Inspection on 10/11/08 for Castlewellan House

This inspection was carried out on 10th November 2008.

CSCI found this care home to be providing an Excellent service.

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

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

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Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Castlewellan House 41 Moss Grove Kingswinford Dudley West Midlands DY6 9HP     The quality rating for this care home is:   three star excellent 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. Lead inspector: Christine Lancashire     Date: 1 0 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) 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. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Castlewellan House 41 Moss Grove Kingswinford Dudley West Midlands DY6 9HP 01384298321 01384277321 steveshirl@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jacqueline Kim Cresswell Type of registration: Number of places registered: Mrs Shirley Ann Jones,Mr Stephen Jones care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 11. The registered person may provide the following category of service only: Care Home Only 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 othe category OP 11 Date of last inspection Brief description of the care home Castlewellan House was originally a large detached house that has been extended and refurbished to provide accommodation for up to 11 residents who are over 65 years. There is no indication from the outside that it is a care home. It is situated close to the centre of Kingswinford village and in reach of local shops, facilities and amenities. On the ground floor there is a lounge with separate dining room and a conservatory for Care Homes for Older People Page 4 of 27 Over 65 11 0 Brief description of the care home residents use. There is also a kitchen, office, laundry, bathroom, toilets and some bedrooms. The remaining bedrooms and additional toilets and bathrooms are on the first floor, which can be accessed by a passenger lift. The home offers an assisted bath and shower and a variety of aids including grab rails and raised toilet seats. There is a garden area with car parking space at the front of the home and a large, attractive well-maintained garden at the rear. This home caters for people with mainly low dependency needs. Since the last inspection the home has new owners. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We visited this home on a weekday without telling anyone that we would be arriving. The purpose of the visit was to see how the home is meeting key National Minimum Standards. Before the visit we had received information from the owners about the running of the home and their plans for development. We also received completed questionnaires from people in the home, their relatives and staff. At the inspection we spoke to most of the people who live in the home, staff on duty and the owners. We looked round the building and several people invited us into their bedrooms. We looked at the records which the home is required to keep and these include records about the peoples preferences, safety, menus, staff rotas, medication, Care Homes for Older People Page 6 of 27 staff recruitment and training, complaints and minutes of meetings. We used information from all the above to write this report. What the care home does well: What has improved since the last inspection? What they could do better: The owners have identified several areas in which they plan to make chenges for the benefit of the people in the home. They plan to Develop a system for recording informal comments and complaints so that they can provide further evidence that the have responded to requests by made people in the home. Further improve the facilities for storing medication. Develop and increase the range of activities by consulting other organisations and organising more trips outside the home. Care Homes for Older People Page 8 of 27 Develop a new system for visitors to sign in and out to provide a better level of protection for people in the home. Provide better access to and facilities in the garden. Decorate the outside of the property. Continue to update and rearrange the homes recording systems. Develop the homes quality assurance systems so that areas for improvement and development will be identified and suitable plans can be made to address these. 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People do not move into this home before their needs are fully assessed and they have been assured that they will be met. Evidence: The owner informed us in the AQAA that people considering moving into the home are provided with information about the home and are invited to visit to decide whether or not they feel comfortable in the home and amongst other residents. Their needs are assessed and this process involves the person and other relevant family members. We sampled files, including those of people who had most recently been admitted to the home and found that they contained detailed assessments of their needs and preferences. These are used to form the basis of the care plans. The owner is planning to develop the admission forms further in order to include appropriate input from family and friends. Care Homes for Older People Page 11 of 27 Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social care needs are set out in a plan so that staff ensure that they are met. People are protected by the homes practices for the storage and administration of medication. People are treated with respect and their right to privacy is upheld. Evidence: We sampled care plans and found that they contain details of each persons needs in various areas. Peoples preferences are also included. There are new booklets which include the assessments, care plans and reviews and these mean that information is readily accessible. The booklets also contain details of monthly reviews of the plans. Most of the people are registered at a local GP surgery, but people may also choose to retain their own doctor if this is possible. We saw that plans contain details of peoples health needs and there are records of attendance at various appointments with professionals such as opticians, dentists and Care Homes for Older People Page 13 of 27 Evidence: medical specialists. The dentist was at the home on the day of the inspection and one person told us that she was looking forward to her new teeth. A district nurse was visiting another person. The member of staff was on the telephone to the surgery. There are good arrangements for the storage and administration of medication. We saw well organised storage facilities and appropriately completed administration sheets. There are regular checks by a pharmacist. The staff are trained to administer medication. Staff told us that that people may administer their own medicines when they are assessed as being capable of doing so and there are examples of people doing this in this home. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People find that their lifestyle matches their expectations and preferences and they are encouraged to maintain relationships with significant people in the community. People are enabled to exercise control over their own lives. They receive a diet which meets their needs and suits thier preferences in pleasant surroundings. Evidence: People in the home told us that they are satisfied with the range of activities on offer and that staff respect their personal choices. Most people prefer to sit and chat or spend time in their own room in the mornings. The television is not left on all day, but put on when there is a programme which people like to watch. This means that people can talk easily to staff and visitors. Staff informed us that activities are on a flexible basis and include games, music, exercises, crafts and use of the library. There are also themed sessions led by a visting worker. The homes activities coordinator has recently retired so the owner has taken on this task and this provides her with an opportunity to get to know the people in the home and their capabilities and interests. She told us that she plans to include questions about interests in the homes questionnaires and to include more trips outside the home if that is what people would like to do. There is an Care Homes for Older People Page 15 of 27 Evidence: open visiting policy and visitors may be entertained in the conservatory, garden or in peoples own rooms. Some people go out with their visitors. Staff told us that peoples preferences and needs in terms of food are recorded at the time of admission and updated when further information is known. Peoples weights are recorded and monitored as necessary and suitable action is taken when there are problems. The menus show that there is a choice of meals which appear to be well balanced in terms of nutrition and to meet peoples needs. The manager told us that people are consulted about planned changes to meals and fresh fruit and vegetables are used. People in the home told us that they are very pleased with the standard of catering. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements to ensure that people are protected, including the arrangements for handling complaints Evidence: We saw the homes complaints procedure and the details for contacting the owner and the CSCI are clearly displayed in the entrance area. There is also a copy of the procedure in the guide for people who live in the home. There is a book for recording any complaints received and any action taken but there have been no recent complaints. People told us that they would have no hesitation in telling a member of staff, the manager or the owners should they have a complaint to make. However, they all said that they were comfortable and well looked after in the home. The staff told us that there are times when people make comments and changes are made as a result of these. For example, the brand of coffee was changed after it was not popular with people in the home. The owners said that they were considering recording these events as informal complaints so that there would be a record to demonstrate how well the home responds to comments. The home has policies and procedures on adult protection and whistleblowing. All staff are trained in awareness of adult protection issues and the action to take should they need to make a report. Checks are made through the Criminal Records Bureau on all staff and we saw that there is a thorough recruitment system which includes taking up Care Homes for Older People Page 17 of 27 Evidence: references. These measures ensure that people in the home are well protected. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean environment which is well maintained, homely and pleasant. They are protected from the spread of infection Evidence: We toured the building and found all communal areas clean, well maintained and free from unpleasant odours. We were invited into several bedrooms and these were individual in style with many personal items brought in by the occupants. Several people said that they were pleased with their rooms and liked to spend time in them in the day. The garden is well maintained and staff told us that it is well used in the Summer. People said they liked the garden furniture, which was provided by a relative of someone who used to live in the home. The owner told us that he plans to decorate the outside of the property and to make the garden more accessible and provide better outdoor facilities. There are guards on all radiators and gates on the stairs to protect people in the home. We saw risk assessments and schedules for cleaning the home and making sure that infection is controlled when necessary. Care Homes for Older People Page 19 of 27 Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are met by sufficient staff who are well trained and competent to do their jobs. People are protected by the homes recruitment practices. Evidence: There is a low turnover of staff, which provides consistency for the people in the home. We looked at the records for a sample of staff and found that the recruitment system involves taking up references and checking through the Criminal Records Bureau and the Protection Of Vulnerable Adults list. This means that the people in the home are well protected. We looked at the rotas and these showed that there are sufficient numbers of staff on duty at all times. People in the home told us that there are enough staff to provide assistance and company when needed. The training records show that staff are trained in areas relevant to their jobs. They undertake NVQ training and this is supplemented by updates in basic areas and specific training in subjects such as medication administration. People who live in the home told us that they appreciate the staff. On wrote, all the staff are very caring and helpful and another wrote, The staff are exceptionally caring and pleasant. Staff at the home on the day of the inspection demonstrated knowledge Care Homes for Older People Page 21 of 27 Evidence: in various areas and were seen treating people with respect. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed home which is run in their best interests and where there are good systems for maintaining the quality of care. Their financial interests are safeguarded and their health, safety and welfare is promoted and protected. Evidence: The present owners were registered in October 2007. They told us that they have a friendly, open, communicative and hands on approach and this was confirmed by people who live in the home. People in the home and staff confirmed this. The new owners have retained the services of the previous manager and staff and this means that there has been continuity for people living in the home. Whilst maintaining the high standards, they have started to review and update recording systems, so that the home will continue to meet the National Minimum Standards and implement best practice. The owners told us that they welcome feedback about the performance of the home from any source. They spend time talking to people in the home and to their relatives and plan to develop the quality assurance systems further by introducing an Care Homes for Older People Page 23 of 27 Evidence: improvement report which will outline areas in need of improvement, the action required, the person responsible for the task and the timescales involved. The home does not handle any finances on behalf of people who live there. The owners provided us with the dates of servicing and checks on equipment and services to the home. We checked a sample of these and found them to be correct. This means that there are good systems to make sure that all users of the building are safe. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 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 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 Care Homes for Older People Page 26 of 27 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 27 of 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. 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!