CARE HOMES FOR OLDER PEOPLE
Castle View Residential Home Spring Street Chipping Norton Oxfordshire OX7 5LU Lead Inspector
Carole Moore Unannounced Inspection 30th December 2005 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.V275346.R01.S.doc Version 5.1 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.V275346.R01.S.doc Version 5.1 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 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.V275346.R01.S.doc Version 5.1 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. 26th September 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.V275346.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out during the morning of Friday, 30th December 2005. The inspector was made to feel very welcome by both staff and residents and, bearing in mind the festive time of the year, was very appreciative of the co-operation of all the staff that were on duty at this time. The inspector toured the building, looking at most of the communal areas, toilets and bathrooms and some of the bedrooms with the permission of the residents. The inspector met the new manager in training and spent some time with her discussing her proposals for some changes that she will be making. Most of the time was spent talking to residents and some relatives, as well as individual time being spent with the staff that were on duty on that day. At the announced inspection carried out in September 2005, feedback was received from a variety of professionals after the inspection was carried out, and the inspector therefore contacted those professionals before this unannounced inspection to gather further feedback. This feedback was then shared with the new manager. A majority of the key standards were assessed and met at the announced inspection in September 2005, therefore only a few standards needed to be assessed at this inspection. What the service does well: What has improved since the last inspection?
Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 6 Redecoration has occurred in some areas of the home. There is regular monitoring of the daily communication sheets and this has improved the overall writing within the care notes. There is improved communication and working practices with the district nursing team. The activities co-ordinator has been able to give emotional support to residents, alongside her planning of both group and one-to-one activities. 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 Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 7 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.V275346.R01.S.doc Version 5.1 Page 8 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): Key standard 3 was assessed and met at the announced inspection in September 2005 and key standard 6 is not applicable to Castle View. EVIDENCE: Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 Residents are assured that, at the time of their death, staff will treat them and their family with care, sensitivity and respect. EVIDENCE: Staff interviewed confirmed that the residents’ wishes concerning terminal care and arrangements after death are discussed and carried out. Residents’ families are supported throughout the process. Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All key standards were assessed and met at the announced inspection in September 2005. EVIDENCE: Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 11 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): 17 Residents have their legal rights protected. EVIDENCE: All residents have access to television, radio and newspapers. Residents have the choice of voting at a polling station or using a postal vote. The manager confirmed that she would arrange postal voting forms for those residents who request one. Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23 & 25 Residents live in a safe and homely environment with sufficient toilets, bathing facilities and specialist equipment to meet their needs. In order to maintain the environment a new handyman needs to be employed. Some residents are not entirely happy with their rooms. EVIDENCE: As the last inspection reports indicate, Castle View does not meet the spatial standards and a new home is to be built in 2007. This is some time away and the home does need to be maintained and decorated in the interim period. The handyman who used to be responsible for day-to-day repairs and ensuring maintenance issues were dealt with promptly has retired, leaving the home without this valuable post and this does need to be addressed as soon as possible.
Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 13 The main corridors have been decorated but there are still parts of the home which look ‘sad’. In the dining room the lace tablecloths have seen better days and could do with replacing. The inspector saw several private rooms and asked residents about their accommodation. One resident who currently shares a bedroom was not entirely happy with the lack of space and lack of privacy. Aids such as a passenger lift and assisted baths and toilets are provided and residents can use wheelchairs to enable them to have access to all the communal areas of the home. The toilets are near the communal areas and near residents’ bedrooms. Some of the toilets need to be checked for more thorough cleaning. Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 14 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 There are sufficient numbers and skill mix of staff on duty to meet the needs of the residents. EVIDENCE: On the day of the inspection there were five carers on duty, a care leader and the manager and this appeared sufficient to meet the needs of the residents. Additional staff are on duty at peak times during the day. The inspector spoke with three carers who were happy working at Castle View and who felt that the training provided equipped them with the necessary skills to care for their residents. Residents spoke highly of the overall care they received from staff and had nothing but praise for their sensitivity and helpfulness. Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 15 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 & 35 The home is well managed and there are clear lines of accountability. EVIDENCE: The home has a new manager in training and she is currently undergoing the registration process with the Commission for Social Care Inspection. She has worked at Castle View for many years and has a good overall knowledge of her residents and their needs. She will also be undertaking the Managers’ Award and therefore a score of 2 can only be awarded for this standard. During her training period she will have the additional support of the former manager, as well as support from her immediate line manager. Key standard 35 will be assessed at the next inspection as the administrator was on leave at the time. However, the manager assured the inspector that residents’ finances are safeguarded by the systems they have in place.
Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 16 The health and safety of residents was assessed and met at the announced inspection in September 2005 but at this inspection a majority of the bedroom doors were left open. The inspector has asked the manager to consult with the fire officer as to the safety of the residents when their doors are left open, and to ask the fire officer for a written statement in respect of their overall safety and to forward a copy of that letter to the Commission for Social Care Inspection. Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 17 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 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 3 X 3 3 X 3 X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 2 Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 18 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 OP38 Regulation 23 Requirement The Commission for Social Care Inspection would like notification from the fire officer that the bedroom doors can be left open during the day Timescale for action 01/03/06 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 OP24 OP26 Good Practice Recommendations It is recommended that new tablecloths be acquired for the dining room. It is recommended that more vigilant cleaning takes place in the bathrooms/toilets. Castle View Residential Home DS0000039225.V275346.R01.S.doc Version 5.1 Page 19 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
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