Inspection on 17/11/05 for Penshurst

This inspection was carried out on 17th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Penshurst 26/08/08

Penshurst 14/03/07

Penshurst 30/11/04

Penshurst 27/07/04

Penshurst 16/03/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Penshurst 24 Spring Hill Ventnor Isle Of Wight PO38 1LF Lead Inspector Neil Kingman Unannounced Inspection 17th November 2005 10:00 Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 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 Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 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. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Penshurst Address 24 Spring Hill Ventnor Isle Of Wight PO38 1LF 01983 853184 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) Mrs Eveline Anne Basile Mrs Eveline Anne Basile Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17 June 2005 Brief Description of the Service: Penshurst is a home providing care and accommodation for three adults with a learning disability. The home is owned and managed by Mrs Basile. It is a large three storey Victorian residence located in a central part of Ventnor town, close to its shops and amenities. While there is no off road parking, the large town centre car park is very close by and on road parking outside the home is sometimes available. Service users’ accommodation is on the first and second floors, and would, in a general sense, be unsuitable for individuals with mobility difficulties as there is no passenger or stair lift. There is an attractive and reasonably sized rear garden, which is available for use by residents. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in the morning over 2½ hours. Two of the three residents were at home and the other was at a nearby day centre. The inspector toured the building, looked at a selection of records and spoke with the proprietor and the two residents who expressed continued satisfaction with the service. At the last inspection one resident’s health had deteriorated to the point where he was unable to give a view about the service. However, on this occasion his health and wellbeing showed a marked improvement and he was able to fully engage with the inspector. Penshurst provides a small domestic environment, which meets the residents’ needs. What the service does well: What has improved since the last inspection? What they could do better: The proprietor has confirmed that she does not intend either to undertake management training, or to admit any new residents to the home. There is a need for her to undertake refresher training in moving and handling and food hygiene, and to arrange for an electrical inspection of the home. These requirements are outstanding from the last inspection. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 6 While it is clear that she monitors the service provided for the residents Mrs Basile must demonstrate that the home fully meets the standard by producing an effective quality assurance and monitoring system to suit the needs of the service. 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. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 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 Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Penshurst currently provides a small domestic-scale environment for three long-term residents whose needs and preferences are well met by the home. EVIDENCE: The home supports all three residents to lead independent lifestyles according to their needs and wishes. The inspector was able to meet with two of the residents who confirmed that for them life in the home was very positive. One in particular showed a marked improvement in health and wellbeing since the last inspection due to interventions from healthcare professionals arranged by the proprietor. Care records clearly show that all services are offered including specialist mental health services as and when required. The home does not offer short-term intermediate care and the proprietor has confirmed that no new residents are likely to be admitted in the future. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Residents can and do make decisions for themselves. While restrictions are kept to a minimum risk assessments are in place to cover situations where limitations are placed on choice. EVIDENCE: It was clear from speaking with residents that they have individual choices about the activities in their lives and can manage their own finances if they wish. Each has different lifestyle preferences from taking life easy and relaxing in the home, to tending the garden, and spending time at day services and venues in the local town. They confirmed that there was no shortage of trips out to cafes and places of interest with the proprietor, especially during fine weather. The inspector noted risk assessments with the care records, which mainly focused on health and safety issues. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 16 and 17 Routines in the home promote independence for the residents who have unrestricted access around the home and garden. Meals are varied, nutritious, and meet with residents’ approval. EVIDENCE: Daily routines were seen to be flexible according to the residents’ individual choices, e.g., the one resident not available on the day was at the local day service. Previous conversations with him show that he prefers to go out most days. The proprietor said that he also likes to tend the garden. Other residents prefer a more relaxed life around the home but do enjoy trips out in the car with the proprietor. Both confirmed that they had been out a lot during the summer. Any limitations of choice are covered by risk assessments. It was understood from the proprietor that while there are locks bedroom doors, only one has a key. A risk assessment covers this situation. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 11 The home has no set menus but aims to provide residents with what they want to eat on a daily basis. The inspector looked at records of food provided, which showed meals to be well-balanced and nutritious with fresh fruit and vegetables available. Residents can have a cooked breakfast and at least one other meal is hot. Both residents spoken with confirmed that the high standard of food continued to be maintained. Generally all three eat together in the home’s dining area, or occasionally in their lounge. Mealtimes were seen to be flexible according to their individual preferences. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 20 Due to the assessed needs of the residents the proprietor takes responsibility for the control and administration of their medication. EVIDENCE: Two of the three residents take medication. The proprietor said that she herself administers the medication according to their assessed needs and that respective care managers were in full agreement. At the time of the inspection all medication was held under secure conditions and appropriate records maintained. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 22 The proprietor treats all complaints seriously and deals with them appropriately. EVIDENCE: The manager has produced a complaints policy and procedure for residents, details of which can be found in the statement of purpose. Both residents said they were very confident in the proprietor’s ability to deal with any concerns they may have. They said they were very happy with the service. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 30 Penshurst is a clean, hygienic, well decorated home, free from unpleasant odours. EVIDENCE: The inspector toured the building. The home was seen to be very clean, hygienic and free from unpleasant odours. Laundry is carried out in a utility room off the kitchen. It presents as a typical domestic setting, which in the circumstances is perfectly adequate for the needs of the residents. There are domestic appliances, which according to the proprietor wash clothing at appropriate temperatures. The home has in place a risk assessment record that covers a number of hazards including the safe storage of cleaning materials. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 There are no staff at Penshurst. With only three independent and self-caring residents the proprietor provides round the clock support, with backup from her daughter in emergency situations and absences. It is important that Mrs Basile undertakes refresher training in manual handling and food hygiene. This is a requirement outstanding from the last inspection. EVIDENCE: Penshurst is a small home that does not employ additional staff. The manager Mrs Basile undertakes all tasks and has many years experience of providing a service for the current user group. She has declared her intention not to undertake management training and not to admit any new residents to the home. While it is considered the current staffing arrangements are appropriate for the numbers and needs of the residents Mrs Basile must update her qualifications in food hygiene and manual handling, which are not now current. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42 While the proprietor monitors the quality of the service provided for the residents there is no evidence that the elements of this standard are being met. The home is required to have in place for the building a current NICEIC accredited electrical certificate. EVIDENCE: It was visibly clear that Mrs Basile monitors the quality of the service as environmental improvements continue to be made year on year. Additionally, there was evidence of a significant improvement in the health of one of the residents due in no small part to the proprietor’s monitoring and prompt referral to the appropriate healthcare professionals. However, there was no recorded evidence of service user satisfaction surveys or other demonstration of this standard being met. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 17 At the last inspection a requirement was made for the home to obtain a current NICEIC electrical certificate. It was noted that one was not in place. The proprietor outlined the difficulties she had experienced but resolved to arrange an inspection at the earliest opportunity. Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 18 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 x x 3 x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x 2 x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Penshurst Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 2 x DS0000012584.V249039.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? YES 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 YA32 Regulation 19 Requirement Timescale for action 03/12/05 2 YA39 24 3 YA42 23 The registered person to undertake refresher training in food hygiene and manual handling (forward to the Commission a schedule of arranged training dates. (This remains outstanding from the last inspection) To produce an effective quality 03/12/05 assurance and monitoring system to suit the needs of the service. To ensure the health and safety 03/12/05 of residents (make arrangements for an electrical inspection by an NICEIC qualified electrician) (This remains outstanding from the last inspection) 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 Penshurst DS0000012584.V249039.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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. 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