Inspection on 31/10/06 for Castle View

This inspection was carried out on 31st October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 11/01/06

Castle View 04/07/05

Castle View 03/11/04

Castle View 24/05/04

Similar services:

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 Janet Oxley Key Unannounced Inspection 31th October 2006 10:00 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.V297095.R01.S.doc Version 5.2 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.V297095.R01.S.doc Version 5.2 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.V297095.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2006 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. The home makes their services known to prospective service users in The Statement of Purpose and Service User Guide. The inspection report is mentioned in this document and is given out on request. Fees are reviewed annually and are £280. The only additional charges to service users are for toiletries, hairdressing and newspapers. This is clearly laid out in the terms and conditions. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, looking at relevant records pertaining to key standards, discussions with 3 residents and the proprietors, tour of the premises, previous inspection reports, quality assurance process, Fire Authority reports, Environmental Health Office reports and observation of care experienced by people using the service. What the service does well: What has improved since the last inspection? 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 DS0000020636.V297095.R01.S.doc Version 5.2 Page 6 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.V297095.R01.S.doc Version 5.2 Page 7 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 an up to date Statement of Purpose and a Service Users Guide, which includes all the required information for prospective residents. Documentation examined indicated that individuals have a full and comprehensive assessment of their needs prior to admission, which is undertaken including the family and health care professionals and is reviewed and amended as requirements change. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 Page 8 Significant time and effort is spent making each admission to the home personal and effective and family members and the prospective service user may visit the home as often as they wish until a decision is made. Observations, inspection of records and discussions indicated that the home meets the individual needs of the elderly people living at the home in a professional and sensitive manner. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 Page 9 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, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal needs of service users are well met with evidence of regular review and of multi disciplinary working taking place on a regular basis. EVIDENCE: It was evident during the inspection from looking at records, inspecting the facilities and chatting the proprietors and residents that individual health, personal and social care needs were being well met. All service users have a plan of care, these are reviewed and updated at regular intervals. The proprietors promote the service users psychological health to ensure that they are happy and content and they promote their rights as individuals. At the time of this inspection the recording, storage and administration of medication appeared satisfactory. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 Page 10 Residents were being treated with great respect and dignity and the proprietors continue to work both professionally and sensitively in meeting individual needs. Those residents spoken to were extremely complimentary regarding the quality of their lives at the home and visiting health professionals continue to praise the management and care standards there. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 Page 11 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): All Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living at Castle View are very flexible and each resident finds the lifestyle experienced in the home meets their individual needs. Individual activities take place, there is an open visiting policy and the menu offers a good choice of well balanced and wholesome meals. EVIDENCE: Individual needs, likes and dislikes are clearly identified. There was much evidence to indicate that individual rights are fully promoted and residents are certainly enabled to exercise choice and control over their own lives as far as they are able, personalise their own rooms and use them as private places. Activities, within the home and outside, take place to suit individual needs and tastes and these are fully discussed and agreed with the residents. Visitors are always made welcome, are included in events and are given all the necessary information on aspects of the home and the welfare of the residents. Visitors spoken to have always been complimentary regarding the quality of life for the residents at the home. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 Page 12 The menu, discussions with residents and a visit to the kitchen indicated an excellent diet in pleasant surroundings with sensitive and respectful help. The proprietors have undertaken relevant training in Basic Food Hygiene. At the time of the most recent Environmental Health Officers inspection matters were satisfactory. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 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 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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. 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 since the last inspection. The home has copy of the Shropshire County Council Multi Agency Adult Protection Procedure and the proprietors are fully aware of residents legal rights. It is the home’s policy that residents either manage their own financial affairs or rely on family members for support. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 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, 20, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to provide a good quality, comfortable and safe environment for those in residence. EVIDENCE: The location and layout of the home are suitable for elderly residents. The communal room is well equipped, warm and homely. Bedrooms are personalised and suit individual needs and the gardens and grounds are very attractive, well maintained and accessible to residents and their visitors. At the time of the most recent Fire Officer and Environmental Health Officer’s inspections matters were reported to be satisfactory and any recommendations made have been complied with. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 Page 15 It was evident that the Proprietors work hard to maintain this environment and ongoing maintenance and improvements are constantly being undertaken. The standard of hygiene and cleanliness at the time of this inspection was excellent and laundry facilities appeared satisfactory. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 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): x These standards are not applicable as no care staff are employed. 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 and satisfactory checks have been undertaken. 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.V297095.R01.S.doc Version 5.2 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, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Proprietors approach creates an open and positive atmosphere from which the residents benefit. The home regularly reviews all aspects of its performance through a programme of self review, questionnaires and consultations and meets the requirements of the Fire Officer and Environmental Health Officer, promoting the health, safety and welfare of the residents. EVIDENCE: The proprietors have successfully managed the home for many years. Mr MacDonald is a Registered Nurse and has had experience in management. Records required by legislation to be kept in the home are continually being Castle View DS0000020636.V297095.R01.S.doc Version 5.2 Page 18 improved and Quality Assurance systems are in place and it is planned that these be developed further. The Fire Officer and the Environmental Health Officer reported matters to be satisfactory at the time of their last inspections and recommendations made have been complied with. Insurance cover is up to date. Both Proprietors are trained in first aid and an accident book is available. Records of checks to electrical systems and equipment and Fire Precaution are available. Risk assessments and a health and safety policy are in place and toxic substances are stored in a locked cupboard. No potential hazards were identified. Castle View DS0000020636.V297095.R01.S.doc Version 5.2 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x 3 x 3 STAFFING Standard No Score 27 N/A 28 N/A 29 N/A 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Castle View DS0000020636.V297095.R01.S.doc Version 5.2 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 View DS0000020636.V297095.R01.S.doc Version 5.2 Page 21 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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