Background to this inspection
Updated
4 November 2021
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
The inspection was carried out by two inspectors on 15 September 2021 and one inspector returned on 16 September to complete the inspection.
Service and service type
Cateswell 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 meant 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
The inspection was unannounced on the first day.
What we did before inspection
We reviewed information we had received about the service. We sought feedback from the local authority. The provider was asked to complete a provider information return prior to this inspection. 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 this information to plan our inspection.
During the inspection
We spoke with three support staff, a team leader, and the operations manager. We also spoke with all five people who were living at the service.
We reviewed a range of records. This included three people’s care records. We looked at two staff files in relation to recruitment. We also looked at a variety of records relating to the management and quality assurance of the service.
After the inspection
We spoke with two relative's and three health care professionals and obtained more information from the registered manager and provider regarding care records and audits.
Updated
4 November 2021
About the service
Cateswell Court is a residential care home which can support up to eight people in one adapted building. The service specialised in supporting people with mental health needs. There were five people using the service at the time of this inspection.
People’s experience of using this service and what we found
There had been changes within the management team and the home had experienced an unsettled time. The provider had identified that improvements were needed. Progress had been made on their own improvement plan and some further embedding was needed. Some risks to people were not mitigated.
Staff understood their safeguarding responsibilities. There had been a number of staff changes in recent months. However, progress was being made on ensuring there was a stable staff team in place. There was enough staff on duty to support people. Staff were recruited safely.
People received their medicines as prescribed. Infection control policies and procedures were in place to keep people safe.
People were satisfied with the quality of care and support they received. People knew how to make a complaint if needed. The provider had a system in place to make sure incidents and complaints were investigated and people were informed of the outcome.
People and staff were supported to have their say about how the service could be improved. Regular checks and audits took place to monitor, review and improve the quality of the service.
Rating at last inspection
The last rating for this service was good (published 22 January 2019).
At this inspection we found improvements were needed to safe care and welfare.
Why we inspected
The inspection was prompted in part due to concerns received about a high turnover of staff, management changes and safeguarding concerns. A decision was made for us to inspect and examine those risks.
We undertook this focused inspection on 15 September 2021.This report covers our findings in relation to the key Questions, Safe and Well- led only. The ratings from the previous inspection for those key questions not looked at on this occasion were used in calculating the overall rating at 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.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.
We found that some risks to people were not always well managed.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.