Inspection on 08/03/06 for Pearce Lodge

This inspection was carried out on 8th March 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pearce Lodge 19/06/07

Pearce Lodge 13/09/05

Pearce Lodge 03/03/05

Pearce Lodge 13/09/04

Pearce Lodge 01/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Pearce Lodge 9 Dorchester Road Hazel Grove Stockport Cheshire SK7 5HE Lead Inspector Jackie Kelly Unannounced Inspection 8th March 2006 10:00 Pearce Lodge DS0000008552.V286108.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 Pearce Lodge DS0000008552.V286108.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. Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pearce Lodge Address 9 Dorchester Road Hazel Grove Stockport Cheshire SK7 5HE 0161-483 5442 0161 456 7376 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) The Together Trust Richard Gajewski Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (5), of places Physical disability (5) Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 5 service users to include: *up to 5 service users in the category of MD (Mental disorder excluding learning disability or dementia under 65 years of age). *up to 5 service users in the category of LD (Learning disabilities under 65 years of age). *up to 5 service users in the category of PD (Physical disabilities under 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 22 September 2005 2. Date of last inspection 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 DS0000008552.V286108.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place late afternoon. Time was spent talking with the manager Mr Richard Gajewski. Support workers and one of the young people were also spoken with. One of the care plans was 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. On the day of the inspection the home had one vacancy. A new resident had been put forward for the vacancy. The manager had been in contact with the social worker and was awaiting the social work assessment. The manager was also in the process of sending the service users representatives the homes information pack. The inspector was shown the new staff accommodation which had recently been completed. Other alterations were in the process of being built which will improve resident access to the home. Questionnaires had been sent to the home for the residents and relatives to complete at the previous inspection of September 2005. The majority of the questions were answered positively. The residents did not complete questionnaires, as none of them would either, be able to complete one independently or understand the questions. Neither the home nor the Commission for Social Care Inspection had received any complaints. Care workers have achieved National Vocational Qualifications Level 2 and Level 3. The organisation had also provided other general training. Not all the standards were looked at during this inspection as they had been met and found to be satisfactory during previous inspections. What the service does well: The home was clean even though building work was in progress to improve access to the home and extra storage space in the laundry. 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. Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 Page 6 On the day of the inspection three of the residents had been out for the day and one had been to a day centre. A holiday was planned for later in the year during which time the home will be decorated. Relatives were welcomed, kept informed, encouraged to visit and take part in house parties for birthdays, Christmas and other special occasions. An annual development and improvement plan was in place, which included a comprehensive training programme. The support workers and manager were welcoming and had good relationships with the service users. The service users appeared to be happy and relaxed. The service users are encouraged and enabled to achieve as much independence as their capabilities would allow. 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 DS0000008552.V286108.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 Pearce Lodge DS0000008552.V286108.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): 1,2,3,4,,5. Prospective residents received information and went through an assessment process that assured them their needs would be met. EVIDENCE: Cheshire Social Services had approached the home to provide accommodation for a young person. The manager had met with the social worker and was in the process of sending out information about the home. The parents of the young person would be visiting. The young person would visit and be introduced once the initial stages have been completed. 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 relatives information about the home and what was to be provided. Pearce Lodge DS0000008552.V286108.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): 6,7,8,9,10. The care plans reflected the young peoples needs and requirements to enable them to lead as independent life as their capabilities would allow. EVIDENCE: One of the service users was going through the assessment process in determining his level of skills with a view to him leaving the home and living independently. 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 DS0000008552.V286108.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): 11,12,13,14,15,16,17. The young people accessed education, community/leisure facilities and maintained family contact. The support workers respected the young peoples rights. 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 now has access to extra activities. The last person to be admitted had settled in and had a place at a local college from September 2006 for daily living and vocational skills. On the day of the inspection three of the four service users had been out for the day. The fourth service user had attended a day centre. A holiday is planned for later in the year for all four of the residents. Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 Page 11 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, gym and cinema. The young people discuss menus at their weekly meetings. Pearce Lodge DS0000008552.V286108.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): 18,19,20. 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. The manager said that new care plans had been developed but before they are implemented in all establishments they will be piloted in a couple of the organisations homes. None of the current group of young people was capable of managing their own medication. 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 DS0000008552.V286108.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): 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. Neither the home nor the Commission for Social Care Inspection had received any complaints. Pearce Lodge DS0000008552.V286108.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): 24,25,26,27,28,29, 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 changes such as improved staff accommodation, easier access in the form of automatic doors and extra storage in the laundry were in the process of being built. The entrances to two of the bedrooms were to be enlarged. The home will be re-decorated whilst the service users are away on holiday later in the year. Pearce Lodge DS0000008552.V286108.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): 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 no new staff employed since the previous inspection of September 2005. 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 at the previous inspection of September 2005. The manager and support workers were well supported and had regular supervision. Pearce Lodge DS0000008552.V286108.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): 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 monitoring visits form, which was completed by a senior manager had been sent to the Commission for Social Care Inspection each month as required. As the home is part of a larger organisation which is a registered charity accounts are published each year. A development plan for 2005/2006 had been produced which had been given to the inspector at the previous inspection of September 2005 and was satisfactory. However the organisation must publish a quality assurance report that is specific to Pearce Lodge and includes a synopsis of the development Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 Page 17 plan and the results of service user surveys. A copy of this report must be sent to the Commission for Social Care Inspection and copies made available to service users or their representatives. Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 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 3 2 3 3 3 3 Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 Page 19 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. 1 Standard YA39 Regulation 21 Requirement The registered person must ensure that a quality assurance report is produced on an annual basis, which is specific to Pearce Lodge. Copies of the report must be sent to the Commission for Social Care Inspection and made available to service users or their representative. Timescale for action 20/05/06 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 Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Pearce Lodge DS0000008552.V286108.R01.S.doc Version 5.1 Page 21 - 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!