Updated 12 March 2022
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 included checking the provider was meeting COVID-19 vaccination requirements. 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 one inspector.
Service and service type
Castletroy Residential 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. Castletroy Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
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 sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
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 six people who used the service about their experience of the care provided. We spoke with 12 members of staff including the provider, the registered manager, the care team manager, the facilities manager, one team leader, carers, an activities co-ordinator, kitchen staff, domestic staff and the administrator.
We reviewed a range of records at the service. This included recruitment documentation for two staff, multiple medication records, and records relating to the oversight of vaccination requirements for staff. Furthermore, we reviewed some care documentation for people. We asked the registered manager to send us a range of records so we could review these away from the care home. Records included care plans, risk assessments, medication records and staff training and supervision documentation. Additionally, we requested some policies, the provider’s statement of purpose and other records relating to the management and oversight of the service.
After the inspection
Following the visit, the inspection continued, and we reviewed the records which were sent to us. We spoke with seven relatives and received written feedback from one relative. We spoke with eight members of staff which included carers, senior carers and a cook. We held a virtual call with the registered manager and care team manager to gain further insight into the service. We also received feedback from four healthcare professionals who visit the care home. Further clarification was sought from the registered manager so we could confirm the accuracy of the records.