Updated 10 September 2025
Date of assessment: 09 October and 15 October 2025. Castlethorpe Nursing Home is a care home providing accommodation and personal care for up to 59 people, including those living with dementia. Although the service remains registered to provide treatment for disease and disorder, the service does not employ nurses and provides residential care only. When we visited the service, there were 45 people receiving care. A manager has recently joined the service and has applied to CQC to become the registered manager. We visited the service to follow up on concerns found at the previous inspection, where breaches of regulation had been identified. The provider’s systems did not ensure people received safe care and treatment. Safeguarding concerns were not always reported to the local authority, and staff did not have clear guidance to prevent incidents from happening again. Risks to people’s safety and wellbeing were not consistently assessed or reduced. Risk assessments lacked guidance for staff as to what they should do to help keep people safe. Care plans contained insufficient detail about people’s personal preferences and health conditions. Medicines were not managed safely, and risks were not regularly reviewed. Audits were in place but were ineffective, as they did not identify the issues we found during this assessment. Required improvements had not been completed. For example, including fire safety and infection control. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded. The service was in breach of legal regulation in relation to people’s safe care and treatment; the ways people’s medicines were managed safely and governance at the service. We have asked the provider for an action plan in response to the concerns found at this assessment.