Carrick House Nursing Home

Updated 29 June 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector and 1 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

Carrick House Nursing 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. Carrick House Nursing Home is a care home with 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 since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people using the service, 4 family members, the registered manager, managing director,1 care staff,1 nurse, the chef and the domestic staff. We reviewed a range of records which related to people's individual care and the running of the service. These records included 3 people's care files, 3 staff files and medicine administration records and protocols. We also looked at a variety of records relating to the management and quality assurance of the service including policies and procedures and a range of audits.

Updated 29 June 2023

About the service

Carrick House Nursing Home is a care home providing personal and nursing care for up to 27 people. The service provides support to older people who live with dementia and/or physical disabilities. At the time of our inspection there were 27 people using the service. Accommodation was provided across 2 floors with a communal lounge and dining areas on the ground floor.

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

People were kept safe and were looked after by enough staff that knew them well. Systems for managing and administering people's medicines were in place and regularly reviewed. Risks to people's health, and environmental risks were assessed and monitored.

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 supported this practice.

Systems were in place to ensure people were protected from abuse and treated with respect and dignity. The registered manager monitored incidents to make sure any lessons were learned to improve outcomes for people. We saw positive engagement between staff and people. People told us that staff were kind and looked after them well.

Staff received the training, guidance and support they needed to do their job well and to effectively meet people's needs. The manager was approachable and provided staff with leadership and direction.

The registered manager and staff worked in partnership with other health care professionals to deliver an effective service. There were up to date systems in place to monitor the quality of the service and any learning was identified and acted upon.

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

Rating at last inspection and update

The last rating for this service was good (published 29 October 2020). At our last inspection we recommended that the provider seek further advice and guidance from a reputable source, about the function and purpose of fluid and pressure area monitoring charts and the importance of them being accurately completed. At this inspection we found improvements had been made.

Why we inspected

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

We undertook a focused inspection to review the key questions of safe, effective and well-led only.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Carrick House Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect. We may inspect sooner if required and if we receive any concerning information.