Inspection on 09/10/08 for Perrywood House

This inspection was carried out on 9th October 2008.

CSCI found this care home to be providing an Excellent 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

Perrywood House 10/10/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Perrywood House 78 Rockingham Road Kettering Northants NN16 9AA     The quality rating for this care home is:   three star excellent 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: Catherine Perrins     Date: 0 9 1 0 2 0 0 8 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. the things that people have said are important to them: They reflect 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 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 30 Information about the care home Name of care home: Address: Perrywood House 78 Rockingham Road Kettering Northants NN16 9AA 01536522151 01536522671 c.white@grettonhomes.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Caroline White Type of registration: Number of places registered: Consensus Support Services Ltd care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: No person falling within the category of MD, Mental Disorder excluding Learning Disability or Dementia, may be admitted to Perrywood House unless that person also falls within the category LD, Learning Disability ie. Dual Disability The maximum number of persons to be accommodated within Perrywood House is 7 Date of last inspection Brief description of the care home Perrywood House provides personal care, support and accommodation for up to seven people with prader willi syndrome. Perrywood House is part of Gretton Homes and has been owned by Consensus Support Services Limited since 05/06/06. Perrywood House is located on the outskirts of the town centre of Kettering, close to shops, other local amenities, health centres and public transport. Residents are all accommodated in single bedrooms with en-suite facilities. The house is indistinguishable from other large Care Homes for Adults (18-65 years) Page 4 of 30 Over 65 0 0 7 3 Brief description of the care home houses in the area. There are three storeys with a shared lounge and dining room on the ground floor. All bedrooms are single and have en-suite bathrooms. Care Homes for Adults (18-65 years) Page 5 of 30 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: three star excellent 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 3 star. This means that people who use this service experience excellent quality outcomes. This key inspection included a visit to the service. We visited the home on 9th October, 2008. The manager was not present during the inspection as she was on a training course. The regional manager was present for part of the inspection. The visit started at 10:00am and lasted for five hours. As part of the inspection, we sent out surveys to some people who live in the home, to some members of staff who work in the home and to relatives of people who live there. The responses we received were generally very positive. Care Homes for Adults (18-65 years) Page 6 of 30 The main method of inspection used was case tracking. This means looking in detail at the care given to people by talking to people who live in the home; talking to staff and the manager; watching how people are given support and looking at written records. During this inspection we checked all of the standards that the Commission for Social Care Inspection has decided are key standards. Under some sections we have checked additional standards - this will be detailed in the main report. The information below is based only on what we checked in this inspection. We have kept details about individual people out of the report, to make sure it is kept confidential. The fees for this home range from 1800 to 2600 pounds dependent on individual need. This home was previously inspected on 10th October, 2006. What the care home does well: What has improved since the last inspection? Individual plans of care have been developed and now include an Essential Lifestyle Plan which is document that individuals put together with the help of staff to tell people what is important in their lives. These plans are personalised with pictures and photographs. Staff training has been further developed. Built up good relationships with local health centres and hospitals to ensure medical staff have a good knowledge of prader will syndrome. Supported people to have work placements. Care Homes for Adults (18-65 years) Page 8 of 30 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 9 of 30 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 10 of 30 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. People are given good information to help them decide whether this is the right home for them. People who come to live in this home can be confident their needs will be met. Evidence: People say they were given good information about the home before they moved in. One person said that he had visited and been able to chose which bedroom he had. The admission process appears well managed. An assessment is completed when a new person moves into the home so that staff know what their needs are. Once they have moved in people are given a contract which they sign. This sets out the terms and conditions of their stay. One person says It was my own decision to move to Perrywood House. I visited to see whether it met my needs and it did. Care Homes for Adults (18-65 years) Page 11 of 30 Care Homes for Adults (18-65 years) Page 12 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home have their individual needs and choices very well met. Evidence: People say that they have a key worker who keeps their care plans and records up to date. Each person has a file that contains their individual plans of care and another file which contains their Essential Lifestyle Plan. People say that staff helped them to put together their Essential Lifestyle Plans which contain a lot of photographs and pictures to show what is important in their lives. These give a good insight into peoples individual preferences and personality. Individual plans of care are detailed and contain all of the information that staff need to make sure that they can support people in the right way. Each person has goals that they are currently working on which are linked to their care plans. People sign their care plans to show that agree with what has been written. Care Homes for Adults (18-65 years) Page 13 of 30 Evidence: Peoples individual plans of care contained detailed information about their specific needs in relation to prader willi syndrome for example information about their dietary requirements and exercise. Staff explained that they encourage people to be as independent as possible and that peoples support needs are reviewed daily to ensure that they are given the support they need without limiting peoples independence. Individual plans of care contain risk assessments which cover the areas necessary to ensure that people were safe but still able to live active and fulfilling lives. People explained that they have a household duties rota to help them to keep the home clean and tidy. People vacuum and tidy their own bedrooms and help to clean communal areas. A household duties rota is kept on notice board in hall. People say that they also help with the food shopping on occasions. Care Homes for Adults (18-65 years) Page 14 of 30 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 lead active and fulfilling lifestyles both in and outside of the home. Evidence: People who live at Perrywood House enjoy active lives. One person explained that he worked in a cafe in Wellinborough three days a week. Another person talked about how much he liked the job he has recently started working at a kennels. People said that they have monthly meetings where they discuss activities, menus and the running of the home. One person showed the inspector the menu for the week which is kept on the notice board in the hall. The menu on the day of inspection was prune juice, cereal and toast for breakfast, vegetable chilli and rice with raspberry dream for lunch, tuna and Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: mushroom pasta and fruit flavoured ice lollies for tea with fresh fruit for snacks. People describe the food as really nice and excellent. One person explained that there is a book kept in the kitchen that details peoples dislikes. The cook referred to this on the day of inspection and was making a separate portion of the vegetable chilli to suit one persons individual preferences. People say that they make their own breakfast and help in the kitchen at other times for example helping to bake cakes. People said that they have regular cultural evenings where they invite their friends to come for a meal. For these evenings people take it in turns to chose a style of food they would like such as Indian, Chinese or Italian. Staff explained that they help people to look in books and decide what type of food they want. People explained that they have coffee nights on Mondays where they invite friends around for coffee and a chat. They also said that they have regular partners nights where people invite their partners around to watch DVDs or listen to music. Two people living at the home are engaged. Records show that people are given help to maintain close relationships by having their privacy respected and advice and support offered where required. The manager should, however, ensure that assessment of peoples consent to have sexual relationships is fully documented. People say that they have regular contact with their families if they chose to. One relative says that, regular phone calls and home and away visits are the norm. People told the inspector that they enjoy going to church - one person said that he attends two services each Sunday. People explained that they usually had a trip out somewhere on a Saturday, usually to a cafe or to the shops. Records show that people can pursue a good range of hobbies and activities such as going to the gym, bowling, shopping, going for walks, mosaics and crafts. People use their mobile phones so that they can contact staff if they need to when they go out. The home has two cars to help people to travel to their jobs and activities. People said that they had recently been on holiday to Dorset. The regional manager Care Homes for Adults (18-65 years) Page 16 of 30 Evidence: explained that one person had also enjoyed an overnight stay in London and another person had fulfilled a life time ambition of taking a holiday abroad. Staff were observed speaking to people with respect, offering advice and guidance as needed. Everyone who lives at Perrywood spoke highly of the support that they received from the staff. People were observed opening their own post and approaching staff with queries regarding the mail they received. Each person has a key to their own bedroom. Care Homes for Adults (18-65 years) Page 17 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and health care is managed well and meets the individual needs of the of the people who use the service Evidence: We could see from peoples individual plans of care that they had involvement from a range of health and social care professionals to ensure that their personal and health care needs are met. This includes general practioners, consultant psychiatrists, dentists, podiatrists and opticians. People with prader willi syndrome have some specific personal and health care needs. Discussions with people and individual plans of care showed that these are addressed. For example people explained that they are weighed on a regular basis and that their diet is adjusted according to their weight. Discussions with the cook show that she has a good understanding of issues surrounding food in relation to people with prader willi syndrome. Staff explained that the home has developed good relationships with the local general Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: practitioners and the local hospital and have made sure that they have the information that they require about the needs of people with prader willi syndrome. This means that is someone from Perrywood House requires medical treatment their needs can be understood and met by medical staff. People explained that staff looked after their medication for them, but some people were responsible for looking after creams that they had been prescribed themselves. Records show that where people did manage their own creams assessments had been carried out to make sure that they are able to do this safely. The administration and recording of medication appeared well managed. Medication recording sheets show that medication is accounted for and given as prescribed. Arrangements for the storage of medication are adequate but it is recommended that they are reviewed to ensure that they meet the requirements of the Royal Pharmaceutical Society of Great Britain. There is evidence that people are encouraged to look after their health by having flu vaccinations, health checks and other health screening. Care Homes for Adults (18-65 years) Page 19 of 30 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. There is an effective system for the home to respond appropriately to complaints or allegations made. People feel safe and that their views are listened to. Evidence: People say that they know how to raise any concerns they may have. One person said that they would, Ask a manager or senior support worker or other staff for a form to fill in. People stated that they could also contact social services or the inspectors. A copy of the complaints policy is displayed in the hall where the people who live at the home and their friends and relatives can see it. A copy of the policy is also available on an audio cassette should it be required. The address of the Commission for Social Care Inspection on the policy needs to be updated to the current address. The manager stated that this was already being done for all of the homes owned by Consensus Support Services. Details of a local advocacy service and the Prader Willi Society advocacy service are available on the notice board if people need help with an issue or concern. Staff show a good understanding of how to keep people safe from harm and say that they have had training to make sure that people are safeguarded. The service has not received any complaints or allegations in the last twelve months. Care Homes for Adults (18-65 years) Page 20 of 30 Care Homes for Adults (18-65 years) Page 21 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Standard of the environment is excellent, providing residents with a safe and comfortable place to live. Evidence: Perrywood house is a large detached property within walking distance of the town centre. It is very clean and well presented throughout with a high standard of furnishings, fittings and decor. It has a homely feel with pictures, ornaments and other personal touches. There is a communal lounge and dining room, both of which were spacious and comfortable. Each person has their own bedroom with ensuite shower room. People explained that they chose the decor in their bedrooms. One person explained that he had recently bought a new bed, duvet cover and towels. Another person said that she had a lovely bedroom. People had made their bedrooms their own with their belongings personal effects. Outside the property there is a garden that people can use as they wish. Care Homes for Adults (18-65 years) Page 22 of 30 Care Homes for Adults (18-65 years) Page 23 of 30 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 have the necessary training, skills and experience to ensure that peoples needs and preferences are met. Evidence: People who live at Perrywood House tell us that they are happy with the staff who support them. One person said We have the best staff team another said that the staff are very good. Records show that staff recruitment is well managed and that all the checks are done on staff before they come to work in the home to ensure that they are safe to work with people with learning disabilities. New staff have a thorough induction which lasts for six weeks. Some of this time is spent doing training courses and some of it is spent working alongside an experienced colleague. This makes sure that staff are able to do their jobs in the right way. Staff have a lot of training to make sure that they can meet peoples needs. One staff member comments, I feel that the training is second to none. A relative comments, All the staff are very well trained in prader willi syndrome. Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: Staff say that they have individual supervision meetings every eight weeks but that they are able to talk to their manager regularly about any issues that may come up. They say that they, feel very well supported. One relative says, the staff are well trained, thoughtful, helpful and loyal. Staff turnover is low and any gaps in the rota are covered by regular bank staff who are very familiar with the needs of the people who live at the home. This ensures that people have consistency in the way that they are supported. Staff say that they have a training day every three weeks, this allows them to update their knowledge by reading any relevant information, make sure that peoples care plans are up to date and to spend individual time with the person that they are key worker to. Care Homes for Adults (18-65 years) Page 25 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate leadership, guidance and direction means that the home is managed in the best interests of the people who live there. Evidence: The current manager has worked at the home since 2001 so has a lot of knowledge of peoples needs and preferences. She has her registered manager award and a National Vocational Qualification level four in management. One relative says I have always found (her) to be an excellent manager, shes always been very efficient, knowledgeable and supportive to my daughter and to us her family. The home has been nominated by the people who live there and their families for a special award, caring homes excellence awards, run by the provider. The manager carries out a lot of checks to make sure that all of the care plans and risk assessments are up to date and that the home is maintained to a high standard. The provider also carries out a yearly audit of all of the national minimum standards to Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: make sure that the home is providing a safe and good service to the people who live there. Perrywood House is kept safe and hazard free by having all the required safety checks on the home and any equipment within it. For example fire checks and checks on electrical equipment. Care Homes for Adults (18-65 years) Page 27 of 30 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 28 of 30 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 2 15 20 The manager should ensure that assessment of peoples consent to have sexual relationships is fully documented. The storage of medication to must comply with the latest guidance from the Royal Pharmaceutical Society of Great Britain. This is important to ensure that all medication can be stored safely. Care Homes for Adults (18-65 years) Page 29 of 30 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. 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