Inspection on 13/01/09 for Penberthy House

This inspection was carried out on 13th January 2009.

CSCI found this care home to be providing an Good service.

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

Penberthy House 23/01/07

Penberthy House 22/11/05

Penberthy House 01/06/05

Penberthy House 17/01/05

Penberthy House 22/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Penberthy House 111 Mount Wise Newquay Cornwall TR7 2BT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michael Dennis     Date: 1 3 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Penberthy House 111 Mount Wise Newquay Cornwall TR7 2BT 01637873845 01637852891 penberthy.home@cornwallcare.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Cornwall Care Ltd Name of registered manager (if applicable) Miss Diane Jayne Hicks Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: Service users to include up to 10 adults aged over 65 with a mental illness (MD) Service users to include up to 16 adults aged over 65 years with dementia (DE) Service users to include up to 7 adults aged 50 years and over with a physical disability (PD) To include one regular respite service user under the age of 65 years Total number of service users not to exceed a maximum of 35 Date of last inspection 0 0 0 7 Over 65 16 10 25 0 care home 35 Care Homes for Older People Page 4 of 26 Brief description of the care home Penberthy House is a Care Home operated by Cornwall Care Ltd. The home is situated close to the town centre of Newquay. It is a period property with a more modern extension.The home offers long term and respite care for 35 older people some of whom have dementia. In addition limited day care is offered.The home operates a no smoking policy and accommodation is provided on three floors in the extension, and two in the original building. A lift provides access from the ground floor to the first and second floors. A stair lift is provided on a small stairway on the first floor. There is one large sitting room on the first floor. There are two sitting rooms on the ground floor and a dining room with another sitting area at one end. There are ample toilets and bathing facilities. All rooms have call bells.Meals are prepared in a well-equipped kitchen on the ground floor and served in a well-furbished dining room on the ground floor, it is accessible to all service users. There is a hair dressing salon that provides an important service.The grounds are kept tidy and are accessible to service users. Wooden seating and tables are provided. Limited car parking space is provided at the front and to the side of the home.Suitably qualified care staff provide personal care within a relaxed, friendly atmosphere. There are opportunities for socialising and visitors are openly encouraged. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place on the 13th. January 2009 over a seven hour period. We met with the Manager and three care coordinators. A selection of staff from all departments were spoken with and six service users. During the course of this visit we observed groups of service users engaged in a number of activities. Staff were observed to be tending to service user needs whilst respecting their dignity. Various records, policies and procedures were inspected. The records of four service users were looked at (case tracked) and found to be competently maintained, containing relevant information as required by regulation and the National Minimum Standards. We visited all parts of the building and noted a satisfactory standard of hygiene and Care Homes for Older People Page 6 of 26 cleanliness. Plans have been drawn to replace the home with a new purpose built facility. The time scale for this rebuild has been put back but should occur within the next five years. Service users commented favourably on the overall service received, and acknowledged the dedication of staff. Positive outcomes were noted. Fees start from 420 pounds and increase based on a comprehensive assessment tool which determines the individuals care needs. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Statement of Purpose and other information is passed to prospective service users and their families allowing informed choices to be made.All service users have been issued with either contracts or statements of terms and conditions.Service users are fully assessed prior to their admission to the home.Service users and their families are encouraged to visit prior to admission. Evidence: The Statement of Purpose was found to contain all the necessary information as required by regulation. It was noted that this document had recently been reviewed and updated. This and other documents giving information about the home is given to the families of prospective service users enabling them to make informed choices about the home. This was confirmed in discussion with staff involved in pre-admission assessment work and by some of the service users. Four service user files were inspected and case tracked. All contained information Care Homes for Older People Page 10 of 26 Evidence: pertaining to pre-admission assessment. The information provided included :continence assessment, pain assessment, risk assessments and general details of daily care requirements, medication and health care requirements. The pre-admission assessments form the basis of the initial care plan. Training is supplied to support this programme. The assessment process is undertaken by the managers of the home and is now facilitated by I.T. programmes. Assessments are undertaken with the service users family or representatives, health professionals, and a copy of the social services assessment is obtained where applicable. The assessment includes a scoring system for calculation of dependency. Contracts or Statements of Terms and Conditions are then issued. Copies of these were to be found on the service user files. Fees are normally reviewed at 12 monthly intervals. All service users are afforded the opportunity to visit the home prior to permanent admission. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health care needs of service users are identified, planned for and met.Comprehensive policies and procedures for dealing with medicines are followedService users are treated with dignity and respect Evidence: Four Individual Plans of Care were inspected. The care plans follow on from the preadmission assessments and are reviewed monthly. Managers and key workers are responsible for the upkeep of the plans of care. Service users, their families and other professionals are involved in the review process. They were seen to contain full and relevant information, to include Risk Assessments, pertaining to the health, personal and social care needs of that individual. In addition information is gathered regarding the service users past life experiences and interests. This information is used to promote an Active Care programme for that individual. The home is currently in the process of changing to a new care planning format. Appropriate professionals from other disciplines frequently visit the home to provide for general health care, ie. G.Ps, Community Nurses, Opticians, Dentists etc. The homes medication policies are Care Homes for Older People Page 12 of 26 Evidence: adhered to by all staff. The manager, care coordinators and care practitioners are the nominated persons who administer medication. The majority of the drugs are in blister packs. All medication including controlled drugs was recorded correctly as received, administered and disposed. The controlled drugs were stored to comply with drug regulations. Service users were observed being treated with respect and dignity by staff Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The routines of daily living and activities made available are flexible and variedContact with friends and family is maintained.Service users are consulted regarding choice, their wishes and preferences etc.Service users commended the standard of food provided. Evidence: The service users individual care plan has a detailed section regarding their interests and choice, and activities are planned to encompass these interests. The home arranges and facilitates visiting entertainment and in-house activities. An activities coordinator plans events following consultation with service users. Planned activities are displayed on a notice board. Social Profiling or Active Care is promoted at this home. This in turn allows staff to target individual service users with activities most likely to provide stimulation Various organised activities were taking place throughout the day of inspection. During the afternoon a movement and music activity took place. A physiotherapist is due to visit tomorrow. Staff were observed to be spending quality one to one time with service users during the course of the day. We observed the midday meal. Presentation was good and in the majority of cases the plates were cleared. Service users expressed satisfaction with the standard and choice of food. We Care Homes for Older People Page 14 of 26 Evidence: did not have the opportunity to converse with any visitors on this occasion. The visitors book indicated a steady flow of visitors to the home which was confirmed by staff and service users. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered persons ensure that service users are protected from all forms of abuse. The legal rights of service users are protected.The complaints procedure is well publicised and used when requiredwith staff having knowledge through training of Adult Protection issues which helps to protect service users Evidence: A comprehensive complaints policy and procedure is kept within the home. This procedure includes timescales and who will deal with the complaint. The home also keeps a complaints log for ease of reference. Service users indicated that they were aware of the procedures. There have been no recorded complaints since the last inspection. The home is registered under the Data Protection act. Solicitors and advocates are arranged for those who require such services. The home has a comprehensive policy and procedure in place to protect service users from abuse. Staff are made aware of these procedures during the induction period. The manager is also aware of the local social services procedure within No Secrets to investigate any complaints regarding the suspected abuse of any service user. CRB and POVA checks are undertaken, with Cornwall Care being the umbrella body to obtain these checks. The postal voting system is used at the home. Service users can visit the polling station if able. Care Homes for Older People Page 16 of 26 Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The location and layout of the home is suitable for its stated purpose and provides a safe and well maintained environment.The home was clean, hygienic and free from offensive odours providing an attractive and homely place to live Evidence: The home provides a safe and well-maintained environment for the service users. The registered manager discusses refurbishment and development issues with the company at the annual finance meeting. This results in a maintenance and improvement plan being implemented. The home employs a general assistant who deals with minor defects and maintains general standards within the home. Redecoration of bedrooms occurs when each room becomes vacant. It was noted that, on inspection of the premises, all was found to be clean and tidy. Equipment was working correctly and in order. The last inspection report suggested that the home would benefit from a general makeover. Since that date new fire doors have been fitted throughout with the accompanying door self closers. The fire alarm system has been upgraded and new smoke detectors fitted throughout. An improved staff room has been provided. New carpets have been laid to many areas and a new chair lift installed. Redecoration of bedrooms has occurred and is ongoing. Policies and procedures for the control of infection were available and in order. On the day of inspection a full test of water supplies was conducted by an independent contractor to Care Homes for Older People Page 18 of 26 Evidence: test for legionella. Bedrooms were seen to be personalised. Service users stated they were happy with the accommodation and their surroundings. The external fire escape has considerable moss growth and is therefore potentially dangerous. It is in need of a pressure wash. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust recruitment policies and procedures are implemented. All staff are supported and Inducted through good training opportunities. A positive number of staff are on duty to meet the service users needs. Evidence: The staff team shows a positive regard for service users and appears very organised. Additional staff are on duty at peak times of activity during the day. In addition to care staff there are 2/3 domestics and 1 laundry staff member on duty each morning. The duty rota indicates that 4 care staff are on duty during the mornings, 4 throughout the afternoon and 3 on duty in the evenings. Waking night staff number 2. In addition managers, domestic and catering staff are on duty The senior staff team comprises, the registered manager, Deputy (position vacant), 3 care coordinators, and 2 care practitioners. Staff recruitment is conducted in line with the homes policies and procedures. Evidence obtained from staff files indicates that references, CRB and POVA checks are taken up prior to interview. All staff undertake Induction Training. . NVQ training is encouraged as demonstrated by the fact that 71 per cent of staff having obtained awards at various levels. Individual training profiles for staff are kept up to date with accurate information of progress made. Staff are receiving supervision and an appraisal system is in place. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. Care Homes for Older People Page 20 of 26 Evidence: Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of Penberthy House strive to maintain and improve a good quality of care and lifestyle for the service users and promote their health, safety and welfare.Staff are supervised, appropriate policies and records are maintained.The financial interests of service users is safeguarded.Health and safety provision is given due importance. Evidence: The manager has now been in post for approximately two years and is registered with the commission. She is well experienced having held similar positions within Cornwall Care for the past 21 years. Her qualifications include the Certificate in Social Studies and a management certificate. Judging by the feedback from staff and service users it would appear that she has gained respect from all at the home. A quality assurance audit was completed in April 2008. The financial interests of service users are ably safeguarded by the companys policies and procedures overseen by the experienced administrative clerk. Care Homes for Older People Page 22 of 26 Evidence: Staff confirmed that they receive appropriate supervision which was also evidences by written records. A random selection of records, policies and procedures, as required by legislation, were inspected and found to be up to date and well maintained. Health and safety requirements were also in date and taken seriously. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 19 The external fire escape requires pressure washing to make safe for use. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!