Caythorpe Residential Home

Updated 4 March 2021

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 Care Act 2014.

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 one inspector.

Service and service type

Caythorpe residential care home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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

We visited the service on one day and the visit was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We received feedback from the local authority team who work with the service. The provider had not been asked to complete a provider information return (PIR) form. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke briefly with two people, a member of care staff, a housekeeper and deputy manager. Following our visit, we spoke by telephone with the registered manager who had been unable to join us during our visit. We also spoke with two relatives of people who used the service about their experience of the care provided. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 4 March 2021

About the service

Caythorpe residential care home is a residential care home providing personal and nursing care to 12 people and is registered to provide care for younger and older adults at the time of the inspection. The care home can accommodate up to 14 people in one adapted and extended building.

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

People lived in a safe environment. Staff worked to reduce the risks of harm to people in their care. People were supported by enough numbers of staff who knew their needs well. Their medicines were managed safely, and staff followed government guidance to reduce the risks of the spread of infection during the COVID-19 pandemic. When incidents occurred, staff used their learning from the events to reduce the risk of reoccurrence for the people in their care.

The quality monitoring processes in place had been reviewed since our last inspection and we saw there were improvements in this area. However, more time is needed to ensure the systems in place are sustained and embedded into practice to ensure continued good standards of care for people.

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

Rating at inspection

The last rating for this service was Requires Improvement, report published 3 December 2020. The provider was in breach of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had been sustained and the provider was no longer in breach of regulations.

Why we inspected

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 coronavirus and other infection outbreaks effectively.

We undertook this focused inspection to follow up on concerns we had received, to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led which contain those requirements. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service is Good. This is based on the findings at this inspection.