Inspection on 22/06/06 for John Calvert Court

This inspection was carried out on 22nd June 2006.

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

The inspector 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 10/09/07

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 Martin Hefferman Unannounced Inspection 22nd June 2006 09:50 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 DS0000006377.V300115.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. DS0000006377.V300115.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 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) DS0000006377.V300115.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. 7th November 2005 Date of last inspection Brief Description of the Service: John Calvert Court provides care 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. Residents’ rooms are situated on the ground floor. There are eighteen single and two double rooms. All of the bedrooms have en suite facilities. In addition to their rooms, residents have access to two sitting rooms (both of which have kitchenettes), a dining room / conservatory and a well-maintained garden. At the time of the inspection, fees ranged from £269 to £379. Information for prospective residents is available. DS0000006377.V300115.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 22nd June 2006, lasting approximately five and a quarter hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. Four residents were spoken to during the course of the visit. The inspection also took account of all information received since the date of the last visit. What the service does well: 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. DS0000006377.V300115.R01.S.doc Version 5.2 Page 6 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) DS0000006377.V300115.R01.S.doc Version 5.2 Page 7 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 to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6 (Older People), 2 (Adults 18-65) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Assessment practices are very thorough, ensuring that prospective residents’ needs are identified prior to their admission. EVIDENCE: The registered manager had completed an assessment of a resident who moved to the home during November 2005. Records of that assessment were detailed, covering a wide range of health and social care needs. Copies of a Care Programme Approach assessment and care plan were also available for inspection. Records indicate that the prospective resident had been involved in the assessment process. The home does not provide intermediate care. DS0000006377.V300115.R01.S.doc Version 5.2 Page 8 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 to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 (Older People), 6, 9, 18, 19 & 20 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for meeting residents’ health & personal care needs are well managed. EVIDENCE: The individual plans that were inspected were clear and comprehensive. Records indicate that they have been reviewed on a regular basis. Staff members had completed a risk assessment for each of the residents whose records were inspected. Any risks that had been identified were addressed in the resident’s individual plan. DS0000006377.V300115.R01.S.doc Version 5.2 Page 9 Residents stated that staff at the home would take action to ensure that any health care needs were met. Individual plans contained details of any needs that have been identified and of any action that is felt to be necessary as a result. A record is kept of all appointments with health care professionals. None of the residents who were chosen for the purposes of case tracking were able to manage their medication. Records have been kept of all medicines received into the home, administered to residents and returned for disposal. A contract pharmacist inspected medication arrangements at the home on 21st June 2006. He also provided training for staff. Residents stated that they are treated with respect. They reported that staff members use their preferred form of address and that they knock & wait for a response before entering their rooms. Individual plans detail the personal care each person requires. The plans that were inspected emphasised the residents’ right to make their own decisions and the importance of respecting their privacy & independence. DS0000006377.V300115.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 (Older People), 12, 13, 15, 16 & 17 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements relating to the daily life of residents and social activities are well managed and appear to meet residents’ expectations. EVIDENCE: Residents stated that they enjoy the activities and outings that are provided by care staff and by staff employed by Age Concern. The latter visit the home to organise activities three times a week. The home has recruited a part-time activity organiser. She was in the process of completing her induction training at the time of the inspection. DS0000006377.V300115.R01.S.doc Version 5.2 Page 11 Specific time is allocated to enable keyworkers to undertake activities with residents on a one-to-one basis. A resident stated that she had enjoyed a recent trip into the city centre to purchase clothes. A communion service takes place within the home every month. Staff members have compiled a list of all churches / faith groups in the area. Residents stated that they are able to maintain contact with their families & friends. One of the people who were chosen for the purposes of case tracking visited his sister on the day of the inspection. He reported that he contacts her by phone between visits. Residents stated that they are able to determine their own daily routine, deciding, for example, when to get up & to go to bed and how to spend their day. Residents stated that they generally enjoy the meals that are provided. A choice of meals is displayed on a notice board in the dining room. Records indicate that residents receive a varied diet. Individual plans contain details of any particular dietary requirements and likes or dislikes. A dietician is involved in the care of individual residents. DS0000006377.V300115.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 (Older People), 22 & 23 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for dealing with complaints and for responding to allegations of abuse support the protection of residents’ rights. EVIDENCE: Residents stated that they would discuss any concerns with staff members or the manager. Minutes of residents’ meetings indicate that residents are informed of any developments within the home and that they are able to raise any issues or concerns. The complaints procedure is displayed in various places around the home and includes information about local advocacy services. A copy of the procedure, which has been amended to make it more accessible, has been given to residents. The home has not received any complaints since the date of the last inspection. The home has a copy of the local multi-agency policy and procedures for the protection of vulnerable adults. It also has written policies on abuse, restraint, handling residents’ money and whistle blowing. Staff members were due to receive training on the protection of vulnerable adults on 23rd June and 10th July 2006. DS0000006377.V300115.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 (Older People), 24 & 30 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of accommodation is satisfactory providing residents with comfortable surroundings in which to live. EVIDENCE: The areas of the home that were inspected were decorated and furnished to a satisfactory standard. They were clean and free from offensive odours. DS0000006377.V300115.R01.S.doc Version 5.2 Page 14 Residents have access to two sitting rooms (both of which have kitchenettes), a dining room / conservatory and a well-maintained garden. Since the date of the last inspection, an additional extractor fan has been fitted in a sitting room designated for smokers. The other sitting room is used for activities. The registered manager stated that she plans to covert a room formerly used by staff into an area in which residents can meet with visitors in private. A number of residents have furnished their rooms with their own possessions. A maintenance man was in the process of redecorating one of the shared rooms at the time of the inspection. DS0000006377.V300115.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 (Older People), 32, 34 & 35 (Adults 18-65) Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Arrangements for the recruitment and training of staff are well managed. EVIDENCE: Residents stated that they are happy with the care they receive from staff members. Staffing levels comply with the requirements set by the previous regulatory authority. The records relating to two members of staff were inspected. Both indicated that appropriate pre-employment checks had been carried out. New members of staff undertake the home’s induction programme before completing a workbook based upon the standards set by Skills for Care (the Training Organisation for Personal Social Services). The registered manager stated that eleven of the thirteen members of staff have completed National DS0000006377.V300115.R01.S.doc Version 5.2 Page 16 Vocational Qualification level 2. Two members of staff were in the process of completing NVQ level 2 and two level 3. Records indicate that staff members have received training on a range of issues relevant to their work. All of them undertake equality & diversity training every two years. The registered manager has produced a matrix enabling her to identify any training that is required. She stated that a booklet detailing all the training available has been sent to every member of staff. DS0000006377.V300115.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 (Older People), 37, 39 & 42 (Adults 18-65) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The available evidence indicates that the home is well managed. DS0000006377.V300115.R01.S.doc Version 5.2 Page 18 EVIDENCE: Since the date of the last inspection, the registered manager has completed a level 4 National Vocational Qualification in management and care. Records indicate that the manager and other senior staff have attended relevant training. The registered manager stated that she was about to distribute a questionnaire to all residents. The survey form - which covers mealtimes, privacy & dignity and the provision of activities - has been amended to make it easier to complete. Regulation 26 reports (visits by the registered provider) were available. It has been agreed that a copy of all future reports will be sent direct to the Commission. The home maintains records of any money it handles on behalf of residents. Two members of staff had signed the records that were inspected. A member of administrative staff undertakes regular ‘spot checks’ to ensure that the records are correct. Staff members have received training on a number of safe working practices. Records indicate that fire tests and drills have been completed at the required frequency. DS0000006377.V300115.R01.S.doc Version 5.2 Page 19 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 X 2 X 3 4 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 DS0000006377.V300115.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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 DS0000006377.V300115.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 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. DS0000006377.V300115.R01.S.doc Version 5.2 Page 22 - 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!