Background to this inspection
Updated
22 January 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by four inspectors on the first day and a single inspector on the second day.
Service and service type
Carlton Dene is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager who was in the process of registering with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection as well as the last inspection report. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and one relative about their experience of the care provided. We spoke with 10 members of staff consisting of the manager, the deputy manager whose last day was on the first day of our inspection, the registered manager of another home run by the provider, an activities coordinator, the chef, a member of the domestic team, three care workers and one senior care worker. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed nine people’s care records.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We liaised with two professionals who regularly visit the service.
Updated
22 January 2020
About the service
Carlton Dene is a residential care home providing personal and nursing care to 35 people aged 65 and over at the time of the inspection. The service can support up to 42 people.
The care home accommodates people across four units, each of which has separate adapted facilities.
People’s experience of using this service
People were not always protected from the risk of infection as we found out of date cheese and undated drinks in one fridge within one unit of the building. However, the home was clean and tidy during our inspection and people confirmed this was always the case. People’s care plans did not always contain enough detail about their health conditions or their religious needs. The provider was conducting care record audits, but had not had the time to identify these concerns.
People’s risk assessments were clear about the level of risk and what actions were required to mitigate risks to their health and safety. The provider learned lessons when things went wrong and met their duty of candour responsibilities. The manager and care workers understood the requirements of their roles. People were protected from the risk of abuse. People were supported to express their views and be involved in decisions about their care. 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. People, their relatives and staff were engaged in the running of the service.
Accidents and incidents were reported and investigated and people’s medicines were being safely administered. There were enough suitably qualified and supported staff in place to support people and the premises were clean and tidy on the days of our inspection.
People were given the support they needed with their nutritional needs. The provider assessed people’s care before they moved into the home. People’s privacy and dignity was respected and promoted and they were given appropriate end of life care when this was needed. People were fully supported with their social and recreational needs.
We have made recommendations about incorporating personalised details into people’s care plans and infection control.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was requires improvement (published 3 June 2019).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.