Background to this inspection
Updated
25 September 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
This inspection was carried out by two Inspectors and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Catchpole Court 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 reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and eleven relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, deputy manager, care workers, the chef, activities coordinator and head housekeeper.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. 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
25 September 2021
About the service
Catchpole Court is a care and nursing home for up to 66 older people, some of whom are living with dementia. The home comprises of two units, Constable and Gainsborough, and is arranged over two floors. At the time of our inspection there were 45 people living at the service.
People’s experience of using this service and what we found
Risks related to the environment had been assessed. However, we identified risks of scalding to people from a lack of thermostatic valves fitted to showers. In response to our findings the provider took immediate action to rectify this.
People told us care was provided safely by staff who had been recruited and employed after appropriate safety checks had been completed. There were systems in place to safeguard people from the risk of abuse and staff knew how to respond and report concerns they may have.
We noted unclean touch points such as door handles and light switches as well as equipment. We recommended cleaning schedules include evidence of regular touch point cleaning and cleaning of equipment such as commodes.
Our observations during the inspection, were of positive and warm interactions between staff and people. There was a system in place to respond to complaints received. People were supported to make plans for the end of their life.
Staff had received training relevant to their roles. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. Medicines were administered by staff who had received training and their competency to do so assessed.
The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. 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.
People were supported to eat and drink enough to ensure they maintained a balanced diet. Referrals to other health professionals were made when required. However, we recommended clinical audits include regular bowel monitoring to ensure timely action in response to people at risk.
There were systems in place to assess the quality and safety of the service and improve outcomes for people. Incidents and accidents were analysed for trends and any lessons learned shared with the staff team.
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 require improvement (published 28 February 2020) where we identified a breach of regulation 18 in relation to staffing. 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 undertook this inspection to check the provider had followed their action plan and to confirm they now met legal 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 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 Catchpole Court on our website at www.cqc.org.uk.
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.