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Inspection on 18/01/07 for Castle View Residential Home

Also see our care home review for Castle View Residential Home for more information

This inspection was carried out on 18th January 2007.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Castle view provides a warm, welcoming environment. Residents are able to choose where and how they spend their time during the day. The home has a flexible visiting policy and welcome family, friends and any other visitors to the home. Relatives and friends are encouraged to visit and are made to feel welcome. Bedrooms are all single occupancy offering service users privacy. At the time of the inspection staff were co-operative, polite and interaction between staff and residents was noted as kind and caring. This was reinforced through residents` comments. The home has good relationships with the district nurses and visiting general practitioners and those professionals who fed into the inspection process all gave positive feedback.

What has improved since the last inspection?

Since the last inspection the home has employed a full time administrator and is in the process of employing new staff members and awaiting the necessary employment checks, prior to their beginning work at the home. All bedrooms are now single occupancy giving those who were in shared accommodation more space and privacy. Discussions around the issue of dignity and respect found during the last inspection, were addressed immediately after the inspection and dealt with appropriately. Whilst inspecting on this occasion, staff were seen to respect service users and their right to privacy was upheld at all times. Discussions with staff members verified that staff were adhering to the homes policies and procedures and were mindful of ensuring privacy and dignity at all times. Service users, spoken to during the inspection, verified this and said staff in this home were very caring and respectful to them. The dining room carpet has been replaced, and redecoration is planned to take place upstairs the week following this inspection, both of which add to the service users comfort and upkeep of their surroundings. All staff personnel files viewed during this inspection now contain a recent photograph and service users files were found to contain risk assessments, reviews of care were being undertaken regularly and care plans updated appropriately providing staff with clear information as to the management of the assessed needs. During the inspection undertaken in May 2006, it was acknowledged that the home had recently taken in a cat, for which no risk assessments had been undertaken and resident`s permission to house the cat had not been sought. Consultations have since been undertaken to seek the resident`s views and wishes and from the findings, the cat has now been rehoused to more suitable conditions.

What the care home could do better:

As was recommended in the last report, the inspection having been undertaken in May 2006, any complaints should record the actions taken and the outcomes. Whilst the home does have a complaints log which records details of the complaint the evidence highlighted they do not always record the actions taken and the outcomes of the investigation and do not always follow the homes policy, namely that of responding to the complainant in writing, acknowledging what action had been taken. It is recommended that registered manager address these shortcomings.

CARE HOMES FOR OLDER PEOPLE Castle View Residential Home Spring Street Chipping Norton Oxfordshire OX7 5LU Lead Inspector Jane Handscombe Unannounced Inspection 31st January 2007 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 Residential Home DS0000039225.V322618.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 Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castle View Residential Home Address Spring Street Chipping Norton Oxfordshire OX7 5LU 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) 01608 642364 01608 645679 manager.castleview@osjctoxon.co.uk www.oxfordshire.gov.uk The Orders Of St John Care Trust Vivienne Smith Care Home 47 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (47), of places Physical disability over 65 years of age (4) Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The total number of persons that may be accommodated at any one time must not exceed 47. The continued registration of this service past April 2007 is dependent upon the physical environment meeting standards. 16th May 2006 Date of last inspection Brief Description of the Service: Castle View is a care home for older people within close proximity to the centre of the market town of Chipping Norton. The home itself was built in the early 1970s and, as such, the design was dictated by the principles of that time. As a result the building appears dated with small rooms, double rooms and a lack of en-suite facilities being notable. The home is owned and managed by The Orders Of St John Care Trust, which is a large charitable organisation that also runs a number of homes in Wiltshire and Lincolnshire. The home no longer meets the current spatial standards as set out in the Care Homes Regulations and a new home is to be built in another part of the town to address these issues. It is anticipated that the move to new premises will take place some time in 2007. The weekly charges for this service range from £491.00 to £596.00. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced ‘Key Inspection’ which was undertaken on 18th January 2007. The inspection involved one inspector, which took place over eight hours. It was a thorough look at how well the service is doing. It took into account detailed information provided by the registered provider, and any information that CSCI has received about the service since the last inspection. The inspector asked the views of the people who use the services, staff members and other people seen during the inspection or who responded to questionnaires that the Commission had sent out. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Comments received from residents during the inspection process included: ‘I’ve got a beautiful room, I did share but now it’s just me’ ‘They look after us well - they are very good, the night staff are very good too’ ‘I go to residents meetings, we had one the other day but not many were there’’ ‘They want me to go on a committee, which addresses health and safety issues around the home’ ‘‘My room is very nice - my children brought my belongings so I have my own things around me’ ‘I’m happy, the staff treat me well’ Comments received from staff include: ‘ I was shadowing and am now working on my own. You can ask the care leaders anything and they are happy to help.’ ‘We have lots of training.’ ‘we all work together as a team.’ Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 6 ‘I do get support, everyone is welcoming and friendly. I feel comfortable with the manager. The inspector would like to thank the residents, their families, staff members and other health professionals for their time and assistance during this inspection What the service does well: What has improved since the last inspection? Since the last inspection the home has employed a full time administrator and is in the process of employing new staff members and awaiting the necessary employment checks, prior to their beginning work at the home. All bedrooms are now single occupancy giving those who were in shared accommodation more space and privacy. Discussions around the issue of dignity and respect found during the last inspection, were addressed immediately after the inspection and dealt with appropriately. Whilst inspecting on this occasion, staff were seen to respect service users and their right to privacy was upheld at all times. Discussions with staff members verified that staff were adhering to the homes policies and procedures and were mindful of ensuring privacy and dignity at all times. Service users, spoken to during the inspection, verified this and said staff in this home were very caring and respectful to them. The dining room carpet has been replaced, and redecoration is planned to take place upstairs the week following this inspection, both of which add to the service users comfort and upkeep of their surroundings. All staff personnel files viewed during this inspection now contain a recent photograph and service users files were found to contain risk assessments, reviews of care were being undertaken regularly and care plans updated Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 7 appropriately providing staff with clear information as to the management of the assessed needs. During the inspection undertaken in May 2006, it was acknowledged that the home had recently taken in a cat, for which no risk assessments had been undertaken and resident’s permission to house the cat had not been sought. Consultations have since been undertaken to seek the resident’s views and wishes and from the findings, the cat has now been rehoused to more suitable conditions. 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. The summary of this inspection report can be made available in other formats on request. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 8 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 Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 (Standard 6 is not applicable to this home) Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. All prospective service users undergo an assessment of needs and have an opportunity to visit and assess the facilities and suitability prior to being offered a place at Castle View EVIDENCE: Prior to being offered a place at Castle View prospective users of the service undergo an initial assessment of needs to ensure both parties are confident that the home can meet those assessed needs. The prospective service user is invited to spend a day at the home where they can meet with fellow service users and staff members, experiencing a day in the home to enable them to make an informed choice when deciding upon a home suitable for their needs. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 10 In situations where prospective residents are unable to have an assessment in the home, the manager and an experienced senior carer visit the person in the hospital or their own surroundings and undertake an initial assessment and encourage the person to visit the home and spend day prior to moving in. Where a prospective resident is referred via Social Services and have undergone an assessment by their care manager, the manager of the home ensures to undertake her own assessment to ensure the home can meet those needs. From the evidence seen by the inspector and comments received, the inspector considers that this service is able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 11 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. 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. All service users have an individual plan of care drawn up from an assessment of needs, including manual handling and risk assessments. Service users are able to maintain responsibility for their own medication where appropriate. EVIDENCE: All service users have an individualised plan of care, which is drawn up from an initial assessment of needs, detailing the action which need to be taken to ensure that the service users health, personal and social care needs are met. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 12 Of the care plans viewed, there was no evidence that residents nutritional status had been assessed on admission and regularly reviewed, using a recognised assessment tool: the Malnutrition Universal Screening Tool (MUST) is recommended. Care plans are reviewed regularly with the involvement of the service user and/or family members and updated to reflect any changing needs that may have arisen. The home has good working relationships with the local Gp’s and community health services and accesses them when appropriate. Service users are able to maintain responsibility for their own medication if they require, within a risk management framework and are provided with suitable lockable facilities in which to store their medication. The inspector case tracked three service users, part of which involved looking at their medication records and the homes procedures. Whilst accompanying a staff member on the medication round, it was apparent that the homes policies and procedures for the recording, storing, handling and administration of medication were adhered to and serve to protect the service users. Discussions with care staff evidenced that they were knowledgeable on privacy and dignity issues and this was evident throughout the inspection. Staff were observed to respect the residents’ right to privacy, dignity and independence and were seen to knock on residents bedroom doors and bathrooms before entering whilst addressing residents by their preferred names. Discussions with service users verified that they feel they are treated with respect and their right to privacy is upheld. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides a variety of leisure and social activities, of which residents are encouraged to take part in if they wish. The activities and meals offered at the home are well managed, providing daily variation and interests for those living in the home. Service users are supported to maintain contact with family, friends and the wider community and visitors are welcomed at any reasonable time. EVIDENCE: The home employs an activities co-ordinator for 20 hours a week who delivers daily activities to the service users both in groups and on a one to one basis so as to meet everybody’s individual needs and preferences. The daily programme of activities is displayed on notice boards within the home, informing residents of what is available throughout the week, and care staff inform residents on a daily basis of the activities for that day. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 14 Activities include art and crafts, bingo, quizzes, a number of games, shopping trips and outside entertainers are sought to provide entertainment. The activities programme and the subject of meals offered at the home are regularly reviewed and discussed with residents at the residents meetings in order to ascertain their views and preferences. The manager informed the inspector that the activities co-ordinator and herself have been in communication with an organisation whose expertise lays around activities to seek their advice and input around more structured activities that the home could provide. Joint working with this organisation continues and service users views are to be sought as to their views on more structured activities and what they would like to see offered. On the day of the inspection, the inspector was unable to take lunch with the residents but joined residents at teatime, who were provided with a choice of cheese and potato pie or assorted sandwiches, followed by a choice of cake, yoghurt or fruit. The mealtime was unhurried and staff were on hand to help those who required. Specialist diets are catered for where the need arises. Feedback from residents around the meals provided was positive. Meals are taken in the dining room, however as one resident explained, if one preferred to take their meal in their own room, they were able to do so. The manager explained that the cook monitors the choice of food on a daily basis gaining residents views and ideas and that an audit of the catering service was undertaken twice a year, the last one being held in October 2006. The inspector toured the kitchen, which was found to be in good order and food was stored safely and appropriately. A previous inspection undertaken by environmental health had recommended that dried foods be stored in lidded containers, this was seen to have been actioned. Residents are able to receive visitors at any reasonable time, and are able to entertain them in their own bedrooms or in the communal lounges. Service users verified that staff always make visitors feel welcome. Residents are supported to exercise choice and have control over their lives. Those residents who are able to are encouraged to handle their own financial affairs. The home makes residents aware that they are able to bring in small items of furniture and personal belongings if they wish to. They are also made aware that they can have access to their care records. An advocate from Age Concern regularly visits the home providing an independent advocacy service for those who require, details of which are posted on notice boards within the home. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All service users are provided with a copy of the complaints procedure and feel confident in making a complaint if the need arose. Procedures are in place to safeguard service users from abuse. EVIDENCE: All service users are provided with a copy of the complaints procedure within their service users guide. A copy of the procedure is also accessible to families and visitors and is posted on the notice boards within the home. Discussions with service users informed the inspector that if the need arose, they felt confident in approaching the manager/carers and their complaint would be taken seriously and acted upon appropriately. No complainant has brought information to the commission concerning complaints and allegations in relation to the service. A number of complaints were made directly to the service which were seen to have been recorded within a complaints file all of which were dealt with in a timely manner. Whilst the records detailed the complaint they did not always, as recommended during the last inspection, record the actions taken and the outcomes of the investigation and did not always follow the homes policy, namely that of responding to the complainant in writing, acknowledging what Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 16 action had been taken. The manager acknowledged this shortcoming and assured the inspector that any further complaints would be addressed in accordance with the homes complaints procedure. The home is able to facilitate access to advocacy services for those who require and has details of independent advocacy service for those who require. An independent advocate from Age concern regularly visits the home. The home will access advocacy for those who require and details are placed upon notice boards within the home. The homes policies and procedures ensure to safeguard service users from abuse. Staff members spoken to during the inspection, were aware of the homes procedure concerning any allegation or suspicion of abuse and their responsibility to ‘whistle blow’ on any poor practice or concerns that come to their attention. Since the last annual inspection the Commission has received no such notification of any concerns, allegations or instances of abuse. The home had one instance, in which the manager undertook investigations and dealt with the matter appropriately. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All parts of the home are accessible to the service users, with the use of grab rails and a lift to facilitate mobility around the home. The inspector noted the home was clean and hygienic, and free from any unpleasant odours throughout. The home now provides service users with single occupancy bedrooms, none of which have en suite facilities, however there are 7 bathrooms and ample WC facilities (22 in total) for the number of service users. Hoists are provided for those who require. It was noted that an inspection by the Environmental Health Officer had been undertaken in October for which requirements and recommendations had been made. The manager confirmed that these had all been addressed. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s staffing levels appeared adequate to meet residents’ care needs. The home’s robust recruitment procedures ensure that residents are protected from the employment of unsuitable staff, although there was one instance in which it had not been followed appropriately. Staff receive the training necessary to ensure competency in meeting the residents’ needs. EVIDENCE: The recruitment of staff is thorough and a sample of staff files were viewed which showed that there are generally good systems in place. However, there was one instance in which only one reference had been sought for a member of staff who has been working for the home but recently changed to a new position. In instances such as this, the registered manager must ensure that the recruitment procedure is followed for all members of staff, regardless of whether they have been employed by the home in a different capacity or not. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 19 All members of staff undergo induction training, upon appointment to their posts, are provided with all mandatory training and are offered ongoing training which equips them to meet the assessed needs of the residents within the home. Staff members are encouraged to undertake the National Vocational Qualification (NVQ) in care. The inspector was informed that 5 members of staff are participating in training for the NVQ qualifications in care with a further 1 whose training has been interrupted due to the loss of an assessor. This carers training will continue once a further assessor has been accessed. Training for all staff since the last inspection includes; health and safety, infection control, moving and handling, dementia, fire safety with a further number of appointed staff undertaking training in medication, appointed person’s first aid, fire marshal. Future planned training includes awareness to abuse, death, dying and bereavement, pressure care and continence training. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 20 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. 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 atmosphere of the home is friendly and welcoming. The manager is approachable to service users and staff and offers clear guidance and support. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has achieved the Registered Manager’s Award (RMA) and NVQ level 4 in care, since the last inspection and undertakes training to keep her skills updated. The ethos of the home appears to be open and transparent. Regular residents and staff’s meetings take place, which are minuted and distributed. Staff receive regular supervision, both formally and informally and receive an annual appraisal of their work. Annual residents’ questionnaires are conducted, which the home finds useful and responds to in a positive way to enhance the service delivery. The inspector met with the administrator and discussed the management of the residents’ finances. The systems and records were examined and found to be in good order and provided a clear audit trail to safeguard the residents’ financial interests The home has a health and safety policy statement and provides training and equipment for staff. Safety checks relating to fire safety and infectious diseases are regularly carried out; the weekly fire panel checks were up to date and regular fire drills had taken place. During the inspection there was an incident in which the fire alarm was raised, Staff responded appropriately and followed the procedure appropriately. The CSCI is notified under Regulation 37 of The Care Homes Regulations 2001 of any occurrence affecting the welfare of service users, and the manager and staff showed awareness of what events need reporting. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 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 2 17 X 18 3 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP29 Regulation 19 and Schedule 2 Requirement The registered manager must ensure that two written references are held on all staff personnel files. Timescale for action 28/02/07 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 2 Refer to Standard OP16 OP7 Good Practice Recommendations Complaints should record actions taken and outcomes of investigation and be responded to in accordance with the homes written policy. It is reccommended that the MUST tool is used to assess residents’ nutritional status on admission and regularly thereafter. Castle View Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: 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 © 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 Residential Home DS0000039225.V322618.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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