Inspection on 29/09/05 for Pennington Court Nursing Home

This inspection was carried out on 29th September 2005.

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 13/01/06

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 and Gill Sangster Unannounced Inspection 29 September 2005 09.30a 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.V250458.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 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.V250458.R01.S.doc Version 5.0 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.V250458.R01.S.doc Version 5.0 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. 15 March 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.V250458.R01.S.doc Version 5.0 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 15 March 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. The registered manager was on annual leave, but the administrator and senior staff on duty gave very able assistance. Two inspectors carried out the inspection, the lead inspector focusing on the residential unit and the other focusing on nursing and intermediate care. During the inspection records were looked at, some parts of the home were seen, such as bedrooms and lounges and bathrooms. Because previous inspections have found record keeping to be of a good standard the main focus of the inspection was to be round and about the home observing care practices and talking to staff, visitors and residents. Nursing and care staff were seen carrying out their work; conversations were held with the senior staff on duty, nurses, care staff, healthcare workers supporting intermediate care and ancillary staff. Five relatives were spoken with and a good proportion of residents. 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. There was a good response. The inspection started at 9.30 and lasted for five hours, in addition time was spent preparing for the inspection and checking the survey responses that were received. What the service does well: The home is well managed and the interests of the residents are the main concern of the manager and staff. The staff are well organised. There is a good core of experienced and well-trained staff who know what they are doing. Newly appointed staff are properly trained and mentored. There is good teamwork. Staff have good relationships with residents and relatives who like the staff and are confident in them. Relatives feel welcome at the home and together with the residents, feel there is a warm and homely atmosphere. They feel that staff keep them informed of changes in the health and condition of the residents. Record keeping is clear and up to date and the standard of record keeping with care plans is commendable. The home integrates into the Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 6 local community using a local library and churches. Menus provide choice and residents are consulted about menus and encouraged to make suggestions. 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. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 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.V250458.R01.S.doc Version 5.0 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): 1, 3, 4, 5 and 6. Residents and their relatives are provided with clear and accurate information about the care and services provided at the home. The assessment and admission process includes introductory visits to the home and people are able to make an informed choice about the home based on the written information and what they see. Residents’ needs are properly assessed and needs are met by well-informed and knowledgeable staff. Intermediate care services are effective. EVIDENCE: The statement of purpose and service user guide met requirements last time but, as part of the home’s development plan, the documents are being reviewed and combined into one document. The current information accurately reflects the care and services provided. The care plans that were checked all had good detailed pre-admission assessments. The home has an admission policy and all prospective service users have the opportunity to visit the home and have a trial stay if that is possible. Relatives generally always visit the home and are encouraged to do so and those spoken Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 9 with during the visit said that they had visited. They all said that the staff are good and very caring and observations during the day showed relationships to be warm and personable. The residents were confident in the staffs’ abilities and relatives said that the home kept them informed about changes in health and care needs. Positive comments made during the day were supported by written comments made in the survey questionnaires completed by residents and relatives. Conversations with the staff found them knowledgeable about individual residents needs and their daily lifestyle preferences. Systems of communication are well established to make sure that the right information is passed on a daily basis. Intermediate care services are well established. Staff felt that there was good interdisciplinary team working and communication. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 10 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, 8, 9 and 10. The healthcare needs of residents’ are met and care plans provide clear and detailed instruction for staff to follow. Medication systems and practices are sound. Staff are aware of residents’ needs and there is good communication amongst the staff group and with healthcare professionals. Residents are treated with respect and in a dignified way. EVIDENCE: Care plans were checked in the residential unit, nursing and intermediate care units. Both inspectors felt the standard of record keeping was commendable. Records were detailed, gave clear instructions and guidance to staff, and were up to date with regular monthly review. Medical needs were clearly identified and daily record keeping showed nursing input and treatment or support from other healthcare professionals. Risk assessments were detailed. Systems of storing, managing and administering medication were checked (including self administration), and observations made of staff administering medication and recording this. Practices were sound. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 11 Observations throughout the day showed staff to be professional but personable with residents and relatives and the relationships were warm and friendly. Residents looked well cared for. Staff were observed to manage the residents sensitively and survey questionnaire results indicated that staff are held in high regard. Residents said that staff gave them good support, gave assistance when they needed it and respected their privacy like knocking bedroom doors before entering. This was also supported by observations of staff practices. Staff spoken with said that their induction training covered basic principles of care including privacy, dignity and respect. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 12 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, 14 and 15. Residents are encouraged to join in social and leisure activities, to maintain links with their friends and family and to exercise choice and control over their lives. They are offered a good varied and nutritious diet that takes account of individual dietary and care needs. EVIDENCE: The care plans seen all had a good social assessment that detailed individuals’ hobbies and backgrounds. One relative spoken with who was visiting her Aunt who had only just been admitted showed a copy of her written contribution to the Aunt’s life history. She felt fully involved in her Aunt’s admission to the home and felt that staff were trying to build up a picture so that they could ‘know what makes her tick’. All of the 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. The activities programme is displayed on notice boards and the conversations with residents and relatives provided good evidence of in-house activities including entertainers, trips out, involvement with the local community including the library and churches. The home does not currently employ an activity organiser but is considering this to further develop the range of opportunities for residents. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 13 Residents said that they were able to choose what time they go to bed and get up, where they eat, where they spent their time, some saying they choose to socialise in lounges and others preferring to spend at least some time privately in their rooms. We were able to see the main meal of the day being served in the dining rooms. There were two hot alternatives that residents could choose from. Staff were organised in making sure that the meal was well presented and were efficient in making sure the meal was hot. They gave good support to any residents who needed assistance. Residents spoken with during the day all said that the food was good and it was good to get a choice. The care plans seen identified any special dietary needs and personal preferences. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 14 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 and 18. Residents and relatives feel comfortable in raising concerns on a day-to-day basis and have access to a formal complaints procedure that is clear. Staff are trained in understanding and recognising abuse and there are clear procedures for them to follow. EVIDENCE: There is a complaints procedure that is clear. This is appended to the statement of purpose and service user guide and is also posted on notice boards in the home. The relatives spoken with understood that they could complain and raise concerns. Residents said that they feel comfortable in talking to staff about things that worry them and felt that staff listen to them and put things right. There are adult protection policies that link to the Leeds multi agency procedures and there is a whistle blowing policy. Staff spoken with confirmed that they receive training on abuse and know that the policies and procedures are there to be followed. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 15 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 is safe and well maintained and offers comfortable communal lounge areas. Bedrooms suit personal needs, can be personalised with your own possessions and made private. The home has aids that make things like bathing and toileting easier. Standards of cleanliness are good. EVIDENCE: Two matters about the environment that were raised in the last inspection report have been resolved. A safety certificate for the electric wiring system was available and checked, and a door closure that is linked to the fire system has been fitted to the office door. 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. The home is comfortable and is maintained to good standards. There is an ongoing programme of refurbishment and redecoration. Since the last inspection windows have been replaced to the front and side of the building. The heating system has been up graded with all radiators now being able to be individually controlled. The roof Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 16 above the kitchen has been replaced. Bedrooms are well furnished and were personalised with residents’ own possessions. There is a wide range of standard and specialist aids and equipment to make things safe for staff and residents. Since the last inspection two new hoists have been purchased. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 17 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, 29 and 30 There is a good core of experienced and well-trained staff who know what they are doing. Newly appointed staff are properly trained and mentored. Relationships are good and the residents are well cared for. EVIDENCE: The staff spoken with included the administrator, senior nursing staff on duty, a cross section of experienced and new carers, a physiotherapist working in the intermediate care unit and some ancillary staff. The company employs a training coordinator who maintains the training records and from the records seen and what the staff said, the home is able to makes sure that the staffs’ training is up to date and in line with the National Minimum Standards that are set. The induction training for new staff is thorough and those spoken with were finding it useful. This is very good and should give people confidence that staff know what they are doing. The staff are committed to this because they know it helps them and they said it makes them feel more confident in their work. The personnel files for three staff were checked and these contained all the necessary documentation to show that proper vetting and selection takes place. The staff are well organised and there are well established systems of shift handovers, staff meetings that mean information about the residents is up to date. The staff spoken with knew the residents well and the relationships were Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 18 good with a lot of warmth and humour. Residents and relatives spoken with, without exception, praised the staff for their caring and supportive approach. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 19 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): 31, 32, 33, 36, 37 and 38. The home is well managed and the interests of the residents are the main concern of the manager and staff. Record keeping, safety checks and systems of communication make sure that the home is a safe place to live. EVIDENCE: The manager is very experienced and is a qualified nurse and has completed the Registered Manager’s Award. She likes things well organised and right for the residents and is well supported by other senior staff to make sure this happens. On top of this there are other more formal ways of checking the standards of care like satisfaction surveys. Following discharge all residents who leave the intermediate care unit are asked to complete a questionnaire seeking an honest evaluation of the care and services. The results of the period from May 2004 to May 2005 were available and these were very positive indeed. The results of the surveys that were done in the residential Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 20 and nursing units have not yet been compiled into an evaluation report. The record keeping in the home is good. The information about residents is clear and up to date including risk assessments, and regular safety checks are made on equipment and are recorded to make sure the building is safe. The atmosphere in the home is warm and friendly and the residents and relatives said that they like this. This was further supported in the survey questionnaire results. Residents said that staff responded to the emergency call system very quickly and this made them feel safe. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 21 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 3 X 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 22 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 OP33 Good Practice Recommendations The results of the homes quality survey conducted earlier this year for the residential and nursing units should be compiled into an evaluation report that should be made available to residents, relatives and visitors. Pennington Court Nursing Home DS0000001366.V250458.R01.S.doc Version 5.0 Page 23 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.V250458.R01.S.doc Version 5.0 Page 24 - 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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