CARE HOMES FOR OLDER PEOPLE
Petteril House Lightfoot Drive Harraby Carlisle Cumbria CA1 3BN Lead Inspector
Paula Banham Unannounced Inspection 12th October 2005 11:10 X10015.doc Version 1.40 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 Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 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 Older People. 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. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Petteril House Address Lightfoot Drive Harraby Carlisle Cumbria CA1 3BN 01228 606393 01228 606402 peteril.house@cumbriacc.gov.uk 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) Cumbria Care Mrs Helen Harrison Care Home 38 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (37) of places Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 38 service users to include: up to 38 service users in the category of OP (older people not falling within any other category) up to 17 service users in the categroy of DE(E) (Dementia over 65 years of age) The staffing levels in the home must meet the Residential Forum Care Staffing Formula for Older Adults. Two service users may share a bedroom of at least 16 sqm usable floor space only if they have made a positive choice to do so, when one of the shared spaces becomes vacant the remaining service user has the opportunity to choose not to share, by moving to a different room if necessary. 20th May 2005 3. 4. Date of last inspection Brief Description of the Service: Petteril House is a residential care home registered with the Commission for Social Care Inspection to provide care and accommodation for up to thirtyeight people over 65. The home is owned by Cumbria County Council and carried on by Cumbria Care which is a division of Cumbria Contract Services, a County Council business unit. The home is located on the outskirts of Carlisle and is close to local shops and public transport routes. The property is a two storey building and is equipped with a passenger lift to assist residents to access accommodation on the first floor. Accommodation is provided in four living units, each with its own sitting and dining area and small kitchen. One living unit specialises in providing care to people with dementia. There are toilet and bathing facilities close to all accommodation provided for residents. The home provides thirty-six single bedrooms and one double room which two people may choose to share. The home is set in its own grounds and has car parking available at the front of the property. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 12th October 2005. The inspection focussed on how well the home meets the needs of the people living there. This was assessed by speaking to residents and care staff, looking at the records held, looking around the premises and observing activity in the home. What the service does well: What has improved since the last inspection? What they could do better:
All of the standards assessed at this inspection were met and there were no areas identified as requiring action. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 6. Residents receive a high standard of care which meets their assessed needs. Petteril House does not provide intermediate care. EVIDENCE: Residents’ needs are identified and known to the care staff in the home. Care staff provide a high standard of care which meet residents’ assessed needs. Appropriate specialist advice is sought to ensure that residents with complex care needs are provided with the care they require. Residents are encouraged to self-care as far as they are able and their skills and independence are maintained. Petteril House does not provide intermediate care and standard 6 is not applicable to the home. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8, 9 and 10. Residents’ health needs are met by the support provided in the home. Residents are treated with respect and care is provided in a manner which protects their privacy and dignity. EVIDENCE: Residents are registered with local GP practices of their choice. Appropriate advice is taken to ensure that residents’ health care needs are identified and met. Residents can take responsibility for their own medication if they wish and assistance with administration of medication is provided as residents require. Medication is stored securely and handled safely in the home. Residents are treated with respect and care staff take appropriate actions to ensure care is provided in a manner which respects their privacy and maintains their dignity. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 15. Visitors are made welcome in the home and residents maintain contact with their families and friends as they wish. Residents are provided with a varied and nutritious diet. EVIDENCE: Residents receive visitors as they wish and choose where to see the people who visit them. Visitors are made welcome in the home and are comfortable around the staff working there. Residents are encouraged to take part in local community activities and community groups visit the home to provide entertainment for residents. Residents choose their meals from a menu which is changed regularly. Meals are appetising and nutritious and special diets are provided as individuals need. Residents who require assistance with eating receive this in a patient and unobtrusive manner. Residents enjoy the meals provided and said they are “very nice”. Menus are discussed with residents at meetings with the home’s management team and have been reviewed following comments from residents. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home has a clear complaints procedure and residents and their families know how they can complain about the services provided. EVIDENCE: The home has a clear complaints procedure which is given to new residents and is displayed in the home. The complaints procedure includes agencies outside of Petteril House to whom complaints can be made if people do not wish to complain to the home’s management team. Residents are aware of how they can make complaints and know their views are listened to. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 26. Petteril House provides a pleasant, comfortable and safe environment for residents to live in. EVIDENCE: Petteril House was purpose built as a care home for older people and the accommodation is suitable to meet the needs of the people living there. The home is well maintained and is decorated and furnished to a high standard. The home has a maintenance plan and areas requiring attention are identified and remedial work carried out in a timely manner. Appropriate steps have been taken to secure the home’s grounds and seating has been bought so that residents have somewhere to sit out of doors. The home is clean and hygienic and provides a pleasant and comfortable environment for residents to live in. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Residents are supported by care staff who are trained and competent to meet their needs. The home’s recruitment procedures ensure staff are suitable to work with residents and their safety and welfare are protected. EVIDENCE: Care staff are trained, competent and experienced and provide a high standard of care to residents in the home. Staff rotas are well managed and residents receive the support they need in a timely manner. Residents and care staff have developed positive relationships which create a happy and relaxed atmosphere in the home. New staff are recruited using thorough procedures to ensure they are suitable to work with residents. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35, 36 and 38 Residents benefit from living in a well managed home where their health, welfare and financial interests are protected. Staff receive supervision and support to provide a high standard of care to residents. EVIDENCE: Petteril House is well run and has good procedures for promoting residents’ rights, safety and welfare. The management team are committed to providing a high standard of care and to the continuous improvement of the services and facilities provided to residents. The atmosphere in the home is welcoming and inclusive and residents know that they can affect how the home is run. Residents have a lockable facility to store valuable items safely in their bedrooms and possessions can be held on their behalf in the office safe. Money held on behalf of residents is stored securely and procedures are in place to ensure their financial interests are protected. Care staff receive
Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 15 regular formal and informal supervision to ensure they have the skills and support to provide a high standard of care. Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 3 X 3 Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Petteril House DS0000036543.V255750.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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