10 October 2023
During an inspection looking at part of the service
Caton House Residential and Nursing home is a residential and nursing home providing personal and nursing care for up to 62 people. The service provides support to older people including people living with dementia. At the time of our inspection there were 52 people using the service.
Caton House Residential and Nursing Home is split across two floors. People have access to their own personalised bedrooms and en-suite toilets and share communal areas such as lounges, dining areas, bathrooms and a garden.
People’s experience of using this service and what we found
Some people expressed their personal care needs were not always being met in a timely manner, resulting in some people waiting prolonged periods for staff availability.
The service had a dedicated activities team made up of volunteers to provide opportunities for engagement and interaction and reduce isolation. However, comments we received from people and observations made during the inspection indicated some people’s social needs were not being met.
Staff competency to perform their job roles was monitored effectively. People’s medicines were safely managed, although one person’s care records did not have specific details on how staff were to administer their medicines via a Percutaneous Endoscopic Gastrostomy (PEG) feeding tube. This was addressed immediately during the inspection.
Staff were recruited in line with current legislation. Safeguarding incidents and accidents were reported to the correct authorities and actions taken were effective.
Care plans and risk assessments identified individual risks, for people and how they were to be managed. For example, risks of falls, skin pressure damage and poor nutrition and hydration. Staff supported people in line with the guidance in their care plans and risk assessments.
Infection control systems were in place to reduce the risk of transmissible infections.
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 and relatives were asked for feedback about the service and staff worked with other professionals to help people achieve good outcomes.
The registered manager completed audits on all aspects of the service that were overseen by senior management.
The registered manager and provider were passionate about the service and supporting people in the best way they could. We discussed our findings with the registered manager who said they would immediately review people’s care plans, staffing levels and staff deployment throughout the home. With the aim to ensure people’s personal preferences, social and emotional needs were met.
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 18 June 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Caton House Residential and Nursing home on our website at www.cqc.org.uk
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.