Inspection on 28/05/08 for Castleview Care Home

This inspection was carried out on 28th May 2008.

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

Castleview Care Home 05/05/09

Castleview Care Home 08/10/08

Castleview Care Home 06/06/07

Castleview Care Home 09/08/06

Castleview Care Home 06/12/05

Castleview Care Home 06/06/05

Castleview Care Home 20/12/04

Similar services:

22 Sandown Road

The Highlands

Turret Villa Retirement Home

Dilston College Of Further Education

West View House

Moor House

Prince Bishop Court

Park View (15)

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Castleview Care Home Howling Lane Alnwick Northumberland NE66 1HL Lead Inspector Anne Urwin Brown Key Unannounced Inspection 28th May 2008 11:48 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 Castleview Care Home DS0000061171.V371732.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. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Castleview Care Home Address Howling Lane Alnwick Northumberland NE66 1HL 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) 01665 605311 01665 606633 castleview@ascotcare.co.uk Mr Trevor Nesbit Mrs Sylvia Helen Tidmas Care Home 45 Category(ies) of Dementia (25), Learning disability (3), Old age, registration, with number not falling within any other category (25) of places Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users 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 25 Dementia - Code DE, maximum number of places 25 2. Learning Disability, maximum number of places 3 The maximum number of service users who can be accommodated is: 45 6th June 2007 Date of last inspection Brief Description of the Service: Castleview is a purpose built home for older people situated in a residential area of Alnwick. It is a short distance from the centre of town. This two storey building has high quality accommodation that suits the needs of the people living there. The Home caters for older people, older people with dementia and has recently changes its registration to include three people with a learning disability. All the bedrooms have en-suite accommodation. There is a small paved area to the front of the Home and decking outside the conservatory on the first floor, which can be used by residents. Parking is also available. Public transport links are easily accessible in Alnwick town centre and train links are available from Alnmouth. Fees range from £419.08 to £447.00 per week. A copy of the Statement of Purpose and Service User guide is available at the home that describes the service offered. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is 1 star. This means that people using this service experience adequate quality outcomes. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 6th June 2007. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 28th May 2008 and a further visit was made on 4th June 2008. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager/provider what we found. What the service does well: Each person living at the home has had their needs assessed to make sure that the home can give them the care and support they need. Information is available to help people make a decision about coming to live at Castleview. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 6 The new care plans provide good information about how peoples’ needs are met and will be completed for all the people living at Castleview. The staff treat people as individuals and support them live their lives in a way that suits them and allows them to make decisions and choices. People living at Castleview are encouraged and supported to maintain contact with their friends and family. The relationships between staff and people living at the home were good and personal support was provided in such a way as to promote and protect privacy and dignity. There is a good variety of activities provided so that people have opportunities to build their confidence and socialise. The home is clean, warm and well furnished to suit the needs of the people living there. Each room has en-suite accommodation and there are comfortable sitting and dining areas. There is a procedure in place for dealing with complaints so that any concerns can be quickly investigated and resolved. Menus provide a good variety of food. Food was well cooked and presented during the inspection. Adult protection procedures are in place to protect the residents. 63 of staff have completed national qualifications in care and a further seven are working towards their qualifications. Good recruitment procedures protect people living in the home. Health and Safety systems protect residents and staff. What has improved since the last inspection? The Statement of Purpose and Service User Guide have been updated so that clear information about the service is available for people thinking about coming to live at Castleview. Each resident has a written contract detailing the terms and conditions of residence. The new care plans provide good clear information about how peoples’ needs are met. More space has been created for the storage of medicines. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 7 The carpets in the sitting areas have been cleaned. Moving and handling training has been provided for staff. Work has been going on to make the gardens more attractive and user friendly for residents with plants, decking, seating and a water feature. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear information and assessments processes enable residents to make a positive and informed choice before moving into the home. The home does not offer intermediate care. EVIDENCE: The service user guide is comprehensive and contains all of the information identified in Schedule 1 of the Care Standards Regulations. It includes clear information about the service offered by the home including information about staffing, social activities, arrangements for religious observance as appropriate, fire safety, complaints, care planning, and the environment. The Service User guide was updated during the inspection to reflect the recent change of registration to include three places for people with learning disabilities. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 10 Residents and their representatives are encouraged to visit the home and spend time, this results in them having good information on which to base their decision to move into the home. The care plans contain comprehensive pre-admission assessments, which are completed by the Manager or the senior staff. The company are changing the care planning and assessment documentation, but they are continuing to use some of the old paperwork in the interim period. This allows the staff to maintain the records effectively and gives continuity. Care management assessments are also available. Most residents also have a care management assessment, which is used in the development of the individual care plan. All of the care plans looked at had these in place. Intermediate care is not provided at Castleview. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Health and personal care needs are generally well met but the quality of care planning, although improving, is inconsistent. This means that staff may not always have the most up to date information to available to guide their practice and may impact on the delivery of care to residents. EVIDENCE: Each resident has an individual plan of care that is based on the admission assessment and this is added to during the placement. All care homes in this group are changing their care planning systems and Castleview is starting work to update existing residents’ plans. New residents’ care plans have been completed using the new system and these contain relevant information and systems for regularly assessing individual needs for nutrition, skin care, moving and assisting, and continence promotion as well as a dependency rating. Existing care plans for other residents are in place, but sometimes Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 12 these have not been regularly updated to reflect changing needs or to review care arrangements to ensure that individuals’ needs can be fully met at Castleview. Seven people said that they are very satisfied with the care they receive, and that staff are caring and kind. Staff are well informed about individual needs and demonstrated this during the inspection. Peoples’ health care needs and any specific treatments are recorded, but there was some evidence that sometimes changes are not updated and an example of this was skin care for one person. Two questionnaires from health professionals suggested that advice/instructions are not always followed and that staffing levels have affected this. People living in the home looked well cared for and clean during the inspection. However one health care professional suggested that sometimes residents “look unkempt, dirty clothes etc.” One relative suggested that more frequent bathing and shaving would be nice. The new care plans will provide more detailed recording of care required by individuals and ensure that staff are clear about peoples’ needs. Visits by the doctor, district nurse and other health care professionals are recorded in individual records showing any treatment provided or advised. People said that they could see the doctor when they needed to. A hoist and other equipment is available for those who need it. Residents said that the staff are aware of their health needs. One relative and five service users said they were satisfied that they can access the health services that they need. The systems for managing medicines in the home are in line with safe working practice guidelines. The records relating to the administration of medicines are generally completed and staff are clear about the procedures. There were three occasions noted in the controlled drugs records where only one staff member had signed to confirm administration of medicines. The manager reported that this happened at night and steps were being taken to ensure this does not happen again. Staff training has been provided for all staff involved in giving out medicines. Storage arrangements for medicines have been improved since the last inspection and individual records checked balanced with the records kept. Systems are in place for risks to be assessed if people want to manage their own medicines and lockable storage is provided. Residents said that the staff treated them very well, one person said that the staff were “always there and were kind”. Staff had a good rapport with residents. Relatives said that they are very helpful and that people living in the home feel well supported. Staff guidance refers to equality and diversity and there is an emphasis on providing individualised care that takes account of peoples’ lifestyle and relationships. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Routines around daily living are flexible and provide people with good opportunities to engage in meaningful actives and control over their lives. This enables them to make choices affecting their daily life and maintain preferred life choices. EVIDENCE: People living at Castleview said that they are able to make choices about their daily routines, like when they get up, go to bed and what they do with their time. Individual routines are identified within most care plans. There is a programme of activities. An activity co-ordinator is employed who arranges the programme of activities and outings. The activity programme is sometimes affected by staffing shortages when the organiser is asked to cover care duties. This was evident from discussions with resident and staff. The activity organiser said that recently one resident is taking up a large proportion of time and this is affecting the time available for groups and individual work. Records show what peoples’ interests are and how they like to spend their Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 14 time. People are encouraged to make choices about where and how they spend their time. There are videos, music tapes, newspapers and books available. Two people said they much preferred spending time in their rooms where it was quiet and they could read or watch television. People living in the home said that they have regular visitors and this was evident from the Visitors Book and from seeing visitors coming in during the inspection. Information about arrangements for visiting is provided for people before they move in. They also said that staff are welcoming and they enjoy visiting the home as there is a relaxed atmosphere. One relative said “The staff are very friendly and helpful.” People are encouraged to continue to manage their finances for as long as they are able and this was evident from care plans. Staff encourage people to bring in furniture, ornaments and pictures from their previous homes. Rooms are personalised and reflect peoples’ interests and taste. People are able to follow their own religion and local ministers visit the home regularly. The menu shows that a varied diet is provided that offers choice at each mealtime and these are regularly reviewed. Peoples’ likes and dislikes are recorded and the staff ask for comments about the food. Positive comments were made in four residents’ questionnaires about the quality and choice of food available and another person said they liked the food sometimes. During the inspection six residents said that they were happy with the food and the choice provided, but two people said that they felt the food was not as good lately. The manager said there had been some changes in the kitchen staff and this problem has been resolved. The food was well presented and cooked at the mealtime during the inspection. Staff have completed Food Hygiene training. Records show that there are regular cleaning routines and temperature checks of food and fridges. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 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. A satisfactory complaints procedure is in place to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. Good arrangements for protecting people using the service are in place. EVIDENCE: Guidance is available for dealing with complaints and the ethos of the home is to welcome complaints and learn from them. People living at Castleview said that they knew how to make a complaint and that they felt able to speak to the Manager or the staff if they have any concerns. One person said that “the staff are very nice and I can talk to them at any time if I want to discuss anything.” Seven residents said that they would feel able to talk to the staff about their concerns or complaints and were satisfied that their concerns would be treated seriously. One complaint has been made during the past year and records show a satisfactory investigation was carried out. Records of complaints are good and show that the home’s management takes seriously any complaints made. Staff knew how to help someone living at the home to make a complaint. Staff guidance provides clear information for staff about protecting people living in the home from harm. A copy of the Local Authority Safeguarding Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 16 guidance is available in the home. People using the service are made aware of what abuse is and the safeguards in place for their protection. Access to external agencies is promoted. Staff were clear about the procedures to be followed if an allegation is made. Staff training has been provided in safeguarding vulnerable people. One referral has been made to the Safeguarding Team of the Northumberland Care Trust and this matter has been satisfactorily resolved. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 20 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Castleview provides a safe, well-maintained homely environment that encourages independence. Good quality accommodation is available for individuals in single rooms with en-suite toilets. The home is clean, pleasant and hygienic. EVIDENCE: The physical environment of the home is well maintained and meets the individual requirements of the people living there. The accommodation is clean, safe and comfortable. The home has good access to community facilities and services. People have access to specialist equipment and aids that are necessary to help them live as independently as possible. There is a shaft lift fitted at Castleview that provides good access to the first floor. There Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 18 is a selection of communal areas within the home that are furnished and decorated to a good standard. External space is limited and work has been completed on decking outside the upstairs conservatory to provide a safe enclosed area that is attractive and accessible. At the front door there is a patio area and a garden water feature has been fitted and more work is planned to make an attractive seating area. Most people living in the home said that they feel very satisfied with the quality of the accommodation, although there was a comment about the inadequacy of the insulation between the two flats on the ground floor. One person who lives in one of the flats said that he and his wife can be disturbed by the noise from next door, particularly the television or water running. Other residents said that they are very satisfied with their rooms. One person said “ It is very comfortable here and I have been able to bring my own sofa and other bits and pieces that make it feel like home.” Bathrooms are well equipped and most have been redecorated since the last inspection. In one shower room the flooring needs attention as the seal has become damaged. Sufficient baths and toilets are available to meet the needs of the people using the service. Aids and adaptations are fitted to maximise peoples’ independence. In some rooms the water pressure was quite low. Each bedroom has its own en-suite toilet and wash hand basin. Bedrooms promote high levels of privacy and keys are available to each room. Rooms are comfortably furnished and show that individuals are encouraged to bring items from their previous home. People are able to make choices about the temperature of the heating in their rooms. The laundry is well equipped, organised and spacious. Staff have had infection control training. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 19 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, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is staffed by a well trained and competent team but additional resources are not factored in to cover holidays/sickness/training. Therefore, resources may be stretched at certain times of the year and impact on the delivery of care to residents. EVIDENCE: People using the service said that they are satisfied with the care that they receive, but at times staff are very busy and they may need to wait a short time for staff support and attention. There are generally enough qualified, competent and experienced staff to meet the needs, activities and aspirations of those people living at Castleview. However there is evidence from the rota and talking to staff there have been times when staff sickness and holidays have affected the number of staff available. Existing staff work extra hours to cover for sickness and holiday and at times this is an additional strain on the staff team. Staff morale is low and changes in the management team and working arrangements have affected this. There have been two deputy managers since the last inspection and both have resigned from this role. Two questionnaires from health care professionals raised concerns about staff communication and how information is passed on at change of shifts. People Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 20 who use this service and one relative said that staff know what they need help with and work very hard to provide a good service. Staff were well informed about residents’ needs during the inspection. Sixty-three per cent of staff have completed national qualifications in care and a further seven staff are working towards these. There is an ongoing training plan that identifies priorities and focuses on meeting statutory requirements and the National Minimum Standards. In the past year specific training for staff working with people with learning disabilities has been provided since the change in registration to admit people with learning disabilities. Recruitment practice and procedures are in place that clearly defines the process to be followed. Records show that these procedures are followed in practice with the management recognising the importance of good recruitment procedures in the delivery of a good quality service. However individual staff records were muddled and information was sometimes hard to find. Equality and diversity policies are reflected in recruitment procedures. Records show that all checks are carried out and recorded to ensure that staff appointments are only made after the management has satisfied itself that applicants have the appropriate qualities to fully meet the needs of people living at Castleview. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 21 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, 32, 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. There has been inconsistent management that has affected the running of the home and staff morale. These inconsistencies mean that quality assurance systems have not been as effective as they might be in taking account of the views of people living in the home. Safe working practices have been affected by the lack of fire training for staff, which could put the people living in the home and staff at risk. EVIDENCE: The lines of accountability both in the home and within the company are generally clear, but have been affected by changes in senior management Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 22 within the home. The manager is qualified and has the necessary experience to run the home. She is aware of the need to keep up to date and undertakes regular training and is starting a course on learning disabilities. During the inspection the manager said that she is leaving shortly. There was some evidence of staff resistance to changes introduced by the management team. Changes in the senior staff team have also affected the implementation of new working arrangements and the manager leaving will impact on this further. There is some evidence of poor management practices that have led to low staff morale. Staff said that they feel well supported by their peers, but they have concerns about raising issues individually with management. Staff felt that some of the changes made in the past year have not been handled well and that the quality of staff supervision has been inconsistent. Records also show that supervision has not happened regularly and little information was available to show what is discussed at sessions as the form uses tick boxes with space for limited additional information. As a result there are some inconsistent working arrangements and practices that are affecting the service provided. A quality auditing system is in place, that is generally up to date, but this also has been affected by the management time available. The system uses audits of records and systems as well as questionnaires for residents and relatives. If used correctly this system provides good quality information on which to base the annual development plan. The annual development plan covers a wide range of issues including premises/equipment, furnishing and renewals, service user improvements, staff development/training and management. There are effective systems in place for safeguarding and managing money held on behalf of people living in the home including clear records. People using the service or their relatives have access to the records whenever they wish. Policies and procedures are in place for safe working practices and these have been updated. Records show that training in health and safety matters including moving and handling, first aid and food hygiene is provided and staff confirmed that this is regularly updated. However fire training for day and night staff has not been frequent enough. The manager said that this had been affected by staffing difficulties mentioned earlier. Policies, procedures and risk assessments for safe working practices are in place to promote and protect residents and staff. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Full details of accidents are kept and evidence was available to show these are monitored for trends. Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 23 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 4 4 X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 X 3 X X 2 Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 24 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 2 Standard OP38 OP9 Regulation 23 13 Requirement Timescale for action 31/07/08 Fire training must be provided at appropriate intervals for all staff. The arrangements for recording 31/07/08 administration of controlled drugs need review to ensure that two staff witness each time of administration and that the manager regularly reviews the records. 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. Refer to Standard OP7 Good Practice Recommendations Further work is needed to update all existing individual plans using the new care planning system. Regular reviews of care plans should be carried out to ensure they show peoples’ changing needs and that the home can continue to meet their needs. The home’s management need to review how information/advice from professionals is passed on to staff so that they are clear about any treatment/care needed. DS0000061171.V371732.R01.S.doc Version 5.2 Page 25 2 OP8 Castleview Care Home 3 OP27 A review of staffing arrangements is needed so that there is sufficient staff to support the resident group and to ensure that holiday and sickness cover is adequate and does not place additional strain on staff resources. The management arrangements at Castleview should be reviewed and steps taken to implement consistent and efficient working arrangements that take account of residents and staff views in planning and operating an effective service. The quality auditing system needs to be updated regularly and information gathered using in planning improvements to the service. Good quality staff supervision should be provided six times every year. 4 OP32 5 6 OP33 OP32 Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Castleview Care Home DS0000061171.V371732.R01.S.doc Version 5.2 Page 27 - 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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