Carden Bank Rest Home

Updated 6 May 2021

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of two inspectors.

Service and service type

Carden Bank Rest Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a 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 registered with the Care Quality Commission. This means that they 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

The inspection was announced. We gave a short period of notice of the inspection this was because it is a small service and we needed to be sure that the provider or registered manager would be available to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We gathered feedback from the local authority and the local safeguarding team.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. 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 three people who used the service and four relatives about their experience of the care provided. We spoke with four members of staff including care staff and the registered manager.

We reviewed a range of records. This included people’s care records. We also looked at records relating to the management of the service, including procedures and governance records.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found. We continued to speak with staff and relatives.

Updated 6 May 2021

Carden Bank rest home provides personal care for up to 15 older people who live with dementia and/or a physical disability. There were 14 people living at the home at the time of our inspection.

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.