Inspection on 05/10/07 for Castle Dene

This inspection was carried out on 5th October 2007.

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 Dene 20/10/08

Castle Dene 13/02/07

Castle Dene 19/01/06

Castle Dene 16/09/05

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 Brenda Grant Unannounced Inspection 5th October 2007 09:40 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 Dene DS0000060986.V351848.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 Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castle Dene Address Wilton Village Redcar TS10 4QY 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) 01642 454556 01642 430686 Mr Steven Hudson Mrs Jillian Wooding Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th February 2007 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. Woodside is a care home adjacent to Castle Dene. It is registered under the Care Standards Act 2000 to provide accommodation and care for up to 6 elderly people. At the time of the inspection ‘site’ visit fees were £398.54 per week. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced inspection. We assessed the information from: the Annual Quality Assurance Assessment, surveys that had been completed by two residents, fifteen relatives and two staff and we carried out a visit to the home. The visits took place over one day, seven hours and twenty minutes in total. Discussion took place with six residents, four relatives of residents, two care staff, the duty cook, the provider and the deputy manager. We looked around the home and examined a number of records that included; residents and staff files, health and safety and maintenance checks, accidents and kitchen documentation. The findings from the inspection were of the home providing an adequate care service, with many of the National Minimum Standards being met. The home calls people who use the care service ‘residents’ therefore they are called residents in this report. What the service does well: What has improved since the last inspection? Care staff who administered medicines to residents had completed training to carry out that task. Resident’s documentation, assessments and needs, was more clearly written. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 6 Castle Dene had developed a quality assurance system that enabled residents and relatives to give their views about the care service provided at the home. Additionally, the manager had introduced a questionnaire that is given to new residents after they have been at the home for six weeks. It allows residents to comment on the service they have received during their initial stay at the home. 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 Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 7 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 Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 8 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 3 & 6 Resident’s needs were assessed before moving to the home and they were assured those needs would be met. EVIDENCE: A sample of resident’s files were examined. They contained assessments, carried out by a care manager, and the files included the home’s own initial assessments. From the information, Castle Dene could determine whether the needs of the person would be met at the home. The assessment included details of: health, social and personal needs. Two residents and two relatives said, before admission they were involved with the assessment process and they had the opportunity to look around the home before the resident was admitted. The home does not offer intermediate care therefore standard six does not apply. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 9 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 7, 8, 9 & 10 Resident’s health, personal and social care needs were met and recorded in Care Plans. Residents were protected by the home’s policies and procedures for dealing with medicines. Residents were treated with respect and their right to privacy was upheld. EVIDENCE: A sample of resident’s Care Plans were examined. The home developed a Care Plan for each resident. There was information about the person’s care needs and how those needs would be met. They included if there were any areas of risk and how those risks would be managed; to reduce those risks to an acceptable level. Most of the plans, but not all, had been reviewed and updated on a monthly basis. Resident’s files included healthcare matters, including visits and appointments. The records showed the regularity of visits for treatment from: doctors and Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 10 District Nurses, opticians, chiropodists, dentists and other healthcare specialists. One resident said, “They make sure I am alright and the staff call a doctor if I am poorly”. The communication, to relatives, about resident’s healthcare matters was lacking. In surveys, completed by relatives, there were comments of: “I am informed if my mother/father is admitted to hospital but 2 or 3 times s/he had fallen and I had not been informed”, “During a recent illness the doctor was called and I found out when visiting the home”, “Information is sometimes vague” and “Family sometimes pick up on changes in health before the staff”. Other positive comments, from relatives, included, “My mother/father always receives excellent and suitable care” and “Care is always good”. The home took appropriate action for managing resident’s medicines. The storage and recording was found to be satisfactory. Resident’s files did not include assessment details, to determine if a resident was capable to look after their own medicines but resident’s files included a form that informed the resident chose to have the home looking after their medicines. At the time of the inspection ‘site’ visit the home did not have any residents who were in control of their medication but one resident looked after his/her own eye drops. Staff files confirmed staff had completed ‘safe handling of medication’ training. Staff were observed being respectful to residents and knocking on bedroom doors before entering the room. The relationship between staff, residents and relatives of residents was very relaxed. Residents and relatives who we spoke with confirmed, people were treated with respect. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Standards: 12, 13, 14 & 15 Residents lived their lives as they wished and residents maintained contacts with families and friends. Residents had choice and control over what they did but the activities programme was not kept up to date. The home provided a varied and balanced diet but, for some residents, food was sometimes not warm enough and there was little choice for when they had their meals. EVIDENCE: The home offered activities, most days, but the programme of activities was out of date and did not give correct information. There was no ‘activities coordinator’ but care staff arranged the activities at the home. There was a record of the activities that had taken place. On the day of the inspection ‘site’ visit, residents were seen enjoying a game of Bingo. In surveys relatives of residents comments were: “Not enough mental stimulation”, “Staff could spend more time with residents and organise a few games or a sing-a-long, in the afternoons, instead of just putting on the TV” and “Staff don’t have time to talk with residents”. One resident said, “It is lovely, on the odd occasion, when staff have time to talk to us” and another resident informed us, “There are a limited amount activities but I join in with what there is”. The home provided Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 12 for resident’s religious needs by arranging regular religious services from two religious sects. There were also some residents who had their own church representative visiting them. The deputy manager informed us that residents sometimes joined in with local village events and there were times when residents were assisted with walking to the village. Residents and staff said, relatives and friends were always made to feel welcome when they visited the home. In a survey a resident commented, “My visitors are always made welcome” and a relative stated, “They provide a homely atmosphere rather than an institution”. On the day of the inspection ‘site’ visit a relative of a resident told us, s/he had phoned the home to inform them s/he would not be able to call to see a resident when s/he was expected. The resident said, s/he had not been given that information and s/he had waited all day for the visitor to arrive. Residents said, they felt they were in control of their lives and they lived their lives as they wished. Residents said, they were able to bring their personal possessions and have their bedrooms arranged as they wanted them. One resident told us, s/he had been given the opportunity to move to a larger bedroom that allowed him/her to be better accommodated. Residents were offered choices for: when to get up and go to bed, staying in their bedrooms or going to communal rooms. One resident said, “I please myself with what I want to do”. The home’s menus were examined, showing there was a variety of food offered to residents. The alternative food was not recorded on the menu but the deputy manager told us residents were asked what they would prefer instead of the planned meal. Two residents said, some of the food was good but there were times when the meat was ‘chewy’. A relative of a resident told us, “S/he doesn’t like some of the food but won’t tell the staff”. The lunch was well presented and the dining areas were very pleasant. The residents, who were in the small Woodside house, informed us the food was not usually hot enough. A Care Assistant told us, the food was brought from the main kitchen and served to residents as soon as it arrived. This gave residents little choice of when they wished to have their meal. The food stored at the home was of there being fresh fruit and vegetables and a good variety other foods. The cook kept a record of the food that had been served to residents and there were completed records for: the cleaning rota, fridge, freezer and food temperatures. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 16 & 18 Residents were confident their complaints would be listened to, taken seriously and acted upon. Residents were protected from abuse by the home’s policies and procedures. EVIDENCE: The home had a satisfactory complaints procedure. Residents spoken with informed, they did not have anything to complain about and they were confident complaints would be dealt with. A relative, in a survey commented, “We have a concern about the lift being regularly out of action”. The deputy manager told us there had been a problem with finding out why the lift didn’t work properly but that had been addressed. Another relative of a resident commented, “Residents are sometimes dressed in other residents clothing”. Six residents told us they always wore their own clothing. The home had procedures for protecting residents from abuse. Staff records confirmed staff had completed training for safeguarding vulnerable adults. Staff said, they knew of the procedures to follow if there was an allegation of abuse on a resident. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 19 & 26 Residents lived in an environment that is safe and generally well-maintained. The home was clean, pleasant and hygienic and free from offensive odours. EVIDENCE: Castle Dene provided a homely and comfortable environment for residents. Residents and relatives commented about the home being in a lovely countryside setting. Inside the home there were some areas that needed to be better maintained. Part of a curtain, in the main lounge, was hanging down. The deputy manager told us the curtain needed a new pole and that was being arranged. The lovely dining room had a unit that had chipped paintwork and the radiator cover was stained. Bathrooms had wall fixtures for disposable gloves, there were two bathrooms where the fixtures had empty boxes in them and the full boxes were on ledges. We noticed some of the first floor bedroom windows did not have restrictors to stop windows from opening too wide, to Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 15 stop anyone from falling from a window. The deputy manager told us the home had a risk assessment for each resident; to make sure residents were safe in their bedrooms. There was some equipment and furniture at the end of a hallway, on the first floor, which spoilt the appearance of that area. The entrance to the drive had a few potholes; they could cause a risk to people walking on the drive. The deputy manager told us the home had made plans to have the drive repaired. She also told us that the home was to employ a person who would carry out regular maintenance and repairs at the home. The dining room windows at Woodside had become misted up. The garden was well maintained and there was a large area, at the back of the home, which was paved and seating was provided for residents when they were outside in warmer weather. The home’s maintenance records were examined. The requirements of the Environmental Health Department had been met. However, one kitchen window fly-screen was badly fitting and the other opening window had no screen. All fire safety measures were in place. The fire alarm weekly checks were recorded and a Fire Risk Assessment was in place. The home was clean, pleasant, hygienic and free from offensive odours. A relative commented, “The standard of cleanliness is excellent” and a service user wrote in a survey, “The home is always clean”. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Standards: 27, 28, 29 & 30 Resident’s needs were mostly met by the numbers and skill mix of staff who were, on the whole, trained and competent to care for the residents at the home. Residents were protected by the home’s recruitment procedures. EVIDENCE: On the day of the inspection ‘site’ visits there was sufficient staff on duty to meet the needs of the residents who lived at the home. In addition to the care staff, there was a student who was assisting staff with jobs around the home. Nine surveys that were completed by relatives of residents, out of a total of fifteen surveys, commented on the home not having enough staff. Relatives wrote, “There are not enough staff on duty to deal properly with the residents”, “Attendance of staff in lounges is insufficient”, “They need more staff as they are a little overworked”, “More staff would allow for better communication with relatives” and “They need more staff at busy times”. One member of staff told us, it would be better to have more staff, so they could have more time with the residents. One staff, in a survey wrote, “One or two more staff would help, so that we can spend more time with each client”. One resident told us, “When some residents ring the ‘buzzer’, I go and see if I can help because staff are busy and cannot always get there straight away”. The deputy manager told us, there were plans to change the staffing rotas, so there would be more staff on duty during the busier times of the day. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 17 Management of the home was of there being a deputy manager who supported the manager. The deputy manager was fully involved with all aspects of the running of the home. She and the manager seemed to work well together. The home had domestic and laundry staff. The deputy manager told us, the Woodside house only had one hour per week, for cleaning, and the care staff cleaned the home most days. It was commendable that the number of care staff who had successfully completed the National Vocational Qualification at Level 2 was 95 . Staff had also completed basic training. Staff files confirmed the home followed the recruitment procedure and there had been appropriate checks and references for new staff. The home had not queried, on application, gaps in new staff’s employment history, to ensure the safety of residents. An additional comment, in a survey completed by a relative, “Some residents have varying degrees of dementia, the home needs more dementia trained staff”. The deputy manager told us, the home was making plans to arrange for care staff to have extra training, for caring of older people with dementia. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Standards: 31, 33, 35, 36 & 38 The home was mostly well managed and run in the best interests of the residents. Resident’s personal monies were safeguarded by the home’s procedures. The health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: The manager had three years experience of running a care home for older people. The manager had successfully completed the Registered Manager’s Award, for managing a care service, and National Vocational Training Level 4 in care. Staff said, the manager gave support when it is needed. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 19 The home had plans to carry out a quality assurance survey, where residents and/or their relatives would be asked to complete a questionnaire. The results of the survey would be compiled into a report and include details of the measures the home intends to take to improve and develop the service. The home had some good management monitoring systems in place. The manager carried out regular audits of the service, records of the audits were available at the home and they were counter signed by the provider. The provider carried out regular visits to the home but he did not prepare a written report, on the conduct of the care home, as a result of interviewing residents and staff and inspecting the premises and records. The home had quarterly resident’s meetings when management discussed how the home was run and residents had the opportunity to put forward views about the service. A sample of financial records, of monies held on behalf of residents, were examined and found to be correct. Staff had one to one supervisions on a regular basis and supervision was at least six times per year. We have already mentioned staffing numbers but, regarding management of staff and communications, we received further comments from relatives, those of, “A ‘senior’ person with experience should be on a ‘shift’ at all times”, “Although staff have ‘handover’, information is not always passed on between staff. Lack of communication” and “On occasions there have been incidents in lounges and outbursts between residents which have caused residents feelings of insecurity”. On the day of the inspection ‘site’ visit, we saw staff going in and out of the lounges. A sample of health and safety records were examined and found to be in order. The manager kept an up to date record of all maintenance and checks that were required throughout the year. Checks for; electrical appliances, fire equipment, hoists and lift maintenance were up to date. The home kept records of all accidents and there was a record for checks of the hot water. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 20 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 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 2 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 3 Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 21 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. 1. Standard OP7 Regulation 15 Requirement All Care Plans must be reviewed monthly and, where appropriate, relatives must be involved with resident’s healthcare matters. This is to keep care documentation up to date and to keep relatives informed about the resident. Timescale for action 30/11/07 2. OP12 16 The home must provide an up to 30/11/07 date programme of activities, which is flexible and varied to suit resident’s expectations, preferences and capacities. The programme must take account of resident’s interests and recreational needs. Food at Woodside: 30/11/07 • The temperature of hot food must remain at a constant temperature and should not be cool when served to residents. • Mealtimes must be flexible, rather than residents having to eat it as soon as it arrives in the building. 3. OP15 16 Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 22 4. OP19 23 Maintenance/repairs that are required at the home: • • The lounge curtain must be hung correctly The fly-screens in the kitchen windows must fit properly so that flies cannot get into the kitchen The dining room unit that has chipped paintwork must be made good The stained dining room radiator must be repainted The potholes in the drive must be repaired, for the safety of residents and staff Equipment and furniture must not be stored in a hallway The misted windows in the dining room at Woodside must be replaced. 30/11/07 • • • • • 5. OP27 18 Staffing requirements: • Changes in the new staffing rota must make sure there are sufficient numbers of staff for the health and welfare of the service users. (Previous timescale of 30/05/07 not met) • The staffing numbers must be kept under review, to ensure there are the numbers of staff to meet the changing needs and dependency levels of residents. • Care staff must completed training for caring for older people with dementia, so that staff can appropriately care for those residents who have dementia. 31/12/07 Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 23 6. OP33 26 7. OP36 18 The provider, after visiting the 30/11/07 home, must prepare a written report on the conduct of the care home, as a result of interviewing residents and staff and inspecting the premises and records. The manager must make sure 30/11/07 there is continuous leadership and monitoring of care staff in all aspects of practice. It must include: making sure staff spend time with residents. Communications within the home must be improved, so that staff are told essential information about residents. 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. 2. Refer to Standard OP9 OP15 Good Practice Recommendations Residents should be assessed on their ability to take control of their medicines; to assist residents with maintaining their independence. The cook should make sure the meat is cooked sufficiently so that it is not ‘chewy’. Castle Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 24 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 Dene DS0000060986.V351848.R01.S.doc Version 5.2 Page 25 - 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. 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