Inspection on 11/12/06 for Callum House

This inspection was carried out on 11th December 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Callum House 15/12/08

Callum House 31/10/05

Callum House 13/07/05

Callum House 26/10/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Callum House 234 Wroxham Road Sprowston Norwich Norfolk NR7 0BE Lead Inspector Debra Allen Unannounced Inspection 11th December 2006 02:00 Callum House DS0000055744.V323793.R01.S.doc Version 5.2 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 Callum House DS0000055744.V323793.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 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. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Callum House Address 234 Wroxham Road Sprowston Norwich Norfolk NR7 0BE 01603 408150 01603 400038 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) Klair House Ltd Mr Robert Ian Arneil Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ten (10) Service Users of either sex may be accommodated who are aged between 18 and 65 years and have a learning difficulty. (In the category LD) 31st October 2005 Date of last inspection Brief Description of the Service: Callum House offers personal care for up to ten adults with learning disabilities and is situated in a residential area to the north of the city of Norwich. The building is typically domestic in style and blends in well with the surrounding area. There is car parking space to the front and garden space to the rear of the home. Callum House is well placed for the use of local amenities which include a supermarket, shops, pub and direct bus access to the city centre. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care Services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out, by using information from previous inspections, information from the providers, the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home. This report gives a brief overview of the service and the current judgements for each outcome group. This inspection of Callum House was unannounced and took place over a period of three hours by two regulatory inspectors, Debby Allen and Hilary Richards. The inspection included a tour of the premises, inspection of staff and residents’ records as well as the home’s records relating to health and safety. The inspectors met with a number of service users and a discussion was also held with the manager. A total of ten service users’ and one relative’s comment cards were received prior to the inspection and the views expressed have helped to form some of the judgements contained in this report. One requirement was made as a result of this report. What the service does well: Callum House continues to provide a homely and friendly, family environment for the service users. Residents are actively involved in the day-to-day running of the home and their views are listened to. The ethos of the home is very person centred and empowering and service users are encouraged and supported to develop themselves personally and professionally and ultimately manage their own lives as much as possible. The meals are good and a wholesome and varied choice is available, with a ‘healthy option’ also included in the menu. There is evidence of residents making choices and their suggestions being listened to and acted upon. The relative/visitors comment card that was returned stated that they were welcome in the home at any time and they were satisfied with the overall care provided. All ten comment cards returned by the service users were positive and stated that they were happy living at Callum House. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 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 Callum House DS0000055744.V323793.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. Prospective service users are provided with the information they need to make an informed choice about where they want to live and they are given the opportunity to visit the home and meet other service users and staff before making the decision of whether to move in or not. Prospective service users are confident that, if they choose to move into Callum House, the home will meet their needs and aspirations and it has a good format for assessing the needs of prospective residents before they are admitted. Each service user has an individual written contract. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although the home hasn’t had any new admissions for over a year, the service user’s files that were looked at showed a good format for assessing the needs of prospective residents before they were admitted. These included specific details regarding the residents’ wishes for gaining employment, maintaining social contact and plans for their future. Individual written contracts were seen in the service users’ files. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10 Quality in this outcome area is good. Care plans have greatly improved since the last inspection and service users’ needs and personal goals are reflected in their individual plans. Service users are actively involved in all aspects of life in the home and are encouraged and supported to make decisions about their lives. Service users are also supported to take risks as part of independent daily living. Service users know that the home looks after their personal information appropriately. This judgement has been made using available evidence including a visit to this service. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 10 EVIDENCE: The care plans looked at clearly showed that the service users had been actively involved in their reviews and the plans themselves covered areas such as wishes and needs identified by the service user, achievements for this year, achievements being aimed for next year and goals/achievements in five years time. Needs of the service user, as identified by staff, was also included. The daily notes kept within the service users’ files supplied good evidence of service users making decisions and being empowered to have the lifestyle they chose. Discussion with one service user in particular confirmed that he was extremely happy living at Callum House and he knew that staff were there to help if he needed them. He also said ‘you can tell them anything’. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. Service users are listened to and supported to develop themselves personally and professionally. They have access to a wide variety of opportunities and choices with regard to occupation, leisure and relationships. Meals are healthy, nutritious and appetising and mealtimes are an enjoyable and social occasion. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One service user had chosen to spend the day at home on the day of inspection while others were either at work or at various adult training or day centres. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 12 Another service user’s records showed that he was engaged in regular employment, including a separate job on Saturdays, and often spent the evenings visiting his girlfriend. The manager described how the ultimate aim of the home was to empower service users and, where possible, enable people to move on to living in their own homes entirely. Plans were also underway to provide training and meaningful activities on site for service users, such as kitchen classes and skills workshops. Discussions with service users confirmed that they were involved in their mealtimes and planning the menus. They also stated that they really enjoyed their meals. It was noted that a ‘healthy option’ was also available as part of the menu. Another service user explained that he chose to have his meals in his own room and was able to do this. The results of a quality assurance survey conducted by the home showed that one service user had stated that he felt sausages should be on the menu more often and the home’s response was that it had been agreed that sausages would be on the menu, as an alternative, more regularly. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. Service users maintain control and dignity with regard to how they receive the personal support they require and their health needs are met. Medication is stored and administered appropriately by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users spoken to said they felt the staff were very supportive and helped them with their personal and health needs as and when required. Discussions and care plans also provided evidence that staff helped service users to make and attend relevant appointments with their doctors or specialists as needed. Medication was inspected and the records seen showed no missing signatures and blister packs were all in order. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. Service users are listened to and their views and opinions are heard and acted upon. They are also protected from abuse, neglect and self harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The results of a quality assurance audit were looked at and the summary stated that (1) No residents felt that a change in the quality of the home and it’s facilities was required (2) All residents are happy with their Care Plan and (3) All residents are happy with the quality of the home and staff services. The summary also included indicators for managers and staff and the need for training and action to be taken was highlighted as: ‘The menu should be discussed with all residents, with a view to introducing further alternatives.’ A discussion with one service user confirmed that he knew who to talk to, and what to do, if he had a complaint and he said he knew he would be listened to and his problems would be sorted out. No formal complaints have been received since the last inspection. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 Quality in this outcome area is good. Service users have the benefit of a homely and safe environment, which is clean, hygienic and very well maintained. Service users bedrooms are very individual, appropriate to their needs and lifestyles and promote their independence. They also have bathroom and toilet facilities that offer privacy and meet their needs. Communal areas are also very homely and comfortable and complement service users’ own rooms. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home in general was found to be clean, tidy and well maintained, with no unpleasant odours. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 16 A number of service users were happy to show the inspectors around the home, which included their own rooms. Four service users’ bedrooms were seen and observed to be very personal and individualised and all four people said they were very happy with their rooms. While showing the inspectors around the home, service users showed great respect for each others rooms and privacy and did not attempt to open any door or enter any room that belonged to another service user. When asked, each service user said they were happy that their rooms and belongings were safe. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 & 36 Quality in this outcome area is adequate. Service users know what the staff’s roles and responsibilities are and they are supported by a competent and effective staff team, appropriately trained to meet individual and joint needs. The home has a robust recruitment policy. Although the manager sees the staff on a daily basis formal support and supervision is not carried out on a regular basis. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager confirmed that all staff undergo first aid, food hygiene and Boots medication training, although co-ordinating this can sometimes be a problem due to the number and circumstances of part time staff employed. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 18 The manager also explained that, as part of their recruitment process, they make every effort to recruit staff who already have substantial experience in a care environment. Although staff are seen by the manager on a daily basis, formal support and supervision is not happening at present and a requirement has been made that formal supervision must take place at least six times a year for each member of care staff. One service user spoken to told how different staff members were responsible for various aspects of his care and support. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 & 43 Quality in this outcome area is good. The home is well managed by an experienced, qualified and competent manager who has a very person centred approach to the running of the home. Service users’ views are listened to and underpin the review and development of the home. The home promotes and protects service users’ health, safety and welfare. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is very person centred in his approach to the running of the home and is very keen to enable and empower service users to live as independently as possible. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 20 It was apparent from discussions and observations during the inspection that service users are continually actively involved in the day-to-day running of the home. Evidence was seen in the quality assurance report and through discussions with service users, which confirmed that they were able to ‘have their say’ and would be listened to. Fire safety records were inspected and these confirmed that the alarms and emergency lighting was tested on a weekly basis. Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 1 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 3 3 Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 22 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 YA36 Regulation 18 Requirement The Registered Person must ensure that staff have regular, recorded supervision meetings at least six times a year with their senior/manager. Timescale for action 28/02/07 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 Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Callum House DS0000055744.V323793.R01.S.doc Version 5.2 Page 24 - 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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