Archived: Cale Green Nursing Home

Updated 26 March 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one Adult Social Care Inspector, one Assistant Inspector and a Specialist Advisor in nursing care

Service and service type:

Cale Green 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.

The service is required to have 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. At the time of our inspection a new manager had been appointed and was in the process of applying to CQC to become the registered manager.

Notice of inspection:

The first day of the inspection was unannounced.

What we did:

Before the inspection we reviewed information we held about the service including notifications the service was required to send us about things happening in the home, information from other stakeholders, for example the local authority and information from members of the public.

In addition the provider completed a Provider Information Return (PIR). Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection we spoke with six people living in the home, two relatives of people living in the home, six members of care, nursing staff and domestic staff, the manager and the owner. We also reviewed care and medication records of five people, recruitment records of four people, records of accidents and incidents and complaints, quality and maintenance checks and surveys conducted by the provider.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We observed interactions between staff and people living in the home and looked around the building.

Updated 26 March 2019

About the service: Cale Green Nursing Home is a purpose built nursing home in the Cale Green area of Stockport. It provides personal and nursing care for up to 50 older people and people with physical disabilities. At the time of our inspection the service was supporting 33 people.

At the time of our inspection the home was in the process of being sold and the new owner was in the process of applying to become the registered provider.

People’s experience of using this service:

People and their relatives told us they felt safe and protected from abuse in the home. People said they knew the care team well and that staff understood their needs.

People were not always kept safe from environmental risks. Some doors which should have been locked to prevent people becoming trapped in rooms, or to keep people safe from harmful chemicals were left propped open. Some hot water outlets were not monitored to check whether the temperature of the water posed a scalding risk to people. Fire drills were not being performed in the home.

People’s care records were being re-written to ensure the person received support that was personal to them. We found the care records that had been completed reflected people’s needs well.

Checks were done on people before they started work in the home however we found that sometimes not all the appropriate checks were completed.

People enjoyed the food in the home and were given choices of meals. Where people didn’t like the choices alternatives were offered.

People, their relatives and staff told us the home had improved under the new management and found the management team approachable, open and honest.

The manager did not always have a clear oversight of the quality monitoring and health and safety requirements in the home.

Rating at last inspection: Requires Improvement 12 July 2018

Why we inspected: This was a planned inspection based on the rating of the service at the last inspection.

Follow up: We have asked the provider to let us know what action they will be taking to improve the service to at least ‘Good’. We will continue to monitor the service through information we receive and future inspections.