Inspection on 10/09/07 for John Calvert Court

This inspection was carried out on 10th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

John Calvert Court 22/06/06

John Calvert Court 07/11/05

John Calvert Court 26/04/05

John Calvert Court 25/01/05

John Calvert Court 24/08/04

John Calvert Court 16/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE John Calvert Court 158 Milton Crescent Beaumont Leys Leicester Leicestershire LE4 0SX Lead Inspector Linda Clarke Key Unannounced Inspection 10th September 2007 09:15 X10029.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address John Calvert Court DS0000006377.V342219.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 Older People and 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. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service John Calvert Court Address 158 Milton Crescent Beaumont Leys Leicester Leicestershire LE4 0SX 0116 2354933 0116 2352469 john.court@lha-asra.org.uk 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) Leicester Housing Association Lavinia Grace Mann Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Mental registration, with number disorder, excluding learning disability or of places dementia (22), Mental Disorder, excluding learning disability or dementia - over 65 years of age (22) John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person of category MD who is under the age of 50 may be admitted to the home. 22nd June 2006 Date of last inspection Brief Description of the Service: John Calvert Court is a care home providing personal care and accommodation for twenty-two people aged fifty or over with mental health problems. The home is situated on a modern housing estate within reach of a range of facilities. Bedrooms are situated on the ground floor, of which eighteen are single, and two being shared. All bedrooms have an en-suite facility consisting of a toilet and wash hand basin. Communal areas comprise of two lounge areas, one of which is accessible to service users who wish to smoke, there is a dining room leading into a central courtyard. A kitchenette is provided enabling service users to make hot drinks throughout the day. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and Welcome Brochure. Copies of the Commission for Social Care Inspections, Inspection Reports, are available by request at John Calvert Court. The fee charged is dependent upon a financial assessment being undertaken to establish the individual’s contribution to care costs. The assessment being carried out by a representative of the Local Authority funding the care of the individual. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the previous Inspection Report, reviewing of the Annual Quality Assurance Assessment (AQAA), and Comment Cards sent to service users and their relatives by the Commission for Social Care Inspection, five service user and three relative Comment Cards were returned. The unannounced site visit commenced on the 10th September 2007 and lasted 1 day. The focus of the inspection is based upon the outcomes for the service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at John Calvert Court. Three service users were selected and discussions were held with them. The method of case tracking included the review of service users’ individual care records, discussions with staff of various delegated responsibilities within the home and reviewing the records, training records and the minutes of service user and team meetings. What the service does well: John Calvert Court provides prospective and existing service users with detailed information as to the range of services offered by the Home. The documentation is completed to a high standard and incorporates photographs for ease of reference. Service users benefit from comprehensive assessments of their needs being undertaken by both health and social care professionals, and further benefit from having access to a wide range of health and social care professionals, ensuring their needs are regularly reviewed and updated. Service users are encouraged to take active control of their day-to-day lives, accessing a wide range of community services, promoting their independence and choice. A team of catering staff ensures that service users receive high quality, homemade food, which reflects their choices and needs. Service users benefit from an enthusiastic staff team who are qualified and trained in delivering effective and tailored care, meeting the individual and collective needs of service users. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users and relatives when asked what the home does well the following comments were made: • I like being here. This home is just what I am looking for. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 6 • A ‘caring’ relationship. Communicating staff at all levels. Helping to stimulate my relative daily. Providing trips. Excellent food. Trained and competent staff. 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. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 1, 2, 3 and 5. Standard 6 is not applicable, as intermediate care is not provided. (Older People) Standard 1, 2, 4 and 5. (Younger Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that the information supplied by the Home, and their needs assessment will enable them to make an informed choice as to where they receive care, and can be confident that the Home can meet their individual needs. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 9 EVIDENCE: Prospective and existing service users have access to brochures produced by Leicester Housing Association with regards to the facilities provided at John Calvert Court, and include information as to the referral process to access services, accommodation, staffing qualifications and experience, activities provided, current service users views of the Home and information on how to raise concerns. Brochures in addition to the written information incorporate colour photographs. The records of three service users were viewed, two of which had their care funded by a Local Authority and one of which was a service user who funded their own care. The two service users who were funded by the Local Authority had Individual Placement Agreements from the Local Authority detailing the fee and services to be provided, none were up to date, being the originals from the initial date of admission into John Calvert Court. The Registered Manager confirmed that she would contact the funding Local Authorities requesting that up to date Agreements be provided for service users. Leicester Housing Association also has tenancy/licence agreements with service users; these were also out of date. An audit undertaken by a representative of Leicester Housing Association conducted as part of the Quality Assurance system had highlighted this deficit, and measures are already in place to revise the contents of these agreements, service user agreements will then be reviewed. A service user who had recently moved into John Calvert Court said they had visited the home for a day and had had an overnight stay, the service user in question confirmed that their move into the Home had been smooth, and that support was provided by care staff. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of relatives when asked whether they were providing with enough information about the care home which enabled them to make decisions as to their views on the care and support they receive the following comments were made. • As a family we have been informed on induction to the home and at regular times and at important times including our relative being admitted into hospital. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 10 John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. (Older People) 6, 7, 9, 16, 18 and 20. (Younger Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to maintain their preferred lifestyle and make day-to-day decisions regarding their lives and are supported by staff ensuring service users health and daily care needs are met. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 12 EVIDENCE: Care plans and records of three service users were viewed, care plans provide information as to the support an individual requires with regards to their physical and mental health well being. Service user files provide a detailed and comprehensive range of information, such information is not in all instances recorded within the service users care plan. Care plans could be improved by incorporating an holistic approach to care, including information as to a service users life prior to admission in to care, the care and support they require, and should reflect their abilities and strengths, their goals and aspirations. This type of care plan is known as a Person Centred Plan. Risk assessment are completed where areas of potential risk to the service user have been identified, this enables risk to be minimised which may include staff offering support, or by the adoption of other measures. Risk assessments support service users in areas of risk without restricting their independence and choice. Service user files incorporated documentation supporting the review of service user progress, which involves the service user, representative of John Calvert Court, service users relative (if appropriate) health care representation such as a Community Psychiatric Nurse and Psychiatric Consultant. Records also confirm service users access a range of health care professionals, which include Podiatrists, General Practitioners, District Nurses, Opticians and Dentists. Medication was discussed with two service users, both confirmed they received their medication in a timely manner, one service user confirmed that they were in part responsible for the administration of their own medication, this is supported by a risk assessment. Staff who are responsible for the administration of medication receive training. Staff and service user interactions were observed during the site visit, staff demonstrated a clear understanding of the needs of service users. Staff were observed knocking on the bedroom doors of service users, and did not enter unless permission was granted. Personal issues are discussed in private promoting service users privacy and confidentiality. Service users spoken with were confident that their confidentiality is maintained. Service users are encouraged to make decisions, which affect their daily lives, documentation records the decisions they make. Service users in some instances manager their own finances, whilst for others formal agreements are in place with family members or the Registered Manager. Advocacy services also support service users in making decisions. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 13 Care plans of service users detail service users wishes with regards to illness and death. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users when asked as to their views on the care and support they receive and whether staff listen and act upon what they say the following comments were made. • • The office staff are kind and helpful. The kitchen people are good at cooking, nice personalities cleaner good and thorough. The staff always help me, there is always someone available. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. (Older People) 12, 13, 14, 15 and 17. (Younger Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users continue to make choices; and are supported to lead fulfilled lives, develop their skills and be a part of the wider community; and are offered a variety of meals. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 15 EVIDENCE: John Calvert Court employs an Activity Organiser; in addition an Activity Organiser from Age Concerns visits on a Monday, Wednesday and Friday, enabling service users to have a varied range of activities in which to engage in and are in addition provided with opportunities to access leisure and recreational pursuits within the community. One service user spoken with confirmed they organised independently a variety of trips which included an overnight trip to Portsmouth to see the Queen Elizabeth II and the Queen Mary II, an overnight trip to see Torvill & Dean in London, a days boating trip and a day trip to Twycross Zoo. In addition they access support networks in relation to their mental health. A small group of service users, supported by the staff played several games of Dominoes in the afternoon, staff encouraged service users to take an active and equal part in the game. One service user said they went to college and a garden nursery during the week, accessing courses in Art, English, Computer Skills and Gardening. The service user accesses College travelling independently by local transport. On the day of the site visit service users left the Home independently, service users are asked to advise a member of staff when they leave and return in case of a Fire in the Home. Service users are offered keys to their bedrooms, their views are recorded, in the instance of the three service users case tracked, all had decided to have a key to their room. Service users are encouraged to maintain contact with family and friends, one service user said that their daughter visited weekly, and that they often went out for the day. Whilst another service user said that their brother visited, helping them with their financial management. Service users spoke favourably about the food and meals supplied, confirming that they are offered choices for all meals of the day, and that specialist diets are catered for when required. Direct comments with regards to the food were:• “Meals are very nice and we have a choice for all meals.” Discussions were held with the Cook who confirmed that a majority of provisions are purchased from a local supermarket, and that a local butcher and green grocer also make deliveries. Meals are homemade by the Cook and their Assistants and are served by care staff. Staff were seen asking service users their meal choices for the day. Drinks are served throughout the day; in John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 16 addition service users can access the kitchenette to make hot drinks independently. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users when asked as to their views activities arranged by the home and their view as to the meals the following comments were made: • • Going to town twice a week, boat trips, Twycross Zoo, pub lunches. I arrange trips of my own as well. Home made, excellent meals, excellent staff four meals a day. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 (Older People) 22 and 23 (Younger Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their interests are protected by good complaints procedures and systems and by staff trained in safe guarding adult processes. EVIDENCE: Documentation supplied by the Registered Manager prior to the site visit detailed that John Calvert Court has not received any complaints or concerns in the last twelve months. The Commission for Social Care Inspection (CSCI) in the last twelve months has not received any complaints or concerns with regards to John Calvert Court. Information as to how concerns and complaints can be raised and how they will be handled is provided in documentation supplied to prospective service users, and displayed on the notice board in the Home. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 18 Opportunities are provided for service users to express their views and opinions, which affect their lives, through attending service user meetings and taking part in the quality assurance process. Key worker days also provide an opportunity for service users to receive one to one support, and provide a further opportunity for issues of concern to be raised. Staff receive training in how to look out for signs of abuse and how they are to respond if they have any suspicions or concerns. Policies and procedures detail the action that staff are to take should that have any concerns with regards to service user welfare. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users relatives when asked if they were aware of how to make a complaint and whether they have been responded to appropriately the following comments were made: • Very few complaints needed as it is run smoothly. Nothing is too much trouble for them. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 26. (Older People) 24, 28 and 30. (Younger Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 20 EVIDENCE: John Calvert Court has a small car parking facility to the front of the property, and access to the front door is via steps or an access level ramp. Mechanisms on the front door prevent individuals entering or leaving the building who do not have the access code. John Calvert Court has an on-going programme of refurbishment and maintenance. All accommodation and facilities are provided on the ground floor. Service users benefit from a central courtyard, with matures trees, shrubs and plants. The courtyard provides a relaxing environment incorporating seating and tables. One service user spoken with grows tomatoes and peppers in the garden in pots within the courtyard. Service users have access to two bathing and two shower facilities, shower facilities are accessible to service users with a physical disability. Staff are responsible for the laundering of items including service user clothing in a dedicated room of the Home. The bedrooms of two service users were viewed, when discussions were held with them as to their views of the Home. In both instances the bedrooms were decorated to reflect the lifestyle, hobbies and interests of the service user, when asked both service users were happy with the décor of their room and the communal areas. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. (Older People) 32, 34 and 35. (Younger Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive the appropriate support they require by staff that are experienced and trained, having their needs timely and safely met. EVIDENCE: Service users needs are met by the staff employed, being supported by a Senior Care Worker and two members of staff who are on duty during the day and night. Care staff are supported by a Cook and their assistants, who undertake the preparation and cooking of meals. Service user needs are met by the staff, who are on hand to support with physical care, where required, in John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 22 the main staff support focuses on supporting services users with their day to day lives, offering reassurance and guidance. Observations on the day of the site visit noted that service users were relaxed in their Home, and approached staff for support when required, staff spoke respectfully to service users, their conversations and support demonstrating a clear understanding and knowledge as to the needs of service users. John Calvert Court employs 13 members of permanent care staff, of which 12 have attained a National Vocational Qualification in Care, representing 92 of the staff group. Permanent staff are in some instances supported by relief staff of which there are seven, four of which have attained a National Vocational Qualification, representing 57 . The staff files of three staff were viewed, all contained information confirming their identity, confirmation that an enhanced Criminal Record Bureau (CRB) check had been attained, copies of two written references and information with regards to training received. Staff received a detailed induction to John Calvert Court, over a six month period, prior to undertaking a National Vocational Qualification. During the site visit a recently recruited member of staff who was not part of the rota, spent time in the staff room familiarising themselves with the policies and procedures of John Calvert Court, later, supervised by a member of staff spend time with service users having a game of Bingo. Staff receive training in a range of health and safety topics which include, Health and Safety, Basic Food Hygiene, First Aid, and Moving and Handling. Training received by staff also directly relates to the care of service users, and provides an awareness of their needs; topics include Communicating with Sign and Symbols, Medication Awareness, Mental Health Awareness and Cultural Awareness. Other topics being related to documentation and the recording of service user needs and include Person Centred Planning and Principles of Good Record Keeping. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38. (Older People) 37, 39 and 42. (Younger Adults) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 24 Service users benefit from a well managed home with good leadership, having opportunity to shape and improve the service, whilst being assured that their health, safety and welfare are promoted. EVIDENCE: The Registered Manager Liz Mann holds a Social Science Degree, a National Vocational Qualification at level 4 and has attained the Registered Managers Award. Liz Mann has worked within the field of Adult Care for a number of years, and is experienced in the role for which she is employed. John Calvert Court as part of Leicester Housing Association has a quality assurance process, which includes an annual survey of service users views, each year there are dedicated areas for which views are sought. The most recent survey focused on menu choices and mealtimes, privacy and dignity and activities. The results of service users views are collated and a plan of improvement is produced and circulated to all participants. Quality Assurance Annual Plans are undertaken by the Registered Manager covering two topics the first being the Business Plan and the second a document on Quality Health Care. Service user and staff meetings are held alternate months, with minutes being taken. Information to service users, their families and friends and outside agencies is communicated through the quarterly newsletter. Newsletters include articles from service users which detail their experiences including any activities they have undertaken or are planned, some service users use the Newsletter to publish poems and write about day-to-day issues. The financial records of one service user whose records were viewed as part of the ‘Case Tracking’ process were viewed; a detailed financial record evidenced deposits and withdrawals. A member of the management team undertakes random checks of financial records to check as to their accuracy. John Calvert Court was recently audited and found to have no anomalies with its financial records. A management structure is in place which ensures that care and ancillary staff receive regular one to one supervisions, providing an opportunity for staff to reflect as to the work they do, identify any training needs and discuss any issues of concern with regards to service user welfare. In addition to supervisions staff receive an annual Performance and Development Appraisal. Information submitted prior to the site visit detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, environmental health visits, central heating systems and emergency call systems. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 3 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 3 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 3 37 X 38 3 John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 26 N/A 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. John Calvert Court DS0000006377.V342219.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!