Inspection on 25/11/08 for Pendarves

This inspection was carried out on 25th November 2008.

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

Pendarves 23/04/09

Pendarves 07/02/06

Pendarves 01/12/05

Pendarves 27/06/05

Pendarves 31/01/05

Pendarves 02/08/04

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 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Pendarves 25 Pendarves Road Camborne Cornwall TR14 7QF     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: Alan Pitts     Date: 2 5 1 1 2 0 0 8 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. the things that people have said are important to them: They reflect 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 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 25 Information about the care home Name of care home: Address: Pendarves 25 Pendarves Road Camborne Cornwall TR14 7QF 01209714576 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kima Mohajeran,Mr Davood Mohajeran Type of registration: Number of places registered: care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: To temporarily accommodate one named person outside the registered categories of the home from 14/3/05 to 18/3/05 Total number of service users not to exceed a maximum of 10 Date of last inspection Brief description of the care home Pendarves is a three storey Victorian house situated on the outskirts of Camborne. There is therefore a large range of social amenities in close proximity to the home. The home provides twenty-four hour care for up to 10 older people and presents as warm and friendly. The care home is owned and run by Mr and Mrs Mohajeran who are committed to providing care that encourages independence and meets individual residents needs and promotes their independence, dignity and choice. Mr and Mrs Mohajeran are also committed to providing a healthy and safe environment. The home is well maintained and a chair lift is provided for access to the upper floors. Care Homes for Older People Page 4 of 25 Over 65 10 0 Care Homes for Older People Page 5 of 25 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: The key unannounced inspection at Pendarves took place on the 25th November 2008. The inspector looked at records, toured the building, and spoke to staff and residents. Where possible evidence was cross-referenced to other sources (e.g. training records supported by staff comments). Observations of care delivery took place during the course of the inspection. The registered providers were available at this inspection. The number of requirements and recommendations has reduced since the previous inspection. Overall, outcomes for residents are good, though the home could do more to demonstrate this as the care records do not reflect the efforts made, particularly in respect of lifestyle. The service provides a comfortable, intimate home for the people that live there. All the residents were complimentary of the care provided and the staff, Care Homes for Older People Page 6 of 25 and said they were content with their lifestyle. The range of fees charged is 380-400 pounds per week. 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 25 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 25 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 people who are thinking about a move to Pendarves are provided with good information to help inform them about their choice of home, though the Statement of Purpose and Service User Guide should be reviewed. Evidence: The registered providers confirmed that copies of the Statement of Purpose and Service User Guide (documents that tell a person about the home) are given to prospective and current residents. This also includes the Complaints Procedure. The Statement of Purpose and Service is reviewed regularly, but there are amendments added by hand and these documents would benefit from being rewritten. Comments received from the people that live there confirmed that they received the right information. The registered providers confirmed that everyone had a contract and this was Care Homes for Older People Page 10 of 25 Evidence: supported by the care documentation seen at the time of the inspection. As part of this inspection we looked at the assessments that were carried out prior to a person moving to Pendarves. The care documentation of the person most recently admitted to the home showed that a proper pre-admission assessment had take place, though the forms used would benefit from showing the date of the assessment and where the assessment took place. The home does not provide intermediate care, though respite care is offered. Comments received from residents at the time of the inspection, and provided by the quality assurance surveys sent out prior to the inspection were positive, and confirmed that people feel they receive the information they need. Care Homes for Older People Page 11 of 25 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. Comments received from the people who live at Pendarves were positive. Surveys sent to the people that live there and their relatives indicated that that people are happy with the service provided and peoples health care needs are well met. Evidence: The care documentation for residents was seen to include: admission details; property details; care needs assessment; social history; and risk-assessments. Two care plans were inspected, both showed evidence of resident/family involvement in the development and review of the care. The care plans are generally well written and informative, and are written in plain language, are easy to understand and consider all areas of the individuals life including health, personal and social care needs. The home ensures that each residents plan is reviewed regularly and involves the resident and where agreed their family. The aims and objectives of the home reinforce the importance of treating residents with respect and dignity. Daily entries made by staff evidence the general health care given. The people that Care Homes for Older People Page 12 of 25 Evidence: live there were complimentary about the care given. Supporting documentation showed that clients have access to relevant professional health care agencies as needed. All the people that live at Pendarves are registered with a GP from local surgeries. All the residents have access to support services, such as opticians. We looked at the records relating to the administration of medicines. These were seen to be in order. Medicines are stored securely, though storage for controlled drugs could be improved. There is an appropriate medicines policy and procedure. Clients preferred names are recorded and used. Clients have access to a telephone for private use. Staff were observed to interact with residents in a relaxed, unhurried manner. Care Homes for Older People Page 13 of 25 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. Staff are aware of the need to plan the routines and activities of the home in a way which meets the choice and wishes of residents, but this is not reflected in the records. The home has open visiting arrangements and residents know they can entertain their family and friends in their own room. The food in the home meets the dietary needs of residents, and residents said the food was lovely, but more can be done to facilitate resident choice. Evidence: The homes daily entries do not demonstrate the lifestyle of the residents, entries being predominantly health care focused. The benefits of individual entries in the relevant persons notes providing more detail of the activity and an indication of whether the person enjoyed or disliked the event, or even if they chose not to participate were discussed. Residents said that activities are arranged when staff have the time, but more can be done to demonstrate the efforts made to make social activities available to all. It was clear from talking to the people that live at Pendarves that they are all content with their lives and most of them socialise together in the communal areas during the day. Care Homes for Older People Page 14 of 25 Evidence: Rooms are personalised with plenty of evidence of personal possessions being brought in. The home maintains a personal property record to reflect this. The visitors book shows that visitors are encouraged, and this is supported by comments from staff. There is a weekly menu, and the days menu is displayed in the lounge. The inspector was advised that a choice is available, but this is based on the staffs knowledge of the residents likes/dislikes rather than actually asking them on the day. Lunch was observed to be well presented in sufficient portions. Meals are important to the people that live at Pendarves, and all but one resident said that the meals were of a high standard. The kitchen was seen to be clean and orderly. Care Homes for Older People Page 15 of 25 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 people at Pendarves are confident that their concerns will be listened to and acted upon. The people that live at Pendarves are protected from abuse by appropriate procedures, though more can be done to ensure policies and procedures are up to date. Evidence: There is a complaints procedure that is available in the Service User Guide and Statement of Purpose. Neither the Commission nor the home have received any complaints since the last inspection. The Service User Guide and Statement of Purpose, and the complaints procedure would benefit from review. The people that live at Pendarves said they would feel able to voice any concerns if they had any. One of the responsibilities a care home has is to protect people from abuse, and the Commission expect homes to be proactive in this matter. There is a safeguarding procedure, including copies of safeguarding information available in the communal areas of the home. The home adheres to a robust employement procedure, including Criminal Records Bureau checks to safeguard residents. Care Homes for Older People Page 16 of 25 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 people who live at Pendarves benefit from accommodation that is appropriate to their needs. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. The accommodation is clean and odour free. Improvements could be made to the laundry and sluice facilities. Evidence: We looked around the home with the registered provider, and the rooms seen were all clean and in good order. There were no unpleasant odours. Some of the people had brought items of their own in to decorate their rooms. All of the rooms are of sufficient size. Half of the bedrooms have an en-suite toilet and hand basin. The shared areas provide a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. The furnishings are comfortable and homely. There is a stair lift to assist residents accessing different floors. The kitchen is well equipped and was seen to be clean and organised. The laundry would benefit from relocation, and the registered providers said they had plans to move the laundry to the garage. The home has a slop-hopper stainless steel sluice, and the benefits of providing an automated sluice with a small hand basin were discussed with the registered providers. Care Homes for Older People Page 17 of 25 Care Homes for Older People Page 18 of 25 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. The numbers of staff on duty at the time of the inspection were sufficient to meet the health care needs of the residents. Residents have confidence in the staff that care for them. The recruitment procedures are robust to safeguard residents. Training is facilitated, though there is room for improvement. Evidence: At the time of the inspection there were 8 people living at Pendarves, with one of the registered providers and one care staff on duty. One staff member had called in sick, and the registered providers and duty rota confirmed that there are usually two care staff on duty in the morning, in addition to one of the registered providers. The registered providers live close by and provide on-call cover when not on duty. There is a sleep-in member of night staff available, which is currently satisfactory given none of the residents routinely require assistance each night. All the people that live at Pendarves have a call-bell and are able to use these if assistance is required. Comments from the registered providers and residents at the time of the inspection support the documentation in the assertion that there are sufficient staff for the care needs of the residents. The registered providers are aware of the need for new staff to undertake the National Training Organisation induction to care. Information provided by the Home shows that Care Homes for Older People Page 19 of 25 Evidence: all the care staff have a National Vocational Qualification Level II or above. The registered providers keep a training matrix for each staff member, which identifies where further training is needed. The home and residents would benefit from the continued promotion of training relevant to the role they carry out (e.g. 1st Aid). Examination of personnel files showed that the home is adhering to a robust employment procedure, including Criminal records Bureau checks, and the taking up of relevant references. When we looked around the house people were up, dressed appropriately, and there was no evidence of a lack of care. Care Homes for Older People Page 20 of 25 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 registered providers are in day-to-day control, and are competent to run the home. Policies and procedures need to be reviewed, though the inspector was advised that this is in hand. The home has the necessary insurance cover in place to enable it to fulfil any loss or legal liabilities. The home is maintained and proper safety checks carried out. Evidence: The registered providers are actively involved on a daily basis. One is an ex-nurse and has achieved NVQ Level 4 in management, whilst the other has achieved NVQ Level 4 in care and management. The people that live at pendarves said they had confidence in the registered providers and described them as nice people. Staff also commented that the registered providers are very approachable. The registered providers have daily contact with the people that live at Pendarves, and also ensure there are regular staff meetings, which are recorded. Residents are Care Homes for Older People Page 21 of 25 Evidence: regularly consulted about the services and facilities provided. Consultation takes place at residents meeting, individual discussions and through an annual questionnaire. There are positive outcomes from all aspects of consultation and no significant areas of deficit or need were identified. At the time of the inspection the providers are not assisting any residents in the management of their personal allowances. Assistance will be provided if no other third party support is available. The registered providers are aware that the homes policies and procedures are in need of review, and the inspector was advised that this is in hand. Records relating to the safety of the residents, staff, and building were inspected and seen to be in order. The inspector was advised that electrical testing (appliances and building) and gas safety maintenance work is being arranged. Staff regularly undergo fire training and the fire equipment is monitored on a regular basis. Appropriate insurance is in place. Care Homes for Older People Page 22 of 25 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 23 of 25 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 1 The registered providers should review and amend the Statement of Purpose and Service User Guide to ensure the document(s) contain up to date information. The registered providers should ensure there is fixed secure storage within the medicine cupboard for controlled medicines. The registered providers should ensure that entries in the daily records reflect the residents lifestyle and any opportunities for social/recreational activities. The registered providers should ensure that residents are offered a choice at meals, and that the records reflect the choices made. The registered providers should complete their plans to relocate the laundry to the garage, providing an industrial washing machine and dryer. The registered providers should install an automated sluice machine and a hand basin in the sluice room. The registered providers should review and amend the homes policies and procedures as necessary to ensure they provide up to date information and direction for staff. 2 9 3 12 4 15 5 26 6 7 26 36 Care Homes for Older People Page 24 of 25 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 © (2008) 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 25 of 25 - 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!