Inspection on 15/02/06 for Penkett Road (17)

This inspection was carried out on 15th February 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Penkett Road (17) 24/11/08

Penkett Road (17) 22/01/08

Penkett Road (17) 20/11/06

Penkett Road (17) 19/12/05

Penkett Road (17) 06/03/05

Penkett Road (17) 07/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Penkett Road (17) 17 Penkett Road Wallasey Wirral CH45 7QF Lead Inspector Helen Carton Unannounced Inspection 15th February 2006 13:00p Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 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 Penkett Road (17) DS0000018927.V287160.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 Adults 18-65. 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. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Penkett Road (17) Address 17 Penkett Road Wallasey Wirral CH45 7QF 0151 691 0629 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) www.macintyrecharity.org MacIntyre Care Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th December 2005 Brief Description of the Service: The home is a large semi-detached house situated in Wallasey close to local shops and amenities such as pubs, cafes and New Brighton promenade. The home has five single bedrooms, a lounge/dining room and bathrooms on the ground and first floor. There is a courtyard type area at the rear of the home and off road parking for approximately three cars. The home has no passenger lift. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were 4 people living at 17 Penkett Road at the time of the visit. The inspection was unannounced and took approximately two and half hours. Residents were coming in and out of the home during the visit and the inspector spoke to the manager and two members of the staff team. What the service does well: What has improved since the last inspection? What they could do better: The home needs to continue to improve the information they hold about residents and make sure important information is kept in such a way that the staff team can access it easily. Also the information is clear and provides them with clear guidance and instruction on the best way to support residents. The home needs to look at the way it is involved in decision-making by residents’ especially when they are spending their own money. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 6 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. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&4 The home’s assessment procedures enable them to offer placements to prospective residents’ on the basis they will be able to meet their aspirations and care needs. The home supports and encourages prospective residents’ to “test drive” the home prior to them deciding if the want to live there. EVIDENCE: The home has an assessment procedure with documentation that is completed to indicate prospective residents’ care and behavioural needs. At the time of the visit the home had one vacancy the manager told the inspector the process would be followed in detail. This would ensure the home could meet the individuals needs and they are would fit in well with the people already living at the home. Records from past admissions to the home show prospective residents’ are invited to visit on a number of occasions before they make the decision to move in. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9 & 10. The home is improving and streamlining the care planning and risk assessment strategies this is having a positive impact on the level and type of support offered to residents. The home has good systems and facilities in place to ensure residents’ information is handled appropriately and sensitively. EVIDENCE: Since the last visit to the home the manager has begun to review the care planning and risk assessment strategies. He told the inspector he intended to streamline the information held about residents’ to ensure the most up to date and relevant information is easily accessible for the staff team. The inspector viewed a sample of files and discussed the planned changes and acknowledges they will be beneficial to both the staff team and residents. The manager told the inspector he had attended a training course regarding risk assessment frameworks and was currently reviewing all risk assessments and support plans. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 10 The manager has implemented a new system to record daily information about residents’ to ensure the staff team are observing residents’ behaviour and mood while taking part in activities. This to help them to support residents’ to make informed decisions and choices regarding activities they appear to enjoy and gain practical skills from. At the time of the visit the manager and staff team where producing pen pictures about residents’. This is to help all members of the team including bank and agency staff get to know residents’ in a more holistic way. Residents’ information is held in secure facilities within a locked room. Examination of documentary evidence indicates the staff team document information about residents’ in a professional, sensitive and non-judgemental manner. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,15,16 & 17. Links with the community are good and support and enrich residents’ social and educational opportunities. The home’s financial dealings with residents’ with regard payments for the home’s minibus is not open, transparent or equitable. EVIDENCE: The home supports residents’ to take part in a range of activities that are age and culturally appropriate. And seeks out opportunities for personal development such as colleges courses and individual therapies such as music and movement. Examination of documentation indicates residents’ are asked to make a financial contribution to the upkeep of the home’s minibus. However documentation such as the Statement of Purpose and the Service Users guide state ‘the service has an adapted vehicle that can be accessed by all the service users’. Records show some residents’ pay the contribution but others do not yet all use the minibus. The inspector advised the manager this situation was not equitable and should be reviewed. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 12 It does not appear that relatives or independent advocates have been involved in supporting residents’ in the decision making regarding if contributing to the home’s minibus is best value for money. The staff team prepare residents’ meals with residents’ involved in meal preparation as much as possible. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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 & 21 The medication at the home is well managed promoting good health. Overall the home continues to meet the physical and emotional needs of residents’. EVIDENCE: The ongoing review of the care planning and risk assessment strategies will have a positive impact on residents’ physical and emotional health care needs. Examination of residents’ files, discussions with the manager, members of the staff team indicate the home works hard to support residents’ with their care and emotional needs. The inspector checked residents’ medications and found them to be maintained with accurate records being kept. During the visit the inspector spoke to the manager and members of the staff team about the issues of illness and the death of a resident. The home has good systems in place and the staff team demonstrates awareness for the need for sensitivity at these times. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Arrangements for protecting residents are not satisfactory placing them at possible risk of financial abuse. The home acts proactively with regard to the management of complaints and concerns. EVIDENCE: The issue of residents’ paying a contribution for the upkeep of the home’s minibus without full information being disclosed and no independent advice being sought is raised as a concern in an earlier section of this report. The manager told the inspector protection of vulnerable adults training is mandatory within the organisation. The inspector discussed with the manager the need to ensure the home’s adult protection procedures dovetail with Wirral social services protocols. The home has a detailed complaints policy and procedure and had produced an easy read format with pictorial references for residents’ use. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The quality of the furnishings and decoration of the home is mixed providing in most parts a comfortable and safe environment for those living there. Most areas of the home were clean and tidy providing a safe and hygienic place for residents’ to live. EVIDENCE: The following information was gained at the last inspection visit and remains current at this visit: The inspector viewed the lounge, which was pleasantly decorated however the carpet was badly fitted by the door and could become a tripping hazard. The manager was advised to have it looked at and repaired as soon as possible. The inspector noted the sofa and chairs were covered in what looked like a coated plastic the inspector discussed with the manager how comfortable this would be for residents. The inspector viewed one bedroom and found the decoration to be worn and damaged with the carpet badly stained and untidy. The manager was advised Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 16 the carpet must be cleaned, as a matter of urgency and the room must be a priority for decoration. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 The organisation is committed to providing the staff team with training to enable them to support residents’ in the most appropriate way. The organisation’s recruitment practices protect residents’ from possible forms of abuse. EVIDENCE: The organisation that owns the home does not hold staff files on the premises for security reasons. However they have produced a pro forma that holds the information required by the Commission. With the understanding that the full records can be viewed at their headquarters if deemed necessary. A sample of records were looked at and the inspector found they held the required information, including confirmation that employment and medical references had been sought and POVA checks had been carried out. All support workers working at the home have gained NVQ level 3 and the organisation is committed to providing periodic specialist training to enable the staff team to offer the most appropriate support to residents’. The inspector observed members of the staff team supporting residents’ in a supportive, affectionate and sensitive manner. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40 & 42. The owners are not being open and transparent in their dealings with residents with regard to the upkeep of the home’s minibus. The home works proactively to promote residents’ health, safety and welfare. EVIDENCE: The manager has been in post since the end of November 05 he has a wide range of experience in the social care field and has supported adults with a learning disability for approximately eight years. The inspector acknowledges there has been improvement in the daily information being recorded about residents’. And the ongoing streamlining of care plans and the reviewing of risk assessment information As detailed in earlier parts of the report the issue of residents’ contributing to the upkeep of the home’s minibus without involving independent advocates to ensure the contribution is in the best interests of residents’. Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 2 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 3 X 3 2 X 3 X Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 20 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 YA6 Regulation 15 Requirement The registered persons must ensure the care plans provide full, detailed and accessible information. To enable the staff team to provide the most appropriate care and support at all times. The registered persons must ensure the support offered to residents with regard to decision-making is open and transparent. Particularly when residents’ are contributing to the upkeep of the home’s minibus. The registered persons must ensure risk assessments and management plans accurately reflect risk or behaviours. With the action to be taken by the staff team to support residents’ during these difficult times. The registered persons must ensure damaged and worn decoration and carpets’ are DS0000018927.V287160.R01.S.doc Timescale for action 30/04/06 2. YA16 12 30/04/06 3. YA9 13 30/04/06 4. YA24 16 30/04/06 Penkett Road (17) Version 5.1 Page 21 repaired or replaced. 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 Penkett Road (17) DS0000018927.V287160.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Liverpool Local Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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. 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