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Castle House Nursing Home Limited Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 4 February 2020

About the service

Castle House Nursing Home is a care home and provides personal or nursing care for older people and those living with dementia. The home can accommodate a maximum of 47 people. The building is divided into three corridors, comprising of 46 single rooms and 1 double room. Eighteen of the bedrooms have en-suite private wet-rooms and all the others have en-suite facilities.

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

People told us they felt extremely safe living at Castle House Nursing Home. The provider had effective safeguarding systems, policies and procedures. Staff managed safeguarding concerns promptly, using local safeguarding procedures whenever necessary. Where required, investigations were thorough.

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 providers policies and systems supported this practice.

People were supported by staff that were extremely well led. The management team were passionate about giving high-quality person-centred care for people living at Castle House Nursing Home. Staff empowered people to keep control over their lives. People and their relatives were fully involved in how their care was delivered.

People received effective care and support from staff who were exceptionally well trained. The provider supported staff to progress within the care home and several staff took on additional responsibilities such as championing a specialist area. Staff used these roles to share good practice and ensure all staff were working consistently.

Castle House Nursing Home looked at ways of reducing social isolation for people without it having a financial impact on them. For example, they recruited volunteers to help with social activities that people enjoyed, such as bible reading. The activities team offered one to one and group activities every day, so people could choose what they wanted to do. People confirmed this had a positive impact on their lives.

The provider worked closely with other organisations to improve the experience of people receiving care and support. Staff raised any problems, or changes in people’s health care needs with relevant health care professionals in a timely manner.

Staff morale was very high, this was reflected in the high standard of care provided. Staff felt listened to and their opinions were valued. Comments from people included, “It’s a very happy atmosphere here and calm and friendly.”

There were quality assurance systems in place. These systems were effective, they monitored standards and ensured any shortfalls were addressed. People and relatives felt listened to and said they could speak with a member of the management team at any time. Any complaints made were fully investigated and treated as learning to enable the service to improve.

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 Outstanding (published 27 March 2017)

Why we inspected

This was a planned inspection based on the previous rating.

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 4 February 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 4 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 4 February 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Outstanding

Updated 4 February 2020

The service was exceptionally well-led.

Details are in our well-Led findings below.