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Inspection on 28/09/06 for Castle Grange
Also see our care home review for Castle Grange for more information
This inspection was carried out on 28th September 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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
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 Grange provides a high standard of accommodation that has been purpose built for the service user group. The home has a dedicated and committed staff team who are trained and who demonstrated some of the skills necessary when providing care to older people with dementia type illnesses. From written feedback from relatives/visitors and from speaking to relatives, it is clear that they are satisfied with the overall care provided at the home. Comments such as "Excellent care given" and my relative was "very happy throughout her stay" were received. Staff at the home were described as being "friendly, helpful" and "caring". It was evident from discussion and feedback that visits can be made to the home and that enough information about the home is provided before a decision is made to live there. Relatives reported that they were kept informed about their relatives` care and had contributed to their relative`s care plan and been involved in reviews. Visitors are welcomed to the home, can meet their relatives in private and can partake in a meal should they choose to. Service users made positive comments about the food provided.
What has improved since the last inspection?
This is the first inspection of the service since its registration with the Commission for Social Care Inspection in May 2006.
What the care home could do better:
Record keeping was identified as a weakness. Care plans and risk assessment documentation must be complete, up-to-date and sufficiently detailed so that staff have full information to assist in the provision of care and support to service users who may not always be able to express their needs. Action also needs to be taken in relation to some aspects of health and safety such as fire training and drills for all staff so that they know what action to take in the event of an emergency. And accidents and incidents involving service users must be notified to the relevant authorities as required by legislation. Communication within the staff team and with relatives needs to be improved. There was evidence of poor communication within the staff team, which has the potential to place service users at risk. It was also evident during a recent adult protection investigation that there was poor communication with relatives. The privacy and dignity of some service users was being compromised because a service user was able to enter another service user`s bedroom because the door was not locked when the room was empty. Offensive odours were present in another room occupied by a service user.Although some activities are provided the frequency and variety of these needs increasing so that service users can engage in meaningful pastimes in accordance with their needs and preferences. Although some positive comments were received about the food provided, the menus do not demonstrate that a well balanced diet, with the recommended five daily portions of fresh fruit and vegetables, is provided. And there was evidence that a service user`s diet was not adequate to maintain weight. Owing to the layout of the building and the number and needs of service users, staffing arrangements must be reviewed to ensure that there are sufficient staff to meet the needs of service users and to improve the quality of care currently provided. The service has identified that action is necessary to make the environment more homely and for the gardens to be made more attractive by planting and maintenance work.