Background to this inspection
Updated
14 January 2021
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.
We received information of concern about infection control and prevention measures at this service. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 17 December 2020 and was unannounced.
Updated
14 January 2021
About the service
Castle Donnington is registered to provide accommodation and nursing care for up to 60 older people. The service was purpose built to meet people’s needs. At the time of the inspection there were 47 people using the service.
People's experience of using this service and what we found
Systems in place to ensure people’s oral and dental healthcare needs were met needed to be strengthened. There were no plans of care for people’s oral health care needs and oral health assessments were not completed on admission. Staff did not receive training in relation to people’s oral health care needs.
We have made a recommendation about the management of people’s oral and dental healthcare needs.
People received safe care and were protected against avoidable harm, neglect and discrimination. Risks to people's safety were assessed and strategies were put in place to reduce any risks. There were sufficient numbers of staff who had been safely recruited to meet people's needs.
People’s medicines were safely managed, and systems were in place to control and prevent the spread of infection.
People's care needs were assessed before they went to live at the service, to ensure their needs could be fully met. Staff received an induction when they first commenced work at the service and ongoing training that enabled them to have the skills and knowledge to provide effective care.
People were supported to eat and drink enough to maintain their health and well-being. Staff supported people to live healthier lives and access healthcare services.
The premises was purpose built and adapted to meet the needs of people using the service.
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.
Staff provided care and support in a caring and meaningful way. They knew the people who used the service well and had built up kind and professional relationships with them. People and relatives, where appropriate, were involved in the planning of their care and support. People's privacy and dignity was always maintained .
People were encouraged to take part in a variety of activities and interests of their choice, but some people wanted to see more variety in the range of activities. There was a complaints procedure in place and systems in place to deal with complaints effectively. The service provided appropriate end of life care to people.
The quality of care was monitored through reviews, audits and feedback. Systems were in place ensure staff were trained and supported in their roles. The registered manager worked in partnership with health care professionals, agencies and community services and shared learning with the staff team when things went wrong.
Rating at last inspection
The last rating for this service was Good (published 7 June 2017)
Why we inspected:
This was a planned inspection based on the rating at the last inspection.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.