Inadequate Risk Assessment and Care Planning Leads to CQC Registration Being Cancelled

The Care Quality Commission has cancelled the registration of a Croydon care home – effectively closing it down.

Carlton House in Chatsworth Road, Croydon, remained rated Inadequate overall at its most recent inspection in March 2018. It was rated Inadequate for being safe, effective and well-led. It was rated Requires Improvement for being caring and responsive.

Carlton House, is a residential care service that registered to provide housing and personal support for up to 15 adults who have a range of needs including mental health and learning disabilities. It is run by Dr Emmanuel Owusu and Mrs Celia Erica Akuffo.

During this inspection in March 2018, CQC found eight breaches of care regulations, some of which had been highlighted at previous inspections. The provider had not made sufficient improvements to change the rating or meet the regulations.

  • People’s risk assessments and care plans continued to be out of date.
  • Environmental risk was high. Inspectors found risks relating to excessive hot water in people’s rooms and communal bathrooms. The risk had been noted but nothing had been done to keep people safe.
  • Staff knew about safeguarding people from abuse and neglect but inspectors were concerned because the provider had failed to report, act upon and investigate some incidents.
  • Inspectors found the service was not clean. People’s rooms were dirty and in need of essential maintenance. There were no records of cleaning schedules for people’s rooms and tasks were allocated to staff verbally so the provider was unable to evidence how they monitored the hygiene and cleanliness of the service.
  • The mix and number of people using the service and the a new layout of the rooms continued to give CQC concerns about the number of toilets and bathing facilities available and accessible for people.  Men and women used the service and moving from floor to floor to use bath shower rooms and toilets impacted on people’s dignity and privacy.
  • There continued to be issues with people’s medicine records. Information was still not available to staff to explain how people liked to take their medicine.
  • There continued to be some concerns with people’s healthcare needs. When people’s health needs changed these were not always acted on. When healthcare professionals gave advice this was not always followed.
  • The service continued to be poorly led. Systems were not in place to identify health and safety issues that could put people who used the service and staff at risk.
  • There were no robust systems to check the quality of the service.

Debbie Ivanova, CQC’s Deputy Chief Inspector of Adult Social Care, said:“The quality of care at Carlton House, fell a long way below the standard expected, and we have now used our enforcement powers to cancel its registration.”

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