Carrington Court

Updated 12 March 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 26 February 2021 and was announced.

We previously inspected the home in October 2020, due to an outbreak of COVID-19. During that inspection we identified a breach of regulation 12 (safe care & treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, as improvements in risk assessment, cohorting and zoning were required. We completed this latest inspection to ensure the provider had followed their action plan, confirm they now met legal requirements and seek assurance around IPC practices within the home.

We found the provider had made the required improvements and were no longer in breach of regulation.

Updated 12 March 2021

About the service:

Carrington Court care home is owned by HC-one and is situated near the centre of Hindley, Wigan. The home can accommodate up to 48 people who need care and support. At the time of the inspection the home was fully occupied.

People’s experience of using this service:

People felt they or their relatives were safe living at Carrington Court.

There were systems and processes in place to keep people safe from the risk of abuse.

Risk assessments were completed appropriately and updated as required.

Staff were recruited safely, with all relevant checks in place and staffing levels were sufficient to meet people’s needs.

Medicines systems were safe, and staff had appropriate training.

Staff had received infection control training and wore appropriate personal protective equipment (PPE), to deliver personal care.

Care files included assessments and documented health needs and routines.

Staff had a thorough staff induction programme, on-going training and refreshers and were knowledgeable and competent.

Staff supervisions were completed regularly and there were annual appraisals.

People enjoyed the food and there were plenty of choices.

Food and fluid and positional charts were completed as required.

GPs and other professionals were contacted when required.

The building had wide corridors and doorways to help people who had restricted mobility move around.

The service worked within the legal requirements of the Mental Capacity Act (2008) (MCA) and the Deprivation of Liberty Safeguards (DoLS).

Staff interacted respectfully with people who used the service and spoke in a friendly manner.

Care plans clearly reflected respect for people’s diversity and equal treatment for all those who used the service.

Staff were seen to respect privacy and dignity.

Care plans were person-centred, and people were given as much choice and control over their lives as possible.

There was a range of activities and outings and people’s wishes were fulfilled where possible. There was a complaints log and the service had received a number of compliments.

End of life wishes were recorded in care files, where people had expressed them, and some staff had completed training in this area.

The registered manager and provider were aware of their responsibility regarding duty of candour.

The service had a manager in place, who was registered with the Care Quality Commission (CQC) as required.

CQC notifications of significant events that the service is required to tell us about, were sent in as required.

Safeguarding issues, accidents and incidents were reported to the relevant bodies and any incidents reviewed to look at lessons learned.

Previous ratings were displayed on the provider’s website.

Relatives felt management and staff were efficient and effective at liaising with external healthcare professionals and other external bodies.

The service analysed data for any trends and patterns to aid improvement. Working in partnership with others.

The service was involved in intergenerational project work with local college and primary school around facilitating activities.

Rating at last inspection:

At the previous inspection, published on 24 August 2016, the service was rated good.

Why we inspected:

This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received. Inspection timescales are based on the rating awarded at the last inspection and any information and intelligence received since we inspected. As the previous inspection was Good this meant we needed to re-inspect within approximately 30 months of this date.

Follow up:

We did not identify any concerns at this inspection. Going forward we will continue to monitor this service and plan to inspect in line with our re-inspection schedule for services rated Good.

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