Latest Inspection
This is the latest available inspection report for this service, carried out on 19th April 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Castle Bank Residential Home.
Annual service review
Name of Service: Castle Bank Residential Home The quality rating for this care home is: The rating was made on: two star good service 0 5 0 3 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elsie Allnutt Date of this annual service review: 1 9 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 26 Castle Bank Tow Law Co Durham DL13 4AE 01388731152 01388730891 june.pearson@x9healthcare.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category X9 Healthcare Castle Bank Limited Number of places (if applicable): Under 65 Over 65 0 0 33 33 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Castle Bank is a care home registered to provide care (not including nursing care) and accommodation for 33 older people. The home is owned by X9 Health Care Castle Bank Ltd. The home is located in the small town of Tow Law, which is in the West of County Durham and is convenient for all the towns amenities. The home consists of an extended and adapted, two storey building. All bedrooms are currently in single use although there are three rooms which can be used as doubles should the need arise. There is an adequate number of toilets and bathrooms and en-suite facilities have been added to some bedrooms, one of which has had a shower installed. There is a through floor lift to the first floor. The home has a pleasant garden to the rear, which offers views over the local countryside and the town itself and a conservatory is available where residents can sit and enjoy the views in all weathers. The fees at Castle Bank Care Home are #436 per week for residential care and #457
Annual Service Review Page 2 of 7 0 5 0 3 2 0 0 9 per week for clients who are diagnosed with dementia. These fees do not include Chiropody, Hairdressing, Personal Newspapers, Toiletries, or Outings. All extra items are usually invoiced separately. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The last Key inspection was carried out 5th March 2009. We looked at all the information that we have received or asked for since the last key inspection. This includes: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service, staff and other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and also discussed issues about the home with the registered manager and our judgement is that the home continues to provide a good service and that they know what further improvements they need to make. The home tells us that they have worked hard over the past 12 months to maintain the high standard of care previously established and to retain the competent and consistent workforce. In addition to this, through an ongoing refurbishment programme, they have aimed to develop an environment within the home that is safe, attractive and that offers service users accommodation of a high standard and comfort, while at the same time that meets their needs. The home has aimed to plan the work needed well and to carry it out in a way that causes minimal disruption and risk to the people living at the home and this to date has been successful. Recent work carried out includes the replacement of; all windows to the front of the building, the replacement of the entrance porch and all exterior doors and a new roof has to the rear of the building. As a result the home tells us that the security, warmth and comfort throughout the building is much improved. The home employs two handypersons that ensure that the relevant safety checks needed throughout the home are systematically carried out and recorded effectively in a service log. People living at the home tell us that they are happy there and when asked what they thought the home did well the following comments were made, Annual Service Review Page 4 of 7 The home is very clean and well cared for and the staff are very friendly. I have been here for 5 years and there have been many improvements in the home. One relative said, The staff are very supportive and my Xs needs are taken care of and their well being is always considered. The home tells us that they continue to improve their care plans by ensuring that they are regularly reviewed and updated. They are person centred and have risk strategy plans integral to them. The home feels that they have developed a good relationship with healthcare professionals who they refer to for specialist guidance. The guidance provided is then recorded in the care plan for care staff to follow. This results in the service user receiving care that is consistenty and appropriately delivered. Social and healthcare professionals confirmed that good relationships have developed with the home and furthermore they positively promoted the standard of care delivered. Some comments made by them include; Staff are friendly and helpful even if I arrive without an appointment. The staff always make sure that there are no underlying medical problems that might be affecting someones behaviour before they refer the person to the psychiatric services. Castle Bank provides a good responsive service. They ensure that residents care needs are appropriately met and liase with the social worker if they have any concerns regarding clients. Staff are always approachable. The home feels that their staffing and staff retention levels are excellent. This they contribute to their committment to offering good training opportunities, which has resulted in a high percentage of qualified staff. 90 of staff are qualified in NVQ 2 and above and staff who are not, are working towards it and furthermore all senior staff are qualified in NVQ level 4. Staff tell us that they are happy working at home and some made the following comments; This is a lovely family environment for everyone. I am very happy at Castle Bank, they are always giving training to help me with meeting the needs of residents. The home looks after residents very well and meets their individual needs. Staff communicate well and work well as a team.
Annual Service Review Page 5 of 7 I have worked here for 10 years and intend to stay until I retire. The home continues to let us know about things that have happened since the last key inspection and they show that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 5th March 2012. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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