Inspection on 03/03/09 for Perry Court

This inspection was carried out on 3rd March 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

Perry Court 09/03/07

Perry Court 03/03/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Perry Court Perry Street Chard Somerset TA20 2QG     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: Jane Poole     Date: 0 3 0 3 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: Perry Court Perry Street Chard Somerset TA20 2QG 01460221468 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) : Mrs Felicity Ann Rowe care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 4 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 people living at Perry Court. The home has paddocks, stables and horses, garden with patio and hot tub. It is within walking distance of the village amenities. 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 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 person has their own bedroom and with the exception of one en-suite bedroom, people share a bathroom and lounge/dining room. Care Homes for Adults (18-65 years) Page 4 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 star. This means the people who use this service experience Good quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commissions Inspecting for Better Lives 2 framework. This focuses on outcomes for people and measures the quality of the service under four general headings. These are:- excellent, good, adequate and poor. This inspection was carried out over a three hour period by one inspector. During this time We, The Commission, were able to meet and talk with the manager, tour the building and view records. At the time of this inspection there were 3 people living at Care Homes for Adults (18-65 years) Page 5 of 27 Perry Court. We met briefly with two people and the third person completed a questionnaire prior to the inspection. The manager completed an Annual Quality Assurance Assessment (AQAA) before the inspection. This was completed to a good standard and gave clear information about the home. The following is a brief summary of the inspection findings and should be read in conjunction with the whole of the report What the care home does well: What has improved since the last inspection? 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 7 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 8 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. Anyone wishing to move into Perry Court is able to visit and meet existing residents before deciding to make it their home. Evidence: One person has moved to the home since the last inspection. This person was able to visit the home with their representative before making any decision to move in. The manager obtained a copy of their assessment of need to ensure that the home was the right place for them. Due to the size of the home any new people need to be compatible with people already living at the home. One person spoken with said that they had been able to meet the new person and that they were asked if they were happy to share their home with them. The person who completed a questionnaire prior to the inspection said that they had been asked if they wanted to live at the home and had received adequate information Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: to enable them to make a decision. Care Homes for Adults (18-65 years) Page 10 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are able to make choices and decisions about their day to day lives. Care plans and reviews are undertaken with people living at the home to ensure they are fully involved and able to set personal goals. Evidence: Everyone living at the home has a care plan that is personal to them. All care plans have been fully updated since the last inspection. Two care plans were viewed. Both gave clear guidelines about peoples abilities, interests and preferred routines. Each person has a daily diary where running records are written with them. At the end of every month a summary is written and people set a personal goal for the following month. The home operates family style living with everyone being involved in decision making. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: People spoken with said that they participate in all aspects of the running of the home and are regularly consulted. People are able to choose activities that they enjoy, in the home and outside, and take part in food shopping to ensure that they are able to make decisions about the food coming into the home. Various risk assessments are in place to ensure that people are able to access leisure activities and learn and develop new skills with minimum risk. Care Homes for Adults (18-65 years) Page 12 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home have access to a wide range of social and leisure activities. People are encouraged to learn and develop independent living skills. Evidence: The home operates family style living with everyone taking part in household tasks and having responsibility for their own rooms. People are encouraged to learn and develop skills with support. 2 of the 3 people who currently live at the home have part time jobs in the local community. The other person attends a day centre nearby. One person said that they help with cooking and shopping. Everyone has a weekly activity plan which gives details of all planned activities and Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: household tasks. Apart from planned activities people felt they were able to spend time as they wished. One person wrote I have some set things, like going to work, otherwise I can do what I like in the day. People are able to spend time in communal areas or in the privacy of their rooms. People have TVs, DVD players and other personal entertainment facilities in their rooms and these are also available in the communal lounge. People said that they have lots of opportunities to access amenities for leisure activities. All people at the home are members of a local leisure and social club and one person said how much they enjoyed attending evening functions at the social club. On the evening of the inspection people were going out to play football at a nearby club. People are able to have friends and family to visit at any time. One persons family live some distance away and the home makes accommodation available to ensure that contact is maintained. People said that the food in the home is good and plentiful. It was observed that there are drinks and snacks in the home that people are able to help themselves to at anytime. The main meal of the day is in the evening when everyone is at home. There are no strict menus and food is cooked in line with known preferences. People living at the home help with shopping and are able to make choices about the food coming into the home. The manager stated on the AQAA that the evening meal is a sociable occasion where people are encouraged to talk about their day and discuss any issues they have. Care Homes for Adults (18-65 years) Page 14 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. People living at the home have access to healthcare professionals and services according to their individual need. Evidence: Care plans seen gave details of the support individuals require with personal care. One person has an en-suite, and the other two people share a bathroom, where they are able to carry out personal care in private. Everyone living at the home is registered with local GPs, dentists and opticians. One person sees a chiropodist. Referrals are made to specialists according to individual needs. Monthly summaries in care plans demonstrate that health is monitored and referrals are made as appropriate. The home assists people to attend appointments and records of appointments are kept in daily diaries. The manager gave evidence that the home has supported one person through a serious illness, assisting them to see hospital consultants, attend treatment sessions and nursing them at home throughout their treatment plan. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: One member of staff has completed a training course in palliative care. Only one person currently living at the home takes regular medication. Medication is kept in a locked drawer and the person self administers. Records are kept of all medication coming into the home and medication passed to the person to self administer. Only the registered manager has received up to date training in the safe administration of medicines and it is recommended that another member of staff undertakes this course to ensure that there is always someone at the home who has a clear understanding in this area. Care Homes for Adults (18-65 years) Page 16 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. Reasonable steps have been taken to minimise the risks of abuse to people who live at the home. Evidence: The home has policies on making a complaint, recognising and reporting abuse and whistle blowing. People spoken with during the inspection said that they would be able to talk to the manager or a member of staff if they had any concerns. One person wrote on their questionnaire Mrs Rowe is always willing to listen to any concerns. They also wrote that if for any reason they did not feel able to do this they could talk to another member of staff or write their concern in the book in the hall. The AQAA states that people are encouraged to discuss issues at evening meals and all views are listened to and acted upon as appropriate. All staff working at the home have now received training in issues of abuse. To minimise the risks of abuse to people living at the home, the recruitment procedure ensures that all new staff are thoroughly checked before they begin work. Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: Everyone currently living at the home has regular access to personal and professional contacts outside the home. 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. Perry Court provides a homely environment for the people who live there. Evidence: The home is set in the small village of Perry Street within walking distance of a small shop and post office. The owner provides transport to enable people to access facilities and amenities further afield. The home owner lives at the property and the majority of the home is shared. All areas are domestic in style. One person living at the home showed the inspector around the house. Bedrooms are on the first floor meaning that people living at the home need to be physically mobile. Bedrooms are for single occupancy and all had been personalised to reflect the tastes of their occupants. Communal areas are on the ground floor and there is a large kitchen that people living at the home have unrestricted access to. The home is set in three acres of land and there are outbuildings housing a gym and hot tub. There are also facilities for outside games such as football. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: People living at the home are responsible for keeping their personal rooms clean and tidy and other household chores. All areas seen were clean and fresh on the day of the inspection. 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. Staff receive adequate training to ensure that their practices are up to date and promote safe working. Evidence: The majority of the care and support is provided by the manager/owner. In addition the home currently employs 3 part time care staff. 1 member of staff has a National Vocational Qualification (NVQ) in care at level 2 or above. The manager of the home has completed train the trainer training and now provides in house training for all staff. Records seen demonstrated that staff had received up to date training in health and safety subjects, abuse awareness and equality and diversity. Everyone working at the home has an annual appraisal and copies of these were seen. People living at the home said that they liked the staff who worked with them. The person who completed a questionnaire answered ALWAYS to the question Do the staff treat you well? There was evidence that there is a robust recruitment procedure which includes Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: obtaining written references, checking new staff against the Protection Of Vulnerable Adults (POVA) register and obtaining Criminal Records Bureau checks. 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. The home is effectively managed, seeking the views of people living there and other interested parties. Health and safety checks are carried out in line with domestic style living. Evidence: The Registered manager/provider is Felicity Rowe. She holds the Registered Managers Award (NVQ level 4.) Prior to the inspection the manager completed an Annual Quality Assurance Assessment (AQAA,) this was well completed and gave clear details about the home, their achievements in the last year and plans for the coming months. The manager demonstrated that she keeps her knowledge up to date by meeting with other professionals and attending training courses. In addition to managing the home, the registered manager lives on the premises and provides the majority of care and support to the people who live their. She is readily Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: available to people at all times. People asked said that they could talk to the manager at any time and it was observed that people were very relaxed and comfortable with her. The home belongs to the Registered Care Providers Association and has personalised policies and procedures from the association to ensure that they are relevant to Perry Court. The manager seeks feedback from people on a daily basis to ensure that everyone is receiving care in their preferred manner. There are also annual quality audits which include seeking the views of people living, working and visiting the home. In addition to the views of people, the quality audit looks at areas such as care, administration and housekeeping. The manager acts as a financial appointee for two of the people who live at the home. Personal monies is kept in named bank accounts and there are systems in place to ensure that people have access to their personal monies at all times. Accounts are audited by someone independent of the home on a regular basis. There are systems in place to maintain health and safety and these are in line with domestic living. Staff receive training in health and safety matters and various safety checks are in place. There are smoke detectors in the hall and landing and these are tested on a weekly basis. Thermostatic valves have been fitted to hot water outlets, to prevent the risk of scolding, and water temperatures are tested each month. Visual checks are carried out on all electrical appliances within the home. Records are maintained of all health and safety checks. 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 20 To ensure that there is always a member of staff with up to date knowledge of safe medication practice another member of staff should complete training in the safe administration of medicines. 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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