Inspection on 10/11/05 for Castle View House

This inspection was carried out on 10th November 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 House 09/10/06

Castle View House 29/06/05

Castle View House 16/12/04

Castle View House 07/05/04

Castle View House 22/10/03

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Castle View House 9 Castle View Strood Rochester Kent ME2 3PP Lead Inspector Anne Butts Announced Inspection 10th November 2005 09.30 Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 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 House DS0000029021.V262757.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 Adults 18-65. 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 House DS0000029021.V262757.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Castle View House Address 9 Castle View Strood Rochester Kent ME2 3PP 01634 721107 01634 312665 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 Peeryduthsing Ramburuth Mrs Indira Ramburuth Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit a Service User whose date of birth is 13.12.1928. Date of last inspection 29th June 2005 Brief Description of the Service: Castle View house offers accommodation over two floors; the home is situated in a residential area within walking distance of Strood Town Centre, which offers a range of shopping and other community facilities. Mr & Mrs Ranbruth manage the home on a day-to-day basis. A small staff team is employed with whom the Proprietors closely work. Both proprietors hold professional qualifications which relate to the client group cared for in the home and have several years experience of caring for people with a mental health condition. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place on 10th November. Mr Ranbruth, the proprietor, supported the inspector during the visit. During the course of the visit paperwork was viewed, a tour of the environment was undertaken and service users were spoken to. This was a positive inspection and the home demonstrated throughout that this is a home for service users and they are supported in a flexible way, which is aimed at meeting their needs. What the service does well: What has improved since the last inspection? What they could do better: Although the home ensures that appropriate professionals support them with assessments for service users, their own initial needs assessment would benefit from being expanded to reflect as much of the service users needs as possible when assessing them for moving into the home. The complaints procedure would benefit from being expanded upon, so that it includes timescales for action that would be undertaken by the home if a complaint were made. A more structured induction process would further protect service users. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 6 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 House DS0000029021.V262757.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 and 5. Service users can be confident that they are provided with enough information, so that they are able to make an informed decision about whether to move into the home. The pre-assessment process meets individual needs satisfactorily, but service users would benefit from a more in depth process so as to ensure that their needs can be fully met. Service users and their families benefit from having the opportunity to visit the home prior to admission in order to ensure that it will meet their needs. Service users are protected by having their own individual contract. EVIDENCE: The Statement of Purpose and Service Users Guide for the home were viewed and contained most of the appropriate information – it would benefit from having the complaints procedure expanded upon and also needs to reflect that the proprietor has recently gained his Registered Managers Award. The Service Users Guide is available in larger print. All service users are assessed so that the home can be sure that they are able to meet the needs of the individual. The home obtains a CPA (Care Plan Approach) and assessment from the relevant health and social services for each individual. This CPA is reviewed on a regular basis. The homes’ needs Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 9 assessment for the individual, which is carried out at the start of the service is quite basic – although this is supported by the assessments provided from health or social services. The proprietor stated that ongoing assessments are carried out once the service user is insitu. It is recommended that where possible the home expand their initial needs assessments. Prior to moving into the home all service users are given the opportunity to ‘test drive’ the home by meeting other service users and can either visit for an afternoon, eat a meal with current service users or stay for a weekend. There is also a trial period in which both the home and the service user can be sure that this is ‘the right place for the individual’. Current service users are also consulted about prospective new service users, and recently when a new service user wanted to bring a pet current service users were consulted and their views were taken into consideration, which resulted in the pet moving into the home with the new service user. All service users have a contract with terms and conditions, and these are signed by both the proprietor and service user, and are held on each individual file – they are available, as a service user requires. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 8. Service users are able to participate in their care plans and know that their needs will be met. Service users can be confident that they are consulted with and are able to participate in making decisions with regards to all aspects of their daily living choices and about life within the home. EVIDENCE: Service users’ records were viewed and they evidenced that service users participate in the care planning process, and that regular reviews take place in order to meet any changing needs. The home obtains a care plan from the referring professional and this is then used as a basis to develop the homes care plan for the service users. Care plans are fairly basic but they contain enough information for staff to be able to support service users in meeting their needs. Care plans did not, however, refer to nutritional needs for individual service users and it was recommended that this be included. The care plans are accessible to staff and service users have full access to their own plans. The proprietor is currently in the process of updating care plans onto a computerised system, which he aims to use to improve the reviewing Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 11 process. Care plans are reviewed on a regular basis, and records are kept to evidence the review process. Service users are supported in their everyday lives by the management and staff, and are able to make their own decisions about their lives within the assessment process. Service users are able to come and go as they please – although they inform the home when they will be returning. Times of getting up and going to bed are service users choice, and meal times are flexible. Service users are able to manage their own monies, except where a risk assessment has identified otherwise, and other service users are supported by a guardianship. Where possible service users are supported in moving forward with their lives in that the home are supporting and promoting service users in moving into their own homes – wherever practicably possible. Service users also actively take part in the running of the household, including shopping, cooking, washing, ironing etc. and service users spoken stated; “This is like a home from home, and we are very much part of it”. “It is not de-personalised here and the owner and staff are lovely people”. Overall there was a positive and relaxed atmosphere. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 15 and 16 Service users benefit from leading independent lifestyles in which they are able to make positive choices. Service users’ quality of life is enhanced by the positive support and encouragement given in helping them make their day-to-day choices and they benefit from staff positively supporting them in maintaining contact with family and friends. EVIDENCE: The service users living within the home have differing support needs, and the home responds individually with service users and supports individuals in a flexible and adaptive manner. Service users are supported in pursuing their own choices of activities, and due to the needs of the service users the home does not organise structured in house activities but supports them in their own choices. The majority of service users have active; fulfilling lifestyles including one, who has set up an entrepreneurial endeavour – in doing this he has been fully supported by the proprietor and staff. Other service users have part-time employment and one works in a voluntary capacity for a national animal charity. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 13 Supporting individuals in having the opportunity to participate in their own leisure, educational and community activities is an integral part of daily care. Records viewed and service users spoken to confirmed that individual choices and aspirations are fully supported by the home. Service users also confirmed that they are able to make their own choices on how they spend their time in the home and it was evident through the course of conversation with individual service users that their choices and lifestyle are respected. ‘House rules’ within the home are minimal and are only in place to protect the individual, maintain safety and promote mutual respect. The proprietor stated that family involvement is promoted, wherever possible and families and friends are able to visit when they want. Arrangements can be made for families to meet in private if they wish. The proprietors and staff also respect the rights of service users with regards to relationships, and service users are supported by the home. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. The personal and health care needs of service users are well met, promoting and protecting residents’ privacy, dignity and independence, with full access to all professional health care services as required. EVIDENCE: Service users are mainly able to attend to their own personal care needs – and are only supported through guidance and prompts. It was evident throughout the visit that service users are able to choose their own clothes and exercise personal choice with regards to their appearance. The home supports service users in maintaining their independence, but also supports them with their health care needs – and the records viewed evidenced that service users are supported in meeting with health care professionals, and service users are registered with a preferred GP. Records are kept of health care support – and these are available for service users. Due to the age and needs of the service users within the home – wishes with regards to aging, illness and death are dealt with through the individuals care manager or family – and the home records and supports these. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The home has an adequate complaints procedure, which meets service users needs, but would benefit from being updated. Service users can be confident that the homes’ policies and procedures will safeguard their best interests. EVIDENCE: There is a complaints procedure in place – which is incorporated into the Statement of Purpose and the Service Users Guide. It was noted that this could be expanded upon; in that it includes timescales that state how long the home will respond to any complaints – and this has been recommended. There have been no complaints since the last inspection and the proprietor stated that if any concerns are raised they are addressed and resolved at the time. Service users spoken to confirmed that they feel they are able to talk to the staff or proprietors if they have any concerns. The home provides care to vulnerable adults and demonstrated an awareness of the need to allow service users the freedom and choice to make decisions about their own lives – but this was balanced with ensuring that service users are protected from abuse. The home has polices and procedures in place with regards to Whistle Blowing, Adult Protection and Missing Persons. Service users are aware of relevant policies and procedures; as is the staff. Policies that protect service users are discussed with them and service users sign to say that they are aware and have understood them. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Service users benefit from living in an environment that is homely, clean and well maintained and in which they can freely access all communal areas. EVIDENCE: Although this standard was not fully inspected, a tour of the home was undertaken and it is the inspectors’ opinion that this is a comfortable, clean and safe environment. Communal areas were clean, tidy, well decorated and comfortably furnished. There are three main communal areas including two lounge areas (one of which is designated for smoking) and a dining area. Service users moved freely around the home and the inspector was invited to view bedrooms and all demonstrated individuality and service user choice. The kitchen is domestic in nature and service users are encouraged with the support of staff to use this and are able to make themselves snacks or drinks and help out with cooking if they do wish. Service users spoken to during the tour stated, “this is a nice home to live in and is very comfortable”. There is a large well-maintained garden, which is used during the summer months. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 33. Service users benefit from a competent and reliable staff team, who are supported in ensuring that they are able to meet service user needs. The care of service users would be improved by an improved staff induction process. EVIDENCE: The proprietors have experience and skills required to meet the needs of the service users. They are an integral part of the care team within the home, and this was evidenced by comments from service users including “I feel that the people here know what they are doing – they are always able to help or talk to me”. “One of the owners is usually about and they are very supportive”. The home relies on a small but stable staff team, and demonstrated that they are able to meet the needs on a daily ongoing basis. Staff are supported in achieving NVQ’s, with one member of staff having completed hers recently. Training is a priority, and records showed that all mandatory training is in place or is being addressed, and evidenced showed that places had been booked on relevant courses. The proprietor is currently accessing training for specialist care needs that will further meet the needs of the service users within the home. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 18 The proprietor is working on a matrix that will ensure that the ongoing training programme is structured and ensures that all staff are up to date with their training needs. There is an induction programme for staff, but the proprietor is aware that this needs to be improved and expanded upon and is currently working on this – it will also be recommended that as staff complete each part of their induction that it is signed by both the parties as to the new member of staff being competent. Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 Service users health and safety is protected by safe systems in place for monitoring of environmental safety checks. EVIDENCE: The home was able to evidence that all appropriate health and safety checks for the environment had been carried out and records viewed showed that gas safety, electrical appliances, fire systems, cosh assessments were all being carried out; in order to ensure that the general home environment was safe for service users. Castle View House DS0000029021.V262757.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 X 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Castle View House Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000029021.V262757.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? 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 YA1 Good Practice Recommendations It is recommended that The Statement of Purpose and The Service Users Guide be updated to reflect the proprietors’ qualifications and include an expanded complaints procedure. It is recommended that the home expand upon the initial needs assessment when admitting new service users. It is recommended that service users nutritional needs are included within the care plans. It is recommended that the home updates their complaints procedure to reflect current good practice and includes timescales as to when the home will respond to complaints It is recommended that the home continues to improve it’s induction processes and also ensures that the member of staff and the trainer sign to say that each section has been completed. 2 3 4 5 YA2 YA7 YA22 YA32 Castle View House DS0000029021.V262757.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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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