Inspection on 20/11/06 for Penrith Drive

This inspection was carried out on 20th November 2006.

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 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 09/07/2008.

CARE HOME ADULTS 18-65 Penrith Drive 55 Penrith Drive Wellingborough Northants NN8 3XL Lead Inspector Mrs Linda Preen Unannounced Inspection 20th November 2006 3:30 Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 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 Penrith Drive DS0000012886.V318304.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 Adults 18-65. 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. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 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 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) Royal Mencap Society Mrs Elizabeth Anne Grout Care Home 6 Category(ies) of Learning disability (6), Physical disability (1) registration, with number of places Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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. 10th November 2005 3. Date of last inspection 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. 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 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. Fees are £373.05 per week. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection reviewing previous requirements and recommendations and collating information provided by the service. The Commission sent comment cards out to a random selection of residents and to Health care practitioners providing a service to the home. The inspection took place over a period of two hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be assessed. The method used was “Case Tracking”. This involved looking at their records, observing them and also the staff concerning the care received. In addition to this staff rotas and medication records were seen. 3 comment cards had been received from relatives, two from health care professionals and information was available from a questionnaire completed by the providers of the service. Comment cards from relatives and health care professionals were very positive with comments such as “We are very pleased with …care and pleased with all of the staff. We are always made very welcome when we visit” being made. What the service does well: What has improved since the last inspection? A new Service User Guide has been developed in video form in order that residents and prospective residents, who have limited verbal and written communication skills, may be informed of the services offered. New care plans have also been formulated with the addition of pictures to assist in resident’s understanding. The outstanding maintenance issues within the bathrooms have been addressed. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 6 A system of quality assurance and improvement planning has been implemented to ensure a continuing high standard of service is provided. Residents have individual activities programmes to maximise their enjoyment of leisure times. 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. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents may be assured that their needs may be met in the home. EVIDENCE: Prospective residents are provided with information concerning the home in video format to assist those who have limited written and verbal communication skills to make an informed decision concerning moving into the home. Comprehensive assessments of resident needs were available on which to base care plans to guide staff concerning their care. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides good quality care and support for the residents who have high levels of dependency and limited verbal communication skills. EVIDENCE: Two residents were chosen in order 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 resident has a care plan to guide staff as to how their needs may be met. These are formulated following an initial assessment and added to as new problems arise. As the residents in this home have severe learning difficulties and little or no verbal communication skills, the importance of very detailed individualised care plans has been addressed. These plans are written to a very high standard, give emphasis on resident choice and the ways in which each resident is able to express that choice, and are regularly reviewed. For example: one resident was asked if she would like a drink. The member of staff then brought a selection of drinks to her in order that she could touch the Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 10 one she preferred. References were made throughout the care plans to resident choice and the importance of respecting that choice in all aspects of daily life, from daily routine to medical examinations, hairdressing, dental care etc. Staff were observed to be interacting with residents in an appropriate manner, giving due respect to their privacy and dignity. All of the residents seen appeared well groomed and well cared for and appeared relaxed in the company of staff. Holidays are arranged to suit individual resident’s choices and escorts from the home are provided to ensure continuity of care. Residents are planning to go away for a few days in the New Year while a planned upgrade to the kitchen takes place. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. 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 interest and variation for people living in the home. EVIDENCE: Residents are encouraged to be as independent as possible and to develop their personal and daily living skills. The environment and staffing arrangements gives the service users support and supervision as required. All of the residents attend specialist day care services, on a full time or part time basis. Two of the residents had been out to a local restaurant for lunch on the day of the inspection. One of those residents chosen to case track, has this activity as part of her weekly programme. Other activities include swimming, visits to the local cinema and public houses and shopping trips. Risk assessments are in Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 12 place along with detailed guidance for staff escorts in order that this integration into the community may be facilitated. Records of residents contact with family and of home visits were available in the case files seen. Relatives who returned comment cards to the Commission, expressed their satisfaction with the care provided, and stated that they are always made very welcome when they visit, and that relationships with all staff are superb. Residents eat in two dining rooms and are assisted by staff. Residents attending day centres take sandwiches for their lunch, the main meal being in the evening. Residents are assisted to contribute to the menu by looking at pictures of meals. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The general health care needs of residents are met. Systems for the control of medication in the home are satisfactory. EVIDENCE: Residents are registered with local health practices and the home staff monitors their general health and any problems identified, dealt with at an early stage. Records of visits to healthcare professionals and hospital consultants are maintained. Comment cards received from Health Care Professionals visiting the home expressed their satisfaction with the care provided and that communication with the home was good. Records of residents and their families’ wishes in the case of health deterioration and death were seen in the files sampled. Systems for the ordering, administration, recording and disposal of medication were seen to be satisfactory. None of the residents is able to have control of Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 14 their own medication, owing to their learning disability. The Registered Manager confirmed that no covert medication was given in the home. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaint and protection processes are adequate and sufficient to protect residents. EVIDENCE: A complaints procedure is available in the home. Relatives who completed comment cards were all aware of the complaints procedure. No complaints have been recorded in the home or by The Commission for Social Care Inspection since the last inspection. The home has a policy and procedure on Safeguarding of Vulnerable Adults and staff training records demonstrated that they had received training on this aspect of care. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents with a good standard of accommodation to meet their needs. EVIDENCE: A limited tour of the environment was undertaken. This demonstrated that the home was clean and tidy and maintained to a good standard in a homely manner. Since the last inspection, all bathrooms, the hall and two resident bedrooms have been redecorated. One resident was currently in the process of having her bedroom redecorated and a new carpet had been chosen. The Registered Manager stated that there were plans by the housing association that owns the property, to refurbish the kitchen in the New Year. Resident rooms showed evidence of personalisation with personal pictures, soft toys and music systems in place. A pleasant garden space, with level access is provided for residents use in good weather. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 17 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team are experienced, knowledgeable about the resident group, and recruitment policies protect residents from potential harm. EVIDENCE: A selection of staff files was seen. These demonstrated that Criminal Records Bureau checks and references from previous employers were obtained prior to employment. Prospective employees are also required to complete a medical questionnaire in order to protect them and residents from any problems in this area. An Equal Opportunities policy is in place and staff from both sexes, a wide age range and differing ethnic backgrounds are employed. All current residents are from a white European background but this is a reflection of residents referred for care and not a reflection of a restrictive admissions policy in the home. 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 residents within the home. For example: epilepsy and communication skills. Staff are encouraged to obtain a National Vocational Qualification in care (which gives them a basic understanding of Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 18 care needs) and the Learning Difficulties Accreditation Framework qualification (which gives them an insight into the specialist needs of this group.) Staff are given formal supervision every 6 to 8 weeks and records of these supervision sessions were available on the staff files seen. Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 19 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management systems are in place to ensure that resident’s needs are foremost in the home. EVIDENCE: The Registered Manager is experienced in caring for this resident group and has completed the Registered Manager’s Award, which gives a basic understanding of management issues within a care setting. Relationships between her and staff, as well as with residents were observed to be relaxed and friendly. Records of the testing of fire alarms, emergency lighting and fire fighting equipment were seen to be up to date. Information provided as part of the Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 20 Pre-inspection Questionnaire completed by the provider, demonstrates that equipment in the home is regularly serviced and maintained. An improvement plan has been formulated since the last inspection. Ideas and suggestions for this plan are formulated following the monthly monitoring visits carried out by the company and also from staff meetings. Residents meetings have also been recently introduced so that they may be made aware of plans for the home. Minutes for these meetings were available, and the Registered Manager stated that it her intention to develop these in a pictorial format to make them more accessible to residents. Penrith Drive DS0000012886.V318304.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 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 Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 X Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 22 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 Penrith Drive DS0000012886.V318304.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Penrith Drive DS0000012886.V318304.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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