Care Home: Castleview Care Home

Similar services:

• 22 Sandown Road
• The Highlands
• Turret Villa Retirement Home
• Dilston College Of Further Education
• West View House
• Prince Bishop Court
• Park View (15)

What the care home does well Good systems are in place to make sure that people have enough information about the service before they come to live in the home. Good pre-admission assessments ensure that people are sure their needs can be met before they come to live at Castleview. Peoples` care and health needs are well met by the service in a way that suits their individual needs. Individual records are well maintained to show how staff meet peoples` needs and are updated regularly or when peoples` needs change. The good systems that are in place for dealing with medicines protect people living in the home. Peoples` individuality and diversity is respected and met by the good service offered at Castleview. Social activities and outings are well organised and planned to suit the needs of the people using the service. The people using the service enjoy the varied programme of events. The food is well cooked and presented with good options available at each mealtime. People feel able to make their views about the service known and feel confident about raising issues with the manager and staff. People are protected by the home`s systems for dealing with complaints and safeguarding matters. Sufficient trained and experienced staff are available meet the individual needs of the people living in the home. Good recruitment practices and procedures are in place to protect people using the service. Staff training is well organised and delivered to staff to ensure that they have the skills to meet peoples` individual needs. Good management systems are in place to make sure that the quality of the service is regularly reviewed and changes are made to improve the service. Good health and safety systems protect people living and working in the home. What has improved since the last inspection? Systems are in place to ensure that care plans are regularly updated and reviewed. Care plans were up to date at the time of this inspection and there was evidence of regular reviews. Recruitment records are well organised with evidence available to show that employment gaps and last employer references are in place. What the care home could do better: No requirements or recommendations were made in this report. Key inspection report Care homes for older people Name: Address: Castleview Care Home Howling Lane Alnwick Northumberland NE66 1HL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Anne UrwinBrown     Date: 2 7 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Castleview Care Home Howling Lane Alnwick Northumberland NE66 1HL 01665605311 01665606633 castleview@ascotcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Trevor Nesbit Name of registered manager (if applicable) Mrs Judith Brown Type of registration: Number of places registered: care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 45 The registered person may provide the following category of service only: Care Home with Nursing 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 - Code OP maximum number of places 39, Dementia - Code DE maximum number 39, Dementia over 65 years of age - Code DE(E) maximum number 39, Learning Disability - Code LD maximum number 6, Learning Disability over 65 years of age - Code LD(E) Date of last inspection 0 5 0 5 2 0 0 9 39 6 0 Over 65 39 6 39 Care Homes for Older People Page 4 of 26 Brief description of the care home Castleview is a purpose built home for older people situated in a residential area of Alnwick. It is a short distance from the centre of town. This two storey building has high quality accommodation that suits the needs of the people living there. The Home provides residential and nursing care to a maximum of forty-five older people, older people with dementia and three people with a learning disability. All the bedrooms have en-suite accommodation. There is a small paved area to the front of the Home and decking outside the conservatory on the first floor, which can be used by residents. Parking is also available. Public transport links are easily accessible in Alnwick town centre and train links are available from Alnmouth. A copy of the Statement of Purpose and Service User guide is available at the home that describes the service offered. Fees range from £436 to £441 per week fpr residential care and an additional £108.70 for nursing care. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out Before the visit we looked at: Information we have received since the last visit. How the service dealt with any Care Homes for Older People Page 6 of 26 complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. The Visit: An unannounced visit was made on 27 April, 2010. The visit lasted a total of seven hours. During the visit we: Talked with people who use the service, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last visit. We told the manager what we found. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? Systems are in place to ensure that care plans are regularly updated and reviewed. Care plans were up to date at the time of this inspection and there was evidence of regular reviews. Recruitment records are well organised with evidence available to show that employment gaps and last employer references are in place. Care Homes for Older People Page 8 of 26 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clear information and assessments processes enable residents to make a positive and informed choice before moving into the home. Evidence: People have sufficient information about the service provided at Castleview before they come to live there. Two people living in the home said that they had enough information about the service before they came to live in the home. The Statement of Purpose has been reviewed in the past year to reflect changes in registration. The home now provides nursing care. The service user guide gives clear information about what it is like to live at Castleview. Before each person moves into the home a pre-admission assessment is completed by senior staff to ensure that his or her needs can be met at the home. Pre-admission assessments contained good information about peoples needs and these were reflected in care plans. Information from the assessment and from relatives and/or Care Homes for Older People Page 11 of 26 Evidence: from the care manager is also used to prepare an individual plan outlining each persons care needs. The home understands the importance of having good information about peoples needs before agreeing a placement. Two people said that staff knew what they needed help with when they first came to live at the home and they were very supportive. Intermediate care is not provided at Castleview. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health and personal care needs are met by appropriately trained and qualified staff. Evidence: Each person has a personal plan in place that clearly outlines their care needs and how these are met to suit their individual needs. Plans are well recorded and provide good information. Personal support is planned to suit peoples individual needs and preferences. There was clear information in plans and in daily records about how peoples personal care, physical and social and emotional needs are met by staff. Assessment tools are well used to identify changes in peoples needs and care plans are updated to reflect this. Other healthcare information is well recorded and evidence was available that good systems are in place to ensure that peoples health needs are identified and met. Evidence was available that privacy and dignity is respected and that staff are sensitive to personal preferences. Equality and diversity training has been provided. During the inspection three people said how good the care and support is that they receive. They said that staff were kind and always available when they needed them. Care Homes for Older People Page 13 of 26 Evidence: One person said I like living here and the staff are very good and provide support when I need it. The atmosphere was relaxed and staff responded promptly to individual requests during the inspection. A medicines policy is in place that supports good procedures and practice. Staff training has been provided for all staff responsible for administering medicines. Medicines records are well completed and contain required entries. There are regular checks of medicine practice by the manager and records were available to show this. Arrangements for the storage of medicines are satisfactory. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to make choices about their daily routines and activities. This enables them to make choices affecting their daily life and maintain preferred life choices. Evidence: Routines are organised to suit individual needs and three people said that staff support them to make choices. The keyworker system is working well and people said they got good support from this. Good information about social care needs is recorded in care plans to show interests and preferences about activities and routines. There is a programme of activities in place and staff try to spend time individually with people when they dont want to take part. Relatives are welcomed and able to visit freely. People can have visitors at any time and are able to use their own rooms, or the lounges to see them. Rooms are personalised and people are encouraged to bring items from their previous home. The residents said the food was good and alternatives were available at each meal time. They said that they said that they could get something else to eat if they did not like what was on the menu. The menus provide a good variety of food that takes account of healthy eating principles, while still offering a choice. The kitchen is well Care Homes for Older People Page 15 of 26 Evidence: organised and stocks of food and storage arrangements are satisfactory. Kitchen staff have undertaken appropriate Food Handling training. Drinks are provided regularly through the day and there is a varied selection offered. There was tea, coffee, or cold drinks of either juice or milk. There were biscuits provided. Fruit was also available. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good systems are in place to ensure that complaints are dealt with effectively and to the satisfaction of the complainant. There are good arrangements for protecting people using the service. Evidence: Good policies and procedures are in place for dealing with complaints. Systems are in place for recording complaints, the investigation and outcome. No complaints have been made since the last inspection. People said that they felt able to speak to staff if they had any concerns and were satisfied that their concerns would be taken seriously. Staff know how to help people to make a complaint. All staff have completed safeguarding training. Policies and procedures are in place for dealing with any allegations and the manager has a copy of the local authoritys procedures. Staff at the home are aware of the action to be taken in the event of an allegation being made. No safeguarding referrals have been made at Castleview since the last inspection. Good systems for the recruitment of staff are in place to protect people living in the home. A whistle blowing policy is available for staff to use if they see any poor practice. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Castleview provides a clean, safe, well-maintained homely environment that encourages independence. Good quality accommodation is available for individuals in single rooms with en-suite toilets. Evidence: Castleview is a purpose built home that provides comfortable accommodation on two floors. A shaft lift is fitted. The home is clean, well decorated and odour free. There is good access to community resources and transport with the centre of Alnwick about half a mile away. The building is light and spacious with wide corridors and good sized rooms. The lounges and dining rooms are spacious and generally well furnished, although some carpets were stained. A conservatory is built on each floor to provide additional sitting space and a quiet area. The gardens are well maintained, providing a patio area outside the ground floor conservatory and on the first floor there is decking that is fenced off and is safe for people to use. Three people said that they are satisfied with their rooms and the other accommodation. Maintenance is well organised and any repairs are carried out promptly. There is an ongoing programme of redecoration and refurbishment. Bathrooms and toilets are tidy and clean. All bedrooms have en-suite accommodation, which is much appreciated by the people living in the home. Bedrooms are well furnished and people have been encouraged to bring items from their previous homes. Care Homes for Older People Page 18 of 26 Evidence: Bathrooms and shower rooms are well fitted and spacious. A good range of aids and adaptations are in place to meet peoples needs. The laundry was clean, very well organised and equipped. Staff working in the laundry are aware of infection control procedures. There is sufficient appropriate laundry equipment. Infection control training is provided. Sluice facilities have been fitted on each floor. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient trained and experienced staff available at all times to meet the needs of the people living in the home. Evidence: The rota shows that sufficient staffing levels are maintained to meet the needs of the twenty nine people currently living in the home. The home has recently been registered for nursing care and recruitment of nurses is ongoing. Staffing on the day of the inspection consisted of the manager, one nurse and four care staff. This level of staff is generally maintained during the day, with one nurse and three carers at night. People living in the home said that there are enough staff around when they ask for help so that they are not kept waiting. Staff said that there are enough staff and that morale is good. Sickness and annual leave is covered by existing staff working additional hours. Staff said that this is manageable within the current staffing levels. Ninety-five per cent of staff have completed national qualifications in care. There is an ongoing plan in place that tracks staff training and highlights when updates are needed. Training opportunities in the past year have included Equality and Diversity, Nutrition, Infection Control, Bereavement Awareness, Relationships within Learning Disabilities, Parkinsons and Challenging Behaviour. Staff said that there are plenty of opportunities for training. Records of induction training provided to new staff are kept in individual files. Care Homes for Older People Page 20 of 26 Evidence: Staff meeting are held regularly and minutes were available to show that information is clearly transmitted to staff. Staff said that they feel able to put forward their views about the service and that they are encouraged to take an active part in meetings. They said that they feel well supported by the senior staff and the manager. Two staff members said that the nurses are supportive and have been a good source of information for them. Staff recruitment procedures are in place that are well developed. Records show that appropriate recruitment procedures are followed and evidence of reference and Criminal Records Bureau checks are in place. Equality and diversity policies are reflected in recruitment procedures. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good management and quality assurance systems are in place to allow people living in the home to contribute their views about the operation of this service. Evidence: The manager is a qualified nurse and has the required skills and experience to run the home. She receives regular supervision and support and has plenty of training opportunities to keep her up to date. She has a good knowledge of the organisations management systems to ensure a good service is delivered to the people who use the service. She is able to describe her vision of the home and communicates a clear sense of direction including the development of the nursing care. She understands the importance of continuous improvement, customer satisfaction and quality assurance. The manager operates an open door policy welcoming comments from people living in the home, relatives and staff. A programme of staff supervision is in place and staff confirmed that they have regular supervision and feel well supported. Staff meetings are arranged regularly and Care Homes for Older People Page 22 of 26 Evidence: staff feel able to raise issues. Staff said that there is good communication in the team and this means that consistent care is delivered. Good systems are in place for assessing the quality of the service that take account of the views of the people living in the home. Audits are used regularly to assess the effectiveness of systems and these are completed by the manager and by external management of the home. Good systems are in place for any money held on behalf of people living in the home. All transactions are recorded and money held balanced with the records kept. Health and safety systems are implemented and well managed and staff have received training in safe working practices. Individual training records reflect this. Care Homes for Older People Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 Care Homes for Older People Page 25 of 26 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 non-commercial 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 26 of 26 - 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!