This inspection was carried out on 24th November 2008.
CSCI found this care home to be providing an Good 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 4 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: Penkett Road (17) 17 Penkett Road Wallasey Wirral CH45 7QF The quality rating for this care home is: The rating was made on: two star good 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: Helen Carton Date: 2 4 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Penkett Road (17) 17 Penkett Road Wallasey Wirral CH45 7QF 01516910629 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: MacIntyre Care care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 5 Over 65 0 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 5 Date of last inspection Brief description of the care home 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. Care Homes for Adults (18-65 years) Page 2 of 9 What we found:
A random site visit was made to the service to assess whether the service is able to provide safe and appropriate support to the people who live there. We spent approximately five hours at 17 Penkett Road talking with the manager, area manager and members of the staff team. We also spent a short time with service users and observing their interaction with members of the staff team. As part of the visit we looked at a selection of records including support plans, incident reports, healthcare records and daily record sheets. We also spent a short time with service users and observing their interaction with members of the staff team. What the care home does well: What they could do better:
Examination of daily records and support plans show service users social and emotional needs are not being fully met. This is due to the incompatibility of some of the service users living at the home resulting in frustration, anxiety and on occasions leading to verbal and physical aggression. The manager and the area manager acknowledged these concerns and told us they were currently discussing these issues with other health and social care professionals involved in supporting individual service users. Examination of incident/accident reports show the manager and the staff team are experiencing difficulties managing aggressive or risky behaviours presented by some service users. Resulting in the more vulnerable service users being targeted with verbally and at times physically aggressive behaviour, leading to a significant deterioration in the quality of their daily lives and confidence in the service to maintain their safety and wellbeing. We discussed these issues with the manager and the area manager who acknowledged the concerns raised and stated extra staffing hours would be provided to safely support service users. Following our visit to the home the area manager informed us the rotas had been reviewed, long term sick leave had been covered by agency staff, members of the staff team had returned to work from sick leave and secondment opportunities resulting in a full complement of staff being available to support service users. Examination of a selection of service users files show at times significant information is not being recorded in a detailed manner. Particularly information about incidents where service users are the victims of verbal or physical aggression. Recording this information will allow an effective audit and assessment of needs including whether the staff team can effectively protect service users from physical abuse. We discussed with the manager and the area manager the need to ensure when a service user has been physically aggressive towards another service user this is referred to the local Care Homes for Adults (18-65 years)
Page 3 of 9 safeguarding unit. This is to ensure service users rights as citizens to be protected within their own home is supported and maintained. We looked at a selection of healthcare records which show overall the manager and the staff team monitor service user health and welfare. However they do not include in their review processes the impact psychological or emotional anxiety may have on service users physical healthcare needs. We discussed this with the manager and area manager who told us they would implement a system which would include this information. 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 4 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 2 14 Full assessments of the 30/03/2008 holistic needs of prospective residents must be carried out prior to an offer of a placement being made. This is to ensure their needs can be safely met without a detrimental effect being felt by the existing resident group. Contract of terms and 30/03/2008 conditions of residency and services to be provided must contain up to date information prior to either party entering into a contractual agreement. This is to ensure residents and their representatives are confident residents are receiving best value for money. Risk assessments and support plans must provide detailed information about the risks identified and the interventions the staff team are to carryout to maintain residents safety. A full review of residents needs must be carried out. This is to ensure staffing levels reflect the changing 30/03/2008 2 5 5 3 9 13 4 33 18 30/04/2008 Care Homes for Adults (18-65 years) Page 5 of 9 needs of residents. 5 34 19 Records must be held 30/01/2008 regarding all staff working at 17 Penkett Road including staff provided by an employment agency. This is to ensure residents are protected from people who are unsuitable to work with vulnerable adults. 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 19 12 Emotional and psychological needs must be regularly reviewed as part of the healthcare review process. This is to ensure physical signs of service users possible anxiety and stress are identified and appropriately supported and treated. 30/01/2009 2 23 13 All incidents of aggressive behaviour must be referred to the local safeguarding unit. This is to ensure service users are protected from abusive behaviour and their rights as citizens are protected and promoted. 05/01/2009 3 31 13 The staff team must be 05/01/2009 supported to maintain detailed records of significant incidents or events in service users lives. This is to ensure service users health and welfare is monitored effectively and that they receive appropriate Care Homes for Adults (18-65 years) Page 7 of 9 support and supervision at all times. 4 42 13 There must be sufficient staff 05/01/2009 on duty to meet the assessed needs of service users. This is to ensure the safety and welfare of both service users and the staff team. 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 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!
