Archived: Carisbrooke Nursing Home

Updated 4 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 checked 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.

This inspection took place on 14 August 2017 and was unannounced. The inspection team consisted of one inspector and one 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. Prior to our inspection we gathered information from previous inspections, statutory notifications and information from other key stakeholder’s such as local authority commissioners of the service.

During the inspection we spoke with four people who used the service, two relatives, two care staff, the registered nurse, the cook, the activities co-ordinator the registered manager and the provider. Following our inspection a health professional sent us information via email to assist with the inspection. We used the Short Observational framework of inspections (SOFI). SOFI is a way of observing care to help us understand the experiences of people who could not talk to us. During the inspection we viewed four care plans, medicine records, four staff files and training records. We also viewed a range of records related to the running of the service including audits carried out by the registered manager and provider.

Updated 4 October 2017

This inspection took place on the 14 August 2017 and was unannounced. At our previous inspection 6 July 2016 we found the provider was in breach of some regulations of the Health and Social care Act 2008 (Regulated Activities) Regulations 2014. These related to dignity and respect, safe care and treatment and good governance. At this inspection we found the provider had made significant improvements and was no longer in breach of any of these regulations.

Carisbrooke Nursing home provides accommodation and nursing care for up to 20 people and on the day of our inspection there were 16 people using the service. The service had a registered manager in post. 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 who used the service were safe as the provider managed the risks to their safety and provided staff with training and support to recognise and act on any potential abuse. People were supported with adequate numbers of staff and felt their needs were met. Their medicines were managed safely by appropriately trained nurses.

Staff had received appropriate training for their roles, and had also been supported with regular supervision from the management team. People’s rights to make decisions about their care was respected and those people who lacked capacity to make their own decisions, had been appropriately supported under the principles of the Mental Capacity Act 2005 to ensure any decisions made on their behalf were made in their best interest.

People were supported to maintain a healthy diet and fluid intake and staff showed good awareness of peoples differing dietary needs. People’s health needs were managed by staff who ensured they followed the advice of the health professionals who supported them.

People received kind and compassionate care from staff who had a good knowledge of their needs and people or their relatives were supported to be involved in the planning of their care. Staff caring for people enjoyed working at the service and were respectful towards the people in their care. They showed good awareness of supporting people to maintain their privacy and dignity.

People received individualised care and majority of the care records we viewed were up to date and pertinent to their needs. They were supported to undertake social activities that reflected their interests on a regular basis.

People felt able to raise concerns to the staff who cared for them and felt they would be taken seriously. The management team were visible and we saw there were regular quality audit systems in place that ensured the management team maintained the quality of the service.