We carried out a review of the data available to us about Carlton Care 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 Carlton Care Home, you can give feedback on this service.
Carlton Care Home is a residential care home providing personal and nursing care to 22 people at the time of the inspection. The service can support up to 29 younger and older adults in one adapted building.
People’s experience of using this service and what we found
Risks to people’s health, wellbeing and environment were managed well. People were supported to take their medicines in a safe way. Staff understood how to protect people from the risk of abuse. We found there were enough staff to support people with their needs safely.
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.
The home was managed well. The registered manager and provider worked as a team to monitor quality and take action to make improvements where required.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 24 July 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve.
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 11 June 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Carlton Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Carlton Care Home is a residential care home providing personal and nursing care to 18 people at the time of the inspection. The service can support up to 29 younger and older adults in one adapted building.
We found the following examples of good practice.
Clear processes were in place for visiting arrangements which followed government guidance.
Signs were displayed around the home to remind people and staff to practice social distancing, good personal hygiene and how to use personal protective equipment [PPE] safely.
Additional cleaning regimes were in place and staff recorded when they had completed these. The home looked clean and processes were in place for handling waste and laundry.
People were supported to social distance and received care in their bedrooms.
Staff had regular meetings and supervisions throughout COVID-19.
The registered manager gathered feedback from staff using an anonymous questionnaire. This helped the registered manager learn from the outbreak and find out if things had been handled well and staff had felt supported.
Carlton Care Home is a residential care home providing personal and nursing care to 26 people at the time of the inspection. Four people received residential care and twenty-two people received nursing care. The service can support up to 29 younger and older adults in one adapted building.
People’s experience of using this service and what we found
Not all steps had been taken to ensure medicines were administered as required and managed safely. Some improvements were required to help prevent the risks associated from infections. Incident reports did not always include a conclusion and show whether any further actions were required to reduce risks.
Risks associated with people’s healthcare conditions were assessed. The provider had taken actions to help prevent the abuse of people using the service. There were enough staff to meet people’s needs and staff were checked to ensure they were suitable to work at the service.
Improvements were required to help ensure people received food that was consistent with their assessed needs. Some adaptations had been made to the premises and people had personalised their bedroom; however, signage around the premises was limited. People’s needs were assessed, and staff were trained in areas relevant to people’s needs. People had access to other healthcare services when required. Staff had opportunities to discuss their performance and training needs with their manager. People told us they enjoyed the choice and variety of meals at the service.
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 were caring and respectful to people. People’s cultural needs were known and respected. People and their relatives were involved in their care and in making decisions. People’s choices were promoted. People told us staff respected their privacy and promoted their independence.
Staff had a good understanding of people’s life histories and interests. People were supported to maintain their connections with their local communities. People told us they enjoyed a variety of activities. Staff were able to support people who spoke languages other than English. People’s communication needs were assessed and met. Where people required care at the end of their lives, this had been assessed and care plans were in place to help ensure people received the care they wanted.
Not all statutory notifications had been submitted as required. Some audits had not identified shortfalls effectively. Medicines records were not always complete.
The service was run with an open and approachable management team. People, their relatives and staff were involved in the development of the service. Both registered managers were involved in quality improvements initiatives and the service had been recognised for their achievements.
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 Good (published 6 December 2016).
Why we inspected
This was a planned inspection based on the previous rating.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
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.
There was a registered manager in place and they were available during the inspection. 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 received safe and effective care from staff. Staff had a good understanding of the various types of harm and their roles and responsibilities in reporting any safeguarding concerns.
Risks to people's individual needs and the environment had been assessed. Staff had information available about how to meet people’s needs, including action required to reduce and manage known risks.
There were sufficient numbers of staff to meet people’s care needs and staff were recruited safely. Staff received regular training and supervision and were able to reflect on the care and support they delivered and identified further training requirements.
People received their medication as prescribed. Staff were able to explain the process they followed when supporting people to safely take their medication.
People’s rights were protected under the Mental Capacity Act 2005. People were supported to eat and drink sufficient amounts to meet their nutritional needs. External health professionals were involved in people’s care when required.
People’s care plans reflected their individual needs and personal wishes. People and their relatives were involved in the development of their care plans and these were reviewed regularly.
The service encouraged feedback from all people involved with the service. A complaints process was in place. People felt able to make a complaint and felt confident that staff would respond appropriately.
People were very satisfied with all aspects of the service provided and spoke positively of both staff and management team. People received care and support from kind, caring and compassionate staff, who respected their privacy and dignity at all times.
People had confidence in the registered manager and the way the service was run. There were systems in place to monitor and improve the quality of the service provided. The vision and values of the staff team were person-centred and made sure people were at the heart of the service.