Latest Inspection
This is the latest available inspection report for this service, carried out on 18th November 2009. 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 Excellent.
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 Hill House.
Annual service review
Name of Service: Castle Hill House The quality rating for this care home is: The rating was made on: 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 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: Annie Foot Date of this annual service review: 2 6 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Bimport Shaftesbury Dorset SP7 8AX 01747854699 01747858760 admin@shaftesburyhealthcare.com www.shaftesburyhealthcare.com Community Health Association of Shaftesbury Limited 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 Conditions of registration: Number of places (if applicable): Under 65 Over 65 30 0 0 30 The maximum number of service users who can be accommodated is 30 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) 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 Hill House is owned by the Community Health Association of Shaftesbury (CHAS), a charitable company limited by guarantee. The home is managed by Mrs Ballard; she is also a director of the provider organisation (CHAS). The home is registered to accommodate up to thirty older people including a maximum of seventeen who are mentally frail and suffering from dementia. The home also offers
Annual Service Review Page 2 of 7 respite care to up to three older persons. Resident accommodation is on three floors; there are two double and twenty-six single bedrooms. The home has two passenger lifts; all resident areas are accessible by the lifts and there are no steps or ramps in corridors or bedrooms. The home has a range of baths including one of variable height with a fixed hoist, another with a fixed hoist only and two newly installed walk in baths. Three activities co-ordinators lead regular activities in the home. In addition to personal care and support the services provided include all meals, laundering and housekeeping. The home is situated close to the town centre and has mature private gardens where residents can sit and relax in the warmer weather. There is a parking area to the side of the house and a public car park is situated a short walk from the home. Arrangements can be made for a hairdresser, chiropodists, opticians and other health and social care professionals to visit individual residents. Fees are charged weekly and range between £475 and £570 per person. An additional charge of £12.50 per person per week is made for participation in the entertainment/activity programme. Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk 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? We looked at all the information that we have received, or asked for, since the last key inspection which took place on 22 October 2007 and the annual service review completed on 24 October 2008. This included: 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 and from 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 other 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 detailed and gave us all the information we asked for. We also received several completed surveys from people living at the home. Everyone received assistance in completing the forms from a family member. The surveys tell us that people are very satisfied with the care and support they receive from the home. They also confirm that prospective residents are given sufficient information prior to making a decision to move in. Surveys say that liaison between the home and relatives of residents is good and that most things are done very well. The AQAA tells us that the home promotes an open door policy which encourages both residents and their families to come in and talk to staff openly. Residents meetings are held regularly so any issues or suggestions can be made and carried out. Relatives and friends are always welcomed, in particular to the Garden Room, where they are encouraged to join in with activities, which helps to build a rapport between staff and families. As a result of listening to what residents say, changes have been at the home including, inviting relatives and friends for lunch in the Garden room providing a restaurant atmosphere, and allowing staff to spend time with other residents in the Annual Service Review Page 4 of 7 main dining room. Coffee mornings are held once a month and the organiser of the memory cafe is keen for people attending her group to visit and chat to residents of the home and for the homes residents to visit the cafe. The Garden room has been completed and opened in the last year overlooking the dementia garden. Residents enjoy the aspect and surroundings of a bright and airy room which has also enabled staff to offer a diverse range of activities. Activities are held on a daily basis, ranging from wood sanding to foot spas, word games to croquet. The new room has enhanced opportunities for the residents to demonstrate their skills and to try out new hobbies, gardening, potting, planting, painting, cooking, flower arranging, word search, gentle exercise, playing the organ and singing. 2 staff are available at all times to encourage, assist and observe during activities. Three activities staff are employed to coordinate the programme. Surveys from residents confirm that there are always activities to participate with. Staff say that the home is very good at organising activities in the lovely garden room. Residents from the sister home, the Cedars, visit regularly and participate in the activities. Residents were all involved in the living eggs project - chicken eggs were hatched and looked after for 2 weeks by residents, until all chickens and roosters were re-homed locally. As many of the residents had looked after chickens in their earlier years, this proved a good reminiscence tool. The home has a proactive approach to managing complaints. The AQAA reports than in the last year the office has been moved within the home, to enable residents and relatives to come in for informal chats to address issues before they become problems or complaints. An open, private session for staff is offered every afternoon with management to talk about any issues within the home or just a chance to off load any problems or feelings they are experiencing. There are also regular night staff support meetings to ensure they feel part of the team and are valued. Everyone responding to our surveys say they know who to talk to if they any concerns or wish to make a complaint. Surveys from health care professionals say that the service always responds appropriately if someone raises any concerns. No complaints were received during the year. There was 1 safeguarding referral and investigation. The home has achieved an 98 occupancy through the year. A waiting list is held and in the last year there have been 8 new admissions to the home. Surveys from health care professionals tell us that the homes assessment arrangements ensure that accurate information is gathered to provide the right service for each individual. One survey commented that the home, provides a wonderful caring loving atmosphere for people who can no longer look after themselves and who need specialised care. 15 full time and 13 part time staff are employed at the home. The use of agency staff
Annual Service Review Page 5 of 7 is kept at a minimal level. 5 staff have left their employment at the home in the last year. 31 permanent staff are employed at the home. Of these 26 have achieved an NVQ level 2 or above in care. 37 staff have received training in the prevention and control of infection. Staff confirm that they receive induction training and other training relevant to their role. Through our surveys some staff have requested more training in dementia. Others say they would be willing to do more training, but that it is not always available. We received 10 completed surveys from staff employed at the home. These tell us that staff are always given up to date information about the needs of the people they support and care for. Most of the staff say that they meet regularly with their manager to discuss working practice and to share information. One person commented that, management are lovely supportive people to work for. The majority of staff responding to surveys say that although the job they do is mentally and physically demanding, there is a warm and friendly feeling in the home and that the home does everything it can to achieve a very high standard - always with an aim to improve. Teamwork among the staff is reported to be strong and staff enjoy their work. Staff appreciate the surroundings and environment of the home. Several comments were received from staff referring to the individual care and support needed by residents. Staff say, it would be lovely for more of our residents to have trips out more frequently, and a lot of residents need one to one support which is very difficult when you do not have the time to spend with them. The home continues to let us know about things that have happened since our last key inspection and they have shown 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. The home provides a high standard of care and there is no evidence to indicate that outcomes for people who use the service have changed since the last inspection of the service. 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 22 October, 2010. 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
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