Inspection on 13/02/09 for Castel Froma

This inspection was carried out on 13th February 2009.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Castel Froma 30/08/06

Castel Froma 24/03/06

Castel Froma 28/09/05

Castel Froma 24/03/05

Castel Froma 11/10/04

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Castel Froma 93 Lillington Road Leamington Spa Warwickshire CV32 6LL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paula Dutton     Date: 1 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Castel Froma 93 Lillington Road Leamington Spa Warwickshire CV32 6LL 01926427216 01926885479 mkaliczak@castelfroma.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Helen Finlay Type of registration: Number of places registered: Castel Froma Charity Trustees care home 57 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is: 57 The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical disability (PD) 57 Date of last inspection Brief description of the care home Castel Froma is a care home providing nursing care for fifty seven predominantly younger adults, with a severe physical disability deriving from head injury or neurological disease, such as Multiple Sclerosis. The home provides a mixture of single and shared accommodation, with seven rooms having en-suite facilities. The Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 57 Brief description of the care home home is set in extensive grounds, which are laid to lawn with flowerbeds, and patio areas. The home has a hydrotherapy pool, which is also available for National Health Service patients not resident at the home. The home employs occupational therapists, physiotherapists and a speech and language therapist to offer a full range of services. There are vehicles at the home to transport the residents on trips and for appointments. Information about the home is given to people considering moving to Castel Froma and their families via the Statement of Purpose and Service Users Guide information brochures. The home is situated on a major road approximately one mile from Leamington Spa town centre and all its amenities including a bus services, a variety of shops, pubs and places of worship. The Service User Guide for the home details that the standard charge for staying at the home is #969 per week. It also states that the home provides person centred care specifically tailored to peoples needs and the fee charged may therefore vary from this standard charge. Additional charges are made for hairdressing, toiletries, telephone calls and dry cleaning. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two star. This means people who use this service experience good quality outcomes. The focus of inspection undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who live at the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of the service provision that need further development. The visit to the home was undertaken by one inspector over a period of seven and a half hours and the registered manager, responsible individual and chief executive were present to assist the inspection process. The home did not know that we were visiting that day. Most people living at the home were available on this day and four of them Care Homes for Adults (18-65 years) Page 6 of 29 took part in this inspection. Information was gathered by speaking to and observing people who live at the home. Three people were case tracked which involved discovering thier experiences of living at the home by meeting or observing them, looking at medication records and storage, reading personal care plans and reviewing areas of the home used by those people so that we can focus on outcomes. Case tracking helps us to understand the experiences of people using the service. In addition a range of documentation was viewed including the rotas. Discussion took place with four people living at the home, one relative, the Housekeeper, a Care Supervisor, a Training and Development Coordinator, the Registered Manager and the senior management team. Prior to the inspection the registered manager had completed and returned an Annual Quality Assurance Assessment (AQAA). This tells us how well the home thinks they are performing and gives us information about their achievements through improvement and their plans for further development. Surveys were sent out to people living at the home and to staff working at the home so that we could consult those directly affected by the performance of the home. The AQAA and surveys were taken into account as part of this inspection. There were no requirements or recommendations made as a result of this inspection. What the care home does well: What has improved since the last inspection? The team at Castel Froma has worked hard to make changes that benefit people living at the home. Two relatives visiting on the day of inspection told the inspector this home is brilliant People told us what they thought of the home including: I think they are very good They are really good at hard work They work well as a team and get along with each other The activities are really good Rob Pearce is the main man, the Chief The range of changes taken to bring about better outcomes for people address staffing, staff structure, involvement of people and relatives, care and nursing practices and information about the service. The home has reorganised their senior staff team. A manager has been appointed as Matron. A senior Nurse has gained the role of Training and Development Coordinator. The nursing team have clear lines of responsibility for providing best practice information so that clinical practice is in line with current professional guidance. The care team have had refresher training in a range of subjects and Care Supervisors have been appointed to monitor and develop best care practice. An Activities Coordinator has been appointed to offer meaningful and appropriate activities that are social, cultural, relgious and educational. There is a daily activity programme and on the day of inspection there was a themed event. The senior management team have consulted with staff and staff representatives so that new terms and conditions of employment could be established to bring consistency and clarity in roles and responsibilities. There has been improvement to care plans and risk assessments. Peoples needs are recorded alonside their goals. The home is working towards offering a person centred care approach to living at the home. Person centred care is a way of working that places the needs and aspirations of the person as most important and the services adapt to fit in around those needs and aspirations. A senior nurse said the home was looking at how to involve people further in their care plans particularly in the monthly Care Homes for Adults (18-65 years) Page 8 of 29 evaluation and review process. The management of medication was safe and consistent. People were receiving their prescribed medications properly. A senior nurse explained the nurses are in the process of reviewing their stock management processes so that medication record charts show accurate measures of medication on the premises. This will assist nurses in auditing the medication accurately. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving to Castel Froma have information so that they can make an informed decision about moving in. People who work with the home in having an assessment can know their needs will be met by the home. The quality in this outcome area was good. Evidence: Information received from the AQAA told us that the home offers information about the range of services offered and by whom. People can sample Castel Froma by a visit or a respite stay. The home said they complete a full assessment with each person and write to them to confirm the home can meets their needs. The AQAA also stated the home are working on new information to give to new people that is more accessible. On the day of inspection the senior managers were meeting for the purpose of creating a new busines plan. The Chief Executive Rob Pearce was available and gave an account of the plans for improvement and achievements over the last year. Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: The new Statement of Purpose and Service Users Guide is currently being reviewed and produced in the new brand image. The new company logo has been designed in consultation with people living at Castel Froma. On entering the grounds and walking into the building the new brand logo is displayed on signs. The company logo is Care For Life. Rob Pearce said information will be available on the new web page and DVDs will be available so that people can receive information visually and independently too. The company are going to produce the Service Users Guide in pictoral format too. People moving to the home have a needs assessment completed. Evidence was seen of needs assessments completed for three people. The manager explained how she and another member of staff complete needs assessments and gain other existing assessments from outside professionals. A letter is sent to each person to confirm the team at Castel Froma can meet their needs. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans and risk assessments are provided so that people have their needs met accurately by staff who are clear about how they should assist people living at Castel Froma. The quality in this outcome area is good. Evidence: The home provides comprehensive care planning documents showing each persons needs, wishes and goals. Care plans show details of the needs and actions for staff to take to meet those needs whilst promoting independence and dignity. Care Plans talked about key health needs including moving and handling, bed safety, pressure area care and night time needs. A senior nurse stated the home is currently looking at ways in which people living at Castel Froma can be involved in the monthly evaluation of their care plans. Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: The instructions for staff were clear and sufficiently detailed for staff to know how to assist someone. Risk assessments were available to address issues such as trachaeotomy care, enteral feeding, nutritional risks, use of bed rails and risk of infections. Evidence was seen in a care plan for someone at risk of choking. A full risk assessment was in place and a photographic record of the correct position in bed to prevent choking was available. This is good practice. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Castel Froma enjoy a range of social and cultural activities appropriate to their needs. Quality in this outcome area is good. Evidence: The AQAA said the home helps people to achieve their personal goals and develop according to their lifestyle choices. Evidence in care plans showed people had been asked about their lifestyle choices and preferences. Attention to detail in the care plans gave clear instruction to carers on how to assist someone in maintaining their appearance and identity. The home has recently appointed a new Activities Coordinator who has worked on a programme of daily activities and themed days. The last themed day was a charity Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: fundraising event in pink for breast cancer. Activities and events were advertised at wheelchair height on the noticeboard on entering the main sitting area. On the day of inspection there ws a charity fund raising social event with a James Bond Theme for testicular cancer. People living at the home and their relatives enjoyed a James Bond Quiz, photos taken with a real Austen Martin race car, a cocktail bar , a casino table and dressing in cocktail dresses and suits. People living at Castel Froma had prepareed some home made lemonade. Staff dressed up in character too and participated fully in the events. The Chief Executive Rob Pearce led the way as James Bond and joined in all of the activities. The AQAA said the home encourages relatives and representatives to participate in the life of the home. Interviews with the chief executive , manager, care supervisor, training and development coordinator, and a relative found that relatives were actively involved in the day to day life of the home. One relative who has visited the home regularly for twelve years was presented with a bouquet of flowers for her birthday by the chief executive Rob Pearce. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Castel Froma have their personal and healthcare needs met. The quality in this outcome group is good. Evidence: The AQAA said the home offers personal care in a manner that is suitable to each person promoting respect, dignity and choice. Three care plans with risk assessments and daily notes were read. Care plans showed the needs of each individual and had clear instruction for staff to know how to meet those needs. Care plans addressed issues including lifestyle choices, personal care, hygiene, risk taking, use of electric bed and bed rails, pressure area management, nutritional risks, moving and handling and night time care. An interview with a care supervisor showed the care team work in a person centred way placing the person receiving care first as an individual. Care plans reflected a person centred care approach detailing each persons preferences. A senior nurse said they would gain signatures from people who were consulted about their personal and Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: health care plans during monthly reviews. A carer was observed communicating with a person in a wheelchair. She approached the person and announced her presence and her name. She positioned herself so that the person in the wheelchair could see and hear her easily. She asked one question at a time, using short sentences and waited for the person to give an answer. She checked with the person that she had understood properly and promptly responded to the request made. This is good practice. A relative met with the inspector to talk about her sons care. She said the staff were approachable and she could talk to them about anything. She said they had worked together to solve problems. A training and Development Coordinator has been appointed to work alongside Care Supervisors in refreshing staff knowledge and practice in care giving. These workers are present in the home over seeing daily care assistance and ensuring best practice in line with current professional guidance. Specific areas of knowledge have been allocated to nursing staff to ensure best clinical practice. The subjects for specific responsibility include pressure area management (Tissue Viability), infection control, health and safety, entreal feeding, trachaeotomy care, continence and catheter care. Medication was appropriately and securely stored. The home uses a monitored dosage system. Medication administration records were examined. All medications were signed for as given. A discussion took place about medication used as and when needed such as paracetamol. The senior nurse assisting the inspection said the management team will write risk assessments showing the range of the administration of medication to include the dose, circumstances, how to communicate with the person having medication and precise information about what it is prescribed for. Discussion took place about stock management with particular attention to those medications in liquid form for the purpose of administration through peg feeds. It was not easy to audit the records of stock because supplies had not been dated and signed in or added to existing stock. The senior nurse assisting with the inspection said stock management is being reviewed and nurses are already looking at more accurate ways of monitoring stock. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Castel Froma can know they are listened to and action is taken to respond to their concerns and complaints. They know their opinions are taken seriously and they are consulted about the performance of the home. The quality in this outcome group is good. Evidence: The AQAA said the home has a complaints procedure and welcomes comments about the ways in which they can improve the service. Observation found a complaints procedure was displayed and easily seen. An interview with the manager Helen Finlay found she had a positive attitude towards complaints and found complaints were useful in identifying where and how the service can be improved. The manager kept records of informal and formal complaints. The Chief Executive Rob Pearce said the home is committed to continuous improvement and development. The team work openly and transparently with staff and anyone living and visiting the home. The management team have held open surgeries for people to drop in with comments and ideas. This is good practice. A discussion with four people who live at Castel Froma found they all knew Rob Pearce and said they would tell him what they thought. During the day of inspection the inspector observed the Chief Executive Rob Pearce be very visible in the home. He knew people living and visiting the home by first name and he held conversation with most people. Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: Discussion with the Training and Development Coordinator and the Care Supervisor confirmed that training in the prevention of abuse of vulnerable Adults had taken place. The manager Helen Finlay explained there had been a range of refresher training events including protection of vulnerable adults training. The manager said all people living at Castel Froma had their rights and independence promoted and proteced through assessment under the Mental Capacity Act. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Castel Froma benefit from a clean, comfortable and well maintained environment. The quality in this outcome area is good. Evidence: The AQAA said the home offers a personalised and clean place for people to live specific to their care needs. It said there is an infection control policy and all control measures are in place to protect people from infection. A tour of the premises found all areas of the home to be clean and tidy. A discussion with the Housekeeper and her team established they have procedures to handle laundry and they use gloves and aprons. The Housekeeper demonstrated the washing machines have the capacity to wash items at the correct temperatures and personal property such as clothes are labelled and stored appropriately. A tour of the home included vewing a number of bedrooms. Evidence was seen of personalised rooms with some rooms being decorated to reflect peoples hobbies and interests. Furniture and fittings were arranged to suit people who use wheelchairs. Bedrooms had personal items displayed such as family photographs. Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: The main communal area was spacious, clean, decorated and well lit. Homely fittings and small furnishings were provided. Most people use wheelchairs so there was plenty of space to move and position oneself at large tables. Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides sufficient and suitable numbers of professionally competent staff to ensure the health, safety and welfare of people living at Castel Froma at all times. The quality in this outcome group is good. Evidence: The AQAA said staff are trained and supervised to ensure consistent care is provided to people living at Castel Froma. It stated there are sufficient competent staff available on duty to meet the needs of people living at the home. A discussion with a Care Supervisor demonstrated there is careful consideration to the skills mix of staff on duty and there are enough nurses and carers on duty at all times. The manager demonstrated consideration had been given to providing clarity on roles and responsibilities. As a result there has been a management restructure so that staff can receive support and supervision to enable them to deliver care in line with best practices. There is a new Training and Development Coordinator role which provides direct observation and training for all staff about care and clinical practice. Future training includes training in Deprivation of Liberties and Safeguarding. A nurse said clinical Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: supervision happens where nurses use benchmarking standards for guidance in professional practice. There is a programme of individual and group supervision planned for all staff to access. A senior nurse said supervisions have been started and have been useful for staff to identify their training and development needs. The AQAA said the home recruit people who are competent and carry out suitable checks to ensure people living at Castel Froma are protected. The chief executive discussed how the home has safe practices in screening job applicants and the manager confirmed they gain two written references and a Criminal Records Bureau Check. Four people living at Castel Froma and some relatives made comments including: I think they are very good They work well as a team and get along with each other Staff are the best at looking after us This home is brilliant Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed effectively and organised in the best interests of the people living there. People living at castel Froma are listened to and their opinions can influence the overall operation of the home. The quality in this outcome group is good. Evidence: The AQAA said the home is run in the best interests of the people living at Castel Froma. They said they listen to the people living there and their opinions influence the operation of the home. Four people living at Castel Froma talked to the inspector about the home. They all agreed they felt the staff worked hard, listened to their views and acted upon their preferences. They confirmed that Rob Pearce the Chief Executive walks about the home every day and is available to talk to if they had any concerns. They made the following comments Rob is the main man, the chief. If I had a complaint I would see Rob. It is good he Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: puts in an appearance as he doesnt have to. The Chief Executive Rob Pearce and the Registered Manager Helen Finlay discussed the improvements planned for Castel Froma. The management team are currently working on a Business Plan to include possible investment in the buildings and grounds. The management team will continue to consult staff when considering changes and will work with nominated staff representatives. The company is currently reviewing all of the Human Resources functions including policies and procedures. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 9 It is recommended the home has a robust system of stock management including accurate records showing all medication on the premises and conduct regular audits of medication. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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