Caton House Residential and Nursing Home

Updated 16 November 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Caton House Residential and Nursing home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Caton House Residential and Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The first day of inspection on 10 October 2023 was unannounced. The second day of inspection on 16 October 2023 was announced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service and Healthwatch Milton Keynes. 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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection. We used all this information to plan our inspection.

During the inspection

We spoke with 12 people who used the service and 2 relatives about their experience of the care provided. We spoke with 7 staff, which included care staff, nursing staff, catering staff the registered manager and the deputy regional manager.

We reviewed a range of records. This included 4 people’s care records and numerous medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 16 November 2023

About 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.