Inspection on 16/09/05 for Castle Dene

This inspection was carried out on 16th September 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Castle Dene 20/10/08

Castle Dene 05/10/07

Castle Dene 13/02/07

Castle Dene 19/01/06

Castle Dene 23/02/05

Castle Dene 07/09/04

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 Dene Wilton Village Redcar TS10 4QY Lead Inspector Val Daly Unannounced 16 September 2005 10:30 am 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 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 Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Castle Dene Address Wilton Village Redcar TS10 4QY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01642 454556 01642 430686 Mr Steven Hudson Mrs Jillian Wooding Care Home 27 Category(ies) of Old age (OP) 27 registration, with number of places Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 23/02/05 Brief Description of the Service: Castle Dene is a care home for older people and is registered under the Care Standards Act 2000 to provide accommodation and care for up to 27 elderly people. The home is situated in a village location. It is on the edge of the village, surrounded by a large grassy area and woodland and provides a minibus service to facilitate outings. The home offers a choice of lounge and dining areas and residents can choose to eat their meals in a dining room or their own rooms. Menus cater for the likes and dislikes of individual residents. Residents are able to personalise their own rooms and relatives and friends are welcome to visit at any reasonable time. Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 10.00 am and lasted for three hours. Residents, staff and the manager were spoken to during the inspection. Numerous records including care plans, maintenance records and menus were examined. A tour of the premises was carried out. What the service does well: 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. Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 & 6 Terms and conditions of business for residents living in the home are in place. Resident’s needs are assessed prior to them moving to the home. EVIDENCE: Evidence was available to show that each resident has a written contract/statement of terms and conditions within the home. Three residents files were examined and they each contained an assessment, which had been carried out prior to the person moving into the home. The manager also carries out her own assessment, meeting with the prospective resident, either in his or her own home or in hospital. This service does not provide intermediate care. Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 8 The health and personal needs of residents are met in a way, which treats them with respect and promotes their rights and privacy. EVIDENCE: Three residents files were examined and they each contained the care needs, which were set out in a plan. Evaluations had been carried out within the given timescales. There was evidence to show that resident’s health care needs were being met, documentation showed the involvement of other healthcare professionals such as General Practitioners and District Nurses. Residents or relatives had signed the plans of care to show that they had been consulted on and agreed to the plans. Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 15 A selection of social activities is available both in and outside of the home. The meals provided offer a balanced diet. EVIDENCE: The home has a minibus, which is available to take residents on trips out. Records showed that residents visit Redcar, Saltburn, and local parks, places of interest and attend events in the community. There are also in house activities, bingo, dominoes, available if residents wish to join in. The menus showed that there was a variety of food available for residents. There was also an alternative menu available fir the residents to choose from if they did not like what was being offered on the main menu. Meals are mainly taken in the dining rooms, which are pleasantly furnished and the tables set with the appropriate crockery and cutlery. Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 10 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 The home has a satisfactory complaints system in place. Training for staff in adult protection is required. EVIDENCE: The home has a complaints procedure in place. There had not been any complaints made to the home since the previous inspection. Staff have not received training in adult protection therefore the residents could be seen to be at risk. An immediate requirement was issued in respect of the training required. Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 26 The home is generally safe and well maintained offering residents a homely environment in which to live. EVIDENCE: There were maintenance certificates in place and up to date that showed equipment used in the home was safe and in good working order. The water temperatures in baths and showers are taken and recorded every week. On touring the building it was noted that there were no lampshades in bathrooms and toilets. The manager said she would ensure shades were purchased and fitted. The home was clean and odour free. Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 Staff require training in fire safety to ensure residents are protected. EVIDENCE: There was evidence to show that staff receive aspects of training to enable them to carry out their roles. However staff require training in Fire Safety. An immediate requirement was issued in respect of the training required. Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These eight standards were not assessed at this inspection. EVIDENCE: Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x x x x Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 15 Yes Are there any outstanding requirements from the last inspection? 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. 1. 2. 3. 4. Standard OP18 OP26 OP30 Regulation 13 13 23 Requirement Staff must receive training in adult protection A wash hand basin is required in the laundry Fire Training is required for staff Timescale for action Oct 30th 2005 Dec 31st 2005 Oct 30th 2005 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 Good Practice Recommendations Castle Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection Unit B, Advance St Marks Court, Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 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 Dene B51 B01 S60986 Castle Dene V247886 160905 Stage 4.doc Version 1.40 Page 17 - 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. 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