Inspection on 09/11/05 for Padgate House

This inspection was carried out on 9th November 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

Padgate House 18/04/07

Padgate House 27/07/05

Padgate House 05/11/04

Padgate House 24/06/04

Padgate House 09/03/04

Padgate House 07/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Littledale Hall Therapeutic Community

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Padgate House Vulcan Close Padgate Warrington Cheshire WA2 0HL Lead Inspector Wendy Smith Unannounced Inspection 9th December 2005 12:30 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 Padgate House DS0000036225.V266970.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. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Padgate House Address Vulcan Close Padgate Warrington Cheshire WA2 0HL 01925 821639 01925 851520 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) Warrington Borough Council Mrs Ann Bodie Care Home 36 Category(ies) of Past or present alcohol dependence (2), Past or registration, with number present alcohol dependence over 65 years of of places age (2), Past or present drug dependence (1), Past or present drug dependence over 65 years of age (1), Dementia (6), Dementia - over 65 years of age (6), Mental disorder, excluding learning disability or dementia (2), Mental Disorder, excluding learning disability or dementia - over 65 years of age (2), Old age, not falling within any other category (36) Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 36 services users to include:* Up to 36 service users in the category of OP (Old age, not falling within any other category) * Up to 6 service users in the category of DE(E) (Dementia over 65 years of age) * Up to 6 service users in the category of DE (Dementia under 65 years) * Up to 2 service users in the category of MD(E) (Mental disorder over 65 years of age) * Up to 2 service users in the category of MD (Mental disorder under 65 years) * Up to 2 service users in the category of A(E) (Past or present alcohol dependence over 65 years of age) * Up to 2 service users in the category of A (Past or present alcohol dependence under 65 years) * 1 service user in the category of D(E) (Past or present drug dependence over 65 years of age) * 1 service user in the category of D (Past or present drug dependence under 65 years) The registered provider must, at all times, employ a suitably qualified and expirenced manager who is registered with the Commission for Social Inspection Staffing must be provided to meet the dependency needs of service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection 27th July 2005 2. 3. Date of last inspection Brief Description of the Service: Padgate House is a modern single storey building located in a residential area of Warrington. It is within easy reach of local shops and other amenities and is served by public transport. The home is owned and managed by Warrington Borough Council. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 5 A total of 36 places are registered for older people, however a maximum of 35 people are usually accommodated. These are made up of two long stay places, intermediate care for 24 people, step up care for five people and short stay respite care for four people. Service users in receipt of intermediate care are admitted under the care of a medical consultant, other service users receive medical services from local GP practices. Nursing input is provided by nursing staff employed by the local Primary Care Trust. An office in the centre is used as the base for the evening and night nursing service, and the nurses are available for advice and support as needed. Input from physiotherapy and occupational therapy is provided by staff based within the home. Two social workers are also based at the home. The premises was purpose built and designed to meet the needs of older people. There are four lounge/dining areas, each of which has a kitchenette. The bedrooms are single, with the exception of one twin room which is available for service users who may wish to share. Toilets and assisted bathrooms are located near to the bedrooms and living areas. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 9th December 2005 as part of the Commission for Social Care Inspection annual inspection programme. Most of the key standards were inspected at the announced inspection carried out on 27th July 2005 and were found to be met to a good standard. A tour of the communal areas of the building was conducted. Time was spent in conversation with the service manager, the coordinator, the principal officer and other members of staff. Eight service users and two visitors were spoken with. Staff training records, the arrangements for handling service users’ money, and medicines procedures were inspected. Two long stay residents were living at the home and a further 26 people were receiving short term care. What the service does well: What has improved since the last inspection? Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 7 More staff have been given the opportunity to achieve NVQ qualification. The care coordinator has arranged for telephone points to be installed in all bedrooms. 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. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 8 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 Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 9 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): Not inspected on this visit. EVIDENCE: Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 10 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): 8, 9 and 10. Service users’ health needs are met in full. Medicines are well managed and service users are supported to handle their own medicines. The privacy and dignity of service users are respected. EVIDENCE: Three nurse are employed by the primary care trust to provide nursing care, including administration of medicines, to service users in ‘step up’ places. District nurses also provide services for service users receiving intermediate care, respite care, and for the two permanent residents if needed. Two medical consultants visit the home weekly and a general practitioner visits on most days. Physiotherapy and occupational therapy are provided on a daily basis. Other services such as optician, chiropodist, dentist, are contacted as and when needed. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 11 Medicines are administered by senior care staff who have received appropriate training. All medicines received into the home are recorded in detail in a medicines book. Most service users receive their medicines in a NOMAD dispenser, and senior care staff demonstrated that they are familiar with all of the tablets contained within the NOMAD’s and contact the pharmacy immediately with any queries. Some service users are able to self-medicate and a full assessment is recorded. Whenever possible, service users are familiarised with their medicines prior to discharge. All of the service users spoken with said that staff treat them with respect and are always polite and kind. Bedroom doors are fitted with locks and service users are provided with a key for their door. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 12 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 and 15 The social needs of service users are provided for. Visitors are welcomed at the home at any reasonable time. Service users are able to exercise choices in daily living. Service users receive a good diet. EVIDENCE: An activities organiser is employed and a programme of social activities is available for all who wish to participate. Service users spoken with said that they enjoy the social activities that are organised at the home. Several service users were knitting squares to make a blanket. There were several visitors to the home during this inspection. Service users spoken with said that their relatives and friends can visit at any reasonable time. One service user was enjoying a visit from her dog. Service users may take visitors to their bedrooms for a private conversation. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 13 Service users spoken with said that they are able to choose what time they would like to get up and go to bed. They have a choice of sitting areas, and some people prefer to stay in their own room. The home has a payphone which is situated in the smoking lounge, however the coordinator has arranged for each bedroom to be fitted with a telephone point so that service users will be able to make and receive calls in privacy. Recommendation Breakfast is served on an individual basis at any time during the morning. Cooked breakfast is available between 8am and 9:30am. Lunch is at 12, tea at 4pm, and supper, which includes sandwiches and snacks, is at 7:30pm. Night staff have access to all food supplies. There is a choice of three main courses at lunchtime. Hot and cold drinks are made in the kitchenette areas whenever service users would like them and biscuits are always available. Service users expressed their satisfaction with the standard of the meals provided. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 14 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): Not inspected on this visit. EVIDENCE: Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 15 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): 19 The home is clean and well maintained. EVIDENCE: A tour of the building showed all areas to be clean and well maintained. The home has recently recruited a new maintenance person who is shared with a similar service. There are outdoor sitting areas planted with flowers and shrubs, and service users were enjoying watching birds in the garden where there are bird tables. A range of mobility equipment is provided by the therapy staff employed at the home. Fire doors in the corridors are fitted with magnetic catches that close the doors automatically when the fire alarm is activated, but bedroom doors are not fitted with these devices, so must be kept closed. The coordinator said that she had been obtaining estimated for a new fire alarm system for the home that will include automatic closers for the bedroom doors. Recommendation Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 16 The coordinator has also identified that the main entrance to the home is not easily accessible for service users or visitors who use a wheelchair, and has requested funding for a more appropriate door to be fitted. Recommendation Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 17 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): 28, 29 and 30. The home is working towards the Department of Health target for 50 of care staff to have a qualification in care. Recruitment is carried out by the local authority’s human resources department and personnel records for recently recruited staff were not available for inspection. Staff receive training to enable them to carry out their work. EVIDENCE: Warrington Borough Council has an NVQ centre. Six members of care staff have achieved NVQ level 2 in care and two have level 3. Eight staff are working towards NVQ level 2 and seven towards NVQ level 3. When these staff attain their qualification, this standard will be met in full. The home’s coordinator is working towards a Registered Manager Award. Two new members of staff had been recruited since the last inspection. There were no personnel records on the premises to demonstrate that the required pre-employment checks had been carried out. These are held centrally by Warrington Borough Council, and following the inspection the local authority provided evidence that the appropriate recruitment checks had been carried out prior to the two new staff commencing work at the home. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 18 The local authority provides training programmes for all grades of staff, including a two week induction for new care staff. The home’s training records demonstrate what training each member of staff has received and when. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 19 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): 35. Service users’ personal money is handled appropriately. EVIDENCE: The home employs administration staff who look after the day to day finances of the service. There is a safe where service users can deposit small amounts of personal money. The home’s staff assist one of the long stay residents to manager his finances and good records of this are maintained. On the day of the inspection two short stay service users had a very small amount of money in safekeeping and records were available for inspection. If service users bring a significant amount of money with them on admission, this is passed to their social worker for safekeeping. Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 20 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X x Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? No 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. 2. 3. Refer to Standard OP12 OP38 OP19 Good Practice Recommendations Improve telephone facilities for service users. Fit automatic closers to bedroom doors. Improve the accessibility of the main entrance for wheelchair users Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Padgate House DS0000036225.V266970.R01.S.doc Version 5.0 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. 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