CARE HOMES FOR OLDER PEOPLE
CALDERBANK HOUSE Shaw Wood Road Todmorden Lancashire OL14 6DA Lead Inspector
Cheryl Stovin Unannounced 4th May 2005 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 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. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Calderbank House Address Shaw Wood Road, Todmorden, Lancashire, OL14 6DA Telephone number Fax number Email 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 M. Wardroper Ms M. Wardroper Care Home 5 Category(ies) of OP registration, with number of places J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 1/10/04 Brief Description of the Service: Calderbank House is a privately owned care home registered to provide accommodation and care for up to five 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. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over four hours on 4th May 2005. Three service users were consulted as to their views on the service provided, two of them were spoken to at length. Service users expressed great satisfaction with the standard of services and facilities provided within the home, and of the care and attention they receive. What the service does well:
Service users’ preferences regarding routines of daily living are assessed and flexible routines are in place within the establishment to support these. As the establishment is small and family run, with the owner and her family living on the premises, the service users are involved in all aspects of family life. Service users are encouraged and enabled to maintain their social networks and activities and to maintain links with the local community. Visitors confirmed that they are made welcome when they visit the establishment. Service users 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. Organically grown vegetables and free range eggs are provided from the smallholding within the grounds of the establishment. The service users’ private accommodation is spacious and furnished to a high standard. The establishment is situated in a semi rural area just off the main Halifax Road convenient for both the town centres of both Todmorden and Hebden Bridge. The establishment, a large stone built detached period residence, is well maintained throughout with a routine programme of maintenance and refurbishment. A stair lift is provided. Since the last inspection a new downstairs toilet has been installed. Well maintained and safe and accessible garden areas complete with good quality garden furniture and a recently renovated summer house are popular with the service users in the 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. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 6 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. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3,4 The admission procedure into the establishment is detailed and thorough, and service users are provided with written information stating the terms and conditions of residence. EVIDENCE: The weekly charge at Calderbank House is £405, the written terms and conditions clearly states the rights and responsibilities of each party. A full assessment is carried out before admission to the home. The detailed assessment process and the associated record keeping indicated that the establishment meets the individual and collective needs of the service users. The statement of purpose and service user guide clearly indicate that the establishment does not cater for service users with high dependency needs. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,11 Service users’ needs are thoroughly assessed and the home has a good approach to promoting the service users’ health care. EVIDENCE: Case records were examined which indicated that the assessment process forms the basis for a comprehensive care plan which is drawn up in respect of each service user. The service user, and their representatives if appropriate, are fully involved in the care planning process. The plans are reviewed on a monthly basis and signed and dated. A detailed social history is compiled. Risk assessments and manual handling assessments are completed and regularly reviewed. Service users’ physical and psychological health care needs are assessed and form part of their plan of care. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Service users are encouraged to exercise control and choice over their lives and are asked for their views on the service provided. EVIDENCE: Service users’ preferences regarding routines of daily living are assessed and flexible routines are in place within the establishment to support these. As the establishment is small and family run, with the owner and her family living on the premises, the service users are involved in all aspects of family life. Service users are encouraged and enabled to maintain their social networks and activities and to maintain links with the local community. Service users 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. Organically grown vegetables and free range eggs are provided from the smallholding within the grounds of the establishment. The luncheon being served on the day of the inspection consisted of chicken chasseur, creamed potatoes, asparagus, peas and carrots, followed by a choice of either syrup sponge and custard or chocolate mousse and cream. Service users were offered a glass of wine to accompany their meal. Three of the
J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 11 service users chose to dine in their rooms, the meal was served on attractively set trays. Visitors are welcome to stay for a meal if they wish. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these three standards were inspected on this occasion. EVIDENCE: J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21, 23, 25, 26 The home is well maintained, with high standards of cleanliness throughout, providing a pleasant and safe environment for service users. EVIDENCE: The establishment is situated in a semi rural area just off the main Halifax Road convenient for both the town centres of Todmorden and Hebden Bridge. The establishment, a large stone built detached period residence, is well maintained throughout with a routine programme of maintenance and refurbishment. A stair lift is provided. All of the bedrooms are for single occupancy and are equipped with either an en-suite facility or an adjacent private bathroom. The bedrooms are very spacious enabling them to be furnished with a sitting and dining area. Externally, there are well maintained and easily accessible garden areas equipped with outdoor furniture ,including a summer house, which is well used by the service users. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 The home is appropriately staffed to meet the individual and collective needs of the service users. EVIDENCE: In addition to the resident manager, six care staff are employed within the establishment. The staffing levels are sufficiently high to enable the social and emotional needs of the service users to be met. Staff have time to sit and talk to the residents and to accompany them on impromptu outings and social activities. Waking night staff are not routinely employed within the establishment, however, in case of illness will be provided. A call bell is provided to summon assistance during the night if required. Relationships between staff and residents were observed to be relaxed and friendly with appropriate use of informality and humour. Two of the staff team are undertaking their NVQ II award with another about to commence their award. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 The home is well run and managed effectively. EVIDENCE: The registered manager of the establishment is experienced and competent to run the establishment and, as she lives on the premises, is freely available to consult with the service users and the staff team. An open and inclusive atmosphere is prevalent within the establishment. The assistant manager, who is currently on maternity leave, is intending submitting an application to the CSCI for registration as manager of the home, and will do so on her return to work. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION x 3 3 x 3 x 3 3 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 Standard No 16 17 18 Score x x x 2 3 x x x x x x J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 17 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. 1. 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. 2. Refer to Standard 28 31 Good Practice Recommendations 50 of staff to be qualified to NVQ II. Upon return from maternity leave the deputy manager to submit an appilication to the Commission for registration as manager. J52J01_s1024_calderbank house_v225514_040505.doc Version 1.30 Page 18 Commission for Social Care Inspection Park View House Woodvale Office Park Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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