Inspection on 06/06/07 for Pennystone Court

This inspection was carried out on 6th June 2007.

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

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

Other inspections for this house

Pennystone Court 15/11/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Pennystone Court Handsworth Road Blackpool Lancashire FY1 2RQ Lead Inspector Mr Wesley Cornwell Unannounced Inspection 6th June 2007 09:00 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 Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pennystone Court Address Handsworth Road Blackpool Lancashire FY1 2RQ 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) 01253 752307 home.fxg@mha.org.uk Methodist Homes for the Aged Mrs Frances Crompton Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only: Code PC, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP The maximum number of service users who can be accommodated is: 32. Date of last inspection New service Brief Description of the Service: Pennystone Court is registered to provide personal care for 32 people of both sexes over the age of 65 years. The home is purpose built and is constructed on two floors comprising of 32 single occupancy flatlets. All rooms are en-suite providing toilet and bathing facilities. Communal areas consist of a lounge and dining room on each floor. A passenger lift facilitates access between the ground and first floor. The home also has a hairdressing salon and four small kitchen areas where residents and their visitors can prepare drinks and light snacks. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. The range of fees at the home are £287.91 to £336.49 covering all aspects of care, food and accommodation. The manager provided this information on the 6th June 2007. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced site visit was undertaken as part of the Key Inspection and commenced at 9.00am and took place over 6 hours. The Inspector spoke to three staff members, three residents, two relatives, one health care worker and the manager of the home. Comment cards were completed by seventeen residents/relatives providing their views about the home. Staff, care, maintenance and financial records were also examined. A full tour of the premises was undertaken with the manager. What the service does well: Residents seen during the visit said they liked living at the home and felt well cared for. Several residents were very positive in their comments about the manager and staff who were described as being caring and conscientious. One resident said, “ It was very difficult for me when I was admitted into hospital and realised I would no longer be able to look after myself. I chose this home on the recommendation of a close friend who knew someone who had lived here. I have to say the staff were so kind, friendly and helpful and that hasn’t changed to this day”. The homes assessment procedures were very thorough and care plans had been structured to ensure staff recognise the diverse needs of residents. Observation of practice and discussion with staff members confirmed facilities and equipment is provided by the home to assist them in meeting the needs of residents with specific disabilities. Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive from the home and were well treated by the staff. The gender mix of staff was well balanced to provide residents with the choice about whether they wished to have a male or female carer to assist with their personal care needs. One resident said, “ The staff are so kind and patient I cannot praise them high enough”. The relative of one resident said the staff always acted quickly and efficiently whenever called upon and are a very reliable and caring team. Meals are varied with an alternative choice available if required. Residents were pleased with the choice and variety available. Catering staff confirmed they are provided with assessment information about all new residents so that special diets and personal preferences can be accommodated. One resident said, “At the moment I am on a liquidised diet and the cooks do everything Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 6 they can for me. They try to make sure I get a variation and the meals are appetising so I get my appetite back”. A healthcare professional visiting the home said the standard of care being provided was very good and they had no concerns about the welfare of residents living at the home. The health care worker said, “ I have been visiting this home for a number of years and feel it is one of the better homes in the area. The manager and her staff are very professional”. 75 of the staff team have achieved National Vocational Qualifications (NVQ) ensuring residents receive care and support from a well trained and competent staff team. Observation of care practices throughout the day confirmed residents are treated with respect and dignity. The home is well maintained and was clean and tidy providing a pleasant environment for the residents to live. 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. The summary of this inspection report can be made available in other formats on request. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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 Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The care plan records of three residents recently admitted to the home had full assessment information including the religious/cultural and relationship needs of residents. All care plans had been signed by the residents confirming they had been involved the assessment process and agreed with the care to be provided. Staff members confirmed they had access to this information and could describe in detail the care needs of the residents. Staff responsible for the preparation of meals said they were informed about residents who had special dietary needs and these are always accommodated. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 9 The residents spoken to confirmed they had been involved in their assessment and were happy that their needs were being met. This home does not provide intermediate care. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously, resident’s welfare is closely monitored and health needs were met. EVIDENCE: Individual records are kept for each resident with a plan of care setting out the action that is needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded and daily entries made setting out the care given. The care plans were structured and were being reviewed at least once a month and updated to reflect any changing needs in the health and personal care of the resident and these were being actioned. The records of three residents were looked at and these described their healthcare needs. Discussion with staff members confirmed they were fully aware of the healthcare needs of residents and these are monitored and their care plans kept up to date. Entries made on care plans showed good communication between the home and healthcare professionals. One Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 11 healthcare professional visiting the home said the staff communicate clearly and work in partnership with them and are able to demonstrate a clear understanding of the care needs of residents. The healthcare worker said, “ I have been visiting this home for a number of years and have always found the staff to be very caring. The residents are always clean and well presented. In my opinion this is one of the best homes I visit if not the best. I would have no problems recommending it to anyone”. Observation of practice and examination of care plan records confirmed staff were meeting the diverse needs of service users with specific disabilities and specialised equipment was readily available to assist them with their duties. Discussion with staff confirmed they were aware of the needs of the residents and the level of care that needed to be provided. One staff member said, “ We always have access to up to date information about the care needs of the residents and are well trained to ensure we can provide the appropriate level of assistance required”. Medication practices observed were safe and good records had been maintained. Residents spoken to said the staff team respected their privacy and they could spend time on their own if that was their wish. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Residents spoken to said routines within the home were flexible and they were able to make their own decisions about how to live their lives. One resident said, “ I have been very happy since the day I arrived and could not wish for better attention. The staff are very good and always listen to what I have to say. They are very respectful and allow me to make my own decisions”. Another resident who had recently moved into the home said they were very impressed with the standards being provided by the home and found the staff were kind, caring and friendly. The resident said, “The staff were all kind, friendly and helpful on my admission to the home and that is still the case today”. Residents spoken to said they were happy with arrangements in place for receiving their visitors. The relatives of two residents said they were always made welcome by the staff when they visited the home and found the staff Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 13 friendly and approachable. One relative said, “ I visit my mum every week and I am always made welcome by the manager and staff. The atmosphere within the home is very relaxed and I really enjoy my visits”. Most residents at the home handle their own financial affairs or these are handled by their relatives/representatives. Records being kept by the home in respect of residents unable to manage their own finances were being well maintained. Care plan records confirm the home are promoting equality by treating residents as individuals and ensuring people with diverse needs are having these met. Discussion with one resident confirmed the support being provided by the home enabled them to maintain an independent lifestyle. The resident said, “ I like to retain my independence and the manager and staff respect this. I have my own daily routine and like to attend to my own needs if I can. The staff are very accommodating. It’s reassuring to know they are available if I need them”. Residents spoken to said the staff at the home were polite, kind, caring and supportive and had the skills and competence required to meet their needs. Residents spoken to were very happy with the arrangements in place for social activities. These were varied and arranged individually and in groups The home provides a varied and balanced diet for residents. The staff member responsible for the preparation of meals was able to confirm they had information about residents with special diets and personal preferences. Residents spoken to were happy with the choice of meals available. One resident said, “ I really enjoy the food and get plenty to eat. The food provided is very good and I always look forward to my meals”. Another resident who had special dietary needs confirmed these were being met and they enjoyed the food being provided. Staff members were observed being very attentive to residents needs. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on their admission. Residents spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. The relatives of three residents also said they were aware of the complaints procedure but hadn’t had any cause to make a complaint about the home. At the time of this site visit no complaints had been received by the home or referred to the Commission for Social Care Inspection. The home has a procedure in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Staff members on duty said abusive practices and how to recognise these had been covered during training recently provided by the home. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely, clean and safe environment. EVIDENCE: The home has been well maintained and decorated for the comfort of residents. Since the last inspection new carpets have been fitted in several bedrooms and some rooms have been redecorated. New bedding and curtains had also been purchased for several rooms. The manager said the refurbishment of the home was ongoing and there were further plans for refurbishment throughout the home. Residents spoken to were very happy with the improvements being made. A tour of the building confirmed resident bedrooms had been personalised with their own belongings. All bedrooms are en-suite and have been furnished to Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 16 ensure the comfort of residents. All residents spoken to were happy with their rooms and said they had the choice of spending time on their own or in the lounge area’s. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. It was observed during the visit the home was clean and hygienic ensuring a pleasant environment in which to live. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The deployment of a well-trained staff team throughout the day is sufficient to meet the needs of residents. EVIDENCE: Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive and were well treated by the staff. One resident said, “ There is always plenty of staff on duty and they are always available if you need them. I am quite independent but often observe the staff with residents who are frail and need more attention and they are so kind and patient”. The relative of one resident said, “ The staff are reliable, caring and trustworthy and always act quickly and efficiently when required”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Records show 75 of staff members have achieved National Vocational Qualifications ensuring the residents are being cared for by a well trained and competent staff team. Discussion with staff and examination of records confirmed training had been provided for staff members to ensure they had a clear understanding of the specific care needs of residents accommodated at the home. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 18 Examination of staff records showed all relevant documentation was being obtained for staff members before they commenced their employment ensuring the protection of residents. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has policies and procedures in place to ensure the health and safety of residents and staff are promoted and protected. EVIDENCE: The manager has many years experience in caring for the elderly and has a relevant management qualification. She is well supported by the homes owners who visit regularly. Records seen confirmed the manager has access to training to ensure her knowledge and skills are updated. The home has effective quality assurance systems in place to monitor the level of service being provided for its residents. An annual quality assessment of standards is undertaken by a professionally recognised organisation who Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 20 complete an audit of the care being provided and seek the views of residents and their relatives. In addition the home has in place its own quality assurance systems in place to gather the views of residents and keep them informed about events being organised by the home. Residents spoken to confirmed they are consulted about any changes taking place within the home and kept fully informed about forthcoming events being organised. Inspection of records for residents finances were well maintained and up to date ensuring residents interests are safeguarded. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation to provide a safe environment for residents and staff. Discussion with the manager and observation of documentation and the building confirmed some requirements recently made in a fire safety report produced following an inspection by Lancashire’s Fire and Rescue Fire Safety Department had been implemented. The manager said the outstanding requirements regarding staff training and the removal of heavy duty batteries from the electric intake room would be implemented within the timescale set by the Fire Safety Department. Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 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 4 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. 1 Standard OP38 Regulation 23 Requirement The requirements made by the Fire Authority must be implemented within the timescale set to ensure the safety and welfare of residents and staff are promoted and protected. Timescale for action 21/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Pennystone Court DS0000069444.V336798.R01.S.doc Version 5.2 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. 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