Inspection on 06/01/06 for Pemdale

This inspection was carried out on 6th 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 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

Pemdale 26/02/07

Pemdale 07/04/05

Pemdale 12/10/04

Pemdale 14/04/04

Pemdale 16/09/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Beau Sejour

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

CARE HOME ADULTS 18-65 Pemdale 26a Nursery Close off Sandy Road Potton Bedfordshire SG19 2QQ Lead Inspector Ansuya Chudasama Unannounced Inspection 6th January 2006 11:00 Pemdale DS0000014947.V278075.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 Pemdale DS0000014947.V278075.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. Pemdale DS0000014947.V278075.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pemdale Address 26a Nursery Close off Sandy Road Potton Bedfordshire SG19 2QQ 01767 262515 01767 262515 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) www.aldwyck.co.uk Aldwyck Housing Association Mr John Farrar-Hockley Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Physical disability over 65 of places years of age (6) Pemdale DS0000014947.V278075.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th April 2005 Brief Description of the Service: Pemdale is a purpose built bungalow on the edge of Potton. The home is within walking distance of local shops, pubs public transport and place of worship. The home was registered in 1996 to provide residential care for 6 people with learning disabilities including those who are also over 65 years of age. The building was built to a full wheelchair specification and provides six single bedrooms, a bathroom and shower room, large lounge and kitchen combined with dining room. There is also a quiet room/study and an office combined with sleep-in room. The home has parking facilities and a beautiful garden at the back of the home Pemdale DS0000014947.V278075.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place just over two hours. The deputy manager Karen Ellwood assisted the inspector. The inspection comprised of a tour of the lounge, kitchen combined with dinning area and a service users bedroom. The majority of the time was spent observing and talking to the service users, and staff. The inspector also spoke to a professional person who regularly visited the home. This report should be read in conjunction with the last inspection report undertaken on the 7/4/2005 What the service does well: What has improved since the last inspection? It was stated that staffing at the home had been the best since along time. Pemdale DS0000014947.V278075.R01.S.doc Version 5.1 Page 6 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. Pemdale DS0000014947.V278075.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 Pemdale DS0000014947.V278075.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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: Pemdale DS0000014947.V278075.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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: Pemdale DS0000014947.V278075.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. Service users are offered a variety of activities by finding out what each person likes to enable them to enjoy a fulfilling lifestyle. EVIDENCE: One service user informed the inspector that he had a lovely Christmas and had lots of presents. The service user was very excited to show his favourite present, which was a music player. He was now able to play his old records by using the new machine. The service user had his own bedroom door key, as he was capable of locking his door. The service users’ room had lots of different ornaments and pictures, which showed that he was helped by staff to enjoy his hobbies. The service user also informed the inspector that the staff were nice and very helpful. The home had a community experience coordinator and their job was to ensure that all service users received activities in the home and in the community. They also had to prepare an activities report to the stakeholders meeting, which were held on a three monthly basis. One service users record inspected showed that the person enjoyed a variety of activities both indoors and in the wider community. Some of the activities included going to the cinema, picnics, shopping, and watching live football matches. All service users went on holiday in small groups or on a one to one ratio with Pemdale DS0000014947.V278075.R01.S.doc Version 5.1 Page 11 staff. The service users choose all activities and holidays with support from staff. Some of the service users went to church or had communion in the home. Two service users attended a day care centre twice a week. The professional person spoken to visited the service users on a weekly basis and spent time talking to service users, and played games with them. It was stated that this was not a residential home but “a home” and the care provided for service users was outstanding”. The staff were described as being very nice and having lots of patience. It was also stated that the staff were sensitive to the needs of the service users and they respected them. The professional person stated that it was a privilege to be part of the home, which was beautiful and very clean. Pemdale DS0000014947.V278075.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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: Pemdale DS0000014947.V278075.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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: Pemdale DS0000014947.V278075.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): 0 None of the standards were assessed on this occasion but these were all assessed and met at the last inspection. EVIDENCE: However the home was very clean and very homely and furnished to a high standard on the day of the inspection. Pemdale DS0000014947.V278075.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): 31,32,33,34,35,36. The home had strong commitment to training to ensure service users individual care needs were met by very competent and suitable staff. EVIDENCE: The deputy manager spoken to had been working at the home for ten years. She demonstrated a good understanding of her role. She also showed that she understood the needs of the people living at the home very well. She had undertaken the registered managers award and she was an NVQ assessor. Three staff in the home had NVQ level 3, three had NVQ level 2 and two were undertaking NVQ level 2 in care. All new staff undertook the induction training at the home. It was stated that training provided by the organisation was very good. Staff training records seen confirmed this. The deputy manager stated that she had been working at the home for many years and “training is always good”. She also attended the training consortium meetings with other representatives from other homes to discuss the training needs of staff. All the staff were observed working well with the service users. The home had vacancies for two fulltime and one part time support worker hours. At present the homes permanent staff and relief staff worked these hours. Agency staff from one agency was also used. It was stated that all information required for the protection of service users was obtained for all agency staff who worked at Pemdale DS0000014947.V278075.R01.S.doc Version 5.1 Page 16 the home. One staff spoken to stated that the home was well staffed and the staffing at the home was the best he had seen for along time. The home had three staff on duty in the mornings and three staff on duty in the afternoons. The manager worked from 9am to 5pm. The home also had a sleep-in person and a waking night staff on duty each night. Pemdale DS0000014947.V278075.R01.S.doc Version 5.1 Page 17 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): 0 None of the standards were assessed on this occasion but these were assessed and met at the last inspection. EVIDENCE: Evidence on the day of the inspection showed that the home was being managed very well on a day to day basis. Pemdale DS0000014947.V278075.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 X 2 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 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 X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X Pemdale DS0000014947.V278075.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pemdale DS0000014947.V278075.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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. 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