Inspection on 15/12/08 for Callum House

This inspection was carried out on 15th December 2008.

CSCI found this care home to be providing an Good service.

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

Callum House 11/12/06

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 29/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Callum House 234 Wroxham Road Sprowston Norwich Norfolk NR7 0BE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ruth Hannent     Date: 1 5 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Callum House 234 Wroxham Road Sprowston Norwich Norfolk NR7 0BE 01603408150 01603400038 klairhouse@lineone.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Klair House Ltd Type of registration: Number of places registered: care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 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) Date of last inspection Brief description of the care home 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. The fees for this service range from 450 to 1000 pounds per week according to needs. 10 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We carried out this inspection by using the information received from the Manager on the Annual Quality Assurance Assessment (AQAA). We visited the home over a period of three and a half hours and spoke to residents, staff, professionals and the Manager. No other notifications had been received at the Commission since the last inspection and no concerns have been raised. Care Homes for Adults (18-65 years) Page 5 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 6 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 7 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does offer information and encourages visits to ensure the person has an understanding of the service at Callum House. There is a clear procedure in place to ensure all potential residents are assessed and that the service can meet their individual needs. Evidence: Information that is relevant for people to make a decision as to if the home can meet their needs or not is detailed in the statement of purpose and service users guide. (Copy given to the Inspector). The development of the service that is ongoing has been included in the recently revised addition carried out in Oct 2008. The home has a good process for assessing residents to ensure the person is suitable and can have their needs met within Callum House. The Manager tells us of the involvement of the potential resident and all the relevant paperwork gathered including full information and risk assessments, meetings and visits to the home, before a Care Homes for Adults (18-65 years) Page 8 of 25 Evidence: decision is made. The Annual Quality Assurance Assessment details how this process takes place and how everyone is offered a three months trial that is reviewed monthly to ensure the placement is correct. Care Homes for Adults (18-65 years) Page 9 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents do have a care plan that will give staff guidance on the care support the residents requires. Residents do make decisions about their lives. Risk taking is assessed and minimised to allow residents to live an independent lifestyle. Evidence: The home develops a care plan for each resident that is held in the office upstairs. The details read contain all the relevant information that would enable staff to understand the care support that person would require. These are reviewed on a regular basis. It also gives clear direction of who is involved from other agencies and who to get in touch with if extra support is required. The day of this inspection the home had visits from CPNs who interacted well with the Care Homes for Adults (18-65 years) Page 10 of 25 Evidence: home staff and who recorded their visit in the persons care plan and used the office diary to book their next visit. The interaction between the professionals and details written were very much focused on the individual. Throughout the day the information found in files, daily record notes and to chatting with three residents it was evident that each and every one of them had a lifestyle that suited them. The home hold monthly meeting with the residents and throughout the day, time was offered to anyone who requested it. On us entering the home one resident offered a cup of tea, another was very happy to talk about his achievements since living in the home. The home recognises that risk taking is part of everyday life and risk assessments are in place to prevent any unnecessary risks being taken. Care Homes for Adults (18-65 years) Page 11 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home does support the residents in appropriate activities. Residents do lead full lives and have the opportunity to take part in any leisure activity. Right of residents are respected to ensure decisions are available for them to choose. The residents are offered wholesome and balanced meals with healthier options encouraged to aim to improve health. Evidence: The home has started working with teams from the Norvic Clinic if the resident is Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: referred through their team and is found to be suitable for the home. The treatment and aim for improvement plans that are developing show a clear aim to help the person reach their potential. Talking to the Manager and reading the details in the AQAA, time and individual detailed information is given to residents to help them take steps towards planned goals. One resident talked of the college course now attending and how he aims to become a qualified builder although his course is for another two years. The conversation held was full of excitement and this person demonstrated how much support the home has offered but eventually they want a place of their own. The home has a multi function room that was seen in the garden. There is a variety of activities available in this room from 2 computers with internet access to table tennis, TV, gym bike and arts and crafts. In the home a resident told us of the photographs of different events that take place over the year. The recent Halloween party had been great fun and we made most of the outfits ourselves. Plans were under discussion for the panto in Norwich and trips out throughout the Christmas period. (The home has a mini bus company directly opposite the home and regularly hire from them). The home residents had decided on a Christmas meal out which had taken place the week of the inspection at the local pub. Residents were talking about this and saying how much they had enjoyed it. We had great fun, the meals were enormous were just some of the comments. The AQAA tells us of the support to residents in maintaining friends and encouraging families involvement. The Manager talks of no barriers being in place for friendships and two residents do have a relationship outside the home. The menus are held in the kitchen and seen were the 4 weekly cycle of meals planned and who likes and dislikes certain foods. The home has also introduced a healthily option menu to sit alongside the main menu to encourage a healthier eating lifestyle. Some residents are diabetic and need some support in managing their food intake. Records show how the home is trying to help residents with this by comprehensive weight charts seen in their care plans and daily records for staff to share the day to day support required. The home does have a separate kitchen for residents to use which was evident for the people who were making their own drinks. Care Homes for Adults (18-65 years) Page 13 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported for their personal care needs when required that considers their privacy, dignity and independence. The physical and emotional needs of residents is met appropriately. The procedures for managing medication is carried out safely and protects the residents. Evidence: The AQAA tells us of the way personal care is offered to residents, ensuring that their dignity, respect and privacy is upheld. Conversations taking place and the way residents appeared, it was evident that staff encourage and work with the residents to help them appear suitable for the day ahead. The majority of the residents do not need any physical assistance but on talking to the Manager some of them need a lot of verbal support and encouragement to bathe appropriately. The residents are registered with the local GP practice who support and visit the home Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: when requested. The residents are encouraged to attend the surgery when needed. The home has recently been praised by the GP for helping a resident maintain his weight and follow a healthy eating plan as much as possible. (Weight charts were seen and dated regularly with a good pattern showing of the weight control). The AQAA also states that the chiropodist and optician visit the home regularly. On the day of this visit a resident was complaining of toothache and plans were made to take this person to the dentist. The medication for some of the residents (two do not require any medication) is stored in the locked cupboard in the main kitchen. The MAR charts were looked at and no signature gaps were seen. The Manager told us that he checks the charts regularly and that they were in the office on the arrival of our visit ready for the management checks. The medicine cupboard held all the boots style blister packs for each person and any loose medication was stored in plastic boxes with each persons name on the outside. According to the Manager the home only hold paracetamol as a homely pain relief if required and the procedure would be to refer the person to the GP if the pain relief needed more than a days paracetamol. Care Homes for Adults (18-65 years) Page 15 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are able to view their feelings and any concerns will be acted upon. Residents are protected from abuse by the homes procedures and policies. Evidence: The home works as a family style setting. Residents are able and do discuss their individual concerns with the Manager and staff. This was evident when walking around and listening to interactions throughout the day. The service users guide and statement of purpose hold a copy of how to complain and the procedure is also displayed on the noticeboard. The one note pad holding complaints has not had an entry in it for nearly two years. On talking to one resident we were told that any resident can talk to the staff or Manager and they will be listened to. The staff have all had training on the protection of vulnerable adults. The certificates are held in the main office with personnel file details. The staff board showed dates of training booked for the months of October to December. The AQAA tells us that all new staff members are handed a copy of the Protection of Vulnerable Adults booklet produced by Norfolk Council Care Homes for Adults (18-65 years) Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises are homely, comfortable and safe. The areas are suitable and furnished to a good standard. The home is clean and hygienic. Evidence: Callum House is home to 10 residents. The property has just started a refurbishment programme with some plans seen of the look for the upgraded home. Each resident will have a full sized bedroom with an ensuite facility. The areas within the home will lighten and brighten the place with more outside windows in place. The home at present, although suitable and very clean and tidy, is not as modern as it sister home next door. The property is situated on the edge of Norwich with very good access to shops, buses, pubs, churches and surgeries. All areas seen which included a new style bedroom and all other shared rooms were very clean and furnished suitably. One resident told us of his own room having all his favorite possessions inside and all the personal details making the room his own. The bathroom seen is a little cramped at present but is part of the new refurbishment programme that will be completed next year. Care Homes for Adults (18-65 years) Page 17 of 25 Evidence: The home does not have any specialist equipment for anyone with physical disabilities and the home does not accommodate anyone with a physical need. The home has records of maintenance and fire records were seen. The home has recently had the fire officer visit the home and a comprehensive fire risk assessment is about to be completed. Care Homes for Adults (18-65 years) Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported by competent and qualified staff. Residents are supported correctly by suitable numbers of staff on duty at all times. Recruitment procedures are robust and do protect the residents. Evidence: There is a total of eight care staff who work various hours over the week. On the day of this visit one staff member and one domestic was in Callum House with the Manager around to oversee the two properties. There was only three residents around at the time of the inspection with everyone else at their various day activities, work, outings. The staff spoken to have worked in the home for a number of years. The Manager comments in the AQAA and also discussed with us during the visit his support to staff in them achieving their NVQ qualifications. Six staff to date have the qualification with another almost completed and another about to start. Two personnel files were picked at random to check for all relevant documents. The folders were found to contain two references, two forms of I.D., application, contract Care Homes for Adults (18-65 years) Page 19 of 25 Evidence: and training paperwork and certificates. The relevant CRBs were held separately in the locked drawer and the two files looked at showed a CRB that was clear of any criminal record. Training programmes and certificates were seen and discussed with the Manager to show that the home is actively working with developing the skills within the team. Although the Manager is a very active person within the home and sees staff all the time there is still the regular one to one sessions that are carried out every two months. These records were seen and are kept locked in the office. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Manager is qualified and competent to carry out his duties to ensure the home is run well. The service is monitored and quality is assessed to view and improve for the benefit of the residents. Record keeping is robust and does safeguard the residents with their finances. The health and safety of residents and staff is promoted and protected. Evidence: The Manager of this home is very proactive in the development and ongoing improvement of the service. This became evident as the visit to the home progressed and the plans and interaction with professionals, staff and residents was witnessed. He holds 3 recognised qualifications as a Manager and is always updating and building on Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: his own knowledge so it can be cascaded to the staff team. The home carried out a quality assurance exercise in September that was completed by all residents. (The forms were seen completed but have yet to be collated and the outcomes shared with the residents). On seeing the individually completed forms it appeared that most areas of the service was of good quality but one area identified around mealtimes was explained by the Manager and was something that was being discussed with the residents. The Manager showed the robust system that is in place to assist residents in managing their personal money. Each one has a bank account with the National Westminster and each has a sheet of expenses in and out. Receipts are held for any purchases made by the home. (All seen). Some residents are working towards their own money management as part of their programme of aiming towards independent living. This was discussed with one person who told of the great support I get to help me manage my money. The home has good records (seen) of the procedures carried out to check the fire system. In the last year a visit had taken place from the Environmental Health Officer and a certificate was on display stating Safer Food , Better Business. The staff have all had training in infection control, food hygiene, first aid, fire safety and moving and handling. Records were not seen on this occasion but the AQAA tells us that the gas boiler is serviced annually by British Gas, the COSHH data is kept up to date and that all accidents are recorded. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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