Inspection on 26/06/07 for Peveril

This inspection was carried out on 26th June 2007.

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

Peveril 03/12/08

Peveril 23/05/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Peveril Springbrook Close Harmans Cross Wareham Dorset BH20 5HS Lead Inspector Tracey Cockburn Key Unannounced Inspection 26th June 2007 10:00 Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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 Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Peveril Address Springbrook Close Harmans Cross Wareham Dorset BH20 5HS 01929 480 764 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) penrose@penrose.f2S.com Penrose Residential Limited Mr Nigel Derek Wills Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning Disability (Code LD) The maximum number of service users who can be accommodated is 3. 2. Date of last inspection 23rd May 2006 Brief Description of the Service: Peveril is a family run residential home in a small rural village. It is registered to provide care, accommodation and support to 3 people who have a learning disability. The accommodation is over two floors with one en-suite bedroom being on the ground floor. The upstairs room has it’s own bathroom on the same level. The 3rd bedroom has en-suite facilities. There is a kitchen area with a small dining table and a large lounge with a dining area. There are gardens to the rear of the property, which are accessible and provide opportunity for outside activities. It is also in easy access to the town of Swanage and Corfe where there are a range of community facilities The weekly fees range from £680 to £1200. For further information on fees and contracts information can be found at the Office of Fair Trading website: www.oft.gov.uk Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection. The site visit took place without any prior warning and lasted 2.5 hours. As part of the planning process information was gathered from the Annual Quality Assurance Assessment, also information passed to the commission since the last inspection from the local authority planning department and regulation 37 reports sent in by the home. 3 people live in the service only 1 was present during the site visit. Survey forms were left for the other 2 people and 1 survey form was sent to a health care professional and another to a care manager. Both Mr and Mrs Wills were present during the visit. A tour of the premises was undertaken, individual files viewed, other relevant documentation inspected. The 1 person who lives in the home was spoken to about her views on life in the home. What the service does well: People who live in this service know that their changing needs and their individual goals are in their care plans. People are able to make decisions about their own lives. They are supported when they need and want to be. Risk assessments are there to support them in the lifestyle they want to have. People who live in the service are able to participate in activities, which interest them and be a part of the community in which they live. They are able to see the people they want to and have their rights respected by the people who support them. People who live in this service are encouraged to have a healthy diet. People are support the way they like and prefer and have their physical and emotional needs met. The home has a medication policy, which supports and protects the people who live there. People living in the service say they are listened to. Staff who work in the service have the training to know how to protect people from abuse. The home is comfortable and homely. Staff are competent and have the training they need to be able to meet the individual and joint needs of the people living in the service. The home has a thorough recruitment process, which should protect the people in the service. The home is well run by people who understand the needs and aspirations of the people living in the service. The home has a quality assurance process, which they are improving. The home strives to ensure that the health, safety and welfare of the people who live in the service are promoted. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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 Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who are considering living in this service have their needs fully assessed before a final decision is made. This means people will know that the service can meet their needs before they move in. EVIDENCE: Since the last inspection there has been 1 new admission to the service. This file was looked at as part of the inspection. Unfortunately the person was not at the home at the time so their views are not part of this inspection. The file contained a detailed assessment from the funding authority. This was completed before the person moved in. The manager said that trial visits took place. The file also contained a personal care assessment completed by the individual. There was evidence that a letter had been sent stating that the service could meet the person’s needs. This had been a requirement at the previous inspection in May 2006. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in this service have their assessed and changing needs reflected in their individual plan of care. They are enabled to make decisions and take risks in their everyday life. EVIDENCE: The individual plan seen on the day of the site visit had been completed by the person using the service and contained information on the way they liked to be supported. It also contained information on signs to look out for if they were feeling under pressure or anxious. The plan also contained details of unusual behaviours that this person has and what they mean and the action, which needed to be taken to support the individual through them. 1 person who lives in the home said that they meet with the providers to discuss their care needs. This person then gave an example of how they made a decision to no longer work voluntarily at a shop in a nearby town. This person said that although the Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 10 manager discussed the implications of making such a decision they respected her right to make it. The file contained information on an advocate 1 of the people using the service has. The manager explained that the advocate has supported this person through a time of change. 1 resident said they are supported to manage their own money. A record of all transactions if kept for each person living in the service and this is audited monthly against individual bank accounts. There are risk assessments in place. The risk assessments on 1 persons file contained information on the identified risk, the act to be taken to minimise the risk and the desirable outcome. People in the service are supported to take risks and this does not restrict their lifestyle. 1 person living in the service said they are able to go out in the community and with friends when they want to. The home has a written procedure for any absences from the home. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in this service are able to lead the lives they want to and participate in activities in the community, which interest them. EVIDENCE: Daily logs recorded trips to; horse-riding centres, garden centres, public houses, Swanage, gateway club and family contacts. One service user talked about seeing the family’s horses; seeing friends and going into the local town. During the inspection the residents from the providers other home cam over to visit, as they know each other well. They were observed having a drink together and interacting in a very relaxed way. The 2 other people who live in Peverill were both out engaged in day activities. 1 person who lives in the service said how much they enjoyed art and were encouraged by the provider to develop this interest. Files seen contained information on contact with family and friends. 1 person said they are able to Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 12 see their friends when they want and are able to make arrangements to do activities with them. 1 person who lives in the home was doing the hoovering at the time the inspector arrived. They said they are encouraged to take responsibility for keeping their rooms clean and doing chores around the home. The person said they enjoyed the activity they were involved in. this person was observed taking pride in the appearance of their room. People who live in the home have keys to their own room if they want to. 1 person said they did not want a key. People who live in the service were observed accessing all the communal areas of the home freely. Meal times are flexible. At breakfast time people who live in the service are encouraged to make their own breakfast with support. 1 person who lives at Peverill said they help with the shopping and decide what to prepare and eat together. The menu see was well balanced with salads and fresh vegetables as part of each meal. Records are kept of food temperatures each day at the point they are served. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People receive support in the way they prefer; their physical and emotional health needs are addressed. EVIDENCE: 1 person spoken to said that the staff are very supportive and listen to what they say and give them support when they ask for it. Until recently care has been mainly provide by Mr and Mrs Wills, there is now a staff team who provide the direct support. 1 person said they are able to choose their own clothes and said they felt that staff did not interfere with their choices. At the time of the inspection none of the people living in the service required the support of any aids or equipment. On 1 file there was evidence of professional support being provided by a community nurse or a regular basis. This was at a time of transition. The manager said that their input has been very helpful. There was also evidence on the file of visits to healthcare professionals such as GP, psychiatrist and dentist. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 14 The file looked at contained a detailed medical history. It also contained information on how often the person had seen the GP, dentist, community nurse and attended other healthcare appointments. 1 person said that they see the GP when they are unwell and attend appointments to get their eyes checked and the dentist. The provider said that they access local healthcare training such as “nail care” and healthy lifestyle. All medication is in a monitored dosage system kept in a locked cabinet. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People feel listened to and their concerns acted upon. EVIDENCE: Both Mr. And Mrs Wills have completed training on adult protection and there is a policy in place. There is a complaints policy, which is detailed, in pictorial format as well as words to support access. There had been no complaints since the last inspection. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who use this service live in a homely and comfortable environment, which is clean. EVIDENCE: Since the last inspection another bedroom has been registered. 1 person was able to show the inspector their room, which they were observed to be very proud of. 1 room has an e-suite and the other 2 each have exclusive access to a bathroom. The home is light and airy with large windows in the lounge looking out onto a large garden. The home is in keeping with others in the street. At the time of the inspection there was no person living in the service who needed to use a wheelchair. The furnishings are modern and comfortable. The home meets the requirements of the local fire service and environmental health. The home Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 17 takes responsibility for infection control seriously and has a detailed selfassessment tool NHS essential step, which it uses. At the last inspection there was concern that the cleanliness of the home was not as it should be. At this inspection the home was very clean. The laundry facilities are those expected in a small family sized care home. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff that are competent supports people who live in this service. Recruitment practices are robust ensuring that people are protected. Staff receive the training they need to meet the individual and joints needs of the people living in the service. EVIDENCE: 1 staff file seen contained details of the training this person had undertaken including; makaton training, challenging behaviour training and care of medicine. All training had been undertaken as they started work for the service. Food hygiene training had also been completed. Evidence seen of staff undertaking National vocational Qualification at level 2. 1 person who lives in the service said that the staff understand and listen. The file of a new member of staff was reviewed. It contained 2 written references. The Criminal Records bureau check was returned before they started employment. There was a copy of a signed statement of their terms and conditions. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 19 All staff are given a staff handbook, which contains relevant policies and procedures. The providers are aware and use the skills for care induction and foundations standards. They actively seek out training courses for their staff and discuss training needs in supervision. The providers are aware of the skills for care website and use this. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living in the service benefit from a well run home, which takes into account the views of the people living there when developing the service. People have their health, safety and welfare promoted and protected. EVIDENCE: Mr and Mrs wills are in day-to-day control of the home. They have both successfully completed the registered managers award. The home has a quality assurance system in place. They consult with people who live in the service and other people such as family and health and social care professionals. The providers wrote in their Annual Quality Assurance Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 21 assessment that this is an area they wish to improve in over the next 12 months. 1 person who lives in the service did not have a view about whether or not the providers asked about what could be improved in the service but this person was aware of the plans to expand the service. The service implements requirements within agreed timescales. Fire safety records were up to date and accurate. Hazardous substances were stored safely. The premises were secure. Kitchen equipment is maintained. The garden and paths were well maintained. Safety notices are posted in the home. Peveril DS0000066383.V344020.R01.S.doc Version 5.2 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X 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 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X 3 3 X Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 23 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 Peveril DS0000066383.V344020.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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