Inspection on 02/11/05 for Calder View

This inspection was carried out on 2nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Calder View 15/05/06

Calder View 01/08/05

Calder View 27/10/04

Calder View 16/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Calder View 6 Keighley Road Colne Lancashire BB8 0JL Lead Inspector Mrs Keren Nicholls Unannounced Inspection 2nd November 2005 1:15 Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Calder View Address 6 Keighley Road Colne Lancashire BB8 0JL 01282 868077 01282 868077 tomha7@msn.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Pendle Residential Care Limited Mr Thomas Hanna Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6) of places Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Mental disorder excluding learning disability or dementia at Calder View, 6 Keighley Road, Colne. BB8 0JL The service should employ a suitably qualified and experienced person who is registered with the Commission for Social Care Inspection as manager of Calder View, 2 Broken Banks and 284 Burnley Road, Colne 1st August 2005 Date of last inspection Brief Description of the Service: Calder View is the ‘core’ house of a residential homes scheme comprising the core house and two smaller houses in Colne. The registered manager has responsibility for all three houses. Calder View provides 24-hour care, support and accommodation for 6 younger adults who have a mental health problem. The home is a large mid-terrace house located near to Colne town centre. Shops, market and community facilities are within walking distance. There is on-street parking and a small garden at the front. A larger private garden at the back provides outside seating, a lawn and parking for one car. Good local bus and rail links are nearby. Transport is also provided for service users in staff cars. There are six single bedrooms, house bathroom, separate shower and toilet on the first floor. There is a toilet, spacious lounge and lounge/dining rooms on the ground floor. Service users also have access to the large kitchen and the laundry. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection to be carried out to Calder View during the inspection year from April 2005 to April 2006. The visit took place between 1:15 and 4:05pm. During this time the inspector spoke with four of the six people who lived at the home and talked to the manager and staff on duty. Written information, including records were examined and the inspector looked at communal rooms. What the service does well: What has improved since the last inspection? All the recommendations from the previous inspection had been achieved. These included recording fire drills; ensuring staff terms and conditions of employment were up to date; having regular management meetings, and replacing floor coverings in the laundry and toilet. To ensure that care practice and procedures properly protected residents, the protection from abuse policy had been amended and all new staff had a copy of the General Social Care Council’s codes of good practice. The manager had made the home more pleasant, safe and healthy for residents by ensuring that bedrooms were properly cleaned, by replacing soft furnishings, tidying the back garden and providing proper storage. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Residents had been consulted about needs and wishes prior to admission. They had visited and been given written information about the home, which had enabled them to make an informed decision about whether Calder View was the right place for them to live. Trained people had helped to assess needs, to ensure that they could be met by the home. Individual contracts had been made with each resident, to ensure that both parties’ rights and responsibilities were protected. EVIDENCE: Each person had been given their own copy of the ‘service user’s guide’, which explained the aims and objectives of the home and relevant information about complaints, the premises and staff team. The home’s ‘Statement of Purpose’ and service user’s guide were available in the hallway for everyone to read. Providing this information in a different format, which may be more helpful and interesting for prospective residents (such as video) was discussed with the manager. Residents said they were involved in their initial and on going assessments through the mental health Care Programme Approach (CPA) arrangements. Needs had been properly and fully assessed by trained persons under CPA and copies of these assessments were kept in personal files. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 10 There were good arrangements to ensure that residents were properly consulted about their care. Staff respected residents’ rights to make independent decisions and take responsible risks within a risk assessment framework. Staff understood and respected confidentiality procedures. EVIDENCE: Aims for care were explicit in care plans, as were any limitations, risk assessment and the reasoning behind this. Residents explained that they were involved in their regular care plan reviews and said that the manager and staff supported them throughout their meetings with mental health professionals. One resident described how the home was helping him with his changing needs to progress to independent living and a move to a different geographical area. Others explained how staff were enabling them to keep well, to make decisions about all aspects of their lives and everyday choices, and to live as independently as possible. Confidentiality continued to be protected by staff following procedure. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 14, 15, 16 and 17 The home created a supportive environment, which enabled residents to lead fulfilling lives and participate in leisure and social activities of each person’s choosing. Staff respected everyone’s rights and helped residents with personal development, community and family links and social inclusion. The home promoted healthy eating and supported residents with cooking skills. EVIDENCE: The residents spoken with said that they continued to follow individual hobbies and interests and staff helped them to develop skills. Residents went to college, swimming, to the gym, shopping for personal items and for the home, to the pub and on holiday. They saw friends and family and maintained personal relationships. Residents said that they all got on well together and supported each other, but had privacy and could be alone in bedrooms when they wished. Residents were satisfied that the home enabled them to be independent and make choices. The home not meeting part of standard 14 (residents’ contractual price holiday options) was discussed with the manager. Everyone said they enjoyed the food and had choice of what, where and when to eat. The meal observed was good and staff attentive to nutritional needs. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19 Residents’ privacy, dignity and independence was respected by the home providing healthcare and personal support in a flexible and individual manner. EVIDENCE: Everyone’s appearance reflected their choice and personality and residents said they made their own choices about personal routines (such as getting up/going to bed times, bathing, clothes choice, going out etc.). One person explained that residents had keyworker staff to help them with personal needs and wishes. CPA plans were followed in respect of mental health needs. Residents said that staff were very helpful in listening to them and being there when needed, such as if they wanted to talk at night. Healthcare needs were monitored by staff observation and residents own assessments of need. GP, outpatient and other medical check visits were recorded in residents’ care plans. Residents said that staff accompanied them to hospital and other appointments (such as routine checks by dentist, optician, chiropodist etc.) or they go alone if they prefer. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Procedures were in place to respond quickly to suspicion or evidence of abuse. Staff had a good understanding of how to protect residents and to respond to allegations of abuse. EVIDENCE: The manager had reviewed and updated the protection procedures, so that they properly protected residents. There was an adult protection, staff ‘whistle blowing’ procedures, measures to protect residents’ finances and a copy of ‘No Secrets in Lancashire’. These documents were available to staff and residents and set out the response should there be any allegations or evidence of abusive practice. Staff had received training in protecting the residents and said that they had appropriate management supervision. Residents had no current concerns regarding any protection issues. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 28 and 30 The home was non-institutional and had satisfactory standards of décor and cleanliness. There were no obvious hazards to safety and the building and outside areas were maintained in good order, providing a safe, comfortable and ‘homely’ environment, which was appropriate for the current residents. EVIDENCE: Calder View provided spacious accommodation for six residents. The house is near to local transport, shops and other amenities and is in keeping with other houses in the locality. There was information about room sizes in the Scheme’s statement of purpose and Service User’s Guide. Residents said they liked living at the home and the premises suited their needs and wishes well. The house had sufficient and suitable light, heat and ventilation. The furniture, fittings and decoration were comfortable and of suitable quality. There were no assessed needs for aids or adaptations for current residents. The registered provider carried out maintenance, renewal and refurbishment and safety checks in a timely fashion. A new floor covering had been fitted in the laundry and upstairs toilet and one resident had a new bedroom carpet. The manager had ensured that staff helped residents to keep bedrooms clean and had provided new bedding and mattresses. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 36 Robust recruitment policies and procedures were followed when appointing staff. This resulted in a workforce that had been properly vetted and care workers who were suitable to work with vulnerable adults. Staff had undertaken NVQ courses and training in order to meet the individual needs of residents. Residents’ personal development was promoted and protected by a good programme of staff supervision and appraisal. EVIDENCE: Residents said that they liked all the staff and had confidence in their skills. They thought the staff listened to them and were helpful and patient. Staff said they had time to spend with residents inside and outside the home. The recruitment procedures were thorough and residents were empowered by including them in staff selection (as part of the interview process). Checks and references were taken up before confirming new staff in posts and new staff had supervised induction training. Staff protected residents’ best interests by working within the General Social Care Council’s good practice codes of conduct (of which everyone had a copy). The staff on duty said they enjoyed their work and felt supported by good, regular supervision and appraisal from the manager. This, and NVQ and other training helped to ensure that staff knew how to meet the aims of the home and the changing needs of residents. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 43 A qualified and experienced registered person, who ensured that the home was run in the best interests of the residents and who provided appropriate leadership for the staff team, was in charge of Calder View. The systems for service user consultation were good and encouraged and enabled residents to express their views and opinions. Sound and comprehensive policies and procedures underpinned care and health and safety practices, ensuring that risks to service users were minimised. EVIDENCE: The manager was continuing with his training by adding to his NVQ 4 portfolio. Residents said that they were very happy with the way in which the home was run. They were knowledgeable about policies and procedures and involved in decisions about the home. The results of the annual service user satisfaction survey were displayed and the manager had received positive feedback from visiting mental health professionals. Records were correctly kept and up to date and the manager had updated and amended policies. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 16 Regular management meetings, staff meetings and ‘house’ meetings with residents were held. The manager had an ‘open door’ policy for everyone. Residents and staff said they were satisfied with the arrangements for consultation and several people commented that they felt the home was ‘friendly’. No one spoken to had any concerns or complaints and residents said the manager and staff were very good. Insurances were current and the registered provider had submitted a business and financial plan for the Scheme. This included plans for maintaining and upgrading the property, staffing training plans and budgets. Lines of accountability were clear and residents had access to all layers of management, including talking to the registered provider when he visited. Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 2 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Calder View Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X X 3 DS0000009604.V263478.R01.S.doc Version 5.0 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA14 Good Practice Recommendations That manager and provider should resolve the issue of a seven-day holiday option for residents, as part of the contract price and inform the residents (14.4) Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Calder View DS0000009604.V263478.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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