Inspection on 27/10/08 for Castle View

This inspection was carried out on 27th October 2008.

CSCI found this care home to be providing an Excellent service.

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 31/10/06

Castle View 11/01/06

Castle View 04/07/05

Castle View 03/11/04

Castle View 24/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Castle View Newport Road Uffington Shrewsbury Shropshire SY4 4RW     The quality rating for this care home is:   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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Joy Hoelzel     Date: 2 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Castle View Newport Road Uffington Shrewsbury Shropshire SY4 4RW 01743245560 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Joy MacDonald,Mr Brian MacDonald Type of registration: Number of places registered: care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Castle View is a Care Home registered 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. The home makes their services known to prospective service users in The Statement of Purpose and Service User Guide. The service user guide does not include information on the current level of fees for the service. The reader may wish to obtain more up to date information from the care service. Commission for Social Care Inspection reports for this service are available from the provider or can be obtained from www.csci.org.uk Care Homes for Older People Page 4 of 24 0 Over 65 4 Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place over four and a half hours on Monday 27th October 2008. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of a number of people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records, service records and some policies and procedures. Discussions were held with people living and working at the home. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the home for completion. The AQAA is a self-assessment and a dataset that Care Homes for Older People Page 6 of 24 is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to us within a given timescale. The owner of the service completed this document and returned it to us. Comments from the AQAA are included within this inspection report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Admissions are not made to the home until a needs assessment has been undertaken by one of the owners, this ensures that the home is confident that all assessed care needs of the individual can be fully met. Evidence: Details of the service provision are available in the statement of purpose and service user guide; both documents have recently been updated are available on request at the home. The documents do not include details of the weekly fees, the manager gave an assurance that the documents would be amended to include this information. The case files looked at contained details of a needs assessment carried out by the service prior to the person moving into the home. Information of a persons care needs had also been obtained from other agencies to further ensure that all care needs could be satisfactorily met by the service. People spoken with stated that they were aware of Care Homes for Older People Page 10 of 24 Evidence: the service prior to making the decision to move in. And from that day they remain comfortable, happy and satisfied with all aspects of living at the home. The Annual Quality Assurance Assessment completed by the owner documents We assess individuals prior to admission to ensure the compatibility of all living in a small home. The home does not provide an intermediate care service. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owners ensure that care is person led, personal support is offered to each persons preference and is able to meet the changing needs of the residents. Evidence: All people living at the home have a plan of care that is based on the information gained prior to admission, the plan is then reviewed on a regular basis. All of the case files looked at had been signed as agreed with either the resident and/or their representative. The plans offer a comprehensive overview of a persons care needs and the action that is needed to ensure the needs are fully met. For example, one plan gave concise details of the actions needed when a person is occasionally experiencing periods of instability and anxiety. People living at the home discussed the support offered by the owners with accessing external health care professionals. One person visits a specialist unit each week and feels this to be extremely beneficial for her. Care Homes for Older People Page 12 of 24 Evidence: The home operates a 28 day prescribing regime for the administration of medications using the bottles and box system. The medications are stored securely in a locked cupboard with the owners administering the medications at the required times. The medication administration record sheet appears to be fully completed, no gaps were seen in the selection seen. One person is currently looking after her own medications with the support from the owners. She discussed that it is important to her to be in control of her own medication and plans to continue to do so for as long as she possibly can. Observation of the working practices and during the tour of the premises evidences that the privacy and dignity of people is upheld at all times. The owners were very respectful when speaking with residents and it was obvious that very good relationships had been developed and maintained. People were very relaxed and appeared comfortable. The AQAA completed by the owner documents We have maintained a high standard of care for our residents , keeping a professional attitude whilst being friendly and respectful. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are involved in daytime activities of their own choice and according to their individual interests, diverse needs and capabilities.The meals are balanced and nutritious and cater for the varying dietary needs of individuals. Evidence: People living at the home stated that they were quite content with the arrangements for social, leisure and recreational activities. The ladies visit each other in their private rooms or meet up together in the lounge for coffee and a chat. Members of several religious denominations visit each month to offer short religious services and Holy Communion. All people have regular visits from friends and family, and commented how much they looked forward to this time together. All stated that they were satisfied with the visiting arrangements. The main front door is kept locked at all times for security reasons, access is gained by the owners answering the door. People have access to other areas of the home and were observed doing so. During the tour of the premises all bedrooms were Care Homes for Older People Page 14 of 24 Evidence: personalised and as individual as the person residing in the room. Meals are prepared by the owners and served to residents in their own rooms. A dining table and chairs are provided in the lounge if people wish to eat at the table but all four ladies spoken with stated they preferred to have meals in their own room. They can then enjoy the meal at their own pace. The AQAA completed by the owner commented on the meals Meals are freshly prepared, using seasonal foods and individual tastes are catered for. Good varied home cooked food. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents say that they are happy with the service provided, and feel safe and well supported. Evidence: The owner confirmed that no concerns, complaints or safeguarding referrals have been made. We, the commission, have received no concerns directly during the past twelve months. One lady living at the home said that she would speak with her family if she had any concerns and they would sort it out, but everything was satisfactory and no complaints at the moment. Policies and procedures are available for reference in the event of any safeguarding issues. The owner stated that he doesnt keep any cash or money on the premises for the safekeeping of residents. The ladies tend to have their own cash for sundry expenditure with the assistance when required from their families. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The owners have ensured that the physical environment of the home provides for the individual requirements of the people who live there. The living environment is appropriate for the particular lifestyle and needs of the residents and is homely, clean, safe and comfortable, well maintained and reflects the individuality of the people using the service. Evidence: The home is situated in a rural location on the outskirts of Shrewsbury, it is a small care home providing accommodation for four people. The home is comfortable, well furnished and decorated and homely. Routine maintenance and replacement of the furniture and fittings continues on an as required basis. People living at the home commented that they were very satisfied with the accommodation and their own private rooms. The lounge is homely and well furnished, the bedrooms being as individual as the person residing in the room. People commented they have a choice of sitting quietly, meeting with family and friends or be actively engaged with other people who use the service. The gardens are well maintained and accessible for the people living at the home to enjoy. All areas of the home were spotlessly clean, the people responsible for the household cleaning must be commended on maintaining such high standards. Care Homes for Older People Page 17 of 24 Evidence: Suitable hand washing facilities have been provided to maintain good hygiene and effective infection control. Care Homes for Older People Page 18 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who deliver the care demonstrate a thorough understanding of the particular needs of individuals, and deliver highly effective person centered care. Evidence: There are no care staff employed at the home. The people living at the home are cared for by the owners only. A person helps out with domestic chores twice a week, the necessary checks were carried out prior to her appointment. Recruitment procedures are in place should the need arise for additional staff. The owners commenting that this is highly unlikely to happen. General observations of home life, discussions with people living at the home and the owners suggests that the staffing arrangements are satisfactory for the needs of the current resident population. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager has the required qualifications and experience and is competent to run the home. They provide an increased quality of life for residents with a strong focus in the areas of dignity, respect and fairness. Evidence: Mr and Mrs Mc Donald are the joint owners/ managers of the care home. Through out this inspection both demonstrated a depth of knowledge for running a care home and providing a a quality service. All four people living at the home expressed a great satisfaction with the service and commented Mr and Mrs McDonald are very good to us. The AQAA completed by the owner contains relevant information that is supported by a range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows how they are going to do this. Care Homes for Older People Page 20 of 24 Evidence: Quality assurance and monitoring continue with regular audits completed at intervals. Regular feedback is sought from residents and their representatives about the service provided with changes made following any suggestions for improvement. The owner stated that he doesnt keep any cash or money on the premises for the safekeeping of residents. The ladies tend to have their own cash for sundry expenditure with the assistance when required from their families. Weekly, monthly and annual testing of the equipment and premises are conducted with records kept and available for inspection. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). 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. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!