Inspection on 29/03/06 for Peacehaven

This inspection was carried out on 29th March 2006.

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 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Peacehaven 13/01/09

Peacehaven 22/01/08

Peacehaven 20/06/07

Peacehaven 03/10/06

Peacehaven 22/12/05

Peacehaven 25/11/04

Peacehaven 27/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Peacehaven 43a Maldon Road Tiptree Colchester Essex CO5 0TS Lead Inspector Neal Wolton-Harragan Unannounced Inspection 29th March 2006 11:15 Peacehaven DS0000017905.V288662.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 Peacehaven DS0000017905.V288662.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. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Peacehaven Address 43a Maldon Road Tiptree Colchester Essex CO5 0TS 01621 818220 01621 818220 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 Patricia Anne Payne Mrs Patricia Anne Payne Care Home 3 Category(ies) of Learning disability (3), Physical disability (1) registration, with number of places Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 3 persons) One person, under the age of 65 years, who requires care by reason of a learning disability, who also has a physical disability, and who has resided in the home since April 2002 The total number of service users accommodated must not exceed 3 persons 22nd December 2005 Date of last inspection Brief Description of the Service: Peacehaven is a home accommodating 3 individuals with learning disabilities, one of whom also has physical disabilities. The home is a semi-detached property, close to Tiptree town centre. The Proprietor/Manager of the home is Mrs Patricia Payne who has run the home prior to registration under previous legislation in 1994. Service users are offered accommodation within the family home, consisting of one downstairs bedroom and two further bedrooms upstairs. A lounge, dining area and kitchen are shared with the family. There is a small, enclosed garden area to the rear of the property that is accessed through patio doors at the end of the dining area. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an inspection at Peacehaven on March 29th 2006, the second inspection at the home for the year 2005/2006. Mrs Payne, the Proprietor/Manager was at the home on the day of inspection, as was her daughter, Mrs Strachan, the Assistant Manager. Mrs Payne had recently slipped in a local supermarket, sustaining a fractured kneecap, although this had not prevented her from overseeing affairs at Peacehaven. A total of five standards were examined at this inspection, thus ensuring that all key standards applicable to Peacehaven had been inspected in this inspection year. Of the five standards assessed at this inspection, one was met and four had minor shortfalls, although some progress had been made in these areas. As reported at previous inspections, the service users at Peacehaven are offered care within the Proprietor’s own home. This means that whilst legally a care home, the nature of the care offered on a day-to-day basis is more in line with an adult placement. At the last inspection, it was suggested to Mrs Strachan that it might be appropriate to become affiliated to an Adult Placement scheme, however, both Mrs Payne and Mrs Strachan stated at this inspection that this was not the direction in which they wished to move. As with the last inspection, shortfalls identified by this inspection do not reflect the level or quality of care received on a daily basis, but are due, in part, to the nature of the way the care is offered. However, concerted efforts are being made in the home to meet the regulatory requirements. What the service does well: What has improved since the last inspection? Since the last inspection, new windows and external doors have been installed throughout Peacehaven and the lounge has been decorated. New furniture was expected on the day of this inspection and a new boiler was also in the process of being fitted. Peacehaven DS0000017905.V288662.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. Peacehaven DS0000017905.V288662.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 Peacehaven DS0000017905.V288662.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): These areas were not assessed at this inspection. EVIDENCE: Although these standards were not assessed at this inspection, the key standards were assessed as being met at the inspection of December 22nd 2005 and details can be found in the report of that visit. Peacehaven DS0000017905.V288662.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): These areas were not assessed at this inspection. EVIDENCE: Although these standards were not assessed at this inspection, the key standards were assessed as being met at the inspection of December 22nd 2005 and details can be found in the report of that visit. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 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): These areas were not assessed at this inspection. EVIDENCE: Although these standards were not assessed at this inspection, the key standards were assessed as being met at the inspection of December 22nd 2005 and details can be found in the report of that visit. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 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 the following standard(s): These areas were not assessed at this inspection. EVIDENCE: Although these standards were not assessed at this inspection, the key standards were assessed as being met at the inspection of December 22nd 2005 and details can be found in the report of that visit. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 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 the following standard(s): 22 & 23 Arrangements were in place to help protect service users from abuse, neglect and self-harm. Service users felt their views were listened to and acted upon. EVIDENCE: The home had a robust complaints procedure and abuse policy. Mrs Strachan advised that the abuse policy and the complaints procedure had been amended to show contact details of the Commission for Social Care Inspection, although these were not in the home for inspection. The registered person must forward a copy of these documents to the Commission for Social Care Inspection. The adult protection policies and procedures were adequate to protect service users from abuse. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 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 the following standard(s): 24 The home was homely, comfortable and safe. EVIDENCE: On the day of inspection, an engineer was at Peacehaven installing a new boiler to ensure delivery of hot water at a safe temperature. Since the last inspection, new windows and external doors have been fitted throughout Peacehaven and all the windows have security features to restrict opening. The lounge/diner had been decorated and the ground floor bedroom was due for decoration in April while the service users were on holiday. A new lounge suite was due for delivery later on the day of the inspection and Mrs Payne stated that the kitchen was to be refitted in May 2006. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 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 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): 34 Service users were largely supported by the home’s recruitment policies and procedures. EVIDENCE: Although the majority of information required in relation to staff was in place, Criminal Records Bureau disclosures were not on file. Mrs Strachan stated that, although these had been applied for prior to the previous inspection, these were yet to be returned. Mrs Payne and Mrs Strachan should pursue these through the CRB and forward copies to the Commission for Social Care Inspection once they are returned. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 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 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): 43 The service users did not completely benefit from competent and accountable management of the service. EVIDENCE: The service was largely well managed and Mrs Payne and Mrs Strachan took clearly defined responsibilities. However, there was no Certificate of Insurance available for examination at Peacehaven on the day of inspection. Mrs Strachan stated that this was with the home’s insurance broker and she would forward at copy of the certificate to the Commission for Social Care Inspection. Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 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 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X 2 Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 YA22 Regulation 22(7) Timescale for action The Registered Person must 10/07/06 provide the commission for Social Care Inspection with a copy of the revised complaints procedure, showing contact details of the Commission for Social Care Inspection. The Registered Person must 10/07/06 provide the commission for Social Care Inspection with a copy of the revised abuse policy, showing contact details of the Commission for Social Care Inspection. The Registered Person must 10/07/06 ensure that Criminal Records Bureau enhanced disclosures are received in respect of all care staff working at the home. The Registered Manager must 10/07/06 provide the commission for Social Care Inspection with a copy of a certificate of insurance in respect of liability that may be incurred by them in relation to the home. The previous st timescale of 1 March 2006 was not met. Requirement 2. YA23 13(6) 3. YA34 19, Schedule 2 13 4. YA43 Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 Page 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Peacehaven DS0000017905.V288662.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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