CARE HOME ADULTS 18-65
Pennine Camphill Boyne Hill House Chapelthorpe Wakefield West Yorks WF4 3JH Lead Inspector
Tony Railton Unannounced Inspection 28th September 2005 09:00 Pennine Camphill DS0000006204.V251606.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 Pennine Camphill DS0000006204.V251606.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. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Pennine Camphill Address Boyne Hill House Chapelthorpe Wakefield West Yorks WF4 3JH 01924 255281 01924 240257 steve@pennine.ac.uk www.pennine.org.uk Pennine Camphill Company Limited 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) Mr Stephen Hopewell Care Home 43 Category(ies) of Learning disability (43) registration, with number of places Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 18th May 2005 Brief Description of the Service: The Pennine Camphill Community is situated 4 miles from Wakefield and 7 miles from Barnsley. It includes 5 community houses, craft workshops, classrooms, hall, horticultural and agricultural enterprise and riding school spread over a 35 green acre site. It is served well by public transport and close to public amenities and shops. The Pennine Camphill Community aims to create a hands on learning environment for up to 43 young adults who have a learning disability and who are referred to as students, can learn through living with others, through classroom based lessons and through working together. Support and education are fully integrated to create a therapeutic, holistic and unique environment. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection commenced at 11.00 on Michaelmas Day or as some students informed the inspector it is ‘Land Day’ and this is a very important day for them, their co-workers, senior co-workers and everyone at the Pennine Community. This was a short unannounced inspection when only the core standards were assessed. The inspector had the opportunity to speak to students, co-workers, administration staff and senior coworkers. A number of co-workers and students files were looked at along with other documents including the ‘Hands on Learning’ a Three year development plan for 2005/6-2007/8 Pennine Camphill continues to meet all statutory requirements and nearly all minimum standards. The inspector would like to thank the students, co-workers and senior co –workers for their cooperation and patience throughout the inspection on this very important day. Thanks also to the administration staff for their assistance and hospitality. Pennine Camphill Community is unique in other ways as it has five registered managers, Mr S Hopewell, Ms J King, Mr W Taylor, Mrs E Taylor and Ms L Abrahams. What the service does well: The admission process for students is very good as it makes sure that each students personal, educational and emotional needs are identified. Each student is involved in developing and implementing their own individual plan based on their own support and educational needs. Students’ progress is well documented and reviewed on a regular basis. The staff recruitment and selection process ensures that students are safe and protected from any harm or abuse. The induction training for new co-workers is good and includes adult abuse and protection awareness training. The working environment provided is good with a variety of work settings and experiences available to students including horticulture, weaving and pottery workshops and stables. The standard of accommodation provided for students is very good.
Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 6 There are good positive relationships fostered between co-workers senior co-workers and students. The Pennine Community is good at showing others what it does, the service it provides for students and how successful their way of doing things is. 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. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 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 the following standard(s): 2 Prospective students know that their individual needs and aspirations will be assessed.
EVIDENCE: Students’ individual records and discussion with the senior coworker show students’ benefit by having a comprehensive and holistic assessment carried out before they are accepted into the Pennine Camphill Community. The assessments also show that there is an interviewing process with students and that their care and support needs and emotional and spiritual needs are considered before they are offered a place. All placements have to be agreed by the student, their relatives or carers and the placing education authority. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8 & 9 Students know that their changing needs and personal goals are reflected in their individual plans, and that they are consulted on and make decisions about how they live their lives.
EVIDENCE: Discussion with students show that they do have personal goals and that they are supported and helped to work towards these. One student said that it is his last year at the Community. He said that he had enjoyed attending and that he had “learnt a lot”. Another student said that she does have choices, however, there are some things she likes doing and some she does not like doing but she has to learn. Students’ records including assessments and programme of activities show that they are involved in developing and evaluating their own activity plans. They also show that these activities may include, horticulture, working on the land or in the gardens,
Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 10 weaving, pottery, making bread or caring for horses. This will also include classroom based activities. Students certainly have the opportunity for developing and improving their personal and social skills. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 11 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): 12,13,15,16 and 17 Students have opportunities for personal development and are encouraged to take part in age, peer and culturally appropriate activities both in Pennine Camphill and local communities.
EVIDENCE: Students’ records show that individual plans are implemented to ensure that they have the opportunity for personal development and learning. The records indicate that this may include classroom based lessons, or sessions in the various workshops, working on the land, in the gardens or in the stables. Discussion with students, co-workers and senior co-workers show that some students are also assisted to take advantage of ordinary leisure activities in the local community. Students live at home between terms and enjoy being part of their own community. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 12 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): 18,19 & 20 Students receive personal support in a way they prefer and require and have their physical and emotional needs met.
EVIDENCE: Students’ records show that all students have plans implemented which are designed to meet their individual support, healthcare and educational needs. Records also show that these are reviewed on a regular basis by the student, house parents, co-workers and tutors. The records also show the Pennine Community are good at showing others how their students have improved and got better at doing things. Discussion with the senior co-worker showed that living and doing things with other people is very important. The Pennine Community gives people with learning disabilities the opportunity to live with and learn from each other. Social skills are very important as is learning to behave appropriately. Coming to
Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 13 Pennine gives students the opportunity to do this in a positive and rich environment. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 14 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): 22 and 23 Students have the opportunity to comment on the quality of support they receive and are safeguarded and protected by the policies, procedures and practices regarding abuse, neglect and self-harm.
EVIDENCE: The senior co-worker (registered manager) said that Pennine Camphill had not received any complaints since the previous inspection. Students’ records and in particular reviews, show that they do have the opportunity to comment on the quality of support provided. It was noted that the Pennine Camphill Community continues to use the Wakefield Social Services and Health Multidisciplinary Adult Abuse and Protection Policy and Procedure which forms part of the induction training for all new staff. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 15 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 inspected on this occasion.
EVIDENCE: Although these standards were not inspected on this occasion the senior co-worker informed the inspector of a number of improvements to the environment since the last inspection. Firstly two shared bedrooms have been made into single rooms which is to be commended. These bedrooms have also been decorated throughout. Second, the upgrading of the fire safety systems in all the houses is now complete and all houses now meet L1 Fire Regulations. This has been a major project for Pennine which has required a substantial investment. Students and staff benefit from these improvements which are obviously to be commended. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 16 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): 32,34 & 35 Students are supported by competent and qualified staff and are protected by the staff selection and recruitment polices, procedures and practices.
EVIDENCE: Staff records show that appropriate checks are carried out to ensure the safety and protection of students. These include proof of identity, references, CRB and protection of vulnerable adults list and health checks. Induction training is provided which reflects Sector Skills Workforce Training Targets and over 50 of permanent staff have a National Vocational Qualification. The inspector was pleased to note that a record is now maintained of one to one supervision sessions. This is very important as it provides evidence that workers have the opportunity to discuss their work, what they do well and what they could do better. It also provides a forum to discuss other issues for example training needs. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 17 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): 37,39 & 42 Students benefit from living ad working in the Pennine Camphill Community and are confident that their views underpin all self monitoring, review and development.
EVIDENCE: Students’ reviews show that they are fully involved in monitoring, evaluating, agreeing and changing their individual plans. The senior co-worker aid that there are also informal house meetings when students are invited to comment on the running of Pennine Community. It was noted that each house has access to the Pennine Community Intranet which gives profiles of co-workers and students. The senior co-worker said that students do have the opportunity to contribute to the Intranet and comment on life in the Community. There is also student representation at the annual general meeting of the Pennine Camphill Community Trustees.
Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 18 Individual students are involved in reviewing their own support and care needs and have the opportunity to influence what happens to them. Discussion with the senior co-worker showed that Pennine need to look for ways of capturing the anecdotal evidence from students’ families, carers an other visitors on the quality of the service provided. This evidence should then be collated and published. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 19 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 3 X X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 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 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Pennine Camphill Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 X X 3 x DS0000006204.V251606.R01.S.doc Version 5.0 Page 20 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. Standard Regulation Requirement There was no failure to meet Statutory Requirements noted on the day of the inspection. Timescale for action 29/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations The Pennine Community should look at way of seeking the views of students’ family, carers and other visitors to the Community on the quality of the service provided. The results of such an exercise should then be collated and a report published to reflect the outcomes for students and any changes as a result of their comments. Pennine Camphill DS0000006204.V251606.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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