Latest Inspection
This is the latest available inspection report for this service, carried out on 7th April 2010. CQC found this care home to be providing an Excellent service.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Castle Donington Nursing & Residential Home.
What the care home does well All areas of the home inspected were clean, fresh, warm, and tidy. Staff were welcoming and professional. The residents and relatives we spoke to made many positive comments about the home including, `I like everything about this home`, and `My relative is very well cared for here.` The home is spacious with good access to all areas for residents with limited mobility. We visited the lounges which were nicely laid out with residents sitting in small family groups. Some residents have digital photo frames beside them so they can look at pictures of their families and friends. A programme of one to one and group activities is provided by the home`s activities coordinator. This helps to ensure residents lead full lives. Lunch was being served during the inspection. Residents were offered a range of menu items and staff helped them choose what they would like. A resident told us, `I like the food, I`ve just had chicken casserole for lunch. Every day I have a cooked breakfast sausages, eggs, and bacon. We get drinks at set times, with meals, and then mid morning, mid afternoon, and in the evening.` One resident told us he`d like to vote in the forthcoming elections but didn`t know how to go about it. We discussed this with the Manager and he said all residents had been registered to vote when they came into the home and they would all be offered a postal vote, or, if they wished, a trip to the polling station. Residents and relatives praised the staff team. A resident told us, `The staff are very good, they are polite, and they look after us. They always chat to me when they`re getting me ready for the day.` A relative commented, `The staff are helpful and gentle in their approach to my relative.` What the care home could do better: We case tracked two residents. We were satisfied that both had satisfactory care plans and risk assessments in place, and that their needs were being met by the staff employed at the home. However not all entries in case files were signed and/or dated so it was not clear who had written them and when. This needs addressing. We discussed staff supervision with the Manager. At present he is responsible for supervising all the staff. However he is currently providing informal training to three senior nurses so they will be able to assist with future supervisions. While this is apositive development (as the staff team is large for just one person to supervise) it is recommended that formal supervision training is provided to staff. This will help to ensure they have the skills and knowledge they needs to carry out supervisions. Prior to this inspection a serious concern was raised about staff record keeping in the home. The Owning Body conducted an inquiry into this which concluded with a recommendation. CQC are not satisfied with how this matter has been dealt with by the Owning Body. The report they produced did not acknowledge that the Care Homes Regulations (2001) and the Nursing and Midwifery Council`s `Code of Conduct` may have been breached. And although we were told disciplinary action had been taken we could find no record of this in staff supervision files. Staff in the home must be properly supervised at all times. If they are believed to have breached requirements then immediate action must be taken to protect residents. This could include, for example, suspension, referral to the NMC, or re-training. Records must be made of decisions made and action taken. This will help to ensure that staff are clear about their professional responsibilities, and the consequences should they fail to meet them. Random inspection report
Care homes for older people
Name: Address: Castle Donington Nursing & Residential Home Delven Lane Castle Donington Derbyshire DE74 2LJ three star excellent service 15/12/2008 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: Kim Cowley Date: 0 7 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Castle Donington Nursing & Residential Home Delven Lane Castle Donington Derbyshire DE74 2LJ 01332853588 01332853465 surjit@rushcliffecare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Francis Halili Martir Type of registration: Number of places registered: Conditions of registration: Category(ies) : Rushcliffe Care Limited care home 60 Number of places (if applicable): Under 65 Over 65 30 30 60 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 First Floor No one may be accommodated on the first floor under 55 years of age. First Floor No one may be admitted to the first floor who falls within category PD (physical disability) unless they also fall within category DE (dementia). First Floor The first floor may accommodate no more than 30 service users who fall within the category/combined categories PD,DE. Ground Floor The ground floor may accommodate no more than 30 service users who fall within category OP (older persons) and PD(E) (older persons with a physical disability) of which 15 service users are accommodated in the Eaton Unit also located within the ground floor.
Care Homes for Older People Page 2 of 9 Ground Floor The service provided to persons admitted to the home who fall within category PD must be in accordance with the Home Statement of Purpose as submitted to the CSCI on 12 August 2004. Ground Floor Within the Eaton Unit the home may accommodate up to 15 service users of which up to 8 service users in total who fall within category PD (physical disability) may also be accommodated. Ground Floor Within the Eaton Unit the home may accommodate up to 2 persons between the ages of 35 and 45 years who have a diagnosed degenerative neurological disorder and fall within category PD. Ground Floor Within the Eaton Unit the home may accommodate up to 8 persons between the ages of 45 and 65 years who have a diagnosed degenerative neurological disorder and fall within category PD. No one in categories OP, PD(E) & DE(E) may be admitted to Castle Donnington Nursing & Residential Home where there are 60 persons in total of these categories/combined categories already accommodated in the home. To be able to admit the named service user, aged 44 years named in variation application number V21817 Date of last inspection Brief description of the care home Castle Donington Nursing and Residential Care Home is a purpose built two-storey home. It accommodates residents over 55 years with dementia, a physical disability, or a terminal illness. There is a separate unit, within the home for eight residents, aged 35 years and above, with a diagnosed neurological condition. Trained nurses and care assistants staff the home, with a trained nurse on duty at all times. All residents rooms have en-suite facilities and there are additional toilets and assisted bathing facilities. There are a number of sitting rooms and dining areas throughout the building, and an enclosed garden. All areas of the home and garden accessible to the residents are wheelchair friendly, and there is a passenger lift to the first floor. The home is situated in the village of Castle Donington, on the borders of Leicestershire, Nottinghamshire and Derbyshire. Village amenities are close by with local buses to the nearby towns of Coalville, Ashby-de-la- Zouch, and Loughborough. There is a car parking next to the home. The Statement of Purpose and Service Users Guide (these tell you about the services offered by the home) are availably to all current and potential service users. For details of fees and terms and conditions contact Rushcliffe Care Limited. 1 5 1 2 2 0 0 8 Care Homes for Older People Page 3 of 9 What we found:
The reason for this inspection was to ensure that residents were being properly cared for following concerns being raised about the home. The visit took place in conjunction with staff from Social Services. When we arrived at the home we were met by the Manager. He took us on a brief tour of the premises, introduced us to several residents and staff, and made care plans and other records available for us to view. What the care home does well: What they could do better:
We case tracked two residents. We were satisfied that both had satisfactory care plans and risk assessments in place, and that their needs were being met by the staff employed at the home. However not all entries in case files were signed and/or dated so it was not clear who had written them and when. This needs addressing. We discussed staff supervision with the Manager. At present he is responsible for supervising all the staff. However he is currently providing informal training to three senior nurses so they will be able to assist with future supervisions. While this is a
Care Homes for Older People Page 4 of 9 positive development (as the staff team is large for just one person to supervise) it is recommended that formal supervision training is provided to staff. This will help to ensure they have the skills and knowledge they needs to carry out supervisions. Prior to this inspection a serious concern was raised about staff record keeping in the home. The Owning Body conducted an inquiry into this which concluded with a recommendation. CQC are not satisfied with how this matter has been dealt with by the Owning Body. The report they produced did not acknowledge that the Care Homes Regulations (2001) and the Nursing and Midwifery Councils Code of Conduct may have been breached. And although we were told disciplinary action had been taken we could find no record of this in staff supervision files. Staff in the home must be properly supervised at all times. If they are believed to have breached requirements then immediate action must be taken to protect residents. This could include, for example, suspension, referral to the NMC, or re-training. Records must be made of decisions made and action taken. This will help to ensure that staff are clear about their professional responsibilities, and the consequences should they fail to meet them. 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 9 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 Older People Page 6 of 9 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 1 7 17 All entries in case files must be signed and dated. So it is clear who wrote them and when. 07/06/2010 2 30 18 Staff must be properly supervised at all times. To ensure they understand their professional responsibilities, and the consequences should they fail to meet them. 07/06/2010 3 36 17 Records must be kept of any 07/06/2010 disciplinary action taken in the home. To ensure that each member of staffs performance can be monitored. 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 30 Formalised supervision training should be provided to help
Page 7 of 9 Care Homes for Older People 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 to ensure that staff responsible for supervision have the skills and knowledge they need to carry out their role. Care Homes for Older People Page 8 of 9 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 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: 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 Older People Page 9 of 9 - 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!
