Random inspection report
Care homes for adults (18-65 years)
Name: Address: Pennhaven 36 Powderham Crescent Exeter Devon EX4 6BZ 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: Vivien Stephens Date: 1 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Pennhaven 36 Powderham Crescent Exeter Devon EX4 6BZ 01392255588 01392255588 pennhaven@parkviewsociety.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Sarah Emilia Carcillo Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Parkview Society care home 8 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: Date of last inspection Brief description of the care home 8 Pennhaven is a home for eight people who have had mental health difficulties. It is situated close to the centre of Exeter in a quiet residential area of the town. It has nothing to distinguish it as a residential home. The building has three storeys, which include a large kitchen, comfortable lounge room, eight single bedrooms and a cellar where the laundry is situated. It has a pleasant garden and patio area to the rear. Staff are available 24 hours a day. Though some people have lived at the home for several years it is not intended as a home for life and aims to support residents to develop their abilities to move on to
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home more independent living. Inspection reports are available from staff at the home on request. The current range of fees is between £411 and £800 per week. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
We looked at the care plan files for the two people who had moved into the home in the last year. The files contained good evidence of the information obtained before the decision was made to offer to provide accommodation to each person. Sarah Carcillo explained the processes they have followed to make sure the home was suitable. This included discussions with staff at each persons previous accommodation as well as gathering written assessments from the care professionals involved with each person. We were satisfied that great care had been taken to make sure Pennhaven was suitable and could offer the right level of support. The care plan files contained a range of relevant information including next of kin and relevant health and social care professionals involved in their care and support. At the front of each file there was a care plan document drawn up by the home but in the words of the person. The documents were easy to read and provided care workers with straightforward instructions on the support each person needed. Each person had signed the care plan to agree the content. The plans had been regularly reviewed and updated. Both of the care plan files we looked at contained risk assessment documents. These documents were clearly written and provided detailed instructions to care workers about how to recognise potential known risks and ways of avoiding or dealing with them. We talked to the two people whose care plans we had read. They told us that the home had given them plenty of information/opportunity to visit before they moved in. They confirmed they had been fully involved in drawing up and agreeing their care plans. They were happy with the content of the care plans and said the staff in the home followed the plans and gave them the support they had agreed. Both of the people we talked to were positive about their futures and were looking forward to moving on to live more independently at some time in the future. We heard about some of the things that people regularly do during the day. One person talked about a college course he was hoping to start soon, and about courses he had done in the past. Both of the people we talked to said they were free to go out of the home whenever they want, and that staff will accompany them if it had been agreed as part of their care plan. The home is situated in a residential area within easy walking distance of the centre of Exeter, and there is a railway station and bus stop nearby. People regularly go shopping, plan and cook meals, and help with housework. The staff described the ways they support people with daily living skills to help them prepare to live more independently in the future. We heard about contact with friends and families outside the home and how the staff have supported and guided people to maintain positive relationships and to work towards leading active lives as part of the local community. None of the people living in the home needed physical help to maintain personal hygiene. The care plan files contained good information about individual health problems and letters from health specialists showed the home had liaised closely to make sure people
Care Homes for Adults (18-65 years) Page 4 of 10 received the treatment and advice they needed. We looked at the way medicines have been stored and administered. Following assessments some people have been able to hold and administer their own medicines. There is secure storage in the home for those people who cannot safely administer their own medicines. The home did not use a monitored dosage system. Medicines were supplied in bottles and packets. There was a separate box for each person that held the bottles and packets of medicines currently in use. There was also a separate storage facility for unopened stocks. We looked at the medicines held and administered for two people. The home had drawn up their own medicine administration charts. They were easy to complete. However, they did not provide a method of quickly and easily checking to make sure the correct amount of medicines were held. They also did not allow staff to easily recognise if a dose had been missed or if an error had been made. We talked to the manager, Sarah Carcillo and she agree to change the recording system to provide a safe method of accounting for the medicines held and administered by the home. One persons current medication stocks showed that two packets of the same medication had been opened. This made it even more difficult to check if the correct medicines had been administered, and if the balances held were correct. The home did not receive a regular contracted service from a specific pharmacy, although a pharmacy close to the home was most frequently used. The manager, Sarah Carcillo agreed to approach the pharmacy for advice on safe systems of storage, administration and recording of medicines. Staff have received training and updates on the safe administration of medicines. The home told us they have received one minor complaint in the last year. This was dealt with promptly and the complaint was upheld. No complaints or concerns have been received by the Commission. They have displayed their complaints procedure prominently in the home. The home told us in their Annual Quality Assurance Assessment (AQAA) that all staff have received training on the protection of vulnerable adults. They have policies and procedures in place relating to all aspects of protection to make sure people are safeguarded as far as possible from harm or abuse. We looked around all of the communal areas of the home and found that the property has been well maintained, attractively decorated, and the furniture and fittings were of a good quality. All areas were modern, stylishly decorated, comfortable and clean. The member of staff who showed us around the home said that if they needed any repairs or decoration carrying out they always received prompt visits from the maintenance team. We asked two people living in the home if they were happy with the standard of the accommodation. They said they were completely satisfied. One person commented that there were few places with such a good standard of furnishings, and pointed to the large screen television and comfortable leather sofas in the lounge, and the attractive decorations and pictures. The home has had a very low turnover of staff. In the last three years they have only recruited two new members of staff. Recruitment records were not held on the premises
Care Homes for Adults (18-65 years) Page 5 of 10 and therefore we were unable to check the complete files. However, the manager arranged for relevant documents to be faxed to the home during our visit and we were able to see that safe recruitment procedures were followed for the two newest members of staff. The home told us in their AQAA that all but one member of staff hold a relevant qualification. They also provide a wide range of training on all health and safety topics, and on topics relevant to the health and support needs of the people who live at Pennhaven. Courses have included listening skills, self harm, Mental Capacity Act and the Deprivation of Liberty. We received three completed surveys from staff who work at the home. Their responses were positive. Comments included: Its a good place to work and offers respect to service users and staff. We have a great team here at Pennhaven. If any issues or questions should arise then the team respond well to sorting it out. As well as being helpful to our clients, staff are always looking for challenges. Pennhaven does well on looking to improve a better life in the home, as well as outside of it. The home is well managed. Sarah Carcillo has managed the home for many years and is suitably experienced and qualified. What the care home does well:
The home takes care before new people more in to make sure they can definitely meet the persons care and support needs, and to make sure the person has all the information they need before deciding to move in. Good risk assessments have been carried out. The home has good care planning procedures. Care plans have been drawn up and agreed with each person, and they have been regularly reviewed and updated. People lead active lives. They are able to go out and about, keep in touch with friends and families, and do a variety of things they are interested in. The staff will provide support to help people learn new skills and work towards living more independently in future. People have been given the support and advice they need with all identified health and personal care needs. The home has liaised closely with relevant health and social care professionals. There are good procedures in place to make sure people feel confident that any complaints or concerns will be listened to and acted upon promptly. The staff have received training on all aspects of prevention of abuse. The home has been well maintained. All areas have been attractively decorated and furnished. The home is clean, comfortable and safe. There is a stable staff team with a very low level of staff turnover. There are sufficient staff employed to give people the support they need. The staff have been carefully
Care Homes for Adults (18-65 years) Page 6 of 10 recruited and well trained. The home is well managed. Sarah Carcillo has managed the home for many years. 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 7 of 10 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 8 of 10 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 1 20 The accounting and recording systems for medicines held and administered by the home should be improved so that there is a clear system for regularly and easily checking the amounts held to ensure they are correct. The records should give staff an easy-to-follow visual check to help them recognise if a dose of medication has been missed, or if it has already been given. Care Homes for Adults (18-65 years) Page 9 of 10 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 10 of 10 - 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!
