Inspection on 25/07/05 for Fivepenny House

This inspection was carried out on 25th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

Other inspections for this house

Fivepenny House 15/08/06

Fivepenny House 18/01/06

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 25 July 2005 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 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 Stationary 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 B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fivepenny House Address 42 Westbourne Road Hartlepool TS25 5RE Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0151 4953146 Milbury Care Services Limited CRH 6 Category(ies) of LD Learning disability (6) registration, with number of places Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th February 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 B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 25th of July 2005 and lasted around 3 hours. The manager of the home was not present and time was spent talking to staff. We looked around the building and at a number of records and documents. Since the last inspection a new manager has been appointed and she is awaiting registration with the Commission for Social Care Inspection. The home was very pleasant and the service users who were at the home on the day appeared happy, well cared for and interacted well with staff. It was not possible to discuss living at the home with service users due to communication difficulties being part of the nature of their disability. There were some areas that needed attention. The medication system was checked and had signatures missing for medication that was given and general maintenance was required to the ceilings where water had leaked and some light bulbs needed replacing. In the bathroom it was seen that a toilet seat was missing and needed replacing. Improvements could be made to the large rear garden area with the addition of plants and flowers. What the service does well: Staff at the home help service users to find interesting and varied activities, music playing an important role in everyday life. Service user records are kept well including records for medication and service user finances. The front garden is pleasant and the home is in a quiet location as it is set away from a main road. Service users bedrooms are pleasantly decorated and furnished to the service users taste and choice. Service users are encouraged to take part in the domestic arrangements at the home and to help with the shopping. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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 B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 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 standard(s) 1, 2 and 4 The home provides service users with satisfactory information to base a decision about whether to live at the home. Appropriate assessment of individual service users needs is undertaken and trial visits are offered. EVIDENCE: A Statement of Purpose was made available to service users and their representatives, enabling informed choice about living at the home to be made. It was noted that the Service Users Guide was not available as the person in charge of the home said that it was being produced in a picture format. Assessment documents for individual service users were seen to be in place. The documents contained original assessments from social workers and also the homes own assessments conducted prior to admission. Evidence was available to show that service users were offered the opportunity to stay at the home on a trial basis before making the decision to stay there permanently. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 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 standard(s) 6 and 9 The care planning system is satisfactory. Service users are supported to enhance their lifestyle within a risk assessment framework. EVIDENCE: Individual service user care plans were looked at and found to be informative and up to date. Service user case files showed that risk assessments were in place for a variety of activities and included specific assessments relating to personal care and everyday activity. It was seen that assessments and care plans included evidence of regular review. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 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 standard(s) 14 and 17 Service users are provided with a range of opportunities for leisure activities. Meals and mealtimes are varied and arranged according to service user preference. EVIDENCE: Service users at the home were unable to confirm the arrangements for their leisure activities due to the nature of their individual disabilities. Staff provided information relating to leisure activities undertaken at the home including visits to pubs, shops and local amenities. A holiday to Primrose Valley had recently been enjoyed. The choice of food was also discussed and found to be to service users preference. Staff said service users would often choose what to eat on a daily basis but any dietary need or special diets would be considered. A service user was currently at the shops with a member of staff buying groceries. A pictorial notice board in the kitchen gave details of service users individual preferences. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 20 Procedures are in place to ensure the administration of medication and to assist a service user to control their medication if requested. EVIDENCE: Examination of medicine administration records found them to be well kept and accurate, complying with the homes policies and procedures on medication although there were a number of missing signatures without explanations being recorded. A 12 week workbook based course on the administration of medication had recently been introduced. Staff gave details of a risk assessment process that would be carried out if a service user requested to control the administration of their medication. Currently no service user had requested to control their medication. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 22 and 23 Arrangements are in place at the home to listen to and act on complaints and to protect service users from abuse. EVIDENCE: A complaints policy and procedure was seen and it was noted that no complaints have been received by the home since 2002. The policy needed some amendment to show the correct contact details of the Commission for Social Care Inspection. The home operates an adult abuse policy and staff have undertaken training in abuse awareness and the Adult Protection strategy “No Secrets”. Although no incidents had occurred at the home, the manager was able to outline the procedures to be followed in the event of an adult protection referral. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 24, 27 and 30 The home provides suitable accommodation for the service user group. EVIDENCE: The home provides accommodation that is generally well maintained and pleasantly decorated. The gardens to the front and rear are large and provide a private area for outdoor activities although further use of plants could be made to make the rear area more appealing. Toilets and bathing areas are sufficient and easily accessible although it was seen that a toilet seat was missing and needed to be replaced. Staff said the bathroom was to be refurbished in November 2005. The home was clean and tidy and free from odour although the entrance hall was dark as a number of light bulbs needed to be replaced. Some redecoration needed to be carried out where water had leaked onto the ceiling and caused marks. The dishwasher in the kitchen could not be used as it was awaiting repair or replacement. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 Recruitment policies protect service users and staff undertake appropriate training to enable them to carry out their roles. EVIDENCE: Staff files were looked at and contained details appropriate to the homes recruitment and selection policies. Staff training at the home was continuing and college courses were being explored to provide staff with additional training as identified by the homes training schedule and as highlighted in individual staff supervision. Studies leading to the achievement of NVQ qualifications in care were ongoing. Specialist subject courses had also been arranged covering epilepsy, autism, diabetes and values and attitudes. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41 and 42 Records in relation to service users personal finances and Health and Safety are satisfactory. EVIDENCE: Service users individual personal allowance records were seen to be accurate. Records of maintenance and fire safety were held at the home and were found to be satisfactory. Fire training records and safety audits were up to date and checks on emergency lighting was carried out. It was demonstrated that as far as reasonably practicable the health, safety and welfare of service users, staff and visitors to the home, were maintained. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 16 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 3 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 x x 2 Standard No 11 12 13 14 15 16 17 x x x 3 x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fivepenny House Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x x x x 3 3 x B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 17 no 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. Standard 20 27 Regulation 13 13 Requirement The registered person must ensure all medication administered is signed for. The registered person must ensure the replacement of the toilet seat. Timescale for action 1st September 2005 1st September 2005 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. Refer to Standard 24 30 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 replacement of lightbulbs, repainting of ceilings where marked and repair or replacement of the dishwasher. Fivepenny House B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 B54 S21734 Fivepenny House V233574 250705 Stage 4.doc Version 1.40 Page 19 - 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. 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