CARE HOMES FOR OLDER PEOPLE
Castleford Home for the Elderly Queens Road Clitheroe Lancashire BB7 1AR Lead Inspector
Mrs Jennifer Dunkeld Unannounced Inspection 29th August 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 Castleford Home for the Elderly DS0000035278.V343406.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. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 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 vacant post Care Home 45 Category(ies) of Dementia (23), Old age, not falling within any registration, with number other category (16), Physical disability (6) of places Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may provide the following categories of service only: Care home only - code PC, to people of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - code OP (maximum number of places: 16). Dementia - code DE (maximum number of places 23). Physical Disability - code PD (maximum number of places 6). The maximum number of people who can be accommodated is: 45. Date of last inspection 5th March 2007 Brief Description of the Service: Castleford HFE is part of Lancashire County Care Services and is registered with the CSCI to provide personal care and accommodation for up to 45 older people. There are 4 separate living units that have different functions and provide different levels of care. Building and refurbishment work has created a homely and cosy environment for service users to live in. A conservatory provides the residents with a spacious dining area. Many bedrooms are en suite and there are assisted bathrooms, shower rooms and toilets for residents throughout the home. The service operates a rehabilitation unit for 6 people and this is separately staffed. Castleford is located on Queens Road and is close to local shops, supermarkets, 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. Prospective residents receive a copy of the homes service user guide and have access to the Statement of Purpose. The RCO (Residential Care Officer) on duty at the time of the inspection stated that the current fees payable to live at Castleford were £332 to £374 depending on the degree of support required. The fee for people who are self funding is £392. People pay extra for daily newspapers, private chiropody, toiletries and individual personal items such as clothing. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for Older People introduced in April 2002. A selection of residents, their relatives and visiting health professionals were invited to take part in a written survey. A total of 7 completed surveys 5 from people living at Castleford, 1 from a relative of a resident and 1 from a visiting health professional were received. The surveys returned were generally praiseworthy about aspects of care at Castleford. Comments included: ‘All staff members are always pleased to help’ ‘I’m very happy here’ ‘The home attends to the residents every need’ ‘Efficient, friendly and competent staff’ However almost all of the surveys reflected there was a need for more staff on some units and more activities. Comments included; ‘There are not enough activities’ ‘A need for more staff and trips out and more recreation’ Every year the registered persons are asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of the service. We use this information, in part, to focus our inspection activity. This information included details of staff training, policies and procedures and how the management ensure people receive the support they need. The first day of the inspection was unannounced in that the management, staff and people living in the home did not know it was going to take place. This inspection was over 2 days commencing on 29/08/07. The total time spent in the home was 4.45-hours and various aspects of care were looked at. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 6 In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents. All records relating to these individuals are examined, along with the rooms they occupy in the home. Residents are invited to discuss their experiences of the home with the inspector; this is not to the exclusion of the other residents who contributed in many ways. This inspection included discussion with residents, staff, and the RCO on duty. This was in addition to viewing the home’s required written information such as the administration of medication records. The residents written plans of care were also viewed for 1 person residing on the rehabilitation unit and 2 people residing in the older persons unit. The plan of care is a document outlining the needs of the individual resident and how these are to be met. The plans of care cover all aspects of the individual’s life including health, personal care and social activities. The residents spoken with were generally content in the care they receive at Castleford. They spoke of the kindness of the staff, but commented that they ‘never stop, they work so hard’ The staff spoken with had a pleasant, professional attitude to their work and spoke respectfully about the people they care for. What the service does well: What has improved since the last inspection?
New Care Plans are being introduced. One of the 3 viewed as part of the case tracking process was of the new type. This was in-depth, clear to follow and had a summary for staff to view before offering support to the individual. The health and safety of the individual is incorporated into the care plan with risk assessments completed where appropriate.
Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 7 The patterned carpet in the dementia unit is being replaced with carpeting that is more suitable for people with dementia. The carpet is currently on order. As advised during the previous inspection all staff now receive formal supervision to ensure they ‘are aware of their roles, responsibilities and philosophy of the home.’ What they could do better:
When asking to look at the minutes of team meetings it was appeared that the Manager who has been in post for 4 months has not held a meeting with the other officers of the home nor the staff. However following the inspection the homes manager was able to supply a copy of the minutes of the Team meeting held on 23/5/07. The RCO stated that the manager had given her formal supervision. Team meetings offer the opportunity to share management’s vision and to listen to staff ideas and as such are a vital part of managing a service. According to the staff and the residents, the staffing level on some units do not meet the needs of the people who live there. The residential unit for older people has 2 staff on duty throughout the day to meet the needs of the 16 residents. The residents stated that the staff work hard and are constantly on the go. When asked, a resident stated that if wanting to go across the road to the supermarket to choose toiletries, the staff would not be able to take him as that would leave just one member of staff with the other 15 people. Residents also said ‘We don’t like to use the call bell as staff are so busy.’ The staff stated they are aware that ‘some residents don’t always ask for help as they are concerned that we are so busy.’ The home has had its registration increased ready for the opening of the new unit to care for up to 14 people. The planned staffing for the new unit in the daytime is 2 carers. The other unit for people with a dementia at Castleford is home to 9 people and has 2 staff in the daytime. The staff spoken with wonder how the same staffing level will meet the needs of an additional 6 people. The current nighttime staffing is one officer on sleep in duty with 2 carers on waking duty. Staff spoken with are concerned at the same staffing level caring for an additional 14 people. The provider will need to ensure the home is able to meet the needs of the 45 people who are housed in 4 separate units. Activities are limited and the restricted staffing levels do not help this, according to the staff and residents spoken with. There is a need to closely look at activities as limited recreational stimulation reduces the quality of life for the residents. Activities including leaving books or magazines on tables, and regular visits to places of interest would encourage more therapeutic activity amongst the residents. Enabling trips to the local
Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 8 supermarket/shops to make purchases of their choosing, for instance toiletries would enhance their choice and their community involvement. The homes medication administration process was observed and was being carried out appropriately. Medication is securely stored in the medication trolley. However medication that is discontinued and waiting return to the pharmacist is left under a table on the office floor and needs to be more securely stored. One of the care plans viewed as part of the tracking process, did not reflect all of the individuals needs. The individual had some complex behavioural needs and could be aggressive to the staff and the other residents, according to the daily notes. This is not referred to in the care plan. Information such as: trigger factors and how to prevent/manage behaviour, needs to be addressed. There was no photo on this persons care plan, to identify the individual. The weight of people is not routinely monitored. In one person’s care plan it states ‘needs to be weighed weekly’, yet the last recorded weight was 3 months ago. Care plans must accurately reflect the person’s needs and be acted upon. 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. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 9 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.V343406.R01.S.doc Version 5.2 Page 10 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): Standards 2 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People do not move to live at Castleford without their needs being assessed and assured that they will be met. Intermediate care helps to maximise their independence and return home. EVIDENCE: A service user guide was available to all residents admitted to the home. Care plans examined as part of the case tracking process showed that resident needs assessment had been done before the person moved into the home. The assessment documentation was always available to staff on the rehabilitation and residential units. This helped familiarise them with the new resident.
Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 11 A care worker spoken with was aware of the need for resident assessments and knew that these formed the basis of the care plan. People from relevant professions met the assessed needs of residents admitted to the home. 4 of the 5 surveys received from residents reflected that they were given enough information about the home before deciding to make it their place of residence. The people spoken with during this inspection all said they were happy where they were living and that they had received information about the home before becoming a resident. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 12 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): Standards 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People would further benefit from living in a home where their care needs are fully identified and met. EVIDENCE: Case tracking and discussion with care staff confirmed that all service users had a plan of care. Of the 3 care plans viewed only one was of the new type. This gave greater detail than the others and also had a summary to ensure staff could quickly access information necessary to care for the individual. Part of the plan of care reflected the need to be weighed weekly. However the last date weight was recorded was May (4 months ago). A care plan is vital in
Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 13 ensuring a person’s needs are fully identified and met. It is important that identified needs are met as identified. This person stated he was content in the care he receives and said how good the staff were. Another plan of care viewed as part of the tracking process, did not identify all the person’s needs. The daily notes for this person reflected certain behaviours. There was no record of why, or what the trigger factors were or how to prevent the behaviour or how to manage it when it occurred. There was no photograph on this person’s file to give any new staff quick identification of the person. Discussion with the residents and the staff reflected that people do not always ring the call bell when necessary as they are aware that staff are busy. This could lead to accidents occurring. Indeed one person’s plan of care reflects the individual is to be encouraged to use the call bell as accidents have happened previously. The home’s manager supplied the following information about how they ensure people have equality: ‘All residents are treated as individuals and any requirements arising because of culture, religion, gender, sexual orientation or belief are promoted and developed through their care plan. We promote individuality through care planning, residents charter of rights, residential standards and statement of purpose. We foster the inclusion of all residents in activities. We provide information on aids and equipment to promote inclusion, working with Occupational Therapists and Physiotherapists. Talking books and large print are made available from the local library.’ Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 14 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): Standards 12, 13, 14 and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are generally content in the care they receive but lack fulfilment due to limited activities available. EVIDENCE: During this inspection it was noted that residents were supported to take their meal in a dignified manner. The menus offer a choice and residents speak well of the meals they receive. Comments include: ‘The food is good’ ‘We get a choice of meals and it is always good’ ‘I have put on weight since being here they feed me so well’ People were generally happy with the care they receive apart from the limited activities on offer
Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 15 According to the staff and the residents, the staffing levels on some units do not meet the needs of the people who live there. The residential unit for older people has 2 staff on duty throughout the day to meet the needs of the 16 residents. The residents stated that the staff work hard and are constantly on the go. When asked, a resident stated that if wanting to go across the road to the supermarket to choose toiletries, the staff would not be able to take him as that would leave just one member of staff with the other 15 people. Residents also said ‘We don’t like to use the call bell as staff are so busy.’ The staff stated they are aware that ‘some residents don’t always ask for help as they are concerned that we are so busy.’ Activities are limited and the restricted staffing levels do not help this, according to the staff and residents spoken with. There is a need to closely look at activities as limited recreational stimulation reduces the quality of life for the residents. Activities including leaving books or magazines on tables, and regular visits to places of interest would encourage more therapeutic activity amongst the residents. Enabling trips to the local supermarket/shops to make purchases of their choosing, for instance toiletries would enhance their choice and their community involvement. The residents stated that they are enabled to make choices in their daily life such as what time to go to bed and what time to retire to bed. The comments made during the inspection included: ‘The staff are excellent’ and ‘nothing is too much trouble for them’ ‘They make sure we are listened to and get what we want’ Family and friends can visit at any time, one relative stated in a completed questionnaire: ‘The home attends to the residents every need’ ‘I can visit at any time and I am always made welcome by the staff’ ‘My relative loves it at Castleford and is very happy there’ A care plan viewed as part of the tracking process, reflected that she had a close family and to ‘Involve family in her day to day life’. This is a good practice and one which enhances her contentment in the care she receives. The staff team were all white British and this reflected the current service user group. The manager said that service users religious and cultural needs are Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 16 met at the home through visits from the local clergy and these were listed on the notice board. There is a need for some staff to be more tactful when writing in the resident’s daily notes. An example of poorly describing behaviours was read to Doreen Dodds RCO. She agreed to have this addressed with the person concerned. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 17 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): Standards 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People benefit from living in a safe environment where they are protected and their opinion is important. EVIDENCE: The people living at Castleford said that if they weren’t happy about something they would tell the staff and they would try and sort it or tell one of the officers. One resident added that she “can’t imagine not being happy about something as the care is so good.” They also said they were comfortable and secure. One resident said “We are safe here knowing that the staff look after us so well” All residents have a copy of the home’s ‘Service Users Guide’ which contains details of how to make a complaint. The home’s policies and procedures ensure the people who live there are protected from abuse.
Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 18 The staff spoken with were aware of what action to take should they suspect abuse occurred. The officer on duty said all complaints would be recorded along with the action taken to rectify it. However she was unable to locate the complaints record book. The home also has a ‘Comments and Complaints’ folder where visitors can express their views. There were a number of Thankyou letters in the folder, which included the following comments: ‘Words can not describe our gratitude for the care and kindness shown’ ‘Thankyou all so much for your huge amount of kindness and consideration’ Neither the home nor the Commission for Social Care Inspection have received any complaints about Castleford since the last inspection in March 2007. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 19 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): Standards 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from living in a clean, hygienic and pleasant environment EVIDENCE: Case tracking and a tour of the building showed that the home is split into four separate living units. Three have been refurbished and decorated to create an environment that is cosy and homely. The fourth unit is about to open to care for 14 people with dementia. A tour of the building confirmed that each living unit was pleasant and safe. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 20 During the last inspection in March 2007 there was recognition that the carpet in the unit for people with a dementia may not be appropriately patterned. These carpets are to be replaced in the near future and new ones are currently on order. There are ornaments, pictures and other such items that enhance the homely appearance of Castleford. The residents’ bedrooms contained their personal possessions and as such had a homely appearance. There are various aids around the home to help people keep their independence. These include handrails, a passenger lift, assisted baths and raised seats on the toilets. Resident’s comments included: ‘I love my room it is so bright and cosy’. ‘I have a nice room, where I can sit quiet if I want’ Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 21 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): Standards 27 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The residents would benefit from having sufficient staff numbers to meet their needs. EVIDENCE: The residents were full of praise for the kindness shown to them by the staff. From looking at staff records and talking with the staff it is evident that staff training continues to be seen as a high priority in this home, ensuring the staff are competent to carry out their role and meet the needs of the residents. The service provides a comprehensive training programme including Induction and Foundation, safe handling of medicines, dementia care, safeguarding adults and, moving and handling for all levels of staff. Doreen Dodds RCO stated 79 of staff have achieved a National Vocational Qualification in care at level 2 or above.
Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 22 The files of three employees were examined and showed the home’s recruitment procedures had been followed. All pre employment checks had been carried out and there was accurate recording at all stages of the process. All staff have a police clearance known as a Criminal Record Bureau clearance before commencing employment ensuring that only suitable people are employed at Castleford. Three care staff spoken with were very knowledgeable about the service user group and demonstrated their competencies through clear discussion and observations of their work tasks. People living at Castleford were spoken with in a respectful manner throughout this inspection. According to the staff and the residents the staffing level on some units do not meet the needs of the people who live there. The residential unit for older people has 2 staff on duty throughout the day to meet the needs of the 16 residents. The residents stated that the staff work hard and are constantly on the go. When asked, a resident stated that if wanting to go across the road to the supermarket to choose toiletries, the staff would not be able to take him as that would leave just one member of staff with the other 15 people. Residents also said ‘We don’t like to use the call bell as staff are so busy.’ The staff stated they are aware that some residents don’t always ask for help as they are concerned that we are so busy. The home has had its registration increased ready for the opening of the new unit to care for up to 14 people. The information given was that the planned staffing for the new unit in the daytime is 2 carers. The other unit for people with a dementia at Castleford is home to 9 people and has 2 staff in the daytime. The staff spoken with wonder how the same staffing level will meet the needs of an additional 6 people. However the manager has since the inspection sent a copy of the rota for the new unit which reflects additional staff. The current night time staffing is one officer on sleep in duty with 2 carers on waking duty. Staff spoken with are concerned at the same staffing level to care for an additional 14 people. The provider will need to ensure the home is able to meet the needs of the 45 people who are receiving care at Castleford in 4 separate units. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 23 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): Standards 31, 33, 35, and 38. Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. The home is run with the residents welfare as priority. However the residents could further benefit from living in a home that is effectively managed and where the staffing level meets their needs. EVIDENCE: Case tracking and examination of records confirmed the home has sound policies and procedures that are reviewed and updated regularly.
Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 24 Residents are provided with facilities to keep their valuables and money safe. For people who require the home to manage their money there are good records maintained of all transactions. Quality assurance systems are in place to ensure people are consulted about the services they receive. The manager who has applied for registration with the Commission for Social Care Inspection has the required qualifications and experience to run the home. Staff meetings are not held regularly and residents meetings are infrequent. This means that there are limited opportunities for staff and residents to make their views known. During the time the current manager has been in post there have been no staff meetings. There are concerns around the opening of the new 14 bedded unit for people who have a dementia that staff need the opportunity to discuss. Team meetings offer the opportunity to share management’s vision and to listen to staff ideas and as such are a vital part of managing a service. Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 25 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 3 X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 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 2 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 26 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 OP7 Regulation 15 (1)15(2) Requirement The registered manager must ensure that all service users are provided with a plan of care that is fully completed and sets out in detail the action to be taken by care staff so that all aspects of the health and social care needs are met. Service users or their representatives must be consulted as to how these needs are to be met. Care plans must be properly reviewed at least once a month. As this has not been met by the previous date of 6/6/07 a new time scale has been set. The registered person must ensure people are enabled to participate in various activities within the home. The registered person must ensure the residents are enabled to engage in community activities. The registered person must ensure there are sufficient staff to meet the needs of the residents at all times of the day and night.
DS0000035278.V343406.R01.S.doc Timescale for action 30/11/07 2 OP12 16(2)(m) 31/10/07 3 OP12 16(2)(m) 31/10/07 4 OP27 18(1)(a) 31/10/07 Castleford Home for the Elderly Version 5.2 Page 27 5 OP30 18(1)© 6 OP32 12(5)(a) The registered person must ensure the staff training includes ensuring staff know how to record information about a resident in a respectful manner. The registered person must ensure staff are consulted about changes within the home and of professional decisions made. Team meetings are a good opportunity for this. 31/10/07 31/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Castleford Home for the Elderly DS0000035278.V343406.R01.S.doc Version 5.2 Page 29 - 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!
