Inspection on 06/06/05 for Castleview Care Home

This inspection was carried out on 6th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 06/12/05

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 U Brown Unannounced 6 June 2005 14:00 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 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 B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Castleview Care Home Address Howling Lane Alnwick Northumberland NE66 1HL 01665 605 311 01665 606 633 n/a Mr Trevor Nesbit Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Leigh McLaren CRH 42 Category(ies) of DE Dementia (2) registration, with number DE(E)E Dementia - over 65 (21) of places MD Mental Disorder (1) OP Old Age (18) Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 20.12.04 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. At the time of this inspection work is going on to complete two new flatlets that provide a bedroom, sitting area and en-suite. Public transport links are easily accessible in Alnwick town centre and train links are available from Alnmouth. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out over half a day. It involved discussion with the Manager, individual interviews with four residents and four staff, inspection of records and a tour of the building. What the service does well: What has improved since the last inspection? The residents’ guide providing information about the service has been reviewed. A number of bedrooms have had fire doorguards fitted so that residents can keep their doors open during the day. A fire risk assessment has been carried out. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 6 Staff recruitment checks are being carried out appropriately. The Manager has completed training on the provision of staff supervision. A training plan for staff has been drawn up and the Manager is arranging training. 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 B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 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 standard(s) 1, 3, 4, 6 Prospective residents have sufficient information to make an informed choice about where they live. Each resident has an assessment carried out, but this needs more detail to ensure that the service will be able to meet his/her needs. Residents know that the Home will be able to meet their needs. The Home does not provide intermediate care. EVIDENCE: The Statement of Purpose and Users guide have been rewritten since the last inspection and they provide detailed information about the service provided. Residents said that they had enough information about the service prior to coming to live at the Home. The Manager described how the assessment system has been updated to provide more information. She said that all new residents will be assessed using the new system. Records for current residents showed that an assessment of need is carried out, but in some parts more detail was required. Residents confirmed that when they came to the Home staff asked them about their needs and wishes. Copies of care management assessments were also available in residents files for those people referred by the local authority. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 9 Residents said that staff were able to meet their needs. Staff described training that has been provided to meet residents’ needs. The Manager gave examples of specialist support provided for individual residents. The Home does not provide intermediate care. The Complaint Records need to provide more detail about the outcome of complaints and also whether or not the complainant is satisfied with the outcome. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 Care plans providing details of each resident’s health, personal and social care needs are in place. Staff promote and maintain residents’ health and ensure access to health care services to meet assessed needs. EVIDENCE: Individual records provided information about each person’s social, emotional and personal care needs. General risk assessments are in place as well as specialist ones for falls and pressure areas. Daily records confirmed that care plans are followed. Residents said that they felt satisfied with the quality of care provided and the support from staff. Staff confirmed that they were aware of individual care plans and were involved in providing information to be included in plans. Records showed that residents receive a lot of support from local health care staff with all visits were recorded. Residents said that they were satisfied with the support offered to meet their health care needs. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 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 standard(s) 13, 14, 15 Residents are encouraged to maintain contact with family members, friends, representatives and the local community. Arrangements for this are suited to individual residents’ needs. Residents are able to exercise choice and control over their lives. Residents have a varied diet provided with drinks and snacks available on request and at regular intervals. EVIDENCE: Visitors are able to visit at any reasonable time and evidence was available from the visitors’ book and from talking to residents that this is happening. Residents confirmed that they have regular visitors and that they are able to use their own rooms to meet with them in private. Information about visiting the Home is available in the users’ guide. The Manager described how links with the community are encouraged. The Manager gave examples of how residents are helped to retain control over their money. She confirmed that information about an advocacy service is available for residents and that residents have used this in the past. One resident said that she felt satisfied that she is able to retain control over her affairs and that staff support her if she asks for it. Residents’ rooms show evidence that they have brought in personal items with them. The users’ guide refers to residents‘ right of access to their records. Residents said they knew that staff kept records about them, but did not want to see the records. One resident said she knew that she could ask to see her records. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 12 The menus showed that a good variety of food is provided. Residents confirmed that they were satisfied with the quality, quantity and amount of food available. They said that they could request an alternative if they did not like what was on the menu. Residents’ likes and dislikes were recorded. The Manager said that residents could choose where their meals were served. Most residents choose to eat in the dining room, but others choose to eat all or some of the meals in their own rooms. The kitchen was clean and well maintained. Recommendations from the Environmental Health report have been addressed. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16, 18 Residents are satisfied that their complaints will be taken seriously and acted upon. Records of the outcome of complaints would be improved by more detail. Residents feel safe and protected from abuse. EVIDENCE: Written guidance is available on complaints. Staff confirmed that they are aware of the complaints procedure and could describe how they would help a resident to make a complaint. Residents said that they felt able to raise issues with the Manager or the staff. Records of complaints are kept and there is not enough information about the outcome of the complaint of whether or nor the person making the complaint is satisfied with the outcome. Abuse training is being provided for twenty staff. Written guidance is in place in the Home on the steps to be taken if an allegation of abuse is made. A copy of Northumberland Social Services’ guidance is also available. Staff were able to appropriately describe what they would do if a resident made an allegation of abuse. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19, 26 Residents live in a comfortable, safe and well-maintained Home, although the requirement in the last inspection report about the need to replace tap indicators is still outstanding from the last inspection. The Home is tidy and hygienic. EVIDENCE: Castleview is a modern two-storey building. Accommodation is provided on two floors and a shaft lift is fitted. There is small enclosed patio area at the front door and disabled parking is available near the entrance. There is a paved pathway from the main parking area to the front of the Home. A tour of the Home during the inspection confirmed the public areas were comfortably furnished and well maintained. Evidence was available to confirm that a planned programme of maintenance and upgrading is in place. The Manager confirmed that a bathroom heater is to be replaced. One bathroom needed cleaning at the time of the inspection. Residents stated that they were very satisfied with their accommodation, particularly with having an en-suite toilet. They said that they felt the Home is very comfortable and well maintained. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 15 Work is going on to complete two flatlets on the ground floor. These will each provide a sitting room, bedroom and en-suite toilet. They open on to the conservatory and the Manager reported that work is almost completed. Systems and procedures for infection control are in place and ten staff have received training. Two staff regularly attend sessions on infection control with the Link Nurse. There is a well-equipped laundry on the ground floor off the main corridor. Adequate sluice facilities are available. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 There are sufficient staff to meet the needs of the residents, although there is a need for more senior/administrative support so that the Manager is freed up to manage the staff team more effectively. Residents are supported and protected by the Home’s recruitment procedures. Staff are trained and competent to do their jobs. EVIDENCE: There were the Manager, two senior staff and three care staff on duty at the time of the inspection. An activity assistant was also available for four hours. At night there are three waking care staff on duty, one of whom is a senior member of staff. Rotas confirmed this level of staffing. The Manager reported that there is difficulty in recruiting staff and there is a vacancy for a domestic that has meant that on alternate weekends there is no domestic cover. Senior staff work as part of the team on each floor and take little responsibility for administrative tasks. As a result the Manager is responsible for all the administrative tasks in the Home. This affects the time the Manager has available for staff supervision and other management tasks. Written guidance is in place for recruitment of staff. The Manager confirmed that appropriate reference and Criminal Records Bureau (CRB) checks are carried out before a new staff member starts work. Staff records showed that two references and a CRB check were completed for staff who have recently started work at the Home. A staff training plan is in place. Staff stated that an appropriate Induction Programme is provided for new staff. Written information was available to Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 17 confirm that Induction is provided. Seven staff have completed qualifying training and two more will complete this month the Manager reported. Five staff have started training this month. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 36, 38 The Manager has considerable experience of caring for older people. She has not completed qualifying training, but is working towards this. Residents benefit from the positive and open approach of the management of the Home. There is not yet an effective quality monitoring system in place, but staff regularly ask residents for their views about aspects of the service. Residents are helped to manage their money where necessary. The health, safety and welfare of resident is promoted and protected. EVIDENCE: The Manager stated that she is undertaking qualifying training and hopes to complete this before the end of the year. She has considerable experience of caring for older people and has been Manager of the Home for more than two years. Staff reported that the Manager is supportive and that they feel able to raise issues about the running of the Home with her. They said that there is clear sense of direction. Staff were able to demonstrate a good understanding of Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 19 the aims and objectives of the Home. Staff indicated that they do not all receive supervision every two months. The Manager said that this is affected by other demands on her time. There is no formal quality assurance system in place, but staff regularly ask residents for their views about their routines, the food and the support offered. Residents are given assistance to manage their money if required the Manager reported. Samples of money held were checked and these balanced with the records kept by staff. Records were in good order and receipts were available for money spent. Written guidance is in place for staff on assisting residents to manage their money. Guidance is in place for staff regarding Health and Safety. Records for fire alarm and fire equipment testing were available to confirm regular checks are carried out. A fire risk assessment is in place. Evidence was available that staff have regular fire training and fire drills from records available. Staff confirmed that regular fire training is provided. First aid, fire, food hygiene, moving and handling training is regularly updated and records confirm this. Accident records are kept and evidence was available of regular monitoring. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 2 3 2 x x 2 x 3 Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 21 NO 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 16 Regulation 22 Requirement The Complaint Records need to provide more information about the outcome of complaints and also whether or not the complainant is satisfied with the outcome. Work to replace the tap indicators must be completed. This matter is outstanding from the last inspection report. 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 Ensure that enough domestic support is available, particularly at weekends. 4. 24 33 A Quality Assurance system must be introduced. This matter is outstanding from the last report. Staff supervision must be B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 22 Timescale for action 31.08.05 2. 19 23 31.08.05 3. 27 18 30.09.05 30.09.05 5. 18 36 Castleview Care Home provided six times per year. This matter is outstanding from the last inspection report. 30.09.05 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 31 Good Practice Recommendations The Manager should complete qualifications in care and management. Castleview Care Home B53-B03 S61171 Castleview V226164 060605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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. 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