Inspection on 13/01/06 for Pennington Court Nursing Home

This inspection was carried out on 13th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Pennington Court Nursing Home 09/03/09

Pennington Court Nursing Home 13/03/07

Pennington Court Nursing Home 29/09/05

Pennington Court Nursing Home 15/03/05

Pennington Court Nursing Home 26/08/04

Similar services:

The Grove Waltham

Carentan House

Ravensworth Lodge

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

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

CARE HOMES FOR OLDER PEOPLE Pennington Court Nursing Home Hunslet Hall Road Leeds Yorkshire LS11 6TT Lead Inspector Paul Newman Unannounced Inspection 13th January 2006 09:30 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 Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 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. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pennington Court Nursing Home Address Hunslet Hall Road Leeds Yorkshire LS11 6TT 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) 0113 2284040 0113 2284043 Westward Care (Yorkshire) Limited Bronwyn Gregory Care Home 62 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (62) Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the category of MD be used only for the person named on the notice that accompanies the certificate. 29th September 2005 Date of last inspection Brief Description of the Service: Pennington Court is a large building offering both nursing and residential care. Both units have a nurse manager in charge and a team of dedicated care staff. The registered manager has responsibility for both units. Intermediate care services are also provided. The home is situated in a residential area of Beeston, accessible by a good bus route to and from the city centre. Accommodation is provided on two floors with the provision of a lift to aid access. A small enclosed quadrangle garden area, with outdoor seating, is available to service users and visitors. There is an enclosed parking area at the rear of the building and off street parking at the side of the building. Local amenities are in close proximity and include a library, public house, supermarket and other small shops. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, regulated care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on the 29 September 2005. There have been no further inspections until this unannounced visit. The people who live in the home prefer the term resident, and this is the term that will be used throughout this report. The purpose of this inspection was to gain an overview of the care, services and facilities provided and also to assess progress in the way the home is dealing with issues that were raised in the last inspection report. During the inspection records were looked at, some parts of the home were seen, such as bedrooms, lounges and bathrooms; care staff were seen carrying out their work; conversations were held with the manager, five other members of staff, a doctor and eight residents and three relatives. Survey cards were left at the home for residents, relatives or visitors to complete and return to the Commission for Social Care Inspection (CSCI). These cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way will be shared with the provider without revealing the identity of those who replied. The inspection started at 9.30 and lasted for four hours, in addition time was spent preparing for the inspection. Not all National Minimum Standards were inspected during this visit, but over the two inspections all core standards have been inspected at least once. To gain a full picture of how the home meets standards, this report should be read in conjunction with previous reports. What the service does well: What has improved since the last inspection? Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 6 The home continues with its programme of refurbishment and replacement and since the last inspection a bathroom has been upgraded. The staff training programme continues and there is a commendable approach to make sure the staff are skilled and knowledgeable. The home has been successful in being awarded a NHS workforce development grant and now plans to improve the training facilities. 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. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 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 Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 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 the following standard(s): 3 and 4. Residents’ needs are properly assessed before they move into the home. These needs are met by well informed and knowledgeable staff. EVIDENCE: The visit focused on the residential unit case records and three care plans were checked. A detailed pre-admission assessment for each of the residents was on file and the information was accurately used to form the basis of a care plan. The staff spoken with had a good knowledge of the residents care needs and their personal preferences. Residents said that the staff are very caring and the relatives also confirmed this. Although the intermediate care unit was not inspected in detail, a doctor visiting the unit at the time of inspection said that she had no concerns about the way the unit operated and was confident in the care and services delivered. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 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 the following standard(s): 7 and 10. Care plans provide clear and up to date information that gives staff good guidance about how to meet individuals’ care needs. Staff treat residents with dignity and respect. EVIDENCE: Three care plans were seen and included one resident who had been admitted in an emergency. The detail in the plans was good and provided staff with clear information about the care needs of individual residents and guidance about the way to deliver the care. The plans are evaluated each month and changes are recorded. Risk assessments are also included and these were also subject to review and were up to date. Liaison with doctors, nurses, the optician and dentists was recorded. A chiropodist was treating some residents during the inspection visit. Care practices that were observed showed staff giving sensitive care that made sure that the residents were treated with respect and dignity. Residents said that staff gave them good support, gave assistance when they needed it and respected their privacy like knocking bedroom doors before entering. They also said that at times when they needed to use the emergency call system, the staff responded quickly. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 12, 13 and 14. Residents are encouraged to make their own decisions about their lifestyle. Family, friends and visitors are welcomed at the home. Social and leisure activities are offered that most people are happy with. EVIDENCE: In the conversations with residents it became clear that they enjoy a large degree of freedom and choice about their daily routines like getting up and going to bed times. Some have telephones to keep in more regular contact with family and friends. They choose whether to join in activities, how to spend their time during the day, with some preferring to spend time in their rooms reading, listening to the radio and watching TV. There is a range of activities organised and a new programme is to be implemented in February that will focus on specific individual interests. The manager said that serious consideration is being given to employing an activities organiser. The residents spoken with said that they have in-house activities that include entertainers, and there are trips out and involvement in the community using the library and churches. As on previous inspection visits relatives spoken with said that they felt very comfortable and welcome at the home saying that staff are approachable, friendly, welcoming and easy to talk to. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 16 Residents and relatives understand that they can raise concerns and feel confident in doing this. They feel staff listen and respond quickly to put things right. There is a formal complaints procedure. EVIDENCE: The complaints procedure is in the service user guide that is given to all service users. It is also posted on notice boards around the home. All of the residents spoken with said that they felt comfortable in raising concerns with staff and that when they did, staff acted quickly to put things right. The relatives were aware of the complaints procedure, confident in approaching staff ‘for the smallest of things’ and said that anything raised would be sorted out. One complaint was made to the Commission during December 2005. The manager took this very seriously and fully cooperated in the investigation. Not all of the complaint was substantiated but some small changes were identified and acted upon and were resolved at this inspection. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19 and 26. The home offers a safe, comfortable and well-maintained environment for the residents. People are able to personalise their bedrooms. EVIDENCE: All the communal areas, laundry and some bedrooms were seen. No health and safety hazards were noted and staff were seen doing their work properly dressed and equipped, and their practices make sure the home is clean, free from unpleasant smells and hygienic. Since the last inspection one bathroom has been upgraded as part of the home’s planned refurbishment and replacement programme. The bedrooms seen were comfortable, well furnished and personalised with resident’s own belongings. There is a wide range of standard and specialist aids and equipment that staff are trained to use. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 30. The staff are experienced, well trained and know what they are doing. They have good relationships with the residents and care for them well. EVIDENCE: The manager reported that there are no staff vacancies. Since the last inspection a new residential unit manager and deputy unit manager have been appointed. The staff are well organised and there are well established systems of shift handovers and staff meetings that mean information about the residents is up to date. The staff spoken with knew the residents well and the relationships were good with a lot of warmth and humour. The care staff are supported by a team of ancillary staff. Staff were observed to be professional but personable in their interaction and the residents and relatives spoken with, without exception, praised the staff for their caring and supportive approach. The home has been very consistent in its commitment to make sure that the staff are well trained and the company continues to employ a training coordinator. The training programme was seen and included safe working practice up dates and it was good to see sessions planned on ‘falls education’. The staff spoken with confirmed the training they had completed since the last inspection and this included dementia and for senior staff sessions in supervision and coaching. The home has achieved targets for the number of staff with National Vocational Qualifications. The home has been successful in achieving a NHS workforce development grant and now plans to improve the training facilities. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Residents, money can be held safely and securely in their rooms. Any money held by the home for safekeeping is properly accounted for. EVIDENCE: All residents have a safe in their bedrooms so that money and valuables can be held safely and securely. For those who are unable to manage money for themselves, the home does hold small amounts for safekeeping. The records of two residents were checked. The running record clearly showed transactions, identified who had dealt with the money and receipts supported the transaction. A cash reconciliation was made with both accounts and they were accurate. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 15 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 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 16 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. Refer to Standard OP12 Good Practice Recommendations The home is giving serious consideration to employing an activity organiser. This is encouraged to further develop the range of activities already provided. Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Pennington Court Nursing Home DS0000001366.V276022.R01.S.doc Version 5.1 Page 18 - 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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