Inspection on 27/06/05 for Penlee

This inspection was carried out on 27th June 2005.

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 11/05/07

Penlee 01/12/05

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 TR18 4EP Lead Inspector Richard Coates Unannounced 27 June 2005 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 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 D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Penlee Address 56/57 Morrab Road Penzance TR18 4EP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01726 364102 Robert David Putterill 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 D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7 December 2004 Brief Description of the Service: Penlee is a substantial Victorian building formed from two houses. It is situated in Morrab Road, a pleasant residential area between the town centre and the promenade, and next to Penlee park, a popular public amenity. Penlee is close to the town, local GP surgeries and to the public library. Pengarth day centre is nearby. Penlee offers full personal care and residential accommodation to older people. The owners, Mr and Mrs R. Putterill live on the premises. The home is registered to provide accommodation for 22 older persons including six who may have dementia or 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. 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. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Monday 27 June. The inspection wqs facilitated by the kind assistance of the providers, staff and residents. The inspector was at the home for over eight hours and spent time with the registered providers, examined records and documents, had conversations with a number of residents and staff, spoke with one relative and took lunch with the residents. The inspection includes a number of the key standards as identified by the commission. The balance of the standards will be included in the announced inspection later in the year. The last inspection set one requirement and three recommendations and the providers have met all of these. What the service does well: The service provides clear written information to enable people to make a decision about whether the home can meet their needs and suit their preferences. The home provides comfortable, well maintained and homely accommodation, which meets the needs of the residents. The premises are clean and hygienic. The provider carries out detailed assessment of needs 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 lifestyle preferences and choices. Residents report that they are well cared for, they have confidence in the registered providers, and the staff are kind and skilled and respect their privacy and dignity. The providers monitor the healthcare needs of service users and ensure access to appropriate services. Residents reported that they were satisfied with how their healthcare needs were met. The home provides a varied and nutritious diet. The management of the home is effective and policies and procedures, staff training and supervision ensure that the aims and objectives as set out in the statement of purpose are met. The providers regularly evaluate the service provided and take action to secure improvements. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 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. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 The registered provider carries out a detailed assessment of the care needs of all prospective residents to determine whether the home can meet their assessed needs. EVIDENCE: The records for the most recently admitted resident were case tracked. The assessment included a general needs assessment on a standard format for the assessment of older persons, separate assessments for nutritional needs, moving and handling, and the risk of falls. The provider had also recorded the resident’s preferences and choices in a number of areas and set out a signed agreement for checks at night. A detailed care plan had been drawn up. The resident was satisfied with the way his admission had been managed and had discussed his care plan with the provider. A close relative felt that he had settled in well. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 11 All residents have detailed care plans which direct and inform staff; some attention is required to making specific directions and information accessible to staff for residents with more complex needs. The healthcare needs of residents are well monitored and addressed. EVIDENCE: All residents have detailed care plans which are drawn up as specific plans for each area of care need, risk or activity. The records for three residents were case tracked. Each plan is dated and signed, and details the area of care, the objectives and the interventions required, and records monthly evaluations. Residents sign their care plans. The plans include risk management strategies. Examples were noted where directions for care staff needed to be more precise and specific in stating the intervention required. The records show that the healthcare needs of residents are monitored and access to healthcare services is ensured. Residents felt that they were well supported to make decisions about their care. Two of the residents case tracked have more complex needs and the records clearly document the actions taken, and referrals to GPs and appropriate specialists. The provider refers to the community nurses for tissue viability assessments. One resident Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 10 case tracked had an airwave mattress for pressure relief. There are arrangements for optical, dental and chiropody services and all contacts are recorded. The home has a policy and procedure on the care of dying service users. There is evidence that service users’ wishes and preferences in respect of care and death are recorded. Mrs Putterill has completed a course in palliative care. The providers’ aim is for service users who are dying to be cared for in their own room, with support from other agencies such as the community nurses, and for family to be involved where this is the service user’s wish. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents are supported in a lifestyle accords with their expectations and preferences. The diet provided is varied and nutritious with attention to individual preferences. EVIDENCE: The aim of the home is to provide an environment where service users (Statement of Purpose) “will have the opportunity for informed choice to optimise a fulfilled life.” and “to participate in the planning of their care and their day.” The registered persons record the preferences of service users in food, drink and care arrangements at admission. Social interests are recorded on care plans. Service users informed the inspector that the routines at the home were relaxed and allowed them to pursue their preferred lifestyle. One stated that the routine suits him very well and he is very pleased with all aspects of the service. Breakfast and tea are flexible in timing and offer a choice of menus to suit individuals. A number of the service users here tend to be fairly independent and there appears to be little desire for group activities such as bingo and quizzes. An activities worker provides two sessions weekly for taking residents up to town, going out for short walks, reading the newspaper, conversation, reminiscence and a game of cards. This worker demonstrated an awareness of the needs of the residents in relation to activities and daily life. Mr Putterill provides a weekly trip in the home’s Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 12 vehicle. One resident said that he was not as active as he used to be, but he was able to follow his routine, go out in the local area and to collect his newspaper and pursue his preferred activities. The providers welcome family and friends at any time as long as this accords with the wishes of the service user. This is stated in the statement of purpose. Residents can entertain 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 fine and the providers helpful in this. Mr Putterill stated that he but assists in collecting some pensions on behalf of service users. A number of service users manage their own finances and others have attorney arrangements with family or other representatives. Service users can bring their own possessions into the home subject to negotiation before admission. Age Concern, who carry out reviews for the Social Services Department, are available to act as advocates. The home provides three meals daily and a drink and snack for supper. Residents made consistently positive comments about the quality of meals and catering arrangements. The menu records a varied and nutritious diet. Breakfast consists of a choice of cereals, toast, fruit, eggs and drinks. The main meal is taken at midday. The inspector joined the residents for lunch. The dining room is spacious, light and airy and tables have linen tablecloths and napkins and flowers. The meal was appetising and well presented. The residents were not rushed and received appropriate individual support. An alternative menu can be available for residents who may not enjoy the main meal. Some residents choose to eat in their rooms. A choice of savouries is available for tea. Residents’ preferences and nutritional needs are recorded. The home is providing one special diet at present and the resident states that this is well managed. One resident requires assistance with eating, another requires food to be cut up finely and staff to ensure that everything is placed correctly. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards will be included in the announced inspection later in the year. EVIDENCE: Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home is well appointed, comfortable, safe and well maintained. 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 the town centre and many residents can 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 door, which has a ramp. Inside the building there is a ramp, with handrails, from the main hall to the area of ground floor that includes the kitchen, small conservatory, shower room, one bedroom and the rear conservatory. The other entrance to this conservatory has three steps. There is a passenger lift to the first floor of both the original houses. Accessing one group of bedrooms on the first floor of the main house requires sufficient mobility to climb a few stairs. There is a stair lift and a small flight of stairs to Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 15 the two 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 home is comfortable and homely and the providers maintain the premises to a high standard. The outside of the building has been recently repainted and a new intercom and call system has been installed. Two radiator covers are about to be replaced. The communal space exceeds the standard. The garden is well maintained and safe, with areas for residents to sit. There is a patio at the rear. One relative noted that the resident did not have a lockable space in their room and the provider undertook to arrange this. 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. The laundry has impermeable flooring and cleanable walls. There are hand washing facilities for staff with liquid soap; cotton towels are provided and not disposable paper towels. Staff reported that supplies of protective gloves and aprons were sufficient. The baths, showers, toilets, commodes and all basins were clean and hygienic. Service users reported that their rooms were kept clean and tidy. There are detailed cleaning procedures with specified tasks for staff and outside contractors. There are hygiene procedures. Infection control information is displayed to staff on the notice board. Staff reported that the home is clean and hygienic and that cleaning equipment is in working order with adequate supplies of cleaning materials. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards will be included in full in the announced inspection later in the year. EVIDENCE: There were three care assistants on duty during the morning with the cook and domestic staff and both Mr and Mrs Putterill on the premises. There were two staff and Mr and Mrs Putterill during the afternoon. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 The providers have an effective quality assurance system which seeks the views of residents and their representatives. The systems in place for residents’ money safeguard their interests. EVIDENCE: The providers are carrying out the following quality assurance and monitoring exercises: - a bi-monthly premises audit which generates an action plan for development and maintenance and refurbishment; - 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. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 18 The provider has put together the information from interviews with residents and assessment responses from visitors and families, and made these available in a folder to prospective residents and their representatives. Where possible, residents control their own finances or have delegated this to family and representatives. Mr Putterill collects benefits for four residents. The registered persons maintain a balance sheet for each of these residents. This records the personal allowance, the balance of money held, and any expenditure and cash taken by the service user. Transactions are signed. The provider also holds for safe keeping money for some residents so that representatives who manage the finances can leave cash for expenditure. This money is similarly documented with records of balances kept. The registered persons record inventories of belongings for each service user at admission. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x 3 x x x Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 20 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 7 26 Good Practice Recommendations Directions and information for staff in care plans should be clear and specific setting out the action to be taken to meet the assessed needs of the service user. Disposable paper towels should be provided at staff hand washing areas. Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell PL25 4AD 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 Penlee D04-D52 S8917 Penlee V217415 270605 Stage 4.doc Version 1.30 Page 22 - 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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