This inspection was carried out on 8th October 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Castleview Care Home Howling Lane Alnwick Northumberland NE66 1HL The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anne UrwinBrown Date: 0 8 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Castleview Care Home Howling Lane Alnwick Northumberland NE66 1HL 01665605311 01665606633 castleview@ascotcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sylvia Helen Tidmas Type of registration: Number of places registered: Mr Trevor Nesbit care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability old age, not falling within any other category 25 3 0 Over 65 0 0 25 Conditions of registration: 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 Learning Disability, maximum number of places 3 The maximum number of service users who can be accommodated is: 45 Date of last inspection Brief description of the care home Care Homes for Older People
Page 2 of 8 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. A copy of the Statement of Purpose and Service User guide is available at the home that describes the service offered. Care Homes for Older People Page 3 of 8 What we found:
The introduction of the new care planning system has not been completed and as a result not all care plans show how peoples needs are being met and reviewed. Work has started on some plans, but there was evidence that peoples changing needs are not always recorded. There was some evidence that staff have a good working knowledge of peoples care needs. However some care plans are not up to date and reviews of peoples needs are not up to date. Good systems are in place for recording the administration of medicines. Appropriate policies and procedures underpin practice with regard to ordering, administration and disposal of medicines. There were sufficient staff on duty at the time of this inspection to meet the needs of the people living in the home. There was evidence that at times staffing levels have been affected by sickness or annual leave, however some new appointments have been made and as soon as reference and other checks are completed staffing levels will improve. An activity organiser has also been appointed although at times she is undertaking care tasks because of staffing difficulties. The new manager is aware of the staffing issues and has been reviewing staffing levels in the four weeks since her appointment. A new deputy manager has been appointed. Staff morale has improved since the last inspection. Staff training needs are being identified and a staff training programme is being drawn up to ensure that regular updating training is provided for all staff. Mandatory training is being given priority. The manager has started to look at the quality systems in place in the home and is clear about her responsibilities for carrying out regular checks of all aspects of the running of the home. She is aware of the need to seek the views of people living in the home about the service and described her plans for consulting with them regularly as well as talking to staff about their views. A good recording system is available for this, but has not regularly been updated since the last manager left the home. What the care home does well:
Staff were able to demonstrate that they knew the needs of the people living in the home. The good systems in place for handling medicines protect people living in the home. Staffing levels have improved since the last inspection and the systems for covering holidays and sickness have been reviewed. New appointments subject to appropriate checks being carried out have been made to supplement the current staffing numbers. Staff feel well supported by the new management team and morale has improved. A new training plan has been drawn up to ensure that mandatory training is regularly updated for all staff. Care Homes for Older People
Page 4 of 8 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 Each person must have a 01/12/2008 detailed care plan showing their needs and how these are met by staff. These plans should be regularly updated to show individuals changing needs. This will ensure that staff are clear about the level of support each person needs to meet their needs. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 27 The staffing review should be completed to make sure that there are sufficient appropriately qualified and experience to meet the needs of the people using the service. Effective quality assurance and monitoring systems should be in place and used regularly. Information from these system should be used to inform an annual development plan for Castleview. Systems need to be introduced to ensure that mandatory training for staff is regularly updated. 2 33 3 38 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
