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Archived: Castle Park

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Inspection report

Date of Inspection: 19, 20 May 2013
Date of Publication: 21 June 2013
Inspection Report published 21 June 2013 PDF | 111.9 KB

People should be treated with respect, involved in discussions about their care and treatment and able to influence how the service is run (outcome 1)

Meeting this standard

We checked that people who use this service

  • Understand the care, treatment and support choices available to them.
  • Can express their views, so far as they are able to do so, and are involved in making decisions about their care, treatment and support.
  • Have their privacy, dignity and independence respected.
  • Have their views and experiences taken into account in the way the service is provided and delivered.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 19 May 2013 and 20 May 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and received feedback from people using comment cards. We talked with commissioners of services.

On the first day of the inspection we were accompanied by a representative from the Integrated Commissioning Unit at Derby City Council.

Our judgement

People’s privacy, dignity and independence were respected.

Reasons for our judgement

Our inspection of 14 April 2012 found there were limited activities to stimulate people living at the home. The provider wrote to us and told us that they were recruiting an activities co-ordinator to ensure activities were available for people by 18 December 2012.

During this inspection we saw evidence of a programme of activities at the home which included events in the home and weekly outings into the community. People we spoke with confirmed that there had been a marked improvement in activities at the home with one person telling us “the day trips are great I have really enjoyed them”.

We spent time observing staff supporting people. We found that staff spoke to people in a dignified and respectful manner. People we spoke with told us that staff were caring and helpful. One person told us “the treat me with respect, they are smashing really”. A relative we spoke with told us “they always speak to her with respect”.

The provider may wish to note that five of the staff we spoke with made reference to “feeding” and “toileting” people who use the service. The use of this language to describe methods of supporting people does not ensure the dignity of the people using the service.

We saw evidence that people’s relatives were involved in reviews of people’s care. Most of the relatives we spoke with told us that they were happy with the care received by their family member. They told us that the home kept them informed about any changes to their relatives’ health and wellbeing. We were told “they always keep us up to date about their health”. Another relative we spoke with told us “I think her needs are met pretty well, they really look after her”.

Four of the five people we spoke with commented on the length of time they had to wait at the dining table for their meals. One person told us “You have to wait a long time for things like meals”.

On the first day of our inspection we observed carers assisting people to sit at the tables in the upstairs dining room at 11:30am. We saw that drinks and the lunchtime meal were served from 12:35pm. This meant that some people were sitting for at least an hour with nothing to do. Some people unable to mobilise without assistance were still in the room at 1:35pm. This shows that people were not enabled to make decisions in regards to how long they remained in the dining area before or after their meal.

We observed part of the lunch time meal service on the second day of our inspection as saw that people were not seated in the dining room more then 15 minutes before their meal was served.