Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 09/02/06 for Misty Falls

Also see our care home review for Misty Falls for more information

This inspection was carried out on 9th February 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 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

This home offers a very good standard of care to two residents in a wellmaintained spacious family house that has an accessible garden. The home is warm, clean and comfortable. The residents are encouraged to be as independent as possible and live their lives as they choose. Any risk elements are assessed and documented. Visitors are welcome and the residents are encouraged to socialise. They go out to work, into town shopping, out for walks, attend clubs and go on holidays. One resident went out to the local leisure centre for a swim during the inspection and the other talked about his cycling hobby. Each resident has an individual care plan that is reviewed and signed by the resident, representative and Social Worker. Relevant risk assessments are included with the care plan and reviewed regularly. A healthy diet is encouraged and residents have plenty of choice in what they eat. As they also eat at work or at clubs this is taken into consideration when preparing meals in the home. Fresh vegetables and fruit are provided daily. Residents require minimal support with personal care and this is documented. There is one member of care staff employed and she has worked at the home since it opened. A part time cleaner is also employed. Residents meetings are held regularly and quality assurance questionnaires are completed with the residents annually. They are actively encouraged to air their views at all times.

What has improved since the last inspection?

There is an ongoing refurbishment programme and a review system for the care provided, all records and documentation. There have been no major improvements since the last inspection in September 2005.

What the care home could do better:

The recommendation that a certificated electrical wiring test should be undertaken, issued at the last inspection, is receiving attention. Quotes have been sought and the work should be completed by June at the latest.

CARE HOME ADULTS 18-65 Pendarves Road (22) 22 Pendarves Road Penzance Cornwall TR18 2AJ Lead Inspector Diana Penrose Unannounced Inspection 9th February 2006 09:30 Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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 Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pendarves Road (22) Address 22 Pendarves Road Penzance Cornwall TR18 2AJ 01736 360042 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) Mrs Shirley Maxine Hoblyn Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 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 residents 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. Residents 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. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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 09 February 2006 and spent the afternoon at the home. This was an unannounced visit. The purpose of the inspection was to conduct a statutory inspection of the home. The inspector focused on the following key areas of care: assessment, individual needs and choice, personal support, complaints, the environment, and quality assurance. On the day of inspection 2 residents were accommodated in the home. The methods used to undertake the inspection were to meet with both of the residents and the registered provider to gain their views on the services offered by 22 Pendarves Road. 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? There is an ongoing refurbishment programme and a review system for the care provided, all records and documentation. There have been no major improvements since the last inspection in September 2005. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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 Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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): 2 Residents will only be admitted to the home following an assessment of their needs to ensure the home can provide adequate care. EVIDENCE: There have been no new admissions to the home for six years. The registered provider said she would not accept anyone without a full Social Services assessment. She would also invite the prospective resident for a meal and then to stay overnight or for a weekend so that she could do her own assessment. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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 and 9 Residents make decisions about their lives; assistance and support is given where necessary. Risks are assessed and appropriate support is given enabling residents to lead an independent lifestyle. EVIDENCE: Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 Page 10 The registered provider said residents are assisted to make decisions about their lives and the residents confirmed this. One resident said he goes out and does what he wants as long as he tells the registered provider where he is going. Residents are encouraged to manage their own finances within their capabilities; one resident showed the inspector how he manages his money and the records that are maintained. Both have bank accounts and lockable storage space is provided. The registered provider is appointee for one resident and maintains suitable accounts. House meetings enable residents to make decisions and there is evidence in the daily records. Both residents said there is a choice of food and the routines of daily living are flexible. Residents are encouraged to take responsible risks and there are very good written risk assessments with the care plans. The Registered provider explained that issues involving a higher risk are regularly discussed with the residents, their representatives and maybe external professionals - examples were given. The epilepsy nurse has written risk assessments for both residents. The home had written procedures in respect of the action to be taken in the event of a resident going missing from the home. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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 the following standard(s): 13 Links with the local community are good and allow residents the opportunity to socialise. EVIDENCE: Residents are encouraged to maximise their independence and make use of local community resources in accordance with their individual care plan; both residents said they enjoy a social life that meets their needs. They are provided with ample information on local resources in a box file in their dining / sitting room and on a notice -board in the kitchen. The registered provider supplies transport but they also use public transport. Arrangements for residents to be accompanied on activities outside of the home are available, where necessary. Both residents go out to work. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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 Personal support is given to residents according to their needs ensuring their individual preference is respected. EVIDENCE: The registered provider said she ensures that appropriate support, care and encouragement are provided. Both residents said they are happy with the care provided and that their privacy is respected. Specialist health care workers are consulted as necessary. The arrangements for the provision of personal and healthcare support are stated in the home’s statement of purpose and residents’ guide and are detailed in residents’ care plans. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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): 22 Residents are encouraged to air their views and they feel they are listened to and action is taken as necessary. EVIDENCE: The home has a written complaints procedure that includes suitable time scales for the process. The procedure has been read and signed by both residents. They also have a copy in their rooms. There have been no complaints. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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): 24, 26, 28 and 30 The home and grounds are well maintained providing a safe environment for residents, staff and visitors. The home is clean and free from offensive odours making it a pleasant hygienic place to live in. There is sufficient indoor and outdoor communal space for residents to be comfortable and choose where they would like to be. The home is clean and free from offensive odours making it a pleasant place to live in. EVIDENCE: The home is suitable for its stated purpose and no changes have been made to the layout since the last inspection. It is spacious, comfortable, very clean and well decorated. Lighting, heating and ventilation are domestic. Residents have their own belongings and furniture in their rooms. The home is a smoke free environment and communal areas have suitable comfortable furniture. The grounds are tidy and attractive and they are accessible to the present residents. The home is not accessible to wheel chair users. The home is well maintained and there is a programme for re-decoration and refurbishment. The laundry facilities are suitable 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. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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): 31 Staff are issued with appropriate job descriptions so they understand their roles and responsibilities. EVIDENCE: There is a part-time care assistant and a cleaner employed. Both have been issued with a relevant job description that defines their role. The registered provider has also provided them with a list of typical duties to be undertaken on a shift. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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): 39 The home is run in the best interest of the residents and they benefit from the Quality Assurance systems in place EVIDENCE: Residents have written care plans and are encouraged to state their views on the day-to-day running of the home. Residents meetings take place and are minuted. User satisfaction questionnaires are completed annually with the assistance of staff. Reviews are carried out with the resident and their Social Worker. The care plan is then forwarded to the family for comments, adjustments or approval. Standard 42 - the electrical wiring test recommended at the last inspection is underway. Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 4 X 4 X LIFESTYLES Standard No Score 11 X 12 X 13 4 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X 3 X X X X Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 Page 18 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. 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 YA42 Good Practice Recommendations The home should have a certificated electricity wiring test undertaken Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 Page 19 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 Pendarves Road (22) DS0000009078.V281986.R01.S.doc Version 5.1 Page 20 - 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!