Inspection on 01/02/06 for Pennhaven

This inspection was carried out on 1st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Pennhaven 16/07/09

Pennhaven 19/06/07

Pennhaven 11/11/04

Pennhaven 01/07/04

Pennhaven 12/04/04

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

CARE HOME ADULTS 18-65 Pennhaven 36 Powderham Crescent Exeter Devon EX4 6BZ Lead Inspector Stephen Spratling Unannounced Inspection 1st February 2006 10:55 Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 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 Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 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. Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Pennhaven Address 36 Powderham Crescent Exeter Devon EX4 6BZ 01392 255588 01392 255588 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) The Parkview Society Ms Sarah Emilia Carcillo Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th April 2005 Brief Description of the Service: Pennhaven is a home for eight people who have had mental health dificulties. It is situated close to the centre of Exeter in a quiet residential area of the town. It has nothing to distinguish it as a residential home.The building has three storeys which include a large kitchen, comfortable lounge room, eight single bedrooms and a cellar where the laundry is situated. It has a pleasant garden and patio area to the rear. Staff are available 24 hours a day. Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection started at 11 am and finished at 1 pm. There were seven people resident at the home and during the inspection the inspector spoke with three of them, two residents declined to speak with the inspector and two were not at home during the period of the inspection. The inspector also spoke with the home manager and two members of staff, looked around all the shared areas of the home and at two residents private rooms. The inspector looked briefly at the care records for three residents and at some other records kept by the home. This was a very limited inspection as during the last inspection all but three of the core National Minimum Standards were assessed and no requirements or recommendations were made. For a fuller picture of this service the reader should also see the inspection report dated 12th April 2005. What the service does well: 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. Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 6 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 Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed during this inspection. Please see the last inspection report for more information. EVIDENCE: Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7&8 Residents benefit from being supported and encouraged to participate in the running of the home and to live as independently as they are able. EVIDENCE: All three residents who spoke with the inspector described being supported to live as they wanted and to make choices for themselves. Residents said they all take responsibility for keeping the home clean and to prepare meals. They confirmed that they are consulted when refurbishments are done e.g. one resident said they had accompanied staff to choose the new carpet for their room. Notes on the home notice board referred to consultation with residents about planned refurbishment of the kitchen and two bathrooms; there was also a note asking residents for their views about whether the home should use vacant room to offer short stay/respite service; the manager said these issues were also discussed in the house meetings. Staff spoken with were clear that their role is to support residents independence. Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed during this inspection. Please see the last inspection report for more information. EVIDENCE: Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Residents are helped to maintain and regain their health through open and supported access to health care services. EVIDENCE: Residents confirmed that they have open access to GP’s, dentists, opticians etc and that they are encouraged to make appointments themselves; they also confirmed that staff will help them with arranging and attending health care appointments if needed. The three resident care plans seen recognised residents health care needs and described how these needs should be met and progress/change monitored. The manager reported that all residents have named psychiatrist. Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Residents can be confident that staff would act appropriately to protect them if they were being mistreated. EVIDENCE: Residents expressed confidence that the manager and staff listen to and act on their concerns. Both staff members spoken with were clear about their responsibilities to promptly report any concerns they have about the mistreatment of residents. The home has a clear procedure to guide staff as to what they should do if they are concerned that a resident is being abused. The manager said that she attended the Devon County Council training regarding recognition and reporting of abuse. A new staff member who’s full Criminal Records Bureau check had not yet been received by the home was clear that he could not work with individual residents unsupervised until this check was received. Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed during this inspection. Please see the last inspection report for more information. EVIDENCE: Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 Residents benefit from being supported by a staff team who have the skills they need to do their job. EVIDENCE: Service users expressed confidence in the homes staff and manager, confirming that they are friendly and respectful. A new member of staff described receiving a detailed induction to help them settle into working at the home and understand their role and responsibilities. Both staff members spoken with have had several years experience each of working with people who have mental health needs. One staff member described their role in terms which clearly focused on the importance of promoting residents independence. One staff member spoken with is doing NVQ 2. Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 This home is effectively, efficiently and safely managed, in the best interests of residents. EVIDENCE: Throughout the inspection the manager demonstrated an intimate understanding of the needs of residents. The inspector saw that there are established and properly used systems in place to assess residents needs and to plan their care; to assess and minimise risks relating to individuals and the home environment as a whole . The inspector saw evidence that facilities are properly maintained e.g. a Gas Safety Certificate dated within the past year, professional inspection of the fire alarm end of 2005 and risk assessments with risk management plans for residents rooms. Most hot surfaces around the home are guarded and upper floor windows looked at in two bedrooms had restricted opening. Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pennhaven Score X 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 x DS0000022006.V257576.R01.S.doc Version 5.0 Page 16 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. 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. Refer to Standard Good Practice Recommendations Pennhaven DS0000022006.V257576.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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. 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