Inspection on 18/09/08 for Pengarth
Also see our care home review for Pengarth for more information
This inspection was carried out on 18th September 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Pengarth Windmill Hill Ellington Morpeth Northumberland NE61 5HU The quality rating for this care home is: The rating was made on: one star adequate 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Anne UrwinBrown Date: 1 8 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Pengarth Windmill Hill Ellington Morpeth Northumberland NE61 5HU 01670860475 01670860475 steveac@ukonline.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Flexible Support Options (UK North East) Limited Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 5 Over 65 0 Conditions of registration: 4 persons may also have a physical disability Date of last inspection Brief description of the care home Pengarth is a detached bungalow situated in the small village of Ellington and is home to five residents with severe learning and physical disabilities. A post office, shop and public house are situated nearby and a bus service is available to a nearby town centre. Off-street car parking is available at the front of the premises and there is a large garden to the rear. Disabled access is provided at both the front and rear of the building. The home is not registered to provide nursing care. The Statement of Purpose Care Homes for Adults (18-65 years) Page 2 of 9 and User guide is available at the home together with a copy of the last inspection report. A fee of #769.79 per week is charged at Pengarth. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
Care plans do not provide sufficient information about individuals care needs and how these are met by staff. Risk assessments also have insufficient information about how risks are minimised and the actions to be taken by staff. The daily records varied in content and quality of recording. It was not always clear what actions had been taken after incidents occurred. Reviews of individuals care are not always being carried out. Staff are generally able to describe peoples care needs, but the lack of consistent recording means that care can be compromised. Staff training in moving and handling has not been provided for all staff. Some new staff have not completed moving and handling training. One staff member who moved from another service had not completed training that reflected the needs of the people living at Pengarth. This person had previously worked with people who were more mobile than those living at Pengarth. There was evidence that induction training is not always completed for staff who have worked for the organisation previously. As the people living at Pengarth have very specialist needs it is important for staff to complete specific induction training. Complaints records did not provide information about how matters were investigated and what the outcome of this was. Two complaints were recorded, howeve another complaint concerning the service was received at the organisation headquarters and the details of this complaint, its investigation and outcome were not in the records at Pengarth. What the care home does well: What they could do better:
Care plans should have more information about individual needs and how these are met. Risk assessments need to be clear and show how risks are managed and minimised. Staff training in moving and handling that is relevant to the people living at Pengarth must be completed by all care staff. Induction training must be completed by all staff. Complaint records must include information about any complaints, the investigation and the outome of the complaint. This should include whether or not the complainant is happy with the outcome. Care Homes for Adults (18-65 years)
Page 4 of 9 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 2. Care Homes for Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 6 15 The content of each residents care plan must be regularly reviewed. This is outstanding from the previous report. 31/07/2008 2 6 15 Comprehensive care plans must be completed for each resident identifying their individual needs and how these will be met. 31/07/2008 3 9 13 More information is needed 31/07/2008 in Risk Assessments to clarify how risks are minimised. This is outstanding from the previous report. 4 33 18 The staffing review must be 30/09/2008 completed and staffing levels adjusted to provide sufficient competent staff to support the residents needs. Care Homes for Adults (18-65 years) Page 6 of 9 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 1 6 15 The content of each residents care plan must be regularly reviewed. This means that plans reflect peoples changing needs. 01/12/2008 2 6 15 Comprehensive care plans must be completed for each person identifying their individual needs and how these will be met. This will ensure that staff are clear about each persons needs and the support they need. 01/12/2008 3 9 9 More information is needed 09/11/2008 in Risk Assessments to make clear how risks are minimised. This will ensure that people are protected by the systems in place. 4 22 22 Complaints records must contain full details of the complaint, its investigation and outcome. This should include whether or not the complainant is happy with the outcome. 01/12/2008 Care Homes for Adults (18-65 years) Page 7 of 9 This means that there will be clear information about how complaints are handled. 5 33 18 The staffing review must be 01/12/2008 completed and staffing levels adjusted to support residents needs. This will ensure that staffing levels are adequate to meet peoples needs. 6 42 18 Mandatory staff training including moving and handling must be completed for all staff. This will ensure that staff have appropriate skills to meet peoples needs. 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 01/12/2008 1 2 32 37 Continue with staff development to achieve 50 of the staff team with NVQ Level 2 or above in care. The manager needs to complete appropriate training in management and care to ensure that she has the skills to effectively run the home. There must be an effective quality assurance system in place that forms the basis of an annual development plan for the service. 3 39 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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 Adults (18-65 years) Page 9 of 9 - 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!
