Inspection on 18/01/06 for Fivepenny House

This inspection was carried out on 18th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fivepenny House 15/08/06

Fivepenny House 25/07/05

Fivepenny House 19/01/05

Fivepenny House 19/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Fivepenny House 42 Westbourne Road Hartlepool TS25 5RE Lead Inspector Stephen Willcock Unannounced Inspection 18th January 2006 10:00 Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 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 Fivepenny House DS0000021734.V267598.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 Adults 18-65. 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. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fivepenny House Address 42 Westbourne Road Hartlepool TS25 5RE 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) C Milbury Care Services Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th July 2005 Brief Description of the Service: Five Penny House is registered with the Commission for Social Care Inspection as a care home to provide care and accommodation for up to 6 adults who have a learning disability. The home is part of the Milbury group and is set in its own grounds in a quiet area of Hartlepool near to local amenities. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 18th January 2006 and lasted about 3 hours. Time was spent talking to staff and service users. We looked around the building and at files and documents It was seen that there has been improvement in the way information is relayed to and from service users, using picture formats that are easily recognised and representing everyday activities including what is available for lunch. The use of pictures and the homes digital camera has also been used to enable one service user to send pictures to his family far away. By this means, the family can see what activity the service user is engaged in and maintains a strong family contact. Planned refurbishment of the home had not yet taken place and some areas needed to be given attention sooner especially the lighting over the staircase. Fivepenny House continued to provide a warm and welcoming atmosphere in which service users could gain much enjoyment from life at the home. What the service does well: What has improved since the last inspection? Since the last inspection there has been improvements in the way staff communicate with service users. The use of pictures in a number of daily aspects provides service users with a means to show what they want for lunch and what activities they wish to do. Care planning has been updated with the use of Person Centred Planning (PCP), again with good use of picture formats. Fivepenny House DS0000021734.V267598.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. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 The home can demonstrate how it can meet the service users needs and provides a written agreement as a statement of terms and conditions. EVIDENCE: The home produces a Service Users Guide giving good detail of the services provided. Service users files were seen to be accurately documented and contained individual needs within a care plan. Regular review of the plan ensured that changes in need were acted upon. Pre admission assessments were made available and identified how the home would be able to meet the service users identified needs. Prospective service users and their relatives are invited to the home to test its suitability and a review is conducted after a period of 6 weeks to assess how well the home is meeting the service users needs. Service agreements were in place for each service user and took the form of a statement of terms and conditions or contract. Staff said new style contracts were to be made available. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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 Service users are enabled to make decisions about their lifestyle. EVIDENCE: Staff gave details of regular meetings with service users either as a group or more often on an individual basis, where decisions about lifestyle and choices were made. It was common for family to be invited to help with decisions and an advocacy service was available if needed. Due to the nature of their disability, service users used a picture board showing various activities and daily events. Photographs were regularly used at the home as a communication method and this had been extended to allow a service user to forward digital photographs, showing their daily activity, to their family members in another part of the country. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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, 15 and 16 Service users are encouraged to take part in appropriate leisure and educational and community opportunities. Care is provided with dignity and respect. EVIDENCE: Staff gave details of the various activities that could be enjoyed by service users including regular visits to social events especially to a local public house that specialised in social evenings for care homes in the area. Educational opportunities were also considered for each service user dependent upon their needs and suitability of the placement. Service users have a varied and extensive social life, meeting friends and taking part in social activities. Recent trips to the local vicarage fair had taken place and extensive use of the homes own transport was regular. Contact with family and friends, was maintained and regular. Staff encourage visits by families and arrange transport when needed. One service user regularly met with their family and went visiting weekly. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 11 Service users are encouraged by staff to carry out domestic tasks and to assist with their own laundry and personal care. Staff were seen to carry out their roles in a dignified and respectful manner, maintaining a good rapport with each service user. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Service users preferred way of receiving care is respected and health and emotional needs are met. Medication records need to be accurately completed. EVIDENCE: Details of the personal support that each service user needs are recorded in the care plans and staff have full knowledge of service users preferred way of giving their care. For service users who may have impaired verbal communication skills, staff develop an understanding of their needs through eye contact and body language and look for changes in behaviour to establish their likes and dislikes. There are good contacts with local healthcare providers and health checks are arranged and carried out regularly. Records of visits to and by healthcare professionals are maintained and a timetable of planned appointments has been produced. As noted at the previous inspection, medication records had not been kept up to date in that medication administered on the morning of the inspection had not been signed for. Staff need to ensure that this is done as soon as the medication is administered. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Arrangements are in place at the home to protect service users from abuse. EVIDENCE: The home operates an adult abuse policy and staff have undertaken training in abuse awareness and the Adult Protection strategy “No Secrets”. In discussion, staff were able to outline the procedures to be followed in the event of an adult protection incident. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 and 28 The home provides bedrooms and communal space that meets the service users but some work is needed to improve the lighting of the home. EVIDENCE: Bedrooms at the home were seen to be spacious and personalised to the service user’s choice. All rooms were of a good size and met service users space requirements. It was noted that one service users bedroom had the addition of a shower en-suite, but did not have a toilet fitted. It was also noted that an electrical fuse box was fitted in the service users bedroom. Arrangements should be made to re-site the fuse box if possible. Staff said there was a planned refurbishment of the home to be carried out in this year and it was hoped that this would include a new method of lighting for the staircase. It was noted that the staircase is large and central to the home, however, only one of five light bulbs were working at the time of the inspection. Staff said it was difficult to change the bulbs due to the height of the light fitting. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 Staff at the home are competent in their roles. EVIDENCE: Staff training is ongoing and further training is arranged. Studies leading to NVQ2 in care have been undertaken and four members of staff have progressed to NVQ3. Currently the home is above the target of 50 of care staff with at least NVQ2 in care by the end of 2005. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The home is well managed in the best interests of service users. EVIDENCE: The manager, who was not present during the inspection, was recently registered with the Commission for Social Care Inspection (CSCI) and had taken up the post during 2005 having been a manager at another home in the Milbury group. Staff said the manager was undertaking studies leading to NVQ4 in Care and was also studying for the Registered Managers Award. Evidence was available to show that a senior manager visited the home on a monthly basis to carry out an audit of the service and a report of the visit was forwarded to the CSCI. In addition, staff said the manager carries out audits of the service and regularly seeks service users and their family’s opinions about how the home is run during regular meetings. Milbury also produce a newsletter, the “Kite” to inform service users about any developments within the organisation and to provide an opportunity to talk about life in the home. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X 3 X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 2 X X 2 X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fivepenny House Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000021734.V267598.R01.S.doc Version 5.0 Page 18 Yes 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. 1. 2. 3 Standard YA20 YA27 YA28 Regulation 13 13 23 Requirement The registered person must ensure all medication administered is signed for. The registered person must ensure the replacement of the toilet seat. The registered person must ensure sufficient lighting is provided at the home Timescale for action 12/03/06 12/03/06 12/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3 4 Refer to Standard YA24 YA30 YA25 YA25 Good Practice Recommendations The manager should arrange for the rear garden area to be made more appealing for service users enjoyment. The manager should arrange for the repainting of ceilings where marked and repair or replacement of the dishwasher. The manager should arrange for a toilet to be provided in an en-suite if possible. The manager should make arrangements for the fuse box in a service users bedroom to be re-sited if possible. Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Fivepenny House DS0000021734.V267598.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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