Inspection on 29/01/10 for Pentlow Nursing Home

This is the latest available inspection report for this service, carried out on 29th January 2010.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 11/04/2010.

Key inspection report Care homes for older people Name: Address: Pentlow Nursing Home 59-63 Summerdown Road Eastbourne East Sussex BN20 8DQ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Kathy Flynn     Date: 2 9 0 1 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Pentlow Nursing Home 59-63 Summerdown Road Eastbourne East Sussex BN20 8DQ 01323722245 01323649518 reception@pentlow.co.uk www.pentlow.co.uk Pentlow Nursing Home Ltd care home 61 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of service users to be accommodated is 61. The registered person may provide the following category/ies of service only: Care home with Nursing - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - (OP) Physical Disability - (PD) Date of last inspection Brief description of the care home Pentlow Nursing Home incorporates Summerdown Nursing home, these are separate buildings across the road from each other but have a single registration and work as one nursing home. The Pentlow and Summerdown Nursing Homes are in the Old Town of Eastbourne, and local buses pass the top of the road, there is ample parking in the roads around the nursing homes and limited car parking in the forecourts of both homes. All catering and social activities are shared by both homes, although they have the same manager over both of them, they are staffed separately. Care Homes for Older People Page 4 of 24 0 61 Over 65 61 0 Brief description of the care home Pentlow Nursing home has accommodation for thirty-eight residents and also accepts people for day care; Summerdown Nursing home has accommodation for twenty-three residents. Both homes have a range of double and single rooms, a separate dining room and lounge and large accessible gardens. Details of the fees can be obtained from the home. Extra services including chiropody, hairdressing, telephone and newspapers are charged separately and this information is available from the home. Care Homes for Older People Page 5 of 24 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: three star excellent 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: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This unannounced inspection was carried on the 29th January and 4th February and included a review of pre admission assessments, care plans, staff records and training, medication records, activities, and menus. There were 58 residents at the home during the inspection. 8 residents were involved in the inspection and visitors to the home were happy to discuss the support provided. The manager, deputy manager, nurses, care staff, activity coordinator and cook on discussed the care and support they provide at the home. The reader should aware that the Care Standards Act 2000 and the Care Homes Regulations 2001 use the term service user to describe those living in care home Care Homes for Older People Page 6 of 24 settings. However for the purposes of this report those living at Pentlow and Summerdown will be referred to as residents. The Annual Quality Assurance Assessment (AQAA) was completed by the manager within the required timescale and was used as part of the information collected for the inspection. Care Homes for Older People Page 7 of 24 What the care home does well: What has improved since the last inspection? 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 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 8 of 24 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 9 of 24 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. Information about the service offered by the home is available for prospective residents in the Statement of Purpose and Service Users Guide, assessments are completed to ensure the home can meet the needs of people who enquire about the home before they offered a place. Evidence: The Statement of Purpose and Service Users Guide have been reviewed and updated, as required from the last inspection, to include clear details of the provider. However the Statement of Purpose does not clearly identify the needs of the people the home intends to meet, including those with dementia type illness. This should be addressed, to ensure that the information is quite clear and enables people to decide if the home can meet their needs. Assessments are completed for all prospective residents, with their and or their representatives involvement, to ensure that the home can meet their individual needs. Care Homes for Older People Page 10 of 24 Evidence: These assessments are used as the basis of the care plans and provide information about about peoples medical, nursing and care needs. Residents involved in the inspection said that they had chosen to come Pentlow and Summerdown Nursing Home, that they were visited by senior staff to discuss their needs, and it was agreed that the home could offer them the support that they need and want. Care Homes for Older People Page 11 of 24 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. The care planning system provides staff with information about the needs of the people living in the home. Policies and procedures are in place with regard to medication to protect residents. Evidence: The care planning system consists of a preadmission assessment and additional information kept in a folder, with the care plans themselves kept on computers in each home. The care plans include risk assessments for mobility, moving and handling, falls, nutrition and continence. There is evidence that the care plans are reviewed on a regular basis with the involvement of the residents and/or their representatives. Six care plans were viewed, three in Pentlow and three in Summerdown, and were found to contain completed risk assessments and relevant information with regard to the needs of the individual residents. However the information kept in the residents folders was not the same as the information in the care plans for all residents, and where the daily record had identified a change in need there was no evidence that any action had been taken to address this for one resident. A number of residents have a Care Homes for Older People Page 12 of 24 Evidence: dementia type illness and there was no clear evidence in the care plans that specific care and support was being provided for them. Since the inspection the manager has started to develop a dementia care pathway, to ensure that the care plans for people living in the home, who have a dementia type illness, clearly identify how the staff can meet their needs. This will also be linked to the employment of staff with a dementia care background, additional training and guidelines for them to follow. Records are kept of the care provided by the carers and these are in the residents rooms. It was noted that a number of these were not completed appropriately, for one resident there were several gaps in the record, and for another the record did not show that they had offered the regular support that this resident was admitted for. Daily records of care are also recorded on the computer care plans and completed by the nurses. However statements such as settled early no change and up and about as usual do not show how the home has met their individual needs. Daily records, when well written, help ensure a consistent approach and good quality of care for residents. It is in the homes interests to be able to show what they have done, along with providing the evidence on which to base the monthly review, and to record that they are following the assessment of needs. Residents are registered with GPs and there are links with allied health professionals, including Tissue Viability Nurse, Macmillan nurses, chiropodist and optician. Policies and procedures are in place for the ordering, storage and administration of medicines. Medicine administration record (MAR)charts were viewed and found to be completed appropriately. Staff were noted to treat residents with respect and protect their dignity when offering personal care. Residents involved in the inspection said that the staff are very good and look after us very well. The home provides support and care for people whose health has deteriorated, and has achieved Beacon status for the Gold Standard Framework, with the Liverpool Care Pathway to support people who need end of life care. Care Homes for Older People Page 13 of 24 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. A range of individual and group activities are provided for residents to participate in if they wish. The meals at the home are good, choices are offered, specific dietary needs are met and staff offer assistance when required. Evidence: The activity coordinator has developed a range of activities for people living in Pentlow and Summerdown, these include group and individual sessions arranged in the home, as well as trips to local beauty spots and the art gallery using the homes minibus. During the two days of the inspection bingo and Music and Mind were arranged in the lounge in Pentlow, and residents from Summerdown attended if they wanted to. Particular dates are celebrated and a party was arranged for Burns day and are planned for Valentines day. St Georges and St Patricks day and pancake day. The coordinator advised that a range of one to one sessions are organised for people who prefer to remain in their own rooms. She said that she is well supported by two volunteers and care staff also spend time with residents. Residents involved in the inspection said that the activities are very good, we can choose if we want to join in, I do some things, like the Burns celebration, but like to Care Homes for Older People Page 14 of 24 Evidence: read and watch TV as well. Residents who remain in their own rooms were equally positive with one using old Christmas cards to make new ones. The food at the home is good, several choices are available for each meal, and as the chef explained residents can have what they like to eat even if it is not on the menu. Residents involved in the inspection said that they are able to choose where they have their meals, some use the dining room while others remain in their rooms. They said the food is very good, we can have what we like and relatives and friends can join them for meals if the wish. The meal times are flexible to suit the residents, special diets are catered for and staff are available to assist residents if required. Care Homes for Older People Page 15 of 24 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. The homes complaint procedure is displayed in the corridor and included in the Statement of Purpose for residents to refer to. Staff attend training with regard to safeguarding vulnerable adults to protect residents. Evidence: Policies and procedures for complaints are in place and are accessible to residents and visitors to the home being displayed on the residents boards. The home follows their own procedures for dealing with complaints and records are kept of any action taken. Adult protection training is provided for staff and those involved in the inspection said that they have attended and were able to demonstrate an understanding of abuse, including what action to take if they have any concerns. Care Homes for Older People Page 16 of 24 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Pentlow and Summerdown provide the people living there with a comfortable and homely environment. Training is provided for staff in infection control to protect residents. Evidence: The homes are well maintained and offer residents a comfortable home, and they are encouraged to personalised their rooms with small pieces of furnitures, pictures and ornaments. There are plans to extend the lounges in both homes, which will also include better access to the gardens. The shaft lift and additional aids enable residents to access all parts of the home, with hoists, wheelchairs and assisted baths enabling staff to support residents to be as independent as possible. Infection control training is provided for the staff, those involved in the inspection said that they have attended and are aware of the correct use of gloves and aprons. Care Homes for Older People Page 17 of 24 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. The home offers staff relevant training to ensure staff are aware of their roles and responsibilities. Evidence: The manager advised that the staffing numbers and skill mix are based on the needs of the people living in Pentlow and Summerdown, with additional staff at times that are more demanding to ensure that the needs of the residents can be met. There are robust recruitment procedures in place. Four files were viewed and found to contain the relevant information including application forms, two references and Criminal Register Bureau and Protection of Vulnerable Adult checks. Training provided by the home is good, in addition to the mandatory training which includes infection control, moving and handling, first aid, fire training and food hygiene, the home enables staff to attend relevant training courses. Two nurses are currently working towards a diploma in Palliative Care, and additional training in equality and diversity, dementia and palliative care has been included in the Skills for Care induction training for all new staff. Staff are encouraged to work towards National Vocational Qualifications and the home exceeds the 50 of staff with Level 2 or equivalent. Care Homes for Older People Page 18 of 24 Evidence: Links with external providers of health and social care have been developed and the home offers diploma and degree nurses and social workers opportunities to work at the home, and is in the process of providing care home experience for paramedics. Care Homes for Older People Page 19 of 24 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management encourages residents, relatives and friends and staff to be involved in decisions about developing the services provided at Pentlow and Summerdown. Evidence: The manager is a registered nurse, with a management qualification, who has considerable experience of providing care and support for people in a nursing home setting. Systems are in place to encourage residents, visitors and staff to be involved in developing the care provided through regular residents, sisters, carers, night staff, catering and housekeeping meetings; with a yearly meeting that includes all those who live and provide care at the homes as well as day to day feedback. Quality assurance and monitoring systems are in place, surveys are sent out yearly to residents and their representatives, and regular audits assess the facilities and support offered at Pentlow and Summerdown. Care Homes for Older People Page 20 of 24 Evidence: Residents involved in the inspection were positive about the support and care they receive, they said that the staff are very good. Staff were equally positive and said that we can offer the support and care that the residents want and need and are supported to do this by the management. The health and safety of residents, visitors and staff is protected through the training programme and ongoing maintenance of the homes. Care Homes for Older People Page 21 of 24 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 22 of 24 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 Care Homes for Older People Page 23 of 24 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. 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