Castlemaine Care Home is registered to provide care, support and accommodation for up to 42 people. There were 25 people living in the service when we visited. People cared for were mainly older people who were living with dementia and with a range of care needs, including arthritis, diabetes and heart conditions. Most people needed support with their personal care, eating, drinking or mobility.
People’s experience of using this service and what we found
Whilst the registered manager and provider had systems and processes to assess and manage risks to people, these had not identified some of the shortfalls we found. Some of the issues with the safety of the premises whilst known had not been recorded, actioned or a plan of essential maintenance put in place. Records for people’s well-being and safety were not all up to date or accurate, for example food and fluid charts.
The premises was not maintained to a good standard. Improvements were required throughout the building, in relation to exposed hot pipes, rucked carpets and unsafe floors, which the registered manager and provider were prioritising and actioning. The cleaning of the premises needed to improve to ensure all areas of the home were clean and hygienic for people.
People received care and support from enough staff who had been appropriately recruited and trained to recognise signs of abuse or risk. However, the deployment of staff at key times needed to be reviewed to ensure peoples' mental health and well-being needs were met consistently . One person said, “I like it here.” Another said, “Its home now.” Most peoples’ care plans and risk assessments meant peoples’ safety and well-being were protected by clear guidance for staff to follow. Medicines were stored, administered and disposed of safely.
Staff had all received essential training to meet people’s support and care needs. There was an induction programme to introduce new staff to the service and during this process they got to know people and their needs well. Staff told us that they felt the induction had been a good introduction to the home.
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.
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 15 November 2019)
The overall rating for the service has changed to Requires Improvement. This is based on the findings at this inspection.
Why we inspected
We received concerns in relation to the safety of people and staffing levels. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led relevant key question of this report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Castlemaine on our website at www.cqc.org.uk.
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
We have identified breaches in relation to ensuring peoples safety and good governance.
Please see the action we have told the provider to take at the end of this report.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.