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Inspection Summary


Overall summary & rating

Good

Updated 11 September 2019

About the service

Castle Dene is a residential care home for older adults. some of whom are living with dementia. At the time of our inspection there were 41 people living at Castle Dene. The service can support up to 50 people. Accommodation is provided over two floors and has a range of communal facilities including lounges, dining areas, specialist bathrooms and accessible gardens.

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

People and their families felt care was safe. They were supported by staff who understood how to recognise and act upon concerns of abuse or poor practice. When staff were recruited checks had been completed to ensure they were suitable to work in care. Risks to people were known and actions in place to minimise avoidable harm. Staff followed safe practices to protect people from preventable infections. People received their medicines safely by trained staff who had their competencies regularly checked.

People received care from staff who had completed training that enabled them to carry out their roles effectively. Staff worked with health and social care professionals to ensure positive outcomes for people. People had access to healthcare for both planned and emergency events. People’s dietary needs were understood by both the care and catering teams. Meals were well-balanced and provided lots of choice.

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.

People were treated with kindness and supported emotionally by staff who knew them well. Staff understood people’s individual communication skills which meant enabled people to be involved in decisions about their care. People had their dignity, privacy and independence respected by the staff team.

People received person centred care that recognised their diversity and was responsive to changing needs. A complaints process was in place that people and their families were familiar with; they felt they would be listened to if they raised a concern. People had an opportunity to discuss and plan their end of life wishes.

The culture of the home was open and transparent with visible leadership and teamwork. The management team understood and met their legal obligations to be open and honest when things went wrong such as contacting family following an accident or incident. People, their families and the staff team through regular meetings had opportunities to be involved in the development of the service. Quality assurance systems were effective at monitoring standards of care and actioned identified improvements in a timely way.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was good (published 22 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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

Inspection areas

Safe

Good

Updated 11 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 11 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 11 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 11 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 11 September 2019

The service was well-led.

Details are in our well-led findings below.