Inspection on 29/11/06 for Castle Bank Residential Home

This inspection was carried out on 29th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Castle Bank Residential Home 05/03/09

Castle Bank Residential Home 14/12/05

Castle Bank Residential Home 18/05/05

Castle Bank Residential Home 08/03/05

Castle Bank Residential Home 07/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Castle Bank Residential Home Castle Bank Care Home 26 Castle Bank Tow Law Co Durham DL14 4AE Lead Inspector Gavin Purdon Unannounced Inspection 29th November 2006 10:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castle Bank Residential Home Address Castle Bank Care Home 26 Castle Bank Tow Law Co Durham DL14 4AE 01388 731152 01388 730891 june.pearson@x9healthcare.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) X9 Healthcare Castle Bank Limited Mrs June Pearson Care Home 34 Category(ies) of Dementia - over 65 years of age (34), Old age, registration, with number not falling within any other category (34) of places Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th December 2005 Brief Description of the Service: Castle Bank is a care home registered to provide care (not including nursing care) and accommodation for 34 older people. The home is owned by X9 Health Care Castle Bank Ltd. The home is located in the small town of Tow Law, which is in the West of County Durham and is convenient for all the towns amenities. The home consists of an extended and adapted, two storey building. All bedrooms are currently in single use although there are three rooms which can be used as doubles should the need arise. There are an adequate number of toilets and bathrooms to meet the needs of residents; the homes owner is also considering further developments with the installation of a level access flat floor shower. There is a through floor lift to the first floor. The home has a pleasant garden to the rear, which offers views over the local countryside and the town itself. The home also has a conservatory where residents can enjoy the views when the weather is unpleasant. The fees at Castle Bank Care Home are £364.50 per week for residential care and £417 per week for EMI clients. These fees do not include Chiropody, Hairdressing, Personal Newspapers, Toiletries, or Outings. All extra items are usually invoiced separately. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place at short notice to the home, and is classed as unannounced. It was conducted by the home’s lead inspector, accompanied by a new inspector, who was there to observe the inspection process. The inspection lasted 6 hours. The inspection was supported by the home’s registered manager, deputy manager, 2 care staff and 3 residents. The registered manager provided detailed written information about the running of the home in advance of the inspection. Other written information received since the last inspection, about the home’s conduct and management, was also looked at again in preparation for the inspection. 6 relatives and visitors of residents at Castle Bank Care Home wrote to the inspector giving their impressions of life at the home. 7 residents also wrote to the inspector to give their views, which was very helpful. The inspection covered a wide range of care standards. It took particular note of the quality of information given to people coming to live at the home, and whether people found this understandable and helpful in making choices. The recent experience of admission to the home and use of this admission information was discussed with 3 residents and 2 relatives. They were asked about the information they received in the service user guide (sometimes known as the brochure or prospectus), the statement of terms and conditions (sometimes known as the contract of care), and the complaints procedure. The findings on this topic will be used as part of a wider study that the CSCI are carrying out about the information people get about care homes for older people. The report will be published in May 2007. Further information can be found on our website www.csci.org.uk. During the inspection a range of records were seen and discussed with the home’s management team and care staff. These included resident care records, medication records, staff personnel records, and health, safety, and maintenance records. There was also an opportunity to see some of the shared, private, and service facilities of the home. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 6 What the service does well: Castle Bank Care Home has particularly good arrangements for giving residents opportunities for social, cultural, and recreational activities, on a daily basis. The home has an activities coordinator who works each day, Monday to Friday. This provides very good support for the individual needs and interests of residents. Castle Bank Care Home has particularly good arrangements for meeting the care needs of residents in a thorough manner. The home has very good staffing levels with a variety of skills and complimentary roles, covering domestic, laundry, and kitchen duties, social activities and care provision, through to management, administrative and maintenance support. This is very much to the benefit of residents. A resident said, “There’s knitting, and games, and a lady organises them. You can do these if you want to. Even if you can’t walk there’s things you can do. There’s a trip on today.” Residents spoke very highly of their own experiences of living at Castle Bank Care Home. One resident wrote to the inspector and said, “ Castle Bank is a happy home due in no small measure to the excellent staff who go about their sometimes demanding duties in a cheerful purposeful way which is a great comfort to us elderly grumpies who sometimes feel lonely and forgotten. We are very lucky to have carers who really care. Whenever they are wanted they are always there.” The home has achieved the very high level of 100 of care staff with the NVQ Level 2 qualification in Care. Domiciliary support staff are also NVQ trained, which must contribute to the good care experiences of residents at Castle Bank Care Home. Staff said, “ There’s a good level of care. It’s homely and friendly here. We work together as a team. We like what we do.” The home puts a lot of effort into checking that residents are happy with the service they receive, and using that information to help provide a good service. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, & 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents coming to Castle Bank Care Home often have relatives and professionals involved in helping them find a care home. Between them, they receive the information needed to help decide that Castle Bank Care Home is the right place for the resident. Residents coming to live at Castle Bank Care Home often have relatives and professionals involved in helping them find a care home, and who help them manage their affairs afterwards. Between them they receive and agree the resident’s written contract or statement of terms and conditions. This makes sure that the cost, content, and conditions of the care service are clearly understood in advance. Residents coming to live at Castle Bank Care Home have their care needs carefully assessed. This means that the home knows at an early stage what kind of care is required and whether or not they can provide it in a way that suits the resident. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 10 EVIDENCE: The registered manager of the home explained how an information pack was provided and explained to residents coming to live at the home and to relatives and professionals involved. Residents are involved as much as possible and according to the situation. Residents and relatives spoken to said that this was the case from their own experience. Examples of the home’s service user guide and the home’s contracts/ terms and conditions documents were seen. The home’s service user guide and contracts are clear and easy to read, as is the home’s documentation generally. 3 of the more recently admitted residents told the inspector about how they came to live at Castle Bank Care Home. None of the 3 residents spoken to were well enough at the time of admission to deal with their own affairs independently. All 3 had the support of relatives or social workers. A resident said, “ I’d been in hospital, and the son dealt with it all. The son takes care of everything.” Another resident said, “ I had a shock with my fall and have no recollection of the paperwork. The nephew dealt with it. He does all the business and that suits me fine.” A relative who helped with the admission of one of the residents interviewed said, “ I helped fill the forms in. I got the forms and signed them. There was no way my Aunt could manage. Everything was explained to me. The home does everything above board. There were no hidden catches and we have never had one hitch.” Castle Bank Care Home does not provide nursing care, and charges for personal care do not vary between privately funded and publicly funded residents. As such, residents benefit from a fee structure that is quite straight forward and easy to understand. 3 examples of assessments were seen. 2 were completed by a local authority social worker, and 1 was completed by the registered manager of Castle Bank Care Home. All 3 assessments were well organised, carefully completed, and contained good practical information useful in drawing up an individual plan of care for the residents concerned. 2 temporary residents whose stay at the home had been extended had not received contracts as soon as they might have. The detail of when and why fees were increasing was explained on the home’s monthly bill for services Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 11 provided to residents but not in the service user guide or contract, which would also be appropriate. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from comprehensive individual care plans that cover their whole range of care needs equally well, whether health, social, or personal needs. Residents benefit from the home identifying their healthcare needs and arranging for these to be properly met. Residents are protected by the home’s arrangements for dealing with medication safely, and in a way that recognises the individuality of each resident. Residents benefit from the home ensuring they are treated with respect and have their right to privacy upheld. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 13 EVIDENCE: The 3 care plans seen were all well developed and covered the full range of care needs in equal detail. These 3 care plans were discussed with the home’s registered manager, deputy manager, and 2 care staff. The care plans showed how the healthcare needs of individual residents were identified, and responded to in a proper manner. This included the use of risk assessments, obtaining and acting on professional advice, and arranging specialist services. A resident said, “ My leg was more or less dead, but the nurse comes in twice a week and I go out for physiotherapy. There’s no pain and more feeling in my leg which is marvellous.” Another resident said, “ The doctor visited on Monday to see about my asthma and sort out some medication that would be better for me.” The care staff spoken to had a very good personal understanding of the care needs of the 3 residents whose care plans were looked at, and thought care plans were important in planning, providing, and revising the care given to residents. Arrangements were looked at for the receipt, storage, and administration of medication for the 3 residents whose care plans were seen. The home’s deputy manager explained the medication needs of each of these residents. A check of the medication of 1 of the residents showed that medication received balanced with the records of medication administered and medication still held. The medication storage facility was tidy and the records complete, accurate, and up to date. The pharmacy company supplying medication to Castle Bank had recently done its own medication audit and was happy with arrangements at the home. The 3 residents whose care was discussed were risk assessed as unable to handle their own medication independently. A resident said, “ Staff see to your tablets. They watch that you take them, which is just as well, because you can be forgetful.” Discussion with 3 of the home’s residents, and with the home’s management team and care staff, showed that residents were spoken to and written about in a respectful way, and that the home was very sensitive about protecting the privacy of its residents in how information was kept and who that was shared with. A resident said, “ The staff are very good. If you ask for anything they are straight there. All the staff are good. They look after all of the residents. Some residents are confused and they are very good with them.” Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 14 Another resident said, “ They are good to you. They want to know if you are happy. They ask how I am. They are caring.” Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents, who wish to, can benefit from the home’s ability to provide a wide range of opportunities for social, cultural, and recreational activities on a daily basis. Residents, who wish to, can benefit from the home’s readiness to support their contact with family, friends, or others, and with the local community at large. Resident benefit from the home helping them to have some choice and control over their daily lives. Residents benefit from the home recognising the social importance of mealtimes and the health implications of diet. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 16 EVIDENCE: Records seen, and discussion with residents, management, and staff, showed that the home has a substantial programme of daily activities and involvement with residents on a social and recreational basis. This involves small group work or 1 to 1 individual attention. On the day of the inspection a party of residents were preparing to go Christmas shopping that afternoon. The home has an activities coordinator who works from 10.00am to 4.00pm, Monday to Friday. This provides a very good opportunity to support each resident’s individual interests. Records were seen of activities beneficial to residents, including details of when these were held and who was involved. A resident said, “ There’s knitting, and games, a lady organises them. You can do these if you want to. Even if you can’t walk there’s things you can do. There’s a trip on today. I’m not going. I’m not that bothered about trips. I’m quite content.” A relative said, “ I’ve visited this home for years, and you get to know the people. Everything’s fine here, and I was over the moon when my husband’s aunt could get in here.” Residents, management and staff thought the people living at the home have a comfortable way of life that suited them and did not restrict them in unnecessary ways. A resident said, “ I like things personalised. This bedroom wallpaper is nice enough, but I’d like something plain, and that’s being sorted out.” Management and staff thought the quality and quantity of food was good. A resident said, “ You get good meals, and good attention. There’s more food than you want, and they are forever around with tea and biscuits. The meals are good. I’d have no complaint about them. You can ask for what you want and it’s there.” Another resident said, “ The food’s not very posh. I would say it’s OK. It’s not always cooked to my taste but you couldn’t really complain about it. They are generous portions. I like the chips and tend to go for those.” A member of staff said, “The food here is good. Home cooked, old-fashioned fare, egg and chips, and choices. If you like it you can have it. It builds people’s confidence when they can ask for what they want.” Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives benefit from the home’s interest in listening to what people think about the care provided, and responding to that in a positive way. The home has policies procedures and practices that help protect residents from abuse. EVIDENCE: From discussion with management, staff, and residents there was good evidence of mutual respect and trust between those staff and residents. A resident said,“ I have no complaints, in all genuineness, and I’m one who is critical. This is a good place. If something doesn’t suit you could speak to any of the girls.” Another resident said, “ If I was unhappy I would speak to the matron and it would get settled.” The registered manager said residents or relatives were given an information pack, including a service user guide. The current service user guide was seen, and this gives information on the complaints process as well as contact details for the CSCI. It was also noted that information on the complaints process was posted in the entrance hallway of the home. One relative said that they had Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 18 not been happy with some aspects of the care provided for a resident, and that they had used the complaints procedure of the home to follow this matter up. The home uses resident satisfaction surveys to check on what people think about the care provided. These are collected analysed and responded to. The home is interested in hearing what people have to say and using those views to help provide a good service. The completed individual survey forms and the summary of findings were seen. All care staff hold the NVQ Level 2 qualification in care and have had some training in the protection of vulnerable adults. Senior staff have had more advanced training in adult protection. The home’s registered manager produced a recent report by the local authority contracts officer on the arrangements for dealing with residents’ finances, and the findings of this were very positive. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the benefit of living in a safe well kept home. Residents have the benefit of living in a home that is clean, pleasant, and hygienic. EVIDENCE: The home has a very organised approach to safety and maintenance matters. There are ongoing checks completed on a weekly, monthly, and occasional basis. Environmental assessments are made. A maintenance book is used to log work scheduled, required, and completed. Work is undertaken by outside contractors and by in house staff. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 20 Before the inspection, the registered manager of the home provided a written summary of safety inspections, maintenance tasks, and service contract visits completed at the home. A sample of records looked at on the day of the inspection confirmed the accuracy of the summary. The bedrooms, lounge areas, and corridors seen on the day of inspection were clean, pleasant, and odour free. The 3 bedrooms visited during the inspection were very pleasant and homely, with many personal touches in décor and furnishing. They were clean, comfortable and well maintained. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The very good staffing levels, and the variety of skills and roles of staff at Castle bank Care Home, make it possible for staff to meet the needs of residents in a very thorough manner. The high level of qualifications in the staff group at Castle Bank Care Home helps ensure that residents are in safe hands at all times. Residents are protected by the home’s thorough recruitment policies and practices. The thorough staff basic training and development programme at the home helps ensure staff are competent to care for residents. EVIDENCE: Staffing arrangements were discussed with management and staff and with residents. The home has 29 residents. During the waking day, 8am to 8pm, there are 4 care staff on duty. On night duty there are 3 care staff. Staff are well supported by a full time manager. An activities coordinator works 10am to 4pm, 5 days per week. A domestic cleaner is on duty from 8am to 3pm, 7 days a week. The home has its own specialist kitchen staff, a laundry assistant working 8am to 1pm, five days a week, a handyman, and an administrator. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 22 Residents and their relatives spoke very highly of staff, and felt well cared for and well treated by them. A resident wrote to the inspector and said, “ Castle Bank is a happy home due in no small measure to the excellent staff who go about their sometimes demanding duties in a cheerful purposeful way which is a great comfort to us elderly grumpies who sometimes feel lonely and forgotten. We are very lucky to have carers who really care. Whenever they are wanted they are always there.” Castle Bank Care Home meets the very high standard of 100 care staff with the NVQ Level 2 qualification in Care. Support staff at the home are also NVQ trained. Senior care staff are trained to a higher level. The personnel file of the most recently appointed member of care staff was seen, and the recruitment and selection process was discussed with registered manager and with the member of staff concerned. All the necessary procedures had been followed and documents provided to ensure the identity and the suitability of staff to care for vulnerable residents. It was noted that the completed application form seen gave a full work history in terms of years but did not include months, although the manager does ask during the interview if there are any gaps in employment. The home has an organised training and development programme for staff. This was discussed with management and staff. Records were seen confirming induction & foundation training undertaken by new staff. The registered manager provided a written summary of training held for staff. Staff spoken with showed a very positive attitude towards training, and some pride in their achievements. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from having a fit and competent manager, who is well qualified, to run their home. Residents benefit from the home’s well-developed interest in quality assurance, which ensures that their views about the care they receive, are known and acted on. The home makes sure that money kept for residents, and spent on their behalf, is properly protected by keeping clear records and receipts. Residents and staff are protected by the safe working practices at Castle Bank Care Home. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 24 EVIDENCE: A member of staff said that the registered manager of the home was someone they could go to and get help from. A resident said that the manager was someone they could go to if they were unhappy about something. The registered manager holds a wide range of qualifications, including the Registered Manager’s Award, and nursing, social care, and training qualifications, which benefits the residents and staff of the home. The home is interested in what residents think about their care. These views are gathered, discussed, and presented in a very readable fashion in the home’s newsletter. A recently published example was seen during the inspection, as well as individual survey forms completed by residents. An amount of money held by the home for 1 of the residents spoken to by the inspector was checked against the records kept by the home of amounts received and spent, and what the money was actually spent on. This record was complete, up to date, and accurate. This standard of practice and recording helps provide protection for residents from financial abuse. The home has well developed and well kept formal records to support the health and safety of residents and staff. These were seen during the inspection and discussed with the registered manager. These records were sampled, including staff induction and foundation records to ensure safe working policies and practices are understood and followed. Servicing contracts and general maintenance records, were also seen, as well fire safety and training activities. Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The detail of when and why fees are increased, referred to in billing documents, should also be explained in the fee section of the home’s service user guide. Temporary residents should receive contracts/terms and condition as soon as possible, and their issue should not be delayed until after the resident’s status becomes permanent. Employment histories completed by care staff on job application forms should include the month jobs were started and left, as well as the year. 2 OP2 3 OP29 Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Castle Bank Residential Home DS0000050707.V317967.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!