27 September 2022
During an inspection looking at part of the service
Castlethorpe nursing home is a residential care home providing personal care and nursing care to 46 people at the time of the inspection. The service can support up to 59 people in one adapted building. The service is also a domiciliary care service. This provides personal care to people in their own homes. This part of the service is called ‘Boss Care’. At the time of the inspection 15 people were using this service.
The Care Quality Commission (CQC) only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.
People’s experience of using this service and what we found
This was a targeted inspection which considered staffing. Recruitment checks were not robust and gaps in employment history and references were identified. Systems in place to monitor foreign workers, their visas and restrictions on workers were not sufficient. There was a lack of knowledge around some people’s restrictions. The provider and registered manager were aware of these gaps and were working to address these.
In the care home, people still felt there wasn’t always enough staff. People felt staff did not have time to spend with them chatting, and there was no activities worker to help provide this. The tool the provider used to inform them of the amount of staff they required, was not up to date or regularly reviewed. For the domiciliary care service, staff were reported to usually attend on time and stay for the full call.
People felt safe when receiving support from staff and spoke of the caring nature of staff.
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 8 September 2021).
Why we inspected
We undertook this targeted inspection in relation to a specific concern we had about staffing arrangements at the service. The overall rating for the service has not changed following this targeted inspection and remains requires improvement.
We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.