Inspection on 11/05/07 for Penlee

This inspection was carried out on 11th May 2007.

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

Penlee 06/12/08

Penlee 01/12/05

Penlee 27/06/05

Penlee 07/12/04

Penlee 04/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Penlee 56/57 Morrab Road Penzance Cornwall TR18 4EP Lead Inspector Richard Coates Key Unannounced Inspection 11th May 2007 09:15 X10015.doc Version 1.40 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 Penlee DS0000008917.V338085.R02.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 Older People. 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. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Penlee Address 56/57 Morrab Road Penzance Cornwall TR18 4EP 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) 01736 364102 robputterill@aol.com Mr Robert David Putterill Mrs Kathleen Mary Lucy Putterill Care Home 22 Category(ies) of Dementia - over 65 years of age (6), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (6), Old age, not falling within any other category (22) Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 22 adults of old age (OP) Service users to include up to 6 adults over 65 with dementia (DE{E}) Service users to include up to 6 adults over 65 with a mental illness (MD{E}) Total number of service users not to exceed a maximum of 22 No more than 6 service users must be in the category DE(E) and MD(E) in total. 1st December 2005 Date of last inspection Brief Description of the Service: Penlee is a substantial Victorian building formed from two houses in Morrab Road, a pleasant residential area between Penzance town centre and the promenade. The registered providers are Mr and Mrs R Putterill. Penlee is close to the town, local GP surgeries, Penlee Park and the public library. Mr and Mrs Putterill are registered to provide accommodation and care for a maximum of 22 older persons, including six who have dementia and six who have a mental disorder, which is not learning disability. There are 18 single rooms and two double rooms. The providers intend that a double room would only be used as a double for two partners or relatives who wished to share. The access at the front has a small granite step at the gate and two granite steps at the main door, which has a ramp. There is a shaft lift between the floors, and there are stair lifts on longer flights of stairs. The gardens are small but pleasantly laid out with sitting areas. The provider describes the aims, services and facilities clearly in the Statement of Purpose. The home sets out to provide a high quality service that responds to individual needs and preferences. Mr and Mrs Putterill are generally able to take the residents to hospital and medical appointments. The weekly fee for new admissions was given at May 2007 as £370.00. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a planned unannounced inspection to review compliance with the requirements and recommendations set in the last inspection report, dated 1 December 2005, and to inspect against the national minimum standards identified as key standards by the commission. The provider submitted a preinspection questionnaire before the inspection visit. The views of residents and their representatives were obtained through a postal survey. The inspector visited the home over two days. The methods used were the inspection of records and documents, a tour of the premises, observation and discussions with the registered manager, staff and residents. What the service does well: Penlee provides a comfortable, safe and well-maintained home for older people. The service provides well-presented written information about the home to enable people to make a decision about whether the home can meet their needs and suits their preferences. Relatives and visitors say that the home has a warm and welcoming atmosphere. The provider carries out detailed assessments and considers carefully if the home can meet the needs of prospective residents. There is an attention to detail in care planning and risk assessment with individual residents and in responding to their preferences and choices. The residents’ healthcare needs are effectively monitored and addressed. Residents report that they are well cared for and they have confidence in the registered providers. The staff are kind and skilled and respect their privacy and dignity. Residents said that staff obtained prompt attention and advice when they were unwell. Responses to the questionnaire included, “ Exceptional care and kindness”, “Staff very attentive” and “I cannot praise the owners and staff too highly”. The management of the home is effective and ensures that the aims and objectives as set out in the statement of purpose are met. The home is kept in good decorative order. There is a continuing programme of maintenance and refurbishment of the premises and equipment. The providers actively consult residents individually and obtain their views about the services provided. They regularly evaluate the service provided and follow this up with planned improvements. There is a structured training programme, which covers induction, required statutory training and NVQ at levels 2 and 3. Staff report that they are well supported and supervised. There are arrangements in place to ensure compliance with health and safety legislation and promote the health and safety of staff and residents. Penlee DS0000008917.V338085.R02.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. The summary of this inspection report can be made available in other formats on request. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, Penlee does not provide intermediate care as covered by standard 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The needs of prospective residents are assessed so that they can be assured that the home can provide adequate care. EVIDENCE: There have been few admissions of new residents in the last year. The records for a recently admitted resident were case tracked. The registered provider had recorded an admission assessment and information record and a nutritional screening. The provider had also drawn up a care plan with detailed directions and information for staff, so that the resident’s needs could be met. The provider is very aware of the need to complete thorough assessments of Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 9 prospective residents to ensure that the home is able to meet their needs and preferences. The provider’s assessment format complies with the standard and permits flexibility in recording the complexity and detail of the assessment. The resident who had been admitted recently reported that the home was comfortable, clean and tidy, and the staff had been very kind in helping her feel at home. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Written care plans direct and inform staff in detail about the residents’ health and personal care needs so that these can be met. The provider is very attentive in monitoring the changing healthcare needs of residents and ensuring that these are addressed. The arrangements for the management of medicines protect residents. EVIDENCE: We case tracked four residents’ records. These records all had written care plans. The provider draws up a separate care plan record for each care need, activity and risk. The plans cover the residents’ personal, health and social care needs. Each plan sets out a stated objective, the action to be taken and Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 11 regular dated evaluations. The care plans provide detailed and specific directions for staff to meet the residents’ care needs. Residents sign their care plans. There is further evidence of their participation in care planning in the ‘Resident’s Preferences’ record and agreement for frequency of checks at night. Care staff record daily notes consistently; these are factual, legible and signed. The care plans contained regular reviews and evaluations. They documented the actions that had been taken to meet the changing needs of residents. Residents reported that staff were ‘kind’, knew what they were doing in the delivery of care, and respected their privacy and dignity. Residents were very satisfied with the quality of the care they receive. Residents see GPs and community nurses in their own rooms. They have access to a telephone in the small conservatory, and some have installed their own telephones in their rooms. Residents are registered with local surgeries. The provider writes detailed individual care plans where a resident has an identified health care need. These plans set out in detail the actions and interventions required by staff to monitor and meet the healthcare need. The residents’ records detail health care contacts and appointments. Residents stated that the staff were very good at monitoring their health and well being and obtained medical attention and advice when this was required. The community nurses visit the home regularly to carry out required nursing interventions, for example dressings, and tissue viability assessment and monitoring. A GP visited a resident during the inspection. The resident reported that she had found the prompt response reassuring. The chiropodist visited the home and provided attention to a number of residents during the inspection. Moving and handling assessments provide directions and information to staff, so that care is delivered safely. Care plans include an assessment of the risk of falling, with appropriate guidance for staff. The provider carries out nutritional screening on admission and the findings of this are included in the care plan. The provider refers issues of tissue viability to the community nursing service. Residents are currently using pressure-relieving equipment following assessment. A local health care professional was very positive about the way the home was run. The medication policy and procedure complies with the standard and is based on the Royal Pharmaceutical Society guidance. The storage facility is a locked cupboard, but is not a standard steel double locking medicines cupboard. The home has not had to store significant quantities of controlled drug. The providers stated that, if this were the case, they would purchase a metal medicines cabinet of the recommended standard. The provider supports residents to take responsibility for their medication if they wish to do so and this is assessed as safe. Two residents were currently doing this, with a written agreement. The home uses a monitored dosage system. Staff check and book in all medicines received into the home. The records of administration were generally completed consistently, but some gaps were noted. Amendments to the list of medicines on the record should be signed Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 12 and dated and referenced to daily notes. Medicines returned to the pharmacist are recorded. Samples of medication stocks, including controlled drugs, were checked against the records and found to be accurate. Staff receive training in the management of medicines from the registered provider during induction. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported in a lifestyle which accords as far as possible with their own expectations and preferences. There are regular activities and the provider is reviewing these so that they meet residents’ needs and preferences. The diet provided is varied and nutritious with attention to individual preferences. EVIDENCE: The provider records the residents’ preferences in food, drink and care arrangements at admission. Care plans set out the residents’ preferred activities and interests, and guide staff in supporting people in these. Residents felt that the routines were relaxed and allowed them to pursue their own lifestyle and preferred pattern of life. Breakfast and tea are flexible in timing and offer a choice of menus to suit individual preferences. A number of Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 14 residents go out without staff assistance; for some this is supported by a suitable written risk assessment. One resident said that he was able to follow his preferred routine, go out in the local area and to collect his newspaper. Residents discussed their interests and were observed engaged in enjoying listening to Radio Cornwall, crochet, reading books and newspapers, and conversation. One resident attends church weekly. A religious service takes place in the home every other month. The providers are currently reviewing and developing the range of indoor activities provided by the home. An activities worker provides regular sessions of activities for residents. This worker was having a month’s leave at the time of the inspection and care staff were organising activities in her absence. During good weather the staff support residents to go for walks in the nearby Penlee Park. The weekly trip in the home’s vehicle organised by Mr Putterill was reported to be very popular at present, with the vehicle being regularly full. The providers had introduced sessions with musical entertainers. This had been successful and would be repeated. The providers have a clear intention to continue to review and improve the activities provided. The providers welcome family and friends visiting at any time as long as this accords with the wishes of the service user. Visitors were coming to the home throughout the inspection. Visitors reported in comment cards that the home was very welcoming. Residents can receive visitors in their own rooms or the communal rooms. The rear conservatory provides a quiet area for receiving visitors. Residents reported that the arrangements for visiting were satisfactory and the providers were helpful in this. Mr Putterill stated that he is not an appointee for residents but collects the benefits for four service users and pays them their personal allowance. A number of service users manage their own finances and others have attorney arrangements with family or other representatives. New residents can bring their own possessions into the home subject to negotiation. Age Concern, who carry out reviews for the Social Services Department, have acted as advocates for residents. The home provides three meals daily, and a drink and a snack for supper. Residents were generally very satisfied with the quality of meals and catering arrangements. The menu records a varied and nutritious diet. Care plans detail, where required, individual needs in relation to nutrition. Some relatives and representatives felt that more attention could be given to people’s individual choice of diet. Breakfast consists of a choice of cereals, toast, fruit, eggs and drinks. The main meal is taken at midday. The dining room is spacious, light and airy and tables have linen tablecloths, napkins and flowers. On the day of the inspection there was a choice of fish and chips or salmon, and a choice of puddings. Some residents had further individual choices. The food was appetising and well presented. The residents were not rushed. Staff provided unobtrusive and appropriate individual support. Some residents Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 15 choose to eat in their rooms. A choice of savouries is available for tea. Fresh fruit was available in the sitting room. The home is providing one special diet at present. One resident receives one to one assistance with eating. Staff cut up the food for residents where they need this assistance with particular menu items. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure that would ensure that complaints are listened to and acted upon. The provider has established arrangements to protect residents from abuse. EVIDENCE: The complaints procedure complies with the standard. The commission has received one complaint since the last inspection. This complaint concerned the care arrangements for one resident and the meals. The outcome of our enquiry was that no regulations had been breached and no residents had been at risk. The report of the inspection is available on request from the commission. The provider’s pre-inspection questionnaire stated that no other complaints have been received in to the formal system since the last inspection. The providers actively consult residents individually and obtain their views about the services provided. The residents who spoke to the inspector were very satisfied with the service and none had felt the need to make a complaint. They stated that they found the providers approachable Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 17 and helpful. One relative reported in a comment card that he had raised some matters with the providers, but these were not major issues. The home’s policy and procedure on the prevention of abuse complies with the standard. The provider has a copy of the recently issued multi agency Cornwall Adult Protection Policy. Staff receive training in the protection of vulnerable adults during induction. Two staff have attended the multi-agency training on adult protection, and the provider intends for more staff to attend this training. Staff were aware of their responsibilities in relation to adult protection. The provider needs to review the provision of regular refresher training for staff in this area. The home provides a secure storage facility for small amounts of residents’ cash. There is a policy statement on financial relationships with residents. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and safe. The premises are clean and hygienic providing a pleasant environment and reducing risks to residents. EVIDENCE: The home is situated in a residential area near Penzance town centre and a number of residents access local facilities independently. Information about the accommodation is provided in the statement of purpose. The access at the front has a small granite step at the gate and two granite steps at the main Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 19 door, which has a ramp. Inside the building a ramp, with handrails, provides access from the hall to the rear part of the ground floor that includes the kitchen, small conservatory, shower room, one bedroom and the rear conservatory. The second entrance to the rear conservatory has three steps. The registered providers have moved out of the top floor of the home since the last inspection. They no longer live on the premises, but are close by. This move has made available two additional bedrooms, which are included in the home’s overall registered numbers of 22. There is a passenger lift to the first floor which serves both sides of the building. The access to one group of bedrooms on the first floor of the main house requires climbing a few stairs. There is a stair lift and a small flight of stairs to the rooms on the second floor of the main house. There is a stair lift to the first floor in the other side of the building. The passenger lift has had a major refitting during the last year. The home is comfortable and homely. The providers have continued their programme of maintenance and refurbishment. Areas of the ground floor have been recarpeted. The provider is about to replace the carpets and some of the furniture in the main sitting room and dining room. The provider has had a new gas pipe installed from the outside main to ensure the security of the supply. The communal space comprises the sitting room, the dining room and the two conservatories. This exceeds the national minimum standard in area. Furniture is domestic in style and of good quality. The home is centrally heated. Lighting is domestic in nature and appears adequate. The garden is well maintained and safe, with areas for residents to sit. There is a patio at the rear. Residents stated that they had enjoyed sitting outside during the recent warm spring weather. The current smoking area is in the hall by the front door. The provider stated that this arrangement would change with the introduction of legislation on 1 July 2007. Under the legislation, smoking in care homes will be restricted to designated rooms which meet the requirements of the regulations. The laundry is accessed through the kitchen. There is a procedure setting out control measures for the transfer of laundry, which has been agreed with the environmental health officer. The laundry equipment comprises two washing machines, one industrial grade, and two dryers. There are hand washing facilities for staff with liquid soap. Residents reported that their clothes were laundered with a good standard of care. Staff reported that there were always plenty of gloves and aprons. The baths, showers, toilets, commodes and basins that we inspected were clean and hygienic. Bathrooms and toilets were in good decorative order. Hand washing facilities and alcohol hand rubs are situated around the home. Ten bedrooms have ensuite toilets and hand basins. Service users reported that their rooms were kept clean and fresh. There are detailed written cleaning procedures with specified tasks for staff and outside contractors. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing and training arrangements ensure that the needs of residents are met. There is a high level of qualified staff. Recruitment procedures and practice support and safeguard the residents. EVIDENCE: There have been a number of changes during the year to the staffing complement. The staff group now seems to have settled down to a wellqualified and enthusiastic team. The roster shows that there are three care staff on duty until after lunch, with Mr and Mrs Putterill either on duty or on call at their home nearby. There are two care staff on duty during the afternoon and evening, again with the support of the registered providers. There is a cook every day and a general assistant on weekdays. The general assistant now serves breakfast, so that the three care staff can devote their time to support with personal care during the busy morning period. At night there is one waking staff, with a second person sleeping in on call. There is an activity worker. No current staff are aged under 18. The staff roster and Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 21 discussion with the providers indicates that there have been a few occasions when, owing to staff leave and sickness, there have been two care staff on duty for the morning. Mr and Mrs Putterill are on the premises and support the staff on these occasions, and will ensure adequate back up if they are not available. The pre-inspection questionnaire states that nine out of thirteen care staff are qualified to NVQ level 2 or above. This gives an overall level of qualification of 70 . Two recently appointed staff have registered for their NVQ level 2. Recruitment records for recently appointed staff were inspected. These contained the required information and documents, including application forms, references, Criminal Records Bureau disclosures and PoVA first checks. Photographs for some recently recruited staff were still in the provider’s camera. The provider issues staff with statements of terms and conditions of employment. Staff receive copies of the General Social Care Council Code of Conduct. The home has a structured programme for induction training. The induction training is tailored to the level of qualification and previous experience of new staff. Staff reported that they received a thorough introduction to their job and sound support and supervision through a lengthy induction period. Records of induction training were on file, appropriately signed and dated. The provider should review the content of the home’s current induction training against the revised common induction standards for the industry issued by Skills for Care. The provider delivers or arranges training in required areas. The provider needs to review the arrangements for the delivery of refresher training in food hygiene for staff who handle food, and to ensure that there are sufficient staff trained in first aid. Staff have individual training records which detail regular supervision. There are regular staff meetings. Staff showed a sound awareness of good care practices in discussing their work. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered providers are experienced and qualified, and fit to run a care home. The providers use a range of methods to obtain the views of residents and their representatives. The provider operates a system for safeguarding residents’ spending money. The health and safety of residents and staff are promoted and protected. EVIDENCE: Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 23 The registered manager is Kathy Putterill. Mrs Putterill has completed the Registered Manager’s Award and exceeds the experience requirement for a registered manager. She is an assessor for NVQ awards. She regularly completes training to keep her knowledge and skills up to date. Mrs Putterill maintains her registration as a nurse, but does not provide nursing services in the home. Mr Putterill has completed an NVQ level 3 in care. He has recently trained to be a trainer for moving and handling, and delivers this training to staff. The home’s information pack sets out the arrangements for quality monitoring and includes a summary of the actions taken following the last service review. The providers employ a number of quality assurance systems. These include: - a bi-monthly premises safety and maintenance audit; - a regular recorded individual review with each resident of their views on the care and services provided; - an assessment form for visitors and relatives; - monthly care plan reviews with each resident. The majority of residents have delegated the management of their financial affairs to family and representatives. The provider collects benefits for four residents. The benefits include a contribution to the fees for the home and the residents’ personal allowance. The disbursement of these monies is recorded on a balance sheet for each resident. All transactions are signed. The provider’s ‘Health and Safety Policy’ sets out the responsibilities of the employer and employees, and the arrangements for managing health and safety. There are hazard analyses and risk assessments for a range of activities and equipment. The most recent Penwith District Council environmental health officer health and safety report is dated 21 February 2006 and reported satisfactory standards with supporting records. The Fire Service last visited in February 2007. Their report asked the provider to improve the installation of smoke seals on some doors. The provider has completed this work. Staff felt that the provider was attentive to health and safety matters, and that, for example, moving and handling was well managed. Accidents records were appropriately completed. The pre-inspection questionnaire detailed required maintenance and safety checks. A number of these were sampled and confirmed against the original documents. The records show regular required checks of the fire alarm systems, emergency lighting and equipment. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 25 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 2 Refer to Standard OP9 OP30 Good Practice Recommendations Amendments to the list of medicines on the administration record should be signed, dated and referenced to the entry in the daily notes. The registered person should review the home’s induction training against the revised Skills for Care common induction standards. Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Penlee DS0000008917.V338085.R02.S.doc Version 5.2 Page 27 - 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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