The Care Quality Commission

Archived: Castlefort Grange Care Limited

39 Castlefort Road, Walsall Wood, Walsall, West Midlands, WS9 9JL (01543) 371754

Provided and run by:
Castlefort Grange Care Limited

All Inspections

8 May 2013

During an inspection looking at part of the service

At our previous inspection in April 2013, we found that the service had not met the requirements of the regulations. These requirements related to the warning notices we had served in March 2013 as a consequence of our January 2013 inspection. This inspection therefore revisited the concerns we had found at our January 2013 inspection.

During our visit, we spoke with eight people who lived at the home. Three of the people we spoke with were able to tell us that staff had spent more time with them during the last few weeks. One person told us, 'I have been asked about what I want and how I want it'. We also spoke with five members of staff and one visitor providing training to a member of staff.

We found that there were some improvements to the structure of the care plans. However, we continued to have concerns about the content and the way in which care plans were reviewed. There were still no up to date needs assessments.

We saw that the home had made some improvements to the control of infection. The laundry had a dirty to clean route for clothes and bed linen. There were covered containers for the soiled linen to be kept in if the washing machine was already in use.

There were some improvements to the quality monitoring system. However, we still had concerns about the way the quality of care was monitored. We found a significant number of trip hazards that had not been identified as requiring attention.

4 April 2013

During an inspection looking at part of the service

At our previous inspection in January 2013, we found that the service was still not meeting the regulations, which we identified at inspection 26 May 2012. When we inspected the service in January 2013, we had major concerns about the care and welfare of people who used the service; and assessing and monitory quality of care provision. We took action against the provider and issued warning notices. This inspection considered the progress the provider had made to comply with the warning notices and meet the regulations.

During our visit, we spoke with seven people who lived at the home. Four of these people told us that they had no choice at all in their daily activities and that the home had a set routine. Three of the people we spoke with told us that the home had recently introduced a choice of hot drink.

We found that there were some improvements to the structure of the care plans. However, we continued to have concerns about the content and the way in which care plans were reviewed. There were still no up to date needs assessments.

There were some improvements to the quality monitoring system. However, we had concerns about the way the quality of care was monitored. We found a significant number of safeguarding concerns that had not been reported to the appropriate organisations.

Improvements made had not prioritised people's heath safety and well being. The home manager had still not completed the registration process with CQC.

28 January 2013

During an inspection looking at part of the service

When we visited in May 2012, we had concerns in all of the areas we inspected. The provider sent us an action plan that explained what they would do to become compliant. At this visit, we checked whether the action plan had been implemented and was effective in achieving compliance. We found this was not the case.

We found that the improvements we had been told would take place, to increase the involvement of those that used the service had not taken place.

At this inspection, we found that some improvements had been made to the care plans. However, we found shortfalls in other areas of care and welfare of the people who used the service. One of the people who lived there told us, "Some things are not so good but the care is good".

We found that some of the improvements we had been told had been completed, to control the risk of infection, had not been made.

We found there was no system to identify people's needs. There was no system to determine how many staff were required to meet these people's needs safely. One person who lived there told us, "I am waiting to be helped back to my room. It can take quite a while".

We found that the quality assurance processes that we had been told would be put in place between July and December 2012 had not been put in place.

We spoke with four people who lived at the service and one member of staff. We spoke with the deputy manager and we spoke with the proprietor.

28 May 2012

During an inspection in response to concerns

Why we carried out this review

We carried out this review to check on the care and welfare of people using this service. Before the visit we received information of concern from the local authority the management of a scabies outbreak and the poor level of cleanliness and infection control in the home.

How we carried out this review

We reviewed all the information we hold about this home and carried out a visit on 28 May 2012. During our visit we observed how people were being cared for, spoke with people who used the services, looked at the records of people who use the service and talked with staff who worked in the home.

What people told us

We spoke with the owner of Castlefort Grange, the home manager and three care staff. The owner visited the home daily and was involved in the management and some aspects of the day to day running of the home. The manager and care staff told us they enjoyed working in the home.

The manager showed us around the home. As we walked around the manager showed us what action they had taken to improve the cleanliness of the home. We saw that most bedrooms looked homely clean and lived in. Some of the bedrooms we viewed both on the ground and first floor looked sparse and not inviting. The manager told us that some people did not have many personal items or had not brought them in with them. The manager agreed that more could be done to make these bedrooms more comfortable for the people that lived in them. Two people we spoke with said they were happy with their bedrooms.

There were 19 people living at the home when we visited. One of these people was in hospital. People we spoke with told us that the care was 'good'. One person said 'They (the staff) treat me well' another person told us 'The staff are kind'.

We found that the people living at Castlefort Grange were happy with the home. One resident speaking with her relative said 'It's nice here and the staff are good to me'. The person went on to say 'Sometimes I get fed up but you would anyway'. One person told us 'They (the staff) are all kind and they always talk nicely to me'.

We saw that people were dressed in individual styles. Most people looked smart and attention had been paid to their grooming and personal care. We saw that some people could have had more support to help them maintain their appearance.

We spent time observing people particularly over busy periods. For example at tea time there were two people left in the lounge who were calling for assistance. We saw that it was 10 minutes before a member of care staff was available to attend to the two people.

We saw that most people living in the home were independent and could do a lot for themselves. There were people who needed the support of one or two care staff to meet their needs. For example we observed that two care staff were needed to help some people to walk or transfer from one place to another.

We saw that care staff were busy. We observed that care staff did not always have the time to attend to people's requests in a timely way. We observed two care staff using inappropriate moving and handling techniques when helping two people to stand in preparation for to walk.

We saw good interaction between people who live in the home and the staff that helped them to meet their everyday needs. On the day of our visit several people were sitting outside enjoying the sunshine. People looked happy and we saw that people were engaging with one another.

At the time of our visit some family members and friends were visiting their relatives. Family we spoke with told us that they were happy with the way the home supported their relative. We saw that staff working in the home knew families and were able to engage in conversation with them.

11 April 2011

During a routine inspection

During our visit to the home people were positive about their experiences of care and treatment. There have been a number of management changes and the deputy has recently been appointed as the manager.

People told us

'The staff are good and kind'

'Food is usually good'

'I can talk to the staff'

'They do want they can for you'

'Staff are good they do their best for you but I don't really want to live here I want to be at home'

'I like my bedroom'

Relatives told us they are generally satisfied with the care and treatment their relative receives.

'Really happy with mums care'

'No concerns or complaints no more to say'

'Personal care and clothes are okay food is good'

'Manager very approachable'

'Lack of activities on some day'

'Things are slipping not always as they should be don't want to say anymore'

The manager and owner told us that they are aware that things need to improve in the home to ensure the safety and well being of the people living there.