CQC report explained · a residential care home
What the CQC found at Castletroy Residential Home
Rated Inadequate: inspectors found the home performing badly and the CQC has taken enforcement action.
What inspectors found, March 2022
Rated Good; inspectors found safe, kind and well-organised care, with some relatives wanting more formal updates.
Inspectors visited unannounced on 7 and 21 February 2022. They spoke with six people, relatives, staff and healthcare professionals. They also checked care plans, risk assessments, medicines, recruitment, training and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people felt safe, medicines were given as prescribed, staff understood people's needs, and care was kind and respectful.
People had choices about their care, food and activities. Staff supported contact with relatives and worked with healthcare professionals. The home also provided end of life support and had systems to learn from incidents and complaints.
The previous rating was Requires Improvement after an inspection in April 2019. A targeted inspection in February 2021 found the earlier breach had been resolved. This inspection found the overall service had improved to Good.
People felt safe
People and relatives told inspectors they felt safe. Risks were assessed and staff knew how to report concerns.
“People told us they felt safe in their surroundings, and we observed positive approach and communication from staff.” from the report
Kind and respectful care
Staff supported people's dignity, privacy, choices and independence. Inspectors saw sensitive communication and gentle encouragement.
“People were treated with respect and kindness, and staff interacted with people in a person-centred way.” from the report
Personalised support
Care plans described people's medical needs, preferences and personal interests. Staff updated plans when needs changed.
“Detailed person-centred care plans had been developed which enabled staff to support people in a personalised way.” from the report
Activities and family contact
The home offered group and one-to-one activities, including an in-house church service. Staff also helped people keep in touch with relatives.
“One to one activities took place in addition to group activities.” from the report
Improved management
The service had improved from Requires Improvement. Inspectors found systems for audits, incident learning and ongoing improvement.
“The registered manager, and staff team, had worked hard to make ongoing improvements at the care home.” from the report
Some relatives wanted more formal updates
minorSome relatives said they would welcome additional formal updates about care reviews and changing needs. Inspectors noted that the pandemic had affected some planned reviews and fed this back to the manager.
“Some relatives told us they would welcome additional formal updates.” from the report
Formal feedback had been affected
minorThe manager said the pandemic had affected the home's quality assurance process. A previous feedback exercise had a low response, although some relatives said their views were sought in other ways.
“The registered manager said the pandemic had impacted upon their quality assurance processes, but had planned to seek formal feedback from stakeholders.” from the report
- 01How often will you give our family formal updates and hold care reviews?
- 02How will you keep our relative's care plan up to date if their needs change?
- 03What activities, including one-to-one activities, would be suitable for our relative?
- 04How will you support our relative to keep in contact with family and friends?
- 05What training and support do staff have for medicines and end of life care?
This inspection covered all five key questions and included infection prevention and control and COVID-19 vaccination requirements. This explanation was written from the published report of 12 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, January 2022
Inspected but not rated; inspectors were assured that infection prevention and visiting arrangements were safe.
This was an unannounced, targeted inspection on 30 December 2021. It looked at infection prevention and control because the home was responding to COVID-19 outbreaks.
Inspectors found good arrangements for visitors, testing, personal protective equipment, cleaning, social distancing and the safe handling of laundry and crockery. Staff and managers also worked with health professionals and followed current guidance.
The inspectors were assured across the infection prevention and control areas they checked. The home was inspected but not rated, so this report does not give a new overall quality rating.
Safe visiting
The home supported essential care givers, window visits, telephone and video calls, and in-person visits when there was no active outbreak.
“The provider supported visits by essential care givers, window visits and support to stay in touch through telephone and video calls.” from the report
Visitor precautions
Visitors were given protective equipment and checks were made for testing, COVID-19 risks and temperature. Professional visitors also had to show vaccination status.
“Full Personal Protective Equipment (PPE) was available to all visitors on entry and they were asked to show proof of a negative lateral flow test” from the report
Clean environment
Inspectors saw clean and tidy premises, with furniture arranged to support social distancing and cleaning taking place throughout the inspection.
“The premises and furniture were all clean and tidy and housekeeping staff were observed to be keeping areas clean at all times.” from the report
Staff checks and guidance
The home checked vaccination status before allowing staff and professional visitors to enter, and worked with health professionals and other organisations.
“The staff and management team worked closely with other health professionals such as GP's, Public Health England and the local authority” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits managed now when there is an active COVID-19 outbreak?
- 02How do you check that staff and professional visitors have completed the required testing and vaccination checks?
- 03How do you make sure personal protective equipment is available and used correctly by staff and visitors?
- 04How are residents supported to keep in touch with relatives if in-person visits are restricted?
- 05What were the home's ratings in the previous full CQC inspection?
This was an unannounced targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 8 January 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Castletroy Residential Home
6 rated inspections over 7 years: the service has held its Good rating throughout.
- March 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2022Inspected but not ratedSafe: Inspected but not rated
- February 2021Inspected but not ratedSafe: Inspected but not rated
- February 2021Inspected but not ratedSafe: Inspected but not rated
- May 2019Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2018Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
- March 2018Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 29 November 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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