Charrington Manor Care Home

Updated 23 March 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

The inspection was carried out by 2 inspectors, a nurse specialist 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.

Service and service type

Charrington Manor 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. Charrington Manor 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

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 reviewed the information we held about the service prior to our visit. This included notifications of accidents, incidents or safeguarding concerns.

During the inspection

We spoke with 10 people, 4 relatives and 1 healthcare professional during our visit. We also carried out general observations and spoke with 9 staff. This included the nominated individual, regional operations director, registered manager, clinical lead, nursing staff and care staff.

The nominated individual is responsible for supervising the management of the service on behalf of the provider.

As part of our inspection, we reviewed the care documentation in varying degrees for 8 people, looked at a number of medicines records, reviewed the recruitment files for 6 staff as well as other documentation relevant to the running and governance of the service.

Following our inspection, we received feedback from 1 staff member, 6 health or social care professionals, 11 relatives and 2 friends of people.

Updated 23 March 2023

Charrington Manor Care Home (Charrington Manor) is a residential care home providing the regulated activities of personal and nursing care for up to a maximum of 80 people. The service provides support to people who are elderly and frail, with long term health conditions or are living with dementia. At the time of our inspection there were 47 people using the service.

The home is set over three floors, although at the time of our inspection, the top floor of the building was not yet opened. Each floor has its own communal areas. On the ground floor, there is a large ‘café’ area where people can meet together with each other, family or visitors. The home is surrounded by a well-maintained, level garden.

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

The service was exceptional and distinctive in its person-centred care and how, without fail, every staff member put people at the forefront of the service. Staff were highly skilled. A healthcare professional told us, “[Staff] are extremely competent. I trust them completely. They are highly committed to patient care.”

Staff recognised people’s individuality and always ensured they involved people, so they felt listened to and valued. We were told, “They listen, they are approachable, you’re not dismissed and they always have time” and, “I tell everybody it’s a good place to die because (husband) had such a peaceful ending.”

Staff knew how to meet people’s preferences and people had an enhanced sense of well-being and an improved quality of life. Relatives told us, “Mum can’t occupy herself so they keep her stimulated. The activities are amazing, plentiful and with lots of variety” and, “While there, mum’s overall physical health quickly improved and also her speech.”

Without exception, professionals spoke highly of the service and its staff. They told us staff had an excellent understanding of people’s needs and how to provide high quality person-centred care to people.

There were sufficient staff trained and competent staff to care for people. People told us staff responded promptly when they needed them.

People’s medicines were managed safely, stored correctly and only experienced staff carried our medicines administration. People were supported to access healthcare professional input when required and relatives felt confident that staff would keep them updated on any aspect of their family members health needs.

Risks to people were managed in a safe way with sufficient, detailed information for staff to support this practice. Staff had a good knowledge of how to recognise the signs of potential abuse and as such this added an additional layer to help keep people safe.

People lived in an environment that was clean, well maintained and suitable for their needs. Visitors were encouraged to come into the service and throughout the day we saw people and their family members enjoying time together.

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 felt very supported and valued by management and told us they enjoyed working at the service. They were encouraged to progress in their role and undertake additional training to help them maintain best practice.

People were given choice and were able to make decisions daily around all aspects of their care. Staff encouraged independence and people enjoyed the freedom to spend their time as they wished. People were given options in relation to food and drink and were involved in developing the menus.

Everyone spoke highly of management and the staff. They told us they were treated with kindness and care, in a dignified and respectful manner and this was done to the culture within the service and the values of staff.

There was a strong management presence within the service who led by example. They had a clear vision of the type of service they wished people to receive and were working hard to develop a high-quality, person-centred environment in which people were happy to live.

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

Rating at last inspection

This service was registered with us on 21 February 2022 and this is the first inspection.

Why we inspected

This inspection was prompted as the service had not been inspected or rated since it was registered with CQC.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.