Archived: Castle Rise

Updated 2 October 2019

The inspection

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.

Inspection team.

The inspection team consisted of one inspector and an assistant inspector on the first day. There was one inspector for 2 hours on the second day.

Service and service type

Castle Rise is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 did not have a manager registered with the Care Quality Commission. This is important as it means that the registered manager 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

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. 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 of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and four relatives about their experience of the care provided. We spoke with six members of staff including the deputy manager, a nurse, a senior care worker and three care workers. We received information from two additional staff and a health professional.

We reviewed a range of records. This included six people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. We reviewed a variety of records relating to the management of the service, including policies and procedures.

Following the inspection

We received additional information we requested regarding staff training and refurbishment plans.

Updated 2 October 2019

About the service

Castle Rise is a residential care home providing personal and nursing care to 29 people at the time of the inspection. The service can support up to 36 people in one adapted building.

People’s experience of using this service and what we found

There was no registered manager in post and the service was currently managed by the deputy manager. A new manager had been appointed and was due to start at the end of September 2019.

People lived in a clean and safe environment. Staff knew how to recognise the signs of abuse and what to do if they had concerns. People had risk assessments to guide staff in how to minimise accidents and incidents occurring. The risk assessments were kept under review.

People had care plans, which provided staff with good information in how to care for people in an individual way. Staff knew people’s needs well. People were able to remain at the service for end of life care if they wished.

People’s health and nutritional needs were met. They saw health care professionals in a timely way when required and received their medicines as prescribed.

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.

People made positive comments about the staff team and their approach when supporting them. They said treated them well and respected their privacy and dignity.

Staff were recruited safely and there were enough staff deployed to meet people’s needs. Staff completed a two-week induction, training courses, received supervision and had an ongoing support network. Training records identified when courses had been completed and when updates were required.

The service received very few complaints. The provider had a complaints procedure on display and people told us they were confident their concerns would be listened to and acted on.

The provider had a system in place to monitor the quality of the service delivered to people. This included audits, action plans and meetings with people so they could express their views. Senior management had oversight of the service and made visits to ensure action plans were completed.

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 Good (published 11 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.