Inspection on 04/05/06 for Pendene House Residential Home

This inspection was carried out on 4th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Pendene House Residential Home 15/09/09

Pendene House Residential Home 26/09/07

Pendene House Residential Home 24/08/05

Pendene House Residential Home 10/11/04

Pendene House Residential Home 02/06/04

Pendene House Residential Home 19/04/04

Pendene House Residential Home 12/01/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Pendene House Residential Home 15 Pendene Road Stoneygate Leicester Leicestershire LE2 3DQ Lead Inspector Mrs Diane Butler Unannounced Inspection 4th May 2006 10:00 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 Pendene House Residential Home DS0000006353.V293689.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 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. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pendene House Residential Home Address 15 Pendene Road Stoneygate Leicester Leicestershire LE2 3DQ 0116 2708911 0116 2708911 jweston5@hotmail.com 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) Pendene House Residential Home Limited Mrs Janice Hill Care Home 12 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (12) Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User numbers No person falling within categories MD(E) or DE(E) may be admitted to the home when 6 persons in total of these categories/combined categories are already accommodated within the home. Date of last inspection Brief Description of the Service: Pendene House is a care home for older persons, providing accommodation and personal care for up to twelve residents. The home can also care for up to six older people with dementia and/or a mental disorder. The home is situated in a quiet cul-de-sac in the Stoneygate area of Leicester and is within walking distance to the local amenities and close to a local bus route. Accommodation is on two floors, which can be accessed by a shaft lift. There is a large dining room and lounge on the ground floor, which are furnished and decorated to a high standard and further seating can be found in the homes entrance hall. There is a large well-maintained garden at the rear of the home accessed by the shaft lift, which goes down to garden level. All rooms in the home are single, some of which are ensuite. Current charges range from £334.00 per week to £445.00 per week. Additional charges are in place for hairdressing, chiropody treatment and transport to appointments. Details of all charges can be found in the homes Statement of Purpose document which is given to all prospective and current residents. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which took place over a four and a half hour period on Thursday 4th May 2006. When undertaking key inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ three residents. This means the inspector checked their care records and met with them. Where communication was difficult, observation was used to evidence whether care needs were being met. The inspector talked with staff on duty at the time of the visit and observed them going about their daily work. The inspector also had the opportunity to talk with two other residents, a visitor to the home and the registered manager. Correspondence received since the last inspection and the last inspection report have also been taken into account when producing this report. What the service does well: What has improved since the last inspection? The registered manager has completed a manual handling risk assessment and kinetic handling training for trainers. Staff meetings and service user meetings have been held and residents and/or their relatives have completed questionnaires enabling them to share their views of the home. A fourth member of the care team has completed their National Vocational Qualification level 2. Pendene House Residential Home DS0000006353.V293689.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. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 7 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 Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5,6 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. All prospective residents have their needs assessed before moving into the home and are assured that these will be met. EVIDENCE: The manager explained that all prospective residents are visited and assessed before they move into the home. On checking the paperwork belonging to a resident due to move into the home it was evident that the manager and owner had visited the prospective resident to assess their needs. Residents and/or their relatives are invited to look around the home before moving in so that they can be sure that it is the right place for them. One resident stated. “My daughter came to have a look round”. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 9 A Statement of Purpose is in place. This document, which includes information about the facilities in the home and the services that can be provided, is given to all new residents. The manager stated that intermediate care was not currently being offered at the home. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health care needs are fully met. EVIDENCE: Care plans belonging to two of the three residents case tracked were checked. Both were up to date, had been regularly reviewed and included the current needs and risks to the individual residents. Details of visits carried out by health care professionals were seen. These included the residents GP, Community Nurses and Opticians. The Procedures for the administration of medication were in order with all paperwork completed appropriately. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 11 Discussion with residents and visitors confirmed that staff have a good awareness of how to ensure that a resident’s privacy and dignity are maintained. One relative explained: “They treat him well, he always looks well cared for” “They always make me welcome. Throughout the visit the inspector observed staff interacting with residents in a positive and dignified manner. All staff spoken with were well aware of the individual care needs of the residents. One carer stated: “We work hand in hand with the residents, every day is different. We try to encourage them as much as we can to do things for themselves”. Residents and relatives spoken with during the inspection stated that they were currently being well looked after. Comments received included: “The staff are super” “I am satisfied that they are doing what they can for me” “They never fail to come if you press the buzzer”. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. The relaxed homely life style within the home enables residents to make choices on a daily basis. EVIDENCE: Residents are offered choices on a daily basis. Choices include when to get up or go to bed, what to wear, what to have for meals and whether to join in any activities provided. One resident stated: “I prefer to be on my own and the staff respect that”. Family and friends are encouraged to visit the residents. One visitor spoken with stated: “I can come at any time, and they always give me a cup of tea”. A varied and nutritious diet is offered, and special diets such as diabetic or residents requiring a soft diet can be catered for. A copy of the day’s menu can be found on the notice board situated outside the dining room. A choice of meal is offered and meals can be taken in the resident’s own room if they wish. The meal seen on the day of the inspection was well presented and appealing in appearance. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 13 One resident explained, “If its something that they know I wont eat, they give me a second choice”. Other comments included: “They feed you well here” “Foods good” “You always get plenty of food here” Regular music and movement sessions are offered and the manager explained that staff provide other activities such as sing a longs and skittles, though no structured activities plan is currently in place. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: There is a complaints procedure in place. A copy of this is displayed within the home and a copy is included in the homes Statement of Purpose document, which is given to all residents and/or their relatives. When asked if they knew whom to talk to if they weren’t happy about something, one of the residents spoken with pointed to the manager and stated: “I’d speak to her”. A second resident explained: I’d speak to Jan [the manager], she would deal with any issues I had. The registered manager explained that no complaints had been received since the last inspection in August last year. This statement was supported on checking the complaints book. Abuse awareness training is provided to all staff during their induction training and is also included in the National Vocational Qualification NVQ level 2, which four of the eight care staff have completed. Staff spoken with during the visit were aware of what to do should they suspect any act of abuse and the registered manager is aware of the procedure to follow with regard to adult protection. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,23,24,26 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. The standard of the accommodation within this home is good, providing residents with an attractive and homely place to live. EVIDENCE: The home is well maintained and suited to the residents needs. The decoration in the communal areas is good and furnishings are domestic in character and in good condition. The room belonging to one the resident’s case tracked was seen. This room was warm, clean, appropriately furnished and included the residents personal belongings. A shaft lift serves the garden as well as the two floors in the home enabling the resident’s access to the garden at the rear of the home. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 16 All areas of the home seen on this occasion were clean and fresh. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment practices within the home ensure appropriate protection for residents. Further ongoing training would ensure that staff continue to be competent to do their jobs. EVIDENCE: There were sufficient numbers of staff on duty at the time of the visit to meet the current needs of the residents. A staff member spoken with confirmed that staffing levels were sufficient to enable her to care properly for the residents. Through observation and discussion it was evident that the staff were aware of the care needs of the residents case tracked. Two staff files were checked, both were found to include all the necessary information including two references, proof of identity and a criminal record bureau check (CRB). Staff spoken with during the visit confirmed that they had received induction training on commencement of their employment. Both care workers on duty at the time of the visit had completed a National Vocational Qualification level 2. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 18 On checking the staff training records it was noted that with the exception of fire training there was no evidence of any other ongoing training being provided since October 2004. This includes Moving and Handling training. On checking the file belonging to the newest member of staff to join the team it was noted that only fire training had been completed. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from an open, positive and inclusive atmosphere, which is evident throughout the home. EVIDENCE: The registered manager has many years experience in care and all staff and residents spoken with stated that she was approachable and always available. Staff spoken with stated that they were well supported and positive relationships between management, staff, residents and their relatives were evident throughout the visit. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 20 Residents and staff are consulted with regard to how the home is run. Resident and staff meetings are held on a regular basis and quality assurance questionnaires are also completed enabling the manager to gain the views of the staff, the residents (and their relatives) in their care. Comments included in the latest quality questionnaires include: “Consistent management, consistent staff, flexibility to residents needs and wishes” “My mother is very happy” “Staff are friendly and caring” “It’s small and homely, warm and cosy and clean” “The staff are very good and caring people and we have complete confidence in the way they look after xxx” (name of resident). On checking the fire records it was noted that all the necessary checks were in place, however, the last fire drill was carried out in May 2005. Policies and procedures required for the safeguarding of residents were in place and all records seen on this occasion were accurate, relevant and up to date”. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 3 X 3 X 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 X 18 3 3 X X X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 2 Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No 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. 1. 2 Refer to Standard OP38 OP30 Good Practice Recommendations It is recommended that the registered provider carry out a fire drill. It is strongly recommended that up dated training is provided to all staff to ensure they are appropriately qualified and competent. Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pendene House Residential Home DS0000006353.V293689.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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