Archived: Charlton House Residential Care Home

Updated 2 August 2018

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 was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We undertook a comprehensive inspection of Charlton House Residential Care Home on 11 July 2018. This involved inspecting the service against all five of the questions we ask about services: is the service safe, effective, caring, responsive and well-led.

The inspection was unannounced. This meant the staff and the provider did not know we would be visiting. The inspection was carried out by one inspector.

Before the inspection visit we looked at the information we had received about the home. We looked at the notifications we had received. Notifications are information about important events that the provider is required to tell us about by law. We also used information the provider sent to us in their Provider Information Return (PIR). This is information we require providers to send to us at least once each year, that gives key information about the service, what they do well, and improvements they plan to make.

During our visit we spoke with the two people who used the service. On the following day we spoke on the telephone with one relative. We spent time with people in their bedrooms and in communal areas. We observed how people were being cared for and supported.

We spoke with the registered person and one member of staff. We received feedback from one healthcare professional. We have incorporated their views into the main body of the report.

We looked at two people’s care records. We looked at medicine records, health and safety record checks, policies and procedures and other records relating to the monitoring and management of the care home.

Updated 2 August 2018

Charlton House Residential Care Home is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Charlton House provides accommodation with personal care for up to four people. At the time of our inspection two people were living in the home.

At the last inspection in August 2016 we found a breach of the regulation relating to quality assurance and we issued a requirement action. Overall, we rated the service as Good. Following the inspection, the provider sent us an action plan telling us how they would make the required improvements.

We carried out a comprehensive inspection on 11 July 2018. At this inspection, we found improvements had been made and the legal requirements had been met.

Overall, the service remains Good.

One of the registered providers was also the registered person/manager. The registered providers, who lived on the premises, had registered with the Care Quality Commission to manage the service. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The registered person worked every day and employed one member of staff. This was sufficient to meet people’s needs at the time of our visit. Staff performance was monitored through supervision and appraisal.

Medicines were safely managed. Actions were taken after the inspection to make sure supporting records were fully maintained.

Staff demonstrated a good understanding of safeguarding and knew how to report concerns.

People were helped to exercise support and control over their lives. People were supported to consent to care and make decisions.

Risk assessments and risk management plans were in place. Actions were taken after the inspection to make sure risks associated with legionella were identified and managed. Incidents and accidents were recorded.

People were provided with choices at mealtimes. Healthy eating was promoted.

Staff were kind and caring. People were being treated with dignity and respect and people’s privacy was maintained.

Systems were in place to monitor the quality of the service provided. People were given the opportunity to provide feedback.