Inspection on 12/07/05 for Peldon Campus

This inspection was carried out on 12th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Peldon Campus 07/06/07

Peldon Campus 02/05/06

Peldon Campus 10/01/06

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 C05 7PT Lead Inspector Jenny Elliott Final Unannounced 12th & 13th July 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. Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Peldon Old Rectory Address Church Road, Peldon, Colchester, Essex CO5 7PT 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) 01206 735279 01206 735206 The Essex Autistic Society Mrs Andrea Jane Carter Care Home 18 Category(ies) of Learning Disability (18) registration, with number of places Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 04/01/05 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 rector 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 registered manager will be leaving the service within the next month and the deputy will be continuing to carry out the functions of that role until a new manager is identified. 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 I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out between the 12th and 13th July 2005. The service was visited on the morning of the 12th July to observe the morning routine and breakfast time at the main house. Care plans belonging to three service users were inspection and discussions held with the acting manager and team leader. In addition to this the social worker of one service user and parents of another service user (whose records were inspected) were contacted by telephone for comment. This was an unannounced inspection focussing on meeting the assessed needs and aspirations of people living at the home. The total amount of time spent on this inspection work was 3.5 hours. What the service does well: What has improved since the last inspection? Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 Page 6 Care plans for all of the people living at the home have been revamped and support plans put into place relating to the most important areas for each person living at the home. The lighting in the dining area had been softened to further improve the homeliness of this area and reduce any negative impact people living at the home may experience from fluorescent lighting. Paperwork requiring development from the last inspection now met National Minimum Standards (NMS). The home was also using photographs of food to improve the choice available to people living there. 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 I56-I05 Peldon Old Rectory S17906 V238237 120705 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 Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 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) 2 The home carries out in-depth assessments of prospective service users to ensure their suitability and that current service users quality of life would not suffer from any placement. EVIDENCE: There was one vacancy at the time of this inspection. This vacancy had arisen about 7 months ago. The service had spent time identifying a suitable referral to fill this vacancy. At the time of the inspection information to inform the assessment had been gathered from the individuals current placement, their family, referring social worker and from a visit to the person at their current placement. From this information a two-year plan had been devised, outlining support that could be provided. The acting manager advised that subject to the agreement of funding, a transition programme would be developed to facilitate the move into the home. Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 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) 6,7,9 The home creates care plans that are, as far as possible, accessible to service users. The care plans promote the participation of service users in a wide range of activities inside and outside of the home. EVIDENCE: During the observation of the morning routine, people living at the home were seen, to varying degrees, getting their own breakfast, preparing packed lunches and cleaning dining tables. People living at the home were supported and encouraged to carry out these tasks, the atmosphere was relaxed, homely and unhurried. Each of the care plans inspected held information about people’s likes, dislikes and preferred routines. People living at the home are encouraged to care for their own rooms. The manager advised that new symbols had been produced of basic cleaning tasks, with Velcro backing that service users can remove from a board when the task is finished. The care plans inspected held risk assessments relating to activities and accessing the community. The assessments detailed the support individuals Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 Page 10 required in order to participate rather than identifying reasons why a person should not take part in any activity. Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,16 The service provides opportunities for people living at the home to lead a fulfilling life. EVIDENCE: The care plans in place at the time of inspection identified a range of age and culturally appropriate activities undertaken by people living at the home. These included interviews for college course, regular visits to a culturally specific food market, activities at day centres, rambles and leisure activities. In the records inspected there was evidence that one person had attended social skills workshops, and the development of skills in this area was commented upon by family. The service used occupational and speech therapists as well as other professionals to identify ways of helping service users in their personal development. Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 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 standard(s) These standards were not inspected. EVIDENCE: Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 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 standard(s) 23 The service has developed its Abuse Awareness and Whistle Blowing policy to meet NMS. Staff demonstrated a good understanding of vulnerability. EVIDENCE: The service had developed its policy to protect service users since the last inspection, incorporating information required. Discussion with a member of staff during the inspection demonstrated a good understanding of issues of vulnerability in relation to one service user. External professionals and colleagues from other EAS services had been consulted about how best to protect this individual. Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 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 standard(s) These standards were not inspected. EVIDENCE: Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected. EVIDENCE: Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 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 The service had satisfactory arrangements in place in the absence of the registered manager. EVIDENCE: The service had been without a registered manager for some time, due to a planned absence previously notified to the Commission. The Commission had also been made aware that the registered manager would be leaving their post in the next month. During this time the deputy manager had taken on the duties of manager who has continued to run the home well. The inspector was advised that an application for the registration of a new manager would be forwarded to the Commission once the recruitment process had been completed. Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Peldon Old Rectory Score x x x N/A Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 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 Regulation Requirement There were no requirements arising from this inspeciton. 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 There were no recommendations arising from this inspection. Peldon Old Rectory I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 I56-I05 Peldon Old Rectory S17906 V238237 120705 Stage 4.doc Version 1.40 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. 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. 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