Inspection on 06/09/05 for Misty Falls

This inspection was carried out on 6th September 2005.

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 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

Misty Falls 26/04/07

Misty Falls 09/02/06

Misty Falls 22/02/05

Misty Falls 12/10/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 22 Pendarves Road Penzance Cornwall TR18 2AJ Lead Inspector Diana Penrose Announced 06 September 2005 11:45 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. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 22 Pendarves Road Address Penzance Cornwall TR18 2AJ 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) 01736 360042 Mrs Shirley Maxine Hoblyn Care Home 2 Category(ies) of Learning Disability (2) registration, with number of places 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22/02/05 Brief Description of the Service: 22 Pendarves Road, Penzance, is a small care home providing accommodation and personal care for up to two adults with a learning disability. The Registered Provider lives on site with her family and provides all the necessary care and support to service users with the assistance of two part-time assistants. The home is situated in Penzance within easy reach of transport routes, shops and local community facilities. Accommodation is provided in a mid-terrace, two storey house that is spacious, well decorated and domestic in character. Service users have their own bedrooms and share a bathroom on the first floor. They have the exclusive use of a lounge/ dining room downstairs, are able to access the large, well-equipped kitchen and have use of a well-maintained rear garden. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited 22 Pendarves Road, Care Home on the 06 September 2005 and spent two and a half hours at the home. This was an announced visit. The purpose of the inspection was to gain an update on the progress of compliance to the requirements that were identified in the last inspection report dated 22 February 2005. In addition the inspector focused on the following key areas of care: choice of home, care planning, lifestyle, adult protection, staffing, some of the environment and some management areas. On the day of inspection 2 residents were living in the home. The methods used to undertake the inspection were to meet with the registered provider to gain her views on the services that 22 Pendarves Road offer. The residents were not at home at the time of the inspection however positive comment cards were received from them and their relatives. The home’s records, policies and procedures were examined and the inspector toured the building. This report summarises the findings of this inspection. What the service does well: What has improved since the last inspection? The flooring in the kitchen has been replaced. A shower has been installed in the residents’ bathroom; this resulted in extensive work being undertaken on the drainage system of the house. New decking has been laid in the garden. There is now a record of all visitors to the home. The adult protection 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 6 Policy has been updated. There are job descriptions for staff working in the home. The residents daily records are kept in separate diaries for confidentiality and to comply with data protection legislation. 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. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 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 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 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 Prospective residents will be given information about the home enabling them to make an informed decision. EVIDENCE: The home has a suitable statement of purpose and service users guide that include all of the information required by legislation. Both are available to residents and their relatives. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 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 10 Individual care plans are generated with each resident, representative and Social Worker, they inform and direct the staff in their care provision. Systems are in place to ensure that information is handled appropriately and residents know that confidentiality is respected. EVIDENCE: Each resident has an individual care plan that is reviewed every six months and signed by the resident, relative and social worker. The Registered Provider reviews the care plan informally, with the resident. She then meets with the social worker to go through it again. When it is agreed by them the care plan is typed and sent to the next of kin or representative to review. Individual risk assessments are undertaken and documented. Daily records are maintained in separate diaries for each resident and records are stored in a locked filing cabinet. The registered provider said that residents can access their records if they wish. The home has a written confidentiality policy. Systems complied with data protection legislation. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 10 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 11 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) 11,12,15,16 and 17 Residents attend clubs and can attend courses giving them the opportunity for personal development. Residents have jobs and take part in appropriate activities that encourage their independence and individuality. Links with family, friends and the community are good and allow residents the opportunity to socialise. Dietary needs of residents are well catered for with a varied selection of food available to meet their taste and preference. EVIDENCE: 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 12 Both residents are actively involved in a range of activities and attend various clubs. They are provided with information on activities, advocacy, holiday options and local facilities. One resident is engaged in local church activities. The Registered Provider said that both residents were independent, they assist in the household tasks and go into town and out walking at the weekends, for example. Both residents attend weekly activities. One resident is going to go to organised cycling sessions. Both residents went on an organised holiday earlier in the year and one attends an annual holiday organised by the Gateway club. Both residents go out to work during the week. They can attend courses if they wish. Residents have photographs of family and friends in their rooms. The Registered Provider said that both residents had regular contact with their families by visits or telephone. There is a record of all visitors to the home. The daily routines promote independence and are flexible within reason, more so at the weekends. The daily routines and house rules are included in the care plans. Both residents have front door keys and are able to enter and leave the home as they wish. Neither resident wants a key to their room. Both have mobile phones for contact when they go out. A healthy diet is encouraged and the home has a very flexible menu plan. Residents are provided with a cooked evening meal and are able to access fresh fruit and snacks at all times. They have lunch at their work or day centres during the week and meal times are more flexible at the weekend. Residents have their meals in their own lounge / dining room. A special meal and a cake are provided on birthdays and friends are invited for tea if they wish. Records of meals served in the home are kept 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 13 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) 19 and 20 Residents have access to health care services as necessary to ensure their physical and emotional needs are met. There are suitable systems and policies in place for dealing with residents medicines and assure residents safety. EVIDENCE: Residents are assisted to manage their healthcare needs. They are registered with a General Practitioner, sight tests are undertaken annually and they visit a dentist regularly. There are relevant risk assessments undertaken for both residents. The Registered Provider maintains strong links with social workers and the epilepsy nurse specialist.. The home has a written policy in respect of medication and relevant guidelines. Residents’ have consented to the Registered Provider administering their medication. A monitored dosage system (MDS) is used. Medicines are stored safely and securely and appropriate records maintained. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 14 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) 23 Arrangements are in place for the protection of residents safeguarding them from harm or abuse. EVIDENCE: The home has an appropriate Adult Protection policy and the registered provider has a copy of the local authority procedures. There is a separate whistle blowing policy. The registered provider is arranging training with Social Services, there is a waiting list for this training. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 15 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 and 30 The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home was clean and free from offensive odours making it a pleasant place to live in EVIDENCE: The home provides a comfortable, homely environment and was clean and tidy on the day of inspection, with no offensive odours. The grounds were tidy and attractive and they are accessible to the present residents, new decking has been laid. The residents participate in the gardening. The home is not accessible to wheel chair users. There is adequate heating, lighting and ventilation. The home is well maintained and there is a programme for redecoration and refurbishment. A new shower has been installed in the residents bathroom and new flooring has been fitted in the kitchen. The laundry facilities are adequate for the size of the home and are situated in an outside building at the back of the home. Protective clothing is provided for staff. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 16 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, 35 and 36 Recruitment procedures undertaken by the Registered Manager are robust and offer protection to the residents. Staff receive training relevant to their roles to ensure that residents needs are met appropriately. Staff are well supervised and supported and residents benefit from this. EVIDENCE: There has been one new employee since the last inspection. Her file was inspected and contained the documents required by legislation. Relevant employment checks are made. Terms and conditions of employment are given to employees. Photos of the staff, registered provider and her parents are displayed on the notice board so that residents can identify them. There is an induction programme for new staff that includes a checklist. Appraisals each year and regular supervision identify training needs. Training is undertaken as necessary, moving and handling is the next to be done. The Registered Provider supervises the staff when going about their work. Recorded supervision is undertaken every six months. Information is shared during handover and house meetings take place every 3 months; the residents attend these. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 17 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 18 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) 42 and 43 Appropriate training and safety checks are undertaken to ensure the health safety and welfare of residents and staff. Accounts show the business to be a viable concern and residents benefit from the competent management of the home. EVIDENCE: The registered provider endeavours to ensure that working practices are safe. Relevant service checks take place as required although it is recommended that the home have a certificated electricity wiring test undertaken. Staff receive statutory training and there is a person trained in first aid on duty at all times. There is a fire procedure that is on the notice-board and regular fire drills take place. Accident reporting complies with data protection. Health and safety risk assessments have been undertaken. The homes’ accounts showed that the business is viable, records are maintained and receipts kept. The insurance certificate is displayed and there is appropriate cover. The registered provider has an annual business plan for the home. 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 19 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 20 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 x x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 22 Pendarves Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 3 D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 21 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. 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. 1. Refer to Standard 42 Good Practice Recommendations The home should have a certificated electricity wiring test undertaken 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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 22 Pendarves Road D52-D04 S9078 22 Pendarves V246639 060905 Stage 4.doc Version 1.40 Page 23 - 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!