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Castlegate House Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 April 2020

About the service

Castlegate House Residential Home is a care home that provides accommodation and personal care for a maximum of 20 older people including people living with dementia. At the time of our inspection 16 people were using the service.

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

Improvements were needed to the safety of the home. An uncovered radiator on the first-floor landing was hot to the touch and might cause burns if a person came into contact with it. Fire doors were wedged open, there was a damaged/loose stair, and some windows were nailed shut. The home’s fires risk assessment had not been reviewed since December 2018, although it was being reviewed on the day of our inspection.

Other improvements were needed to the premises. We identified this at our previous inspection and the provider said they would address it. However, at this inspection the premises were still in need of attention. Some carpets were worn and stained; decoration and furnishings were tired, worn and damaged; and the décor was not suitable for people living with dementia. The lift was out of order and people were using stairlifts instead.

Improvements were needed to staff and medicines records, a medicines storage facility, and the home’s safeguarding policies and procedures.

Some of these issues were long-standing and had only been identified in the week prior to our inspection by the home’s director of care quality and compliance. They had produced an action plan and were working with the provider, registered manager and staff to make improvements.

The home had a happy, caring family atmosphere. People and staff enjoyed each other’s company and knew each other well. Staff provided personalised care and understood what was important to the people they supported. They knew how to protect people from abuse and what to do if they had any concerns about their well-being.

The registered manager worked closely with staff to ensure people received a caring service. We received many positive comments about the home from people, staff, relatives, and healthcare professionals.

We identified breaches in relation to the safety of the premises and the governance of the home. The provider did not ensure the premises were safe for their intended use, nor did they have effective systems in place to assess, monitor and improve the quality of the service.

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

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 Good (published 10 January 2019).

Why we inspected

The inspection was prompted in part due to concerns received about people’s safety at the service. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from abuse.

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.

Inspection areas

Safe

Requires improvement

Updated 10 April 2020

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 10 April 2020

Caring

Good

Updated 10 April 2020

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 10 April 2020

Well-led

Requires improvement

Updated 10 April 2020

The service was not always well-led

Details are in our Well-Led findings below.