28 June 2023
During a routine inspection
CastleStead View support people to live independently in their own homes and aims to enhance their quality of life by providing personal care services. The service offers individualised care packages on a domiciliary care basis, specifically tailored to a person's requirements.
This service provides care and support to people living in specialist 'extra care' housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is bought and is the occupant's own home. People's care and housing are provided under separate contractual agreements. CQC does not regulate the premises used for extra care housing; this inspection looked at people's personal care and support service.
People using the service lived in ordinary flats or individual bungalows in a purpose built assisted or tailored care living development. Not everyone living at CastleStead View receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of this inspection there were 14 people receiving the regulated activity of personal care.
People’s experience of using this service and what we found
Medicines were managed safely, and people received the right level of support in managing their medicines. There were enough numbers of staff on the rota to support the number of people using the service. We received positive feedback from people about the reliability of their visit times.
Risks relating to people's needs had been identified. Records seen provided a detailed plan for staff to follow in managing those risks. Systems were in place to record accidents and incidents. These were consistently monitored to identify any themes or trends allowing for any lessons to be learned.
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. Consent to care and treatment had been obtained and where people lacked capacity relevant others had been involved in supporting people's decision making.
Staff told us the training they had received was of a high standard. Training records demonstrated appropriate and relevant training was provided. Referrals were made to other healthcare services when necessary. People told us they thought the care they received was very good and spoke very positively about the staff who supported them.
People told us the staff treated them with respect and dignity and were kind and caring towards them. Care plans demonstrated a person-centred approach. People’s individual needs were responded to well and people were extremely satisfied with the service. Concerns and complaints were promptly responded to. End of life care was done co-working with the community nurses.
There was a positive culture at the service; people spoke highly about the managers and staff told us they really enjoyed their jobs. There was regular oversight and monitoring of the safety and quality of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 21 July 2022 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.