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Castle House Nursing Home Limited Outstanding

We are carrying out a review of quality at Castle House Nursing Home Limited. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Outstanding

Updated 28 March 2017

This inspection was unannounced and took place on 25 November 2016.

Castle House Nursing Home is registered to provide accommodation and nursing care and is situated in rural surroundings at the edge of a village. The home specialises in the care of older people including people living with dementia.

The home now has 47 beds, comprising of 46 single rooms and 1 double room. 18 of the bedrooms have en-suite private wet-rooms and all the others have en-suite facilities. The house was extended in 2016 providing new bedrooms and communal facilities. The new accommodation has been completed to a very high standard.

The last inspection of the home was carried out in January 2014. No concerns were identified with the care being provided to people at that inspection.

There is a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. The registered manager of Castle House Nursing Home is also the registered provider. They are resident on the site of the home and family members are also registered providers and contribute to the running of the service. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Feedback from people about all aspects of the service was very positive. One person said “I have been here a while. I am doing fine. It is very pleasant.” A relative said “Staff are incredibly warm and patient. Care is very, very good.” A doctor who visited the home regularly said “It is fabulous. There is not a bad word I can say about the place. I would live here myself.”

The staff morale at the home was high which led to a happy relaxed place for people to live. Staff were proud to work for the Castle House Nursing home and had great respect for the people they cared for.

The was an excellent activities programme and ad hoc activities offered people entertainment and ensured they received social stimulation and companionship when they wanted it. Activities were arranged in accordance with people’s interests and abilities and were continually reviewed and developed.

The building was designed and maintained to promote people’s independence. There was a range of social and quiet spaces. The newly completed environment had been completed to a very high standard to promote people’s well-being and comfort. There was access to garden areas with innovative design to keep people safe.

There were sufficient numbers of well trained and experienced staff to support people safely and ensure they were not rushed with their care. The training staff received enabled them to deliver excellent care which promoted people’s health and well- being. Staff told us there was good team work and support from senior staff and management.

People’s nutritional needs were assessed and met and mealtimes were considered important social occasions. The variety of food offered and the attention to the quality of food provided people with a hotel standard provision. Where people were identified as requiring support and encouragement to have a good diet skilled staff were readily available.

People received effective care and treatment which took account of their preferences and needs. Care plans gave staff clear information about how people wished to be supported. This enabled staff to provide very individualised care to people.

People and/or their representatives felt involved in all aspects of their care and support. There were systems in place to make sure people had an active voice in the running of the home.

People told us they would be comfortable to make a complaint and were confident any concerns would be listened to. The registered manager told us they valued feedback from people and used it to continually improve the service offered.

People’s health needs were monitored and changes were made to people’s care in response to any changes i

Inspection areas

Safe

Good

Updated 28 March 2017

The service was safe.

There were sufficient numbers of staff to ensure people’s safety and provide care in an unhurried manner.

Risks of abuse to people were minimised by a robust recruitment procedure.

People’s medicines were safely administered by staff who had received specific training to carry out this task.

Effective

Good

Updated 28 March 2017

The service was very effective.

People were supported to have enough to eat and drink and high importance was placed on ensuring people had pleasant meal time experiences.

The environment was designed to enable people to maintain their independence. New areas of the home had been built and equipped to the highest standard to promote people’s comfort and well-being.

People were cared for by skilled, knowledgeable staff who received comprehensive training which was relevant to their roles.

People had access to a range of health care professionals. The service ensured people’s health needs were met through prompt and appropriate actions.

Caring

Good

Updated 28 March 2017

People were supported by staff who were kind and caring. Staff knew people well and took every opportunity to interact with them in a positive and life- enhancing manner.

People’s privacy was respected and they were able to make choices about how their care was provided and where they spent their time.

People were able to see visitors at any time and family and friends were always made welcome.

Responsive

Outstanding

Updated 28 March 2017

The service was responsive.

People were able to make choices about all aspects of their daily lives.

There was a comprehensive and varied programme of activities and social events meaning people were well occupied and stimulated.

People felt comfortable to make a complaint and there was a variety of ways for people to make suggestions and share ideas.

Well-led

Outstanding

Updated 28 March 2017

The service was very well led.

People received the highest standards of care because the registered manager/provider was totally committed to ensuring best practice in all

aspects of service delivery.

People lived in a home which was effectively managed by an open and approachable management team.

High staff morale led to a happy and relaxed place for people to live.

The provider had innovative and effective systems in place to make sure people were cared for in accordance with up to date good practice guidelines and legislation.