Care Home: Calverton Lodge

Similar services:

• Coopers Mill Ltd
• Bramley Avenue (73)
• Paradise Lodge
• Grangewood
• Upaya Ananda
• Newton Court (1-2)
• Kings Lane (32)
• Pemdale

What the care home does well What has improved since the last inspection? This is the first inspection of Calverton Lodge since it was registered. In the AQAA, the manager made lots of references to areas the home has improved in during the last 12 months. He demonstrated, both in the AQAA and during the inspection, that he is aware of areas in which the home can continue to improve. CARE HOME ADULTS 18-65 Calverton Lodge 18/20 Calverton Road Limbury Mead Luton Beds LU3 2SX Lead Inspector Nicky Hone Unannounced Inspection 24th July 2008 09:00 Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 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 Calverton Lodge DS0000071508.V369329.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 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. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Calverton Lodge Address 18/20 Calverton Road Limbury Mead Luton Beds LU3 2SX 01582 564790 01582 591596 timmartins@tactltd.org 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) TACT UK Ltd Mr Timothy Jon Martin Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories 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 The maximum number of service uses who can be accommodated is 5 This is the first inspection of Calverton Lodge since registration 2. Date of last inspection Brief Description of the Service: Calverton Lodge is a care home, offering respite care to up to five adults with learning disabilities. Some day care is also offered. Located in a residential area of Luton, the home consists of two converted semi-detached properties. On the ground floor, which spans both houses, there is a large sitting room, with a dining area, a recently refurbished kitchen, laundry, quiet lounge, small office, one bedroom, a shower room and toilets. The rooms upstairs are not linked and are still accessed by the original staircases at each end of the property. There are four more bedrooms, a sleeping-in room, and bathrooms and toilets. The house has a small garden at the front, and a reasonably large back garden, with several outbuildings, one of which has been converted to be a workshop for one of the people who regularly visits Calverton Lodge. The home has its own transport, and local facilities such as shops, pubs and places of worship are within easy reach. Fees for the service were not available at the time of the inspection. The manager said he will make sure the inspection report is easily accessible to anyone who wants to see it. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. TACT UK Ltd took over as provider of the service at Calverton Lodge from the Bedfordshire and Luton Partnership Trust (BLPT) on 15th February 2008. Although the service had been operating for many years, it had not been registered with CSCI until 15th February 2008. The property is owned and maintained by Luton Borough Council. The manager and staff team have continued to work at the home. For this inspection we looked at all the information that we have received, or asked for, since the registration of Calverton Lodge. This included: • The AQAA (Annual Quality Assurance Assessment) that the manager completed and sent to us in May 2008. The AQAA is a self-assessment that focuses on how well outcomes are being met for people living at the home. It gives the manager the opportunity to say what the home is doing to meet the standards and regulations, and how the home can improve to make life even better for the people who live here. The AQAA also gives us some numerical information about the service; Surveys which we sent to the home for the manager to give to people who use the service, to their relatives/carers, and to staff. These arrived at Calverton Lodge on the day of our inspection, so we gave 2 weeks for these to be returned to us. We received 11 replies: 4 from people who use the service; 2 from relatives; and 5 from staff. Some of the comments from the surveys, and some of the results are quoted in the summary and in the body of the report; What the service has told us about things that have happened in the service, these are called ‘notifications’ and are a legal requirement; and Information we asked the home to send us following our visit. • • • This inspection of Calverton Lodge included a visit to the home on 24/07/08. No-one knew we were going to visit on this day. We spent time talking to the people who were staying at the home, the manager and some of the staff. We also looked at some of the paperwork the home has to keep including care plans, risk assessments, medication charts, and records such as staff personnel files, staff rotas, menus and fire alarm test records. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 6 What the service does well: We met three people on the day we visited. All three people seemed happy to be at the home. The two people who decided to go bowling and have lunch out were clearly relaxed and comfortable, and both had very good relationships with the staff. One person told us “It’s really nice here”. All of the people who returned our surveys were positive about the service. One of the people who visits Calverton Lodge wrote: “I like to come to Calverton because I do lots of different things”. Some relatives wrote comments which included: “The home has provided me and my son much needed support and help. Thank you very much”; “The home supports the client to achieve the life they want within their ability”; “When I have visited, everyone is having a great time and always happy”; “Lovely atmosphere, good nourishing food, spotlessly clean and very dedicated staff. The unit is run in a first class way with the needs of the users uppermost”. Staff were also very positive about all aspects of the home, including the manager. Some of their comments included: “The service treats people as individuals, giving them respect and dignity, promoting their independence and giving them choice”; “The service is moving forwards towards providing people supported with more independence and choices than they have ever had before, so I think to be part of this team can only encourage staff to feel that we are reaching our goals”; “I enjoy working at Calverton Lodge. I enjoy the positive changes and the flexible approach of the staff team. I enjoy seeing the people we support enjoying their stay at Calverton”; I feel the service does well, especially in day care, communication, choice, integration into the community etc”; “Currently the service is doing well”. One staff member, in answer to the question ‘What could the service do better?’ wrote “I have no idea – why change a good thing”. The person who had carried out a recent regulation 26 visit (an unannounced visit by a representative of the provider) had reported that “[The home] appears well organised and managed. The staff team work well together”. We were given a photocopy of an article from the local newspaper in which “a mum has praised the respite centre that has been looking after her son for nine years”. In the article she said “It’s a wonderful place. It’s like a home from home. It’s always been A1”. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 7 This is a well managed home which runs well to give people who stay here a good quality of life. Information is available for people who are new to the service, and a lot of time is spent making sure new people are comfortable about staying at Calverton Lodge. Each person’s individual needs are assessed, care plans give good guidance about the support the person wants, and people are fully involved in the way the home is run. Health action plans are full of detail about each person’s health needs, and medicines are handled safely. Risk assessments make sure that people are supported to take reasonable risks. Lots of varied activities are arranged so that people lead full, satisfying lives, doing the things they want to do, and people help prepare good, healthy meals. People know they can complain if they need to, and staff have been trained to make sure people are safe from abuse and neglect. The house is clean and reasonably well decorated, and the gardens offer people a lot of opportunities for relaxation, exercise and hobbies. There are enough staff on duty to meet people’s needs, they are recruited well and they are offered a wide range of training and support. What has improved since the last inspection? What they could do better: We have made two requirements following this inspection about things the home could do better. The organisation must produce a statement of terms and conditions for each person which tells the person what they can expect from the service and what they must pay. Better lighting is needed in the lounges and dining area. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 8 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. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 People who use this service experience good quality outcomes in this area. Good information is available about the service, good assessments of people’s needs are carried out, and the home is staffed and equipped to meet those needs well. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Calverton Lodge offers respite stays of one to five nights at a time, to a number of people who live in their own homes. Most people stay for one or two nights a week and some people also come to Calverton Lodge for day care. The home’s Statement of Purpose has been updated. Calverton Lodge has a brief brochure, and a welcome pack for people who are thinking of using the service. The pack contains a lot of detail about what the home offers, and includes leaflets which the home has produced about specific issues, such as explaining why the front doors are kept locked, what the role of a keyworker is, and so on. We noticed that details of CSCI in the pack were not up to date: the manager put this right during the inspection. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 11 On the files we looked at we found that full assessments of each person’s needs had been recorded before they were offered a service at the home. The assessments had been done by the person’s social worker, and by the home’s staff. Information in other sections of this report shows that people can be confident, if they are offered a service, that the home will meet their needs. One of the people we met on the day we visited had only recently started staying at the home. We looked at the records the home keeps about this person and saw a detailed record of a lengthy ‘transition’ period. During this period staff from Calverton Lodge visited the person at school and at home. Then the person visited Calverton Lodge several times, first with his parents, then for longer periods of time on his own, until he felt ready to stay overnight. When we met him, he was very well settled and clearly enjoying his time at the home. We noticed on one of the files we looked at that the home is still using the Support Service Agreement (statement of terms and conditions) that had been drawn up by BLPT (the previous provider). The manager agreed that this needs to be re-done, so that each person and their representatives know what service they can expect from the new provider, TACT UK Ltd. This document must make it clear to each person what they have to pay for the service. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 12 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 People who use this service experience good quality outcomes in this area. Care plans give staff good, detailed guidance on the care and support needed by each person, so that their individual needs can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the care and support plans for two people. The Comprehensive Care Plan briefly covers all areas of care. Specific care plans are written when there is a need, to give greater detail about a specific area of care. One of the plans we looked at was ‘person-centred’ in that it was written in the way the person had said it, for example “I need staff to support me when I am in the shower”. In the AQAA, the manager said that that all people supported are involved in all aspects of their care, including helping to write their care plans and risk assessments. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 13 Support plans are relevant to people’s abilities. For example, for one person there is no plan for making a drink because, as the manager explained, “he can do it with his eyes closed”. Each person has a number of goals. For one person, one of the goals is to learn to cross roads safely. The assessment of the person’s abilities had started and once this has been completed, staff will write guidance on the support the person needs to achieve the goal. Each person meets at least monthly with their keyworker to review their support plans, as well as to decide, for example, what activities they would like to be involved in while they are visiting Calverton Lodge. A Communication Passports is in place for each person who needs one. This assists staff and other people to know the ways in which the person prefers to communicate. The home has started to use communication books so that information is shared between Calverton Lodge, the person’s home, and any other day service. Risk assessments were on the files we looked at. These included good ‘control measures’ so that people can be supported to take reasonable risks. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 People who use this service experience excellent quality outcomes in this area. People are offered a wide range of opportunities to lead full, satisfying and interesting lives. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: On the day we visited, two people had been at the home overnight. One person had been supported with their personal care, and with their breakfast, so they were ready when transport arrived to take them to their day service. The other person was happily playing on a Wii (video game) that the manager had lent him, and using the trampoline in the garden with one of the younger members of staff. Another person arrived for day care and the two men Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 15 decided they would like to go bowling and have lunch out. They told us they will be going to the seaside at the weekend. The manager explained that structured activity plans are not used at Calverton Lodge. Some activities are planned with people in advance, for example if tickets need to be bought, or staff will be out for a longer day, but mostly people choose what they want to do when they arrive. We saw good records of what people do, and there were numerous photographs displayed around the house. We saw one person’s activity folder which is full of photographs of the activities he has done, such as woodwork in his shed, a visit to the Butterfly Farm, a trip on a boat, playing football, a visit to a museum, and many more. Another person’s activities included horse riding, visiting a farm, going to the Circus, Whipsnade zoo and Duxford aircraft museum, and a day at Wicksteed Park. This person has membership of a local gym. TACT has a supported employment department which is helping staff at Calverton Lodge to find a part time gardening job for one of the people who visits the home, as he is very keen on gardening, and would like to earn some extra money. Calverton Lodge staff, and the people who visit, arrange theme days. The most recent one was ‘Pirates of the Caribbean’. They also have parties, such as a Christmas party and birthday parties, and recently they organised a sports day in the garden. Families and friends were invited and the photographs showed that everyone joined in and had a lot of fun. People were given certificates for their achievements. The manager and staff have been trying to get permission to take people on holiday if they would like to go, and permission has recently been given for people to go away for a weekend. Plans can now be made. The home also plans to enter a float in next year’s Luton Carnival. Support staff do all household chores, such as cleaning, cooking, laundry and shopping. People who visit the home are encouraged to assist the staff with all these chores. The menu, displayed on a board outside the kitchen, showed that people are offered a choice of meals, and the diet is nutritious and healthy. People are also encouraged to help in the preparation of meals, and in clearing up afterwards. During our visit, one of the people who was staying at the home went into the kitchen and made himself baked beans on toast with grated cheese for his breakfast. In the AQAA the manager told us that two of the people who visit Calverton Lodge only eat Halal meat: they go with staff to buy the meat they want, and help to prepare the meals. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 People who use this service experience good quality outcomes in this area. People know that their healthcare needs will be met, and that staff administer their medicines correctly. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The care and support plans we saw show that staff work hard with people to encourage and enable them to be as independent as possible. As this is a respite service, people’s main carers retain responsibility for their health. However, the home has made sure that each person has a detailed Health Action Plan (HAP) in place. The manager explained that Luton Borough Council provided training for all the staff on how to complete the HAPs, and provided each person with a smart folder to keep their plan in. The plans provide detailed information and guidance on all aspects of healthcare relevant to each person. One of the plans we saw was completed at the end of March, and fully reviewed in July. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 17 There were good, detailed guidelines on one person’s file about what staff should do if the person has a seizure. We looked at the records relating to medication. Good records are kept of all the medicines that people bring to the home, when they are given to people, and when they are sent home. We saw that all staff have had training in administering medication, and thorough assessments of their competence are carried out before they are able to administer medication alone. Guidelines for the administration of ‘when required’ medication were very clear for each person. Although medicines are brought in by people’s families, the manager writes to each person’s doctor to check that the medication has not changed. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People who use this service experience good quality outcomes in this area. People know that their concerns will be listened to and acted on, and that staff are trained to keep them safe from harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We saw that the welcome pack includes the procedure on how people can make a complaint if they want to. The home has a complaints book: no complaints have been made and the book just contained one compliment. The quality survey carried out by the home had shown that 8 out of the 11 people who responded had known how to make a complaint. The manager had re-sent the information to each person and their family when TACT took over the management of the home, as some of the details had changed. Records showed that all staff had training in safeguarding vulnerable adults in 2007 or 2008. The Safeguarding Adults Team from social services has also arranged a training session to refresh staff in the process of referral and how to complete the paperwork. We saw that the home keeps good records of any referrals that need to be made to the Safeguarding Adults Team. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 19 Some people keep their own money with them when they visit the home, others prefer the staff to keep it for them. If money is kept by the home, staff make sure they get receipts for all money that people spend. Good records are kept, and the balance is checked at every handover. The operations manager said that she was about to introduce a sealed bag system so that all the checks that are now done (which take quite a lot of staff time) are no longer needed. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 People who use this service experience good quality outcomes in this area. Calverton Lodge offers a reasonably comfortable, homely and well-maintained environment for the people who stay here. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Although Calverton Lodge is two converted houses, it is reasonably suitable for the people who stay here. However, because most of the bedrooms are upstairs, and there is no lift, people who cannot manage stairs can only stay in the downstairs bedroom. Staff have to be mindful of this when they book people in. Parts of Calverton Lodge, such as the kitchen, have been refurbished quite recently, and wood-effect vinyl flooring has been laid throughout the ground floor. The house is reasonably well decorated and comfortably furnished. The Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 21 manager said it has been difficult to ‘personalise’ bedrooms because of the number of different people who use each of the rooms. However, an attractive mural has been painted on the wall in the downstairs bedroom, and staff are gathering ideas of what to do with the other rooms. We noted that there is a striplight in the small lounge, which makes the room look more like an office, and the lighting in the lounge/dining area is not bright enough if people want to read, do puzzles and so on. There is a covered area outside the patio doors where people go if they want to smoke. There are tables and chairs outside for when the weather is warm, and a trampoline for people who want to use it. At the time we visited there were a number of tubs and hanging baskets, in both the front and back gardens, containing brightly coloured flowering plants, which looked really pretty. People who stay at the home help staff to keep them watered and looking nice. One person showed us that one of the outbuildings has been made into a woodwork shed so that he can continue his hobby of making bird nesting boxes when he visits Calverton Lodge. He has erected shelving to keep his tools on, and brings wood with him when he visits. The manager showed us an area of the garden that has been cleared for a greenhouse, so that people can grow vegetables and more flowers. Generally the home was clean throughout. There was a strong odour of urine when we first arrived, but once the cleaning had been done the smell disappeared. The manager explained that one of the people who had stayed the previous night has a problem with managing their continence. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 People who use this service experience good quality outcomes in this area. The people who live at Calverton House benefit from staff that are well recruited, well trained and well supported so that they can do their jobs properly. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: On the day we visited there were plenty of staff on duty, and a number of others were coming and going as they were off to do some training. Staff said there were usually enough staff to meet the needs of the people staying at the home. One staff member who returned our survey said that the manager always makes sure there are enough staff on duty to meet the needs of the people staying at the home. We looked at the personnel files for two members of staff. All the information that homes must have before a person can start to work at the home, such as two references, a Criminal Record Bureau (CRB) disclosure and POVA Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 23 (Protection of Vulnerable Adults) list check, a photograph, medical declaration and proof of identity was on the files. The manager said that TACT were sending for renewed CRB disclosures for all staff. Staff training records showed that staff have been able to undertake a wide range of training. All staff had either recently done, or were booked to do all training, including fire safety, moving and handling, infection control, food hygiene, evacuation, resuscitation, first aid, epilepsy, autism, diabetes, challenging behaviour, sensory awareness and person centred planning. According to the AQAA, 80 of the staff have either completed, or are undertaking a National Vocational Qualification (NVQ) in care. On the files of two of the people who stay at Calverton Lodge we noticed that a review had recommended staff should have training in ADHD (Attention deficit hyperactivity disorder), and Makaton. The manager said he is booked on a course about ADHD so he will then be able to teach staff, and some staff already know some Makaton, enough for this person who only uses a few signs. The home is planning to introduce TEACCH – an approach to people with autism that develops each person’s abilities and skills. Staff will all be trained. The manager said that TACT are introducing a computer programme to record all staff training, which will also alert the manager when each staff member needs to attend refresher training in each topic. Records showed that staff receive regular supervision, and each person has a yearly appraisal. Staff who returned our survey told us that they have a lot of support, including regular team meetings. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42 People who use this service experience good quality outcomes in this area. Calverton House is managed well so that the people who stay here have a good quality of life. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager has completed the Registered Manager Award, and has almost completed a National Vocational Qualification (NVQ) level 4 in care. Staff who returned our survey were very positive about the manager. One person referred to their “supportive manager” and wrote “My manager meets with me on a regular basis….he will go out of his way to make time to talk through any issues”. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 25 The manager told us that quality audits are done every six months and the results are used to learn about people and improve the service. We saw the results of some of the audits: an overall rating of ‘excellent’ was given in 55 of the questionnaires returned in May 2007, and 71 in March 2008. The manager writes to families to let them know about what is happening at the home, and to invite them to any events, such as the recent sports day. An advocate visits the home to talk to people, especially those who have difficulty communicating, and to make comments on their behalf. The operational policy for the home has been written using pictures as well as words. In the two weeks before our visit, unknown to us, the home had been inspected by the fire authority, the environmental health authority, and the healthcare commission. The manager said all the findings were satisfactory. We looked at the records of tests of the fire alarm and emergency lights: the tests had all been done as required. Two fire drills had been held in 2008. The manager said that other health and safety checks are all kept up to date: for example, the hot water is tested regularly to make sure it is not too hot; a test for legionella has been done; and portable appliance testing (PAT) was going to be done for all electrical appliances the day after our visit. Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 4 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 3 3 X 3 3 x Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA5 Regulation 5 Requirement Each person who stays at the home must have a statement of terms and conditions (contract) which includes the amount they have to pay for the service and which they (or their representative) agree with the home. So that people know what they can expect from the home, and what is expected of them. Lighting must be homely and must be suitable to meet the needs of the people who visit the home. Lighting in the lounges and dining area must be improved so that it meets the needs of the people who stay at the home. Timescale for action 31/12/08 2 YA24 23(2)(p) 31/12/08 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 Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Calverton Lodge DS0000071508.V369329.R01.S.doc Version 5.2 Page 29 - 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!