Inspection on 03/10/06 for Peacehaven

This inspection was carried out on 3rd October 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 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 2 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 29/03/06

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 3rd October 2006 11:00 Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 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.V315830.R01.S.doc Version 5.2 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.V315830.R01.S.doc Version 5.2 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.V315830.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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 29th March 2006 3. 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. Fees charged at Peacehaven range from £500.55 to £532.65 per week. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows a key inspection of Peacehaven that culminated in an unannounced visit to the service. The judgements made within this report are based upon evidence found on the day of the inspection along with information submitted by the service and feedback from service users, staff and other parties since the previous inspection. Mrs Patricia Payne, registered manager of the home, was at Peacehaven during the inspection visit as was her daughter, assistant manager Alison Strachan. Both took an active role in the inspection process. During this inspection 26 of the 43 standards were looked at; 24 of these were met and two were partially met. During the visit to Peacehaven, staff and service users were spoken with. All were positive about the home and service users appeared at ease and were happy to talk to the Inspector. Interactions between staff and service users observed during this inspection were positive. The visit to Peacehaven included a partial tour of the home, discussions with service users, staff and the home manager, as well as the opportunity to look at records of how people living at Peacehaven were supported and how the staff were recruited and trained. What the service does well: What has improved since the last inspection? Environmental improvements have continued at Peacehaven with the purchase of new lounge furniture and a new kitchen. There are plans to redecorate rooms on the first floor as well as the ground floor bathroom. The new boiler (installed on the day of the last inspection) now delivers hot water at safe temperatures to all taps within Peacehaven. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 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.V315830.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can expect to have the information they require to make an informed choice about where they live and their needs assessed. EVIDENCE: Those living at Peacehaven have done so for many years. There have been no recent admissions nor are there plans for others to enter the home. Should a new service user come into the home, records and discussions with the Assistant Manager suggested that needs would be fully assessed prior to admission. The Statement of Purpose continues to be relevant to those service users using the service Records showed that the aspirations and needs of those living at Peacehaven had been assessed and that these assessments were regularly reviewed. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect their changing needs and personal goals to be reflected in their individual plan and can expect to be consulted on decisions about their lives. Service users can expect to be supported to take risks as part of an independent lifestyle. EVIDENCE: The service user records sampled during the inspection showed that individual needs were assessed and were reflected within individual service user plans. These plans were subject to regular monitoring and review, and changes in needs were identified and acted upon. The examination of records and discussions with individual service users and staff gave evidence that service users were central to the decision-making processes within Peacehaven, as well as playing a pivotal role within care reviews. From discussions with individual service users, it was apparent that service users understood the contents of their own plans of care and had contributed their construction. Service user records also contained evidence of risk Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 10 assessments being undertaken leading to the development of risk management plans. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to have opportunities for personal development and to take part in age, peer and culturally appropriate activities. Service users can expect to be encouraged to be active members of the local community engaged in appropriate leisure activities and supported to have appropriate opportunities to develop and maintain personal and family relationships. Service users’ can expect to have their rights respected and responsibilities recognised in their daily lives. Service users can expect to be offered a healthy diet and enjoyed their meals and mealtimes. EVIDENCE: The service user records examined gave evidence that each person living at the home had a detailed weekly programme that included education and leisure type activities. All three service users were at home on the day of the visit. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 12 One service user told the inspector that she regularly used community facilities as part of her daily life and enjoyed the activities on offer, although her activities were still limited following an accident last year. Lunch on the day of the site visit to Peacehaven was fish and chips from a take-away the within Tiptree although one service user chose to have a cold meal, preferring to have a cooked meal in the evening. This showed good evidence of the home being flexible to the wishes of individual service users and offering a choice of foods and where meals are eaten. Discussions with Mrs Strachan and with service users showed that a good range of food was on offer at Peacehaven. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to receive personal support in the way they prefer and require to ensure their and physical and emotional health needs are met. Service users can expect to be protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Service user plans identified individual needs as well as how the service user would like these needs to be met. Care plans were well detailed, regularly monitored and formally reviewed at intervals depending on individual need. There was an ongoing process of assessment to take account of the changing needs of individuals and the services of healthcare professionals such as community nurses. Speech and language therapists or psychologists were accessed as where needed. Service users spoken with at the site visit expressed satisfaction with the way they were supported and felt their needs were well met. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 14 None of the service users retained, administered or controlled their own medications at the time of this inspection. The policies and procedures in place at Peacehaven regarding the storage and administration of medicines were examined and offered suitable protection to service users. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect that the arrangements in place would help to protect service users from abuse, neglect and self-harm. Service users can expect their views to be listened to and acted upon. EVIDENCE: The home had a robust complaints procedure and abuse policy and these had been revised since the last inspection to show the contact details of the Commission for Social Care Inspection. The adult protection policies and procedures were adequate to protect service users from abuse and where service users presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users can expect to live in a homely, comfortable and safe environment that is clean and hygienic. EVIDENCE: Care is provided within the family home of the proprietors of Peacehaven and is very much of a domestic style. Individual bedrooms suited service user needs and lifestyles, were decorated to the colours of the service users’ choice and promoted independence. The ground floor service user bedroom had been decorated since the last inspection and the homes kitchen had been refitted. The boiler that was being installed on the day of the previous inspection was operational at this visit and delivered hot water at safe temperatures to the bathrooms. The home had taken delivery of new lounge furniture since the last inspection and Mrs Strachan inform the Inspector of plans to redecorate rooms on the first floor that Peacehaven. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 17 Peacehaven was clean and hygienic on the day of the visit and no unpleasant odours were noticed. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported by competent and qualified staff. Service users can expect their needs to be met by appropriately trained staff. However service users cannot be assured that they will be protected by the home’s recruitment policy and practice. EVIDENCE: The examination of staff records showed that staff had received training in manual handling, basic food hygiene, health and safety, basic first aid and fire awareness, and the staff were adequately trained and supported to meet the needs of the service users. While there have been no new staff appointed since the last inspection, and for most staff, all information required in relation to their employment was in place. However there remains a need for enhanced criminal records bureau disclosures to be obtained for some of those working at Peacehaven. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service users can expect to benefit from a well-run home and confident their views are underpinned by self-monitoring, review and development at the home. However service users cannot be assured that their health, safety and welfare will be fully promoted and protected. 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 the home had received a quote for cover and this was being pursued with the home’s insurance broker. Mrs Strachan further stated that she would forward at copy of the insurance certificate to the Commission for Social Care Inspection once cover had been finalised. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 20 It was apparent at the inspection from observation of interactions between staff and service users, that there was an open and inclusive management culture at the home and relationships between staff and service users were very positive. Records showed that regular staff meetings were being held and service users views were sought and taken into account when planning activities, events or developments within the home. Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 21 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 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 22 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 YA34 Regulation 19, Schedule 2 Requirement The Registered Person must ensure that Criminal Records Bureau enhanced disclosures are received in respect of all care staff working at the home. Previous timescale of 10th July 2006 was not met. The Registered Manager must 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 timescale of July 10th 2006 was not met. Timescale for action 30/11/06 2. YA42 13 30/11/06 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.V315830.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Peacehaven DS0000017905.V315830.R01.S.doc Version 5.2 Page 24 - 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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