Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 26/09/05 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 26th September 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.

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

There is a very homely environment and atmosphere, and residents spoken to were generally happy with their own personal bedrooms. Some residents were hopeful of having a single room but were aware that this might not be possible until the new home is built. The home has a new activities coordinator and she is working hard to organise activities related to the wishes and abilities of all the residents. Those residents spoken to were pleased with the amount of activities that were currently on offer. There is a new activities room and clubroom and artwork was displayed throughout the home. The coordinator is trying to include all residents; those who do not wish to be included in group activities are having one-to-one time with her. The staff group is committed to providing the best quality care to the residents, and residents confirmed that staff were "really helpful and caring". Many of the residents are self-caring and staff ensure that their independence is maintained for as long as possible. This was evidenced in the residents` care records. The building is old and does not meet the spatial standards required. However, every effort is made to keep the building well decorated and clean.

What has improved since the last inspection?

The resident`s care records have been improved and they are now all reviewed on a monthly basis. Each resident has new documentation and admission details are much more comprehensive. Residents` wishes concerning terminal care are now noted on their records, and if the resident does not wish to make final arrangements this is noted on the records. Some redecoration has taken place. The fire officer was contacted on 17th May 2005 following the last inspection in relation to the storage of wheelchairs and the inspector had sight of the letter confirming that wheelchairs could be stored safely under the staircase.

What the care home could do better:

Staff spoken to were anxious about the move to a new home in 2007. They felt that communication in relation to the move could be improved to allay their fears about future employment. The inspector feels that staff need to be monitored and further supported in the writing of residents` records; to be fair most records were clearly written but there needs to be monitoring of records by the care leaders to ensure consistency. The manager feels that, overall, communication could be improved and she will be looking at how this can be achieved.

CARE HOMES FOR OLDER PEOPLE Castle View Residential Home Spring Street Chipping Norton Oxfordshire OX7 5LU Lead Inspector Carole Moore Announced Inspection 26th September 2005 09:30 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.V252486.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 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.V252486.R01.S.doc Version 5.0 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 The Orders Of St John Care Trust Mrs Sally Theresa Lyon 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.V252486.R01.S.doc Version 5.0 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. 10th March 2005 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 sometime in 2007. Castle View Residential Home DS0000039225.V252486.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 and took place on Monday 26th September 2005. The inspector was made to feel very welcome by both staff and residents and was appreciative of the full co-operation of all the staff that were on duty that day. The inspector toured the building looking at most of the communal areas, the laundry, the kitchen and some bedrooms, accompanied by the resident. A majority of time was spent talking to residents and individual time was spent talking with staff who were on duty that day, the senior care leader and the manager. Three residents’ records of care and three staff records were looked at in detail, as well as paperwork relating to the health and safety of the home. The senior care leader was observed carrying out the lunchtime medication round and the inspector joined the residents for lunch. Castle View is currently operating a different management structure as the current manager is managing two homes. This necessitates the home being managed by a new head of care in the registered manager’s absence. The inspector was unable to meet the new head of care as she was occupied on a training course. Very favourable comments have been received from relatives and friends, for example ”Mum is very happy here”, “Absolutely no complaints.” The pre-inspection information was not returned to the Commission for Social Care Inspection in time to allow the inspector to send survey forms to visiting professionals to the home and for these to be returned to the Commission prior to the inspection being carried out. Any feedback that has been received will be followed up with the manager and, if necessary, further assessed at the next inspection. What the service does well: There is a very homely environment and atmosphere, and residents spoken to were generally happy with their own personal bedrooms. Some residents were hopeful of having a single room but were aware that this might not be possible until the new home is built. The home has a new activities coordinator and she is working hard to organise activities related to the wishes and abilities of all the residents. Those Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 6 residents spoken to were pleased with the amount of activities that were currently on offer. There is a new activities room and clubroom and artwork was displayed throughout the home. The coordinator is trying to include all residents; those who do not wish to be included in group activities are having one-to-one time with her. The staff group is committed to providing the best quality care to the residents, and residents confirmed that staff were “really helpful and caring”. Many of the residents are self-caring and staff ensure that their independence is maintained for as long as possible. This was evidenced in the residents’ care records. The building is old and does not meet the spatial standards required. However, every effort is made to keep the building well decorated and clean. What has improved since the last inspection? What they could do better: Staff spoken to were anxious about the move to a new home in 2007. They felt that communication in relation to the move could be improved to allay their fears about future employment. The inspector feels that staff need to be monitored and further supported in the writing of residents’ records; to be fair most records were clearly written but there needs to be monitoring of records by the care leaders to ensure consistency. The manager feels that, overall, communication could be improved and she will be looking at how this can be achieved. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 7 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 Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 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.V252486.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 All prospective residents have an assessment of their care needs so that the home, the prospective resident and their families are clear that these needs can be met. EVIDENCE: The manager or care leader carries out the pre-admission assessments in order to ensure that Castle View can meet the resident’s overall needs. The resident is encouraged to visit the home for a day’s assessment with family or a representative, where they are able to meet staff and other residents. Hopefully this will then help to make the transfer to Castle View more pleasant and personal for the individual. Evidence of the assessments was seen in three residents’ records of care and they have been recently updated to provide more comprehensive information. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 10 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 & 10 The home meets the health, personal and social care needs of the residents, and staff respect the privacy and dignity of residents. There is a safe system of medicine administration within the home that is supported by clear policies and procedures. EVIDENCE: A sample of three new residents’ records of care were examined and each one had the care needs clearly identified and how these were being met. Regular reviews are now being clearly documented and the inspector observed care assistants completing the daily communication sheets before the end of their shift. The care leader then reads the information in readiness for the handover meeting in order to update the new care team coming on duty. The inspector observed this meeting at 2.00pm. Most of the care records were clearly written, but, in order to ensure consistency, it is recommended that the care leaders monitor the record keeping to maintain high standards. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 11 Residents spoken to felt they received excellent care and that all their care needs were being met. They also confirmed that they could see their GP at the home and an optician and chiropodist. This was further confirmed in the relatives’ feedback. The inspector examined the medicine administration system used in the home and found that all was in good order. Medication was stored tidily in a locked trolley and medicine records were found to be accurate. Some of the homes within the Orders of St John Care Trust have photographs of residents on their medication records and this does further aid safety in administering medication. The storage of controlled drugs was appropriate and staff are clear on the process and the requiring of two signatures. The returns register for unwanted drugs was not available on the day of the inspection as the manager explained that it was with the pharmacy. Residents confirmed that they were treated with respect and this was also observed during the inspection. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 12 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): 12, 13, 14 & 15 Residents are encouraged to join in social activities and to maintain contact with their family and friends. Residents enjoy a varied diet and choose whether they eat in their rooms or in the main dining area. EVIDENCE: The home welcomes all visitors, and there were families visiting on the day of the inspection. Residents have the choice of seeing their families in private or in any of the communal areas. There is a new activities coordinator and she is keen to meet with every resident to find out their specific interests and to enable them to either partake in planned activities or to have some one-to-one time with her. She has many interesting ideas to try out and currently she is encouraging the residents to create their own wish list. This is currently in its initial stage and it will be interesting to find out the outcome at my next visit. Activities include seated music and movement, bingo, art classes, card games and dominoes. A library visits the home once a month and the hairdresser twice a week. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 13 Castle View now has two rooms dedicated to specific activities, one of which is the “clubroom“ and this is mostly used for film shows. Residents spoken to were very happy with the choices available to them. They particularly enjoy the trips out and about in the community. A majority of the residents are self-caring and they told the inspector that they were able to exercise choice over how they spend their day. The inspector joined the residents for lunch and it was a pleasant, unhurried affair. Staff were seen sensitively attending to those residents who needed extra help or assistance. On the day of the inspection lunch was fish or tuna salad followed by treacle pudding. Residents informed the inspector that there was always an alternative meal if either choice of the day was not to their liking. The menus supplied to the inspector for the coming month showed a good selection of nutritious meals. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 14 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): 16,18 There is a clear complaints procedure and residents are protected from abuse. EVIDENCE: The home has had no complaints since the last inspection and the inspector had sight of the complaint log. Residents spoken to confirmed that they could always speak to the manager or another member of staff if they were unhappy with anything. Feedback from relatives also confirmed that they were all aware of the way to complain. Any areas of dissatisfaction can also be raised at the regular residents’ meetings and copies of the minutes of the last residents’ meeting were seen. The manager confirmed that all staff should have abuse training and that new staff have the introduction to the protection of vulnerable adults as part of their induction training. The new senior care leader has yet to attend this training. She has, however, received a copy of the Oxfordshire Multi-Agency Codes of Practice for the Prevention of Abuse. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 15 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): 19,26 Castle View does not meet the spatial environmental standards but it is safe, clean, homely, hygeinic and well maintained. EVIDENCE: Cleaning was underway throughout the inspection and everywhere was clean, tidy and pleasant smelling. The building is old and this is reflected in some areas, but the domestic team work hard to maintain standards. The home currently employs a handyman who maintains the building and surrounding gardens and this has worked well. The main corridors are looking “sad” but plans are currently in hand to redecorate these corridors and work is due to start shortly. The laundry was clean and orderly but staff were unhappy with only having one dryer. I understand this has been taken up with management and there are no plans to increase the drying capacity at this stage. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 16 The inspector tested the water temperatures at three locations and they were all within the acceptable range of temperature of 43 degrees centigrade. The kitchen fly screens were in poor shape and the manager has already put in a request for the immediate renewal of these screens. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 17 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): 27, 28, 29 & 30 On the day of the inspection there were sufficient trained staff to meet and protect the overall needs of the residents. EVIDENCE: The staffing rota was examined and showed there was sufficient staff on duty that day. There were five carers, one care leader, three domestics, one cook, one kitchen assistant, an activities coordinator and the manager on duty, which met the needs of the residents. Staff spoken to were clear about the training they had received and the manager has individual training files for all staff. She also has a system that identifies when staff require their mandatory training updated. The manager is encouraging staff to undergo NVQ training and it is hoped the home will achieve the recommended 50 of staff trained to NVQ Level 2 as soon as possible. Three new staff records were looked at to ensure that correct recruitment procedures had been followed and it was clear that the manager and her administrator operate a thorough procedure, thus ensuring the protection of her residents. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 18 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, 36 &38 The home is well managed and run in the best interests of the residents with their health and safety protected. The manager operates a good quality assurance system. EVIDENCE: The registered manager is competent and dedicated and has to be commended for completing her manager’s award earlier this year. The manager is supported well by the senior staff and this has allowed her to manage another home within the Orders of St John as well as Castle View. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 19 Formal supervision of staff takes place ensuring that all areas of their practice is monitored and that they have one-to-one time to discuss any issues. The staff interviewed that day confirmed this. Staff, however, were feeling anxious about the move to a new home and felt that improved communication from the Orders of St John could be improved to allay any fears about their future employment. Evidence was seen of regular staff training in safe practices, such as moving and handling, food hygiene, fire safety, first aid and safe medication administration. There is six-monthly self monitoring by the manager involving residents, their families and the staff and this is sent to the Orders of St John Trust to inform them of the home’s quality assurance process. The outcomes of this quality assurance could be forwarded to the Commission for Social Care Inspection. The central heating systems, lift, call systems, appliance testing, storage tanks, fire and lighting tests are all maintained under service contracts and the supporting documentation was examined and found to be up to date. Castle View Residential Home DS0000039225.V252486.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 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 3 17 x 18 3 3 X x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x 3 x 3 Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 21 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. 1 2 Refer to Standard OP77 OP3232 Good Practice Recommendations It is recommended that monitoring of the daily communication sheets take place to ensure consistency. It is recommended that communication be more open in relation to the move to new premises and that staff are kept fully informed. Castle View Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Residential Home DS0000039225.V252486.R01.S.doc Version 5.0 Page 23 - 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!