We carried out a review of the data available to us about Carden Bank Rest Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Carden Bank Rest Home, you can give feedback on this service.
People’s experience of using this service and what we found
There were systems in place to monitor the quality in the home, however improvements were needed to ensure all improvements were identified and prompt action taken. Staff were supported and listened to by the registered manager. They ensured they notified us of significant events that occurred in the home in line with our requirements. People and relatives spoke positively about the home.
People received safe care. Staff understood about safeguarding procedures and when people may be at risk of potential harm. There were enough staff to support people when they needed this. Individual risks to people were considered and reviewed. Medicines were administered as prescribed. Infection control procedures were followed in the home and the environment was clean and maintained.
The service was effective. 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 support this practice. People had access to health professionals when needed. People enjoyed the food that was offered to them, their dietary needs were considered. The home had been adapted to consider people’s needs.
People were treated in a kind and caring way and they were happy with the support they received from the staff. People’s privacy and dignity was considered and maintained. They were encouraged to make choices and remain independent.
People received responsive care. People’s preferences including their likes and dislikes, were considered, and they received support based on these needs. Peoples’ communication was considered, and adaptions made where needed. There were activities in the home for people to participate in, which they enjoyed. There was a complaint policy in the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
Our last inspection at this service under the new provider was a focussed inspection, therefore no overall rating was awarded. This is the service’s first five key question inspection under this provider.
Why we inspected
This was a planned fully comprehensive inspection.
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.
People’s experience of using this service and what we found
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 were seen to be comfortable and relaxed in the presence of staff and were supported by knowledgeable staff who knew their needs and preferences. We saw there were warm and friendly interactions between staff and people, and they were seen to be supported in a safe, but not restrictive way.
Staff were knowledgeable as to what to do if they had any concerns in respect of abuse and how to report this. People had detailed risk assessments in place which gave clear guidance for staff who were aware of this guidance. People received their medicines as prescribed by trained staff. There were enough safely recruited staff to ensure people were safe and risks to their well-being were minimised. This meant people were supported in a safe way.
The provider and registered manager regularly reviewed the quality of the service and were able to show us improvements they had made since the service had changed ownership, this to ensure the safety of the service was improved. All the management team expressed a keen interest in developing the service to ensure people were safe and had a good quality of life.
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 inadequate (published 20 August 2019) and there were multiple breaches of regulation. The service is now carried on by a new provider who was registered with us on 16/12/2019 and this is the service’s first inspection under this provider. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 10 July 2019. Breaches of legal requirements were found. The previous provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, safeguarding people from abuse, staffing and developing systems to monitor the service and mitigate risks to people.
We undertook this focused inspection to check improvements had been made and to confirm the new provider met legal requirements. This report only covers our findings in relation to the Key Questions safe and well led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.
We found no evidence during this inspection that people were at risk of harm. Please see the safe and well led sections of this full report.
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 coronavirus and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Carden Bank on our website at www.cqc.org.uk
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.