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Castlebar Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 November 2019

About the service

Castlebar Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At this inspection staff were providing personal care to 57 people aged 65 and over at the time of the inspection. The service can support up to 63 people.

People's experience of using this service

People said they felt safe living at the service. The provider had a safeguarding policy and procedure and staff had completed training in safeguarding. However, we found that staff did not always safely implement the training learnt in practice to keep people safe.

People and relatives raised concerns about the lack of openness, transparency and management of the service.

People and their relatives found that there were not enough staff to support them consistently, particularly during the afternoon and at night when needed.

There was a menu available and people chose meals they preferred. There were mixed views on the quality of the meals. Some people said they enjoyed the meal choice while others felt these did not meet their preferences.

The provider had a complaints policy and process in place. People were confident they could make a complaint about any aspect of their care.

Each person had risks identified associated with their health and well-being and had management plans in place to mitigate these.

There was an established activity programme in place at the service. The activity co-ordinator ensured people were involved in a variety of activities to meet their interests.

People and relatives said that some staff were kind and caring towards them and said care and support was provided in a dignified and respectful way.

People had their medicines as prescribed and medicines administration records were used to record when people had their medicines.

People had access to health care support when their needs changed.

Each person had a needs based assessment and care plans provided staff with sufficient detail to manage people’s assessed needs.

Staff had an understanding of how to provide care and support to people who required end of life care.

Rating at last inspection

The previous rating for this service was outstanding. (The inspection report was published on 19 January 2017). The overall rating at this inspection is requires improvement. We have found two breaches of regulation related to person centred care and good governance. We also made two recommendations regarding people’s nutritional needs and preferences and safeguarding.

Why we inspected

This was a planned inspection based on the rating of the service at the last inspection.

Follow up

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.

You can see what action we have asked the provider to take at the end of this full report

Inspection areas

Safe

Requires improvement

Updated 8 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 8 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 8 November 2019

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 8 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 8 November 2019

The service was not always well-led.

Details are in our well-led findings below.