Carleen Nursing and Residential Care Home

Updated 15 March 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

Our inspection was completed by three inspectors 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:

Carleen Nursing and Residential Care Home is registered to provide accommodation, nursing and personal care for up to 40 older people. At the time of the inspection 35 people were living at the home. 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:

This inspection was unannounced.

What we did:

Before the inspection we reviewed the information we had received about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us. We also considered information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we gathered information from:

• Nine people’s care records.

• Seven people using the service.

• Four people’s relatives.

• The service provider.

• The clinical director of care.

• The registered manager.

• The deputy manager.

• Seven staff members.

• The chef.

• Records of accidents, incidents and complaints.

• Audits and quality assurance reports.

• Records of recruitment, training and supervision.

Following the inspection, we gathered further information from:

• Two external healthcare professionals.

Updated 15 March 2019

About the service:

Carleen Nursing and Residential Care Home 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. Carleen Nursing and Residential Care Home is registered to provide care for up to 40 people, including people living with nursing needs and dementia. At the time of the inspection, there were 35 people living at the service.

People’s experience of using this service:

• People were happy with the care they received from the staff at Carleen Nursing and Residential Care Home.

• People told us they received safe care. People were supported by suitably trained staff.

• People received support to take their medicines safely and as prescribed.

• Risks to people's well-being and environmental safety were recorded and updated when the circumstances changed.

• People's rights to make their own decisions were respected. Staff supported people to make choices in line with legislation.

• People were supported to access health and social care professionals if needed.

• People's dietary needs were assessed and where required, people were supported with

their meals.

• People were supported to participate in a range of activities of their choice.

• People were supported to be as independent as possible.

• Care plans were detailed and person centred. People were involved in deciding how they wished to be supported and in reviewing their care plans when needed.

• Staff were kind, patient and responsive to people's needs. People were treated with dignity and staff respected their privacy.

• People knew how to complain and were confident that if they raised concerns, the management would act promptly to address these.

• People and staff were fully engaged in the running of the service.

• The management team had effective quality assurance systems in place.

• The service worked well with other partners, organisations and commissioners.

The service met the characteristics of Good in all areas. More information is in the full report.

Rating at last inspection:

The service was rated as Good at the last full comprehensive inspection, the report for which was published on 14 November 2016.

Why we inspected:

This was a planned inspection based on the previous inspection rating.