Inspection on 02/05/06 for Peldon Campus

This inspection was carried out on 2nd May 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

Peldon Campus 07/06/07

Peldon Campus 10/01/06

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 Ray Burwood Final Key Unannounced Inspection 2nd May 2006 10.00a Peldon Old Rectory DS0000017906.V293202.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.V293202.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.V293202.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) ib@essexautistic.org.uk 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.V293202.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) 10th January 2006 Date of last inspection Brief Description of the Service: The Essex Autistic Society provides services across three units at the site for 18 adults under the age of 65 with autism. Peldon 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 three Senior Support Workers. 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 range of monthly fees supplied to the Commission for Social Care Inspection (CSCI) on the 5th May 2006 and charged by the Society, is currently between £4,655 and £11,130, there are no additional charges. Information about the service, including inspection reports, are made available to prospective service users through a pack containing information about all of the services within the Peldon Campus, the Statement of Purpose, a current Newsletter, and literature regarding the Societies Jigsaw Study Centre. 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.V293202.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken on the 2nd May 2006 with the assistance of the registered manager, the director of adult services, service users, staff and visiting professionals. The site visit was carried out between the hours of 10.00am and 3.00pm. Service users, staff and visitors involved in a service users’ review were spoken with and records and files were examined. The Societies Clinical Psychologist was spoken with and provided information outlining programmes of support to individual service users and the re-assessment of their needs. A total of 22 key standards were inspected with twenty being met. A tour of the campus was undertaken which highlighted the progress achieved with the refurbishment programme. Service users were visited in their homes and one service user assisted with a visit around his accommodation, this appeared to be well designed and comfortable in meeting his needs. Discussions with service users’ was difficult due to their lack of verbal communication skills, but observations were carried out during the site visit of service user’s which included household routines and activities. What the service does well: The Peldon Campus provides a homely and well-maintained environment that meets the individual needs of service users. The society provides a clear development plan and vision for the home that is well managed and supported by a competent staff team who demonstrate an awareness of their roles and responsibilities. The manager and staff have a good understanding of the service users’ support needs that promotes and protects their safety, privacy, dignity and privacy. Staff spoken with confirmed that the Society provided excellent training opportunities and they received positive support and guidance. The Society is committed to providing appropriate external courses such as the National Vocational Qualification (NVQ) and the Learning Disability Award Framework (LDAF). Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 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. Peldon Old Rectory DS0000017906.V293202.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.V293202.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. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home’s admission process contained clear details of service users’ wishes and aspirations. EVIDENCE: The home’s Pre-Inspection Questionnaire submitted in February 2006, and the site visit, shows that there had been no changes to the referral and admission processes since the last inspection visit. The home had not admitted any new service users since the last inspection. The key standard (2) was met in full on the 10th January 2006 with the home continuing to provide a comprehensive assessment of prospective service users needs. Peldon Old Rectory DS0000017906.V293202.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Service users are supported by staff to make personal choices. If they are unable to do so, appropriate access to advocacy services is made available, however, decisions made by others should be documented. EVIDENCE: Key standards 6 and 9 were inspected at the last visit and were fully met. Regulation 26 reports and the site visit confirmed that service users records are up to date in relation to support plans, health action plans, and risk assessments. The files of two service users were sampled and provided written evidence relating to their choices, and/or decisions made on their behalf by others and the reasons why. Where service users are unable to sign records, the signatures of those who had made decisions on their behalf should be in place. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 10 Discussions with the registered manager and evidence contained in service users’ files indicated that some service users have advocates representing them at planning and review meetings and support them through visits to the home. All service users have bank accounts that are managed through the Essex Autistic Societies Head Office. Cash requisition forms are used by the home for service users personal expenditures and approved by the registered manager. None of the current service users are managing their own finances. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Links with the community are well managed, and support and enrich service users’ social and educational opportunities. EVIDENCE: Service users are able to access a range of life skills courses and educational opportunities through local colleges and the Jigsaw Study Centre. The manager reflected on an incident at one of the local colleges where an infringement of service users’ rights to access public facilities with support from college staff was not in place. The registered manager made a complaint to the college regarding the incident and the appropriate support was put in place to enable the service user to access the college facilities, and continue the course. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 12 From discussions with the manager and staff spoken with, social activities out side of the campus are well managed and include a wide range of leisure pursuits for service users to access if they wish. Visits to the local pub for meals and drinks are a regular occurrence together with trips to the cinema, leisure centres and clubs. The home’s swimming pool is being cleaned in readiness for the summer and a new summerhouse has been erected. A sensory garden is planned to complement the area. The home was seen to observe the cultural diversity of one service user whose first language was not English. Special dietary needs were offered with food shopping trips made to appropriate outlets. Contact is maintained with his family through letters written in their first language. Contact arrangements with parents, relatives and friends are well managed with the home having an open door policy to visitors. Service users’ mail is directed to them via the administration team to ensure privacy and confidentiality. Service users who are unable to read their correspondence are supported by their key-workers. The home’s Pre-Inspection Questionnaire and this site visit confirmed that six weekly menus were in place. From records examined during visits to the different houses, service users were offered a healthy and varied diet and an alternative choice of meals. All service users are actively involved in the foodplanning programme from menus to shopping. Some residents are able to assist with the preparation and cooking of food. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The medication and healthcare arrangements in the home are well managed and ensure the good health and wellbeing of service users living there. EVIDENCE: Key standards 18,19 and 20 were inspected and fully met at the homes last inspection. Evidence from this site visit and records examined confirmed that service users physical and emotional health needs are being met and personal support is provided in a way that they prefer and require. None of the current service users are responsible for administering their own medication. Trained staff, together with the appropriate policies, procedures and risk assessments being in place, provides support to service users. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 14 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff had a good knowledge and understanding of Adult Protection issues, which protect service users from abuse. EVIDENCE: Key standard 22 was met in full at the last inspection. No complaints had been received by the home or the Commission for Social Care Inspection (CSCI) since the home’s last inspection. The home’s Adult Protection and Whistle Blowing policies were clearly and comprehensively detailed. Staff spoken with confirmed that they had received appropriate training in recognising and responding to abuse situations. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 15 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Recent investment has significantly improved the appearance of this home, creating a comfortable and safe environment for those living there. EVIDENCE: The environmental standards of the three houses are good with further refurbishment and decorations taking place. During a tour of the premises, all areas were found to be clean and hygienic. The Old Rectory has had work completed in the administration area and work is to commence on the home’s kitchen, following recommendations made by the Environmental Health Officer. One of the residents from The Old Rectory spoken with explained that he had been there for some time and enjoyed living in the home. He later allowed the inspector to see his bedroom. The bedroom was well furnished and comfortable. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 16 During the site visit, Ashton house was having new floor coverings laid in the hall, stairs landing, one ground floor bedroom, and toilet area. The manager advised the inspector that budgets had been agreed and work is to commence within two weeks of the site visit on both Ashton house and Seymour House to replace the windows and doors. All outstanding work being carried out, and other work planned, should be completed by June 2006. This is within the agreed timescale of the requirement, following the home’s last inspection. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 17 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): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff training is provided in a planned way, to ensure that skills requirements are provided to meet the needs of service users. The home’s recruitment practices are robust and help ensure the protection of service users. EVIDENCE: Staff vacancies: one full time and one part time Residential Support Worker. No new staff had been employed since the last inspection. Interviews for vacant posts are currently taking place. National Vocational Qualification (NVQ) training is ongoing, together with the Learning Disability Award Framework (LDAF) training. Key standards 34 and 35 were inspected and met in full at the last visit of 10/01/06. Documentation relating to the homes recruitment policy and practices and supervision sessions were examined and found to be correct. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 18 Staff spoken with confirmed the training they had undertaken relates to the assessed needs, and also the changing needs of service users. The Societies clinical psychologist was spoken with and she verbally outlined the aims of the department in carrying out baseline assessments, such as communication and sensory profiles on all service users throughout the Societies services. Information and strategies are then discussed with staff and training provided on how service users’ quality of life can be improved. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The manager has a clear development plan and vision for the home, which she has effectively communicated to service users, staff and relatives. The systems for service user consultation has improved resulting in their views being both sought and acted upon. EVIDENCE: From discussions with staff and observations of their interactions with service users, together with appropriate policies and procedures, the home is well run. The home’s registered manager is experienced, competent and is currently undertaking the National Vocational Qualification (NVQ) Level 4 in care and the Registered Managers Award (RMA) in management, she is also an NVQ assessor. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 20 The homes quality assurance report is contained in the organisations Quality Assurance Audit and Report undertaken by “Autism Accreditation” on behalf of the Essex Autistic Society. Although grouped with other homes, the report is specific to the home. Further development in the Quality Assurance system is outlined in the homes recent Action Plan, and includes confidential questionnaires to parents, and meetings with parents and advocates. Quality assurance survey forms are in place in Widget format for all service users to complete Surveys and questionnaires for other interested parties and stakeholders are sent out from Central Administration, with the results contained in the above report. The registered manager was advised to look at carrying out surveys amongst other professionals and stakeholders who support the homes within the campus, and who may not be known to Adult Services personnel. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 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 X 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 2 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 3 X Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 22 YES 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 YA24YA24 Regulation 23 (2)(b) Requirement The registered must ensure that the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally. Timescale for action 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 Refer to Standard YA7YA7 Good Practice Recommendations The registered provider should ensure that decisions made on behalf of service users have the appropriate signatures in place. Peldon Old Rectory DS0000017906.V293202.R01.S.doc Version 5.1 Page 23 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.V293202.R01.S.doc Version 5.1 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. 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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