Inspection on 13/02/06 for Castleford Home for the Elderly

This inspection was carried out on 13th February 2006.

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

Castleford Home for the Elderly 27/08/07

Castleford Home for the Elderly 05/03/07

Castleford Home for the Elderly 12/09/05

Castleford Home for the Elderly 24/01/05

Castleford Home for the Elderly 09/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Castleford Home for the Elderly Queens Road Clitheroe Lancashire BB7 1AR Lead Inspector Mrs Christine Mulcahy Unannounced Inspection 13th February 2006 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 Castleford Home for the Elderly DS0000035278.V273095.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. Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Castleford Home for the Elderly Address Queens Road Clitheroe Lancashire BB7 1AR 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) 01200 426355 01772 562304 Lancashire County Care Services Mrs Pamela Seed Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (6), Physical disability of places over 65 years of age (6) Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Within the overall total of 30, a maximum of 6 service users requiring personal care who fall into the category of PD(E) Within the overall total of 30, a maximum of 6 service users requiring personal care who fall into the category of PD. No more than 6 people who fall within the categories of PD/PD(E) to be accommodated at any one time. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the CSCI. 12th September 2005 Date of last inspection Brief Description of the Service: Castleford HFE is registered with the Commission for Social Care to provide personal care and accommodation to thirty older people. The home is located on Queens Road and is close to local shops, a supermarket, train station and other amenities in the town centre of Clitheroe. The home is situated on a main bus route that offers transport to all towns in the Ribble Valley area. Within the overall total there are 24 service users aged 65 years or over and 6 service users aged 65 years or over who have a physical disability. All require personal care. The service operates a rehabilitation unit for 6 service users. This unit is separately staffed and service users were making use of this facility. Bedrooms were located on the ground floor and first floor of the building. At the time of the inspection extensive building work and refurbishment of the home was nearing completion. It is intended that the home will continue to provide personal care and accommodation for up to 45 older people in 4 separate units. It is also intended for the home to have a number of assisted bathrooms, shower rooms and communal toilets for the service users. Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second in the inspection year and took place over one day on Monday 13th February 2006. The service was inspected against the National Minimum Standards for Older People. Case tracking of service users also took place along with the rooms they occupy in the home. Observations were made of the care provided and the service users were invited to have a discussion with the inspector to discuss their experiences of life in the home. The inspection spoke to 3 service users, 2 care staff, 1 relative and the registered manager. Breaches in regulations and standards that pose an immediate risk to service users have been highlighted for urgent action. What the service does well: What has improved since the last inspection? A tour of the building confirmed the home’s extensive refurbishment and building programme was nearing completion. Health and safety requirements made at the previous inspection had been addressed satisfactorily. Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 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. Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 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 Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 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): OP 1, 3, 6 Not all service users were provided with a statement of purpose. Service users are admitted following a full assessment. Dedicated facilities and staff are provided for intermediate care. EVIDENCE: Service users admitted to the intermediate care unit had not been provided with a copy of the homes statement of purpose or service user guide. The registered manager was required to ensure that all service users have the information they need to make an informed choice about where to live in the short term and long term. Service users should be provided with both documents to enable this. These documents must include information specific to the rehabilitation unit and a written statement of terms and conditions. Case tracking confirmed that service users admitted to the home and intermediate care unit were admitted only on the basis of a care management assessment. Assessments examined covered areas such as personal care, physical wellbeing, history of falls, continence, medication, and personal safety Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 9 and risk. Service users had a plan of care for daily living and longer-term outcomes based on the care management assessment. Case tracking confirmed that service users admitted for intermediate care were provided with specialised facilities, equipment and staff to deliver short term intensive rehabilitation and enable service users to return home. Staff were qualified and trained and appropriately supervised to use techniques for rehabilitation including treatment and recovery programmes, promotion of mobility, continence and self-care. Specialist services from occupational and physiotherapists were provided in sufficient numbers and were competent to meet the needs of service users. Castleford Home for the Elderly DS0000035278.V273095.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): OP 7, 9 Service user health care needs were identified and met through care plans. The control of medication was well-managed promoting good health. EVIDENCE: Case tracking of a residential service user showed the care plan had been drawn up from the initial service user assessment. The plan addressed areas of care and detailed the care to be given. Choices in day-to-day living, assistance, dietary needs, intellectual cultural needs, interests hobbies, background, life history, and lifestyle choices enabled staff to meet service users needs better. The care plan also contained a service user personal profile and reason for admission to the home that included a medical history, known allergies and last wishes. It also highlighted individual use of specialist equipment to ensure service user safety and comfort in the home and a falls risk assessment was included in each care plan. The care plan examined was recently reviewed and care plan review sheets had been completed and signed by staff. Case tracking of an intermediate care service user confirmed that the care management assessment was used to form the basis of the plan of care. Physiotherapists and occupational therapists completed a detailed record summary sheet. A checklist that looked at specific areas of personal care had been maintained to ensure all areas of service user need were met and risk Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 11 assessments formed part of this. Service users had signed to agree who would handle their medication and medication administration sheets were completed accurately along with other records. When asked one service user commented positively on the care received and said, “The staff give love and care and listen to you”. Another service user said, “I’ve been here for 11 years and I’ve seen a lot of changes. I’m very comfortable and the staff are very helpful”. There was a medication policy and procedure at the home. Written guidance was available for staff to follow when administering medication. Policies and procedures examined ensured service user safety. All medicines were stored securely ensuring service users were kept safe from harm. Medication Record Sheets were completed accurately. All care staff had undergone training in the safe handling of medicines and a care staff was observed competently administering medication to service users. Castleford Home for the Elderly DS0000035278.V273095.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): OP 12, 13, 14, 15 Daily routines were flexible and varied. Visiting times were flexible. Service user autonomy and choice were maximised. Meals were varied and nutritious. EVIDENCE: Case tracking and discussions with service users confirmed that routines and daily living were mostly based on service user wishes. This information was highlighted in care plans. Past interests, hobbies, present needs and wishes were also included in care plans. One service user mentioned that he attends the British Legion each Thursday evening to play bingo. When asked one service user confirmed they had regular contact with their relatives and visiting times were flexible. The registered manager confirmed this was the case for most of the service users. She also stated that service users regularly enjoyed entertainers coming to the home and service user interaction was encouraged. She said the home had access to a mini bus that was used to transport service users to places of interest and visits to the countryside. The inspector examined a record of activities provided at the home that named service users who took part in the activities such as listening to music, playing bingo, drafts, dominoes or involved in gentle exercise. Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 13 Six service users were supported to make decisions about their lives and the running of the home through regular monthly service user meetings. The inspector examined notes from a recent service user meeting that discussed the recent refurbishment, staff changes and the results of the service user survey. On the day of the inspection the meal served was steak and kidney pie with seasonal vegetables. The meal was well presented and service users were given ample portions. Service users were seen eating their meal in the relaxed environment of the conservatory dining room and the inspector discreetly witnessed staff assisting service users in eating. Castleford Home for the Elderly DS0000035278.V273095.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): OP 16, 17 The homes clear and effective complaints procedure included the stages and timescales for the process. Service users knew who to complain to. Procedures to protect service users from abuse were in place. EVIDENCE: There was a simple clear and accessible complaints procedure. A copy of this had been given to all service users at Castleford. When asked service users said that they knew whom to complain to. The registered manager and staff confirmed they always listened to and acted on the views and concerns of service users and others and where possible issues were dealt with before they became complaints. The inspector examined the homes record of complaints and noted that no complaints had been made since the last inspection. One service user on the intermediate care unit made a positive comment about the service prior to her discharge home. “What a wonderful place this is. Staff are superb and very obliging”. There was a robust procedure for responding to suspicions or evidence of abuse or neglect (including whistle-blowing) that ensured the safety and protection of service users. Castleford Home for the Elderly DS0000035278.V273095.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): This section was not assessed at this inspection. EVIDENCE: Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 16 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): OP 28 Appropriate staff assisted Service users at all times. EVIDENCE: When asked one care assistant confirmed that she felt supported by the management team at Castleford. “ I’m doing my Level 2 NVQ in care presently. I’ve also done the safe handling of medicines training as well as moving and handling and food hygiene. I will soon be updating my 1st Aid certificate.” She then went on to explain how much she enjoyed her job and enjoyed working with older people. “I really like it here, the residents are lovely and the management are very encouraging about training and development”. Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 17 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): OP 33, 35 The homes annual development plan ensures the home is run in the best interest of the service users. Service users financial interests are safeguarded. EVIDENCE: The home is continuously monitored through an annual service user survey. The results of the survey are published and made available with the homes Service User Guide. Feedback is actively sought form service users through a service user questionnaire. Where possible these responses are acted on immediately to ensure the service is run to meet service user needs. Policies and procedures were in place to ensure where possible service users or their relatives control their own money. Cases tracking confirmed written records of all financial transactions were maintained. Secure facilities were provided for the safekeeping of money and valuables on behalf of the service user. Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 18 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 2 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 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 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 19 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 OP1 Regulation Requirement Timescale for action 01/05/06 Regulation The registered manager must 4 ensure that service users who are admitted to the intermediate care unit are provided with a copy of the homes statement of purpose and service user guide. These documents must include information specific to the intermediate care unit and a written statement of terms and conditions. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 Castleford Home for the Elderly DS0000035278.V273095.R01.S.doc Version 5.0 Page 21 - 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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