Inspection on 26/04/05 for Pierpoint Primary Treatment Centre

This inspection was carried out on 26th April 2005.

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

Pierpoint Primary Treatment... 07/01/09

Pierpoint Primary Treatment... 17/01/07

Pierpoint Primary Treatment... 12/10/05

Pierpoint Primary Treatment... 15/09/04

Pierpoint Primary Treatment... 21/04/04

Similar services:

Littledale Hall Therapeutic Community

Bennett House

Padgate House

Mary & Joseph

Westcliffe House

Richards House

Hamer Cottage

Turning Point (Hoole Road)

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

CARE HOME ADULTS 18-65 Pierpoint House Nursing Home 385 Clifton Drive North St Annes on Sea Lancashire FY8 2NW Lead Inspector Kevan Royston Announced 26 April 2005 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 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 Stationary 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. Pierpont House Nursing Home Version 1.10 Page 3 SERVICE INFORMATION Name of service Pierpoint House Address 385 Clifton Drive North St Annes on Sea FY8 2NW Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01253 723144 01253 720377 Mr John Noel Grady ACIB Julie Elizabeth Townsley RMN,N.DipM. CRH Care Home N Care home with nursing 29 Category(ies) of A Alchol dependence past/present 29 registration, with number D Drug dependence past/present 29 of places Pierpont House Nursing Home Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. A suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection must be employed at all times. 2. The registered person may accommodate up to a maximum of 29 persons who are over the age of 18 years with either past or present alcohol or drug dependence, to include a maximum of 9 persons undergoing detoxification and 2 persons with bulimia/compulsive over eating disorders. Date of last inspection 15 September 2004 Brief Description of the Service: Pierpoint House is a care home offering primary care to 29 adults of both sexes who suffer from substance abuse, dependency or addiction. Nine of the beds are specifically for detoxification treatment therefore nursing staff is employed. Most people receiving treatment are accommodated for approximately two to twelve weeks. The home is converted from a large Victorian property. The accommodation is on the ground, first and second floor. One room is en-suite and additional bathing and shower facilities are provided. There are two lounge areas, one activity room plus individual therapy rooms. The bedrooms consist of six double bed rooms, six single rooms, two three bedded rooms and one four bedded room. There are garden areas to the front and rear of the property. The home is situated near the busy shopping area of St Anne’s close to public transport bus and tram routes. Pierpont House Nursing Home Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which took place over one day. The information contained in this report has been gathered by discussion with the registered manager, interviews and informal discussion with staff, discussion with residents and information received from questionnaires sent to relatives, GP surgeries and residents. A tour of the premises took place and examination of documentation and records formed the basis of the visit. Records of three staff and residents who were spoken to were examined. What the service does well: What has improved since the last inspection? There has been little turnover of staff since the last inspection allowing for a settled team who work well together and have a good understanding of their role within the home. Pierpont House Nursing Home Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Pierpont House Nursing Home Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Pierpont House Nursing Home Version 1.10 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 standard(s) 1 and 2 The home provides a consistent and reliable service that meets service users individual needs. Information about the service is clear and concise so that prospective residents know if the service is right for them or not. EVIDENCE: The range of information available to prospective residents is good providing clear guidelines so that the individual can choose the service or not. Records of three residents were examined and contained the information required by the assessment procedure. Two residents spoken to confirm assessments had been completed prior to admission and commented positively about the care and service the home provides. One said, “The treatment programme and support provided by staff is excellent.” The registered manager and staff spoken to are aware of the procedures for admission and information required from the involvement of the professionals involved and the resident to develop a care plan for the term of each individual. A key worker system is in operation for residents and evidence of daily involvement is recorded in resident’s case files. Pierpont House Nursing Home Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9 A plan of care is developed with the involvement of the residents and counsellors, which ensure the interventions for therapy, are well planned and constantly reviewed to support positive outcomes. EVIDENCE: The records for three residents clearly described their health needs. Resident’s care was clearly recorded with good risk assessments. Staff spoken to were aware of the rights of residents to make decisions about there lives and that they would be limited as part of their treatment. One resident spoken to said, “the routines of the centre are quite strict and it helps to lesson the risks”. Significant events had been recorded and entries made in case files. Questionnaires completed by residents said the treatment provided by staff during there stay made them feel cared for and supported. Pierpont House Nursing Home Version 1.10 Page 10 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 standard(s) This section of standards was not assessed. EVIDENCE: Pierpont House Nursing Home Version 1.10 Page 11 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 standard(s) 18, 19 and 20 Promotion of health is taken seriously. Individual welfare is closely monitored and their health needs are well met. EVIDENCE: Records are kept for each individual with a plan of care in relation to the treatment programme they are on. Records show daily events detailing the care and support given. Two case files of residents were examined and they contained the information required in relation to health care. Discussion with staff confirmed they are aware of each residents needs in accordance with their individual treatment programme. Comprehensive medication policies are in place and records showed good practices are observed. Pierpont House Nursing Home Version 1.10 Page 12 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 standard(s) This section of standards was not assessed at this inspection. EVIDENCE: Pierpont House Nursing Home Version 1.10 Page 13 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 standard(s) This section of standards was not assessed at this inspection. EVIDENCE: Pierpont House Nursing Home Version 1.10 Page 14 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. Competent and qualified staff supports residents. 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 and 35 The policy and procedures for the recruitment and training of staff are robust and provide safeguards to offer protection to the residents. EVIDENCE: Three staff files seen contained the necessary recruitment checks to ensure the protection of residents. Staff spoken to confirm the recruitment procedure was thorough and had received induction training. Staffing levels are satisfactory and there is sufficient staff on duty to meet the needs of the residents. One resident spoken to said “ the staff are very helpful.” Each member of staff has an individual training programme and staff spoken to confirm training courses are accessible and management are supportive with any courses available for staff to attend in relation to their role at the home. Records showed that staff training is ongoing but further staff should achieve National Vocational Qualifications training. Pierpont House Nursing Home Version 1.10 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) This section of standards was not assessed at this inspection. EVIDENCE: Pierpont House Nursing Home Version 1.10 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score X X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x Pierpont House Nursing Home Version 1.10 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. 1. 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. 1. Refer to Standard 35 Good Practice Recommendations 50 of project workers should be trained to level 2 NVQ by 2005. Pierpont House Nursing Home Version 1.10 Page 18 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Preston PR2 2YQ 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. 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