Inspection on 26/01/06 for Perry Cottage

This inspection was carried out on 26th January 2006.

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 22/09/05

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 Unannounced Inspection 26th January 2006 08:40 Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 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 Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 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. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 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 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) Mr Simon Charles Knight Mrs Nicolette Knight Mr Simon Charles Knight Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 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 Providers family lives, and takes some responsibility for the residents safety at night. On the lower two floors live four young males, three of whom are residents with a learning disability and one who is a member of the Registered Providers 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 DS0000022008.V279537.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one and a half hours with the provider being present throughout. The majority of the inspection was spent consulting the residents and seeking their views on the home and their experience of living there. The inspector looked around parts of the building and some records were inspected. 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 DS0000022008.V279537.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 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 the following standard(s): 1&2 Resident’s benefit from having information about what the home provides. Standard two is not applicable. EVIDENCE: The home has a Statement of Purpose that includes all of the information residents need before making a decision to live at the home. This includes any additional costs above the home’s fees. The providers do not intend to admit any new residents to the home. The current residents have been living at the home for many years. The providers are aware that should they admit anyone new a full assessment of need would be necessary to ensure the home could meet the resident’s needs. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 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 the following standard(s): 6 Resident’s 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. 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 all decisions about the running of the home. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 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 the following standard(s): 16 & 17 Residents are respected and their rights recognised daily. Resident’s benefit from a healthy diet. EVIDENCE: It was clear through talking with residents and observations made that residents are treated in a caring, respectful and inclusive manner at all times. All decisions about their lives and how the home is run are made together as a family. Residents understood their responsibilities in home and enjoy the independence this gives them. Residents said they enjoyed going shopping for food and had just completed a shopping list. Meals are generally made by the provider and are eaten in the home or down at the farm depending on what the residents are doing. Residents tend to make their own breakfast and drinks and can help themselves to snacks. Meals are varied and healthy. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 10 Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 11 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 Medication systems are safe. EVIDENCE: The residents do not have regular medication. Occasionally medicines for pain or cold relief are used. The provider records any medicine given and it is stored appropriately. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 12 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 Resident’s views are listened to and acted upon. EVIDENCE: The home has a complaints procedure and relatives are also provided with a copy. Residents said if they were unhappy they would talk to the providers, their family or care manager. Residents said they have discussions together at meetings where they will talk about any issues they concerned about. They said they felt listened to and said the providers will act on any concerns or requests they have. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 13 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): 24 & 30 Resident’s benefit from a pleasant environment. EVIDENCE: Some residents showed the inspector their bedroom, which were decorated and furnished to the residents’ tastes and preferences. The house is cosy and clean, creating a lovely warm atmosphere. The home is very much the resident’s house with their belongings and hobbies displayed throughout. For example, one resident enjoys jigsaw puzzles, which are completed on a table in the lounge, two residents enjoy photography and have many pictures displayed around the home. All of the residents enjoy football and they take turns at washing the teams’ football kit. On the day of the inspection they were folding the washed kit. The residents said they keep their bedrooms clean and tidy and help with some cleaning around the house, mainly polishing the furniture. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 14 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 Resident’s benefit from enough people to support them in their lives. EVIDENCE: The home does not employ staff. The residents live fairly independently with the providers there to support and advise. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 15 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): 37, 39 & 42 Residents benefit from a well run and safe home that takes into account their views and wishes. EVIDENCE: Residents said they are very happy living there and were clearly fond of the providers. During the last inspection one of the providers said they intended to start NVQ in Care and the Registered Manager’s Award very soon. The provider has not started this yet but said she intends to contact the college this week. 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. During the last inspection the providers said they intended to compile a quality assurance system that included seeking the views of families and Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 16 outside stakeholders such as GPs and other community professionals who know the home. This work has not been completed yet. Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 17 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 N/A 3 X 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 X ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 2 X 2 X X 3 X Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 18 N/A 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. 1. Refer to Standard YA37 Good Practice Recommendations 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. 2. YA39 Perry Cottage DS0000022008.V279537.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 DS0000022008.V279537.R01.S.doc Version 5.1 Page 20 - 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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