Inspection on 29/06/05 for Castle View House

This inspection was carried out on 29th June 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 10/11/05

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 Patricia Green Unannounced 29 June 2005 4:40pm 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 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 Stationary 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 H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr. Ramburuth Nil Care Home 8 Category(ies) of Mental Disorder - 8 registration, with number of places Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Nil Date of last inspection 16 December 2004 Brief Description of the Service: Castle View House offers accommodation over 2 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 Ranburuth manage the home on a day to day basis; Mr Ramburuth normally taking responsibility during weekdays and Mrs Ramburuth being involved during evenings and weekends. A small staff team is employed with whom the Proprietors closely work. Mr & Mrs Ramburuth hold professional qualifications, relating to the client group cared for at the home and have several years experience of caring for people with a mental health condition. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection was Unannounced. On arrival at the home there were two staff members on duty (one member of staff working in a full time voluntary capacity) and six service users at home; Mr & Mrs Ramburuth (Proprietors) arrived at the home shortly after the start of the Inspection. During this Inspection the premises were toured, the Proprietors, staff and service users were spoken to, and a selection of documentation was viewed. What the service does well: What has improved since the last inspection? Focus has been given to the development of written Policies and Procedures, which now cover a broad range of practice, offering guidance to staff in the daily support of service users. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 6 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 House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 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 standard(s) This section not assessed during this Inspection. EVIDENCE: Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 9 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 standard(s) This section not assessed during this Inspection. EVIDENCE: Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 10 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 standard(s) 11,12,13,14,15,16 &17 The service users quality of life is enhanced by the individual and flexible approach taken by the staff, the positive daily support given and encouragement to maintain contact with family and friends. Service users benefit from a varied, wholesome choice of menu. EVIDENCE: In discussion with the Proprietors and staff and in viewing documentation evidence was gained of the ‘person centred’ approach that is in practice within the home; the seven service users currently living at the home have a range of differing care needs and in responding to these needs it is evident that the Proprietors have developed a very flexible and adaptive approach to ensure that each service user is fully supported in all areas of their daily life. The Proprietors, either singly or jointly are involved in the home over a seven - day period, working closely and supervising the small staff team they employ in all aspects of care and support required. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 11 Close links are in place with outside agencies involved with the individual service user (social services, community mental health nursing team, GP’s, Psychiatrist, Psychologist etc.), with regular ‘reviews of care’ taking place with the involvement of these agencies; documentation is in place relating to ‘reviews’ and the support required. Supporting the individual to have the opportunity to be involved in leisure, educational and community activities is an integral part of daily care; in discussion with staff and service users evidence was gained of how a very individual approach is taken with the service user taking into account their own particular interests and aspirations and assessing the level and type of support required to be involved in various activities. It was evident from information gained that creating opportunity for personal development is seen as an important component in offering care and support. As part of the daily support offered, the Proprietors will spend ‘one to one’ time with the individual service user, creating an opportunity for private conversation and discussion. One service user particularly commented on how the staff are very Supportive in understanding and respecting individual choices on a daily basis; it was also commented that particular support has been given in maintaining family relationships and encouraging regular contact. The Proprietors said that contact with families and friends is seen as an important aspect of the service user’s quality of life; however as part of care planning, appropriate contact will be assessed, and agreed with the service user and all parties involved in the service user’s care. Service users spoken to said that they are able to make their own choices on how they spend their time within the home and generally in outside activities/events they wish to be involved in; evidence gained from discussion with service users clearly demonstrated that choices and lifestyle are respected. Service users also commented that they are involved in the choice of menu devised at the home and that there is an alternative choice at each mealtime; the staff said that service users are encouraged to be involved in menu planning, with the emphasis given to encouraging a ‘healthy eating’ diet. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 12 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 standard(s) This section not assessed during this Inspection. EVIDENCE: Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 13 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 standard(s) This section not assessed during this Inspection. EVIDENCE: Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 14 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 standard(s) 24,25,26,27,28 & 30 Service users benefit from living in an environment, which is homely, clean and well maintained and one in which they can freely access all the communal areas, their own bedroom and the garden. EVIDENCE: Within the home there are two separate lounges (one lounge is designated as a ‘smoking lounge’) and a dining room adjacent to the kitchen area; service users were seen to be using the communal areas of the home during the Inspection and commented that they are able to ‘come and go’ as they choose within the home, having access to all the communal areas as well as their own bedroom. On touring the home it was noted to be comfortably furnished and well maintained, offering a clean and homely environment. Service users bedrooms were noted to particularly offer very individual accommodation; the service user having been encouraged to make their own room very much their own personal space, with the arrangement of furniture and personal items within the room to suit the service user’s own choice and preference. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 15 Service users commented that they are free to access their own room at anytime and that their privacy is respected. One service user confirmed that she had been given a key to her own bedroom. Another service user on recently moving into the home, commented that she had been able to bring many of her own personal possessions with her. Within the home there are 4 single bedrooms and 2 shared rooms; currently it has been agreed by the Proprietors for one of the shared rooms to be occupied as single accommodation for the benefit of the service user occupying this room. The home has a shower room (with toilet facility) on the ground floor and a bathroom (with toilet facility) on the upper floor. To the rear of the property there is a well maintained garden, with garden furniture; this is an area, as noted during the Inspection, that is well used by the service users during the warmer months of the year. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 &36 Service users benefit from being supported by staff whom have a clear understanding of their roles and responsibilities and receive clear guidance and support. EVIDENCE: As Mr & Mrs Ramburuth are very much involved in the home on a daily basis, they work closely with the staff team employed; in discussion with the Proprietors and staff on duty, it was evident that staff have a clear understanding of their roles and responsibilities within the home and are well supported in their roles by the Proprietors. A newly recruited member of staff spoken to during the Inspection, commented that they had been well supported on commencing employment within the home, have followed an ‘Induction training’ period, with much guidance having been given in the day to day life of the home and the support required by service users. It was confirmed by staff that when the Proprietors are not on duty at the home, they are always contactable should the need arise; this was demonstrated during this Inspection, with the Proprietors arriving at the home shortly after being contacted by a member of staff on duty. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 & 40 Service users are safeguarded by clear leadership and strong management and by staff whom are well supported in their roles; however a Recommendation has been made for the newly devised ‘Quality Assurance’ system to be fully implemented. EVIDENCE: The Proprietors have many years experience of working with people with a mental health condition; one of the Proprietor’s, in addition to managing the home, is currently working in outside employment in the area of mental health. In discussion with the Proprietors and staff it was evident that there is a strong commitment to ensure that each person cared for at the home is respected as an individual, with their care needs clearly identified. The close working between the Proprietors and the staff has focused on clear communication with the staff team, so as to ensure that there is good understanding of individual care needs and consistency in practice. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 18 Staff confirmed that the Proprietors are always contactable, when not at the home, to offer advice and guidance as necessary. In discussion with the Proprietors it is evident that there is commitment to ensure that they keep abreast of up to date practice, through training courses, periodicals (relating to the client group) and meeting with other Professionals; Mr Ramburuth is currently studying for the ‘Registered Manager’s Award’. A recent focus for the Proprietors has been to review and develop the home’s written policies and procedures; a selection of policies and procedures were seen during the Inspection and it is acknowledged that this has been an area that has been given much attention, to ensure that written guidance for staff in a broad area of practice is available within the home. A focus has also been given to developing ‘Quality Assurance’ systems within the home; a Questionnaire has now been devised and is planned to be given to all service users, requesting their feedback on the service provided. It is acknowledged that this process has begun, with one completed questionnaire seen during this Inspection; however as discussed with the Proprietors a Recommendation is made for this process to continue for all service users (this to be followed up at the next Inspection of the home). In discussion with service users it was commented that they felt they are able to approach staff and that their views are respected. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 19 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 x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 x x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Castle View House Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 x x x H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 20 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. 1. 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 39 Good Practice Recommendations It is Recommended that the Quality Assurance system be fully implemented, so as to gain feedback from all those using the service. Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent, 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. Extracts may not be used or reproduced without the express permission of CSCI Castle View House H56-H06 S29021 Castle View V234699 290605 Stage 4.doc Version 1.40 Page 22 - 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!