Castleview Residential Care Home

Updated 21 February 2019

The Inspection.

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.

Inspection team:

The inspection team comprised of one inspector.

Service and service type:

Castleview Residential Care Home is a ‘care home’. 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 service had two managers registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

What we did.

Before our inspection visit, we also reviewed information we held about the service in the form of statutory notifications received from the service and any safeguarding or whistleblowing incidents, which may have occurred. A statutory notification is information about important events, which the provider is required to send us by law.

We asked the local authority and Healthwatch for any information they had which would aid our inspection. We used this information as part of our planning. Local authorities together with other agencies may have responsibility for funding people who used the service and monitoring its quality. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services.

During the inspection we spoke with four people living at Castleview Residential Care Home and one relative. We also spent time observing staff with people in communal areas during the inspection. In addition, we spoke with both registered managers, one deputy manager, one care worker, a domestic support worker and two health and social care students on placement there.

We reviewed a range of records. This included two people's care and medication records. We confirmed the safe recruitment of one staff member and reviewed records relating to the providers quality monitoring, staff training, health and safety.

Updated 21 February 2019

About the service:

Castleview Residential Care Home is registered to provide accommodation and personal care for up to 13 people. At this inspection 13 people were living there including some who were living with dementia.

People’s experience of using this service:

• People received safe care and support as the staff team had been trained to recognise signs of abuse or risk and understood what to do to safely support people. Potential risks to people, associated with their care, had been assessed and managed appropriately by the provider and the staff team.

• People received their medicines safely and as prescribed. They were supported by sufficient numbers of staff to ensure that risk of harm was minimised.

• Staff members followed effective infection prevention and control procedures.

• Staff had been recruited appropriately and had received relevant training so they were able to support people with their individual care and support needs.

• People’s individual human rights were protected by those supporting them. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

• The environment where people lived suited their individual needs and preferences. The provider supported staff in providing effective care for people through person-centred care planning, training and supervision. People were promptly referred to additional healthcare services when required. People were supported to maintain a healthy diet that reflected their personal preferences.

• People were treated with kindness and compassion. People’s rights to privacy were respected by the staff who supported them and their dignity was maintained. People were supported to express their views and be actively involved in making decisions about their care and support needs.

• People’s choices and independence was respected and promoted by a staff team that knew them well and who responded appropriately.

• People were provided with information in a way that they could understand by staff members who understood their individual communication styles. The provider had systems in place to encourage and respond to any complaints or compliments from people or visitors.

Rating at last inspection:

At our last inspection published on 27 January 2016 we rated the service as good. At this inspection we found the evidence continued to support the rating of good.

Why we inspected:

This was a planned inspection based on the rating at the last inspection. The service remained rated as Good overall.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.