Inspection on 23/08/05 for Perry Court

This inspection was carried out on 23rd August 2005.

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

Perry Court 03/03/09

Perry Court 09/03/07

Perry Court 03/03/06

Perry Court 28/09/04

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 Court Perry Street Chard Somerset TA20 2QG Lead Inspector Judith Roper Unannounced 23rd August 2005 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 Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Perry Court Address Perry Street Chard Somerset TA20 2QG 01460 221468 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) Mrs Felicity Ann Rowe Mrs Felicity Ann Rowe Personal Care Home Only 4 Category(ies) of Learning Disability (4) registration, with number of places Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2nd March 2005 Brief Description of the Service: Perry Court is registered for 4 adults with learning disabilities. The service is in a family style home set in the rural location of Perry Street village near Chard. The manager/proprietor lives on the premises and is always available to support the service users living at Perry Court. The home has paddocks, stables and two horses, garden with patio, swimming pool and hot tub. It is within walking distance of the village amenities of shops and social club. Buses are available to Chard and Yeovil, which have all the facilities of small towns. The small staff team offer care and support to young, physically able adults with a learning disability. There are opportunities to attend colleges, engage in work experience, enjoy social activities, contribute to the household, learn domestic and living skills and care for the horses at the home. Each service user has his own bedroom and with the exception of one en-suite bedroom, service users share a bathroom and lounge/dining room. A pleasing conservatory is situated to the rear of the property. The kitchen is used as part of the communal space as all those living in the house help with the cooking and learn and practice new skills. The manager and staff encourage the move to supported or independent living by enabling service users to mature and develop whilst at Perry Court. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day between the hours of 10 20 am – 3.20pm. There are currently no vacancies at the home as four young men are resident at Perry Court. On the day of the inspection one resident was on holiday overseas, another was working and a third was on a field trip with a youth group. One resident was at the home but will be back at college come September, after the summer break. The inspector was able to spend time talking and interacting with this resident as well as staff on duty. No relatives were visiting the home at the time of the inspection. All verbal feedback from people at the home was positive. The resident said that he was maturing at the home, gaining independence and a better ability to think through issues before acting upon feelings alone. The registered manager and proprietor Mrs. Rowe was available for comment during the inspection. The inspector would like to thank Mrs. Rowe and her staff for their time and hospitality shown to the inspector during her visit. The atmosphere at the home was relaxed and informal. Staff carried out their duties in a friendly and professional manner. The inspector ate lunch together with the resident and staff at the home’s family dining table. This is the first inspection using the new CSCI reporting format, which focuses on outcome statements for National Minimum Standards. The inspector’s aim on this inspection visit was to seek views on the quality of the service from as many service users as possible and to speak to staff and any visiting relatives. Records examined were care plans for all 4 residents, daily care reports, placement review reports, resident contracts, all staff recruitment files, risk assessment records and fridge and freezer temperature records for this month; other records will be examined at subsequent inspection visits. This inspection has found that the home is providing professional individualised care for its residents. What the service does well: There have been no new admissions for over a year and the home is full. The 4 young men who are resident at the home are supported to lead full, active lives with opportunities for education, work and leisure. Family and friends contact is encouraged and facilitated. House rules and expected standards of behaviour toward others in a group living environment are made clear and are discussed around the dining table during the evening meal. The home is attractive and offers plenty of outdoor activity with stable management, the swimming pool and a gym as well as space for a football kick around. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 6 Appropriate care and health and safety records are maintained and the staff team are encouraged and supported to gain care qualifications if they do not already have these. 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 Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 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 standard(s) 3,5 The manager provides a homely environment for four adults with learning disabilities. The mix of residents is taken into consideration and discussed as a group before the placement is made long term. There have been no recent new admissions and the harmony of the group living at Perry Court is kept under open discussion at evening meal times. EVIDENCE: There have been no new admissions to the home in 2005. The home is full. The environment is suited for the physically active residents with land, pets, horses and access to local recreational and educational facilities. The owner lives on site and manages the home. She is supported by a deputy who steps in to provide additional night cover should the owner take a break. The small part-time staff team know the residents well and residents are encouraged to express their views and ideas on how to improve the group living at the home. Contracts with placement authorities were seen and were in order. Placement reviews had taken place in 2005 and reports were inspected, indicating that the placement continues to meet the needs of the individual residents. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9,10. Care and support plans for residents are individual, holistic, regularly reviewed and shared with residents. Residents have daily opportunities to participate in the running of the household, including boundary setting, task planning and leisure choices. Resident daily activities, college placement, work and home life is risk assessed and integrated into the individual’s care and support plan to demonstrate that the levels of independence for residents is appropriate and safe. EVIDENCE: Each resident has an individual plan of care and support. These were inspected. Daily reports are maintained and a monthly summary review is recorded and shared with the resident. Progress reports from college are also available that support the care plan aims and objectives. Providing information in a context that residents can understand, options, individual or group discussions and encouraging assertiveness supports choice for residents. The meal times at the home are used to review the day’s events and any further support needed. Limitation on personal choices for individual residents are reflected in care and support plans with the home planning for Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 10 support and education about risks and independence. The resident at the home on the day of the inspection talked about the home’s shared values for ‘treating others as you would wish to be treated yourself’. The home has a risk assessment and risk management policy. Risk assessments are completed for both indoor, and outdoor work or activities. These were due to be reviewed in August 2005 at the inspection visit. There are established links with a local college and employers to ensure the wellbeing and safety of the residents. This is maintained via risk assessment, work or college review and telephone dialogue between the home and college or work place. There are house rules regarding confidentiality of others and respecting other’s personal privacy. Any breech in an invasion of privacy or of not respecting the personal property of others is first discussed individually and as a group. Professional educational support is then arranged if a problem persists. Records in the home are stored in a manner that follows Data Protection principles. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17. The home seeks and maintains links with the wider community for leisure, work and education very well. There are many opportunities provided for meeting with friends and making new friends. These activities take place within a risk assessment framework. Resident’s rights are respected and supported. Personal responsibilities are discussed and recorded in individual care and support plans. Meals at the home are plentiful and nutritious. Residents are involved in the preparation, cooking and cleaning up after meals. This they enjoy. EVIDENCE: The home offers a range of opportunities matched to individual needs. Support and guidance is provided to enable emotional development. Each resident develops domestic skills, educational progression and work skills in order to promote confidence as well as learning how to mature into more independent young men. Residents are asked for their ideas how they can achieve their own goals and aims in life. They are encouraged to negotiate Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 12 with risk assessments and to review their own performance in achieving personal goals. Education, work experience and paid employment is supported and encouraged commendably. One resident has achieved an NVQ qualification in catering this year and is now employed part-time in a kitchen at a nearby major tourist attraction. Resident’s social schedules appear very full and reflect personal choice. Leisure opportunities are provided in evenings and at weekends as well as during the week. Residents also have weekends away for short breaks with the home staff in addition to family holidays. 1:1 staff support is provided where it is needed. Family visiting times are pen and encouraged. Residents can lock their bedrooms doors though most choose not to. Activities and domestic chores are agreed with residents. Meals are a social focus for the day. The Environmental Health office visited in 2005 and adjudged that the kitchen was managed satisfactorily. Residents are consulted in meal choices and assist with all aspects of meal preparation. The inspector took lunch with the resident and staff during the inspection. The quality of foodstuff provisions in the home is high. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20,21. At the home residents receive personal support in the way they prefer and as recorded in their care and support plans. Independence is encouraged. Health needs are monitored and appropriate health care intervention is obtained. EVIDENCE: Routines at the home are flexible but reflect daily commitments for college, work etc. Support and guidance is given for self-care skills and minimal direct care is provided. One resident is experiencing some restless at night and more night care is therefore being currently given. Residents are registered with a local GP and health care appointments for routine check ups are attended and outcomes recorded. All residents have a care manager and reviews are annual with a report of the review outcome sent to the home and the resident. One resident continues to be supported to self-medicate. His stock level is audited daily as part of the assessed risk level for self-medicating. The home has policies for palliative care. Residents are supported individually to discuss their feelings on becoming ill and their wishes ascertained on how they would like to be treated. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 14 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) 22. No complaints have been made to the home since the last inspection. The atmosphere at the home helps residents to express their feelings, personal worries or concerns each day so that problems can be sorted immediately. EVIDENCE: The home has a complaints procedure and a staff Whistle Blowing policy. Resident problems are encouraged to be discussed either with the group or in confidence on an individual basis. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 15 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) 24,25,26,27,28,29,30. The home is maintained well and offers plentiful activities and outdoor space in a pleasing location. Resident bedrooms are a private space and are personalised to reflect individual taste. The home is clean and attractively furnished. EVIDENCE: Perry Court is a domestic style care home and is suitable for physically able residents. All residents have their own bedrooms and one room has an ensuite bathroom. There are two other bathrooms. One bathroom is provided for 3 residents and one for the proprietor, who lives on the premises. There is an additional ground floor toilet. Communal space is plentiful and the grounds of the property are also large covering 3 acres. The manager has her own private lounge, but residents are often invited to use this space too. The home has a people carrier car for transporting residents to appointments out of the home. There is a good range of activity equipment at the home. Provided for residents is a gym and pool, football space on the grass, stables with horses, entertainment equipment and a computer. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 16 Domestic standards of household cleanliness are good. There are part-time cleaning staff employed at the home and residents are expected to assist with keeping the home clean and its grounds tidy as part of their agreed care and support plans. The fire officer inspected the premises in 2005 and made no recommendations to the proprietor to change aspects of fire safety management at the home. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,36. Staffing levels are such in this small home that individual support is provided for residents for extended periods if this is needed. There is a commitment at the home toward staff continuous professional development in order for residents to receive care and support from competently trained staff. EVIDENCE: There is a small team of part-time staff employed at the home. Recruitment files were inspected and were satisfactory. Staff have job descriptions. Staffing levels allow for individual support for the residents. Staff work alongside the manager or her deputy when on shift and receive this informal supervision. They also receive an annual appraisal. Staff on duty during the inspection expressed job satisfaction and said that the home had a good atmosphere to work in. The manager lives on site and provides any night assistance to residents. There is not normally a waking night service but recently one resident has needed some supervision and emotional support during the night at times. When the manager is away a deputy manager sleeps on-site. NVQ training for staff is encouraged in addition to statutory training in moving and handling, COSHH and health and safety. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 18 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) 37,38,41,42,43. The management style at the home is open and inclusive. Residents know the house rules of expected behaviour of everyone living or working at the home. Problems are encouraged to be discussed freely without prejudice. Records are suitably maintained in order to demonstrate that the home is managing records for resident health and welfare and health and safety issues in an appropriate manner. EVIDENCE: The proprietor and manager Mrs. Rowe is experienced in managing a care home and suitably qualified. She has completed the NVQ level 4 management award and is currently studying for the NVQ level 4 components in care. She has previous managerial experience before setting up her own care home and had worked in the voluntary, charity and care sectors. The day’s events are discussed with residents. This gives residents opportunities to be involved in the day-to-day decision making at the home. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 19 Records inspected were suitably maintained. Mrs. Rowe has previous professional experience of working in a health and safety capacity. Health and safety staff training, risk assessment and record keeping was inspected and found to be in satisfactory order. Financial contracts with placement authorities were discussed with the proprietor who is considering renegotiating some levels of funding to recognise the amount of 1:1 support required for some residents. Residents have their own bank accounts and receive support in management of their own finances via the college or the home. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 20 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 N/A 3 N/A 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 4 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 4 3 3 Standard No 11 12 13 14 15 16 17 3 3 4 4 4 4 4 Standard No 31 32 33 34 35 36 Score 3 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Perry Court Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 4 x x 3 3 3 D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 21 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. 1. Standard Regulation Requirement No requirements were identified at this inspection. 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 Good Practice Recommendations No recommendations were made at this inspection. Perry Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier Taunton TA1 4AL 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 Court D53 - D02 S16252 Perry Court V245334 230805 Stage 4.doc Version 1.40 Page 23 - 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. 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