Inspection on 11/01/06 for Castle View

This inspection was carried out on 11th January 2006.

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.

Other inspections for this house

Castle View 27/10/08

Castle View 31/10/06

Castle View 04/07/05

Castle View 03/11/04

Castle View 24/05/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Castle View Newport Road Uffington Shrewsbury Shropshire SY4 4RW Lead Inspector Terry Woods Unannounced Inspection 11th 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 View DS0000020636.V267051.R01.S.doc Version 5.1 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 View DS0000020636.V267051.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Castle View Address Newport Road Uffington Shrewsbury Shropshire SY4 4RW 01743 245560 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) Mr Brian MacDonald Mrs Joy MacDonald Care Home 4 Category(ies) of Old age, not falling within any other category registration, with number (4) of places Castle View DS0000020636.V267051.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: Castle View is a Care Home registered with the Commission for Social Care Inspection to provide a residential service for up to 4 older people. It is situated in a rural area on the Shrewsbury to Newport road close to the village of Uffington. The home is owned and managed by Mr & Mrs MacDonald. All accommodation is on the ground floor with access to well maintained gardens. Car parking facilities are available. The home provides a peaceful country setting for those residents choosing a quiet and leisurely lifestyle. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second inspection of the year. The inspection was unannounced and took place on 11th January 2006 over two and a quarter hours. The proprietors and residents were all very welcoming and helpful throughout the inspection. All of the National Minimum Standards inspected were met highlighting that the overall quality of care provided is very good. A full tour of the premises took place and samples of the two residents’ care records were inspected. Three of the four residents were spoken to during the day. What the service does well: What has improved since the last inspection? What they could do better: There is always room for further improvement in most areas concerning documentation within the home. This has been much improved and updated in recent months however the proprietors sees it as an on going task linked directly to improving the service to those in residence. Please contact the provider for advice of actions taken in response to this Castle View DS0000020636.V267051.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 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 View DS0000020636.V267051.R01.S.doc Version 5.1 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&6 The home has a satisfactory and functional admissions procedure providing an effective needs assessment and suitability evaluation for both privately funded residents and those placed by the local authority. EVIDENCE: The home has a service user guide, which is given to all new residents to identify the services being offered at Castle View. Prospective residents may be admitted via a private arrangement or through the local authority. In all cases, and confirmed in the two residents’ files inspected, the structure of the home’s plan of health care and daily living of each person forms a natural assessment process to identify their individual needs. Two residents have been admitted during the last six months. Both from local Hospitals who provided good health care notes, a Community Care Review of the individuals’ needs and an accompanying plan of care. The inspector was able to speak with both residents regarding the admissions procedure and settling in periods and received positive and satisfactory comments. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 Page 9 Contracts between the home and residents are in place stating the terms and conditions of the placement. The home does not provide an intermediate care service. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 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 & 10 There is a clear and consistent care planning system in place to adequately provide the proprietors with the information they need to satisfactorily meet residents’ needs. Residents are treated with respect at all times at Castle View. EVIDENCE: Within the two care plans inspected there continues to be good evidence of maintained health care for residents with clear and detailed notes being kept. These also demonstrate the use of professional input throughout times of need. The proprietor was able to report confidently and knowledgeably about the health care needs of all residents. Care plans specify outcomes to maintain residents’ independence whilst providing appropriate care and assistance. One resident reflected on recently receiving hospital treatment and how the support and kindness given to her at the home had assisted in her recovery. There is a further noticeable change in the health and wellbeing of a second resident who continues to benefit from the removal of a gallstone. Case tracking of residents’ files confirmed the home’s concern for maintaining their Castle View DS0000020636.V267051.R01.S.doc Version 5.1 Page 11 good health and independence and good note keeping throughout was observed. Residents’ reported the carers as being very kind and considerate and all are able to enjoy the privacy of their own rooms in which to spend time as they wished. Rooms are also of an ample size to receive examinations or treatment in private. Two residents reported having a telephone for use to speak with relatives and friends and one has weekly conversations with her daughter in Canada. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 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): 12 Castle View provides a good quality and unique lifestyle for the people in residence. EVIDENCE: The home continues to provide a peaceful country setting for the residents who have chosen a quiet and leisurely lifestyle where they can have their own daily routines and spend their day as they wish. Conversations with three residents confirmed their satisfaction with the lifestyle that they are able to maintain. They all enjoy reading novels and one resident said that she intends to take up knitting again, which she finds quite relaxing. All residents have a wish to pass the day quietly, reading or watching TV and one resident explained the difficulty she was having with her ‘Sky TV Package’ due to so many channels available. She also spoke of the recently admitted resident who is an old friend who previously used to visit her at the home. Another resident reported that she has specifically chosen the home for its tranquillity and pleasant views and did not want the ‘hustle and bustle’ of a larger home. She confirmed that she is settling in well, enjoys the company of the other female residents and feels suited to the leisurely environment. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 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 & 18 The home has a satisfactory complaints system and there is evidence that residents feel that their views are listened to and acted upon. The arrangements for the protection of residents from abuse are documented however this is a recognised training need for both proprietors. EVIDENCE: The home has a complaints procedure, which is referred to for information in the Service User Guide. There is a system of recording complaints and it was noted that there were no entries. There have been no complaints directed to the Commission for Social Care Inspection within the previous 12 months. The home has copy of the Shropshire County Council Multi Agency Adult Protection Procedure and the proprietor recognises the need to attend training in Adult Protection Procedures and will be attending a ‘Provider Managers’ course on 31/01/06 through Shropshire County Council. It is the home’s policy that residents either manage their own financial affairs or rely on family members for support. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 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 home continues to provide a good quality, comfortable and safe environment for those in residence. EVIDENCE: This standard was inspected fully during the previous visit and there has been no change in the last six months. A programme to redecorate the home is planned in the spring of this year. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 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): 27, 29 & 30 Mr and Mrs Macdonald are the sole carers and have no other care staff working at the home. EVIDENCE: There are no care staff other than the registered providers at Castle View. The home employs one part time domestic assistant (cleaner) for eight hours per week. The home’s position on recruitment remains unchanged in that there is a procedure in place, which will only be used, should the domestic assistant leave. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 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): There are satisfactory systems in place to ensure that service users’ health, safety and welfare are promoted and protected. EVIDENCE: Records required by legislation to be kept in the home are continually being improved. Risk assessments within the home have been reviewed and expanded. This includes those concerning COSHH regulations, which have been recently compiled covering all hazardous substances used within the home and providing appropriate control measures. Fire safety records are completed and to date. These include weekly alarm checks, monthly emergency lighting monitoring and annual equipment servicing. The Fire Officer visited during October 2005 and recommended that a heat detector if fitted in the kitchen and that the under stairs storage cupboard is kept locked. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 Page 17 The Environmental Health Officer also visited during October 2005. The inspection was satisfactory and the hazard analysis completed by the home was found to be of a good standard. Both carers now have current first aid and food hygiene certificates. Other improvements include newly formatted MAR sheets, an admissions record book and a medication returns book. Castle View DS0000020636.V267051.R01.S.doc Version 5.1 Page 18 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 N/A 28 X 29 3 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Castle View DS0000020636.V267051.R01.S.doc Version 5.1 Page 19 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 View DS0000020636.V267051.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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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