Care Home: John Calvert Court

What the care home does well People considering moving into John Calvert Court are provided with information that enables them to make an informed decision about whether the home is appropriate for them, individuals are also encouraged to visit and a comprehensive assessment of their needs are carried out by professionals and representatives of the home. John Calvert Court works with with health and social care professionals and regularly holds meetings to discuss and review the health care needs of people living at the home, this includes the person in receipt of a service to ensure that their individual needs and wishes are supported. People living at the home have access to a wide range of activities and outings supported by staff. People living at the home are supported by a Registered Manger and staff who have a good understanding of the needs of each person, and who receive training relevant to their roles and responsibilities. People living at the home can be confident that staff will listen and act and what they say, and are provided with opportunities to comment and influence the service they receive. We sent surveys to people living at the home and asked them what they thought the service did well, but no comments were included. We asked the same question in surveys we sent to staff who work at the home, and they wrote:`Provide activities for people.` `Good communication. Provide training all the time.` `Ensure a healthy, balanced, variety and enjoyable mealtime menu, based on individual tastes and preferences where possible.` `Provide individually tailored care for all its residents, with good communication between management and staff.` What has improved since the last inspection? People living at the home are supported by staff on set days, this enables them go undertake tasks, such as going out with their keyworker for social, recreational events or to manage essential daily living tasks such as shopping or financial management. the home has focused and increased the range of activities and outings available to people living at the home, to provide stimulation and points of interess, this supports peoples well-being. Staff training has continued in specific areas, which has include Mental Health awareness and person centred care planning. The Management Team have attended training which directly supports the rights of people who use the service. What the care home could do better: Care plans should include the wishes, aspirations and goals of people who use the service and include all aspects of their daily lives including daily living tasks and be written from their view point, and are regularly reviewed with them. Environmental improvements need to take place to improve the standard or decor, fixtures and fittings. People living at the home should have the opportunity to comment on who supports them within the home, by being involved in the recruitment process for new staff. We sent surveys to people living at the home and asked them what they thought the service could do better, but no comments were included. We asked the same question in surveys we sent to staff who work at the home, and the wrote:`Improve some of the meals offered and make the cooking more consistent.` `Have more care staff on duty.` `Need more staff, care and kitchen team. The home needs updating, tender loving care in all areas. Everything looks old.` Inspecting for better lives Key inspection report Care homes for older people Name: Address: John Calvert Court 158 Milton Crescent Beaumont Leys Leicester LE4 0SX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Linda Clarke     Date: 0 8 0 9 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: John Calvert Court 158 Milton Crescent Beaumont Leys Leicester LE4 0SX 01162354933 01162352469 john.court@lha-asra.org.uk www.lha.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Leicester Housing Association care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: No person of category MD who is under the age of 50 may be admitted to the home. Date of last inspection Brief description of the care home 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 0 22 Over 65 22 22 Care Homes for Older People Page 4 of 30 Brief description of the care home 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 Care Quality Commission Inspection Reports, are available by request at John Calvert Court. The fee charged is dependent upon a financial assessment being undertaken to establish the individuals contribution to care costs. The assessment being carried out by a representative of the Local Authority funding the care of the individual. The range of fees currently in place are between £309 and £409 per week. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We as it appears throughout the Inspection Report refers to the Care Quality Commission. The inspection process consisted of pre-planning the inspection, which included reviewing the Annual Quality Assurance Assessment (AQAA), which is a selfassessment tool completed by a representative of the service, reviewing previous Inspection Reports, and any information we have received. The unannounced site visit commended on 8th September 2009, and took place between 09:30 and 17:00. The focus of the inspection is based upon the outcomes for people who use the service. The method of inspection was case tracking. This involved identifying people with varying levels of care needs and looking at how these are met by the staff at John Calvert Court. Four people were chosen and discussions were held with some of them, Care Homes for Older People Page 6 of 30 where appropriate. We sent surveys to people who live at John Calvert Court, and their relatives. We also sent surveys to health and social care professionals who support people living at the home, along with staff who work at the home. We did this to find out their views about the care and services provided. We did this Key Inspection with an Expert by Experience who spoke to people who are using the service. An Expert by Experience is a person who either has a shared experience of using services or understands how people in this service communicate. They visited the service with us to help us get a picture of what it is like to live in or use the service. This is important because the views and experiences of people who use the services are central to helping us making a judgement about the quality of care. The Expert by Experience spoke with people living at the home, and observed the interaction between staff working at the home and the people that live their. They also looked at the environment, and how it impacts on the care people receive. What the care home does well: What has improved since the last inspection? What they could do better: Care plans should include the wishes, aspirations and goals of people who use the Care Homes for Older People Page 8 of 30 service and include all aspects of their daily lives including daily living tasks and be written from their view point, and are regularly reviewed with them. Environmental improvements need to take place to improve the standard or decor, fixtures and fittings. People living at the home should have the opportunity to comment on who supports them within the home, by being involved in the recruitment process for new staff. We sent surveys to people living at the home and asked them what they thought the service could do better, but no comments were included. We asked the same question in surveys we sent to staff who work at the home, and the wrote:Improve some of the meals offered and make the cooking more consistent. Have more care staff on duty. Need more staff, care and kitchen team. The home needs updating, tender loving care in all areas. Everything looks old. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. John Calvert Court enables people who require residential care to make an informed decision as to whether the home is appropriate to their needs by providing information about the services it provides and through its assessment process. Evidence: We wanted to find out how John Calvert Court determined whether the needs of an individual could be met by the service and to find out how this is determined. We sent surveys to people who currently live at the home, the information within surveys told us that people were provided with written information about the home and that they were encouraged to visit to help them decide whether John Calvert Court was somewhere they would like to live. Surveys which we sent to health and social care professionals told us of their satisfaction of the assessment process, which determines whether a persons needs can be met by the home. We spoke with the Registered Manager when we visited the home, and they told us Care Homes for Older People Page 11 of 30 Evidence: that as well as the assessment carried out by a health or social care professional, a representative of the home also visits the person to carry out their own assessment. This ensures that the needs of a person can be met, and that written information about the home enables people to make an informed decision as to where they live whilst being confident that their needs can be met. We looked at the records of four people living at John Calvert Court, which included looking at their initial assessments, all were comprehensively completed, and those individuals funded by Social Services had an annual review carried out which included all health and social care professionals, along with the person themselves and representatives of the home, to ensure that a persons needs continued to be met. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals living at John Calvert Court receive the support and care they need, which reflects their lifestyle choices and the promotion of their privacy and dignity. Evidence: We wanted to find out how the health and personal care needs of people living at the home were met. We spoke with people living at the home and observed the care and support provided by staff, we also looked at the care plans and records of four people. Information provided by the Registered Manager in the self assessment tool which we received prior to our visit told us that people are supported with their health care needs and that individuals living at the home have access to a wide range of health care professionals. When we looked at the records of four people we found that a range of health care professionals do provide support, which included Community Psychiatric Nurses, District Nurses, Psychiatrists and General Practitioners. Records were made of health care professional visits along with any instructions they had made as a result of their visit, this enables people living at the home to receive the care and support they need, which is overseen by the appropriate person. We also Care Homes for Older People Page 13 of 30 Evidence: found examples of where people living at the home attend external support groups, to help them manage their health and welfare. Discussions with the Registered Manager evidenced that they she has a comprehensive understanding of the needs of people living at the home, and that for many their have been significant improvements in their health and welfare since moving into John Calvert Court, and we were given examples of these. Information about a persons life including their health and wellbeing need to be more effectively and concisely recorded on a regularly basis, to enable new staff to understand more about the persons well being, in order to support them effectively and consistently. We observed staff supporting people who were anxious and verbally challenging, staff supported people well, and had a good knowledge and understanding of how to do this. We found that some care plans developed by John Calvert Court were regularly reviewed, whilst others were not. The Registered Manger told us that the format for care plans was under review, and that care plans would become person centred, in that the care plan would be written from the perspective of the person receiving the service. We found that care plans did not include information about an individuals aspirations and goals, and this is an area for improvement. Annual reviews of peoples needs are carried out, which are attended by the person themselves and or their representative, relevant health and social care professionals and representatives of the home, we looked at the most recent reviews of four people which concluded that the needs of the person continued to be met by the home. The Expert by Experience spent time with people living at the home, and spoke with them about the care and support they receive, the attitude of staff and whether they feel their privacy and dignity is promoted. The Expert by Experience wrote a report about their findings which included direct quotes from people living at the home, which included:The staff are good to me, the staff do everything for me, all the staff listen to me. I like it here, it is the best place in England. The staff are nice, everyone gets treated well here. The staff are very nice, I always feel they listen to me. The staff are very good with us they work very hard although I dont feel there is enough encouragement to help around the home. Care Homes for Older People Page 14 of 30 Evidence: The Expert by Experience wrote in their report the comments theyd received from people they had spoke with. A person I spoke with told me that they had lived in the home for about 6 years, and that they liked the home as it is quiet and that they have more freedom than in previous homes they have lived in. I spoke with someone who has lived at the home for about 4 years, they said they didnt help with any house work, and that they work closely with their key worker with their care plan. I spoke with someone who has lived at the home for about 18 months, they told me that they didnt think they had a key worker and that they didnt know what a care plan was, they also told me that they dont see their Social Worker very often, but see their Doctor on a regular basis. They went onto say that they feel encouraged to do things for themselves and that staff have enough training to give them adequate care. The Expert by Experience within their report included the following comments and observations. Overall I got the feeling that all residents I spoke to were happy and felt safe, although I didnt feel enough encouragement is given to make residents more independent. Surveys which we received from people living at John Calvert Court told us that they receive the care and support they need and that staff are available when they need them, and listen and act on what they say. We sent surveys to some of the staff who work at the home, this told us that they are confident that they support and meet the needs of people, and that effective communication amongst the staff team enables them to keep up to date with the needs of those living at the home. Through the reading of records and discussion with a District Nurse and the Registered Manager, we found that people who are unwell are supported to remain at the home and receive palliative care, supported by health care professionals. This means that people wishes are acted upon and their dignity promoted. We looked at the medication and medication records of four people, which included Controlled Drugs, who were prescribed to one person in receipt of palliative care. Medication records and medication were in good order, and Controlled Drugs were stored in an appropriate cupboard and their use was recorded. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Opportunities are available for people to engage activities within the home and the community that are based on their hobbies and lifestyle choices. People living at the home influence and are satisfied with the meals provided by the home, which are wellbalanced and varied. Evidence: We wanted to find out how people spend their day, and how the staff working at the home support people to make decisions and stay in contact with relatives and friends, we did this by observing people throughout the day, talking with people at the home and by looking at the care plans and records of four people. Information provided within the self assessment tool we received prior to our visit and discussions with the Registered Manager told us that Age Concern provides day activities in the home, three days a week, and that an Activities Organiser employed by the home provides activities an additional three days a week. We looked at the records of four people along with records completed by Age Concern and the Activity Organiser, this told us that activities include day trips, which for the year 2009 have included trips to Shackerstone Steam Railway, garden centres, Abbey Park, Bradgate Park, various shopping trips included visiting Ashby de la Zouch. Whilst activities in Care Homes for Older People Page 16 of 30 Evidence: the home have included cooking, arts and crafts and jewelery making. On the day of our visit we saw one lady knitting, and some doing arts and crafts, with some staying in their room to watch television, whilst others walked freely around the home including sitting on the benches provided in the central courtyard garden. We spoke with several people who told us that their family and friends visit, and that they enjoy these visits. Records also detailed when people living at home received visitors. The Expert by Experience spoke with people living at the home and asked them about how they spend their day and for their opinions on the meals provided. They wrote in their report, One person I spoke with said they didnt like going out much, but occasionally will go out shopping for shoes. Whilst someone else I spoke with said they didnt go out much but were comfortable inside the home. I spoke with one person in their room as requested by them, they told me that days out are regularly organised and residents are informed about them. They also told me that their family visit occasionally and are always made to feel welcome. The Expert by Experience within their report also included direct quotes provided by people they spoke with which included:The food is alright, their is plenty of choice. Most of the time the food is okay. The food is alright, they have other options if you dont like whats on the menu. If I needed help to go out the staff are very willing. We sent surveys to some staff who work at the home, one staff member in their survey wrote to the question what do you feel the home does well:We care and support people appropriate to their needs, which have been planned with them and their family. We maintain skills, family and friend contacts. We help people with tasks such as shopping, social trips and visits. Ensure a healthy, balanced, varied and enjoyable mealtime menu, based on individual tastes and preferences. We noted that at lunchtime a majority of people chose to eat their meals in the dining room, and that the meals are served by catering and care staff. The menu for the day was displayed on a board within the dining room, and their were choices for all meals throughout the day. People living at the home are asked their views about the meals provided, through the homes quality assurance process and at meetings which are regularly held. By reading the minutes of meetings we found examples of where the Care Homes for Older People Page 17 of 30 Evidence: views of people had been acted upon. The Registered Manager said that catering staff work closely with people living at the home, who know what each person likes including specialist diets. Care Homes for Older People Page 18 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at John Calvert Court have the opportunity to raise concerns and are cared for by staff who are aware of their responsibility to report situations which may affect the welfare and safety of people living at the home. Evidence: We wanted to find out how the staff at John Calvert Court promote the safety and welfare of people who live at the home, written information supplied by the home prior to our visit within the self assessment tool told us that people living at the home are aware of the complaints procedure, and that the home has received no complaints within the last twelve months. Information also told us individuals living at the home and their family are invited to meetings to review the care they receive at the home. The Expert by Experience spoke with people living at the home and asked them what they would do if they felt unhappy or unsafe, and whether they knew how to complain, there report provided the following information. One person I spoke with didnt know who they would speak with and asked me if it would be the Manager. Someone else told said I would go and see Liz (the Manager). They went onto say that they didnt know what an advocate was and that they had not seen a copy of the complaints procedure. One person said the home holds regular meetings but they dont attend them, but if they had a problem they would speak to Liz, and then went onto say I can do what I want. The Expert by Experience within their report made the following statement. I feel that residents could be made more aware of their rights Care Homes for Older People Page 19 of 30 Evidence: should they have a problem as none of the residents understood the role of an advocate. Our observations throughout the day of our visit were that people living at the home were confident to approach staff and discuss any concerns that they had, and that staff were receptive to changes in indivdiuals mood and were able to respond proactively to reassure people. By reading records we found that peoples welfare was protected with regards to their financial affairs, for some finances were managed by an appointed Power of Attorney, or in the case of others by a Court of Protection Order. We looked at staff training records and found that all staff had received training on Safeguarding Adults, which provides staff with information as to the types of abuse vulnerable people may be exposed to and how they as staff should deal with any concerns they have. Surveys we received from staff told us that they were aware of how to respond if someone living at the home or visiting wished to make a complaint. Discussion with the Registered Manger and information provided within the self assessment tool told us that managerial staff have received training on other relevant legislation which supports the rights and welfare of people, and that their are plans for all staff to receive training in these areas, this shows that the home keeps up to date with legislation and seeks to promote the welfare of people and support their rights. Care Homes for Older People Page 20 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. John Calvert court provides satisfactory accommodation, however improvements to the internal decor and fixtures and fittings of the home could improve the quality of life and well-being of people living at the home. Evidence: We wanted to find out how the environment impacted on the day to day lives of people living at John Calvert Court, and whether it met their needs and was well maintained. Information provided within the self assessment tool prior to our visit, identified areas for improvement, as well as confirming that systems such as fire, electrical and heating were regularly maintained. The Registered Manager told us how they themselves along with the cleaning and maintenance staff work with people who live at the home to keep individual rooms tidy, this is an area of anxiety and stress for some living at the home, and consideration is given as to how cleaning is to be undertaken which promotes an indivudals mental health and welfare through consultation and co-operation. Staff surveys made strong comments about equipment and decor within the home, stating that the reasons in their view for improvements not being made were restrictions in the budget. Surveys completed by staff included additional comments:- Care Homes for Older People Page 21 of 30 Evidence: Everytime someones says something, they say their is no money for that. The place needs a good clean, and new carpets and decoration. The Expert by Experience in their report made the following comments. On my arrival to John Calvert Court I noted that the outside of the building looked clean and tidy with a welcoming feeling. I was met at the entrance by a member of staff who was polite, I signed in and went into the main building. There I was met with an overwhelming smell of urine which was very off-putting. The home was nice but could benefit from new flooring as the smell of urine was apparent everywhere around the home. I spoke with someone in their bedroom as they requested, I noted when entering there room that family pictures adorned the walls. The room looked clean although the smell of smell of urine was very strong. I also noticed that some of their belongings were in cardboard boxes as they didnt have enough storage space for them. I felt this made the room feel as if they were living there on a temporary basis. We found that the main corridor carpets were heavily stained, the Registered Manager said that they had been recently cleaned but that this process did not remove the marks and stains, they went onto tell us that new flooring would be being fitted in the corridors and that these areas would also be decorated. Samples of wallpaper and borders were in the office, and we were told that people living at the home would be involved in deciding which colours and patterns they prefer. We also noted that the dining room was very shabby in appearance with wallpaper torn in places, this area also had a heavily stained carpets, which would benefit from being replaced, we told there was no plan currently in place for the room to be decorated and new floor covering fitted, but this would be reviewed. John Calvert Court has an activities room, which is used for organised activities and also for people to sit in and undertake activities when formal activities are not taking place. There is a smoking lounge for people to use who smoke and a good sized dining room. The central courtyard garden is well maintained, with access from some of the bedrooms and the dining room and smokers lounge. All bedrooms at the home have an en-suite facility. Care Homes for Older People Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at John Calvert Court are supported by staff who in many instances have a qualification in care, and who undertake regular training and are employed in sufficient numbers to meet their needs. Evidence: We wanted to find out what the staffing arrangements were for John Calvert Court, and whether these arrangements were able to provide the care and support people living at the home require and need. Surveys we sent to people who live at the home told us that staff were available when they needed them, and comments included within the report written by the Expert by Experiences report confirm this. The Registered Manager told us that their are two staff on duty throughout the day, and that additional staff are provided dependent upon the those living at the home requiring additional support to undertake specific activities such as shopping and banking. The home also employs cleaning, cooking and maintenance staff. Staff training is organised well with staff receiving training in a wide range of topics, which supports the welfare and health of those living at the home, training includes topics related to mental health, equality and diversity and risk assessment. We noted that their is an ongoing programme of training, which is communicated well to staff. Surveys which we received from staff told us that staff are confident in the training they receive and believe this enables them to support people well. Care Homes for Older People Page 23 of 30 Evidence: We wanted to find out how staff were recruited and whether the recruitment of staff promotes the health and well being of people who use the service. We looked at a selection of staff files, which showed us that everyone attends an interview, and that the recruitment process includes providing two written references and having a Criminal Record Bureau (CRB) disclosure. The recruitment process results in staff being appointed who have been vetted to ensure their suitability to work with vulnerable adults. Discussions with the Registered Manger identified that people living at the home are not involved in the recruitment of new staff, which is an area for improvement. Information provided within the self assessment tool prior to our visit told us that 92 of staff have attained a National Vocational Qualification (NVQ) in Care, and that staff are supported by the Management team through supervisions and annual performance reviews which include personal goals for achievement. Care Homes for Older People Page 24 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. John Calvert Court is managed well and those living at the home are provided with opportunities to comment on the service they receive and influence how the home is run. Evidence: The Registered Manager has worked at the home for many years and has attained a National Vocational Qualification at level 4 and the Registered Managers Award, she attends regularly training throughout the year, including training on new legislation and guidance which ensures that she is up to date, and supports and maintains the home to ensure the best outcomes for people living at the home. The self assessment tool was completed well, and told us of plans for improvement over the next twelve months. Thoughout our visit we saw staff and people living at the home approach the Registered Manager to discuss issues of concern or for guidance on how to manage a situation, the Registered Manger was always approachable and ensured she had time to speak with people living at the home, giving them dedicated Care Homes for Older People Page 25 of 30 Evidence: time and attention. People living at the home are consulted on a day to day basis informally, in addition to this formal situations are provided to ensure that those living at the home have an opportunity to express themselves and comment on the home and the care they receive, this is managed by regular meetings and through the homes quality assurance processes. Quality assurance questionnaires are distributed on an annual basis, and focus on specific areas which the Registered Manager has identified. The outcome of this process is included within a report and includes what actions the home intends to take to improve the services it provides, a copy of this report is made available to people living at the home. We sent surveys to some staff who work at the home and asked them about the support they receive from the Management Team, and how this impacts on their ability to support people living at the home. Surveys told us that information about people is communicated well, and that good communication and training enables them to meet the needs of people. One person in their survey wrote:John Calvert Court has good communication between management and staff. Any issues or problems that arise within the home are dealt with quickly and efficiently. Regular meetings ensure staff are kept informed of larger changes and up to date notice boards provide information. Staff are given the chance to ask questions. Information provided within the self assessment tool told us that systems in the home such as electrical, fire and heating are regularly maintained. Care Homes for Older People Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 Person Centred Plans are developed for each person, which includes their aspirations and goals and are regularly reviewed, to ensure that people receive an individual service which is tailored to their needs. The annual review undertaken to include a precis as to the persons health and welfare, including their achievements, goals and views of the previous year along with their expectations for the forthcoming year. Individuals choices and preferences in relation to activities and social events are included within their care plan which support their aspirations and goals. Residents meetings are used to remind people living at the home of their rights, including the complaints procedure and advocacy services. The dining room to be decorated and new flooring fitted. An audit is undertaken of flooring in all bedrooms, and those rooms which have an odour have urine have the carpet replaced. Service users are given the opportunity to be involved in Page 28 of 30 2 7 3 12 4 18 5 6 19 24 7 29 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations the recruitment of staff which enables them to influence who supports them within their home. Care Homes for Older People Page 29 of 30 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. 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