Castleview Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our previous inspection, we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Assessments and care plans were completed using an electronic care management system. We identified that some care plans and assessments contained generic information and did not always provide sufficient detail about specific aspects of care. As a result, additional paper-based records were maintained in some areas, such as wound care, to ensure information was captured comprehensively. The provider was already aware of this issue and was actively exploring alternative electronic care management systems to further support person-centred care planning and documentation.

Staff delivered people’s care in line with recognised standards and best practice guidance.

People and most relatives spoke positively about the quality of the food provided and support provided by staff. A relative described the positive impact staff had made on their family member's nutritional wellbeing and told us staff had provided effective support which had resulted in a significant improvement in their health and weight. A health professional told us that staff provided fortified diets where required and generally followed professional advice to meet people's individual needs.

We received a small number of concerns about certain aspects of care. We discussed this feedback with the registered manager, who was able to provide additional context, explain the actions that had been taken in response and in some cases clarify circumstances which offered a different perspective on the concerns raised.

We observed the lunchtime experience. Staff supported people in a calm unhurried manner. They supported people sensitively, promoting choice and independence whilst ensuring people received the support they needed.

The provider ensured staff, teams and external professionals worked effectively together so people experienced coordinated care and did not need to repeat their needs or preferences.

Staff handovers were carried out to support continuity of care. In addition, "flash" meetings were held when needed to communicate key information and respond to changing circumstances. Staff meetings and supervision sessions supported effective communication, information sharing and joint working across the home. A dedicated secure messaging platform was also used to share important updates relating to people's care and clinical needs.

A structured communication approach was used when liaising with healthcare professionals, to ensure relevant information about people's needs, concerns and outcomes was communicated clearly and consistently.

Staff described positive teamwork and a willingness to support one another to meet people's needs. A staff member told us, “It’s a friendly and caring environment. We help each other out and work as a team. All of us want to be here.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

People were seen regularly by a range of health and social care professionals. A health professional spoke positively about the service's approach to oral healthcare. They told us, “We work extremely closely with them and family members to make sure disease progression is limited as much as possible and that no one is in pain or discomfort.”

People's wellbeing was promoted through opportunities to pursue their interests, maintain relationships and remain active. One person proudly showed us the raised planters they tended every day, where they grew tomatoes, strawberries, herbs and flowers.

The provider routinely monitored people’s care and treatment to continuously improve outcomes.

Staff used an electronic system to monitor various aspects of people's care in line with their individual needs. This enabled managers to review trends, monitor risks, track actions and maintain oversight of quality and safety. Information from accidents, incidents and audits was reviewed to identify themes and support improvements.

We read and heard examples of how living at the home had improved people's wellbeing and quality of life. Staff supported people to remain active, pursue interests that were important to them and maintain connections with those important to them which helped promote positive outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff sought and recorded consent in line with legal and regulatory requirements, including the Mental Capacity Act. Consent records were maintained to demonstrate people's decisions and preferences. Where people had capacity, they were supported to make their own decisions. Where people lacked capacity, processes were followed to ensure decisions were made in their best interests and in the least restrictive way.