Background to this inspection
Updated
6 May 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was completed by one inspector.
Service and service type
Calvert Trust Kielder is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This was an unannounced inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with five people who used the service about their experience of the care provided. We spoke with nine members of staff including the registered manager, head of care, senior care staff, care staff, maintenance, activity and kitchen staff.
We reviewed a range of records. This included four people’s care records and three medication records. We looked at five staff files in relation to recruitment, training and support. We also reviewed a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to gain clarification from the provider regarding evidence gathered. We looked at training information and other additional information sent to us. The provider sent us information due to the inspection being hindered due to the outbreak of the Coronavirus. We contacted three relatives to gain their views of the service.
Updated
6 May 2020
About the service
Calvert Trust Kielder is a care home providing accommodation and personal care for up to 20 people with a range of health or physical disabilities including people with a learning disability. Six people were using the service when we visited. The focus of the service is to provide a short break for people with a wide range of activities, which mostly occur outdoors either in the forest or at the nearby reservoir. People usually stay at the service for one to two weeks.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People’s experience of using this service and what we found
People told us they were safe and well looked after by staff. People were safeguarded from potential abuse. Risks associated with people’s care and daily activities had been assessed and action taken to minimise these.
The service was kept clean and tidy and people’s medicines were well managed.
Staff were safely recruited, and enough staff were continually deployed to safely meet people's needs. Staff received a range of training and had regular supervision and annual appraisals completed.
People told us they liked 'holidaying' at the service and staff were supportive. People said staff were caring and showed them kindness and consideration. Staff knew people well.
People’s care needs had been assessed and their choices were respected. A wide selection of nutritious food and plenty of refreshments were available, including for people on special diets. The service worked with other professionals to make sure people’s health and wellbeing was maintained.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The design of the service and the care staff provided, allowed people to have as much independence as possible and maintain their privacy and dignity.
The service was well led. Staff told us the management team were supportive. A number of quality checks and audits were completed. People were supported to engage in the running of the service as much as possible. There was clear evidence the service worked in partnership with other agencies to support people who were visiting the service. Some minor updates in some paperwork was needed and the management team agreed to address this.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 24 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.