Inspection on 14/06/05 for Penrith Drive

This inspection was carried out on 14th June 2005.

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

Penrith Drive 10/11/08

Penrith Drive 20/11/06

Penrith Drive 10/11/05

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 09/07/2008.

CARE HOME ADULTS 18-65 Penrith Drive 55 Penrith Drive Wellingborough Northants NN8 3XL Lead Inspector Sheila Smith Unannounced Tuesday 14 June, 2005 @ 4:30 p.m. th 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Penrith Drive Address 55 Penrith Drive Wellingborough Northants NN8 3XL 01933 678681 01536 711761 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Janine Tregelles Royal Mencap Society, Mencap National Centre 123 Golden Lane, London, EC1Y 0RT Mrs Elizabeth Anne Grout CRH 6 Category(ies) of LD - Learning Disability - 6 places registration, with number of places Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No Additional Conditions Date of last inspection 22nd November 2005 Brief Description of the Service: 55 Penrith Drive is a care home providing personal care and accommodation for 6 Service Users aged 18 – 65 years.The premises are rented by the organisation MENCAP from a local housing association, North British Housing. The Registered Company is MENCAP (Royal Society for Mentally Handicapped Children and Adults).The home is located in a suburb of Wellingborough, easily accessible by public transport, close to local shops and accessible to the town centre and town’s amenities.The home was opened in 1998 and consists of a detached, two storey house offering single bedrooms for all residents. The communal areas consist of 2 dining rooms, lounge and kitchen. There is a garden area and car parking spaces. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Residents, and upon their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 2 residents and tracking the care they receive through review of their records, observations of them and care practices, and discussions with the care staff, The inspection took place during an evening over a period of 4 hours and was carried out on an unannounced basis. Communal areas, and some bedrooms were visited. A selection of care records, and essential records of the home were reviewed, and discussions took place with Managers and staff. Most of the residents were spoken to and care practices were observed to as part of the inspection process. What the service does well: The home provides good quality care and support for up to six residents who have high levels of dependency, and limited verbal communication skills. Resident’s holidays are arranged on an individual basis, and two had been on holiday this year, with more arranged during the summer months. The food provided on the evening of the inspection appeared appetising, and served in two sittings so that staff could give individual attention to the residents. Staff at the home are actively trying to involve the residents in choosing the menu, and have produced a menu book in picture form. No new admissions have taken place since the last inspection, but the Registered Manager clearly demonstrated that a new admission would take place over a period of time, involving several visits and overnight stays, and would include holistic assessments from staff at the home and other professionals. A home visitor well known to the resident’s, visits regularly acting as an advocate when required. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 6 The home employs both male and female staff, and has a policy that states that male staff care for male residents and female staff for female residents. The resident’s rooms and communal areas viewed on this inspection were well decorated and furnished to a good standard. General hygiene and domestic maintenance was good. The Home is close to local amenities and is in keeping with the surrounding residential area. 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. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 8 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 4, and 5 The combination of information and assessment ensures that families, and residents can be confident that the home can meet the needs of prospective residents. EVIDENCE: The Home has a Statement of Purpose and a Service User Guide that would benefit from being revised and produced in a suitable format. The Registered Manager is planning to produce a video to ensure that all prospective residents are involved in the choice of home. Although there have been no new admissions the Registered Manager said that no admission to the home would be made until full assessments from health care and other professionals has been received, and residents have visited the home on a number of occasions and met with staff and other residents. Care Manager assessments were seen in the files examined during the inspection. Two residents files were reviewed, and although both contained a contract, neither had been signed by the resident or a representative. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9, and 10 Resident’s rights are respected and care planning is clear, comprehensive and reviewed regularly, so that staff are clear about their responsibilities in meeting residents needs. EVIDENCE: The care plans documented physical care needs including reference to the personal care required and oral and foot care. References were made to Psychological, emotional and behavioural needs. Specific condition related needs had been identified and evidenced monitoring by relevant external professionals. Daily records include entries recorded morning and evening, completed by the staff. The dependency levels of the residents is high, and a number of them have limited verbal communication skills. Care staff were observed talking and consulting with the residents and giving them every opportunity of responding and making decisions. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 11 The Registered Manager said that she was researching methods, which would ensure that residents would be involved in making choices about their own lives. An advocate is not used in the home currently although staff said that if an advocate was required assistance would be given to the residents to access an advocate service. A Home visitor, well known to the resident’s visits regularly to talk to the residents. Risk assessments were present in the files although they tended to be more limited to risks attached to living in the home. It would benefit the residents for staff to develop risk assessments to cover activities outside of the home environment. Records were seen to be kept securely, and discussions with staff indicated that they were aware of their responsibilities regarding confidentiality. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 13, 14, 15, 16, and 17. Residents are given opportunities for personal development. EVIDENCE: Residents are unable to partake in paid or voluntary employment or further education. They are encouraged to be as independent as possible and to develop their personal and daily living skills. The environment and staffing arrangements allows the service users to have a regular life with support and supervision as required. All of the residents attend specialist day care services, on a full time or part time basis. Staff have built links with the local community and current activities with the residents involve shopping, meals out in local cafes and restaurants, and visits to the local pub. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 13 Apart from Aromatherapy that takes place during the evenings, there was little evidence of other individually designed activities, that took into account the residents likes and dislikes. Most of the residents are unable to assist with household tasks but are encouraged to stay with staff whilst the tasks are performed, for example when their rooms are cleaned. Only two of the residents have family living locally, and staff encourage one the residents mothers to assist them in caring for her daughter by inviting her to accompany them when they take the resident shopping. Another resident is taken to visit her family on a regular basis. Residents holidays are arranged on an individual basis, taking into account individual likes and dislikes. Residents are assisted to eat in two dining rooms, and are provided with three meals a day one of which is a cooked meal and sweet. Residents attending day centres take sandwiches for their lunch. The meal on the evening of the inspection consisted of toad in the hole followed by fresh fruit or yogurt, and looked nutritious and appetising. Residents are assisted to contribute to the menu by looking at pictures of meals. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 20 The arrangements for planning care is good ensuring that health personal and social care needs of people living in the home are fully met. EVIDENCE: Personal care was observed to be carried out in privacy, and intimate care is provided by staff of the same gender. Residents are registered with local health practices and their general health is monitored by the home staff and any problems identified, dealt with at an early stage. Records of visits to healthcare professionals are maintained. One of the residents requires assistance because of physical disabilities and has a hoist and other specialised equipment. The medication management system was reviewed and no errors or omissions were discovered. Medication is received into the home, recorded, stored, handled, administered and disposed of in a safe manner. None of the present residents have been assessed as able to administer their own medication. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Staff have a sound knowledge of the complaints procedure, and demonstrated that they would resolve them in a professional way. EVIDENCE: The complaints procedure was written in a format that could be understood by the residents and displayed on the notice board. The Deputy Manager said that a record is kept of all grumbles and complaints, and of the outcome of investigations. The Registered Manager said that she planned to include the complaint procedure within the video that she is to produce about the Statement of Purpose. A member of staff demonstrated that he was aware of his responsibilities if a complaint was made to him. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 29 and 30 The standard of the décor within the home is very good, and the standard of hygiene was high, so that the residents have a homely safe place in which to live. EVIDENCE: The home offers all single bedroom accommodation for the residents and showed evidence of personalisation. Small items of furniture, pictures and ornaments were in evidence. All were decorated in different styles chosen by the service user. En-suite facilities are not provided. The premises areas viewed on this inspection were well decorated and furnished to a good standard. General hygiene and domestic maintenance was good. The Home is close to local amenities and is in keeping with the surrounding residential area. The garden area had recently been altered to provide safe disabled access. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 17 The home has 4 toilets, 3 bathrooms and a shower room. Appropriate hoists are available. Residents have free access to communal facilities that include a large lounge, and two dining rooms that were comfortably furnished to a good standard. The home accommodates one person who has physical disabilities, and specialist equipment such as a hoist, a bed, and wheelchair had been obtained for her. Radiators were covered to prevent residents burning themselves and handrails had been installed on the stairs. The kitchen area was tidy, with work surfaces clean, and all perishable foodstuffs appropriately refrigerated. Kitchen equipment, such as the cooker, refrigerator, and freezer were suitable in capacity for the needs of the residents The location of the laundry facilities was appropriate in relation to food storage, preparation, cooking and eating. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35, and 36 The staff team are experienced, knowledgeable about the resident group, and committed to improving the quality of life of the people they care for. EVIDENCE: One staff file was examined during the inspection, and evidence was found that references and appropriate forms of identity had been obtained. The Manager is aware of her responsibilities regarding Criminal Reference Bureau clearance and POVA first checks. All newly recruited staff receive comprehensive induction training. The staff work to a flexible rota, taking the needs of the residents into account. The Registered Manager said that there were normally three members of staff on duty whenever residents were in the house, with one waking and one sleeping member of staff on duty overnight. On the evening of the inspection there were only two members of staff on duty. Staff, of both genders, are employed to meet residents personal preferences in the provision of personal care. 7 members of staff have now completed National Vocational training with a further 3 due to complete shortly. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 19 All staff interviewed spoke of their dedication to improving the quality of life for the residents by encouraging them to make choices, and gain as much independence as possible. A member of staff confirmed that he received regular supervisions, and support from the management team. The Registered Manager said that Mencap provide a helpline for advice out of office hours. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 41, and 42 Appropriate management of the home alongside sound policies, and procedures ensures that the resident’s rights and best interests are considered and that the health and safety of the residents is protected. EVIDENCE: The Registered Manager has worked for the Royal Mencap Society for 13 years; her previous position was as a deputy Manager, so has considerable experience of caring for people with learning disabilities. Staff stated that the Manager was approachable and always available for consultation and advice on any issue, personal or professional The records examined during the inspection were complete and up to date. The Royal Mencap Society policies and procedures were available for staff. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 21 Staff confirmed that equipment is replaced or repaired, and observations made during the inspection confirmed that the residents live in a safe environment. Records observed included the fire log- book, which was found to be satisfactory. A member of staff confirmed that there was an adequate supply of disposable gloves and aprons available for staff who need to assist with personal care. General risk assessments were in place covering fire, lifting, ironing, use of stairs, clinical waste Records are maintained of health and safety checks that are carried out on a regular basis, with faults reported and rectified Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x 3 2 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 3 3 Standard No 11 12 13 14 15 16 17 3 x 3 2 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Penrith Drive Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 3 x D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 23 No 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. 1. 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. 2. 3. Refer to Standard 1 5 14 Good Practice Recommendations The Statement of Purpose should be produced in a format that can be understood by the residents. Contracts should be signed by representatives of the resident. Opportunities should be given for individual activities, based on likes and dislikes and records maintained. Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Newland House, First Floor Campbell Square Northants NN1 3EB 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 Penrith Drive D C51 C08 S12886 Penrith Drive V233124 140605 stage 4.doc Version 1.30 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. 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