Inspection on 16/07/08 for Penlea

This inspection was carried out on 16th July 2008.

CSCI found this care home to be providing an Good service.

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

Penlea 27/07/07

Penlea 17/08/06

Penlea 16/02/06

Penlea 10/08/05

Penlea 11/01/05

Penlea 27/09/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Penlea 13 Dunheved Road Launceston Cornwall PL15 9JE Lead Inspector Mandy Norton Unannounced Inspection 16 July 2008 10:00 Penlea DS0000009213.V365144.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 Penlea DS0000009213.V365144.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. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Penlea Address 13 Dunheved Road Launceston Cornwall PL15 9JE 01566 775943 01566 775943 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.mencap.org.uk Royal Mencap Society Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2007 Brief Description of the Service: Mencap provides care for up to 8 adults with learning disabilities at Penlea. The home is situated in Launceston within walking distance of the town centre. Mencap also operates several other care homes in Cornwall. All people who use the service have their own bedrooms and there is a pleasant lounge, and dining room for them to use, plus a large Kitchen with table and chairs. Penlea has a pleasant front garden, and a patio at the rear which service users can use. Seating is provided. There is some parking at the front and rear of the home. A copy of the last inspection report is available in the home. The range of fees at the time of the inspection is £329 to £574 per week. There are additional charges for hairdressing, newspapers etc. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place from 2.50 pm until 5.40 pm on the 16th July 2008. The inspection was conducted with the manager and 2 carers on duty. A tour of the home was carried out and 3 of the 6 people who live at the home were spoken to. What the service does well: What has improved since the last inspection? All of the requirements made following the last inspection have been met. This includes a review of staffing levels to ensure there are sufficient staff available to meet the individual needs of the residents. The electrical wiring has been checked and there are systems in place to check the thermostatic valves that control the water temperature, and for legionella. There has been a new manager appointed who has been able to examine the current systems in the home and introduce ongoing improvements to these as required, he is doing so with the support of the staff group and current residents. The home also now sends notifications of any incidences to The Commission as required by legislation. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Penlea DS0000009213.V365144.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 Penlea DS0000009213.V365144.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have information about the home in order to make an informed decision about whether the service is right for them. EVIDENCE: There is a clear pre admission assessment procedure in place that is completed prior to admitting anybody. This ensures that the home can meet the persons needs and that the person will ‘fit in’ with the current residents. On the day of the inspection some people were being shown round the home by the manager. The current residents were very curious and were keen to be involved in the process. One person was reassured that nobody moves in without them being consulted and their wishes are important when deciding if the home could take a person or not. Contracts with terms and conditions included in them were seen in the 2 care plans examined. The Service Users Guide & Statement of Purpose are up to date explaining the ethos of the service and what the service has to offer. These documents are available to people in a format that is suitable to them and is done on a n individual basis. There is visual information displayed in the home about the staff so residents can recognise who is on duty at any particular time. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 9 Penlea DS0000009213.V365144.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The practice regarding the planning and delivery of care and support means that people can be sure that their social, health and personal care needs will be met. EVIDENCE: The 2 care plans examined had a lot of information about the individual and their abilities and lifestyle choices. They had been regularly evaluated and updated. One was discussed with the resident and it was clear that she was aware of the information recorded about her and that it designed to be a record of what she does and is useful for new people that may not know her needs. The plans showed when other health care professionals are involved with care and support such as GP’s, dentists, opticians and any restrictions on choice or freedom. The people spoken to were clearly able to express themselves and are actively involved in decisions about how they spend their time. Each person has access to their own money and the person in charge said that those able to manage their finances independently are encouraged to do so, Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 11 with support from staff as required. She demonstrated the system in place to manage peoples money: this includes recording income and expenditure and keeping receipts, which the residents are asked to give her when they return from being out. The staff on duty described how people are involved in the day to day running of the home this includes deciding on what meals to have and helping with the shopping to ensure the right foods are bought in. They are also consulted when any changes are being bought in, such as the current decision to take pictures of some of the meals so people can visualise the choices they are making, residents are also involved in decisions about who is to move into the house (see previous standards) and the selection of staff (when appropriate). The home has policies and procedures about confidentiality and records seen were accurate and kept safely. Penlea DS0000009213.V365144.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities within the home and community meaning the people have opportunities to participate in stimulating and motivating activities that encourage personal development and independance. Meals and mealtimes are not rushed making them an enjoyable occasion for people. EVIDENCE: The 2 residents spoken to were able to say how they spend their time in the house, what they do outside the home and what they like to do as individuals. The residents do not have an occupation but do have local links and are included in the local community as they are all out and about independently. On the day of the inspection one person had been out swimming, one had been horse riding, others were going shopping in the early evening and Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 13 another was going to a local meeting and helping to prepare items for the the local show. The communal lounge had a TV, which people said they like to watch, books and games and the 2 residents rooms seen had TV’s, CD players and personal collections of music. The staff discuss with the residents about what they like to do and arrangements are made to go to the local college or day centres for example to access opportunities to learn and develop new skills. Visitors are welcomed at all times. Residents and the staff explained that they are going to Butlins in Somerset for their annual holiday in September and they are all looking forward to it. The staff said that group trips are sometimes arranged but mostly people have different interests and are able to pursue them, these include horse riding and trips to local attractions, one person is looking forward to going to an air show in Cornwall in a few weeks time. Breakfast and evening meals are taken together but the residents are often out during the day and will choose what they want to eat and where, the staff ensure they have money for this if necessary. People spoken to said they liked the way the meals were decided and liked eating with the others. A resident spoken to said that they do not go into each others rooms unless they are asked to. During the inspection people were heard interacting appropriately with each other and the staff. The resident s have access to all parts of the home and small gardens to the rear of the house. People help with the household chores and there is a rota in place which fits in with peoples outside activities. People spoken to knew what their responsibilities were and when it was their turn. Penlea DS0000009213.V365144.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The providers commitment to the delivery of care and support means that people can be sure that their health and personal care needs will be always be met. EVIDENCE: The residents spoken to said that they can go to bed when they want and go out when they want as long as they tell somebody where they are going. One person was having a shower independently during the inspection and another was putting their own washing on with some guidance. People said they choose what they want to wear and staff commented they would only suggest options if a person might be too warm or cold. Care plans seen included individual records that detailed peoples preferred routines and likes and dislikes. The person in charge said that minimal personal support is needed and the residents are encouraged to be as independent as possible although support from outside agencies such as the LD services are accessed if required. She said that people visit the GP, optician and dentist as required. One person is currently exhibiting some pain so is visiting the GP to see if the cause can be determined. A resident spoken to said that they get their tablets from the Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 15 office where they are kept. A record is maintained of the current medication for each person. The staff said that they have to make sure that people take any medicines they need out with them if they have to be taken during the day. (Medicine management was not looked at in detail during this inspection) Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Formal complaints and reporting of abuse policies and procedures are in place. They are available to anybody working with the residents and people visiting the home at all times. People feel their concerns are listened to and acted upon making them feel supported and safe. EVIDENCE: There is a formal complaints procedure in place which is in the Statement of Purpose and displayed in the home. Care plans seen had information in a format suitable to the person concerned about how to make a complaint or discuss a concern if necessary. The Commission have received no concerns or complaints about this service. During discussion it was clear that the staff were aware of adult protection/safeguarding procedures and would know who to contact if necessary. Mencap have policies and procedures around complaints and protection and offer safeguarding training during induction and as part of their ongoing training programme. The policies and procedures are available to staff at all times. The residents visit day centres and have contact with outside agencies to whom they are able to talk if they have any concerns that cannot be shared with staff at the home. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have a homely, comfortable and safe environment in which to live. EVIDENCE: Penlea is owned and managed by Mencap (www.mencap.org.uk). It is near to the centre of Launceston and local facilities. The home has transport to use if people want to go further afield or to go shopping. On the day of the inspection the home was clean, tidy and homely. The 2 individual rooms seen were decorated appropriately, had personal possessions and ornamentation chosen by the residents themselves. There is one communal bathroom/toilet on the first floor and a shower on the ground floor. There is a communal lounge on the ground floor that is used by all the residents, meals are taken in the spacious dining room and there is a table and chairs in the kitchen which is often the hub of a lot of activity. No adaptations are required fort the current residents. Electrical appliances seen had up to date PAT stickers on them. Washing is done in a domestic machine and the cleaning and household chores are done by the staff and the residents. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 18 Ongoing repairs and maintenance are carried out by Mencap but decorating of peoples rooms can be done by the staff as required with people choosing their own fixtures and fittings (if possible). People spoken to said that they liked their rooms and the kitchen. One person said the dining room and lounge are big and friendly. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The provider, manager and care staff show a responsible attitude and implement changes and improvements in order to keep improving quality and outcomes for people living in the home. Mencap have a training programme designed to give staff the skills they need to ensure people are being looked after and supported appropriately. EVIDENCE: The 2 staff on duty on the day of the inspection said that since the new manager had started the staffing levels had improved and now they are able to meet peoples needs with a more flexible approach. The manager (who arrived half way through the inspection having returned from taking a resident to a hospital appointment) said that he had wanted to implement a few changes when he started but it was clear that increasing staffing levels was a priority. The duty rota seen showed that the manager works days during the week supported by a carer from 7am to 10am (who has been the sleeper overnight) and then 2 carers from 2 or 3 pm until 9.30pm. Hours are flexible around the needs of the residents, there are less staff available when the Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 20 residents are out during the day and more staff when they are in the house. There are photographs of the staff on duty for the week displayed in the home. The person in charge said that 2 new staff are about to start and then there will be no need to use agency staff. The agency staff who have been working in the home have been the same people over a period of time to ensure consistency for the residents. Residents spoken to like the staff and get to do all the things they want to. Staff interaction with the residents during the inspection was appropriate: discussing what was for the evening meal, the shopping list, where people are going in the evening and praising them for things they had achieved during the day at their varied activities. Staffing levels remain under review and feedback is sought from the manager on an ongoing basis and during team meetings, one of which was planned for the following week. The meetings are minuted and all staff receive a copy of them if they are unable to attend the meeting. Mencap have a robust recruitment procedure. Included in the staff files area CRB check, 2 written references and previous employment history. The person in charge said her induction had been thorough (she was the first person to start after the new manager was appointed and it was done properly). Two new members of staff are due to start in the near future. One resident spoken to knew that some new people were starting and was not concerned. The person in charge said that Mencap have a ‘learning programme’ that includes first aid, manual handling, fire safety and other training appropriate to the conditions of the current residents. A variety of courses were advertised in the office and the person in charge said that there is no difficulty in getting on the courses. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and care staff work to meet the needs of the service and to continually improve what the home offers to meet the needs and welfare of the people that live there. EVIDENCE: Since the last inspection (July 2007) the home has notified the Commission of any incidences that they are required to report. Risk assessments for legionella, checks on the thermostatic valves that control water temperature and a check on the electrical system have all been completed as required. The current manager started in September 2007. He is to submit a completed application to the Commission to be registered as the manager in the near future. It is his first managers post but he feels confident that having worked in this area of care for some time he has the skills required to manage Penlea. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 22 He has not yet registered for a Registered managers Award (NVQ4) as his priority was to make sure the home was running more effectively. Mencap have a formal quality assurance system in place which is based on seeking the views of those that live in the home and other people who visit the home in a professional capacity. Surveys, questions are designed so that the current residents can understand them and are able give their opinions. A completed Annual Quality Assurance Assessment has not yet been returned to the Commission (due June 2008). The manager said he has not had one sent to him so arrangements were made for the Commission to send him another one to be completed. As part of their ‘learning programme’ Mencap provide training in manual handling, fire safety, first aid and food hygiene. The manager has records of risk assessments that are carried out for individuals and generally for the house. These are updated as required. The accident book seen was completed appropriately and is available to all staff to record incidences as necessary. The induction programme in place covers aspects of health and safety relevant to the current residents (when they are in and out of the house), the staff group and Penlea including security of the premises, safe storage of hazardous substances and risk assessments. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 23 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 X 4 X 5 3 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 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 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 2 X 3 X X 3 x Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 YA37 Good Practice Recommendations The manager should continue with his application to The Commission to become a registered manager and consider undertaking a Registered Managers Award (National Vocational Qualification Level 4) in the near future. Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: 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 © 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 Penlea DS0000009213.V365144.R01.S.doc Version 5.2 Page 26 - 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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