Inspection on 10/02/09 for Percy House

This inspection was carried out on 10th February 2009.

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

Percy House 18/01/07

Extracts from inspection reports are licensed from CQC, this page was updated on 20/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Percy House 50 - 52 Beaconsfield Street Blyth Northumberland NE24 2DS     The quality rating for this care home is:   two star good service 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: Karena Reed     Date: 1 0 0 2 2 0 0 9 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. that people have said are important to them: They reflect the things 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. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI 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 27 Information about the care home Name of care home: Address: Percy House 50 - 52 Beaconsfield Street Blyth Northumberland NE24 2DS 01670354815 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : stephen@slocker.wanadoo.co.uk Miss Jenny Locker care home 17 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 17 The maximum number of service users who can be accommodated is: 17 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Mental Disorder, excluding learning disability or dementia, Code MD, maximum number of places 17 Date of last inspection Brief description of the care home Percy House provides care to seventeen adults with mental health needs. Care is provided from a large, traditional building, which has been modernised but at the same time retains many original features, which adds to the character. The home has single and shared bedrooms, toilets and bathing facilities and a range of comfortable communal areas. The home is situated in the centre of Blyth. Local facilities are accessible by public transport and car and shops and facilities are within walking distance. The fees vary between 395.31 and 419.08 pounds per week. The service user guide and last inspection report are available within the office.The correct email address is stephen.locker12@btinternet.com Care Homes for Adults (18-65 years) Page 4 of 27 Care Homes for Adults (18-65 years) Page 5 of 27 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 peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars This means that the people who use the service experience good quality outcomes. We have reviewed our practice when making requirements,to improve national consistency.Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations,but only when it is considered that people who use services are not being put at significant risk of harm.In future,if a requirement is repeated, it is likely that enforcement action will be taken. How the inspection was carried out Before the visit: Care Homes for Adults (18-65 years) Page 6 of 27 We looked at: Information we have received since the last visit,how the service dealt with any complaints and concerns since the last visit, any changes to how the home is run,the providers view of how well they care for people, the views of people who use the service and their relatives, staff and other professionals. The Visit: An unannounced visit was made on 30/01/09. During the visit : We talked with people who use the service, relatives, staff, the manager and visitors, looked at information about the people who use the service and how well their needs are met,looked at other records which must be kept,checked that staff had the knowledge, skills and training to meet the needs of the people they care for,looked around parts of the building to make sure it was clean, safe and comfortable and checked what improvements had been made since the last visit. We told the manager what we found. What the care home does well: What has improved since the last inspection? Since the last inspection extensive work has been carried out to up grade and extend the home. Five bedrooms have been created, five of them with en suite facilities. Carpets have been replaced. Curtains have been replaced in some rooms. All areas have been redecorated. The fire alarm system has been replaced. The heating system has been replaced. A dining room has been created. An office has been created. Care Homes for Adults (18-65 years) Page 8 of 27 The kitchen has been relocated to provide a larger well equipped kitchen. Bedroom furniture has been replaced in some rooms. Risk assessments have been up dated on all care files. What they could do better: 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 9 of 27 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 10 of 27 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. There are good arrangements in place to ensure that the home can meet the needs of residents Evidence: The Statement of Purpose and service user guide for the home were examined. They were interesting and informative and contained the necessary information as required by the Care Homes Regulations 2001. The Statement of Purpose and service user guide had recently been reviewed and updated. Records for three residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The records contained a range of information. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural,religion and spirituality,educational and social histories,preferred daily routine and preferences. It also looks at mood,speech,behaviour,mental health,risks,sexuality Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: and living skills. This information and the care managers assessment of the residents care needs were used to ensure all the needs of the resident could be met by staff. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Residents living at the home have lived there for some years. Care Homes for Adults (18-65 years) Page 12 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements in place to ensure that residents care and support needs are met and to ensure that residents are involved in decision making in their lives. Evidence: There are detailed assessments in residents care records. The information about the care and support needs of residents was available in the risk assessments rather than in the care plans. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff. The manager and staff knew in detail the care and support needs of each resident. The staff on duty said that they are always given up to date information about the residents and their needs. Residents are asked individually and consulted about decisions involving themselves and the running of the home. Discussions take place with residents about the running Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: of the home,shopping,daily tasks,peoples activities,outings,any future happenings in the community,holidays,social events and trips out. The home supports residents to remain independent and take risks in order to live a more fulfilled lifestyle and up to date risk assessments were present in residents care records. Meetings with residents take place fortnightly. Residents also discuss with their key worker things they would like to do and the key worker will work with the resident to help ensure it happens. Care Homes for Adults (18-65 years) Page 14 of 27 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. Residents have access to a variety of activities which helps them to enjoy a good quality of life. Residents are also supported to keep in touch with their families. Evidence: Residents records and meeting minutes provided evidence that residents are consulted and asked their opinion and encouraged to make decisions. Conversation with residents and staff show that residents are provided with the necessary levels of support to help the resident maintain some level of independence and retain some skills to be more self sufficient in aspects of everyday living. Residents attend some day services if they wish to on a part time basis. Residents are encouraged to pursue their own interests and hobbies and are supported to do so ,for example listening to music, shopping, art,gardening and exercise with a WII electronic Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: game. Residents also enjoy meals out at local pubs, cinema, theatre, watching television, theatre trips and whatever is of interest to the resident. Plans are in place to obtain an allotment locally which residents are keen to become involved with. Residents have enjoyed camping trips to Ottterburn,barbeques,trips out to Tynemouth and garden centres. Within the home residents bedrooms are equipped with their own televisions, radios, books, pictures and whatever is of interest to the resident. Residents case records detail any family involvement. Records provided evidence that residents are encouraged to maintain contact with family and friends, if they wish to do so, with staff providing any support that may be required. Residents are asked individually what they wish to eat each day. A light snack is available at lunch times and a larger cooked meal is served in the evening. On the day of inspection the meal to be served was pizza,pie or mixed grill followed by yoghurt, ice cream or fruit and custard. Care Homes for Adults (18-65 years) Page 16 of 27 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. There are good arrangements in place to ensure that residents health and social care needs are met. Evidence: Three case records were inspected. The daily records and risk assessments detailed the care and support required for different needs. Privacy and dignity are respected at all times. Records showed when residents had seen health professionals e.g. doctors,community nurses and psychiatrists. Residents are referred for specialist health care if appropriate. Records also showed when residents had seen opticians and dentists. The home also respects the wishes of an individual when dealing with their increased dependency. Training record show staf members receive training about medication before they are able to administer it to residents. Care Homes for Adults (18-65 years) Page 17 of 27 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. The home has a good,clear,user-friendly complaints and protection system which helps to ensure residents views are listened to and acted upon. Evidence: There is a complaints procedure which includes what complainants should do if they are not happy with the homes investigation and response. The home keeps a record of complaints. The home has a Whistle Blowing policy and a copy of the Vunerable Adults procedures of the Local Authority. Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Residents can deposit money for safe keeping in the homes safe and records are kept of accounts. Care Homes for Adults (18-65 years) Page 18 of 27 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 comfortable and safe environment for those living there and all areas are well maintained,clean,tidy and free from offensive odours. Evidence: The home was clean,well maintained and well decorated.Since the last inspection extensive work has been carried out to up grade and extend the home. Five extra bedrooms have been created, three of them with en suite facilities. Carpets have been replaced through out the building. Curtains have been replaced in some rooms. All areas have been redecorated. The fire alarm system and heating system has been replaced. A dining room and office has been created. The kitchen has been relocated to provide a larger well equipped kitchen. Bedroom furniture has been replaced in some rooms. All bedrooms are comfortable and well furnished and personalized according to the interests and wishes of the resident. Some residents spend time in their bedrooms listening to music and relaxing as well as spending time with other residents and staff in the communal areas. Lighting around the home was bright and domestic in design. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: There was emergency lighting throughout the home. The home was clean and free from offensive odours. Care Homes for Adults (18-65 years) Page 20 of 27 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. There are enough staff, who have been properly recruited, trained and supported, to meet the needs of people living in the home. Evidence: Examination of staff rosters and discussion with the person in charge showed that the numbers of staff are as follows: 9:00am - 5:00pm 3-4 staff 5:00pm - 10:00pm 2 staff 10:00pm- 8:00am 1 waking and 1 sleep in staff member. Staff members carry out cooking duties. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. Equal Opportunities legislation is adhered to when recruiting and selecting staff. The necessary checks are being carried out before a person is appointed. There is a very good level of staff training. All members of staff have completed National Vocational Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Qualification training at level 2, and 50 of the staff team will have completed level 3 training by the summer. Staff and their records showed that they also receive training or advice in other areas such as communication, diet and nutrition, equality and diversity, deprivation of liberty,falls awareness,relationships and sexuality,podiatry,eye care, foot care, record keeping,literacy,supervision, risk assessment,peg feeding and all the statutory courses. Staff receive supervision from the management team approximately bimonthly. Care Homes for Adults (18-65 years) Page 22 of 27 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. Residents and staff benefit from the ethos, leadership and management approach of the home which encourages the involvement of residents and staff and ensures that the health, safety and welfare of residents are promoted and protected. Evidence: Percy House is a family run business. The daughter,Miss J.Locker is the registered individual. A new tier of management has been added to the running of the home,the son,Mr S.Locker is the managing director and he oversees the operational running of the home. The manager Miss L.Halliday ,responsible for the day to day running of the home, is qualified and has several years experience working with the service user group. She has managed the home for several years. The home is well run and there is an ethos of involving residents and encouraging them to make choices for themselves. Documents detailing fire safety, risk assessments in the environment, water temperatures, financial records and statutory records were all up to date. Staff training relating to health and safety was up to date. Care Homes for Adults (18-65 years) Page 23 of 27 Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R 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 25 of 27 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 Requirement 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 Requirement 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 6 Care plans should contain information to show the care and support requirements of the resident and how these needs will be met. These careplans should be reviewed at least monthly. Care Homes for Adults (18-65 years) Page 26 of 27 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 27 of 27 - 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. 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