Inspection on 25/01/06 for Calderthwaite

This inspection was carried out on 25th January 2006.

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

Calderthwaite 07/06/07

Calderthwaite 23/08/05

Calderthwaite 17/03/05

Calderthwaite 05/08/04

Calderthwaite 30/03/04

Calderthwaite 07/04/03

Calderthwaite 27/05/02

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

CARE HOMES FOR OLDER PEOPLE Calderthwaite The Banks Seascale Cumbria CA20 1QP Lead Inspector Nancy Saich Unannounced Inspection 25th January 2006 09.15 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 Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 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. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Calderthwaite Address The Banks Seascale Cumbria CA20 1QP 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) 019467 29292 Mrs Mary Rose Holmes Mrs Mary Rose Holmes Care Home 5 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (5) of places Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 5 service users to include; up to 5 service users in the category of OP (Old age, not falling within any other category) 1 named service user in the category of DE(E) (Dementia over 65 years of age) 23rd August 2005 Date of last inspection Brief Description of the Service: Calderthwaite is a Victorian house in a residential area of Seascale. The home is near to all village amenities including the railway station. Accommodation is on the ground and first floor. Bedrooms are single occupancy with ensuite shower and toilet. There is a lounge/ dining room on the ground floor. The home can take up to five older adults. Calderthwaite is owned and managed by Mary Holmes. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The lead inspector, Nancy Saich arrived at the home just after nine and stayed until lunchtime. She met with the provider and the two staff on duty and visiting staff, relatives and the district nurse. She spoke to all five residents individually in their rooms. She had also sent questionnaires to the home some weeks before and received a good response from residents, relatives, social workers and health professionals. She toured all areas of the building and also looked at records that backed up what people said or what she saw. What the service does well: This is an excellent service where each person gets very individualised care. The provider thinks of the residents as people who share her life and her family home. She is careful to make sure that she only admits new residents who will fit into the group and who she can care for properly. A new resident talked about how she came to the home and home the staff helped her to settle. The provider makes sure that people get good standards of personal and health care. The staff team know the residents needs very well and these are written into simple, but effective records that show staff how to deliver the care. The provider gives people personal care and a lot of the work she does is also about showing staff by example how she expects things to be done. The inspector asked residents how they felt about the way the staff cared for them. They said that the staff were “marvellous”, “really caring” and everyone one of them said how nice the provider was and that she treated them “like one of her own”. One person said “I need Mary to make sure I am safe and that I can get attention as soon as I need it…”. Residents’ health care is looked after very well and one or two people also use some herbal medicines. These are checked out with the local pharmacist. The medication for residents was checked and is being looked after properly. The provider makes sure that residents don’t take medicines they don’t need. Residents go out individually with the provider and together in a group. They go to local activities and entertainments and are very much part of the local community. Visitors are very welcome to the home – so much so that they just come in and make themselves at home. The residents have a lifestyle that is very much focussed on the ordinary things that we take for granted but are often difficult to achieve in residential care. The provider is very proud of the food she provides for residents. She has a ‘heart beat’ award for providing healthy meals. She uses local produce and buys organic food where possible. She cooks using healthy methods and ingredients but there is also very nice home baking available at all times. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 6 Residents said the food was always of a high standard. Visitors agreed that the food was of a very high standard. The inspector could see that this good diet had a very good effect on residents’ health. Everyone looked well and enjoyed their food. Each resident has their own spacious room with a shower and lavatory ensuite. Residents were very happy with their rooms. Each person had comfortable chairs in their rooms and the residents like spending time there. They do like to meet together for their lunch in the pleasant lounge/diner but this is a home where people prefer to have quiet time in their own room. The provider lives on the premises and she is ‘on call’ by night. She has two staff on during the busy times of the day and someone who lives in the home who does a lot of the cooking and other domestic tasks. Residents said that they didn’t have to wait for attention and that the provider had time to take them out. The provider makes sure that she works with staff and she checks that they understand what is expected of them. She is interested in training and provides different training for her staff. Most of the staff have NVQ qualifications or are working towards them. The provider has been in business for some years and has good systems that allow residents to have a stress free life. She is very much a trusted and respected friend to her residents and has their best interest at heart. What has improved since the last inspection? What they could do better: The inspector did not find anything of concern on the day. Please contact the provider for advice of actions taken in response to this Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 8 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 Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 3 This home is good at only admitting new residents that they can care for properly and who will fit in with the other residents. EVIDENCE: The inspector spoke to a new resident who confirmed that she had been asked about her needs and preferences before she came to the home and that a social worker had helped her come to a decision about the move. This person had an assessment completed by the provider and a social worker assessment on file. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Residents in this home receive very high levels of health and personal care. EVIDENCE: Every person had a care plan written by the provider and these showed what the person’s needs and preferences are. The provider continues to try to improve on the format but these plans do give suitable directions for care. The residents and visitors said that people were given very high levels of care. Residents are offered a daily bath and are often given personal care and attention by the provider. A number of people said how they felt really “pampered” by the staff. All the residents were very well dressed and groomed. The inspector had feedback from local health care professionals who felt that the provider called them out appropriately and followed their directions. Residents said they got a lot of support with their health care needs. One person had been supported in using alternative treatments and her health had improved dramatically. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 11 The provider is careful to check out any different treatments with the G.P or the pharmacist. The inspector looked at medication in the home and found that it was being looked after properly. The residents thought that the staff treated them with respect and that they were very sensitive to their care needs and to them as individuals. The inspector thought that the staff and provider knew the residents really well and that they treated them in such a way as to help them maintain their dignity and privacy. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15 This home gives the residents a good quality of life that allows them to live as fulfilled a life as possible. EVIDENCE: On the day of the inspection one person went out for a walk on the beach but another decided she would stay in bed until just before lunchtime. Residents said that they could make their own choices about when they got up or went to bed and how they spent their time. The residents in this home prefer to spend most of their time in their own rooms. They do enjoy being together at meal times and do sometimes go out together as a group. More often the residents go out on their own with the provider. They go out to lunch or afternoon tea. They attend local groups and entertainments or go shopping. They have the kind of life that we all take for granted and are very much part of the local community. The provider encourages people to go out even when they feel that their infirmity makes it difficult. The inspector thinks that this encouragement has helped the residents to feel very positive about themselves and gives them plenty of things to look forward to. The food in the home is of a very high standard. At lunchtime there was choice at all three courses and the food was of a high standard. Vegetables were Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 13 steamed to retain the nutrients and the soup was home made. The provider buys good quality local foods and the kitchen had good stores of varied food that would allow people to have a wide range of choices. There were plenty of treats available but these too were of a high quality and homemade. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 16, 18 The home is good at letting people voice their opinions. EVIDENCE: All the residents knew how to complain and had access to people outside of the home who would help them to do this. No one had any complaints and all of them said that they would go to the provider if anything was amiss. They said she asked them on a regular basis. There had been no formal complaints received about the home. Staff were aware of what was abuse and had received training. Residents said there was nothing of the sort going on and that the provider was around all the time and wouldn’t let it happen. The provider is aware that she needs to make sure residents know how to report any problems, as she is their main carer. Visitors said they would know if anything was wrong in the home and they knew how to deal with this. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 19,21,23,26 Calderthwaite is a comfortable home where the residents feel relaxed and safe. EVIDENCE: The inspector went to all areas of the home and found it to be fresh, bright, well decorated and comfortable. There is a lounge/dining area downstairs where residents enjoy sitting together at meal times. Four of the five bedrooms look out over the sea. The rooms are very large and spacious. Each bedroom has a shower, sink and lavatory ensuite. There is also a comfortable bathroom so residents can have a relaxing soak. There was evidence all round the home that showed that the staff were careful about caring for residents property and in making sure that laundry and cleaning were done well. The staff know how to make sure that infection is not allowed to spread in the home. Calderthwaite is a comfortable and well-appointed family home where people feel very much ‘at home’. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 The home has a well-trained staff team who can give the residents all the care and attention they need EVIDENCE: The home normally has two staff on during the day. There is also another person who does a lot of the coking and helps with domestic jobs. The provider lives on the premises and she works in the home every day. She is ‘on call’ at night. The inspector saw the staff roster and this showed that less experienced staff worked with the provider or with more experienced staff. All the staff had attended the core training they need to do their jobs. Most of them have qualifications at level 2 NVQ in care or were in the process of finishing this award. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 This is a well managed home where things run smoothly and residents feel confident that everything is done properly. EVIDENCE: Mary Holmes is a well-trained and experienced person who runs this house with the very best interests of the residents at heart. She is good at giving people high levels of personalised care and in making sure that they are still involved in life. Her residents are full of praise and affection for her and she is treated as a trusted and respected friend. The residents say that she asks them their opinions on a regular basis. The provider has also done this on a more formal level and was in the process of drawing this all together as part of a way of measuring quality in the home. She agreed to send this audit and next years business plan to the inspector. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 18 There was good evidence around the home that the provider is careful about all health and safety matters. The house is well maintained and all services are regularly checked. She manages things like fire and food safety very well. Staff know how they must do their job in order to keep themselves and the residents safe. Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 19 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 X X 3 X X X 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 3 13 4 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X 4 X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 20 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. Refer to Standard Good Practice Recommendations Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Calderthwaite DS0000022663.V275660.R01.S.doc Version 5.1 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!