Carisbrooke

Updated 21 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 14 November 2018 and was unannounced. The inspection was completed by one inspector.

During the inspection process the local authority care commissioners were contacted to obtain feedback from them in relation to the service. We referred to previous inspection reports, local authority reports and notifications. Notifications are sent to the Care Quality Commission by the provider to advise us of any significant events related to the service, this is a legal requirement. As part of the inspection process we also look at the Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We had received the PIR for Carisbrooke and used this to help inform our inspection plan. During the inspection we spoke with five members of staff including, one apprentice, one bank worker, one care worker, the registered manager and one senior. We interacted with three people who are supported at the service, in addition to two relatives.

Care plans, health records and additional documentation relevant to care and support were seen for three of the six people. In addition, we viewed a sample of records relating to the management of the service. For example staff records, complaints, quality assurance assessments and audits. Staff recruitment and supervision records for three of the regular staff team were looked at. As part of the inspection process we completed observations during lunchtime, as well as interacting with people during the inspection process.

Updated 21 December 2018

Carisbrooke is a residential care home for up to six people with a primary diagnosis of learning disabilities and associated needs. The service is registered to provide accommodation and personal care to people, however cannot provide any nursing support. The home offers six en-suite bedrooms and three communal rooms, across two floors. A large spacious rear garden offers additional areas for people to use.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Why the service is rated good

The service continues to keep people safe. Robust recruitment and deployment ensures that sufficient staff are employed to support people and help keep them safe. Detailed risk assessments continue to consider least restrictive options to enable people to continue engaging in activities that they enjoy.

Medicine management continued to be provided in a safe way, with audits illustrating that people received their medicines in a timely way and how they wished.

Staff continued to be supported to provide the most effective care to people. Their training was kept up to date, and they were provided appropriate supervisions and appraisals to ensure their practice was assessed.

People's needs were assessed initially upon admission, and thereafter reviewed monthly to ensure care was the most apt. People were encouraged to personalise their rooms in a style that they preferred.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff approach remained caring. People were supported by a staff team that knew them well, and ensured they enabled them to maintain their independence. Where support was required, people's dignity and privacy was maintained. People communicated in their preferred way, with records clearly highlighting this.

The service continued to ensure person centred care was delivered by staff. Care plans were written for people, detailing how they wished to be supported. Activities, both in-house and external were responsive to people's preferences.

The service continued to be well-led. There was a clear vision and direction from the registered manager. An open-door policy was practiced, whereby staff were able to approach the manager and discuss issues.

Good community links were created, and the service worked efficiently with other professionals. The service continued to have good governance and reflective practice, with compliance of the regulations.

Further information is in the detailed findings within the report.