Castle View Nursing Home

Updated 11 August 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 25 June 2018 and was unannounced.

The inspection was carried out by two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed information we held about the service. This included notifications the service had sent us. Notifications are sent to us by providers to inform us about events that occur at the home such as deaths, accidents/incidents and safeguarding alerts. We asked the provider to complete a Provider information return (PIR). This is a form that asks the provider to give us some key information about the service, what the service does well and any improvements they plan to make.

During the inspection, we spoke to nine people, two relatives, two visiting healthcare professionals, operations director, the registered manager, head of care and five members of staff. We looked at a range of records during our inspection. This included six care plans, three staff files, training records, meeting minutes and other records relating to the management of the service. Following our inspection, we contacted four healthcare professionals that have been working with the service and spoke to one member of staff on the telephone. We also asked the provider to submit further pieces of evidence. We included this information when reaching judgements about the service provided.

Updated 11 August 2018

This inspection took place on 25 June 2018 and was unannounced.

Castle View Nursing Home can accommodate up to 25 people. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home provides accommodation over three floors which were accessed by a lift. There was an enclosed garden and a small parking area. The service had eight rooms that had been designated for ‘intermediate care’. People could access ‘intermediate care’ from hospital to receive rehabilitation for a short period of time. At the time of our inspection 17 people were living at the service and six people were temporarily staying on ‘intermediate care’.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained good.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People continued to receive safe care. Risks had been identified, assessed and there were safety measures in place to keep people safe. There were systems in place to keep people safe from abuse or harm.

There were sufficient staff on duty to support people safely. The service had completed the necessary recruitment checks to make sure suitable staff were employed.

People continued to be effectively supported by a team of staff who were trained and well supported to meet their needs. Medicines were managed safely. Staff had been assessed as competent to administer medicines.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Where needed and appropriate the service made referrals to external healthcare professionals in a timely way. People had individual care plans that had been personalised.

People had sufficient food and drink and could choose where to eat and what to eat and drink.

The service was clean with no unpleasant odours. The environment was well maintained and equipment was serviced regularly when appropriate. Staff used personal protective equipment when required.

Complaints were managed by the provider and lessons were learned.

Staff were able to attend team meetings and told us the organisation were supportive and provided opportunities for development.

People and their relatives were encouraged to give feedback formally and informally.

Further information is in the detailed findings below.