Latest Inspection
This is the latest available inspection report for this service, carried out on 27th April 2010. CQC found this care home to be providing an Good 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.
For extracts, read the latest CQC inspection for Castel Froma.
What the care home does well The nurses had worked hard to reduce the risk and numbers of errors previously seen in the home. They had installed a good quality assurance system to assess nursing staffcompetence in the safe handling of medicines. The nurses spoken with had a very good understanding of the new system and worked as a team to improve the medicine management What the care home could do better: The home must improve the system surrounding medicines given to relatives and carers when the people go on home leave. Discrepancies were seen for one person that could not be resolved as the nurses failed to record how many medicines had been supplied for home leave. The nurse on duty was keen to improve this system and identified ways to achieve this. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Castel Froma 93 Lillington Road Leamington Spa Warwickshire CV32 6LL two star good service 13/02/2009 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Debby Railton Date: 2 7 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Castel Froma 93 Lillington Road Leamington Spa Warwickshire CV32 6LL 01926427216 01926885479 mkaliczak@castelfroma.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Helen Finlay Type of registration: Number of places registered: Conditions of registration: Category(ies) : Castel Froma Charity Trustees care home 57 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 57 The maximum number of service users who can be accommodated is: 57 The registered person may provide the following category of service only: Care Home with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical disability (PD) 57 Date of last inspection Brief description of the care home Castel Froma is a care home providing nursing care for fifty seven predominantly younger adults, with a severe physical disability deriving from head injury or neurological disease, such as Multiple Sclerosis. The home provides a mixture of single and shared accommodation, with seven rooms having en-suite facilities. The
Care Homes for Adults (18-65 years) Page 2 of 8 1 3 0 2 2 0 0 9 Brief description of the care home home is set in extensive grounds, which are laid to lawn with flowerbeds, and patio areas. The home has a hydrotherapy pool, which is also available for National Health Service patients not resident at the home. The home employs occupational therapists, physiotherapists and a speech and language therapist to offer a full range of services. There are vehicles at the home to transport the residents on trips and for appointments. Information about the home is given to people considering moving to Castel Froma and their families via the Statement of Purpose and Service Users Guide information brochures. The home is situated on a major road approximately one mile from Leamington Spa town centre and all its amenities including a bus services, a variety of shops, pubs and places of worship. The Service User Guide for the home details that the standard charge for staying at the home is #969 per week. It also states that the home provides person centred care specifically tailored to peoples needs and the fee charged may therefore vary from this standard charge. Additional charges are made for hairdressing, toiletries, telephone calls and dry cleaning. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
The pharmacist inspection lasted two and a half hours. The reason for the pharmacist inspection was to check compliance with the regulations regarding the safe handling of medicines. Eight peoples medicines were looked at, together with their Medicine Administration Record (MAR) chart and care plans. Three nurses were spoken with and all feedback was given to the senior nurse on duty at the end of the inspection. The medicines were stored in locked medicine trolleys in individual medicine rooms, that were temperature controlled. The medicine trolleys were kept clean and tidy and it was easy to identify and find individual medicines for each person, reducing the risk of potential error. Surplus medicines were kept in separate locked cabinets. The nursing staff saw the prescriptions prior to dispensing and took a copy of them to check the dispensed medicines and MAR charts into the home. The quantity of all medicines had been recorded together with any balances carried over to enable audits to take place to confirm the medicines had been administered as prescribed. Following a series of medicine errors the home had installed a quality assurance system to ensure that the nurses administer and record the medicines accurately and any errors in this process are picked up in a timely fashion. Audits indicated that the medicines had been administered as prescribed and records reflected practice. The nurses count the medicines dispensed in traditional bottles and boxes during the medicine round and record the running total on the MAR chart to double check that the medicines have been administered correctly and records reflect practice. They also check each others work following the medicine round to ensure that no medicines have been administered incorrectly and any possible errors are identified in a timely fashion. The nurses had written supporting protocols detailing when medicines if prescribed on a when required basis, should be administered in accordance with the doctors instructions. These were very well written and easy to follow. In addition there was an additional chart detailing exactly what dose of medicine had been administered, why and also the outcome. The information gathered from this was then used to inform the prescribing doctor, if necessary. All three nurses spoken with had a good understanding of the clinical conditions of the people they looked after and also why each medicine had been prescribed. The care plans were well written and supported the individuals clinical needs. All external healthcare professional visits had been recorded so it was possible to identify when and why a medicine had been prescribed or a dose changed. All controlled drugs were correctly stored in compliance with current regulations and accurately recorded in the controlled drug register and on the MAR chart. What the care home does well:
The nurses had worked hard to reduce the risk and numbers of errors previously seen in the home. They had installed a good quality assurance system to assess nursing staff
Care Homes for Adults (18-65 years) Page 4 of 8 competence in the safe handling of medicines. The nurses spoken with had a very good understanding of the new system and worked as a team to improve the medicine management 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 Adults (18-65 years) Page 5 of 8 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) 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, 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 1 20 It is advised that a record is made of all medicines that are taken from the the premise for home leave and also those that are returned to maintain the audit trail. Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 Adults (18-65 years) 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: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) 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!
