18 July 2023
During a routine inspection
Charnwood House Nursing Home is a residential care home providing personal and nursing care to up to 35 people. The service provides support to older people, people with a learning disability, mental health, physical disability and people living with dementia. At the time of our inspection there were 21 people using the service.
Charnwood House Nursing Home accommodates people in 1 adapted building. There are communal areas available for people to access on the ground floor.
People’s experience of using this service and what we found.
Nursing and care staff understood people's needs and preferences. However, people's care records were not always reflective of people's needs and did not always contain a clear record of the support people received.
Since our last inspection, the provider and registered manager had implemented a number of audits and systems to monitor, assess and improve the quality of care people received. However, these systems were not always effective in identifying shortfalls or in documenting actions required to improve the service.
People and their relatives spoke positively about Charnwood House and told us about the improvements they had noticed at Charnwood House in relation to the environment and people's care.
People's risks were known by staff and clear processes were in place to protect people from the risk of avoidable harm. The service had taken action following concerns identified at our last inspection in January 2023.
People and relatives spoke positively about care staff and felt there was a clear caring culture within the home. People had access to a range of activities which were tailored to their needs and interests. The registered manager and provider had plans to continue to improve and develop activities, including for people who were cared for in bed.
Relatives and staff spoke positively about the leadership of the home and felt the service was moving in the right direction. Staff had received additional training and support from the management and external professionals since our last inspection.
The registered manager and provider had worked with local authority commissioners and external professionals to improve the service people received. Professionals spoke positively about the service people living at Charnwood House Nursing Home received.
The provider carried out their own audits of the service and had recruited a quality assurance lead to assist the home. They were carrying out a range of audits to support the registered manager, this included audits in relation to improving the quality and accuracy of people's care plans.
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 Inadequate (published 18 March 2023) and there were 6 breaches of the regulations. The provider and registered manager 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, however the provider was still in breach of 1 regulation.
This service has been in Special Measures since 18 March 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last 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.
The overall rating for the service has changed from Inadequate to Requires Improvement based on the findings of this inspection.
We have identified a breach in relation to good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.