Inspection on 23/05/06 for Petteril House

This inspection was carried out on 23rd May 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Petteril House 18/02/09

Petteril House 03/09/08

Petteril House 21/11/07

Petteril House 12/10/05

Petteril House 20/05/05

Petteril House 01/11/04

Petteril House 23/06/04

Petteril House 18/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Petteril House Lightfoot Drive Harraby Carlisle Cumbria CA1 3BN Lead Inspector Paula Malaney Unannounced Inspection 23rd May 2006 11:00 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.V291183.R02.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 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.V291183.R02.S.doc Version 5.1 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 www.cumbriacare.org.uk Cumbria Care Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs 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.V291183.R02.S.doc Version 5.1 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 category of DE(E) (Dementia over 65 years of age) 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. 12th October 2005 3. 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 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. Fees charged to residents include care, accommodation, meals and laundry. Fees are charged weekly and for the financial year 2006 to 2007 range from £363.00 - £422.00 per week, depending on the level of care a resident requires. Residents pay separately for their own toiletries, newspapers and hairdressing. Information about the services provided and fees charged is included in the home’s statement of purpose and service users’ guide which are given to prospective residents and which are displayed in the home. Copies of recent Commission for Social Care Inspection inspection reports are displayed in the home and are provided to prospective residents on request. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and included a visit to the home on 23rd May 2006. The inspection focussed on how well the services provided in the home meet the needs of the people living there. This was assessed by speaking to residents and their families, speaking to care staff and the manager, observing activity in the home and examining the records which care homes are required to keep. The views of residents, their families, social workers and health care professional were also obtained by a postal survey. What the service does well: What has improved since the last inspection? What they could do better: The home’s management team have identified the need for three members of staff on duty during the night in order to provide the care residents need. There must be enough staff on duty at all times to provide care to residents in a safe and timely manner. Three care staff must be on duty during the night. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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.V291183.R02.S.doc Version 5.1 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive a high standard of care which meets their needs. EVIDENCE: Admissions to the home are well managed. Residents’ needs are identified before they are offered accommodation to ensure that the home is able to provide the support they require. Residents said Petteril House provides a high standard of care. Appropriate action is taken as residents’ needs change to ensure they continue to receive the support they require. The home does not provide intermediate care. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and welfare are promoted by the care provided in the home. Residents are treated with respect and their privacy and dignity are protected. EVIDENCE: The care which residents need is detailed in their personal records. Care staff have the information they need to provide the support individuals require. Residents are treated with respect and are comfortable receiving support from the staff in the home. Care staff ensure that residents’ privacy and dignity are respected. Residents are supported to maintain control of their lives and to make decisions about the care they receive. Medication is handled safely. There are appropriate health support services provided for residents. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents maintain control over their lives in the home. Activities are well managed and residents are provided with recreation and stimulation. Residents benefit from receiving a varied and nutritious diet. EVIDENCE: Residents say Petteril House is a good home and that they are happy living there. Residents are supported to make choices about their lives. The decisions residents make are respected. Residents choose where to spend their time and whether to be with other people or on their own. Visitors are made welcome in Petteril House and residents keep in contact with their friends and relatives as they wish. The home provides a choice of activities which take into account the preferences of the people living there. Residents are given opportunities for recreation and stimulation. Residents choose whether to take part in the activities provided. Residents are provided with a choice of meals which provide a varied and nutritious diet. Residents receive assistance as they need with meals in a discreet and considerate manner. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by the home’s procedures and staff knowledge and awareness. Residents know how to make complaints about the home and know their complaints will be handled properly. EVIDENCE: Care staff receive training in the procedures to follow if they are concerned about a resident’s safety or welfare. Advice is taken from appropriate agencies outside of the home if concerns are identified. The home has good procedures to protect residents’ financial interests. Residents and care staff are knowledgeable about the home’s complaints procedure. Residents said they have raised concerns with staff in the home and they were satisfied with the response given. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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, 22, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Petteril House provides clean, comfortable and safe accommodation for residents to live in. EVIDENCE: Petteril House was purpose built as a care home for older people. The home has a range of adaptations and equipment to assist residents to maintain their independence and to meet their needs. The accommodation is well maintained and decorated to a high standard. A number of areas have been redecorated and refurbished to ensure residents continue to be provided with a comfortable environment to live in. Procedures are followed to ensure that the home provides clean and pleasant accommodation for residents. The home has an attractive and secure garden area with seating for residents. Residents said they are looking forward to sitting out in the garden during the summer. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from receiving support from care staff who are competent, well trained and recruited using safe procedures. There are not enough staff available during the night to meet residents’ assessed needs. EVIDENCE: Care staff are knowledgeable about the needs of the residents living in the home and provide a high standard of care. Care staff have received training to give them the skills to meet the needs of residents and to carry out their duties safely. The home uses good recruitment procedures which ensure appropriate checks are carried out on new employees to safeguard residents in the home. Residents made many positive comments about the staff working in Petteril House and the standard of care provided. The home’s management team try to ensure that there are sufficient staff on duty to provide assistance to residents as they need. The management team have assessed that there is a need to increase staffing numbers so that there are three staff on duty at night. Although Cumbria Care agreed this for six months, staffing has since been reduced to two night carers due to financial restrictions. Staff must be available at all times to meet residents’ needs. A requirement regarding increasing the number of staff on duty at night is included at the end of this report. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and residents know their views are listened to. Care staff receive appropriate supervision to support them to provide a high standard of care. Good procedures are followed to protect residents’ safety and financial interests. EVIDENCE: Procedures are in place to gather the views of residents about the services provided. Residents are confident that their views are listened to and they can affect the care they receive. Care staff receive regular formal and informal supervision which supports them to continue to provide a high standard of care. The home has a good procedure for handling money held on behalf of residents which protects their financial interests. The home’s management team are committed to providing a high standard of care. The home’s manager is experienced and competent and has achieved the Registered Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 Page 15 Manager’s Award. Systems are in place to assess residents’ needs and ensure the support provided in the home is suitable to meet them. Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X X 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Not applicable. 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 OP27 Regulation 18 Requirement Staff must be employed in such numbers as appropriate to meet residents’ assessed needs. There must be three care staff on duty during the night to ensure residents’ needs are met. Timescale for action 06/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 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 © 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 Petteril House DS0000036543.V291183.R02.S.doc Version 5.1 Page 19 - 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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