Inspection on 06/06/07 for Castleview Care Home

This inspection was carried out on 6th June 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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 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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Castleview Care Home Howling Lane Alnwick Northumberland NE66 1HL Lead Inspector Anne Urwin Brown Key Unannounced Inspection 6th June 2007 09:00 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 Castleview Care Home DS0000061171.V338223.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.V338223.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 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.V338223.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9th August 2006 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. Fees range from £378.45 to £383.52 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.V338223.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • Information we have received since the last visit on 10th August 2006. • 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 6th and 14th June 2007. 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: The needs and wishes of each person living at Castleview had been properly assessed before they moved into the Home. This meant that staff knew about the needs of each person and what care and support they required. Appropriate plans of care and risk assessments had been completed for new residents. This meant staff had the information they needed to support each person. Satisfactory arrangements were in place for people to take part in activities they like and choose to do. Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 6 The arrangements for supporting people who live there to keep contact with their friends and family were good. The environment is safe and provides good quality accommodation with private en-suite facilities in each bedroom. The relationships between staff and people living at the home were good and personal support was given in such a way that it promotes and protect privacy and dignity. The meals at the home provided a varied, nutritious diet that people living in the home enjoy. Staffing levels were adequate and training in care is provided. This means that staff have the opportunity to develop the skills to meet the needs of the people using this service. What has improved since the last inspection? What they could do better: The review of the Statement of Purpose and Service User guide needs to be completed. Each person living in Castleview must be supplied with a written contract detailing the terms and conditions of residence. All care plans need to be updated using the new system that has been introduced. Review need to be carried out at regular intervals of all care plans. More space for the storage of controlled medicines must be provided. Two staff members must sign hand written entries in the medicine records. The shower seat in the downstairs shower room needs to be replaced with one more suited to the needs of the people living in the home. Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 7 Some toilets need redecoration. Carpets in the sitting/dining areas need cleaned or replaced. Training in moving handling must be scheduled and provided at appropriate intervals for staff. 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.V338223.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.V338223.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 were inspected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Comprehensive information is provided for people thinking about living at the Castleview so that they are able to decide whether or not to move into the home. People living in the home have contracts that are clear and fair. However these contracts do not reflect the change of ownership of the home and new contracts are needed to fully protect people living at Castleview. Good comprehensive assessments are carried out before and after admission to ensure that peoples’ needs can be planned and met. Intermediate care is not provided at Castleview. Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 10 EVIDENCE: The Statement of Purpose/Service User Guide was being updated at the time of the site visit. The Service User Guide was available in draft form and provides clear information for people considering coming to live at Castleview, about the aims and objectives, the admission process, the location of the home and the accommodation provided. There is no information about the complaints process and the documents are not available in large print or other formats at present. Each person has a written contract issued by the previous owner, but new contracts have not been supplied since the home changed hands. All new residents have copies from the current owner, but other residents are being supplied with new contracts at their annual review meeting. The home’s contract provides clear information about peoples’ rights and responsibilities, what is covered by the fees and terms and conditions of occupancy. One resident said she could not remember having signed a contract when she came to live at the home, however a contract had been signed. Local authority contracts were in place for some residents. Individual records contain pre-admission assessments, which are completed by the Manager or the senior staff. The assessments cover the areas identified within Standard 3 of the National Minimum Standards for Care Homes for Older People. Staff draw up individual plans of care using the information in the assessment. In addition care management assessments were available in the four records sampled. Four people spoken with during the inspection said that they were satisfied that staff were aware of their needs when they came to live at the home. They said they felt well supported when they came to live at Castleview. Intermediate care is not provided at Castleview and records confirm this. Castleview Care Home DS0000061171.V338223.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 were inspected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are some good individual plans that provide information for staff to support meeting peoples’ needs, but other plans had not been updated. Care is planned sensitively with people living at the home in a way they prefer. Health care needs are generally met using a multi-agency approach. However there is a need for more effective use of assessment tools to ensure there are regular reviews of needs to keep people healthy. Good procedures and practice for dealing with medicines protect those living at Castleview, but there is not enough storage space to ensure all medicines are stored in accordance with pharmacy guidance. Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 12 EVIDENCE: Each resident has an individual plan of care, which is based on the admission assessment and is then added to during the placement. Records of people recently admitted contain an assessment for nutrition, skin care, moving and handling, and continence promotion as well as a dependency rating assessment. However for people who have been living in the home for some time, records have not been regularly updated and reviewed and these include risk assessments. Care management assessments were available. The manager said that a new care planning system has been introduced and staff are updating all residents’ records. The new care planning system includes reference to diversity of need including spiritual, cultural and religious needs as appropriate. Five residents said that they are very satisfied with the care they receive, they said staff are caring and kind. They said that staff knew about their individual needs and this was demonstrated during the inspection. Peoples’ health care needs and any specific treatments are clearly recorded. Good records are kept of all contact with the doctor, district nurse and other health care professionals. Records showed that the home seeks expert advice from external professionals if necessary. Aids and other equipment are in place for those who need them. Residents said that the staff are aware of their health needs. They said they get support to attend appointments. Four residents 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 in good order, but hand written entries need to be signed by two staff. A monitored dosage system is in use and appropriate checks are carried out and recorded when medicines are received from the pharmacy. Staff training in handling medicines has been provided. Risk assessments are in place for people wanting to manage their own medicines and lockable storage is provided in residents’ rooms. There is insufficient storage for medicines and particularly for controlled medicines. For people who self medicate lockable facilities are available in their rooms. Staff guidance includes appropriate references to dignity and respect for residents. Induction training for new staff includes information about this. Staff knocked on residents’ doors before entering and spoke respectfully to individuals. Residents are able to have a telephone fitted in their room at their own cost but a trolley telephone is also available to make private calls if they prefer. Castleview Care Home DS0000061171.V338223.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 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have good opportunities to take part in a variety of leisure pursuits and activities that helps them to maintain beneficial links with the local community. Service users are encouraged to retain skills and keep their independence and are well supported to make life choices within a risk assessment framework. Mealtimes are flexible to suit individual preferences and lifestyles. People are give plenty of choice and are supported sensitively to eat meals where they have specific needs. 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 new care plans. There is a programme of activities and information about this is made available to people living there. A daily diary is kept to record the activities people take part in. Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 14 People coming to live in the home receive information about regular activities and outings organised. Staff said that they have time to spend on an individual basis with people living in the home. An activity was going on during the inspection and staff showed that they were aware of peoples’ preferences about their level of involvement. There are videos, music tapes, newspapers and books available. Two people said they much preferred spending time in their rooms as they enjoyed their own company and come to join other people at mealtimes. Visitors are welcomed. Records show that contact with relatives and friends is supported and encouraged. The manager is planning a family day so that relatives and friends have the opportunity to meet her. During the inspection it was observed that people are supported and encouraged to go out in the community. Ministers from local churches visit regularly and services are held in the home. The manager was aware of the need to identify support for any residents admitted from different faiths. Menus show that a good variety of health food is provided. An alternative is available at each mealtime and staff are aware of the need to provide food appropriate for the cultural or religious needs of individual people. The food served during the inspection was well cooked and presented. Residents said that the food is good and they are able to ask for something different if they do not like the food served. Residents’ preferences are well known to the cook and he varies the menu to suit individual needs and diets. Food hygiene training has been provided for kitchen staff and updating training is being arranged for other staff. Castleview Care Home DS0000061171.V338223.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 were inspected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place, but recording systems do not provide sufficient information about the investigation and outcome of complaints. This means that it is not clear that people making complaints are satisfied with the outcome and there is insufficient information about how the investigation was carried out. Good arrangements for protecting people using the service are in place. EVIDENCE: The service has a complaints procedure that meets National Minimum Standards and Regulations. The procedure is up to date and is available in the home. Four people said they knew how to make a complaint and said that they were satisfied that they could speak to staff about their concerns. Complaints from individuals do not always include full details of the investigation and whether or not the complainant is satisfied with the outcome. The new manager said she was reviewing the procedures and recording systems. Policies and procedures for safeguarding people who use this service are in place. Staff are familiar with the guidance and could describe appropriate Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 16 action to be taken in the event of an allegation being made. Staff have had training in safeguarding procedures and people living in the home said that they feel safe. Castleview Care Home DS0000061171.V338223.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): Standrds 19, 20, 21, 22, 24 and 26 were inspected. 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, comfortable environment that encourages independence. Good quality accommodation is available for individuals in single rooms with en-suite facilities. Specialist equipment is available to maximise peoples’ independence. The home is clean, pleasant and hygienic. EVIDENCE: Maintenance systems are in place and records are available to show work is carried out efficiently. Castleview is a purpose built home providing high Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 18 quality accommodation suited to the need of the people living there. There is disabled access to the front of the home as well as from the ground and first floor conservatories. Corridors are wide and people who required support with walking are easily assisted. The home is a pleasant, safe place to live and communal rooms meet National Minimum Standards size requirements. The garden is very well maintained and parking is available to the front of the home. Secure fencing has been completed outside the first floor conservatory since the last inspection. There is a shaft lift fitted to help people get to the first floor and records show regular servicing of the lift is carried out. Some of the carpet in the sitting/dining areas are worn and marked. The arrangements for lighting are appropriate to residents’ needs with low level lighting available for reading and other activities in sitting areas and bedrooms. During the inspection seven people said that they were very satisfied with the accommodation and were very comfortable. They said they are able to move around the home easily and staff help them as necessary. One person said she enjoyed spending time in her room, but went to join other people for meals. Bathrooms and toilets are equipped to meet the needs of the people living at Castleview and appropriate aids are fitted to suit individuals. Some toilets would benefit from redecoration. The chair in the shower room on the ground floor needs to be replaced with a more appropriate shower chair to suit the needs of people living in the home. All bedrooms have en-suite toilet and wash hand basins fitted. Records show that appropriate assessments are carried out where there is a need for specific aids or adaptations to meet people’s needs. People living at Castleview have access to all public and private areas of the home. Records showed that a physiotherapist or other appropriate professional has undertaken individual assessments that led to equipment or aids being provided for individuals. There are grab rails and other aids in corridors, bathrooms and lavatories to suit peoples’ needs. Call system points are fitted throughout the home as necessary. All rooms have windows for ventilation. Central heating is fitted and the temperature can be adjusted. Radiator guards are fitted to protect people living at the home. Tests are carried out annually on all electrical equipment. Thermostatic controls are fitted to all hot water outlets to prevent scalding. Emergency lighting is fitted and records show that appropriate checks and servicing are carried out regularly. The laundry is large, suitably equipped and well organised. Written guidance is in place for the control of infection. One member of staff attends meetings as the link worker for Infection Control and passes information on to staff to ensure that there is an up to date and consistent approach to Infection Control. Castleview Care Home DS0000061171.V338223.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, 20 and 30 were inspected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are sufficient to meet the needs of the people living at Castleview. A clear training plan is now in place and has improved since the new manager took up post. Staff also have good opportunities to access training in areas that support how they provide care to people using the service. However regular updates on mandatory training has not been provided for all staff and may place residents at risk of harm. Good recruitment procedures protect people living at the home. EVIDENCE: People living in the home said during the inspection that there were usually enough staff on duty at the home, although occasionally they may need to wait a short time for staff support. The manager said that there is currently one full time vacancy that will be filled when reference and Criminal Records Bureau (CRB) checks are completed. Rotas showed that there are a minimum of five staff on duty during the day with at least one of these being a senior member of staff and this level of staffing is adequate to meet the needs of the current Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 20 group living in the home. Staff said that there are enough staff to cover the rota and that arrangements for covering holidays and sickness work well with people usually working extra hours when necessary. At night there are three waking night staff on duty and those living in the home said that they find this sufficient for their needs. This level of staffing is adequate. Nine staff have completed national qualifications in care and eleven are working towards completing qualifications. This means that a level of 42 per cent of trained staff has been achieved at Castleview. Staff are committed to training and recognise the importance of gaining recognised qualifications. They said they feel training is well supported by the management of the home. Staff recruitment policies and procedures are in place to protect people living at the home and records show that these are followed. Appropriate reference and Criminal Records Bureau checks are carried out and evidence of these was in individual records. The training records show that appropriate training opportunities are planned for the forthcoming year, while training has been affected by the changes of management during the past year. The new manager has a training plan in place with priorities identified and events booked to address training deficiencies. Records are clearly maintained and offered an efficient and easily examined system. Training provided in the last year included Safe Handling of Medicines, Challenging Behaviour, First Aid, Fire, and Health and Safety. Staff said that new staff members receive appropriate induction training and records confirm this. Castleview Care Home DS0000061171.V338223.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, 33, 35 and 38 were inspected. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The new Manager has only recently been appointed and is in the process of establishing good management systems to ensure that the service provided suits the needs and wishes of the people living at the home. Quality assurance systems are yet not in place, but these are being developed. The systems will help to shape the quality of the service to suit the needs of the people living there. Personal allowance management is good and the systems and records are in place to allow audit to be effective. Peoples’ financial interests are safeguarded by the appropriate systems for handling money held on their behalf. Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 22 People living in the home and staff are protected by some good systems and practices, however regular updating training has not been provided for all staff. EVIDENCE: The Manager has an open style and has the required qualifications and experience to run the home and meet its aims and objectives. There are clear lines of accountability being developed as the Manager has only recently assumed responsibility for running Castleview. She previously worked in another of the homes run by the owner so is familiar with the philosophy of the organisation. The Manager has a clear vision of the home’s values and priorities and is ably assisted by an experienced Deputy Manager. The Manager communicates a clear sense of direction and is able to evidence an understanding and application of ‘best practice’ systems in relation to customer satisfaction, continuous improvement and quality assurance. The manager undertakes training and understands and values the importance of his continuing professional development. Regular staff supervision has not been provided and a programme has been drawn up to address this. 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. Records show that not all mandatory training has been provided at regular intervals and this includes moving and handling. A programme has been drawn up and dates identified to address this. Records showed that regular checks are made of electrical equipment and the central heating system. Risk assessments are in place for safe working practices. Staff said that appropriate induction training is provided for new staff and records are in place to confirm this. Records of fire alarm tests, servicing of fire equipment and the alarm, fire training and emergency lighting are kept in a suitable manner. Full details of accidents are kept. Castleview Care Home DS0000061171.V338223.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 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 17 X 18 3 3 2 3 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 X X 2 Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4&5 Requirement The Statement of Purpose and Service User Guide must be updated to include the areas identified in Care Homes Regulations 2001. A written contract detailing the terms and conditions of residence must be supplied to each resident. More space for the storage of controlled medicines must be provided. Two staff members must sign hand written entries in the medicines records. The following issues were identified during the inspection and action is needed to address these: • The shower seat in the ground floor shower room needs to be replaced. • Some toilets require redecoration. These two items are outstanding from the last inspection report of 9th August 2006. DS0000061171.V338223.R01.S.doc Timescale for action 31/08/07 2 OP2 5 30/09/07 3 OP9 13 31/08/07 6. OP19 23 30/09/07 Castleview Care Home Version 5.2 Page 25 8. OP38 13 The carpets in the sitting areas need to be cleaned or replaced. Training in moving handling must be scheduled and provided at appropriate intervals for staff. This is outstanding from the last inspection report of 9th August 2006. • 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 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 need to be carried out. Castleview Care Home DS0000061171.V338223.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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.V338223.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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