Random inspection report
Care homes for adults (18-65 years)
Name: Address: Pearce Lodge 9 Dorchester Road Hazel Grove Stockport Cheshire SK7 5HE three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jacqueline Kelly Date: 2 0 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Pearce Lodge 9 Dorchester Road Hazel Grove Stockport Cheshire SK7 5HE 0161-4835442 01614567376 pearcelodge@togethertrust.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Richard Gajewski Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Together Trust care home 5 Number of places (if applicable): Under 65 Over 65 0 0 0 learning disability mental disorder, excluding learning disability or dementia physical disability Conditions of registration: 5 5 5 The registered person may provide the following category 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: Mental disorder, excluding learning disability or dementia - Code MD, Learning disability - Code LD, Physical disability - Code PD. The maximum number of service users who can be accommodated is: 5. Date of last inspection Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home Pearce Lodge was developed by Boys and Girls Welfare Society (now known as the Together Trust) in October 1998 to meet the needs of young people and adults who have a disability. The organisation is a registered charity, and has been in existence for more than one hundred and twenty five years, offering a range of services to young people and their families. The services are provided primarily around residential care and education. Pearce Lodge supports five young people who have either a physical and/or a learning difficulty in a bungalow, which is situated, in a quiet residential area on the borders of Hazel Grove and Bramhall. There are shops, a public house, restaurants and swimming pool within a five-minute walk. Other facilities such as train station; banks, post office, church and cinemas are a short car ride away. Public transport is available but the bus service is limited however the home does have two adapted vehicles. Fees depend on the amount of support, personal care and one-toone support required and the funding available from a local authority. Transport costs for education are not covered; the relevant local authority meets these expenses. There is a statement of purpose and service user guide available along with the inspection reports. The organisation had the Investors in People Award. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. The report was written on behalf of the Care Quality Commission therefore throughout the report the terms we and us were used. We last inspected this service on the 19 June 2007. On the 9 June 2008 and the 4 June 2009 we carried out Annual Service Reviews. This is a review of good and excellent services that takes place between key inspections. At the times we conducted the reviews we found no evidence to suggest that our quality rating had changed or that we needed to bring the inspection forward. This was a random inspection and we spent a total of three hours at the home. The manager did not know we were going to visit. The majority of the inspection was conducted with the senior care worker. Later the deputy manager was also present. We were informed during the inspection and subsequently in writing that the registered manager is currently on sick leave and his post was being covered by the deputy manager. Before this random inspection we asked the manager of the home to complete an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, what they needed to do better and to give us current information as to employment of staff and training provided over the past twelve months. The form had been completed honestly and it showed us the manager saw the service being provided the same way as we did. During the inspection we looked at the care files and care plans of the three people who were living at Pearce Lodge. We also looked at the complaints file and medication records. We talked to the senior carer, the deputy manager and a support worker. We also spoke with one of the people who lived at the home. Ten questionnaires were sent out to both the staff and people who were living at Pearce Lodge, however the maximum number of residents who live at Pearce Lodge is five. We had returned to us two service user surveys and eight staff. The information we received was mainly positive from both the support workers and the people who used the service. There were three negative comments from staff and are included in the paragraphs below. One of the two surveys for the people who used the service had been completed by a relative and one completed it themselves. Comments we received from the surveys completed by the people who used the service to the question what does the home do well were as follows; staff are good and lovely; very friendly and welcoming; has just moved in, very proactive about addressing problems, good and varied programme of activities; communication is very limited, but appears happy, it will be some time before staff become attuned to more subtle efforts at communication. The staff to the same question what does the home do well said; we support young adults to live in there own home and access into the community; liaise well with
Care Homes for Adults (18-65 years) Page 4 of 9 guardians, social workers, family; always put all there effort to meet service users needs; really good care home, enjoy working at Pearce Lodge; good team work, staff work well together; I think overall the home does very well, all round adults are happy and appear to enjoy living at Pearce Lodge. To the question what could the home do better we received the following comments; more staff so everyone can do the activities chosen, stick to any promises given to staff regarding staff levels; overhead tracking in the bedroom for wheelchair users, bigger shower room and couple of bedrooms small when using portable hoist; more staff; fixed hoisting in all bedrooms. Other general comments included; long term absences putting strain and stress on other staff. Points raised at supervisions not always followed through; I really enjoy working at Pearce Lodge, we have a very good staff team and there is always a happy, friendly atmosphere. There had been no complaints or safeguarding referrals or investigations sent to us over the past twelve months. Also the information sent to use before the inspection visit said that they had received no complaints. All of the staff had received training in safeguarding adults either in house through the Together Trust or through Stockport MBC training and development. The organisation had a thorough recruitment procedure that is completed by head office and included the completion of an application form, Criminal Record Bureau checks, reference checks and face to face interviews. All the staff had received Mental Capacity Act training through Stockport MBC and will be completing Deprivation of Liberty Safeguards (DOLS) training in the future. We have not looked at all the standards during this random inspection. The ones we have looked at are those related to personal support, health care, medication, complaints and protection. From all the information we have received since the previous inspection of June 2007, annual service reviews of 2008/2009 together with our recent visit to the scheme; we have not changed our opinion of the service which we judge to still be providing an excellent service. What the care home does well:
The aims and objectives of the home were to prepare the young people to live in the community as independently as possible. Each of the young people had a care file which contained their individual support plan that contained the young peoples likes and dislikes together with their personal care needs and educational needs. All had a health care booklet and all were supported to access doctors and other professional medical services. The files were well organised and information was easily accessible and provided the support workers with plenty of information so that they could meet the needs of the people. Each person had an individual activity plan, were given support to access local facilities, to make a choice of meals for the week at house meetings, to go on annual holiday and to have opportunitys to experience real life skills and situations. None of the current group of young people was capable of managing their own medication. Support workers had received training in safe handling of medicines. Care Homes for Adults (18-65 years) Page 5 of 9 The home was well maintained and decorated in a modern up to date style which was appropriate to the ages of the people who lived there. However we did receive comments from the staff team that overhead tracking in the bedrooms would be beneficial both to the residents and the staff team when moving people around from bed to wheelchair etc. The young peoples relatives or advocates were given questionnaires by the organisation every six months in order that they could make their views and opinions known. The garden had recently been re-designed to make it more user friendly for people who may be wheelchair mobile only. There was a thorough recruitment and selection process which was managed by Head Office. This included Criminal Record Bureau checks, references, completion of application forms and face to face interviews. The people who used the service were also part of the recruitment and selection process. All new workers had to go through an induction programme. There was ongoing training for support workers either through in house courses or through outside agencies such as Stockport MBC - training and development section. Ten of the thirteen members of staff had completed a National Vocational Qualification (NVQ) in care. All the staff who completed a survey said that they were given training relevant to their role. There was a registered manager who had all the necessary qualifications and experience. The home is part of the Together Trust which is a registered charity. As such accounts are published at the end of each financial year and can be obtained from Head Office. What they could do better: 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
