Inspection on 06/12/05 for Castleview Care Home

This inspection was carried out on 6th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Castleview Care Home 05/05/09

Castleview Care Home 08/10/08

Castleview Care Home 28/05/08

Castleview Care Home 06/06/07

Castleview Care Home 09/08/06

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Castleview Care Home Howling Lane Alnwick Northumberland NE66 1HL Lead Inspector Anne Urwin Brown Unannounced Inspection 6th December 2005 17:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Castleview Care Home DS0000061171.V271151.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. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 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 Mr Trevor Nesbit Mrs Leigh McLaren Care Home 45 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (21), Mental disorder, excluding learning of places disability or dementia (1), Old age, not falling within any other category (21) Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2005 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. Accommodation is arranged on two floors. The Home caters for older people, older people with dementia and has one place for an adult with dementia. All the rooms have en-suite accommodation. There is a small paved area to the front of the Home, 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. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in the early evening and it involved discussion with the manager, eight residents, one relative and four staff. Four residents’ records and other records concerning the management of the home were inspected. What the service does well: What has improved since the last inspection? Work has been completed on two new flatlets that provide a bedroom, sitting area and en-suite. These flatlets are comfortably furnished and one resident said she felt very happy with the accommodation. Tap indicators have been replaced. Staff supervision is now provided at appropriate intervals. Domestic support has been improved at weekends. The complaint recording system has been changed to provide more detail about the outcome of complaints. Castleview Care Home DS0000061171.V271151.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. Castleview Care Home DS0000061171.V271151.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 Castleview Care Home DS0000061171.V271151.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): 3 No resident moves into the home without having had his/her needs assessed and been assured that these will be met. EVIDENCE: Records show that an appropriate assessment process is carried out at the time of admission to the home. Residents referred by the local authority have an assessment and care plan prepared by the care manager in place. Residents have a plan of care for daily living that is based on the assessment. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 9, 10 Residents’ health, social and personal needs are set out in an individual plan of care. Residents are protected by the home’s policies and procedures for dealing with medicines. Residents feel that they are treated with respect and their right to privacy is maintained. EVIDENCE: Detailed care plans are in place for each resident that are based on a full assessment. Evidence was available from individual records that care plans address health, personal and social care needs. Records showed that appropriate risk assessments are in place for falls, nutrition and pressure areas. There are regular reviews of the care plans to reflect residents’ changing needs. One relative confirmed that staff are aware of his relative’s care needs and said he felt that these are appropriately met. Written policies and procedures are in place for the administration of medicines. Safe Handling of Medicines training is provided for staff and records were available to confirm this. Three staff are to undertake training shortly. Records are kept in an appropriate form of medicines received, administered and disposed of. Records seen during inspection were up to date Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 10 and in good order. Arrangements for the storage of medicines were satisfactory. Policies and procedures make appropriate references to issues of privacy and dignity. Staff showed a good understanding of these issues during inspection. Staff were observed knocking on residents’ doors and spoke respectfully to resident. Staff confirmed that induction training includes references to preserving residents’ privacy and dignity. None of the residents share a room. Staff confirmed that medical examinations and treatment are provided in residents’ rooms. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Residents find the lifestyle experienced in the home matches their expectations and preferences. Their social, cultural, religious and recreational interests and needs are met. EVIDENCE: Care plans provide evidence of routines organised to suit individual preferences. In particular records showed that staff seek information about routines and preferences from family and friends of residents who have dementia at the time they come to live in the home. Residents’ interests are recorded within care plans. A good range of activities are provided and these include games, reminiscence, craft work, painting, trips out. An activity coordinator is employed for twenty hours per week. Residents said that they were happy with the arrangements for activities during the inspection. They said they were encouraged to decide upon their daily routines. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Residents’ legal rights are protected. Residents are protected from abuse. EVIDENCE: Written procedures are in place for dealing with complaints. Staff appropriately described how they would assist a resident to make a complaint. One relative said that they felt able to raise concerns or complaints with staff and were satisfied that these would be taken seriously. Most residents spoken with were unable to give their views about making a complaint. They appeared relaxed and happy during the inspection. It was clear that they recognised and had a good relationship with staff and the manager. One relative said he felt able to raise any issues with the staff or the manager at any time. The manager described how residents are assisted to take part in elections and confirmed that postal votes or assistance to get to the polling station is available. She was able to confirm that residents are assisted to access advocacy services where appropriate. One issue concerning the protection of vulnerable adults has been raised since the last inspection. This matter did not concern any member of staff and has been satisfactorily dealt with. The care manager was involved in this process and appropriate action has been taken by the manager to report the incident. Staff were able to appropriately describe how they would assist a resident to make an allegation. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 13 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): 25 Residents live in safe, comfortable surroundings. EVIDENCE: This home is purpose built and accommodation is on two floors. A shaft lift is fitted. A keypad entry system is in place on the first floor to safeguard residents who have dementia. Each resident has his/her own bedroom with en-suite toilet and washbasin. Electric central heating is fitted, and the home was warm and comfortable at the time of the inspection. Radiator guards are fitted. There is a direct water supply and no hot water is stored. Thermostatic controls are fitted on hot water outlets. All rooms are well ventilated and appropriate double glazing and window restrictors are fitted. Emergency lighting is fitted and regular checks are made on this. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 Residents’ needs are met by the number and skill mix of staff. Residents are in safe hands at all times. EVIDENCE: There were five care staff, two of whom were senior staff on duty at the time of the inspection. The manager was also available. The rota confirmed that this level of staffing was available. The manager said that staffing levels varied between five and seven care staff and that there is a senior member of staff on each shift. At night there is one senior member of staff and two care staff on duty. The rota confirmed this. An activity organiser is employed. The current arrangements for senior staff to work as part of the care team for all their hours needs to be reviewed to ensure that the manager is supported with administrative tasks. The Domestic staff are employed in sufficient numbers to keep the home clean and hygienic. The manager confirmed that no staff under eighteen years of age are currently employed. There are nine care staff who have completed National Vocational Qualifications in care at Level 3 and three staff have completed Level 2. There are more than fifty per cent of staff who have completed appropriate training in care. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 A recognised quality assurance system is not yet in place, but questionnaires have been used to seek residents’ and relatives views about the provision of the service is going on. A development plan needs to be prepared using information from these questionnaires. Residents’ financial interests are safeguarded. EVIDENCE: Questionnaires have been used to seek residents and relatives views about the service provided. Copies were available. The manager said that a quality assurance system has been identified and will be introduced shortly. Staff have been trying to set up residents and relatives meetings to seek views about the running of the home. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 16 Guidance is in place for staff handling residents’ money. Records of money held on behalf of residents were available for inspection. A full record of all transactions is maintained. Records were checked and the balance of money held corresponded with the records. Arrangements for the storage of money are satisfactory. Fire records were seen during the inspection and evidence was available that there are regular tests and servicing of the fire alarm and fire equipment. Fire training has been provided for staff. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X 3 X STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X X Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? 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 OP27 Regulation 18 Requirement A review of staffing arrangements needs to be carried out to ensure the Manager is appropriately supported to carry out the administrative and tasks associated with running the Home. This requirement is outstanding from the last inspection report. A Quality Assurance system must be introduced. This matter is outstanding from the last two reports. Timescale for action 28/02/06 2. OP24 33 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP31 Good Practice Recommendations The Manager should complete qualifications in care and management. DS0000061171.V271151.R01.S.doc Version 5.0 Page 19 Castleview Care Home This matter is outstanding from the last report. Castleview Care Home DS0000061171.V271151.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Castleview Care Home DS0000061171.V271151.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. 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!