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Inspection on 18/05/05 for Pennine Camphill

Also see our care home review for Pennine Camphill for more information

This inspection was carried out on 18th May 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Pennine Camphill Community continues to be well managed and provide a relaxed comfortable place where people can live and learn together. Everyone said that they enjoy their work and one person said that he "he has learnt a lot", another said that she "enjoys working in the kitchen" and another that he "likes it in the classroom best". Everyone has the opportunity to work in the gardens, on the farm, in the stables, workshops, kitchens and classrooms. Everyone has their learning needs assessed and the home is very good at writing things in a way that shows what people have learned and how they do things better. Getting on with each other is seen as very important and Pennine Camphill is good at teaching everyone this. There is a very good staff team and everyone works together to make sure everyone is happy, safe and comfortable. One Bretton College student on placement at Pennine said " its a fantastic place, its so peaceful and happy".

What the care home could do better:

All the people working at Pennine have the opportunity to sit down with a senior co-worker and talk informally about the work that they do. These discussions should happen six times a year and what was discussed should be written down somewhere. Everyone makes decisions about how they live their daily lives. These decisions including choices and preferences should be occasionally written down to show that people have a say in what happens to them.

CARE HOME ADULTS 18-65 Pennine Camphill Boyne Hill House Chapelthorpe Wakefield WF4 3JH Lead Inspector Tony Railton Unannounced 18 May 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Pennine Camphill Address Boyne Hill House Chapelthorpe Wakefield WF4 3JH 01924 255281 01924 240257 enquiries@pennine.org.uk Pennine Camphill Company Ltd 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) Mr S Hopewell,Ms J King, Mr W Taylor, Mrs Liz Taylor,Ms Lynda Abrahams Care Home 43 Category(ies) of LD 43 registration, with number of places Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 22/09/04 Brief Description of the Service: The Pennine Camphill Community is situated close to a local beauty spot on the outskirts of Wakefield. The 35 green acre site continues to provide a unique residential setting for up to 43 service users (wjo will be refered to as students throughout the report), who have a learning disability.The Pennine Camphill Community provides educational facilities and is inspected by Ofsted. The ethos and philosophy underpinning all the services provided is based on the importance of the individual and providing an environment in which the individual can develop and learn about themselves and how to live with others. THere is the opportunity for classroom based and practical activity based experiential learning. There is a small farm and extensive gardens and there are also workshops including a bakery, potterery, weaving and also stables and horse riding. The Pennine Community is situated on a main bus route and is only a few minutes journey from the centre of Wakefield and all amenities and servics. There are a few local shops nearby. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector arrived early for this unannounced inspection and took the opportunity to meet and speak to some students who were just finishing their breakfast. This was a particularly enjoyable and positive inspection and throughout the day there was an opportunity to speak to almost all students and co-workers. The inspector was given a warm welcome and would like to thank everyone for their hospitality, co-operation, patience and openness throughout the day. What the service does well: What has improved since the last inspection? The assessments have got better as they now ask questions about peoples sexuality, which is an important part of everyone’s lives. Everyone working at Pennine has a new ‘Training needs Analysis’ which means that any training anyone needs is planned for and provided. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 6 New ways of writing down when people make decisions or show a preference or choice are been tried and some appear to be working. There is a new classroom which people enjoy using. All of the work asked for by the Fire Safety Officer has been completed and the environment is now very safe. 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. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4 & 5. Students only attend the Pennine Community following a comprehensive assessment of their personal needs and they are protected and benefit from the admission processes. EVIDENCE: Students pre-admission interview records and base line assessments show that students are fully involved in choosing to live and work at the Pennine Community. One student said that he ‘enjoyed his visit to Pennine’, another said that he “wanted to stop and not go home” after his visit. On the day of the inspection another prospective student was visiting Pennine Camphill with her relatives. It was noted that students’ rights are protected by having individual contracts in their personal files. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 9 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 standard(s) 6,7,8,9, &10 Students’ rights and best interests are safeguarded and protected and they benefit from the support they receive to enable them learn through living and working with others. EVIDENCE: Term plans, session plans and reviews show that students are fully involved with every aspect of their care. The senior co-workers said that most students are encouraged and supported to sign their plans and to contribute in any way they can. It was noted that one student had written his own session plan. One student’s choices are recorded in his weekly evaluation sheets. The senior co-workers said that they are piloting different documents to try and ‘capture’ individual students’ choices made on a daily basis. Students and co-workers said that “its like one big family” and “everyone is treated well” Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 10 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 standard(s) 11,12,13,14,15,16 & 17. Students’ benefit from being provided with opportunities for personal development. EVIDENCE: Base line assessments and term plans show that students’ are supported to develop their intellectual, emotional and social skills. Students’ were observed in the kitchens helping to prepare lunch. One student said that she “loves. it in the kitchen” another said that he “likes it in the kitchen best”. Another student said that he works on the farm, garden, workshops and classroom. He went on to say that he “prefers working in the garden”. Senior co-workers said that students’ potential is identified through the assessment process and then session plans are implemented and activities arranged to address these particular areas. Students’ records confirmed this. Students’ term and weekly progress reports show individual areas of improvement. Students observed in the kitchens, gardens, workshops and classrooms appeared to be happy, confident and enjoying themselves. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 11 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 standard(s) 18,19,20 & 21 Students healthcare, emotional and spiritual needs are met in a way they prefer and require. EVIDENCE: Base line assessments, session plans and reviews show that students’ healthcare needs are assessed and met. They also show that students’ are fully involved and have a say in how they are supported. Students’ rights and best interests were observed to be promoted and safeguarded by the safe administration of medicines. Senior co-workers said that students’ healthcare needs are met by their own general practitioners in their own communities, however, support is given during term time from a local GP surgery. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 12 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 standard(s) 22 & 23. Students’ and co-workers are confident that they are listened to and that their views are considered and acted upon. EVIDENCE: The Pennine Camphill Community has an adult abuse and protection policy and procedure which forms part of the training for all staff. This ensures that everyone is aware of what abuse is and that students’ are protected from abuse, neglect or self harm. Senior co-workers said that they have not received any complaints since the last inspection. There is a complaints policy and procedure which is accessible to everyone in the Pennine Community. One student said that if he had a complaint he would “tell his house parent”. One co-worker said that “there is never a reason to complain” “ everyone is treated with respect and dignity”. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 13 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 standard(s) 24,25,26,27,28,29 & 30. Students’ live in a unique environment which is safe, homely and comfortable. EVIDENCE: Students’ were observed having breakfast in a relaxed and homely environment. All of the houses are decorated and maintained to a very good standard. One student said that she “loved living in her house” and that she “didn’t want to go home at half term”. Students’ bedrooms are personalised, homely and comfortable, as are the dinning rooms, lounges and other shared spaces. On the day of the inspection all students’ appeared to be confident and happy living at the Pennine Community. One student said that he “liked his bedroom” and another that she “enjoys living with other people”. Another said that he “didn’t enjoy cleaning his room”, however “it has to be done”. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 & 36. Students’ rights and best interests are promoted by being supported by a well motivated, qualified and competent staff team. EVIDENCE: The staff training needs analysis information looked at shows that all staff have their training needs assessed and future training planned accordingly. Records show that all new workers have appropriate references taken up and police clearances and that they have comprehensive induction training. One senior co-worker said that staff and co-workers receive regular informal supervision, however, a record of this may not always be made. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42 & 43 The management systems are good. Students’ rights and best interests are safeguarded and promoted and they benefit from living a well run establishment. EVIDENCE: Discussion with senior co-workers, co-workers and students’ showed that people are happy with the way the Pennine Community is managed. One coworker said that “ life is good in the Community” another said “everyone is valued and all are treated the same”. A senior co-worker said that there have been no changes and students continue to be protected by the policies and procedures. Another senior coworker said that all of the remedial work required in the fire safety officers report has been completed to an A1 Standard. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 16 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pennine Camphill Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 17 N/A 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 On the day of the inspection there was no failure to meet statutory requirements. 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 YA7.4 YA36.4 Good Practice Recommendations The registered persons should consider ways of capturing or recording the day to day decisions or choices made by students. The registered persons should consider ways of showing that staff have six formal line management supervision sessions per year. Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 18 Commission for Social Care Inspection Park View House Woodvale Office Park Brighouse HD6 4AB 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 Pennine Camphill J51J01_s6204_pennine camphill_v226156_180505.doc Version 1.30 Page 19 - 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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