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CQC report explained · a residential care home

What the CQC found at Carisbrooke

Goodpublished 21 December 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found sufficient suitably vetted staff, detailed risk assessments and safe medicines management. The home was clean and had infection control measures in place.
Effective?
Good
Staff training, supervision and appraisals were kept up to date. People’s needs were reviewed, and advice was sought from health professionals when needed.
Caring?
Good
Staff knew people well, treated them kindly and protected their dignity and privacy. People were encouraged to maintain independence and make choices about their support.
Responsive?
Good
Care plans were person-centred and reviewed with people. Activities were adapted to individual preferences, and complaints were recorded and responded to within the provider’s stated timescale.
Well-led?
Good
The home had clear leadership and regular audits. Feedback from people, relatives and professionals was used to create action plans and make changes.
The latest report, explained

What inspectors found, December 2018

Carisbrooke rated Good; inspectors found safe, caring and personalised support, with no serious risks or concerns.

The inspection was unannounced and took place on 14 November 2018. One inspector spoke with staff, relatives and people living at the home. They also observed lunchtime and checked care plans, health records, medicines, staff records, complaints and audits.

The home supported up to six people with learning disabilities and associated needs. Inspectors found enough suitably vetted staff, safe medicines management, regularly reviewed risk assessments and clean premises. Staff were trained and supported, and people’s health needs were followed up.

People were treated kindly and supported to remain independent. Care plans reflected personal preferences, communication needs and activities. The home was also found to be well-led, with audits, feedback and action plans used to check and improve care.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall rating stayed Good, as it had been at the previous inspection.

What inspectors praised
  • Safe medicines

    Inspectors observed medicines being given safely, with a second staff member checking them. Audits showed medicines were managed safely and given in line with people’s preferences.

    “Medicine audits took place frequently, and illustrated that medicines were managed safely.” from the report
  • Promoting independence

    Risk assessments supported people to take part in activities and everyday tasks while keeping them safe. Staff encouraged independence rather than doing things for people.

    “This not only increased the person's independence but also gave them the confidence to complete some tasks independently.” from the report
  • Kind and respectful staff

    Staff knew people well and supported their dignity, privacy and preferred ways of communicating. People were encouraged to make choices about personal care, meals and daily life.

    “People continued to be supported by a staff team that knew them well and focused on developing a positive relationship with them.” from the report
  • Personalised support

    Care plans were written around each person’s wishes. Activities were offered in ways that matched people’s preferences, including group and one-to-one options.

    “People remained very busy with activities, both within and outside the home.” from the report
What inspectors were concerned about
  • End of life planning was still being developed

    minor

    The home did not support people with end of life care at the time of inspection. Inspectors noted that paperwork about people’s final wishes was still being developed.

    “The service did not currently support people on end of life care, although were in the process of developing and expanding on existing paperwork that could include the person's final wishes.” from the report
Questions to ask them, based on this report
  1. 01How would you meet my relative’s needs if they later require nursing support?
  2. 02How are risk assessments reviewed when someone wants to take part in activities such as cycling or community trips?
  3. 03How would you support my relative to communicate their choices, especially if they use non-verbal communication?
  4. 04How are care plans and activities reviewed with each person and their family?
  5. 05What progress has been made with recording people’s wishes about end of life care?

This was an unannounced inspection of the overall service and all five rating areas, and the ratings carried over as Good from the previous inspection. This explanation was written from the published report of 21 December 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Carisbrooke

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. December 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Carisbrooke →

  2. May 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2010

    Registered with the Care Quality Commission on 8 December 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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