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Inspection on 06/12/05 for Castle Farm Residential Care Home and Farmhouse

Also see our care home review for Castle Farm Residential Care Home and Farmhouse for more information

This inspection was carried out on 6th December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Castle Farm provides a service for 22 older people with personal care needs in a well-decorated and comfortably furnished building. The home has a comfortable and relaxed atmosphere and residents are clearly at ease. The home is well organised and the care and contentment of residents is at the heart of the way the home is run. Mrs Roessler and her staff have created a supportive and caring environment in which the residents are well cared for, respected, safe and comfortable. All residents spoken to about privacy and dignity said that they were treated well by the staff in these respects. Returned comment cards from residents said the same. Visitors are made welcome at the home and can come whenever it suits the residents they are visiting. Meals are wholesome and planned around the known likes and dislikes of residents. The Department of Health target of 50% of care staff having National Vocational Qualifications in care at level 2 is being exceeded. Staff have access to relevant training to help them understand the needs of residents and how to care for them.

What has improved since the last inspection?

The home has continued to function at the high standard that has been noted at previous inspections. Since the last inspection Mrs Roessler has completed the Registered Managers award.

What the care home could do better:

No requirements or recommendations were made at this inspection and none are carried over from previous inspections.

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 Inspection 6th December 2005 11:50 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 Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 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 Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Castle Farm Residential Care Home and Farmhouse Castle Farm Road Lytchett Matravers Dorset BH16 6BZ Address 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) 01258 857642 01258 857482 Castle Farm Care Limited Mrs Dawn Roessler Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users who have identified night-time care needs must not be accommodated in the Farmhouse unless additional staffing is provided within the Farmhouse A maximum of three bedrooms to be used as doubles at any one time, from rooms Nos: 9,11,17,18, or 23. A maximum of two service users to be accommodated in the Farmhouse. 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. 31st August 2005 2. 3. 4. Date of last inspection 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 DS0000026776.V271400.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours on the 6 December 2005 and was the second of the two anticipated inspections of the year. The inspection focused on the core national minimum standards that had not been assessed at the previous inspection this year. No follow up was needed from the last inspection as no requirements or recommendations had been made. The Inspector looked around some of the building and a number of records and related documentation were inspected. The manager was spoken to, along with staff on duty at the home. The Inspector met and chatted privately and in the lounge and conservatory with 6 residents in order to get a feel for what it is like to live at the home. All were very positive and flattering about Castle Farm and the staff working there. ‘extremely kind and helpful’ ‘always cooperative’ ‘lovely.’ Prior to the inspection a number of comment cards were sent out by the home on behalf of the Commission. Of those returned 8 were from residents, 3 from health and social care professionals, 2 were from Doctor’s surgeries and 9 from relatives / visitors. Most comment cards returned were very positive about the staff and service provided at the home. Comments included the following :‘I think the staff are very friendly and helpful, always make you feel welcome.’ A relative ‘Castle Farm delivers a high quality of care with great compassion, expertise and humour.’ Another relative ‘Mrs Dawn Roessler, who is the care manager, is very thoughtful and caring towards those in her care and runs a well managed home from home.’ A District Nurse ‘Mrs Roessler, the manager, provides an excellent service. She cares about all the patients and ensures her staff provide an excellent service.’ Another District Nurse ‘A well run pleasant caring facility. We work very closely with Dawn the manager who excels at her job.’ A General Practitioner Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 6 What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were made at this inspection and none are carried over from previous inspections. Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 7 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 DS0000026776.V271400.R01.S.doc Version 5.0 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 Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3 and 4 were met at the last inspection. 6 is not applicable. EVIDENCE: None of these standards were assessed on this occasion. Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 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 the following standard(s): 10 (standards 8 and 9 were met at the last inspection and 7 was Residents are treated with respect and their privacy and dignity are promoted. EVIDENCE: Residents confirmed at the inspection and in the comment cards returned to the Commission that they are well cared for, treated well by staff and that their privacy is preserved and respected at the home. Residents talked of how staff always knocked on their doors before they came in to see them. Residents said that they were addressed by their first names and they called the staff by their first names and that they liked this. One resident talked of how the home had the balance right between friendly informality and professionalism. A new resident was very pleased about having a telephone installed in her room and was looking forward to giving the number to her family. Staff are instructed that residents are to be treated with respect at all time in their induction period. Staff were seen and heard to be treating residents with respect and courtesy on the day of inspection. Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 15 (Standards 12 was met at the last inspection and 14 was exceeded) Residents’ lives are enriched by the social opportunities afforded by their visitors. The meals in this home are wholesome, based on the likes and dislikes of residents and served in pleasing surroundings. EVIDENCE: Residents talked of their families and of where in the home they were able to meet with them e.g. in their rooms, the lounge, dining room etc. They also talked of how they had enjoyed trips out of the home to family parties and to have lunches in local pubs. Comment cards returned to the Commission from relatives / visitors confirmed that they felt welcome when they visited. The visitors’ book showed the number and range of visitors to the home. Menus are based both around the known likes and dislikes of the residents and on providing a good wholesome diet. Most residents are well able to say what they enjoy and to make their preferences clear. All residents spoken to said the food was lovely and that there was always plenty to eat. One talked of how easy it is to eat too much. Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 12 Residents are offered meal choices for the day during the morning. Alternatives are always available. The meal choices available on the day of inspection were two types of fish- plaice, or cod served in a parsley sauce, or minced beef. These were served with creamed potatoes and vegetables. Home made bread and butter pudding was for dessert served with custard. The dessert was sampled and the inspector agreed with the residents that it was delicious. Assistance with eating is available from staff where it is needed. Homemade cake was due to be served with the afternoon tea. Residents confirmed that snacks and fruit were available at any time should they feel peckish. Plenty of drinks are on offer and encouraged. The home is catering for some diabetics. One resident talked of the confidence they had in the home in respect of providing this diet well. Residents can have meals where it suits them. The home has a pleasant dining area that residents can eat in if they wish. Some of the residents prefer having their meals in their rooms or in the lounge. Appropriate records are kept in respect of food. The chef on the day confirmed that in respect of purchasing quality food / ingredients there was ‘no scrimping.’ Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were met at the last inspection. EVIDENCE: None of these standards were assessed on this occasion. Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards were met at the last inspection. EVIDENCE: None of these standards were assessed on this occasion. Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 (Standards 27 and 29 were met at the last inspection) Residents are cared for by well-trained, well-qualified staff. EVIDENCE: The home has met and exceeded the Department of Health target to have 50 of care staff qualified to National Vocational Qualification (NVQ) in care at level 2. The home reports that 5 of the 9 care staff have now achieved the NVQ in care at level 2. In addition 2 care staff are about to start studying for NVQ level 3 in care. When staff begin working at the home they embark on a full induction programme. One member of staff is currently going through her induction. Staff have access to a variety of training relevant to their work e.g. infection control, food hygiene and protection of vulnerable adults. All staff have had minimal handling and fire updates this year. Last week 6 staff attended their first aid and CPR training. Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 (Standards 31, 35 and 38 were met at the last inspection) The home is run in the best interests of residents. EVIDENCE: The home sent out and made available comment cards for the Commission as requested prior to this inspection. Those that came back were mostly full of praise for the home. The home responds to Commission inspection reports and maintains a high quality service for residents. The annual quality audit has been carried out and the report is due to be completed at the end of the year (2005). Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 17 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x x STAFFING Standard No Score 27 x 28 4 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x x x x x Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations Castle Farm Residential Care Home and Farmhouse DS0000026776.V271400.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole 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. 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