Inspection on 13/02/07 for Penrice House

This inspection was carried out on 13th February 2007.

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

Penrice House 14/02/06

Penrice House 20/07/05

Penrice House 03/02/05

Penrice House 24/08/04

Penrice House 29/03/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Penrice House Porthpean St Austell Cornwall PL26 6AZ Lead Inspector Mike Dennis Key Unannounced Inspection 13th February 2007 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 Penrice House DS0000009209.V326045.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. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Penrice House Address Porthpean St Austell Cornwall PL26 6AZ 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) 01726 73067 01726 71967 Penrice House (St Austell) Limited Mrs Liane Gay Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 Brief Description of the Service: Penrice House provides accommodation and personal care for elderly people in need of care by reason of old age. It offers accommodation on the ground and first floor, the latter being accessed by stair and shaft lifts. Several rooms are en suite and for single occupation unless two people elect to share. There is good communal space with a choice of sitting areas. The home has extensive grounds with level walks and seating for people to enjoy. Day care is also offered. Ample communal space is provided for both the resident population and day care service users. Regular journeys into the local town are arranged to enable service users to visit the shops, bank, hairdresser etc. if they so wish. For people unable to get into town, services such as hairdressing and chiropody are arranged on a domiciliary basis. Medical cover and certain nursing treatments are available via the local Health Centre and the Community Nurses. Service users are encouraged to take their main meal in the dining room where the table settings and meal presentation is of a good standard. A persons wish to eat in his/her room is however respected. Regular contact with families and friends is encouraged. Help is given to maintain hobbies and interests. The home has a programme of activity to which all are invited Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 13th. February 2007 over a seven and half hour period. We met with the Registered Manager, 2 assistant managers, all of the staff on duty and with 6 service users. During the day several service users were entertaining family and friends. During the course of the day the inspector observed the service users being attended to by staff in a courteous and professional manner. Service users informed the inspector that their expectations of being in a care home were being fully met. Various records, policies and procedures were inspected and found to be satisfactory. The inspector visited all parts of the building and noted a satisfactory standard of hygiene. Service users expressed satisfaction with all aspects of the home. The standard fees charged range from £315 to £352 per week. What the service does well: In talking to a wide range of staff and service users it is apparent that Penrice House is conducted on sound professional lines and provides the services that are expected of it. The service users spoken with were forthcoming with their opinions and expressed a variety of individual feelings. Some opinions were challenging reflecting individual points of view but all were of the same accord in stating their overall satisfaction with the home. The management promote open communication. Staff informed the inspector that there was a good team spirit and support structures. Choice of activities, interests and hobbies are on offer. The overall presentation of the grounds and accommodation is to high standard. The staff are ably supported by the management committee. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 6 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. Penrice House DS0000009209.V326045.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 Penrice House DS0000009209.V326045.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): 1,2,3,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are given substantial information about the home prior to making a decision to accept a placement. Written contracts/ statements of terms and conditions are issued to all service users. Service users are fully assessed prior to admission to the home. Prospective service users and relatives are afforded the opportunity to visit the home to assess its’ suitability as to meeting their needs. EVIDENCE: Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 9 Prospective service users are given full and comprehensive information concerning the home to enable them to make an informed choice as to whether they wish to become a resident. This includes The Statement of Purpose, Service User Guide and Brochure. These documents were seen to be up to date at this time. The home issues contracts or statements of terms and conditions with the home. These were inspected and found to be satisfactory. Six service user files were inspected and case tracked. All contained information pertaining to pre-admission assessment. Service users informed the inspector that the home meets their personal care needs. Policy documents indicate that prospective service users can visit the home before making the decision to move in. This was confirmed by service users and staff. Penrice House DS0000009209.V326045.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): 7,8,9,10,11. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health care needs of service users are identified, planned for and met. Service users are treated with dignity and respect. The standard of care planning set is high and is being maintained Service users, at the time of death are treated with sensitivity and respect. EVIDENCE: Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 11 From discussion with service users, staff and inspection of documentation it was evident that individual care needs are identified appropriately. From inspection of service users files, and in discussions it is evident that Penrice House encourages service users and their representatives to express their views in the formation of their care plans. The care plan specifies what actions staff should take to ensure that the care need is approached in a consistent manner. Health care needs are itemised in the care plans and followed by staff in accordance with the direction of external health care professionals, GP, Community Nurse etc. Service users commented that health care needs are met by the staff at the home and by external professionals to a high standard. Records of all health professional visits are recorded in detail. The care plans are reviewed at regular intervals. Staff were observed to treat service users with respect and it was noted that staff knocked at bathroom and bedroom doors before entering. General practitioners examine and treat all service users in the privacy of their own bedrooms. At the time of death full communication is maintained with relatives. Both the service user and the family are given full support and their needs catered for, as evidenced from the homes records, policies and procedures and in discussion with the manager. We read a letter of commendation from relatives of a service user who had recently passed away. Penrice House DS0000009209.V326045.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): 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities made available are flexible and varied. Service users receive visitors at any reasonable time throughout the day Service users exercise choice and control over their lives. Food provided is of a good standard. EVIDENCE: The routines of daily living within the home appear to be flexible to suit individual preferences. The home offers various activities including trips in the new ‘people carrier’. Outside entertainment is brought to the home. Service users confirmed the above. The visitors book indicated that a steady stream of visitors attend the home, as was witnessed on the day. Service users confirmed that they were free to receive visitors at any time. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 13 Service users confirmed that they are encouraged to exercise choice and control over their lives. Many handle their own financial affairs and have access to external agents. We met with the kitchen staff and noted that high standards of hygiene and food preparation were being employed. Service users eat in a well presented dining room and a good level of social intercourse was observed. Service users expressed satisfaction as to the food provided. Special diets are provided if required. Penrice House DS0000009209.V326045.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): 16,18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is well publicised and is used when required. The registered manager ensures that service users are protected from all forms of abuse with staff having knowledge through training of Adult Protection issues which helps to protect service users EVIDENCE: The home has a complaints policy that meets all the requirements of Regulation 22. A complaints log is available to ensure that a record of all complaints is recorded and kept. Details of the complaints policy are available in the statement of purpose and a full copy included within the service users guide. The home has a policy in relation to adult protection, which includes information on whistle blowing. This policy references the Department of Health No Secrets guidelines and physical / verbal aggression by service users. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 15 Staff are made aware of this policy during induction and at training sessions. Service users informed the inspector that they were fully aware of the homes complaints procedure and stated that they were quite prepared to use it should the need arise. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 16 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for it’s stated purpose and provides a safe and well maintained environment. The home was clean, hygienic and free from offensive odours providing an attractive and homely place to live EVIDENCE: There is level access to the home, with car parking next to the main entrance and at the rear of the property. Grounds are extensive and very well Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 17 maintained. There is easy access to the main garden area through the conservatory, where there are tables and chairs arranged for the use of the service users. A shaft lift plus stair lifts are provided to gain access to the first floor for those with mobility problems. Communal areas are plentiful, large and very attractive. The dining room in particular was very appealing in appearance. Assisted bathrooms are equipped with aids to meet service users needs. The laundry was well organised and the washing machines working well. The kitchen area was also well organised, clean and business like. The inspector found that fridge and freezers were operating at the correct temperatures, cleaning schedules were in place and food stored appropriately. Ongoing maintenance occurs on a daily basis. The home is homely and domestic in nature. The home was clean, hygienic and free from offensive odours. Disposable gloves and aprons are available as required. Hand washing facilities were satisfactory. The home has an Infection Control policy. Penrice House presents as a well looked after property. Staff and service users seem to have a vested interest in keeping it that way. Bedrooms were seen to be individualistic in appearance, the occupants stating their satisfaction. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment policies and procedures are implemented. All staff are supported and Inducted through training opportunities. A positive number of staff are on duty to meet the service user’s needs EVIDENCE: The home has a duty rota that accurately reflected the number and skill mix of staff on duty during the inspection. The current staff compliment comprises, Registered Manager, 3 Senior Carers, 6 grade 1 care assistants, 3 grade 2 care assistants, 7 night care assistants, Head cook, assistant cook (position vacant), kitchen porter, 3 domestics, and a gardener/handy person. Additional staff are on duty at busier times of the day. Currently at night there are 2 waking staff on duty. Senior staff may be contacted if needed. Evidence that 100 of the staff team have now achieved NVQ level 2 was presented at the inspection. The home’s employment policies and procedures are implemented. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 19 2 written references were evidenced within a random selection of staff files. CRB checks and POVA checks are completed. Staff training, induction and development programmes are undertaken. Service users spoke positively regarding the attitudes of staff and the quality of care they provide. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 20 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): 31,32,33,35,36,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is appropriately qualified and has longstanding experience in the managers role. The management and staff of Penrice House strive to maintain and improve a good quality of care and lifestyle for the service users and promote their health, safety and welfare. Appropriate financial records are kept. EVIDENCE: Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 21 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 her responsibilities fully. The Registered Manager has many years of experience and has obtained the Registered Managers Award. Supervision of staff is regularly undertaken. This fact was independently evidenced in conversation with the registered manager and staff members. Records confirmed the frequency and content of supervision. A service user survey seeking their views and that of relatives is published annually. Comprehensive financial records are kept of all transactions. The home ensures that the health, safety and welfare of service users and staff are promoted and protected as far as is practicable. Training and maintenance records were available for inspection. A number of records as required by legislation were inspected and found to be up to date. These included Fire, accident, statistics of falls, risk assessments plus records required in the catering department. Policies and procedures were also found satisfactory. Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 22 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 3 3 X 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 x 3 3 x 3 Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 23 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 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. Refer to Standard Good Practice Recommendations Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Penrice House DS0000009209.V326045.R01.S.doc Version 5.2 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!