About the service Carlton Court provides personal care and support to people who require assistance in their own home. At the time of our inspection approximately 20 people were being supported by the service. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People and relatives told us they were happy with the support they had received and were positive about the staff. One relative said, “It is not always the same staff, but they introduce themselves and have been lovely and caring.”
Care and treatment was not recorded in detail or in a person centred way. Care plans and risk assessments did not contain enough guidance for staff to mitigate risks and provide safe support to people.
Recruitment processes were not always robust. We have made a recommendation about the recruitment of staff.
The registered manager had failed to implement effective systems to monitor the safety and quality of the service and improve care.
The registered manager had been working in partnership with stakeholders to implement further training with staff to improve their knowledge and mitigate risks to people. Staff were aware of how to raise concerns around safeguarding to keep people safe.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 27 September 2019.)
Why we inspected
We received concerns in relation to the safe care of people. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Carlton Court on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to safe care and treatment and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
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 alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.