Background to this inspection
Updated
28 April 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.
This was a focussed inspection to check whether the provider had met the requirements of the last inspection in relation to Regulation 9 – Person-centred care and Regulation 17 – Good governance of the Health and Social Care Act 2008 (Regulated Activities) Regulations 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 two inspectors.
Service and service type
Calway House 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
This inspection was unannounced.
What we did before the inspection
We looked at the information we held about the service. This was information the provider had told us about and information which had been shared with us from other sources.
The provider was not asked to complete a provider information return prior to this inspection. 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.
We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service, one visiting relative and eight members of staff. Where people were unable to fully express their views because they were living with dementia, we carried out observations in communal areas. We also observed the main meal of the day in three areas of the home and medication administration.
We reviewed a range of records. This included samples of nine people’s care records, minutes of staff meetings, staff training records, various audits and the home’s action plan
Updated
28 April 2021
About the service
Calway House is a residential care home providing personal and nursing care to up to 92 people. The home provides care and accommodation to older adults including people living with dementia.
The building was divided into five suites. Maple and Spruce cared for people who required support with personal care, Laurel and Cedar provided nursing care to people and Sycamore supported people who were living with dementia. At the time of the inspection there were 50 people living at the home.
People’s experience of using this service and what we found
People lived in a home where improvements had been made to ensure their care and support was personalised to them.
Improvements had been made to the meal-time experience and people received the support they required to eat and drink.
People lived in a home which was well maintained and safe. Staff followed up to date guidance on infection prevention and control to minimise risks to people.
There were systems in place, and adequate numbers of well-trained staff, to maintain people’s comfort and safety.
Staff felt well supported which led to a happy atmosphere for people to live in.
People could be confident that the management team monitored standards and took action where shortfalls were identified.
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
The last rating for this service was requires improvement (report published 16 September 2019) and we identified two breaches in 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 we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 13-14 August 2019. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve Person-centred care and Good governance.
We undertook this focused inspection 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, Effective and Well-led which contained those requirements.
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.
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 has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Calway House on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.