Latest Inspection
This is the latest available inspection report for this service, carried out on 7th September 2010. CQC found this care home to be providing an Poor 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 Castlefort Grange.
What the care home does well This is a random inspection and therefore not all of the key standards were assessed. As detailed in `what we found`, since our last visit the home has made a number of improvements, which should enhance the lives of the people who live there. What the care home could do better: This is a random inspection and therefore not all of the key standards were assessed. Peoples names and dates should be written on charts so that they are completed for the correct person at the correct time. Medication records must be improved to ensure that people receive their medications as prescribed and an audit trail can be followed. The training programme should continue to ensure that all staff receive all of the training they need. This will ensure they have the knowledge and skills to assist people to meet their needs. Random inspection report
Care homes for older people
Name: Address: Castlefort Grange 39 Castlefort Road Walsall Wood Walsall West Midlands WS9 9JL zero star poor service 30/03/2010 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: Lisa Evitts Date: 0 7 0 9 2 0 1 0 Information about the care home
Name of care home: Address: Castlefort Grange 39 Castlefort Road Walsall Wood Walsall West Midlands WS9 9JL 01543371754 01543454353 castlefort.grange.care@unicom.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Castlefort Grange Care Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 23 Number of places (if applicable): Under 65 Over 65 0 23 dementia old age, not falling within any other category Conditions of registration: 23 0 The maximum number of service users who can be accommodated is: 23 The registered person may provide the following category of service only: Care Home Only (Code PC); 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 other category (OP) 23 Dementia (DE) 23 Date of last inspection 3 0 0 3 2 0 1 0 Care Homes for Older People Page 2 of 9 Brief description of the care home Castlefort Grange is registered to care for 23 older people, some of whom may require dementia related care. The home is situated in the Walsall Wood area of Walsall, there are local amenities and shops reasonably close by, though not within walking distance for the majority of people using the service. There are public transport links close by to access Brownhills and Walsall. The home has undergone major building work, providing additional rooms, and increasing the size of some existing bedrooms to include an en-suite toilet. Accommodation now totals 17 single and 3 double bedrooms. In addition, the lounge has been extended and a conservatory added. There is also a separate dining area and large, accessible garden. Care Homes for Older People Page 3 of 9 What we found:
The focus of this inspection undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We last visited the home for a key inspection on the 30th March 2010. This random visit was undertaken by two inspectors over four hours. There were 23 people living at the home, one person was moving that day to another home and one person was in hospital. The home did not know that we would be visiting. The reason for this visit was to look at staffing levels following an anonymous complaint that sometimes there were not enough staff on duty. We also reviewed the outstanding requirements from the last key inspection. During this visit we looked at two peoples care files, staff training records and staff rotas. We looked at the accident records, food and water temperature records. We spoke to two staff and two people who lived at the home. These are our findings: Since our last visit to the home a new manager had been appointed. She has been working at the home since June and has over ten years experience in care work and senior carer roles. The manager told us that she was sending us her application to be the Registered Manager and this shows a commitment to the home. The manager has put a number of systems in place to address the concerns we found at our last visit and she had a good knowledge of the people who live at the home and their needs. The manager told us that during the day there were three care staff and one supernumerary person on duty. At night there are two members of staff on duty. The manager acknowledged that there had been some shortages of staff due to sickness, however they tried to cover these shifts where possible. Some new staff have been appointed and they will start working once the home have received all of their recruitment checks, to ensure that people are safe. We looked at the staff rotas and these showed that the home was usually staffed to the numbers stated. There were odd occasions where there was one staff member less on duty, but the home did not consistently work on low numbers of staff. During this visit we saw good interactions from the staff with the people who live at the home. People were seen to move around the home as they chose and were assisted where they needed help. Some people were watching TV and others were playing games with the staff. People were well presented and staff attended to peoples requests in a timely manner. We were told that some people like to help in the garden and also to clear tables. We saw people doing these things during our visit and this means that people can still do things that they enjoy doing. People told us that they liked living at the home. We looked at water temperature records and found that these had started to be checked
Care Homes for Older People Page 4 of 9 each month since August. They were within an acceptable range to minimise the risk of people being scalded. Accident records were completed and we are informed of incidents that affect the health and well being of the people who live there. Fridge and freezer temperatures are recorded and food is probed each day to ensure that foods are kept and served at the correct temperatures. We looked at the staff training matrix, which was in a draft version. The management have purchased distance learning packs in a wide range of topics. Different staff have been given different topics so that there is at least one person who will have completed each topic until staff can be trained in all of them. All staff had completed fire training, and kitchen staff had completed food hygiene. The manager told us that staff were behind with training and therefore it will take time for all staff to receive all the training they require. We will review progress with this at our next visit to the home. We looked at two peoples care files. One person had care plans in place, and these gave staff some guidance about how to assist the person to meet their needs. The plans included likes and dislikes so that they received care in a way that they preferred. The person needed to be checked hourly so that staff knew where they were. We saw that the checks were being completed but some of the charts did not have names and dates on to ensure they were being filled in for the right person at the right time. We asked to see the weight charts and one did not have the persons name on, the deputy added the persons name to the chart but this should be completed when a chart is started to ensure the correct information is recorded. The second person had a care plan from a social worker as was on respite care. We were told that the person had a red area on their skin. Staff spoken to could tell us about this and what they did to try and reduce the risk of the skin becoming sore. There were records of changes in position and specialist equipment was in place. Daily records showed that the person had recently started to shout out and disturb other people who lived at the home but no plan had been written about how staff should manage this. The person also had a history of weight loss and poor diet and fluid intake. The person had been weighed so that they were being monitored; however the care plan could be more detailed about the persons weight. We looked at two peoples medications. The home did not keep copies of prescriptions and this should be done so that staff can check they receive the correct medication into the home. We found that medication records were signed. Staff did not record if one or two tablets were given for variable doses. This should be recorded so that there is an accurate audit trail and so that staff can monitor the effectiveness of the medication. Handwritten charts should be signed by two members of staff to confirm the accuracy of the prescription. All of the staff who administer medication have completed safe administration of medicines training. We discussed this with the manager at the end of our visit and she was keen to address the things that we had identified could be improved. What the care home does well:
This is a random inspection and therefore not all of the key standards were assessed. As detailed in what we found, since our last visit the home has made a number of
Care Homes for Older People Page 5 of 9 improvements, which should enhance the lives of the people who live there. 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 Older People Page 6 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 7 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 9 13 Documentation regarding 30/09/2010 medicines management must be improved. To ensure that there is an audit trail and people receive the medication as prescribed for them. 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 7 Staff must ensure that charts have peoples names and dates on to ensure that they are filled in for the right person at the right time. The training programme that has commenced should continue to ensure that staff receive training and have the knowledge and skills to meet peoples needs. 2 30 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!
