Inspection on 25/05/07 for Calderbank House

This inspection was carried out on 25th May 2007.

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

Calderbank House 12/10/05

Calderbank House 04/05/05

Calderbank House 01/10/04

Calderbank House 07/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Calderbank House Shaw Wood Road Todmorden Lancashire OL14 6DA Lead Inspector Cheryl Stovin Key Unannounced Inspection 25th May 2007 X10015.doc Version 1.40 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 Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 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 Older People. 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. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Calderbank House Address Shaw Wood Road Todmorden Lancashire OL14 6DA 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) 01706 816188 Ms Marilyn Dorothy Wardroper Ms Marilyn Dorothy Wardroper Care Home 6 Category(ies) of Old age, not falling within any other category registration, with number (6) of places Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: Calderbank House is a privately owned care home registered to provide accommodation and care for up to six older people. The establishment, a large stone built detached period property, is well maintained throughout and furnished and fitted to a high standard. All of the bedrooms are for single occupancy and have the benefit of en-suite facilities or adjacent bathrooms. The bedrooms are sufficiently spacious to enable them to be furnished in the style of a bed sitting room. Externally, there are well maintained garden areas equipped with garden furniture and a summer house for the service users to enjoy in the warmer weather. The establishment is situated in a semi rural area with easy access to the town centres of Todmorden and Hebden Bridge. The manager/proprietor and her family live on the premises and the establishment is very much a family home, with the two Jack Russell dogs, Peggy and Ted, being an integral part of the household. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Calderbank House. This included an unannounced visit I made to the home on 25 May 2007. A total of 5 hours was spent on the visit. During this visit, a full tour of the building was undertaken, records were examined and discussions took place with staff and the people living at the home. In addition to this visit, comment cards were sent out to give people an opportunity to share their views of the service with CSCI. A total of five comment cards were returned from people living at the home, and three relatives and friends. The response was generally positive with people expressing satisfaction with the services and facilities provided in the home. The last inspection of Calderbank House was on 12 October 2005, an additional visit was made on 18 November 2005 to register an additional bedroom in the home. No further visits have been made. A pre-inspection questionnaire was sent to the home which was returned promptly and gave useful information. The weekly charge at the home is £401. Additional charges are made for hairdressing, chiropody and personal newspapers. What the service does well: Calderbank House has a warm, welcoming and friendly atmosphere. It is predominantly family run and the people living at the home participate in many aspects of family life. People living at the home described it as “home from home”. All people have an assessment before moving into the home and are encouraged to visit, several times if they wish, before making a decision to move in. This is to make sure that the home can meet their needs. The staff were seen to be working together as a team and meeting the needs of people in a sensitive and dignified manner, with appropriate use of informality and humour. The people living at the home said they were well treated and that the staff are kind and attend to their needs promptly. The staff team are well trained and people using the service are protected by the safe recruitment practices in the home. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 6 The standard of the food was described as “excellent” by the people I spoke with during the visit, and mealtimes were seen to be a relaxed social occasion. The standard of the accommodation is high. People have spacious and well furnished private accommodation with comfortable communal facilities. Comment cards received indicated that the people living at the home were satisfied with the overall care provided. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before moving into the home and they are provided with written information about the services and facilities provided. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide which details the services and facilities provided in the home. The documentation clearly states that the home cannot provide a service for people with high dependency needs. All people are assessed before moving into the home to ensure that their needs can be met. People are encouraged to visit the home before making a decision to move in, to meet the staff and other people living in the home. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 9 All of the people living in the home said in their survey cards that they had received enough information about the home before they moved in so that they could decide if it was the right place for them. All people have a contract which clearly states the rights and responsibilities of everyone and what is and is not included in the weekly charge. Intermediate care is not provided in the home. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health and personal care needs are met and care plans are detailed and clearly show how their support is to be given and by whom. EVIDENCE: All of the care records of people living at the home were seen. All contained detailed information and had been written in conjunction with the people using the service and their families where this was appropriate. The care plans are reviewed monthly and clearly show how the care is to be given and the actions necessary to meet each assessed need. Very detailed daily records are completed which show how the person has spent their time and who has visited them. A social history and personal profile is included in the care plans. This means that staff have information about people’s previous lifestyles and interests and hobbies. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 11 Risk assessments are in place, which are also reviewed monthly, to help ensure that the people using the service are kept safe. All people living at the home who returned a comment card said that they always receive the care and support they need. One person made the following comment “The staff are always very helpful”. People said that they were treated with dignity at all times and that their privacy was protected. Medication practices in the home are safe. The medication is supplied in blister packs from a local pharmacy. The medication is securely kept. Medication Administration Records are accurately completed and stocks of medication reconciled with records held. All staff have received training in the administration of medication. One person living at the home handles their own medication with an appropriate monitoring system in place. Another person living at the home regularly purchases herbal remedies and the home has checked with the pharmacist to make sure there are no side effects or contra indications with any prescribed medication. Each service user has an individual medication profile which details the medication prescribed, what the medication is prescribed for and details of the ailment and therapeutic properties of the drug plus pictorial descriptions of the medication. Each service user signs a medicine administration consent form which indicates whether the service user wishes to administrate their own medication, or not, as the case may be. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good and mealtimes are a relaxed social occasion. EVIDENCE: The home has a warm, welcoming and relaxed atmosphere. People living at the home said this was always the case. People can choose where and with whom to spend their time, some choose to spend time in their own rooms, whilst others choose to socialise. People living in the home are encouraged to keep in touch with family and friends. All of the relatives said in their survey cards that they are kept up to date with important issues affecting their relative. The following comments were also made: Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 13 “I am always informed immediately if there is an issue which needs dealing with”. “The level of support and care has been fully discussed and is reviewed on a regular basis”. “Whenever I have visited my Father and met other residents they all seem quite happy and content. My Father’s needs are met with care and consideration”. “It provides a home from home atmosphere and the residents are treated as intelligent individuals”. “The food is good. The standard of cleanliness is good”. “Everybody is treated with warm consideration and respect”. People living at the home are encouraged to keep in touch with the local community and the staffing levels are sufficient to allow impromptu visits into the local town. A wide range of community social activities are accessed by the people living at the home. Some of these include tea dances at Todmorden Town Hall and Mytholmroyd Community Centre, coffee mornings at local churches and chapels, attending Tai Chi classes and country walks. People living at the home told me that they liked living there and made the following comments: “They are lovely people”. “You couldn’t find a better place”. “Good place, can’t fault it at all”. “There would be something wrong with you if you didn’t like it here”. “I love it here, I really do”. “They are very kind, nothing is too much trouble”. “The carers are excellent”. On the day of the visit, one of the people living at the home was celebrating her birthday. A birthday tea was being prepared, to which her family and friends had been invited. Another of the people living at the home was providing the musical entertainment as he is an accomplished pianist. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 14 People living at Calderbank House receive a varied and nutritious diet. Individual preferences and likes and dislikes are catered for. No set menu is prepared in advance, the manager preferring to take into account the freshest and best quality produce available on the day. A record is kept of the meals served. Organically grown vegetables and free range eggs are provided from the smallholding within the grounds of the establishment. The lunch being served on the day of the inspection was poached haddock with hollandaise sauce, creamed potatoes, peas and roast tomatoes, followed by apple pie and cream or custard. The meal was served with a beverage of the person’s choice. People said they enjoyed the meals served and described them as “good home cooking”. All of the people said in their survey cards that the meals at the home are good, one person commented that they would like more roast potatoes on the menu. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the policies, procedures and practices in the home. EVIDENCE: The home has a complaints procedure which is given to people who live at the home and their relatives. The document clearly states the procedure to follow and the contact details of all the people to approach if they are unhappy about anything in the home. All of the people who returned a survey said they would know who to speak to if they were unhappy about anything in the home. One relative made the following comment: “If an issue has arisen there has never been a problem in discussing it and resolving it”. The home has an adult protection policy and all staff have received Protection of Vulnerable Adults (POVA) training. Staff spoken to were aware of the procedure to follow if they suspect or witness that abuse is taking place. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,24,25,26 People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well maintained and hygienic environment. EVIDENCE: The home is situated in a semi rural area just off the main Halifax Road, convenient for the town centres of both Todmorden and Hebden Bridge. The property is a large stone built detached period residence and is well maintained throughout, with a routine programme of maintenance and refurbishment. Well maintained and safe and accessible garden areas, complete with good quality garden furniture and a summer house, are provided. These are popular places for people living at the home to spend their time, especially in the Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 17 warmer weather. The gardens are adjacent to the Rochdale canal, complete with colourful narrow boats passing by. The property retains many original period features and has an ambience and style reminiscent of a country house hotel. All of the bedrooms are single and equipped with either en-suite bathing facilities or an adjacent bathroom. The bedrooms are spacious and are furnished in the style of a bed-sitting room with separate sitting and dining areas. Two of the bedrooms are on the ground floor, the rest can be accessed by either the stairs or a stair lift. The people living at the home said that they were very pleased with their own rooms and said that the fact that there was enough room to display their own possessions was an asset. There is a comfortable communal lounge and dining room on the ground floor. The home was seen to be clean and hygienic throughout. All of the people living at the home said in their survey cards that the home was always clean and fresh. The laundry facilities are well equipped and comply with all the relevant hygiene regulations. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are enough staff on duty at all times to meet the needs of the people living at the home. The home is predominantly family run, supported by a team of five carers. There are always two members of staff on duty between the hours of 8am to 10.30pm. There are no waking night staff but, if anyone requires assistance during the night, a call bell system will alert the owner/manager who lives on the premises. If anyone is ill, however, night time support will be given. All new staff receive induction training to Skills for Care Council specification. A programme of National Vocational Training (NVQ) is in place, with 40 of the staff holding the award. One member of staff is currently undertaking the award and the home is on course to meet the standard of 50 of the care staff being qualified to NVQ II. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 19 In addition to the NVQ training, other recent training has included Protection of Vulnerable Adults, First Aid, Dementia Training, Manual Handling, Active Listening and Dealing with Challenging Behaviour, All of the survey cards received from people living at the home said that the staff are always available when they need them. The relatives’ survey cards all said that the staff have the right skills and experience to look after people properly. The people living at the home said that the staff are “superb” and that “they meet my needs in every way”. Staff were able to demonstrate awareness of people’s needs. They were seen to be providing support in a sensitive manner, and promoting the privacy and dignity of the people living in the home. They said that they work together as a team and that staff morale was high. All of the staff records were seen. All of the staff files contained evidence that all the required checks had been carried out before being employed by the home. All files contained evidence of Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures being received. Two written references are also requested. All staff have job descriptions, contracts and statements of terms and conditions. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,38 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare are protected by the home’s health and safety practices. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 21 EVIDENCE: The Registered Manager of the home is experienced and competent to run the home. She is currently near to completing the NVQ level 4 Registered Managers Award. The Deputy Manager is also undertaking the same award. Together, they are committed to ensuring an open and positive atmosphere is prevalent in the home. There are clear policies and procedures for handling finances which means that people’s personal finances are held safely. A formal quality assurance system is in place and regular satisfaction surveys are completed by people living at the home and their relatives. The last survey showed high satisfaction with the services provided in the home. There are detailed health and safety policies and procedures in place. All staff receive mandatory training in health and safety and safe working practices. Risk assessments are in place which ensure the health and safety of the people living at the home is protected. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 x x 4 4 4 4 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 x x 3 Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP28 Good Practice Recommendations Progress must continue to make sure that at least 50 of the care staff are qualified to NVQ II. Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Calderbank House DS0000001024.V329122.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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