Archived: Charnwood Hall Nursing Home

Updated 21 October 2017

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.

We conducted an inspection on 18 September 2017. The inspection was unannounced.

The inspection team consisted of an inspector, a specialist nurse advisor and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. We spoke with four people who used the service and three relatives or friends of people who used the service.

We looked at the care plans and care records of four people who used the service at the time of our inspection. During our inspection we spoke with staff members employed by the service including two nurses, the cook, two house keepers and three care workers. We spoke with the provider and the registered manager. We looked at three staff recruitment files to see how the provider recruited and appointed staff. We also looked at records associated with the provider’s monitoring of the quality of the service and evidence of staff training.

Before the inspection we reviewed notifications that we had received from the registered manager. A notification is information about important events which the service is required to send us by law. We contacted health and social care professionals who have dealings with the service to gain their views of how the service was run and the quality of the care and support provided by the service. We contacted the local authority and Clinical Commissioning Group (CCG) who had funding responsibility for some of the people who were using the service.

Updated 21 October 2017

We conducted an unannounced inspection on 18 September 2017.

Charnwood Hall provides nursing and residential care for older people. It is registered to accommodate up to 25 people, there were 17 people using the service on the day of our inspection.

The service was last inspected 23 August 2016. We rated it Good in Effective and Requiring Improvement in Safe, Caring, Responsive and Well-Led. At this inspection we found that most of the required improvements had been made.

The service had 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 requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People and their relatives told us that they felt safe. Risks were assessed and managed to protect people from harm. Staff understood what to do in emergency situations. There were enough staff to meet people’s needs.

People received their medicines as required. Medicines were administered safely. Systems were in place to monitor the health and wellbeing of people who used the service. People’s health needs were met and when necessary, outside health professionals were contacted for support.

Staff had received training to meet the needs of the people who used the service. Staff told us that they felt supported. Staff’s competency in their role was regularly assessed.

People were supported in line with the requirements of the Mental Capacity Act. People’s mental capacity to consent to their care had been assessed where there was a reasonable belief that they may not be able to make a specific decision.

People were supported to have enough to eat and drink. Where people had dietary requirements, these were met and staff understood how to provide these.

People’s independence was promoted and people were encouraged to make choices. Staff knew people well and treated them with kindness and compassion.

The care needs of people had been assessed. Staff had a clear understanding of their role and how to support people who used the service as individuals.

People were not supported to follow their interests and engage in activities that they enjoyed and were meaningful to them.

There were a range of audit systems in place to measure the quality and care delivered so that improvements could be made.

The registered manager was aware of their responsibility to report events that occurred within the service to CQC and external agencies.