Inspection on 22/09/05 for Castle Farm Residential Care Home and Farmhouse

This inspection was carried out on 22nd 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 Farm Residential Care... 14/11/06

Castle Farm Residential Care... 06/12/05

Castle Farm Residential Care... 10/03/05

Castle Farm Residential Care... 25/11/04

Castle Farm Residential Care... 16/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Castle Farm Residential Care Home and Farmhouse Castle Farm Road Lytchett Matravers Dorset BH16 6BZ Lead Inspector Debra Jones Unannounced 31 August 2005 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 Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Castle Farm Residential Care Home and Farmhouse Castle Farm Road Lytchett Matravers Dorset BH16 6BZ 01258 857642 01258 857482 Address 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) Castle Farm Limited Mrs Dawn Roessler CRH PC - Care Home Only 22 Category(ies) of OP Old age (22) registration, with number of places Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three bedrooms to be used as doubles at any one time, from rooms Nos: 9,11,17,18, or 23. 2. A maximum of two service users to be accommodated in the Farmhouse. 3. Service users who have identified night-time care needs must not be accommodated in the Farmhouse unless additional staffing is provided within the Farmhouse. 4. Any persons providing staffing cover in the Farmhouse must be subject to the same recruitment processes as other staff in the home, with required details held on them. Date of last inspection 10 March 2005 Brief Description of the Service: Castle Farm is registered to provide accommodation to a maximum of 22 adults over the age of 65 years. Castle Farm has 14 single rooms, all with ensuite facilities, and 3 double rooms, none of which have en-suite facilities. There are 5 communal W.Cs, 2 communal bathrooms and one shower. The home has a lounge and conservatory area on the ground floor, with a small staff room and office also in this area of the home. There is a separate dining room. There is a through floor lift and one staircase is fitted with a stair lift. Residents have access to the gardens and patio areas, with seating available. The home is on the edge of the village with access to the local Doctors surgery, library and village store. Castle Farm has a minibus suited to accommodate disabled persons including a ramp to allow access to wheelchair users. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours on the 31 August 2005 and was one of the two anticipated inspections of the year. The 2 requirements and one recommendation made at the last inspection were followed up to see if they had been addressed. The Inspector looked around some of the building and a number of records and related documentation were inspected including care records. Dawn Roessler– the registered manager assisted the Inspector. The Inspector met and chatted briefly with some residents in order to get a feel for what it is like to live at Castle Farm. What the service does well: Castle Farm provides a service for older people in a well decorated and comfortably furnished home. The home has a comfortable and relaxed atmosphere and residents and visitors are clearly at ease. The home is well organised and the care and contentment of residents is clearly at the heart of the way the home is run – providing a home ‘where people live’. Ms Roessler and her staff have created a supportive and caring environment in which the residents are able to do as they wish and are well cared for, respected, safe and comfortable. A good admissions procedure is in place that ensures that only people whose needs can be met are offered places at the home. Prospective residents and their representatives have the opportunity to visit the home to see if they like it before they move in. Thorough assessments and care plans are in place for residents and these are regularly updated to make sure that staff know how to care for those living at the home. Daily notes provide evidence to show the way that care is delivered. A range of community health professionals support the care staff in caring for residents. There is a robust system for medication administration at the home. Residents are able to do as they wish at the home and their independence is encouraged. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 6 The complaints procedure reassures residents that their well-being and comfort are important to the home and that any concerns raised will be properly investigated and resolved. The home is well maintained, comfortable and safe for the residents living there and anyone visiting. The home is kept clean and smells pleasant. The numbers and skill mix of staff are sufficient to meet the needs of residents. Systems are in place and records kept, that demonstrate the homes commitment to keeping residents safe. 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 Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4. 6 is not applicable to this home. A good admissions procedure enables prospective residents to make informed decisions about moving to the home and ensures that only residents whose needs can be met by the home are offered places there. EVIDENCE: Files of 2 recently admitted residents showed that prior to people moving to the home their needs were fully assessed by someone from the home. Due to the distance involved both had been assessed by telephone. The assessments were thorough and backed up by information from the local authority and family. Both residents had settled well in the home and one was celebrating their 100th birthday on the day of inspection. People are given the opportunity to visit the home, as are their representatives, prior to any decisions being made. A prospective resident and a family member visited during the inspection and had heard of the home because of its good reputation locally. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 9 Evidence was seen that when the assessment process is complete a letter is sent to the prospective resident confirming that the home is able to meet their needs. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 10 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 and 9. There is an excellent care planning system in place to make sure that staff have the information they need to meet the needs of the residents. The health needs of the residents are also well met with evidence of good support from a range of community health professionals. EVIDENCE: Care plans seen were of a high standard. They flowed from the variety of assessments made by the home, were easy to read and were full and informative about the needs of the resident and of how the home was to meet their needs and showed that preferences were also taken into account in the planning of care. Plans are regularly reviewed. The language used echoed the way that the home puts the resident at the centre of their care and promotes independence using words like ‘offer’ ‘encourage’. General and specific risk assessments e.g. falls and skin, are also in place for residents and plans developed in response to these assessments. In some cases additional equipment is obtained to minimise the risks identified. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 11 Accidents are recorded and analysed and feed into the updating of care plans. Accident records cross reference to the daily records. Daily notes support and evidence the delivery of care to residents and any follow up action that is needed is clear. These notes show the care that is delivered to residents by staff in the home and by visiting community health professionals such as GPs, chiropodists, physiotherapists and District Nurses. Residents are also accessing other community health services such as dentists and opticians. We looked at medication. Medicines that staff give were stored appropriately. Medication administration records (MAR) were clear and where medicines are handwritten on the MAR charts these were appropriately countersigned. One resident is taking a controlled drug and records and balances were in order. Good practice was observed in that sample staff signatures are kept. A minimal amount of medication is stored in the refrigerator. It is suggested that should this increase the home should think about replacing their metal storage box with a plastic one and of obtaining a thermometer that shows the maximum and minimum temperature of the fridge and to record these readings daily. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 12 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 and 14. Residents’ lives are enriched by the high degree of choice they are able to exercise in their daily lives at the home and by the stimulating activities on offer. EVIDENCE: Castle Farm is run in a manner that supports residents to live their lives as they choose. Residents are never hurried and this was apparent in the morning routine where those who wanted to get up early did so and those who didn’t didn’t. Staff spend upwards of 30 minutes with some residents getting them ready for the day, spending quality time together and enabling residents to do as much for themselves as they can. Residents’ independence is further encouraged through the provision of aids and adaptations, both throughout the home and as a result of individual assessment. There is plenty going on at the home for residents to join in with if they wish. Social needs and preferences are assessed and there is something to suit everyone. Theatre groups and entertainers come to the home to perform for residents on a regular basis. An activities organiser is at the home 3 times a week. Seasonal events are celebrated. The home recently held a summer fete and there were some splendid photographs on the walls of this and other Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 13 events and outings. On a smaller scale residents can enjoy games of bingo, reading newspapers, read books from the library, watch TV or just enjoy the views from the home out into the countryside. A hairdresser regularly comes to the home. Some residents who enjoy gardening have created beautiful flowering pots that sit just outside the conservatory. Visitors are welcome at any time and can meet with residents in their bedrooms, in the communal areas throughout the home or in the pleasant grounds. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 14 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 and 18. A system is in place to deal with any complaints that might be made by residents. The home’s adult protection policy and ongoing staff training programme demonstrates the homes commitment to understanding abuse and of protecting residents. EVIDENCE: The home has a complaints policy / procedure that is available to residents and their supporters. No complaints have been received by the home since the last inspection or by the Commission. The home has an adult protection policy and there is ongoing staff training in this subject at the home. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 15 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) 19,20,21,22,23,24,25 and 26. The home is well–maintained and a comfortable and safe environment is provided for the residents living there and anyone visiting. Bedrooms are well decorated, well furnished and personalised to suit the residents. Adequate facilities are available to meet the number and needs of the people living there. The home is kept clean and smells fresh thereby making daily life for all in the home more pleasurable. EVIDENCE: Castle Farm has a warm and homely atmosphere. The home is well decorated throughout. Lounges / dining areas are well and comfortably furnished. The grounds are well maintained and attractive. A new area of garden- named ‘the secret garden’ - with flowers and seating has been developed which is more accessible to residents wishing to sit outside. A portable gazebo was purchased for the recent summer fete. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 16 Other improvements to the environment include – new fly screens in the kitchen, new drive way and path up to the new garden area, redecoration of communal areas and hallways and the upgrading of night storage heaters into heaters that provide instant heat and that can be controlled by residents. There are a number of communal bathing areas in the home. The majority of bedrooms have en suite facilities. Aids and adaptations are available throughout the home e.g. raised toilet seats, stair lift, grab rails and hoists - and some residents with particular needs have their own personal equipment to assist with their independence. The home is registered as having 4 bedrooms large enough to share and can use 3 at any time. 2 of these are currently being shared. A resident who has an amount of bulky equipment is suitably occupying one of these larger rooms. Residents are able to personalise their rooms with furniture and general belongings as they wish. There is a passenger lift in the home, enabling easy access between the floors. A stair lift has been installed to make going up and down a set of stairs in the older part of the house. There are emergency alarm bells throughout the home. The home was clean and there were no unpleasant odours. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 17 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) 27 and 29. Sufficient care staff are employed and deployed to ensure that the care needs of residents can be met. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. EVIDENCE: Clear staffing rosters are in place that show who is on duty and when. This also serves as a record of what is actually worked. Suitable numbers of care staff are employed for the number and needs of residents living at the home. Three care workers are always on duty in the day. In addition to the care staff and managers there are staff working in the kitchen and doing housekeeping, cleaning and maintenance. Staff are able to communicate with each other via a handheld intercom system. The home is working towards having 50 of care staff having at least the NVQ level 2 in care by Christmas 2005. Well ordered staff records/ personnel files demonstrated the homes recruitment procedure in action. Since the last inspection only one member of care staff has been recruited. Her file was inspected. All documents that should be on file were, and all appropriate checks had been undertaken. The home employs some workers from abroad. It was clear from the file inspected that the home gathers the right sort of information about people’s rights to work in the country and any restrictions on that work. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 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 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) 31, 35 and 38. The home is well organised and the care and contentment of residents is at the heart of the daily management and running of the home. Good management practice, systems in place, and records kept, confirm the health and safety of all in the home. EVIDENCE: The home is managed by Dawn Roessler, who is an experienced nurse and manager. Ms Roessler is in the process of completing her National Vocational Qualification level 4 in management. Ms Roessler maintains her registration with the National Midwifery Council. The home is part of the Royal Bay Care Homes Ltd group. The Responsible Individual registered with the Commission for this company – Russell Wilson – lives in the same grounds as the home and has given up part of his own Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 19 garden for the creation of the new resident’s garden and so is now even more involved in the day to day life of the home. The home keeps some ‘pocket’ money belonging to residents and a robust system is in place to look after it. Clear records are kept of expenditure and balances along with receipts/ invoices. All records were available as requested at the inspection and were seen to be safely stored. An up to date insurance certificate was on display along with home’s registration certificate. Fire records were up to date and internal checks of fire safety equipment are being carried out. An external company carries out quarterly checks of the fire equipment. Some emergency lighting has recently been replaced. Fire training records for staff showed that virtually all staff had had fire training at the required intervals. The last fire evacuation took place in July 2005. Dorset Fire and Rescue are due to do their regular inspection in the next month. Accident records were looked at. These were well completed in that they were clear about how staff came across accidents, if residents told them what happened or if they had witnessed them. Analysis of such records provides the home with important information to feed into care plan reviews and where appropriate other measures are put in place to minimise risks to residents. The home keeps data product sheets– for any hazardous substances in the home e.g. cleaning materials. These are kept in the office and are readily accessible to the staff using the products and are reviewed annually by the manager. Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 4 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x 3 x x 3 Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 21 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. 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 Good Practice Recommendations Castle Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit 4 New Fields Business Park Stinsford Road Poole Dorset BH17 0NF 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 Farm Residential Care Home and Farmhouse D55 S26776 Castle Farm Residential Care Home and Farmhouse V247287 310805 Stage 4.doc Version 1.40 Page 23 - 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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