Inspection on 02/05/06 for Petersham Centre Care Home

This inspection was carried out on 2nd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Petersham Centre Care Home 16/09/08

Petersham Centre Care Home 31/10/06

Petersham Centre Care Home 11/10/05

Petersham Centre Care Home 19/05/05

Petersham Centre Care Home 08/12/04

Petersham Centre Care Home 20/07/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Petersham Centre Care Home Petersham Road Long Eaton Nottingham NG10 4DD Lead Inspector Gail Meads Key Unannounced Inspection 2nd May 2006 09:30 Petersham Centre Care Home DS0000035770.V293295.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 Petersham Centre Care Home DS0000035770.V293295.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. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Petersham Centre Care Home Address Petersham Road Long Eaton Nottingham NG10 4DD 01629 580000 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) Derbyshire County Council Vacant Care Home 16 Category(ies) of Learning disability (16), Physical disability (3) registration, with number of places Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 3 beds registered in the category Learning Disability and Physical Disability for Younger Adults aged 18 - 65 are located on the short stay unit. 11th October 2005 Date of last inspection Brief Description of the Service: Petersham Care centre is a purpose built single storey building located in a residential area. It is run by Derbyshire County Council and provides services for residents with learning disabilities. The home is separated into 3 units; some service users reside in the home on a long-term basis whilst other service users access the home for short-term respite care, staff also work with a number of people who live in the community enabling them to remain in their own homes. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place at the home over a five hour period. Time was also spent in preparation for the visit, looking at previous reports and other documents. During the inspection a number of the homes records were examined, including accidents ,complaints ,staff rotas, resident and staff files, time was spent looking around the building and speaking to the manager and staff the findings are recorded in the body of this report. The inspector focussed on the requirements made in the last inspection report dated 11/10/05. It is important to state that there were no service users/residents or relatives available for comment during this inspection as they were out at various local day services. This omission must be addressed at the next inspection. What the service does well: What has improved since the last inspection? Refurbishment and decoration of Service users and residents accommodation continues to improve, although there are still a number of residents’ bedrooms that need to be decorated. Staff training programmes are now in place Residents’ individual Care plans are improving in content and organisation the information is more detailed although there were still unsigned and dated documents to be found. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 6 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. Petersham Centre Care Home DS0000035770.V293295.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 Petersham Centre Care Home DS0000035770.V293295.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): 1.2.4.5. The home has a Statement of Purpose and provides residents/relatives with a Service user Information Guide to enable them to make an informed choice. Full needs assessments are carried out prior to placement which are used as a basis for the residents individual care plan. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: Three residents’ care files were examined for the purpose of case tracking all three files assessed contained a Terms and conditions of residency contract. The homes Statement of Purpose was examined and did not contain a large portion of the information identified in Schedule 1 of the National Minimum Standards however the acting manager stated that Derbyshire County Council were in the process of updating the homes Statement of Purpose. The Service users Information Guide was also examined and found to contain all the information required apart from a standard form of contract for the provision of services, however there was a charges document included which outlined the charges made for the different age groups this document enables residents/relatives to understand the cost of the stay in the home. The Information Guide is written in plain English and large print all the statements made have appropriate diagrams to enable the residents to understand the documents more fully. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 9 Long term residents who are placed in the home have had respite care stays at the home prior to being offered permanent residency so they are familiar with the home and the services offered. The two residents files assessed both contained full needs assessments carried out by care managers the assessments were detailed and informative. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 10 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): 6.7.9. Full needs assessments are now being provided and risk assessments are being completed. All service users and long-term residents are encouraged to be as independent as possible and appropriate services are available to help them achieve this goal. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: Two random residents individual files and a third new respite care file were assessed all three files contained a full assessment of need and individual care plans the information was detailed and informative. The acting manager was in the process of reorganising the administrative systems and structures to enable the information provided to be more easily accessed. There were still documents in Care plans that were not signed or dated. There was evidence found to demonstrate that residents/relatives had participated in the development of Care plans as relatives had signed various documents in the files assessed. Record keeping generally appeared to be improving. A new document was found on one file giving clear instructions of how to deal with a resident who has a seizure Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 11 It was noted that the information relating to resident’s was not kept in one file but often found on different files, this system does not enable easy access to information when needed and in some cases was a duplication of work. Residents’ reviews were now recorded and two reviews per year were being planned. Photographs of service users/residents were available within their files. All residents had keyworkers linked to them and advocates are engaged if needed. Residents are encouraged to be as independent as possible and this is made clear in the Statement of Purpose which states that “care staff support residents with a wide range of personal and practical services and the service is provided to help service users and residents to regain and maintain the skill to live as full and independent life as is possible”. The home accommodates only seven long-term residents the remaining number of service users is either in the home for respite care or being supported by staff in their own homes. Resident and staff meetings are generally held monthly the meetings are recorded and there is some evidence now that the residents comments are being listened to and indeed written up and displayed. Risk assessments and management were seen on the files assessed these include tissue viability; epilepsy, medication and one resident had a multitude of risk assessments carried out for risk when travelling, around females, in car parks, the kitchen and moving and handling. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 12 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): 11.12.13.14.16.17 Residents/service users are encouraged to be as independent as possible and are provided with the support to enable them to achieve this goal. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: As previously stated in this report residents and service users are encouraged to live as independently as is possible and a range of independent living skills are offered both within the home by staff and within the day services many of them attend. Activities are provided on a daily basis and according to how residents feel or are acting on the day. Staff support enables a number of service users to remain in their own homes and to engage in various activities in their local community. It was noted that visitors were not using the signing in book so it was difficult to ascertain any regular visitors to the home apart from staff. Residents go out to day services during the day so packed lunches are provided if needed. The menus were examined for the evening meals provided and found to be satisfactory. Petersham Centre Care Home DS0000035770.V293295.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. Residents have a wide range of health services made available to them and their emotional and physical needs are met. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: The evidence found in the files examined demonstrated that residents were given the opportunity to self medicate as declaration had been signed to give the responsibility to staff. The manager stated that residents generally were not able to self medicate safely. In the two files assessed there was evidence that staff worked with the residents to prompt and encourage them to wash and dress themselves. Each resident is allocated a ‘key worker who they can communicate with at any time if they have concerns or worries personal or otherwise and advocates are used if needed. Residents have a wide range of health services available to them including speech and language therapists, chiropody, general practitioners, community nurses and psychologists. All health visits are recorded in the resident daily log however it would be easier to access this information if the health visits were recorded separately. One resident attended a ‘well mans clinic’ Weight charts are maintained on residents files as are tissue viability Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 14 Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 15 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 The home has a robust recruitment policy but the process is difficult to track as the required documents are held in different buildings. A written record of complaints was not available. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service EVIDENCE: There had been one complaint recorded since the last inspection dated11/10/05 the complaint was with regard to a residents “privacy being invaded” there was no evidence to demonstrate this complaint had been investigated or followed to the point of resolution, the assistant manager recalled the complaint and stated that the resident had requested that they be moved and this had happened. Staff spoken to confirmed that they had received Protection of vulnerable Adults training. Three staff files were examined and the required information as identified in Schedule 2 of the National Minimum Standards were in place apart from Protection of Vulnerable Adults checks and references, which are held at the main office. There are some inconsistencies about where references are held as two of the staff files had references included and one did not. These documents can be made available for inspection at the main office but this was not done during this inspection. A record of residents financial transaction is maintained on their file one record had only one signature provided. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 16 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 not well maintained although some improvement has been made. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: The home is divided into 3 units with each unit having its own lounge/dining space. All bedrooms in the home have less than 10 square metres of space and it is evident that wheelchair users would struggle to manoeuvre around the room, this was confirmed by staff who stated that residents did struggle and had to leave their wheelchairs outside their bedrooms staff provided the support needed to residents when in their bedrooms. Each bedroom was assessed and found to contain the required items of furniture as identified in Standard 6 of the National Minimum Standards rooms were personalised and reflected the hobbies/interests of the residents using them. There is evidence that some decoration has taken place in one of the units however another unit was in need of redecoration as the state of the bedrooms was not very valuing for the residents living in them. The kitchenette floor covering has been replaced and new carpets have been fitted in most areas however the lounge carpet still needs to be replaced as there is a central join Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 17 exposed which could potentially be a trip hazard. The manager stated that the carpet was due to be replaced shortly and the bedrooms were to be decorated. The home is generally clean no offensive odours were detected, and rooms are light and warm. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32.33.34.35.36. The staff are given good training opportunities and hence they are a well qualified team, staffing levels provided are satisfactory and the home has a robust recruitment policy in place. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service EVIDENCE: Staff rotas were examined and the staffing levels provided are sufficient to meet the needs of the residents. Staff have good training opportunities and the team are well qualified, nine of the team have achieved National Vocational Qualification Training level 3 and the remainder are either currently on the training or due to enrol, two managers have achieved National Vocational Qualification Training level 4 and one is level 3. The home has a robust recruitment policy in place however as stated previously in this report the process is not easy to assess as some information is held at the main office and other parts are held by the home. On the day of the inspection three staff files were examined two had references available but the third file did not, this situation should be addressed so that staff always know where documents are held. Three members of the care worker team were spoken to on the day of the inspection all confirmed that they had received good training opportunities and were very happy with their achievements. The staff also commented on how much they enjoyed working in the unit and no concerns were expressed. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 19 Staff were aware of the importance of the Protection of Vulnerable Adults and were clear about the need to report to their managers or the Commission for Social Care Inspection. A staff training programme is displayed in the office which gives a clear indication of the training staff have had. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 20 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): The services provided for residents and service users is improving as a result of the appointment of a manager who presents as competent and confident. Staff feel supported by the management group. Health and safety issues need a little more attention to safe guard the welfare of the residents. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service EVIDENCE: An acting manager has been appointed to the home and this appears to have made the difference. The manager demonstrated a good level of competence during the inspection and for the short time she has been in post she had clearly made herself familiar with the system and structures within the home. There was evidence of changes being made to the administrative systems. Staff spoken to during the inspection expressed a good level of confidence in the managers ability, and stated that they felt they could take any concerns or problems to her and she would take the appropriate action. Staff also Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 21 commented on the respect they had for the management groups willingness to ‘work the floor’ along side them. A Quality Assurance system for the monitoring reviewing and evaluating the services offered is now being developed at the time of the inspection staff had worked with residents and service users to gather information from them about the services the home offered this had been typed up and was displayed on large laminated pages. The home must now continue to further develop this work to take into account other professionals and relatives views and include feedback from audits of the services i.e. complaints, accidents, staff training and menus. A published document must be produced and made available giving feedback from the information gathered. The manager stated that appropriate action had been taken with regard to moving all Substances Hazardous to Health however during the tour of the premises bleach had been left out in a bathroom and no lock had been fitted to the cabinet where the substances were contained. The lounge carpet is potentially a major trip hazard a risk assessment of the premises should be completed and maintained on a regular basis. Soap had been left in the bathroom, which if used by other residents could lead to the spread of infectious diseases. Protective clothing was available throughout the home. Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 22 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 2 2 3 3 x 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 x 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x x x 2 2 x Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 23 YES 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 YA29 Regulation 14 Requirement The provider must ensure that suitable seating is required for service users who has a physical disability Previous timescale31/12/05 All substances potentially hazardous to service users must be locked away Previous timescale 30/11/05 Timescale for action 01/06/06 2. YA30 13 01/06/06 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 YA23 Good Practice Recommendations Financial transactions must contain double signatures. It is good practice if one of these is the service user where they are able to sign meaningfully Previous timescales 30/01/04 and 30/07/05 2. YA26 Service users must not be accommodated in partially redecorated bedrooms Previous timescale 31/10/05 DS0000035770.V293295.R01.S.doc Version 5.1 Page 24 Petersham Centre Care Home 3. YA39 Records must be available to demonstrate that monthly visits made on behalf of the provider are being completed Previous timescale 31/11/05. Quality assurance audits must be introduced to ensure record keeping standards are maintained Previous timescale 31/01/05 All records must be maintained and kept up to date as required by Schedules 3 & 4 Previous timescales 30/06/04 and 30/07/05 4. YA42 5. YA35 Staff should receive training on record keeping Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Petersham Centre Care Home DS0000035770.V293295.R01.S.doc Version 5.1 Page 26 - 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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