Inspection on 10/11/08 for Penrith Drive

This inspection was carried out on 10th November 2008.

CSCI found this care home to be providing an Good service.

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

Penrith Drive 20/11/06

Penrith Drive 10/11/05

Penrith Drive 14/06/05

Penrith Drive 22/11/04

Penrith Drive 17/05/04

Penrith Drive 26/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Penrith Drive 55 Penrith Drive Wellingborough Northants NN8 3XL two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Judith Roan Date: 1 0 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 30 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Penrith Drive 55 Penrith Drive Wellingborough Northants NN8 3XL 01933678681 01536711761 AnneG@mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Royal Mencap Society Name of registered manager (if applicable) Mrs Elizabeth Anne Grout Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 6 1 0 0 care home 6 learning disability physical disability Additional conditions: A maximum of six service users in the category of Learning Disability (LD) One named service user, (as per variation No. V000027309 dated 01.12.05) currently living at the home, has care needs within the category of Physical Disability (PD). That the person who falls within the category of Physical Disability (PD) also has needs within the category of Learning Disability (LD) i.e. dual disability. Date of last inspection 2 0 1 1 2 0 0 6 A bit about the care home Penrith Drive is a care Care Homes for Adults (18-65 years) Page 4 of 30 home providing personal care and accommodation for 6 people aged 18 - 65 years. The premises are rented by the organisation MENCAP from a local housing association, North British Housing. Located in a suburb of Wellingborough, the home is easily accessible by public transport, close to local shops and the town centre amenities. The home opened in 1998 consists of a detached, two storey house offering single bedrooms for all people at the home. The communal areas consist of 2 dining rooms, lounge and kitchen. There is a garden area and car parking spaces. Care Homes for Adults (18-65 years) Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home We randomly selected two people who use the service and tracked the care they receive through review of their records, the care staff and observation of care practice. People using the service have limited or no communication. In observation it was evident that people were happy with the support they received. We also received information from relatives, support staff and a health care professional. The homes registered manager also completed an Annual Quality Assurance Assessment (AQAA) a document required by CSCI. The inspection was unannounced and lasted 5 Hours. Care Homes for Adults (18-65 years) Page 7 of 30 Relatives said They communicate well with families and carers. Staff said That they receive good support and have access to training. Fee levels are according to level of need and support and available on request from the provider. What the care home does well Penrith Drive is a warm and friendly home. You will be made welcome during your visit. Bedrooms viewed were clean and pleasant and contained personal items. Care Homes for Adults (18-65 years) Page 8 of 30 People who use the service are involved with decisions made about them, the home and in developing their support plans Support workers will assist people in meeting their personal and healthcare needs. Your privacy will be was respected. Support workers are well trained and have good support. Care Homes for Adults (18-65 years) Page 9 of 30 The service is well managed. Records are well maintained and kept secure. Information is available in easy read documents. People using the service feel safe. Care Homes for Adults (18-65 years) Page 10 of 30 What has got better from the last inspection What the care home could do better There was one recommendation made at this inspection. New regulations in relation to the storage of medication means that the service needs to ensure that they can comply if and when any person using the service has a controlled drug prescribed. Care Homes for Adults (18-65 years) Page 11 of 30 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Judith Roan CSCI Capital Business Park Fulbourn Cambridge CB21 5XE If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 12 of 30 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 13 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The process is conducive to ensuring individuals are relaxed and supported in making an informed choice. Evidence: The admission process was reviewed through records. People using the service have all had a needs assessment at the time of admission. Ongoing reassessment of needs continues to ensure that the service can continue to meet the needs of people living at the home. The routine for admissions includes the involvement of people who will be using the service and their relatives throughout. It is flexible and conducive to enabling the individual to gradually familiarize themselves with their new environment. Care Homes for Adults (18-65 years) Page 14 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service, who have communication problems, can be confident that their care needs and preferences are properly recognised and reflected in the information available to support workers within support plans. Evidence: Two people who use the service were chosen to case track so that their experience within the home could be assessed. This involved looking at their records, talking to staff and observing their interactions and care within the home. Each individual has a support plan to guide staff as to how their needs may be met. These are formulated following an initial assessment and added to as new needs arise. As people living at the home have severe learning difficulties and little or no verbal communication skills, the importance of very detailed individualised support plans has been addressed. These plans are written to a very high standard, give emphasis on individual choice and the ways in which each person is able to express that choice, and are regularly reviewed. For example: photographs/pictures are used in meetings to ask people who use the service about the support they receive and the management of the Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: home. References were made throughout the support plans about individual choice and the importance of respecting that choice in all aspects of daily life, from daily routine to medical examinations, hairdressing, dental care etc. Support workers were observed to be interacting with residents in an appropriate manner, giving due respect to their privacy and dignity. All of the people living at the home appeared well groomed and well cared for and appeared relaxed in the company of staff. Holidays are arranged to suit an individuals choices and staff from the home provide support to ensure continuity of care. Care Homes for Adults (18-65 years) Page 16 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service are enabled to enjoy active and stimulating lifestyles and a good quality of life, whilst being supported in maintaining and developing their skills. Evidence: People who use the service are supported to experience daily living at the home within their ability. Support workers promote a varied lifestyle for individuals so that skills are maintained and developed. Encouragement and support is giving to all to enable them to be involved with every day activities within the house and to access the local community on a regular basis. On weekdays individuals attend specialist day care services, on a full time or part time basis. The homes staff work closely with day centre staff and use communication books to ensure important information is shared. Support workers were able to demonstrate that a varied menu is available to people using the service. Breakfasts are of peoples own choice and preference as detailed in Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: their records. Individuals attending day centres take sandwiches for their lunch with the main meal being prepared by support staff in the evening. An appetizing and nutritious evening meal was prepared during the inspection. The support workers ensure records are maintained to show the varied and balanced diet available. The manager confirms within the AQAA that as part of a person centred approach to support planning, we actively encourage the people we support to be health aware and provide support in healthy eating and lifestyles, particularly where someone has identified a need or wish to improve their health. Service users are supported to maintain contact with families by regular communication from the support workers. Relatives confirmed that their experience of communication with the home was very good. Care Homes for Adults (18-65 years) Page 18 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Individuals using the service are appropriately supported to access community healthcare professionals as needed and supported within the home with their health and personal care. Evidence: People using the service appeared healthy, happy and active, and feedback forms did not raise any specific health or care issues. Personal support is provided in a discreet manner and with individuals preferences being a priority. The support plans that are person centred ensure that support workers are guided to provide the support as agreed with each person. From discussion with support workers, and evidence of correspondence on files it is judged that healthcare is good and that staff recognise and respond satisfactorily to health issues arising. The home does keep good daily records relating to an individuals activities and appointments. Advice was given on aspects of the medication system in relation to the storage of controlled drugs. A recent change in the regulations means that arrangements need to be in place to store all medication appropriately. In situations where a service does not presently administer or store controlled drugs Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: there needs to be consideration of what they would do in the future if a controlled drugs was prescribed. The service would need to ensure that they were not in breech of regulations. A recommendation is made so that the service can consider what action they need to take. Medication Administration Sheets are completed correctly and all files seen had good medication profiles. All people using the service are registered with local health practices with support workers monitoring their general health and referring problems identified at an early stage. Comment cards received from Health Care Professionals visiting the home expressed that they do not have any concerns and that support staff fight for peoples rights. Communication with the home was good. Records of an individuals and their families wishes in the case of health deterioration and death were seen in the files sampled. Care Homes for Adults (18-65 years) Page 20 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using the service can be reassured that care practices are in place to protect them. Evidence: A complaints procedure is available in the home. The manager confirms in the AQAA confirms that Our policies and processes require staff to actively engage with local Vulnerable adult processes and ensure that any threat to people with a learning disability is identified and reported promptly and appropriately within our organisation, so that appropriate action can be taken. The service has robust In-House procedures for finances and the reporting of abuse. People using the service and their advocates are kept involved with their finances The service has a Pictorial/Photographic Complaints Procedure for people using the service. The CSCI has not received any complaints since the last inspection. The home has a policy and procedure on Safeguarding of Vulnerable Adults and staff training records demonstrated that they receive annual training on this aspect of care. Care Homes for Adults (18-65 years) Page 21 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home provides a good standard of accommodation to meet the needs of people using the service. Evidence: A tour of the environment was undertaken. This provided evidence that the home was clean and tidy and maintained to a good standard in a homely manner. Individuals rooms showed evidence of personalisation with personal pictures, soft toys and music systems in place. There is a family size kitchen where support workers prepare all meals, and communal facilities are homely and welcoming. The communal space provides space for people to undertake a range of activities with support workers. A garden provides good outside space, with level access for use by people living at the home in good weather. Maintenance records ensure that there is an excellent monitoring system in place to ensure that problems are dealt with and that the home is safe. The AQAA states that future plans include the involve the people using the service further in maintaining their enviroment. That a decoration and refurbishment plan to be drawn up and reviewed and updated regularly. And it is proposed that A raised vegetable patch to be incorporated into the garden for service user participation. Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service are well supported by a skilled and experienced team of workers, who are caring, committed and appropriately trained. Evidence: A selection of staff files was seen. These provided evidence that all employment checks had been completed prior to commencement of duties. Criminal Records Bureau checks and references from previous employers were evident in files. All employees are appointed using the organisation equal opportunities policy. Training records demonstrate that statutory training for fire, food hygiene manual handling and first aid is provided. In addition to this staff receive training in the specialist needs of people living at the home. For example: epilepsy and communication skills. Support workers are supported to achieve National Vocational Qualification in care and the Learning Difficulties Accreditation Framework qualification. Ten of the fourteen staff hold NVQ at level two in care or above, which is above national minimum standards. Support workers have formal supervision every 6 to 8 weeks and records of these supervision sessions were available on the staff files seen. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: At the time of the inspection there were two support workers on duty. They demonstrated suitable experience and were seen to use appropriate skills whilst supporting people using the service. An on call system is in place, so that in the event of an emergency a senior member of staff is contactable for advice and support. Staff surveys confirmed that they receive good support from the manager, that information about their role and the needs of people they support is good. They also said that there is good access to training. To enable the communication for people using the service a pictorial rota has been developed and implemented. Care Homes for Adults (18-65 years) Page 25 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is effectively managed and ensures that the service is run in the best interest of people using the service. Evidence: The Registered Manager is experienced in caring for this resident group and has completed the Registered Managers Award. In observation it appeared that there is a good rapport between her and staff providing a relaxed and friendly environment in which people using the service can live. All records for the testing of fire alarms, emergency lighting and fire fighting equipment were seen to be up to date. Information provided as part of the Preinspection Questionnaire completed by the provider, demonstrates that equipment in the home is regularly serviced and maintained. The continuous improvement plan has been updated and kept under review together with the area manager. Regular meetings with people who use the service, staff and questionnaires to other people involved with the service form the basis of the plan. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: Minutes from these meetings were available. Meetings are recorded in accessible formats for people who use the service. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 28 of 30 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 20 New regulations in relation to the storage of medication means that the service needs to ensure that they can comply if and when any person using the service has a controlled drug prescribed. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!