Carseld Residential Home

Updated 8 July 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was completed by 2 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

Carseld Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Carseld Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with 12 people who used the service and 3 relatives about their experience of the care provided. We spoke with 6 members of staff including the director, registered manager, deputy manager, care staff and housekeepers.

We reviewed a range of records. This included 4 people's care records and 14 medication administration records. We inspected 3 staff files in relation to their recruitment. A variety of other records relating to the management of the service, including audits and policies and procedures, were also reviewed.

Updated 8 July 2023

Carseld Residential Home is a residential care home providing accommodation and personal care for up to 22 older people and younger adults including people living with dementia. At the time of our inspection 18 people were living at the service.

People’s experience of using this service and what we found

The provider's quality assurance systems were not always effective in identifying and addressing actions identified. We have made a recommendation the provider continues to embed governance systems.

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. However, staffs knowledge was limited in relation to the Mental Capacity Act (MCA). We have made a recommendation in relation to staff knowledge about the MCA.

Medicine were safely ordered, stored and administered, however additional documentation was not always available. We have made a recommendation about the safe management of medicines.

People had support from safely recruited staff and there were enough staff on duty. Staff received training in safeguarding and understood their role and responsibilities to protect people from abuse. Staff continued to receive guidance and support from management when required.

People and staff spoke positively about the management of the service. There was a positive, caring culture within the service and we observed people were treated with dignity and respect. People were happy with the care they received, they felt safe and well looked after. People felt consulted about their wishes and they knew how to make a complaint if they wished to.

People received care and support that was developed to meet their individual needs as reflected in their care plans. Care plans included risk assessments for known risks and staff followed support plans to help keep people safe.

Staff had positive links with healthcare professionals which promoted people's wellbeing. Records confirmed the registered manager worked in partnership with stakeholders. We found the registered manager to be open and responsive to feedback.

The home was clean and tidy and additional cleaning processes had been implemented to prevent the risk of spread of infection.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 7 June 2022 under a new provider and this is the first inspection.

The last rating for the service under the previous provider was good, published on 9 January 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.