Inspection on 10/01/06 for Peldon Campus

This inspection was carried out on 10th January 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Peldon Campus 07/06/07

Peldon Campus 02/05/06

Peldon Campus 12/07/05

Peldon Campus 04/01/05

Peldon Campus 17/08/04

Peldon Campus 25/03/04

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 Peldon Old Rectory Church Road Peldon Colchester Essex CO5 7PT Lead Inspector Stephen Boyd Final Unannounced Inspection 10th January 2006 09:30 Peldon Old Rectory DS0000017906.V252316.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 Peldon Old Rectory DS0000017906.V252316.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. Peldon Old Rectory DS0000017906.V252316.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Peldon Old Rectory Address Church Road Peldon Colchester Essex CO5 7PT 01206 735279 01206 735206 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 Essex Autistic Society Mrs Michelle Johna Smith Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Peldon Old Rectory DS0000017906.V252316.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65, who require care by reason of a learning disability (not to exceed 18 persons) 12th & 13th July 2005 Date of last inspection Brief Description of the Service: Peldon Old Rectory provides accommodation and care for up to 18 adults under 65 with autism. The home provides services across three units at the site. The old rectory is the main building accommodating up to 10 service users and incorporates the administration offices. Seymour House is a smaller sized family unit for up to four people. Ashton House provides accommodation and care for people with more challenging behaviour.The three units have a management team comprising one registered manager, a deputy manager and team leader. The service is part of the Essex Autistic Society adult services directorate that has a number of care homes and other services in the Colchester area.The home provides structured support programmes tailored to the individual needs of service users. The home works imaginatively to find ways of communicating with people who have a wide range of communication methods. Peldon Old Rectory is in a rural part of north Essex, approximately eight miles from Colchester Town Centre. Each unit has transport accessible to service users and public transport is available close by. Peldon Old Rectory DS0000017906.V252316.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in one day in January 2006. The inspector was assisted by the manager, Michelle Smith, and her deputy. A number of service users were spoken to in general and four staff were also spoken with. Time was spent observing the interaction between staff and service users. A tour of the premises took place and various records and policies were perused. Seventeen out of the nineteen National Minimum Standards assessed were met in full. What the service does well: What has improved since the last inspection? There were no requirements or recommendations outlined in the previous inspection report. The inspector was advised that since the last inspection, Peldon Old Rectory DS0000017906.V252316.R01.S.doc Version 5.1 Page 6 the dining room in the old rectory unit had been refurbished. The manager also reported that “communication passports” had been developed for nearly all service users, an example of which was seen on the day of the inspection and will aid the information and knowledge available to staff about individual service users. The inspector was also advised that various improvements to the premises are scheduled to be undertaken in the near future such as kitchen cupboards being replaced in the old rectory unit and a shower room being refurbished again in the old rectory unit. 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. Peldon Old Rectory DS0000017906.V252316.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 Peldon Old Rectory DS0000017906.V252316.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): 2&4 The home undertakes full assessments of prospective service users and allows them to “test drive” the home prior to admission, ensuring that service users know that their needs can be met. EVIDENCE: A service user had been admitted to the home a few days prior to the inspection. It was clear that an in-depth assessment of the service users needs had been made and many meetings and visits had taken place prior to the service user being admitted. At the time of the inspection, staff reported that the service user was settling in well. Peldon Old Rectory DS0000017906.V252316.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&9 The home’s support plans are accessible to service users and reflect their assessed and changing needs. Risk assessments support service users to be as independent as they are able. EVIDENCE: Support plans seen on the day of the inspection were user friendly with pictorial signs and diagrams. Plans had clear aims and methods detailed on how to meet the goals. Progress reviews were undertaken on the plans at regular intervals. Risk Assessments were seen to be available that clearly outlined the potential risks to service users and how these could be minimised. The Risk Assessments were reviewed on a regular basis. Peldon Old Rectory DS0000017906.V252316.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): 17. Service users are offered a good diet with suitable variety. EVIDENCE: Menus seen on the day of the inspection indicated a good variety on offer to service users. What each service user eats is individually recorded and planned menus were also seen to be available. Service users, where they are able, help with the preparation of meals and go shopping for food stuffs. Food sampled on the day of the inspection was enjoyable and well presented. Peldon Old Rectory DS0000017906.V252316.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): 18, 19 & 20 Service users’ needs are met in a way they prefer and require. The medication system used in the home was seen to be safe. EVIDENCE: Observation on the day of the inspection indicated good support being given to service users. Support plans clearly indicated where service users have had physical and emotional health needs and how these were to be met. Evidence was seen on service users’ files of regular health care appointments being made. At the time of inspection, none of the service users were assessed as able to self administer medication. The home was operating a monitored dosage system of medicine administration which was viewed in one unit and seemed to be working well. Staff had received training in medicine administration uses and side effects. Peldon Old Rectory DS0000017906.V252316.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. Service users’ views are very valuable in the operation of the home. EVIDENCE: The inspector was advised that since the last inspection there has been no complaints raised about the home by service users, staff or other individuals. The home has a Complaints Policy and Procedure and this is put into pictorial form to aid service users. In discussion with staff and management it was clear that they involve service users in the operation of the home as much as possible. Peldon Old Rectory DS0000017906.V252316.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, 25 & 30. Service users generally live in a homely, comfortable and safe environment. EVIDENCE: All communal areas of the home were seen during the inspection as were a number of individual service users’ bedrooms. Communal areas were seen to be homely and well furnished and clean and tidy during the inspection. Individual bedrooms were seen to reflect individual lifestyles and needs and it was clear that choice was given to service users on how their rooms should be decorated. As indicated in the summary section of the report, the Seymour and Ashton units have windows and doors at the back of the houses that would benefit from replacing. Peldon Old Rectory DS0000017906.V252316.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, 35 & 36. Service users benefit from an effective staff team who have been appropriately recruited, well trained and supported, to undertake their roles. EVIDENCE: In discussion with staff they confirmed they had undergone a thorough recruitment process including filling in application forms, being interviewed, having references and other appropriate checks made. Staff files showed evidence of all these procedures having been undertaken. Staff training is given a high level of priority by the Essex Autistic Society. More than 50 of the current staff group have achieved National Vocational Qualifications at Level 2 or above. Since the previous inspection, staff have undergone further training in areas such as protection of vulnerable adults, learning disability award framework training, sensory difficulties, fire safety, first aid, autism awareness and medication training. Staff confirmed in disscussion that there were plenty of training opportunities available and new staff confirmed that they had received an induction period. Staff confirmed they received regular supervision sessions amounting to at least six sessions per year. Staff supervision records seen evidenced that appropriate issues were discussed at these sessions, including training and future development. Peldon Old Rectory DS0000017906.V252316.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): 38, 39 & 42 Service users benefit from a well run home where their health, safety and welfare is of the highest importance. EVIDENCE: From discussions with staff, observations of staff with service users and perusal of records and policies, it was clear that this home is well run. The new manager, Michelle Smith, is well liked and respected by the staff team who in turn respect each other’s abilities. One new member of staff commented that it was “brilliant working here”. The home has been included in a Quality Assurance Audit and Report undertaken by “Autism Accreditation” on behalf of the Essex Autistic Society. A more specific audit and action plan relating to Peldon Old Rectory was not available at the time of inspection. During the inspection, no obvious safety hazzards were found in the home. Evidence was seen of recent environmental health officer visits to the home Peldon Old Rectory DS0000017906.V252316.R01.S.doc Version 5.1 Page 16 which had yielded satisfactory reports. Safety certificates were seen to be available and up to date for electrical equipment, gas safety, fire equipment etc. The home has a number of trained first aiders. Peldon Old Rectory DS0000017906.V252316.R01.S.doc Version 5.1 Page 17 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 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Peldon Old Rectory DS0000017906.V252316.R01.S.doc Version 5.1 Page 18 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 YA24 Regulation 23(2) Requirement The registered person must renew windows and doors where these are becoming unsafe and not fit for purpose The registered person must undertake a quality assurance process specific to Peldon Old Rectory Timescale for action 30/06/06 2 YA39 24(2) 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 23 34 Good Practice Recommendations It is recommended that where budgets allow, more relaxation facilities are purchased for service users as indicated in the summary of this report. It is recommended that staff files are indexed to facilitate ease of access of information. Peldon Old Rectory DS0000017906.V252316.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. Extracts may not be used or reproduced without the express permission of CSCI Peldon Old Rectory DS0000017906.V252316.R01.S.doc Version 5.1 Page 20 - 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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