Inspection on 31/01/06 for Castle Rise Nursing Home

This inspection was carried out on 31st January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Rise Nursing Home 13/04/07

Castle Rise Nursing Home 31/08/05

Castle Rise Nursing Home 11/01/05

Castle Rise Nursing Home 02/09/04

Castle Rise Nursing Home 05/02/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Castle Rise Nursing Home Wawne Road Sutton On Hull E Yorkshire HU7 4YU Lead Inspector Eileen Engelmann Unannounced Inspection 31st January 2006 09:30 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 Rise Nursing Home DS0000000928.V263942.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 Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Castle Rise Nursing Home Address Wawne Road Sutton On Hull E Yorkshire HU7 4YU 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) 01482 839115 01482 821666 Barchester Healthcare Plc Mrs Pauline Elizabeth Sidebottom Care Home 40 Category(ies) of Dementia (40), Old age, not falling within any registration, with number other category (40), Physical disability (40), of places Physical disability over 65 years of age (40), Terminally ill (40) Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To admit one service user under 65 years in nursing category. To include 4 service users in the younger physically disabled category. Date of last inspection 26th August 2005 Brief Description of the Service: Castle Rise is a Care Home with nursing that provides a service for service users who meet the following criteria of need: - Dementia, Old age, Physical disability and Terminal illness for those over the age of 65 and four placements for service user’s who have a physical disability and are under the age of 65. The home is situated close to the village of Sutton and enables easy access to the local shops and North Point Shopping Centre. Accommodation consists of forty placements within single (and one double) rooms on two floors with lift access. Service users have the choice of three lounges and two dining rooms in which they can relax and enjoy the company of others, although the staff do recognise that individuals need time to themselves. The home provides a specified lounge for those service users who smoke. An activities organiser is employed, who will see each individual to discuss their interests and hobbies and arrange outings on the home’s minibus. Service users also have access to the grounds of the home, which are designed to be accessible to those in wheelchairs and with mobility problems. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out with the nurse in charge; staff, visitors and residents of Castle Rise Care Home. The inspection took 2.5 hours and included a tour of the premises, examination of staff and resident files and records relating to the service. Three of the residents and one visitor were spoken to; their comments have been included in this report. One additional visit to the home in December 2005 was in response to a complaint from a relative about care practices within the home. After investigation by the inspector the complaint was not up held. All key standards have been looked at over the last year and information about these standards and their outcomes is written in the report for 31st August 2005 and this one. What the service does well: What has improved since the last inspection? The home continues to make sure that the service and care given to the residents is specific to their needs and meets their expectations. Attention to detail is an important part of the philosophy of the home and has helped the service exceed the minimum requirements of sixteen out of the thirty-eight standards and achieve in full all of the key standards. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 6 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 Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 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 Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 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 the following standard(s): 3. All residents undergo a full needs assessment and are given sufficient information about the home and its facilities prior to admission, to enable them to be confident that their needs can be met by the service. EVIDENCE: The home continues to meet the criteria of standard 3. All residents at the home have their own personal file and the three looked at were for fairly new residents. Each individual had a need assessment completed by the funding authority and the home has also completed its own needs assessment before a placement was offered to the resident. The home develops a comprehensive care plan from the assessments, identifying the individual’s problems, needs and abilities using the information gathered from the resident and family. Two residents spoken with were able to give detailed information about their care needs and the input they required from the staff, service and outside professionals, and this was found to be accurately documented within their care plans. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 9 Those residents at the home who receive nursing care have undergone an assessment by a NHS registered nurse from the Health Authority, to determine the level of nursing input required by each individual. Castle Rise Nursing Home DS0000000928.V263942.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): 7, 9 and 10. The health, personal and social care needs of the residents are clearly documented and are being met by the service and staff. The medication at the home is well managed promoting good health. EVIDENCE: The home continues to produce and keep clear and well-written care plans for the residents. Individual care plans are in place for all residents and clearly set out the health, personal and social care needs identified for each person. Three of the plans looked at have been evaluated on a monthly basis and any changes to the care being given is documented and implemented by the staff. The care plans include detailed information about the needs and expectations of the residents and the care being given on a daily basis. Risk assessments around daily activities of living have been carried out and are recorded, where appropriate, within the individual resident’s plan. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 11 Discussion with the nurse in charge showed that she is aware of the changes to legislation around the disposal of medications from nursing homes, and that the home is organising a licensed waste management company to pick up any waste medicines on a monthly basis. Residents are able to self-medicate at the home if they are well enough to take on the responsibility; currently all those living there chose not to or are unable to do this. Checks of the medication records and the system used showed that these are up to date, accurate and well managed. The three residents and one relative spoken with were very please with the way that care is given within the home. One resident spoken with was new into the home and is at present on bed rest due to medical problems. She said that ‘the staff are very good at helping you settle into the home’ and ‘the care given is excellent’. Positive feedback was also given about the quick response time of staff in answering the call bell. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 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 the following standard(s): 14. The home promotes the residents right to exercise choice and control over their lives and offers information and contact details so they or their families can contact external agents, who will act in their interests. EVIDENCE: Three residents spoken to were well aware of their rights and said that they had family members who acted on their behalf and took care of their finances. The nurse in charge said she is aware of the advocacy groups in the community that residents can access, and the contact information is on display within the home and recorded in the Service User Guide. All the residents said that the home encouraged them to bring in small items of furniture and personal possessions to decorate their bedrooms. Discussion with the residents showed that they were aware of their care plans and were able to input to them and access them through their key workers. Castle Rise Nursing Home DS0000000928.V263942.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): 16. The home has a satisfactory complaints system with some evidence that residents’ views are listened to and acted upon. Visitors and residents are confident about reporting any concerns and the manager acts quickly on any issues raised. EVIDENCE: One additional visit to the home in December 2005 was in response to a complaint from a relative about care practices within the home. After investigation by the inspector the complaint was not up held. The home has a clear and simple complaints procedure that residents, relatives and staff are aware of and are confident of using if needed. Three residents showed a clear understanding about how to make their views and opinions heard and said ‘the manager comes round to see us every day and talks to us about any niggles we may have. She tries to solve them immediately and will get back to us if she needs to take time to resolve them’. Castle Rise Nursing Home DS0000000928.V263942.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): 19. The standard of the environment within this home is very good, providing residents with a comfortable and homely place to live. EVIDENCE: There is an ongoing programme of refurbishment and renewal at the home. All decorating of the corridors and bedrooms has been completed since the last inspection and the home is looking very clean, fresh and welcoming. Residents were seen to be using the upstairs lounge during this visit and observation of the communal areas found these to be warm, bright and odour free. The residents have use of two lounges and two dining areas downstairs and outside of the home is a spacious garden with lawns and paved areas. Walking around the grounds of the home it was apparent that the windows and doorframes to the outside of the building have been repaired and painted since the last visit. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 15 Discussion with the maintenance man indicated that he is busy ensuring that all radiators within the home are working correctly and pipe work is being cleared of lime scale (a problem for this area of the country). Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28. Sufficient staff are employed to ensure there is a good match of well-qualified staff offering consistency of care within the home. EVIDENCE: The home continues to employ sufficient staff to meet the needs of the residents. The staffing rotas show that on average there are two nurses (plus the manager 8-4) and five care assistants on duty in the morning, one nurse and four care assistants in the afternoon and one nurse and three care assistants at night. Residents and relatives spoken to are very happy with the amount of staff on duty and said ‘they are always helpful and available to see to anything you need doing and nothing is too much bother’. The company has achieved City and Guild training status and new staff members are undertaking their NVQ 2/3 with the homes training officer. At the moment nine of the sixteen care assistants (56 ) have achieved an NVQ 2 or 3 and others are going through the training. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 17 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): 31 and 35. The management of the home is satisfactory overall, and robust accounting and financial systems are in place to protect and safeguard the interests of the residents. EVIDENCE: The registered manager of the home is a qualified nurse with many years of experience caring for individuals with complex nursing needs. She has been the manager of the home for a number of years and holds an up to date registration with the Nursing and Midwifery Council (NMC) and has achieved suitable management qualifications. The manager attends regular management training sessions organised by the owners of the home, and also keeps her clinical skills up to date by undertaking regular training and development sessions with recognised Healthcare Professionals and Organisations. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 18 Checks of the financial systems found that these are computerised, up to date and maintained on a daily basis by the administrator of the home. All residents have their own personal allowance account, and these are independently audited each year. Where individuals have their families looking after their finances, relatives who are unable to visit very often are asked to send spending money for the residents as and when their personal allowance accounts show their monies are low. These requests from the home are accompanied by a print out of the resident’s account. The home only keeps a limited amount of money within the safe, surplus monies are kept in a communal resident account, which does not pay individuals any interest. This information is put into the Service User Guide so all those coming into the home are aware of the homes arrangement, and can decide if they wish to make their own. Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 19 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 X 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 4 X X X X X X X STAFFING Standard No Score 27 3 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Castle Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 20 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 Rise Nursing Home DS0000000928.V263942.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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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