Inspection on 22/09/05 for Perry Cottage

This inspection was carried out on 22nd September 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 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

Perry Cottage 11/01/07

Perry Cottage 26/01/06

Perry Cottage 08/12/04

Perry Cottage 07/07/04

Perry Cottage 20/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Perry Cottage Lower Cotley Farm Fluxton Ottery St Mary, Devon EX11 1RJ Lead Inspector Belinda Heginworth Announced 22 September 2005 nd 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. Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Perry Cottage Address Lower Cotley Farm, Fluxton, Ottery St. Mary, Devon, EX11 1RJ 01404 814961 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) Mr Simon Charles Knight Mr Simon Charles Knight Care Home providing Personal Care 3 Category(ies) of LD - Learning Disability (3) registration, with number of places Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 08/12/2004 Brief Description of the Service: Perry Cottage is a rural cottage near the town of Ottery St. Mary, East Devon. On the top floor there is a separate flat where a member of the Registered Provider’s family lives, and takes some responsibility for the service users’ safety. On the lower two floors live four young males, three of whom are residents with learning disability and one who is a member of the Registered Provider’s family who also has a learning disability. The cottage has a beautiful conservatory and veranda, which was built by the providers and the residents.The Registered Providers live and work at a farm within walking distance of Perry Cottage. Residents assist with the farm work, which they all enjoy. They are supported to live in Perry Cottage by the Registered Providers who visit the cottage frequently. Residents are included in all aspects of family life. The providers have decided to keep Perry Cottage as a care home rather than go to adult placement or supported living. Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over two hours with the residents and providers being present. The three residents living in the home were consulted and their views on the home discussed. The inspector looked around parts of the buildings and grounds, and some records were read. What the service does well: 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 6 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 Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 7 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) 0 Not inspected on this occasion. EVIDENCE: Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 8 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 Residents benefit from knowing about the written information that helps to meet their needs effectively and safely. EVIDENCE: Residents are consulted and contribute to their care plans and assessments of risk. The plans have detailed information that highlights care and health needs clearly. Any risks associated with residents’ needs or care is assessed and the action necessary to reduce the risks is clearly explained. Residents attend care plans reviews with the providers, the care manager and their family. Residents said they are consulted about all aspects of their live and supported to make decisions. It was clear throughout the inspection that residents are included in decisions about the running of the home. The atmosphere is fun, friendly and inclusive. Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 9 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) 12, 13, 14 & 15 Residents use the local and surrounding community for leisure pursuits. EVIDENCE: The residents were keen to show photographs of activities and events in their lives. These ranged from hot air balloon trips, holidays in France, family events, parties and clubs they attend and many more. They also showed photographs of some of the work they enjoyed doing on the farm. These included vegetable growing, keeping chickens and cattle, including their newly purchased bull. The house is full of photographs of a busy but fun life, some of which are taken by the residents themselves. The providers run a weekly club in Exeter called the Horizon club. People from other homes and settings attend. The residents have made good friends their and said how much they enjoyed going. The residents use the local pub and are very much part of the local village. The residents said they are supported to maintain contact with family and friends. Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 10 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 & 19 Residents are supported in a way they prefer and their health care needs are well met. EVIDENCE: Residents said they felt they were well taken care of and their health care needs were met. The providers demonstrated a good understanding of residents’ health care needs. Care plans provided further evidence that health care needs were assessed, monitored and met. Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 11 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) 23 Residents are protected from abuse, neglect and self-harm. EVIDENCE: The providers have a copy of the Department of Health’s No Secret document to ensure they understand how to protect the residents from abuse, neglect and self-harm. They also have a copy of the local Alerters Guide, which provides information on how and who to contact in cases of suspected abuse. Residents have their own bank accounts, which they said they enjoyed using. Benefits from funding authorities are paid directly to the providers where a standing order is then set up to pay the residents’ weekly allowance into their individual bank accounts. All accounts, including the providers are fully auditable. Residents also receive disability benefits that are paid to the providers to help contribute towards the cost of the transport the use. The extra cost should be included in the Statement of Purpose and Service User Guide. Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 12 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) 0 Not inspected on this occasion. EVIDENCE: Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 13 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) N/A The home does not employ staff. EVIDENCE: Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 14 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 & 39 Residents benefit from a well run home that takes into account their views and wishes. EVIDENCE: The providers have been running the home for a number of years. The residents said they are very happy living there and were clearly fond of the providers. One of the providers intends to start NVQ in Care and the Registered Manager’s Award very soon. This will ensure that they obtain qualifications to further protect residents. The providers monitor the quality of care to residents through care plan reviews, listening to the residents’ views at meetings and general day-to-day conversations, updating policies and procedures and attending health & safety training. The providers intend to compile a Quality assurance method that includes seeking the views of families and outside stakeholders such as GPs and other community professionals who know the home. Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 15 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 x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 4 4 4 4 x x Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Perry Cottage Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x x x D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 16 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 None 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. Refer to Standard YA1 YA37 Good Practice Recommendations The Statement of Purpose and Service User Guide should include information about any additional costs. For example transport costs. The registered provider should take NVQ 4 in management and care.The registered person should undertake periodic training and development meeting TOPSS specifications, to maintain and update their knowledge, skills and competence while managing the home. The views of family, friends and advocates and of stakeholders in the community (egg. GPS, teachers, chiropodist, audiologist, and voluntary organisation staff) are sought on how the home is achieving goals for service users. 3. YA39 Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Exeter Office, Suites 1 & 7, Renslade House Bonhay Road Exeter, EX4 3AY Tel: 01392 474350 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 Perry Cottage D54-D06 S22008 Perry Cottage V242497 220905 Stage 4.doc Version 1.40 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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