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Inspection on 30/06/09 for Castle Grove Nursing Home

Also see our care home review for Castle Grove Nursing Home for more information

This inspection was carried out on 30th June 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.

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.

Annual service review Name of Service: Castle Grove Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Annie Foot Date of this annual service review: 3 0 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Castle Street Bampton Tiverton Devon EX16 9NS 01398331317 01398331329 info@castle-grove.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mrs Isabelle Marjorie Kenny Number of places (if applicable): Under 65 Over 65 0 26 The maximum number of service users who can be accommodated is 26. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Castle Grove Retirement and Nursing Home is registered to provide a home with nursing care for 26 older people. Castle Grove is situated in the small mid Devon town of Bampton, with people able to benefit from its location in this rural community. It is a mainly Georgian building, although some parts date back to Elizabethan times. There are two double and sixteen single bedrooms, although all rooms are used as Annual Service Review Page 2 of 7 single rooms, unless occupied by married couples or others wishing to share. All bedrooms have en-suite facilities. There is a pleasant lounge/reading room and separate dining room. There are four acres of beautiful gardens, which are accessible to residents and visitors. There is ample parking to the front of the property. There are five independent sheltered housing units within the grounds, which have been sensitively converted from barns and other outbuildings. Residents from the sheltered housing are invited to participate with various activities and can choose to use the dining room and laundry facilities at the home. The cost of care ranges from £520 to £800 per week depending on individual needs. Additional costs, not covered in the fees, include chiropody, hairdressing, personal items such as toiletries, newspapers, magazines and trips. Current information about the service, including CSCI reports, is available to prospective residents, relatives and others who may have an interest such as care managers. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection which took place on 22 May 2007 and the annual service review completed on 25 June 2008 This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. We received 11 completed surveys from people living at the home, 6 from staff and 4 from health care professionals. Residents say they receive sufficient information about the home prior to making a decision to move in. Some people had chosen Castle Grove by personal recommendation or through its reputation. The majority of people said they had received a contract from the home. Several positive comments were received from people living at the home, including I am glad I took a place here, I am very satisfied, Staff are highly praised by residents. Staff listen and act on what residents say. Comments on the surveys include, very attentive and caring staff. Nothing is too much trouble , I have found the staff willing whenever I asked for anything, staff are quick to help and staff are very patient in listening. Residents say that staff are usually available when needed, although several comments were received about waiting times, staff are very busy with other residents and occasionally are not available. Annual Service Review Page 4 of 7 Most of the residents say that they receive the medial care and they support need. Two people commented on the prompt attention of the doctor. Two people commented on delays in getting appointments. Surveys received from health care professionals say the home always seek advice and act appropriately to improve residents health care needs. Heathcare professionals say that on the whole, care staff have the right skills and experience to meet residents social and health needs, although further training to manage mental health issues would be beneficial to the staff. The home liaises closely with the local surgery, GP, district nurses and multi-disciplinary teams. Commenting on what the service does well, surveys from healthcare professionals include, they do their utmost to enable residents the lifestyle they choose, first class nursing home, well managed with genuinely caring staff, would happily recommend for any relative of mine, continues to care for every need and requirement. There is a complaints policy and procedure in place which is underpinned through staff training. The majority of residents responding to a surveys said they knew who to talk to and how to make a complaint. One person said they did not know who they speak to. No complaints were received in the last year. The quality of meals is commended by residents. everyone commented that the quality of meals was very good and well cooked and nicely served. Residents have meetings with the chef to express their likes, dislikes and choices of menu. The range of activities has improved in the last year. Residents enjoy the opportunity to participate and say they would like more. The AQAA tells us that the environment continues to be well maintained with an ongoing maintenance programme in place. In the last year a number of improvements have been made to the environment including, installation of new central heating boilers, replacement of flat roof above laundry and staff room and refurbishment of kitchen and redecoration of residents rooms. The home employ 7 registered nurses and 6 senior carers and 17 other care staff. Of the permanent care staff are employed. 9 have achieved an NVQ level 2 or above in care. All receive induction and ongoing training. Staff responding to our surveys tells us they receive up to date information about the needs of people they support. Surveys tells us that staff work closely as a team . One person said, I am happy in my work and people I work with. We are like a family . All staff reported that were well supported by the manager . One person commented on the individual care given to residents saying staff have time to chat to residents to find out any particular need or want. The home has achieved and holds Investor in People accreditation. There are a range of policies and procedures in operation at the home, which are regularly reviewed. The home benefits from the stable and experienced management of the Registered Manger, a registered nurse with 26 years experience. She has worked at Castle Grove since 1995, and as Manager since 2002. Annual Service Review Page 5 of 7 Castle Grove aims to provide a high-quality holistic care and support for older people who value individual care. Residents are encouraged and enabled to remain independent as long as possible. The homes states one of their strengths as the quality and sensitivity of care offered at the end of life. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 22 May, 2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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