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Inspection Summary


Overall summary & rating

Good

Updated 16 November 2019

About the service:

Castlemaine Care Home is registered to provide care, support and accommodation for up to 42 people. There were 19 people living in the service when we visited. People cared for were mainly older people who were living with dementia and with a range of care needs, including arthritis, diabetes and heart conditions. Most people needed support with their personal care, eating, drinking or mobility. Accommodation was provided over three floors..

People’s experience of using this service and what we found:

At the last comprehensive inspection in October 2018, we told the provider they needed to improve the oversight and governance of the service and to ensure people received safe care and treatment. The registered manager and provider had made significant improvements to the governance and oversight arrangements, implementation of systems and processes to safely assess and manage risks to people, including their medicines. However, there were some areas of documentation that needed to be further developed to ensure people received safe and consistent care. There were improvements needed to some parts of the environment. The improvements made since the last inspection also needed more time to be sustained, and fully embedded into the culture of the service.

People received safe care and support by staff who had been appropriately recruited, trained to recognise signs of abuse or risk and understood what to do to safely support people. One person said, “I'm safe, very safe here, no complaints at all,” and “I am happy here.” People were supported to take positive risks, to ensure they had as much choice and control of their lives as possible. We observed medicines being given safely to people by trained and knowledgeable staff, who had been assessed as competent. There were enough staff to meet people's needs. The provider used a dependency tool to determine staffing levels. Staffing levels were reviewed following falls or changes in a person's health condition. Safe recruitment practices had been followed before staff started working at the service. Staff were deployed in a planned way, with the correct training, skills and experience to meet people’s needs.

Staff told us that they had they got to know people and their needs well and received the training they needed to meet people’s needs safely and effectively. The training matrix tracked staff training and this had ensured al staff received the training and updates needed to provide safe consistent care. A plan of supervision to support staff was available and this also included competency sessions on training received. One staff member said, “We get supervision every two months, but we can go to the manager anytime we need to.” People’s nutritional and health needs were consistently met with involvement from a variety of health and social care professionals.

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

Everyone we spoke to was consistent in their views that staff were kind, caring and supportive. People were relaxed, comfortable and happy in the company of staff and engaged in a positive way. People’s independence was considered important by all staff and their privacy and dignity was also promoted.

Activities reflected people’s preferences and interests. People were encouraged to go out and meet family and friends. Staff knew people’s communication needs well and we observed staff communicating with people in an effective way.

Staff were committed to delivering care in a person-centred way based on people's preferences and wishes.

People were involved in their care planning as much as they could be. End of life care planning and documentation guided staff in providing care at this important stage of people’s lives.

People, their relatives and health care professional

Inspection areas

Safe

Good

Updated 16 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 16 November 2019

The service was effective.

Details are in our safe findings below.

Caring

Good

Updated 16 November 2019

The service was caring.

Details are in our safe findings below.

Responsive

Good

Updated 16 November 2019

The service was responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 16 November 2019

The service was not always well-led.

Details are in our safe findings below.