Inspection on 12/10/05 for Castle View

This inspection was carried out on 12th October 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.

Other inspections for this house

Castle View 20/02/07

Castle View 04/08/06

Castle View 21/03/06

Castle View 21/02/05

Castle View 25/08/04

Castle View 19/01/04

Castle View 30/10/03

Castle View 20/01/03

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

CARE HOMES FOR OLDER PEOPLE Castle View Bridport Road Dorchester DT1 2NH Lead Inspector Marion Hurley Unannounced Inspection 11:00 12 & 14 October 2005 th th 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 DS0000028257.V255720.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 View DS0000028257.V255720.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Castle View Address Bridport Road Dorchester DT1 2NH 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) 01305 756476 01305 756479 castleview@coltencare.co.uk Colten Care Limited Care Home 57 Category(ies) of Old age, not falling within any other category registration, with number (57) of places Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named person (as known to the CSCI) within the registration category TI(E) may be accommodated in one of the 36 nursing care places. The home may accommodate a maximum of 36 service users who require nursing care. 20th July 2005 Date of last inspection Brief Description of the Service: Castle View is a purpose built care home located on the outskirts of the county town of Dorchester in Dorset. The home is registered to accommodate a maximum of 57 older people in 53 single and 4 suites (bedroom and sitting room) arranged over 4 floors; all are accessible by the use of passenger lifts. All rooms have en-suite toilet facilities and there are 3 lounges and a separate dining room plus activities rooms. The home may accommodate a maximum of 36 people requiring nursing care. Colten Care Limited owns the home, a company who have a number of care homes in Dorset and adjoining counties, and is managed on a day to basis by Mrs Lucy Bradley. Colten Care Limited aims to provide its residents with a secure, relaxed, and homely environment in which their care, well being and comfort are of prime importance. Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the normal inspection process in accordance with the Care Standards Act 2000. Castle View was assessed according to the Care Homes for Older People National Minimum Standards. The lead inspector was Marion Hurley accompanied by Jo Pasker, who has subsequently become the inspector for the home. The overall time spent to complete the inspection process was a total of 18 hours, 14 of which was spent at Castle View over two days. In the course of the inspection a total of 20 residents were spoken to, 11 privately in their own rooms and others in communal areas. A tour of the premises was completed with the Deputy Manager and then independently during the course of the inspection. Staff were spoken to independently and others met during the course of their duties throughout the visit. The Service Manager, and Assistant Service Manager and the Manager of the Home were available and discussed their on-going commitment to Castle View, ensuring that National Minimum Standards continue to be met. Access to records and documents were made available as requested. The inspectors appreciated the time and support provided by residents and staff throughout the two days of inspection. What the service does well: What has improved since the last inspection? Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 6 Staff at Castle View continue to support residents providing appropriate levels of personal care. Since the last inspection the Manager has completed the Colten Care Management training course and is now developing her role as the Home’s Manager with more confidence. 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 View DS0000028257.V255720.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 View DS0000028257.V255720.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&5 • • An assessment of needs is completed with all residents either prior to their move to Castle View or if circumstances prevent this an Admission Assessment is completed on the day of admission. Residents and their representatives are very welcome to visit Castle View before making the decision about whether the move might be right for them. EVIDENCE: When a prospective resident or their representative makes an enquiry concerning the services and facilities available at Castle View a detailed enquiry form is completed. This provides a general outline of the person’s needs and any special criteria they may have. Following this initial contact, information is sent to the enquirer and they are invited to visit Castle View. Details of these visits are recorded on the Enquiry From. Several files were read in the course of this inspection and were found to have completed Admission Assessments. Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 9 The assessment covers all aspects of the persons general well being, health and safety e.g. Manual Handling, Nutritional Needs, Activities of Daily Living. The Manager discussed the process for prospective residents and was able to verify the details with completed Enquiry Forms and Admission Assessments. A qualified member of staff also talked through the whole process demonstrating each stage with completed records from a resident’s file. (This file was randomly selected to illustrate the working procedures.) The manager must exercise caution when admitting people without a completed pre-admission assessment and must endeavour to ascertain from other agencies all relevant documentation on which to base a decision. The manager must be confident before agreeing to anyone moving into Castle View that the home has the services, facilities and appropriate level of staffing and expertise to support the individual. Castle View DS0000028257.V255720.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&8 • Individual plans of care detail how a person’s health, personal and social care needs will be met whilst living at Castle View. This information provides staff with the information required to support each resident according to their needs and preferences. EVIDENCE: Residents have individual plans of care, which details the residents needs and the support required to ensure they are safely met according to the resident’s preferences. Eight resident’s files were looked at on the day of the inspection. Each file contained an Admission Assessment, which were predominantly functional assessments, this information is then used to form the Care Plans. The standard of recording varied from general non-specific statements i.e “encourage mobility, give assistance as required” to more specific instructions for staff “needs call bell within reach at all times, requires assistance to cut up food” “can transfer with supervision of one”. Another good example taken from a Care Plan “needs assistance to maintain personal hygiene… to have a daily wash… give him time to wash and chose his own clothes… review monthly” Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 11 Overall the standard of the assessments and plans was good. However, the reader did not really get “a feel” of the resident and the Manager needs to consider developing the Plans to ensure they reflect the whole person and are a holistic record of their needs and wishes. Evidence was gathered from discussion with management, inspection of the premises, observation and discussion with residents and staff and an examination of care records. Castle View DS0000028257.V255720.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): 15 • Residents are offered a varied and well balanced diet and have daily choices. EVIDENCE: Residents were observed in the main dining room having their lunch, which they had chosen the day before. There is always a choice of three main courses, which includes a vegetarian option. Residents are given a choice of where they may have their meals and in addition to the main dining room there is a smaller room on the first floor, which is generally for those residents who need some assistance during mealtimes. Other residents for personal reasons prefer to have their meals served in their bedrooms. Meals for those residents is served from heated hostess trolleys and those residents asked stated that their meals were still “good and hot” by the time they got them in their rooms. On the day of this inspection despite there being waitress service in the main dining room the meal was rather slow being served. However, the residents did not appear to mind though a few comments were over heard “rather slow today”. The meal looked appetizing and included ample fresh vegetables followed by a selection of desserts and/or cheese and biscuits. Residents in the main complimented the food though some comments were received stating Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 13 that the meat was often “tough”. Residents are consulted at resident meetings with regard to menu planning. However, the choice always remains contentious for some. Colten Care Hotel Services issues the menu on a four weekly cycle and though each home has some autonomy most of the ordering is done centrally, which removes the opportunity for the Home’s chef to resource local produce from local suppliers. All records were checked, with reference to the temperature of foods, appliances, cleaning rota, special diets and actual food consumed. The kitchen area was found to be clean and well organised and the store cupboards were well stocked including ample supplies of fresh fruit and vegetables. The chef explained they endeavour to visit all new residents within twenty-four hours of admission and then ideally review their dietary needs every three months. There is a system in the kitchen to ensure residents don’t get missed in the process and the chef was able to produce copies of these visits. However, the resident’s main files did not all contain a copy of these visits and one appeared to have had no update for over twelve months. This appeared to be a filing error and not an omission of the chef’s services. Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 14 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): None of the above standards were assessed at this inspection and will be addressed at the next inspection. EVIDENCE: Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 15 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): 21 and 26 • • Residents have suitable bathrooms and washing facilities, with all rooms having an en suite toilet and basin. On the day of this inspection the home was found to be clean & pleasant giving a good impression to prospective residents. However, care should be taken to ensure that all bedrooms are free from unpleasant odours. EVIDENCE: Castle View provides residents with a safe, accessible and comfortable environment which is suitable for its stated purpose. The home is well furnished, equipped and maintained and residents may bring items of their own furnishings to their rooms. The bedrooms that were visited were homely and personalised. In addition to this, there are also good communal facilities comprising of two shower rooms, several toilets and seven bathrooms, five with assisted baths. Sluices were also seen on all main floors and were found to be clean and sanitary. There were also good stocks of protective clothing i.e gloves/aprons Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 16 etc – found in all nursing stations and some individual’s rooms, where necessary. There is a generous amount of communal space ensuring residents can always seek out private space in addition to their bedrooms. Evidence was gathered through inspection of the premises and discussion with management and residents. Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 17 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): 29 • Recruitment practice within the Home ensures that the management are confident that residents are supported and protected by suitable staff. EVIDENCE: Four staff files were looked at and were selected to represent the different staff employed at the Home including domestic staff, night staff and both qualified nurses and carers. The staff files stretched over a period of time from 2003 – 2005. Whilst some of the forms had changed in layout over this period of time records were found to contain the required information to meet this standard. Each file has a detailed checklist to ensure that all documentation is obtained prior to the employee commencing work at the home. Colten Care’s recruitment policies and procedures are robust and it is good to note the management at Castle View adhere to them. Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 18 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): 36 & 38 • • Staff receive regular supervision, which provides an opportunity for management and staff to monitor their on-going work performance and identify training needs. Health and safety of the residents and staff are protected by the policies and procedures followed at Castle View. EVIDENCE: Discussions with staff and management confirmed that formal supervision sessions are regularly conducted. However, records from these sessions are minimal and management needs to consider ways to record the contents of the sessions in a more positive and practical format. On the day of this unannounced inspection all records relating to health & safety issues were checked and there was sufficient evidence from these Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 19 records to confirm that safety tests were being carried out within recommended timescales. Records showed that care staff had received manual handling, health and safety, and fire safety training on a regular basis. The premises comply with the requirements of the local fire service and environmental health department and fire safety equipment was well maintained. Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 20 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 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x 3 x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x 3 x 3 Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 21 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. 1 Refer to Standard OP3 Good Practice Recommendations New residents should only be admitted on the basis of a full assessment undertaken prior to their admission and all relevant documentation should be requested from other agencies to ensure people are only admitted whose needs and preferences can be fully met through the services, facilities staffing provided at Castle View A service user plan of care generated from a comprehensive assessment (see Standard 3) is drawn up with each resident and provides the basis for the care to be delivered and includes aspects of the residents social and emotional needs and where possible these plans should be signed by the resident or their representative. It is recommended that the records of supervision sessions provide more details and include aspects of the persons work performance and training needs in addition to their achievements in maintaining good practice. 2 OP7 3 OP36 Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI Castle View DS0000028257.V255720.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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