- Care home
Castlethorpe Nursing Home
Report from 18 July 2024 assessment
Contents
Ratings
Our view of the service
Castlethorpe Nursing Home can provide support for up to 59 people. There were 44 people living at the service at the time of our assessment, some of whom were living with dementia. We carried out our assessment of this service to follow up on concerns we had received and due to their previous rating. The date of the assessment was 6 to 20 August 2024. The overall rating for the service has remained ‘requires improvement’. We found four legal breaches of regulation in relation to consent, safe care and treatment, the governance of the service and staffing. The provider had taken insufficient actions to address areas which could have compromised people’s safety. This included a failure to ensure actions identified within a risk assessment had been completed in a timely manner. The provider had not adhered to or promoted the principles of the Mental Capacity Act (MCA) (2005). This included not seeking people’s consent to record their telephone calls. There continued to be very limited activity provision which presented a risk that people would be under-stimulated. Staff interactions outside of basic care tasks continued to be limited. Clinical staff had not always received or undertaken the required training for their role. The system of checks and audits had not been effective in identifying risks and improving the quality of the service. However, staff were recruited safely. Referrals were made to the relevant health and social care agencies, whom the service engaged with. Policies and procedures were in place to guide staff practice. 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. We have also asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People and their relatives told us there was no activities provision. Comments included, “They don’t have any activities,” “It is boring in here every day the same” and “I do go to the lounge to see a friend, but I don’t do any activities other than this.” We observed and people shared that staff did not consistently ensure their privacy and dignity. However, most people and their families said the carers were caring. Comments included, “They are very caring, and I have nothing but positive views about them” and, “I like it here and I can’t complain about the carers at all.” We received mixed feedback about the quality of the food and condition of the environment.