidence about the experience of people who use services.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make, which we used to prepare for the inspection. We contacted the local authority which had responsibility both for safeguarding and commissioning services. We took the information they provided into account in this report. We reviewed the information relating to this provider held at that time by the Care Quality Commission.

Updated 1 October 2015

This inspection took place on 24 October 2014 and was unannounced. When we last inspected the service in November 2013. The provider was meeting all expectations.

Carlton Care Home provides accommodation and nursing for up to 29 people who have nursing or dementia care needs. There were 25 people living in the home at the time of our inspection.

The manager was present on the day of our visit. 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.

We found staff were knowledgeable in how to safeguard people from abuse. They had attended relevant training, which helped them protect people from abuse.

We found the provider had a robust recruitment process to ensure they employed qualified and skilled staff to meet people’s needs.

People received their medicines as prescribed and in a safe way. Relevant records were completed and staff had attended appropriate training to ensure medicines were administered safely.

We found staff were aware of the mental Capacity Act 2005 (MCA), and Deprivation of Liberty Safeguards (DoLS). This meant people would not be restricted without the appropriate safeguards being in place. We found the provider made suitable arrangements to ensure people who lacked the capacity were appropriate assessed. We saw mental capacity assessments had been implemented for all the people living in the home.

Risk assessments had taken place to ensure people’s needs were met. We saw sufficient staff on duty at the time of our inspection.

People we spoke with described ways in which their needs were met by knowledgeable staff who understood their individual care needs. Staff told us they completed an appropriate induction when they first started work at the home. We saw relevant training had been undertaken by all staff to ensure people were cared for by suitably skilled and qualified staff.

People told us they felt their privacy and dignity were respected. We saw staff interacting with people and they were caring for people in a calm and respectful manner. People’s needs were assessed and monitored to ensure they maintained good health and wellbeing. The provider consulted other professionals and followed advice when required to ensure people’s changing needs were met.

People received suitable support to help them eat and drink independently. We saw people received sufficient to eat and drink. Staff were knowledgeable about people’s dietary requirements to ensure they received a nutritional diet.

People were encouraged to be involved with their care and how the home was run. Staff had good knowledge about people and what was important to them. They were able to describe individual’s preferences, wishes and aspirations. Complaints and concerns were dealt with in a timely manner. People we spoke with told us they were able to raise concerns and knew who they should raise them with.

We found the manager was open and approachable. They had appropriate systems in place to gather, record and evaluate information about the quality of the service. The manager had a good relationship with other healthcare professionals. When we spoke with other healthcare professional they told us they had a good positive relationship with the manager and there were no concerns with the care that was given.