Castleford House Nursing Home

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

People were treated as individuals. We saw staff respected people’s choices such as where people wanted to spend their time, what they wanted to eat and if they wanted to be involved in activities within the home. We saw staff understood the importance of people making decisions for themselves and this was promoted. The provider and staff understood how important social interaction was for people. A team of lifestyles staff organised various group and individual activities daily. The provider had policies and processes to support people to maintain choice and control in their lives. This included unrestricted visiting from people’s relatives and friends.

This service scored 80 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

People were supported and treated with dignity and respect and involved in their care. People appeared very at ease with staff. They told us staff treated them with dignity and kindness, and they felt staff really cared about them. People were supported to maintain relationships and networks that were important to them, for example we saw people being visited by previous care workers who had supported them before they moved into the home. We also saw people were supported to visit their family home with support from the activities co-ordinators.

The manager and provider had developed a culture that was open, inclusive, and person-centred. People were supported to have choice and control over how they were supported, and to make decisions about their care, treatment and well-being. The Head of Lifestyles told us “The company is great, we have a new vehicle which is only a few years old. We have a healthy budget. Support is given with all of the initiatives I want to do with the department. There are guinea pigs and chickens, the residents help feed the guinea pigs in the morning. I've been working on creating a 'fears and phobias' chart which is part of people’s care records, it’s a person-centred board to help staff understand what people are afraid of. We had a dog come in and they sat on someone's bed and we sent a video of it interacting with the resident to their family.” The manager told us “I've arranged for a vicar to come in. The summer fete included some younger dancers and it was a big hit, so we will do more of that. We have quite a lot of people nursed in bed and have been working with the Lifestyles team to develop more activities we can do at the bedside, such as hand massages, music, etc.”

Our observations showed staff understood people's individual needs and preferences. We observed positive interactions between staff and people. We saw staff encouraging and supporting people to make decisions, which staff respected. We observed staff in the dining room during a lunch service taking extra time to support people and providing people with finger foods when they didn’t want to use cutlery. We observed there was enough staff in the home, and staff were deployed throughout the 3 floors to ensure there was always someone nearby in case someone needed help. People who live with dementia were supported with sensors on chairs and floors which assisted people to live in the least restrictive way possible while still maintaining their dignity. One lounge had a TV, one had soothing music and dementia friendly sensory equipment and the conservatory led out onto the garden. On the day of the inspection the doors to the gardens were open. The environment was purposely decorated differently , some areas showing a more ‘homely’ feel while others had bright colours and dementia friendly additions.

People's choices and preferences were included in their care documentation. These were regularly reviewed and updated as people's needs changed. There were additional care documents to assist staff with gaining insight into people’s preferences, these included the nutritional book developed by a nurse and the fears and phobia’s board developed by the Head of Lifestyles. The manager encouraged staff to think proactively about ways they could increase people’s voice.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.