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Inspection on 07/02/06 for 2 Perhaver Park

Also see our care home review for 2 Perhaver Park for more information

This inspection was carried out on 7th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The registered providers possess an in-depth knowledge of the service user and their care needs. The registered providers and the service user live as a family unit, and have done so for approximately 22 years. There is an evident bond between the registered providers and the service user. The inspector is satisfied that the service user`s care needs are fully met, and quality of life of the service user is optimum.

What has improved since the last inspection?

The registered providers continue to provide high quality, individualised, holistic care.

What the care home could do better:

The service user`s health, social, and spiritual needs are met completely.

CARE HOMES FOR OLDER PEOPLE Perhaver Park (2) 2 Perhaver Park Gorran Haven St Austell Cornwall PL26 6NZ Lead Inspector Alan Pitts Unannounced Inspection 7th February 2006 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Perhaver Park (2) Address 2 Perhaver Park Gorran Haven St Austell Cornwall PL26 6NZ 01726 842835 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Frederick Cecil Scott Mrs Maureen Scott Care Home 1 Category(ies) of Learning disability over 65 years of age (1) registration, with number of places Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th October 2005 Brief Description of the Service: Perhaver Park is a privately owned home, which offers accommodation over two floors. It is situated in a quiet residential location, in the village Gorran Haven. There is one service user who has lived as part of the family for many years and there are no plans to accommodate another person. The owners live on site and provide personal care to one service user. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 7th February 2006, over a period of approximately two hours. The service user has lived with Mr & Mrs Scott for approximately 22 years as part of the family unit. The registered providers know the service user very well and have no plans to accommodate another service user. The inspector spoke with the service user and the registered providers. There is some difficulty in writing a meaningful report whilst protecting the anonymity of the service user, and for this reason this report is not as descriptive as might be expected in multi-occupancy homes. What the service does well: What has improved since the last inspection? The registered providers continue to provide high quality, individualised, holistic care. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 This is an established home, and there is, not surprisingly, an established bond between the registered providers and the service user. EVIDENCE: All standards for this section were met. The registered providers have produced a Statement of Purpose, which is suitable to the home. The Service User has lived at Perhaver Park for approximately 22 years, and has known the providers for another seven years prior to this. No future admissions are planned for this home. Standard 6 is not applicable. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 The service user’s health care needs are fully met and relevant records are kept. EVIDENCE: All five of the standards were met. There is evidence that a high standard of care is offered, both in terms of social activities and medical aspects of care. The registered providers and the service user confirmed appropriate contact with other agencies as necessary (such as the General Practitioner, Nurse, Optician and hospital appointments). Medication is regularly reviewed and administered appropriately. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The service user and registered providers live as a family and the former has a full and equal say in the menu, and the social/recreational activities enjoyed. EVIDENCE: All the standards assessed in this section met or exceeded the standard required. The registered providers and service user live as a family. There are no fixed activities or routines within the home, though regular contact with friends and social groups is evident. The service user enjoys a very full and varied social life. The service user has lived at the home for approximately 22 years, though still jokes that “they haven’t made up their mind whether they are going to stay or not”. The service user fully participates in all aspects of the daily life of the family. Regular holidays and activity breaks are taken as a family, and a number have already been planned for 2006. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 The service user enjoys all the rights and privileges of an adult family member. EVIDENCE: All three standards were met. The service user is able to communicate wishes, needs and concerns. The service user has good contacts with other agencies and services, and therefore the opportunity to express any concerns. The service user is registered on the electoral roll. The registered providers are proactive in ensuring the welfare and happiness of the service user. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected. There are no staff employed within the home, and the registered providers give personal care. EVIDENCE: Standards 27 to 30 are not applicable. There are no staff employed within the home, and the registered providers give personal care. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 The best interests of the service user are promoted and protected at all times within a family unit. EVIDENCE: There is no staff, and therefore no manager, employed within the home. The home is a comfortable, modern residential property; the registered providers and service user live together as a family. The registered providers have been providing care to the service user for approximately 22 years. It is the inspector’s opinion that the experience of the registered providers over this time, and the service user’s standard of life, far outweighs any necessity for the National Vocational Qualification Level 4 in Care and Management. The property is very well maintained and the registered provider has a very good awareness of the service user’s care needs and capabilities. The service user enjoys ready access to health care professionals and social groups. Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 4 4 4 4 4 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 4 X X X X X X X X STAFFING Standard No Score 27 N/A 28 N/A 29 N/A 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X X X X X Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Perhaver Park (2) DS0000009076.V273590.R01.S.doc Version 5.0 Page 18 - 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!