Inspection on 16/10/08 for Calvert Trust Kielder

This inspection was carried out on 16th October 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

Calvert Trust Kielder 17/10/07

Calvert Trust Kielder 12/09/06

Calvert Trust Kielder 08/02/06

Calvert Trust Kielder 17/11/05

Calvert Trust Kielder 15/02/05

Calvert Trust Kielder 24/08/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Blenheim House

Prince Bishop Court

Park View (15)

Craigmore House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Calvert Trust Kielder Kielder Water Hexham Northumberland NE48 1BS     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: Alan Baxter     Date: 3 1 1 0 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. that people have said are important to them: They reflect the things 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 28 Information about the care home Name of care home: Address: Calvert Trust Kielder Kielder Water Hexham Northumberland NE48 1BS 01434-250232 01434250015 teamleader@calvert-kielder.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): The Calvert Trust Name of registered manager (if applicable) Mr K G Appleby Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The maximum number of service users who can be accommodated is: 20 The registered person may provide the following category of service only: Care Home only, Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Learning Disability, Code LD maximum number of places 20 Physical Disability, Code PD, maximum number of places 20 Date of last inspection Brief description of the care home Calvert Trust Kielder provides holiday accommodation and activities specifically for people with disabilities. Service users who are called guests usually stay for one week though occasionally two or three. The site is remote and rural on the edge of Kielder reservoir and as such is ideally placed for sports and activities. As well as the residential accommodation there are a number of chalets providing holiday accommodation for families and groups of children. This enables the service users to Care Homes for Adults (18-65 years) Page 4 of 28 care home 20 Over 65 0 0 20 20 Brief description of the care home socialise with people of similar and different abilities. Some of the site areas are communal such as dining areas and social rooms. The weekly fees are 845 pounds to 945 pounds, depending on the season. Care Homes for Adults (18-65 years) Page 5 of 28 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: This is an overview of what the inspector found during this inspection. The quality rating for this service is 2 star. This means that people using this service experience good quality outcomes. Before the visit we looked at information we have received since the last inspection on 17th October 2007. We looked at how the service has handled any complaints or concerns since the last visit, and whether there have been any changes to how the service is run. We looked at the providers view of how well they care for people, and also the views of people who use the service, their families or home carers, and the staff. Care Homes for Adults (18-65 years) Page 6 of 28 An unannounced visit was made to the service on 16th October 2008, with a follow up visit on 31st October 2008. This visit took eight hours in total. On the first day of the inspection, the inspector was accompanied by an expert by experience. This is a person who, because of their shared experience of using a service and ways of communicating, visits a service with an inspector to help them get a picture of what it is like to use the service. During the visit we talked with guests, the staff and the team leader. We looked at information about the people who use the service and how well their needs are met. We looked at other information that that must be kept. We checked that the staff have the knowledge, skills and training to meet the needs of the people they care for. We looked around parts of the building to make sure it was safe, clean and comfortable. We checked what improvements have been made since the last inspection. We told the team leader what we found (the registered manager was on leave). 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 8 of 28 Care Homes for Adults (18-65 years) Page 9 of 28 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 10 of 28 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. Comprehensive assessments are carried out of the needs of each guest, so that the Trust is confident that it can meet those needs. Evidence: Care records showed that the Trust will only take a guest when an application form has been recieved, describing that persons needs regarding medical conditions, diet, allergies, mobility, communication, nursing inputs, medications, personal care needs and any behavioural issues. For repeat referals, staff will accept a clear verbal update which either describes any changes to the above, or will record that there has been no change to the previous application form. The referer is also asked to supply any other existing care plans or any other relevant information, and examples were very detailed and informative. Care Homes for Adults (18-65 years) Page 11 of 28 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. Guests receive care and support that is well planned and that takes into account their diverse needs whilst promoting their privacy and dignity. Evidence: As discussed in previous reports, the short term nature of this respite service has lead to an acceptance that care plans will sometimes be more basic than those expected in long term care, especially where a guest can communicate their needs clearly and can direct their own care. The Trust is still developing its care plans to a standard that would allow a member of staff unfamiliar with a guest to be able to give the required care in a manner acceptable to and stipulated by that guest. Most guests have stayed at the Trust before and are well known to the staff. With such guests, their previous care plans are reviewed, and are either marked as unchanged, or are amended appropriately. Some guests provide a written plan of how they wish their care to be given, and others have this done by their main home carers. Examples Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: were of a high standard. The Trust is constantly developing the recording systems, and are looking at increasing the the size available for the comments section. It was agreed that care plans should reflect the complexity of their care needs, medical conditions etc. There was ample evidence that guests are actively encouraged to be as independent as possible, and to make their own decisions. Guests may request a particular bedroom, and can direct how they would like it to be laid out and equipped (for example, for a left handed person). They have choice of meals, of clothing, of activities and of when they rise and retire. The Trust takes its equality and diversity responsibilities seriously. An example of this is the use of the WIDJIT sign language in communal areas, giving guests key information about fire precautions, activities and routines. General and individual risk assessments are in place. There is a risk management summary in place. External activities are separately regulated and inspected by the appropriate bodies, such as the Royal Yatch Association Training Centre. Care Homes for Adults (18-65 years) Page 13 of 28 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. Guests enjoy an excellent range of enjoyable and stimulating activities, are helped to make choices and be as independent as possible, and have a good choice of nutritious food. Evidence: Guests are able to take part in activities appropriate to their age, peer group and cultural background at the Trust. However, as the stated aim of the Trust is to offer short-term activities-based holidays, there is obviously no emphasis on educational or employment opportunities. Guests are able to use the licensed bar at the Trust. there is also a cigarette machine, because of the distance from local shops. Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: As guests have chosen to come for the activities offered at the Trust, there is only limited opportunity to take part in the local community. However, where opportunities such as local farmers shows and festivals are available, guests are encouraged to take part. Shopping trips are also organised, where there is a demand for this service. The Trust has also takes advantage of local and national agencies, such as National Parks and Northumbria Wildlife Trust. The Trust specialises in providing activities for people with physical, learning or sensory disabilities. There is a focus on providing outdoor activities, with fully trained staff to assist and support guests. Activities offered include climbing, abseiling, zip wire, orienteering, archery, golf buggies and an adventure course. Located close to Kielder Water, the Trust also offers a wide range of water sports, such as sailing, canoeing, motor cruising and kayaking. There are good indoor facilities, with a hydrotherapy swimming pool, sports hall, indoor climbing wall, computers and a wide range of imaginative activities, including arts and crafts, available to guests. There are themed weeks, including Halloween, Irish, Scottish, Medieval, Country and Western, Christmas Week, Flora and Flora Week, Pamper and Pirate weeks. There is a team of experienced, skilled activities staff who work with the care staff. Overall, the provision of activities well exceeds the requirements of this standard and is highly commended. As most guests are taking a break from their family or normal carers at the Trust, there is less emphasis on maintaining links with family and friends than there would be in a long term placement. There is a house rule, specified in the Service Users guide, that guests do not go into each others rooms. Guests are encouraged to be as independent as possible and to make choices as to how they spend their time. There is no pressure to join in activities. They have access to all communal areas of the building. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: There is a four week menu, currently being reviewed. There is choice for every meal, with alternatives on request. A cooked breakfast is available daily. Drinks and snacks are available throughout the day. The Expert by Experience used on this inspection spoke very highly of the quality and quantity of the food. Guests spoke highly of the catering. Care Homes for Adults (18-65 years) Page 16 of 28 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. Guests are given personal care and support in the ways that they direct, and their emotional and physical health needs are met. Evidence: The Trust stresses the need to provide an individualised service that meets the needs and wishes of each guest. The care records record whether there is a preference for either male or female staff to give personal care. Guests can ask for a particular room, and can choose how its laid out. There is a wide range of equipment in place to ensure best practice in moving and handling of guests. This includes technical aides such as alarm calls, deaf fire alarms, automatic doors and ramps. Staff receive the appropriate specialist training. Guests, parents and carers can submit written instructions on how they wish their care to be given. Detailed examples were seen. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: The assessment process asks for details of any medical conditions or disabilities, allergies, or sensory impairment. It also contains a section identifying any nursing needs, as such nursing input may only be provided by District Nurses from local practices, and their input needs to be booked well in advance. Study of a sample of care records showed that their physical and emotional needs had been identified and met within the Trust. Some bedrooms have ceiling tracking for hoisting. All mattresses on electric beds have been replaced, as have two of the electric beds themselves. Guests are asked on admission if they wish to be responsible for keeping and taking their own medicines. If so, a risk assessment is carried out, in conjunction with family or carers as appropriate. Staff keep a discrete eye on any guests who is selfmedicating. The accuracy of the list of medicines that a guest may bring with them is checked by senior staff. The Trust has developed a medication sheet that incorporates a digital photograph onto it. Controlled Drugs are properly stored and recorded, following CSCI guidelines. Care Homes for Adults (18-65 years) Page 18 of 28 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. The service manages all complaints positively and sensitively, and guests know that their views are listened to and acted upon. There are acceptable systems for protecting guests from abuse and neglect. Evidence: Four of the five guests who returned surveys said that they know who to speak to if they are unhappy, and know how to make a complaint. All five said that staff always treat them well, and that staff listen to them and act on what they say. Complaints records showed that no complaints have been received in the past year. The Trust has up to date procedures in place to safeguard its guests and to report any adult protection issues. It has the current version of the Northumberland social services safeguarding policy and procedures to refer to, and it was confirmed that the local social services will take responsibility for logging any safeguarding issues affecting guests from other parts of the country. The Team Leader and the Director of Operations have both attended an advanced train the trainer course on how to respond to allegations of abuse, and provide inhouse training to their staff. A new flow chart has been drawn up and displayed in the office. This includes the name and contact number of the local social services Care Homes for Adults (18-65 years) Page 19 of 28 Evidence: safeguarding contact person. Care Homes for Adults (18-65 years) Page 20 of 28 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. Guests enjoy a pleasant, well equipped and safe environment, that is kept in a clean and hygienic state. Evidence: The building and indoor facilities were toured by the Expert by Experience. Bedrooms are well furnished and pleasantly decorated. Communal areas were similarly well appointed, with comfortable seating and a bar that opens in the evenings. A new sauna has been installed. All facilities seen were clean and hygienic. It was noted that the Trust has won the Gold Award from the North East Tourism Board for Best Tourism Experience, and the Silver Award for accessibility. Environmental risk assessments are thorough and up to date. Care Homes for Adults (18-65 years) Page 21 of 28 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. Guests benefit from having a competent, experienced and qualified staff team, who are recruited with care, and properly supervised. Evidence: Nearly four-fifths of the care staff hold National Vocational Qualifications, mostly at the advanced level 3. This exceeds the minimum expected. The Trust has robust policies and practices in the area of staff recruitment. Two written references are required, as is proof of identity, Criminal Record Bureau checks and other relevant checks. A training and development plan for 2008-2009 is in place, and each staff member has an individual training and development assessment. There is annual training for staff in fire safety, food hygiene, moving and handling, infection control and hazardous substances. No specialist training has been given this year, as the District Nurses who usually provide such training have not had the facility to provide this. They do, however, give Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: client-specific training to staff about individual guests needs. All care staff recieve the required six supervision sessions each year, one of which is also used for annual appraisal. Care Homes for Adults (18-65 years) Page 23 of 28 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. Guests benefit from a well-run organisation, which includes good quality assurance systems and good health and safety practices. Evidence: The Registered Manager, Kevin Appleby, has 23 years experience in care, 9 of which have been in management positions. He has degrees in Human Organization and in Psychology, a post graduate degree Human Resources Management and a Diploma in Senior Management. The Team Leader, Sally Hemingbrough, has 13 years experience in care. She has a degree in Social Policy, National Vocational Qualification level 3 in Health and Social Care, and is working to wards National Vocational Qualification level 4 in Care Management. She has done a Management and Development Programme and an Introductory Certificate in Management. The Trust actively encourages guests to express their opinions, both verbally and in Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: writing. Staff are available to help guests fill in the questionnaires. The format used for these questionnaires has been amended since the last inspection to give more room for comments, and is generally more open ended. This has been done in conjunction with Strathclyde University Outdoor Pursuits Department. Questionnaires are checked each week, so that any problems can be addressed at the time. There is then a monthly collation of comments, with a written response made by the Team Leader. There was ample evidence of appropriate responses to issues raised, examples including changes made to mattresses, menus, care plans, and bath water temperatures. There is also a survey of the views of home carers, which showed very positive feedback. A Guests Comments Form is now in every bedroom. Appropriate policies and procedures are in place for keeping guests, staff and visitors safe. Servicing and maintenance documentation is in place. The fire logbook shows that all the required checks and tests of equipment have been recorded as having taken place at the appropriate intervals. Risk assessments are carried out on each guests, as well as on equipment, activities and environment. Staff are given annual refresher courses in moving and handling, fire safety, infection control, food handling, first aid and safe working practices. Care Homes for Adults (18-65 years) Page 25 of 28 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 26 of 28 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 27 of 28 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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