Inspection on 19/12/05 for Penkett Road (17)

This inspection was carried out on 19th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 11 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) 15/02/06

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 19th December 2005 11:30 Penkett Road (17) DS0000018927.V274314.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.V274314.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.V274314.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 Mrs Karen Timmins Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th March 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 bathroom 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 dose not have a passenger lift. Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were 5 people living at 17 Penkett Road at the time of the visit. The inspection was unannounced and took approximately two hours. Residents were coming in and out of the home during the visit and the inspector spoke to the manager and briefly to a member 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 look at the information they hold on residents and make sure important information is kept in such a way that the staff team can access it easily. Also that 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 residents are spending their own money. Penkett Road (17) DS0000018927.V274314.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.V274314.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.V274314.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, 3 & 4 The home does not carryout detailed assessments of prospective residents’ needs, which may have an impact on the lifestyles of the residents’ already living in the home. The home supports and encourages prospective residents’ to “test drive” the home prior to them deciding if the want to live there. EVIDENCE: Since the last inspection visit one person has been admitted to the home. Looking at a selection of records the inspector noted there appeared to be no formal assessment carried out before the person moved into the home. There was a lot of information about how the person would feel about moving into the home and the impact this would have on them. However there was no information about the impact the admission may have on the four people already living at the home. The inspector discussed with the manager the need for a detailed assessment to be carried out even if the person is moving from another home owned by Macintyre Care. As the needs of the existing residents’ should form part of the assessment to ensure the staffing levels in place prior to the admission will continue to meet their needs. The manager accepted the comments made by the inspector and said he had been in post for three weeks and was still finding his way around the documentation and filing. Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 9 Records show before moving into the home prospective residents’ are invited to visit on a number of occasions before they make the decision to move in. Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 10 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, 7, 9 There are inconsistencies in the care planning and risk assessment systems in place to adequately provide staff with the information to satisfactorily meet residents’ needs. There is little evidence that formal transparent processes are gone through to enable residents’ to make informed decisions and choices. EVIDENCE: The home has a range of care plans and is currently producing person centred profiles. These records are not presented in an orderly concise manner. This could hinder newly appointed staff to find important information about how to approach and support the people who live at the home. The risk assessments currently being used do not always provide detailed information about why an issue has been identified as a risk. The inspector noted that a particular risk assessment did not hold all the information about what actions staff where to take to minimise the impact of the behaviour as detailed in the resident’s care file. This behaviour is detailed in the resident’s person centred profile however the action to be taken by the staff team is not. The inspector advised the manager to ensure a consistent and safe approach is Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 11 applied by the staff team to incidents of challenging behaviour documentation must be clear and detailed. The inspector looked at records about how the home manages the admissions of residents’ to the home. The inspector was concerned to see the newly admitted resident had bought large items of furniture for their bedroom. There appears to be no records to show how the resident was supported and by whom, to make decisions about spending their money in this way. Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 12 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): 13 & 14 Links with the community are good and support and enrich residents’ social and educational opportunities. EVIDENCE: During the visit the inspector observed most of the residents’ were either getting ready to go out or were returning from an activity. Diary sheet entries and activity sheets show that most of the residents’ are involved in a range of activities including attendance at college courses. The inspector noted there were restrictions being placed on the type and frequency of community based activities one resident was being allowed to access. The manager gave full details as to the reasons why these restrictions had been put in place and that the decision had been made at a multi disciplinary meeting. However this information had not been fully documented in the resident’s care plan, person centred profile or risk assessments. Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 13 The inspector discussed with the manager the need to minimise the home’s reliance on verbal information shared between the staff team. Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 14 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): 18,20 Personal support in the home is offered in such a way as to promote and protect residents’ privacy, dignity and independence. The medication at the home is well managed promoting good health. EVIDENCE: The residents’ care plans and person centred profiles provide good information for the staff team. To enable them to provide the most appropriate personal support in a manner residents’ prefer. The inspector checked residents’ medications and found them to be maintained with accurate records being kept. Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 15 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): 23 Arrangements for protecting residents are not satisfactory placing them at possible risk of harm or abuse. EVIDENCE: As detailed in an earlier part of this report the issue of residents buying large items of furniture for their bedrooms is a cause for concern. As the home is unable to show how they supported residents to make these decisions such as the involvement of independent advocacy services. This could be viewed as abusive practice particularly as the residents living at the home have complex needs and limited verbal skills. Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 16 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, 25 & 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 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 the carpet must be cleaned, as a matter of urgency and the room must be a priority for decoration. Penkett Road (17) DS0000018927.V274314.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): 34 Since the last inspection the standard of vetting and recruitment practices has declined with no evidence that appropriate checks are being carried out potentially leaving residents at risk. EVIDENCE: The organisation that owns the home does not hold staff files on the premises for security reasons. However they have produced a form that they believe holds all the information required by the Commission. A sample of these records were looked at the inspector found pieces of information required for them to show they have a robust recruitment process were missing. This included confirmation that employment and medical references had been sought and POVA checks had been carried out. The manager informed the inspector he had recently been through the organisation’s recruitment procedure and that all required checks had been made prior to him being offered the post of manager. Penkett Road (17) DS0000018927.V274314.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, 40 & 42 The owners are not being open and transparent in their dealings with residents with regard to the purchasing of furniture. Residents’ health and safety is being compromised by the lack of detailed information held in some risk assessments. EVIDENCE: The manager has been in post for approximately three weeks he has a wide range of experience in the social care field and has supported adult with a learning disability for approximately eight years. As detailed in earlier parts of the report the issue of residents purchasing large items of furniture and bedding is a cause for concern. As the home was unable show the processes they went through to ensure residents decisions and choices were in their best interests. The need for the home’s risk assessments and care plans to hold detailed information is raised in an earlier part of this report. Penkett Road (17) DS0000018927.V274314.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 2 3 2 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 2 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 2 X X 2 X 2 X Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 20 No 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 YA2YA3 Regulation 14 Requirement The registered persons must ensure a full and detailed assessment is carried out prior to admission. And that the continuing needs of the existing resident group are considered as part of the process. 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 purchasing items of furniture. The registered persons must ensure risk assessments and management plans accurately reflect the risk or behaviours. And the action to be taken by DS0000018927.V274314.R01.S.doc Timescale for action 19/12/05 2 YA6 15 19/12/05 3 YA7YA23YA42 12 19/12/05 4 YA9YA42 13 19/12/05 Penkett Road (17) Version 5.1 Page 21 the staff team to support residents during these difficult times. 5 YA24YA25 16 The registered persons must ensure damaged and worn decoration and carpets’ are repaired or replaced. The registered persons must ensure the home is kept clean and tidy at all times. 25/02/06 6 YA30 16 19/12/05 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.V274314.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Liverpool Satellite 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. Extracts may not be used or reproduced without the express permission of CSCI Penkett Road (17) DS0000018927.V274314.R01.S.doc Version 5.1 Page 23 - 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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