CARE HOME ADULTS 18-65
Callum House 234 Wroxham Road Sprowston Norwich Norfolk NR7 0BE Lead Inspector
Hilary Shephard Unannounced Inspection 31st October 2005 16:00 Callum House DS0000055744.V262208.R01.S.doc Version 5.0 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.V262208.R01.S.doc Version 5.0 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.V262208.R01.S.doc Version 5.0 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.V262208.R01.S.doc Version 5.0 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) 13th July 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.V262208.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over 3 hours during which time the inspector spoke with 4 residents and 1 member of staff. The views of residents and staff, where appropriate, are reflected in the findings in the report. A tour was made of the building including two bedrooms, and the inspector also looked at samples of care plans and staff files. At the end of the inspection feedback was given to a member of staff. What the service does well: What has improved since the last inspection? What they could do better:
The home has re-developed a more detailed care plan format, which is good, and is about to be introduced throughout, however, the care plans have not been updated since the previous inspection. Medication records were not being completed accurately and some tablets remained in the blister packs indicating that medication may not be administered properly. Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 6 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. Callum House DS0000055744.V262208.R01.S.doc Version 5.0 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.V262208.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not assessed at this inspection. EVIDENCE: Callum House DS0000055744.V262208.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 6 Care plans and risk assessments have not been updated or amended to reflect changes and do not reflect residents current needs, however all care plans are about to be reviewed and updated. EVIDENCE: Staff advised that all care plans are about to be changed and a new structure, which is more focussed on the individual residents needs and abilities is to be introduced very soon. The new format was inspected and once in use should provide more detailed and up to date information for care staff to work with the residents enabling their needs to be met. Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not assessed at this inspection. EVIDENCE: Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Residents choose how they receive personal support, their health needs are looked after, but the recording of administered medication is poor and tablets remained in the blister packs indicating that medication is not being administered properly. EVIDENCE: Residents said they thought the staff were very good and provided them with support as and when it was needed, they could also see their GP or a specialist as required and staff helped with this. Residents said they are involved in their care plans and have to sign these to say they agree with what has been written. Care plans indicate that the care and support given is chosen and lead by the residents with staff providing additional input where needed. Staff advised that residents are generally quite independent and that this is encouraged. Medication was inspected, and there were many gaps on the MAR charts and some tablets were still in the blister packs despite staff having signed these as being given. It was not clear if the residents had received their medication as staff had failed to accurately complete the charts. A requirement has been made regarding medication.
Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 12 Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not assessed at this inspection. EVIDENCE: Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Residents’ benefit from living in a clean, comfortable and well-maintained home. EVIDENCE: At the time of the inspection, the home was clean and smelled pleasant throughout. Residents are encouraged to clean their own bedrooms and parts of the home, and staff provide assistance with this as necessary. The home was seen to be well maintained and offers residents a very homely environment, residents also benefit from lovely well-managed gardens. Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32 Residents are well supported by experienced and competent staff. EVIDENCE: The manager and proprietor are involved in training and assessing the staff to NVQ levels 2 and 3. Most staff have NVQ level 2 and some are working towards NVQ level 3. All of this training includes modules about caring for people with a learning disability. Staff seemed experienced and competent in caring for the residents and good interaction between staff and residents was observed during the inspection. Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37 and 39 The home is well managed by an experienced, competent and qualified manager who makes every effort to involve residents in the running of the home. EVIDENCE: Residents said they thought the manager was good, and said that he helped them with lots of things such as their finances. The manager’s aims for the home are to provide opportunity for the residents to develop as many skills as they are able to help them with their future. Residents are clearly being enabled to develop these skills, and are guided by the manager and the staff. The home undertakes a yearly quality survey with all residents and is at present compiling the results from one completed recently. The results are then discussed at a residents meeting. Callum House DS0000055744.V262208.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Callum House Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000055744.V262208.R01.S.doc Version 5.0 Page 18 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 YA20 Regulation 13 Requirement The Registered person must ensure that the medication administration records are completed accurately so that no gaps occur and medication is administered safely. Timescale for action 30/11/05 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.V262208.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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