CQC report explained · a nursing home
What the CQC found at Charterhouse Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, November 2018
Rated Good overall; inspectors found kind, safe care, but the service Requires Improvement in Effective because care and nursing records were not always complete.
This was an unannounced inspection on 10 and 11 October 2018. Inspectors spoke with people, relatives, staff and a health professional. They reviewed care records, staff files, medicines information and management records.
People and relatives were very positive about the home. Inspectors found people were safe, treated kindly and supported in a personalised way. Staff knew people well, respected their privacy and helped them stay involved in the community.
The main weakness was record keeping. Some care plans did not reflect people's needs, and records of turning and food and fluid intake were incomplete. End of life care plans also lacked important detail. The overall rating was Good, but Effective was Requires Improvement.
Kind staff
People and relatives spoke positively about staff. Inspectors saw staff treating people with kindness, patience and respect.
“Staff were skilled, well-trained and treated people with kindness and compassion.” from the report
Personalised support
Staff knew people's likes, dislikes and personal histories. Relatives were involved in care planning and people's independence was supported.
“People received personalised care that was responsive to their needs.” from the report
Community links
People could use facilities such as the cinema, swimming pool and restaurant, and could take part in trips and community activities.
“People were supported to attend the cinema on site, the swimming pool and were able to go to the restaurant for meals or just coffee.” from the report
Clean environment
The home was described as bright, spacious, clean and fresh. Staff had systems to reduce the risk of infection.
“During our inspection housekeeping staff were present throughout the service and communal areas were kept clean and tidy.” from the report
Staff morale
Staff said they felt supported and worked well together. Inspectors found morale was good.
“Staff were very positive about their work and morale was high.” from the report
Unclear health instructions
needs fixingSome plans for diabetes, catheters, seizures and Parkinson's disease were generic or incomplete. Instructions for some diabetes treatment were not clear.
“There were some shortfalls in the care plans for specific needs such as urinary catheter, diabetes, seizures, and Parkinson's disease where care plans were generic and not tailored to individuals.” from the report
End of life plans
needs fixingInspectors found good end of life care in practice, but written plans did not record enough detail about people's wishes and care needs.
“However, written care plans for people's end of life wishes were of poor quality.” from the report
Medicine training
needs fixingSome medicines records had not been signed by agency nurses. Training for care staff did not cover many non-oral medicines routines, so the provider was asked to improve it.
“We recommend the provider implement additional training for care staff regarding the non-oral administration of medicines.” from the report
Room identification
minorSome bedroom doors and signs were difficult to distinguish. Inspectors said this could be confusing for people living with dementia or people with limited vision.
“People with limited vision would not be able to read this, and people with dementia may not always be able to read easily.” from the report
- 01What has been done to make sure every person's care plan reflects their current health needs?
- 02How do you now check and record food and fluid intake and regular repositioning?
- 03What additional training has been given for non-oral medicines, and how do you check that staff are competent?
- 04How have end of life care plans been improved since this inspection?
- 05How is the new manager progressing with registration, and how will the home maintain consistency after the previous manager changes?
This was an unannounced comprehensive inspection of all five areas of the service and was the first inspection since the home registered in October 2017. This explanation was written from the published report of 16 November 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.
Every inspection of Charterhouse Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- November 2018Goodcurrent ratingSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- October 2017
Registered with the Care Quality Commission on 12 October 2017.
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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25 live-in carers within about an hour of Bath and North East Somerset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,320 a week. 20 can care for a couple. 12 years' experience on average.
“She enabled mum to lead a high quality life in her own home until the very end and Lena and her family became close personal friends to me and my family.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.