Inspection on 03/03/06 for Perry Court

This inspection was carried out on 3rd March 2006.

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 23/08/05

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 Pat Edwards-Jackson Unannounced Inspection 3 March 2006 14:30 rd Perry Court DS0000016252.V281303.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 Court DS0000016252.V281303.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 Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Perry Court Address Perry Street Chard Somerset TA20 2QG 01460 221468 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Felicity Ann Rowe Mrs Felicity Ann Rowe Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23 August 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/provider 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 their own bedroom and with the exception of one en-suite bedroom, service users share a bathroom and lounge/dining room. A 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 DS0000016252.V281303.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 1 day and was conducted by one inspector. A number of standards were inspected on this occasion. For standards not assessed the reader is advised to read this report in conjunction with the previous inspection report 23 August 2005. At the time of this inspection the manager/provider Mrs Felicity Rowe was on site and assisted with the inspection. It was the inspector’s first visit to the home. The inspector met with all four service users during the course of the inspection. The home had no vacancies. There was a relaxed atmosphere in the home and the provider and service users have excellent interaction. Records relating to care, and medication were examined. Feedback regarding the inspection was provided to Mrs Rowe at the end of the visit. No new requirements or recommendations were made and where inspected, the previously noted standards have been maintained. What the service does well: What has improved since the last inspection? What they could do better: Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 6 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 DS0000016252.V281303.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1; 2 As previously reported 23/8/05 - 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: In discussion with Mrs Rowe it was clear that she ensures assessments take place prior to admission; and the initial period post admission is used to confirm that the placement is suitable for the individual and that the service is able to meet their needs. Care and Support plans contained evidence of assessments. The reader is referred to the previous inspection report 23/8/05 Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6; 7; 8; 9; 10 Individual service users needs are kept under review. They are supported with healthy risk taking. Involvement in the day-to-day running of the home is encouraged and supported. They are able to speak to the provider in confidence and know this will be respected. EVIDENCE: Discussions took place with the provider. A sample of care and support plans were seen – these clearly set out individual’s needs and how they were to be met. Discussions took place with the four young people living at the home. Within the care plans there was evidence of recent and ongoing reviews of care and support arrangements. The provider demonstrates openness to tailoring provision to meet the needs of the young people accommodated at the home. She is clear about ground rules and ensures that individual service users are encouraged and supported to make choices and take responsibility for their own actions. Individual service users were able to comment on their relationship with the provider and it was clear that they felt able to speak to her in confidence if Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 10 they were unhappy. It was also clear from these discussions that ‘mutual respect’ both amongst the service user group and in their relationships with others within and outside the home is expected. Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 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 the following standard(s): 11; 12; 13; 14; 15; 16; 17 The current service user group are supported to maintain and develop relationships and friendships outside the home. They are supported to be responsible and independent adults. They are respected within the home. EVIDENCE: Separate discussions took place with the service user group; the provider; tour of the premises. It was clear that the four young people enjoyed a range of interests and activities both inside and outside the home. For example some preferred the outdoor life, horse-riding etc. Whilst other preferred using computers, listening to music etc. Outside the home each of the service users attend either college or work placements tailored to meet their needs. There was evidence (within the care plans) of regular college reviews and plans for future placements being made with individual service users. Maintaining links with friends and family is important particularly when family live outside the area. The provider ensures that she provides support on an individual basis according to each persons needs. One of the service user Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 12 spoke about a planned visit to his family, which he was looking forward to. Another person observed that although this was ‘a home’ it was not his family home and was keen for the inspector to be aware of the distinction. The current service user group were able to provide an overview of life at the home as experienced by them. They pointed out the importance of ‘getting on’ together to the benefit of all in the household. It was clear form discussions with the service users and with the provider; that service users are supported and encouraged to express their opinions both inside and outside the home. There was evidence that when individuals experience difficulties with others e.g. at college or work the provider supports them to speak out and resolve issues. This is regarded as an important feature in their development as independent adults. This came over quite clearly in discussions with the four young people. Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 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 the following standard(s): 18; 19; 20 Appropriate support is provided according to individuals needs EVIDENCE: Each persons care and support plan was seen. They were all up to date with evidence of ongoing review. Each plan set out care and support needs and how these are met. One person is supported to manage their own medication on a daily basis. The provider has developed a system together with the service user which enables her to cross check that medication is taken as prescribed. This documentation was seen. A risk assessment is in place. The system was gradually introduced to match the service users growing self-confidence. The arrangement appears to work well. Discussions with the provider and with the service users confirm that the people living in the home are supported with their emotional development. Given the age group of the service users this is a significant part of the service provided. It was clear that the provider is committed to assisting the young people to grow and develop in self-confidence and independence. Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 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 the following standard(s): 22; 23 Systems are in place to ensure the people living in the home are protected. EVIDENCE: Discussion with service users confirmed that they are able to express their opinions and concerns and that the provider listens to them. The provider also lives in the home and therefore is in daily contact with each of the young people. Each of the people living here has external contacts e.g. either family, friends, care managers (social workers), college or workplacement supervisors or advocates. Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 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 the following standard(s): 24; 25; 26; 27; 28; 29; 30 The home is clean, comfortable and well maintained. Individual bedrooms are personalised. EVIDENCE: Tour of the premises led by the service users; discussions with the provider. The service user group conducted a tour of the premises, showing the inspector each of their bedrooms pointing out features of interest and importance to them e.g. TV’s, exercise equipment etc. Each of their rooms was quite different and clearly reflected their needs and interests. The tour also included the bathroom and other communal spaces and fire escapes and a description of the fire evacuation procedure. The home was clean and comfortable throughout. As previously reported the service users are able to access a range of communal spaces both inside and outside the home, which meets their needs. Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 16 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): These standards are met as previously evidenced* EVIDENCE: As evidenced at the previous inspection 23/8/05* Unchanged since the previous inspection with the exception that a member of staff has now left following an appraisal of her function in the home. Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 17 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; 38; 39; 41; 42; 43 The home is well run in the interests of the service users as previously reported (23/8/05). EVIDENCE: Discussion with the service user group during the tour of the premises; discussion with the provider; observations of service user/provider interactions – all re-affirmed the previous findings at inspection. The management of the home continues to be efficient and inclusive with an openness and clarity of approach by the manager/provider. Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 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 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 4 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 4 3 x 3 3 3 Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations Perry Court DS0000016252.V281303.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street 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 DS0000016252.V281303.R01.S.doc Version 5.1 Page 21 - 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. You have been warned!