Castleford Home for Older People

Updated 6 May 2023

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 Health and Social Care Act 2008.

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

One inspector undertook the inspection.

Service and service type

Castleford Home for Older People is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Castleford Home for Older People is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced on the first day.

What we did before the inspection

We reviewed information we had received about the service, such as notifications. These are events that happen in the service that the provider is required to tell us about. We also sought feedback from the local authority.

The provider completed a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We observed how staff provided support for people to help us better understand their experiences of the care they received. We spoke with 6 people living in the home, 2 relatives, 5 members of care staff, the registered manager, and the senior operations manager. We also spoke with 2 visiting healthcare professionals.

We carried out a tour of the building with the registered manager and reviewed a range of records. This included 2 people’s care documentation, 2 staff files and a sample of people’s medication records. We also reviewed a range of records relating to the management of the service.

Updated 6 May 2023

Castleford Home for Older People is a residential care home providing accommodation and personal care for up to 47 older people. There were 38 people living in the home at the time of the inspection. The home is divided into 4 areas, known as Henthorn Court, Edisford Court, Castleview Court and the community beds area. This area provided support for people up to a maximum of 6 weeks, whilst longer term decisions were made. People living with dementia were provided with care and support on Henthorn Court and Edisford Court.

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

People told us they felt safe living in the home, and they were happy with the service provided. Improvements had been made to the management of medicines and risks. However, we noted there were signature omissions in the administration of topical creams. Following the inspection, the registered manager confirmed additional checks had been introduced to ensure the topical cream administration records were fully completed.

Individual and environmental risks had been assessed and managed. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. The provider operated an appropriate procedure for the recruitment of new staff. People were protected from the risks associated with the spread of infection. Whilst the premises had a satisfactory standard of cleanliness throughout the building, a shower room had been left unclean. The registered manager took immediate action to have the room cleaned during the inspection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

The management team carried out a series of audits to check and monitor the quality of the service. The registered manager considered the views of people, their relatives and staff in respect to the quality of care provided. The registered manager and staff used the feedback to make ongoing improvements to the service.

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 (published 5 November 2019).

At our last inspection we recommended that the provider make improvements to management of risks and medicines and strengthen their quality assurance systems. At this inspection we found the provider had acted on the recommendations and made improvements to the service.

Why we inspected

We carried out an unannounced focused inspection of this service on 1 and 3 October 2019. We made three recommendations in respect to the management of risks and medicines and the governance systems. We undertook this focused inspection to follow up on the recommendations made at the last inspection.

This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those recommendations. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Castleford Home for Older People on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.