CQC report explained · a nursing home
What the CQC found at Caton House Residential and Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Requires improvement
- Some people waited prolonged periods for help with washing, dressing and getting up. Three people did not have call bells in their bedrooms, and one person's PEG medicines instructions lacked enough detail, although this was corrected during the inspection.
- Effective?
- Good
- This question was not inspected at this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This question was not inspected at this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This question was not inspected at this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- The manager completed regular audits, acted on incidents and sought feedback from people, relatives and staff. Inspectors found leadership was committed to improving care.
What inspectors found, November 2023
Rated Good overall; inspectors found safe systems and kind leadership, but some people waited too long for care and three bedrooms lacked call bells.
Inspectors visited on 10 and 16 October 2023. The first visit was unannounced and the second was announced. They spoke with 12 people, two relatives and seven staff, and reviewed care, medicines, recruitment and management records.
The home was rated Good overall. Safe was rated Requires Improvement because some people waited too long for personal care, three people did not have call bells in their bedrooms, and one person's PEG medicines instructions were not detailed enough. The PEG records were corrected during the inspection.
Inspectors found that medicines were generally managed safely, risks were assessed, safeguarding procedures worked and infection control was suitable. They also found kind staff interactions, regular management checks and good involvement with relatives and other professionals.
Only Safe and Well-led were inspected at this visit. The other ratings were carried forward from the previous inspection, which was published in June 2018.
Medicines management
Medicines were administered safely and staff competency was checked. Staff also worked with the GP and pharmacy to support safe and effective medicines.
“Medicines were administered and managed safely.” from the report
Safeguarding
People and relatives told inspectors they felt safe. Safeguarding referrals were made when needed and staff understood how to report concerns.
“People were protected from the risk of abuse.” from the report
Management oversight
The manager used regular audits, action plans and incident reviews to identify and address problems. Feedback was gathered through meetings, surveys and reviews.
“The registered manager completed a range of monthly audits which supported oversight of key risk areas within the service.” from the report
Kind interactions
Inspectors saw staff respond calmly and kindly when a person was distressed. Relatives also described staff as approachable and helpful.
“We observed staff demonstrated kindness when interacting with a person that was showing signs of distress.” from the report
Waiting for personal care
needs fixingSome people waited a long time to get up, wash and dress. Inspectors linked this to staff being under time pressure.
“There was a risk of people's needs not being met timely, due to staff being under time pressure.” from the report
Missing call bells
needs fixingThree people did not have access to call bells in their bedrooms. This could have delayed staff knowing about or responding to an emergency.
“During our inspection we saw 3 people did not have access to their call bells in their bedrooms.” from the report
Social isolation
needs fixingSome people, particularly those with limited mobility or who were bedbound, did not receive enough social contact or activities to meet their preferences.
“For some people especially those with limited mobility and bedbound, their experience of using the service did not always match their expectations and preferences or satisfy their social needs.” from the report
- 01What changes have been made to staffing levels and staff deployment during busy morning periods?
- 02How do you check that every person has access to a working call bell in their bedroom?
- 03How do you make sure people who are less mobile or bedbound receive regular social contact and activities?
- 04How are detailed instructions for medicines given through PEG tubes recorded and shared with unfamiliar staff?
- 05How will you monitor whether people are getting personal care at the time they prefer?
This was a focused inspection of Safe and Well-led; the other key question ratings were carried forward from the previous inspection. This explanation was written from the published report of 16 November 2023 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, June 2018
Caton House Residential and Nursing Home was rated Good; inspectors found safe, kind and personalised care, with fewer activities at weekends.
This was an unannounced inspection on 22 May 2018. One inspector and an assistant inspector spoke with people living in the home, relatives, staff and managers. They reviewed care records, staff files, medicine records and other management documents.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, accurate medicine records, good safeguarding knowledge and suitable risk assessments.
People were treated with kindness and respect. Staff knew people's needs and preferences, involved them in care decisions and supported their choices. The home provided activities, although one person said there could be more at weekends.
The overall rating stayed Good, as it had been at the previous inspection in May 2016. Inspectors said there was no evidence of serious risks or concerns.
Safe staffing
Inspectors found enough care staff and nurses to meet people's needs. People were also supported with activities and conversation.
“There were enough staff on shift to make sure people were safe, and to provide meaningful activity and conversation.” from the report
Kind and respectful care
Staff were friendly and took time to get to know people. Inspectors saw staff protecting people's privacy and dignity.
“We observed staff interact with people in a friendly way and give people the time they required to chat and receive care.” from the report
Personalised support
Care plans recorded personal histories, preferences and relevant cultural or religious information. People and relatives could contribute to care reviews.
“Care plans we looked at contained a personal history about the person, as well as likes, dislikes and preferences.” from the report
Good management checks
The management team used audits, feedback and meetings to monitor the service. Inspectors saw that actions were taken when improvements were needed.
“We saw that when issues were found, actions were set to make improvements.” from the report
Fewer weekend activities
minorOne person said there were fewer activities at weekends, although they felt there was a lot on during the week. Families should check the current weekend programme.
“They could do with having more on at the weekend, but there is a lot on offer during the week.” from the report
- 01What activities are available at weekends, and how are people supported if they cannot join group activities?
- 02How do you review each person's care plan when their needs, preferences or health changes?
- 03How do you check that staffing levels continue to match people's needs on every shift?
- 04How are relatives involved in care reviews and in raising concerns?
- 05What improvements have resulted from recent audits, complaints or feedback?
This was an unannounced inspection covering all five CQC questions and the overall quality of the home; all five ratings remained Good from the May 2016 inspection. This explanation was written from the published report of 16 June 2018 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 Caton House Residential and Nursing Home
3 rated inspections over 7 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Caton House Residential and Nursing Home →
- June 2018Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at Caton House Residential and Nursing Home →
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 December 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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