Inspection on 20/11/06 for Penkett Road (17)

This inspection was carried out on 20th November 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

Penkett Road (17) 24/11/08

Penkett Road (17) 22/01/08

Penkett Road (17) 15/02/06

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 Key Unannounced Inspection 20th November & 20th December 2006 10:00 Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 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.V299149.R01.S.doc Version 5.2 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.V299149.R01.S.doc Version 5.2 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 Sheldon Carolan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 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.V299149.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two site visits were made to the home as part of the key inspection covering a period of approximately six hours at the home. Time was spent sitting with residents and observing the day-to-day routines of the home and the care staff as they provided support. I looked around the building to assess its suitability to provide a comfortable, safe and homely environment for the enjoyment of all residents. A selection of records kept by the home where looked at and a check was made that the requirements made at the last inspection had been completed. The main focus of the site visits and the inspection process was to understand how the home was meeting the needs of the residents and how well staff were themselves supported by the manager of the home. This was to make sure they had the skills, training and support to provide the best care to residents. What the service does well: The home works hard to support residents’ to live their lives as they want to and to make decisions on things that affect them. The home is comfortable and offers residents a safe and homely place to live. The staff team are very supportive of the residents and value them as individuals. There is a calm and relaxed feeling in the home. The home has not had many changes in the staff team since the last visit. This is good for the residents as it allows them to get to know the people who support them very well. The manager and Macintyre Care who own the home support the staff team to take part in training to help them support residents in the best and safest way. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 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.V299149.R01.S.doc Version 5.2 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): 1, 2, 3 & 4 Quality in this outcome group is good. This judgement has been made using available evidence including visits to the service. The statement of purpose and service user guide offers good information to prospective residents and their families about what the home provides and the type of support offered so they are able to make an informed decision about whether the home will be suitable for them. 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’s statement of purpose and service user guide provides good information about the facilities the home can offer to prospective residents and the values of the organisation that owns and runs 17 Penkett Road. The manager stated a piece of work had been carried with residents about what they would like to know about a person who may like to live in the home. This information has been brought together to form part of the pre admission assessment tool used by the home prior to admissions. Examination of this Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 9 information and document indicates the commitment of the manager and his team to proactively supporting residents to be part of the major decisions that affect their lives. The assessment tool is comprehensive and seeks information about residents physical, emotional, social, medical and mental health needs. Information is required to be provided regarding any behavioural needs to ensure the home can provide the most appropriate and safe support. Records from past admissions to the home show prospective residents’ are invited to visit on a number of occasions before they make the final decision to move in. This allows the opportunity for both the prospective resident and the current resident’s to get to know each other and also for the prospective resident to gain some insight into whether it would be a good move for them. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 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, 8, 9 & 10 Quality in this outcome group is good. This judgement has been made using available evidence including visits to the service. The home’s care planning and risk management strategies are good and enable and support residents’ lifestyles choices. The home promotes residents’ rights to confidentiality and offers support in a non-judgemental manner. EVIDENCE: Since the last site visit to the home the manager has streamlined the information held in care plans and risk management documentation. The manager has also started to assess all residents’ communication methods and is in the process of developing communication systems such as pictorial talking message books. These individual methods are to enable residents to communicate their needs and wishes in formats that are comfortable to them and which promote their confidence and reduce anxiety. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 11 The care plans are being developed into person centred plans, which encompass all aspects of residents’ lives including decision making in their daily lives. By way of example all residents are now going out to buy the food they enjoy with the support of their key workers and preparing meals at times that are convenient to them as individuals rather than collectively at set meal times dictated by the routines of the home. The home has a well developed, risk management strategy and uses these systems to enable and support residents’ to take part in activities that may prove challenging to them. Information about residents is held securely with the home having a confidentiality policy and procedure, discussion with members of the staff team demonstrated it is a working policy that all staff understand and reflect in their practice. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 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): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome group is good. This judgement has been made using available evidence including visits to the service. The home supports and enables residents’ to live their lives as individuals within a communal setting. EVIDENCE: Since the last site visit considerable work has been carried out by the manager and the staff team to review the activities residents’ are currently taking part in. This is to ensure past activities residents enjoyed are revisited and to introduce new activities to support residents to develop new skill or maintain existing ones. Activities currently being undertaken are age, peer and culturally appropriate with many being based within the community. A discussion was held with the manager about the issue of providing specific training to the staff team regarding issues of diversity and equality. The manager said all training provided by the organisation deals with issues of Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 13 diversity and equality. I advised the manager the home must ensure equality and diversity issues are raised regularly to monitor the staff teams understanding and commitment to the organisations value base. Documentation indicates when appropriate the home supports residents’ to maintain significant relationships with this type of information forming part of individuals care plans. On the second visit to the home time was spent with two of the residents and interactions between them and members of the staff team were observed. The staff team supported residents in a sensitive and respectful manner and supported them to be part of the physical care being provided rather than simply the recipients of care. Policies and procedures in the home promote residents’ rights to make informed decisions regarding their lives. This is evidenced by the work being carried out to assist residents to communicate their needs and wishes through individualised communication methods. Discussions with members of the staff team indicates they work hard to understand residents needs and wishes and are committed to supporting them with their decision making. Residents’ enjoy meals at times that are convenient and chosen by them and are supported to eat healthily. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 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, 19 & 20 Quality in this outcome group is good. This judgement has been made using available evidence including visits to the service. The medication at the home is well managed promoting good health. The home continues to meet the holistic needs of the residents’ living at the home. EVIDENCE: Care plans and risk assessments have detailed information regarding how residents like to be supported with their personal care needs including ways to minimise anxiety and agitation. Documentation and discussions with the manager, members of the staff team and observations made during the site visit indicate residents emotional and physical health care needs are being met. A sample of residents’ Medication Administration Record (MAR) sheets where examined with the corresponding medications and where well maintained. The home has detailed policies and procedures to support, guide and instruct staff with regard to the administration of residents’ medication. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 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): 22 & 23 Quality in this outcome group is good. This judgement has been made using available evidence including visits to the service. Arrangements for protecting residents from abuse and neglectful practice are good. The home acts proactively with regard to the management of complaints and concerns EVIDENCE: The home has a detailed complaints policy and procedure and has produced an easy read format with pictorial references for residents’ use. The manager said he intends to produce the complaints procedure in the preferred communication method of individual residents to assist their understanding and participation in decision-making. The manager confirmed that protection of vulnerable adults training is mandatory within the organisation. The home had a copy of Wirral social services safeguarding vulnerable people policy and procedure and the manager stated that the organisations protocols dovetail with this document. Examination of these documents confirmed this information. Discussions with the manager and members of the staff team indicates they have a good understanding of their roles and responsibilities to alert managers of the organisation, social service, CSCI and the police of alleged abuse and neglectful practice towards residents. This helps to ensure residents are safeguarded from the possibility of abuse. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 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, 26 & 30 Quality in this outcome group is good. This judgement has been made using available evidence including visits to the service. The home provides a homely and comfortable environment that meets residents’ needs. EVIDENCE: Since the last site visit the lounge/dining room carpet has been replaced with laminate flooring, both rooms have been decorated with the sofas having new covers fitted. The inspector noted there were framed photographs of residents in the lounge and photo albums in the dining room, which includes pictures of people who lived in the home. The hall, stairs and landing have been decorated which has brightened this area. The home provides a homely, attractive and comfortable environment for residents to live in. The manager confirmed that one bedroom had been redecorated with the resident being involved in all decision making regarding work to be carried out. The manager stated that the intention is the remaining rooms will be redecorated in the coming year. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 17 The areas of the home viewed during the site visits were clean and tidy and the home was pleasantly warm during both site visits. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 18 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): 31, 32, 33, 34, 35 & 36 Quality in this outcome group is good. This judgement has been made using available evidence including visits to the service. The staffing structures within the home provide residents with a safe, supportive and enabling environment in which to live. EVIDENCE: The organisation has made a decision that staffing files are held at their regional headquarters rather than in the home. However a checklist is completed which gives information about employees, which includes checks carried out by the organisation such as criminal record bureau checks (CRB) and references. CSCI are able to view the full recruitment records at the organisation’s headquarters if this is deemed necessary. A sample of records where looked at and it was found that they held the required information. The manager has produced a training matrix, which details training undertaken by each member of staff including the date and identifies gaps. The manager said the organisation was currently looking at the way staff are supported to undertake training particularly NVQ level 3. This is to enable the organisation to target their training resources to providing more specialised training to Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 19 support the staff team to care and support residents in the most appropriate way. The majority of the staff team have gained NVQ level 3 with a further two commencing this training in the New Year. Members of the staff team demonstrated a clear understanding of their roles and responsibilities. They stated that they felt supported by the senior support worker and the manager and received regular supervision. This means that residents are supported by staff that are well managed and are clear about their role and responsibilities. Members of the staff team were also observed supporting residents’ in a supportive, affectionate and sensitive manner. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome group is good. This judgement has been made using available evidence including visits to the service. The service is well managed with a clear focus on the promotion of residents’ health, safety, independence 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 nine years. There has been significant improvement in all areas of the management of the home, which has had a positive impact on the quality of life of the people living there. The manager is supportive of the staff team to undertake training and to develop their roles as key workers to residents. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 21 Since the last visit to the home there have been a number of changes to the daily routines to encourage and support residents to maintain and develop life skills to promote their independence and decision making skills. Overall the documentation in the home and recording of information continues to improve. The manager keeps up to date records regarding maintenance of the building and safety checks carried out on facilities and equipment such as the fire alarm. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 X 3 X Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 23 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. 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 Refer to Standard YA3 Good Practice Recommendations The home should look at the systems in place to evaluate the staff teams understanding of equality and diversity issues. Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 24 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. Extracts may not be used or reproduced without the express permission of CSCI Penkett Road (17) DS0000018927.V299149.R01.S.doc Version 5.2 Page 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. 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