Background to this inspection
Updated
10 December 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
The service had been identified for use by the Local Authority as a designated care setting in response to the Winter Plan for people discharged from hospital with a positive Covid-19 status. This inspection was to ensure that the service was compliant with infection control and prevention measures.
This inspection took place on 1 December 2020 and was announced.
Updated
10 December 2020
About the service
Castlebar Care Home is a ‘care home’ registered to provide nursing and personal care for people age 65 and over and people living with dementia. The care home can accommodate up to 59 people across three separate floors, each of which has separate adapted facilities. At the time of inspection there were 41 people living at the home.
People’s experience of using this service and what we found
People and their relatives were involved in care planning, assessments and reviews of care. This process allowed people and their relatives to make decisions regarding their care and support needs.
People and their relatives gave positive feedback about the service and they praised staff and the management team for their compassionate and effective communication. People and their relatives told us care workers were kind and provided care and support in the way they chose.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
There was a new registered manager in post since the last inspection. They had management oversight of the service through monitoring the quality of care and by completing a range of checks and audits. These were reviewed by senior managers each month to ensure they were of a good standard.
People were kept safe as there were robust systems in place to ensure safe infection control procedures were followed. These practices were regularly discussed, with updates and reminders being shared across the staff team.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 8 November 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve person-centred care, good governance and staffing. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Caring and Well-led which contain those requirements.
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 coronavirus and other infection outbreaks effectively.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
Follow up
We will continue to monitor information we receive about the service. If we receive any concerning information we may return to inspect.