CQC report explained · a nursing home
What the CQC found at Castle View
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, safe medicines, infection control training and detailed risk assessments. The home reviewed accidents and incidents and used the learning to reduce risks.
- Effective?
- Outstanding
- Staff received comprehensive, tailored training and support. The home had strong systems for nutrition, worked well with health professionals and used technology to identify patterns and respond quickly.
- Caring?
- Good
- People, relatives and professionals described staff as kind and caring. Inspectors saw respectful interactions, with people's dignity, privacy, independence and choices supported.
- Responsive?
- Good
- Care was personalised and activities were varied, including trips out and individual sessions. People knew how to complain and the home had plans for people's end of life wishes, but an ongoing care review form had not always been completed as stated.
- Well-led?
- Good
- Inspectors found visible leadership, an open culture and positive feedback about management. Audits, meetings and action plans were used to monitor quality and make improvements.
What inspectors found, June 2019
Rated Good, with Outstanding effective care; inspectors found safe, kind and well-managed care, but some ongoing care reviews were not completed as planned.
This was an unannounced inspection on 20 and 22 November 2018. Inspectors spoke with people, relatives, staff and health professionals. They reviewed care files, medicine records, staff files, complaints, training records and audits. They also observed care, including at mealtimes.
The home was rated Good overall. Safe, Caring, Responsive and Well-led were rated Good. Effective was rated Outstanding. Inspectors found enough staff, safe medicines, detailed risk assessments, kind staff and a wide range of activities.
Inspectors especially praised staff training, support for eating and drinking, work with health professionals and the use of technology to spot patterns such as falls or infections. They found one record-keeping shortfall: an ongoing care review form had not always been completed as stated, although a new checklist was being introduced.
Tailored staff training
Training was adapted to individual staff learning styles. Nurses also had opportunities to maintain and develop their clinical skills.
“Staff training was tailored to meet staff member's individual training styles and ensure they were able to meet people's needs.” from the report
Food and nutrition
The home monitored people's nutrition and understood individual diets. It offered snacks and light meals overnight, as well as smoothies and milkshakes.
“There was a strong emphasis on eating and drinking well.” from the report
Kind and respectful care
People and relatives said staff were kind, patient and respectful. Inspectors observed staff protecting dignity and encouraging independence.
“People were treated with dignity and respect.” from the report
Activities and personal choice
People could choose from group and individual activities, trips out and the monthly resident of the day. The home used feedback to shape activities and personal wishes.
“The Colten companions arranged both group and individual one to one activity sessions for people.” from the report
Strong oversight
Managers used daily meetings, audits and a live reporting system to identify concerns and track improvements. Staff and relatives spoke positively about the leadership.
“Quality assurance systems were in place to monitor the standard of care provided at the service.” from the report
Care review records
needs fixingAn ongoing care review form had not been completed as stated. Managers said this would be discussed with the nursing team, and a new checklist had been created.
“However, the home had an ongoing care review form which had not been completed as stated.” from the report
- 01How do you now make sure all ongoing care reviews are completed and recorded on time?
- 02How would you monitor and support my relative's eating and drinking needs, including any special diet or risk of weight loss?
- 03How would you adjust staffing if my relative became more at risk of falling or needed more support?
- 04What activities and one-to-one opportunities would be available for my relative based on their interests and communication needs?
- 05How would you record and follow my relative's wishes about future and end of life care?
This was an unannounced comprehensive inspection covering the premises and care, with ratings given for all five CQC questions. This explanation was written from the published report of 4 June 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Castle View
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 23 November 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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15 live-in carers within about an hour of Dorset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,040 to £1,340 a week. 11 can care for a couple. 10 years' experience on average.
“Even when things get a bit chaotic (as they sometimes do!), you’ve handled it with patience and a sense of humour — which is gold.”
“Nina was patient, focussed on my aunt's physical well-being, and unfazed by what at the time was a new and uncertain situation”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.