CQC report explained · a residential care home
What the CQC found at Callisto
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Staff had safeguarding training, risks were recorded and reviewed, staffing levels were sufficient, and medicines were managed safely.
- Effective?
- Good
- People's physical health, social and emotional needs were assessed. Staff received training and supervision, and people were supported with food, healthcare and their own decisions.
- Caring?
- Good
- Staff knew people well, respected their choices and treated them with dignity. People were involved in decisions and supported to maintain independence.
- Responsive?
- Good
- Care plans were personalised, reviewed every six months and available in easy-read and pictorial formats. People were supported with activities, relationships and communication.
- Well-led?
- Good
- The home had quality checks, staff meetings and systems for gathering feedback and making improvements. This rating improved from Requires Improvement at the previous inspection because records had been put in place and reviewed.
What inspectors found, August 2019
Rated Good; inspectors found safe, person-centred care, and well-led improved from Requires Improvement.
This was a planned, announced inspection on 30 July 2019. One inspector spoke with both people living at the home, two staff members and the registered manager. The inspector also reviewed care plans, staff recruitment and training records, and management records, and contacted healthcare professionals and a relative.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found safe recruitment, enough staff, safe medicines systems and regularly reviewed risk plans. People were supported to make choices, use health services, prepare food, take part in activities and maintain relationships.
Care plans used easy-read information and pictures. Staff knew people's needs and supported their independence. The home had improved its record keeping since the last inspection, when Well-led was rated Requires Improvement. The other four question ratings remained Good.
Safe medicines management
Inspectors found that medicines were ordered, stored, given and recorded safely. Staff training and competency checks were in place.
“There were no gaps in recording in the MAR we saw.” from the report
Choice and independence
People chose how to spend their time, helped with shopping and food preparation, and were supported to develop skills such as travelling independently.
“People chose how they wanted to live their life and were supported to buy their own food and carry out light domestic activities.” from the report
Personalised communication
Care plans included people's communication needs and used pictures and easy-read information to help people understand decisions.
“Important documents were available in an easy read and pictorial format to help people make decisions and understand information.” from the report
Social lives and relationships
People were supported to visit relatives, use local services and take part in activities they chose, including swimming and voluntary work.
“Another person chose to do voluntary work every week which they told us they enjoyed.” from the report
Improved leadership and records
The home improved its record keeping since the previous inspection. Inspectors found records in place and reviewed, with quality monitoring systems operating.
“At this inspection we saw that all records were in place and had been reviewed.” from the report
Medicines action plan still being completed
minorA pharmacist had identified improvements to medicines management and an action plan was still being completed at the time of the inspection. Ask what actions remain and whether they are now finished.
“Following this visit an action plan had been put in place to make improvements which the staff were completing.” from the report
- 01What actions from the pharmacist's medicines audit are still outstanding?
- 02How will you support my relative to make their own choices and maintain independence?
- 03How do you adapt communication and care plans if a person finds written information difficult to understand?
- 04What activities, local services and family visits could my relative take part in?
- 05How are behaviour support plans used, and what restrictive interventions might be used as a last resort?
This was a planned, announced inspection covering all five CQC questions, and it also included a survey about restrictive interventions. This explanation was written from the published report of 20 August 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, March 2017
Rated Good overall; inspectors found safe, kind care, but the service was not always well led.
Inspectors visited the home without warning on 20 December 2016. They spoke with the person living there, someone visiting before admission, staff, managers and the registered manager. They also reviewed records and information held by the CQC.
The person living at the home said they felt safe, respected and supported to make everyday choices. Inspectors found suitable risk assessments, safe recruitment, medicines systems, staff training and support with healthcare, meals and activities.
The main weakness was management oversight. Some records and care plans were out of date, consent was not always recorded, and monthly checks did not always identify these problems. The registered manager said updates and action plans were put in place after the inspection.
The home was rated Good overall and Good for Safe, Effective, Caring and Responsive. Well-led was rated Requires Improvement, meaning the service needed to improve how it checked and managed the quality of care.
People felt safe
The person living at the home said they felt safe, and staff knew how to respond to safeguarding concerns.
“The people we asked said they felt safe living at the service.” from the report
Person-centred care
Care plans included people's likes, dislikes, routines and communication preferences. Staff supported people to make choices about meals, activities and daily life.
“People benefitted from a person centred culture and the staff were committed to providing a service which put people at the centre of their care and treatment.” from the report
Staffing and training
There was one member of staff on duty at all times. Recruitment checks, induction and training were in place.
“New staff received an induction to prepare them for the role they were employed to perform.” from the report
Support with health and activities
People were supported to attend healthcare appointments, take part in activities and develop daily living skills.
“People said they were accompanied on healthcare visits.” from the report
Records were not always up to date
needs fixingHealth action plans and positive behaviour management plans needed reviewing. One person's weight had not been checked since May 2016, although the manager said monthly monitoring had begun.
“Some records needed updating which included health action plans and positive behaviour management plans.” from the report
Consent was not always recorded
seriousFor some people who had capacity, agreements for staff to administer medicines were not in place.
“For some people that had capacity to consent, agreements for staff to administer medicines was not in place.” from the report
Pre-admission assessments
needs fixingAssessments were not always completed for people visiting before admission. The manager said the relevant care plan was put in place after the inspection.
“Assessments were not always undertaken for people on pre admission visits.” from the report
Quality checks missed shortfalls
needs fixingMonthly audits were carried out, but they did not consistently match what inspectors found or identify all the improvements needed.
“Quality assurance systems were in place but the monthly audits were not consistent with inspection findings.” from the report
- 01How do you now check that health action plans and positive behaviour management plans are reviewed on time?
- 02How do you record and review each person's consent to staff administering medicines?
- 03What information and care plans are completed before someone moves into the home?
- 04How are PRN medicine instructions checked to make sure staff have clear guidance?
- 05How do your current audits identify and track problems found in care records?
This was an unannounced inspection covering all five CQC questions and the overall quality of the service. This explanation was written from the published report of 3 March 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Callisto
2 rated inspections over 2 years: the service has held its Good rating throughout.
- August 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- August 2011
Registered with the Care Quality Commission on 17 August 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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