CARE HOME ADULTS 18-65
Pearce Lodge 9 Dorchester Road Hazel Grove Stockport SK7 5HE Lead Inspector
Jackie Kelly Announced 13 September 2005 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. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Pearce Lodge Address 9 Dorchester Road, Hazel Grove, Stockport, SK7 5HE 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) 0161-483-5442 0161-456-7376 pearcelodge@btconnect.com Boys and Girls Welfare Society Mr R Gajewski CRH - Care Home Five (5) Category(ies) of LD - Learning Disability (5) registration, with number MD - Mental Disorder (5) of places PD - Physical Disability (5) Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: NONE Date of last inspection 3 March 2005 Brief Description of the Service: Pearce Lodge was developed by Boys and Girls Welfare Society (now known as the Together Trust) in October 1998 to meet the needs of young people and adults who have a disability. The organisation is a registered charity, and has been in existence for more than one hundred and twenty five years, offering a range of services to young people and their families. The services are provided primarily around residential care and education. The home supports five young people who have either a physical and/or a learning difficulty in a bungalow which is situated in a quiet residential area on the borders of Hazel Grove and Bramhall. There are shops, public house, restaurants and swimming pool within a five minute walk. Other facilities such as train station, banks, post office, church and cinemas are a short car ride away. Public transport is available but the bus service is limited however the home does have its own adapted vehicles. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an annual announced inspection, which took place over one day. Time was spent talking with the manager Mr Richard Gajewski. Support workers and one of the young people were also spoken with. Care plans, training records, and drug administration records were looked at. The main staff records, which include the Criminal Record Bureau (CRB) disclosures, were kept at head office; they were not seen during this inspection. A tour of the home took place. Questionnaires were sent to the home for the residents and relatives to complete. At the time of writing this report three out of the five relatives questionnaires that were sent to the home for distribution had been returned to the Commission. The majority of the questions were answered positively and no one had any complaints. One of the relatives commented; ‘Overall Pearce Lodge is a good residential unit – communication is excellent with key workers who genuinely care for the young people which gives me (mother) peace of mind’. The residents did not complete questionnaires, as none of them would either, be able to complete one independently or understand the questions. Questionnaires were also sent to the two medical centres that attended the young people and the environmental health department of Stockport MBC; at the time of writing this report none had been returned. What the service does well:
The home was clean and well maintained both internally and externally. All the young peoples’ bedrooms reflected their individual personalities such as; one had posters, curtains and bedding in Manchester United colours and one had sensory lighting and mobiles hanging from the ceiling. All but one of the young people had been on holiday. The one young person who did not get a holiday had gone on a number of days out. Community activities were encouraged and the staff team had supported the young people. Visits to football, cinema, restaurants, pub and swimming were regular activities. Relatives were welcomed, kept informed, encouraged to visit and take part in house parties for birthdays, Christmas and other special occasions. There had been no complaints. An annual development and improvement plan was in place, which included a comprehensive training programme.
Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 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 Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 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) 1,2,3,4,5. Prospective residents received information and went through an assessment process that assured them their needs would be met. EVIDENCE: There was a service user guide, which had pictures of the home available for the young people. One young person had been admitted since the previous inspection. He had received a full assessment of need and had visited the home on many occasions throughout the past twelve months in order to ensure that he was comfortable with the move. All the young people were funded by a local authority and had ‘individual service agreements’ which stated the agreed care package required. Contracts and care plans also gave the young people and their relative’s information about the home and what was to be provided. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 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) 6,7,8,9,10. The care plans reflected the young peoples needs and requirements to enable them to lead as independent a life as their capabilities would allow. EVIDENCE: Wherever possible the young people took part in planning their care and were aware of their care plan. The care plans were comprehensive, well written and reflected the life styles and degree of risk involved for the young people and the activities they were involved in. Each Sunday a ‘house meeting’ took place where all the young people and the support workers on duty discussed the day-to-day running of the home. There was a staff handbook, which contained a statement regarding confidentiality. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,15,16,17. The support workers respected the young peoples rights, assisted them to access community services, and maintain family contact. EVIDENCE: The majority of the young people attended college or other groups such as ‘Stockport Skills Group’. There had been problems in finding a regular suitable activity for one of the young people however extra funding had been negotiated on his behalf and he would be attending (after his return from holiday) a resource centre three days a week. The majority of the young people had been on holiday. Other activities which the young people had taken part in were; shopping, going to the pub/restaurants, hydrotherapy pool, swimming at local swimming pool, football and cinema. The young people discuss menu’s at their weekly meetings.
Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 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 standard(s) 18,19,20. Standard 21 is not applicable. The young people received support, which ensured that their health care needs were fully met. EVIDENCE: The care plans contained the young peoples likes and dislikes together with reports of consultations with GP’s and the Consultant for Learning Difficulties. None of the current group of young people was capable of managing their own medication. All the records kept by the support workers were satisfactory and all the support workers had received training in administering medication. As the home’s function is to care for young people with a view to preparing them for life in the community standard 21 was not applicable. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 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 standard(s) 22,23. The ‘Together Trust’ and the support workers at Pearce Lodge protected the young people through the complaints procedure, training and daily monitoring of support workers. EVIDENCE: There was a comprehensive policy and procedure for reporting complaints and protecting the young people from abuse. All the staff are to attend training on adult protection. There had been no complaints recorded by the home. The three relatives questionnaires that were received had no complaints. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 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 standard(s) 24,25,26,27,28,29,30. The home was clean, well maintained and decorated to a high standard. All furnishings, fittings and equipment were in good condition and suitable for the needs of the young people. EVIDENCE: The home has had a new bathroom fitted. Other structural changes are planned such as widening doors, new floor covering, small conservatory and automatic doors into the garden, new storage space to laundry and the garden landscaped. All the work is due to start late October 2005. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36. The recruitment and selection methods used ensured that suitable care workers were employed. Experienced and trained care workers looked after the young people. EVIDENCE: There had been some changes within the organisation in that they are actively recruiting on a regular basis. Together with changes to the contracts, (which now require care workers to give a months notice) the home was able to start a new worker as soon as, or even before, someone leaves. The recruitment and selection process required prospective care workers to complete application forms, provide two references, attend for an interview and undertake a Criminal Records Bureau disclosure. The staff files were kept at head office and were not seen during this inspection. However they had been looked at during a previous inspection and were satisfactory. The support workers had done many training courses. There was a record for each individual of training achieved and future training required; a copy was given to the inspector. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 15 The manager and support workers were well supported and had regular supervision. The manager confirmed this and those support workers who were spoken to during the inspection had no complaints and were happy working at Pearce Lodge. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 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 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) 37,38,39,40,41,42,43. The home was run for the young people by a staff team who were experienced and were aware of the development, health, and safety needs of the young people. EVIDENCE: The home had combined the National Minimum Standards with the five principles of ‘Every Child Matters’ to produce a team plan for the home. A development plan for 2005/2006 had also been produced. Copies of both these documents were given to the inspector. Changes had also been made to the monitoring visits format, which took place on a monthly basis. Again the five principles had been incorporated with the National Minimum Standards. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 17 The policies and procedures were comprehensive and available for all support workers and relatives to read should they wish to do so. However they were not in a format, which was suitable for the young people. The manager said that this was being looked at by the organisation. Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 18 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 3 3 3 3 Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 3 3 3
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Pearce Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 19 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 Good Practice Recommendations Pearce Lodge F54 F04 pearce lodge A s8552 v243890 220905 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Place Ashton under Lyne, OL7 0QD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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