Inspection on 23/01/07 for Penberthy House

This inspection was carried out on 23rd January 2007.

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

Penberthy House 13/01/09

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Penberthy House 111 Mount Wise Newquay Cornwall TR7 2BT Lead Inspector Mike Dennis Key Unannounced Inspection 23rd January 2007 09:30 X10015.doc Version 1.40 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 Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 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 Older People. 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. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Penberthy House Address 111 Mount Wise Newquay Cornwall TR7 2BT 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) 01637 873845 01637 852891 Cornwall Care Limited Linda Marie Vokins Care Home 35 Category(ies) of Dementia - over 65 years of age (16), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (10), Old age, not falling within any other category (25), Physical disability (7) Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 7 adults aged 50 years and over with a physical disability (PD) Service users to include up to 16 adults aged over 65 years with dementia (DE{E}) Service users to include up to 10 adults aged over 65 with a mental illness (MD{E}) 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 22nd November 2005 Brief Description of the Service: 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. The Registered Manager has been transferred to another home within the Company. The new Manager has worked for Cornwall Care for many years and is also subject to transfer. An application to formalise these transfers is awaited by the CSCI. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 5 Fees at this home currently range from £324 to £500 per week according to levels of care required. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 23rd. and 24th. January 2007 over an 11 hour period. The inspector met with the Manager and three assistant managers. A selection of staff from all departments were spoken with and six service users. During the course of this two day visit the inspector 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. The inspector visited all parts of the building and noted a satisfactory standard of hygiene and cleanliness. Plans have been drawn to replace the home with a new purpose built facility. It is understood that building will commence in 2/3 years time. Throughout the interim period the challenge will be to maintain a reasonable standard of décor and maintenance. Service users commented favourably on the overall service received, and acknowledged the dedication of staff. Positive outcomes were noted. What the service does well: Cornwall Care as a company have established sound and comprehensive policies and procedures which aim to ensure those in their care are fully protected with their needs being met. Training opportunities remain positive, especially in dementia care with all staff progressing through the different levels of the courses available. A positive attitude was observed to exist amongst the staff on duty over this two day inspection. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Statement of Purpose and other information is passed to prospective service users/ 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: Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 10 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 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. Intermediate treatment is no longer provided at this home. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available 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 followed Service users are treated with dignity and respect EVIDENCE: Four Individual Plans of Care were inspected. The care plans follow on from the pre-admission 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 Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 12 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. Appropriate professionals from other disciplines frequently visit the home to provide for general health care, ie. G.P’s, Community Nurses, Opticians, Dentists etc. The home’s medication policies are adhered to by all staff. The manager and assistant managers 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. When medication is received requiring a hand written entry to the medication administration record (MAR sheet) it is important that the member of staff making that entry signs in the appropriate box. The controlled drugs were stored to comply with drug regulations. Service users were observed being treated with respect and dignity by staff Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities made available are flexible and varied Contact 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. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 14 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. The inspector observed the midday meal on the second day of inspection. Presentation was good and in the majority of cases the plates were cleared. Service users expressed satisfaction with the standard and choice of food. The inspector 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. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available 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 required with 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 Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 16 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. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for it’s 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 Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 18 improvement plan being implemented. The home employs a general assistant who deals with minor defects and maintains general standards within the home. Re-decoration of bedrooms occurs when each room becomes vacant. Since the de-commissioning of the rehabilitation unit, a large part of the first floor is not in general use at this time. Bedrooms and communal rooms are therefore under used. As new service users arrive this area will be brought back into use. 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 home remains quite serviceable but would benefit from a general makeover. It is planned to replace the home within the next few years with a new build property. The manager is aware of keeping up standards within this interim period. Policies and procedures for the control of infection were available and in order. Service users stated they were happy with the accommodation and their surroundings. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available 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 user’s 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 Staff recruitment is conducted in line with the home’s 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 majority of staff having obtained awards at various levels. Individual training profiles for staff are kept Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 20 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. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34, 35,36,37,38. Quality in this outcome area is good. This judgement has been made using available 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. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 22 EVIDENCE: A new manager has very recently been appointed to this home. She is well experienced having held similar positions within Cornwall Care for the past 19 years. Her qualifications include the Certificate in Social Studies and a management certificate. Based on her background and in discussion there is every reason to believe that she will run the home in the best interest of the service users in her care. A quality assurance audit was completed in November 2006. The financial interests of service users are ably safeguarded by the company’s policies and procedures overseen by the experienced administrative clerk. 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. Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 3 3 3 3 Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13 Requirement Hand written entries to the MAR records must be signed by the person making those entries. Timescale for action 15/02/07 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 Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD National Enquiry Line: 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 © 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 Penberthy House DS0000008940.V325672.R01.S.doc Version 5.2 Page 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. 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