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CQC report explained · a residential care home

What the CQC found at Carrington Park

Goodpublished 28 July 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found suitable staffing, regularly reviewed risk assessments, safe medicines management and staff who understood safeguarding and people's support needs.
Effective?
Good
This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
Caring?
Good
This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
Responsive?
Good
This area was not inspected during this focused visit. The previous rating was used in calculating the overall rating.
Well-led?
Good
Inspectors found an open and honest culture, clear staff responsibilities, regular supervision and management oversight of people's care.
The latest report, explained

What inspectors found, July 2022

Heathcotes (Carrington Park) was rated Good overall; the focused inspection found safe care and good management, but did not reassess three of the five areas.

The unannounced inspection visit took place on 26 May 2022. Inspectors also carried out inspection activity between 18 and 31 May. They spoke with four people living at the home, five staff members and two family members, and checked care, medicines, staffing and management records.

The home was rated Good for Safe and Well-led. Inspectors found suitable staffing, safe medicines systems, reviewed risk assessments and staff who understood safeguarding and people's needs. They also found an open management culture, regular staff supervision and evidence that lessons from incidents were shared.

This was a focused inspection because concerns had been raised about care, staff behaviour and the manager's response. Inspectors found no evidence that people were at risk of harm from those concerns. Effective, Caring and Responsive were not inspected during this visit, so earlier ratings for those areas were used in the overall rating.

What inspectors praised
  • Safe staffing

    The home had enough staff during the day and night. Staffing could be adjusted for appointments and outings, and shift patterns had been changed to reduce disruption.

    “Safe levels of staffing were available day and night.” from the report
  • Medicines

    Medicines were stored safely, records were up to date and staff administering medicines were trained and competent.

    “Medicines were stored safely and records kept up to date.” from the report
  • Person-centred support

    Care plans reflected people's individual needs and supported their choices, independence and wellbeing.

    “People's care, treatment and support plans reflected their range of needs and this promoted their individuality, wellbeing and enjoyment of life.” from the report
  • Open management

    Staff understood their roles and said they felt able to speak with managers. The manager had regular oversight of daily care.

    “The provider and registered manager promoted an open and honest environment for people and staff.” from the report
What inspectors were concerned about
  • Inconsistent recruitment information

    minor

    One recruitment file contained inconsistent information for a staff member who was about to start. The managers were told during the inspection and addressed it immediately.

    “We observed that one file for a staff member about to start contained inconsistent information.” from the report
Questions to ask them, based on this report
  1. 01How do you currently support a new resident's specific risks, including any choking or behaviours that may put them or others at risk?
  2. 02How do you make sure medicines remain safely stored, accurately recorded and administered by trained staff?
  3. 03What are the current ratings and most recent inspection findings for Effective, Caring and Responsive, which were not inspected this time?
  4. 04How do you support communication needs, including access to sign language training where this is relevant?
  5. 05How are families involved in service user meetings, satisfaction surveys and decisions about changes to the home?

This was an unannounced focused inspection of Safe and Well-led; Effective, Caring and Responsive were not inspected and their previous ratings carried over into the overall rating. This explanation was written from the published report of 28 July 2022 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.

An earlier report, explained

What inspectors found, March 2019

Carrington Park was rated Good; inspectors found safe, kind and personalised care, with no breaches reported.

This was an unannounced inspection on 7 March 2019. One inspector observed care, spoke with people and staff, and reviewed care plans, medicines records, recruitment checks and the home's quality checks.

The home supported eight people with complex mental health needs and/or a learning disability. Inspectors found enough suitably checked staff, safe medicines systems, plans for people's risks, and clean and well-maintained surroundings.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the service met the characteristics of good care at the time of the inspection. The previous inspection in June 2016 was also rated Good.

What inspectors praised
  • Enough trained staff

    Inspectors found there were enough staff, and staff received training, induction and supervision to support people effectively.

    “There were a sufficient number of staff to support people.” from the report
  • Safe medicines and risk care

    The home had plans for people's risks and followed safe processes for receiving, storing, giving and disposing of medicines.

    “The provider was following safe protocols for the receipt, storage, administration and disposal of medicines.” from the report
  • Kind and respectful relationships

    People appeared relaxed with staff, who knew them well and supported their privacy, dignity and independence.

    “Staff demonstrated a genuine interest in the people they cared for and knew them well.” from the report
  • Personal goals and activities

    People had personal development plans, were supported to work towards goals and could take part in activities and community events they enjoyed.

    “This demonstrated that people's care was planned to provide them with positive outcomes which supported them to fulfil their potential.” from the report
  • Visible management and improvement

    The manager was involved in daily care, and the home used audits, feedback and action plans to identify and make improvements.

    “There was a provider led audit programme in place to monitor the quality of the service and highlight where improvements were required.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you currently assess and manage my relative's mental health, behavioural and other personal risks?
  2. 02How will you support my relative's communication needs, including any use of sign language, Makaton or other communication methods?
  3. 03What activities, community visits and personal goals would be available for my relative now?
  4. 04How do you make sure medicines, including 'as required' medicines, are given safely and reviewed?
  5. 05How are families involved in care plan reviews, complaints and decisions about changes to care?

This was an unannounced comprehensive inspection covering the home, care provided and all five CQC questions; the report says the previous inspection in 2016 was also rated Good. This explanation was written from the published report of 16 March 2019 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 Carrington Park

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. July 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Carrington Park →

  2. March 2019Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Carrington Park →

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2013

    Registered with the Care Quality Commission on 26 November 2013.

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.

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