Inspection on 07/01/09 for Pierpoint Primary Treatment Centre

This inspection was carried out on 7th January 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pierpoint Primary Treatment... 17/01/07

Pierpoint Primary Treatment... 12/10/05

Pierpoint Primary Treatment... 26/04/05

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 27/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Pierpoint House Nursing Home Pierpoint House Nursing Home 385 Clifton Drive North St Annes On Sea Lancashire FY8 2NW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Kevan Royston     Date: 0 7 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Pierpoint House Nursing Home 385 Clifton Drive North Pierpoint House Nursing Home St Annes On Sea Lancashire FY8 2NW 01253723144 01253720377 admin@pierpoint.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Julie Elizabeth Townsley RMN, N.DipM. Type of registration: Number of places registered: Mr John Noel Grady ACIB care home 29 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 past or present alcohol dependence past or present drug dependence Additional conditions: The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Past or present alcohol dependence - Code A Past or present drug dependence - Code D The maximum number of people who can be accommodated is: 29 Date of last inspection Brief description of the care home 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 Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 0 29 29 Brief description of the care home 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. There are garden areas to the front and rear of the property. The home is situated near the busy shopping area of St Annes close to public transport bus and tram routes. There is a statement of Purpose/Service user Guide, which is given to all prospective residents. This written information explains the care service treatment programme that is offered, who the owners and staff are and what the resident can expect if he or she decides to go on the rehabilitation treatment programme. The fees at the home range from £623.00 to £1700.00 per week. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection visit was part of the inspection process and took place on the 7th January 2009 and lasted approximately 7.0 hours. We spoke to staff, residents, the manager and a visitor to the home. We also looked at care records and information which helps in the running of the home. Also we had a walk around the building and looked in the kitchen and around the outside buildings. Records for two people on the treatment programme were checked to see the care they receive. We looked in rooms and spoke to residents, this is called case tracking. Other residents are invited to pass their opinions to us if they wish. To find out more about the care Pierpoint House provides we sent comment/survey Care Homes for Adults (18-65 years) Page 6 of 28 cards to people who work at the home and residents. Comments we received were positive and some are included in this report. Before the visit we asked the manager to complete a questionnaire that is called an Annual Quality Assurance Assessment (AQAA). It gives us information about how the home is meeting the needs of residents and includes future plans for development. Joining us on the inspection visit was an Expert by experience who is a person who because of their shared experience of using services visits a home with an inspector to help them get a picture of what it is like to live or use the service. The views of the expert by experience and some comments received during the visit have been included in the report. What the care home does well: What has improved since the last inspection? What they could do better: We spoke to residents and some of their comments suggested alternative activities and longer walks would provide more stimulation and participation in daily routines. We looked at recruitment records of staff and found good systems in place, however references checks on a member of staff had been obtained after they started work. All checks should be done prior to employment to ensure only suitable staff are employed. We had a walk around the home and found there needs to be considerable redecoration and refurbishment to most parts of the home including, bathrooms, bedrooms, communal lounges and hallways repainting. The premises must provide furnishings and fittings of good quality to ensure residents live in comfortable, pleasant surroundings. One resident said, It does need doing up. Members of staff spoken to also commented on how the home would look better with some new furniture and Care Homes for Adults (18-65 years) Page 8 of 28 redecoration. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are professionally assessed and have the information to make a choice about the treatment programme before they move in. Evidence: We spoke to residents and staff about the admission process and looked at assessment information on two residents case tracked. We found excellent procedures in place confirmed by comments from people using the service. Residents said they were made aware of the restrictions on choice, freedom and facilities required by the treatment programme during the assessment process and before they came to Pierpiont House. One resident spoken to said, The treatment programme was what I was looking for from the information given to me. One resident on the programme wrote Initially all the information was sent to me before I came here. It was clear from speaking to people involved in the admission process that there is a good system to introduce residents to the home with the amount of information provided and the multi disciplinary assessment done so that they know their needs will Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: be met on the treatment programme. One health professional said in a survey, Its a good home and from the start clients are made aware of how the programme works. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to make decisions in line with their programme of treatment and understand the restrictions are part of the treatment. Evidence: We looked at residents care records and plan of treatment and found they clearly identified the health and welfare needs to suit each individual during their stay and ensure they receive the support they need whilst completing the treatment programme. Comments from residents spoken to included, I realize their has to be restrictions to my benefit. Also one resident wrote, The therapy plan is developed with some input from me which helps. Risk assessments had been completed and are regularly reviewed in line with each stage of the treatment programme and are updated if needed. Residents are involved in some decision making within a structured framework in line Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: with the treatment they are receiving. One resident spoken to said, We can make some choices. Group meetings are held weekly and residents can voice there opinions and agree on choices within a risk framework. One staff member said, It has got a little more relaxed and we encourage residents to discuss the running of the home. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Meals are well managed and provide a wholesome nutritious diet. There are opportunities for personal development provided by the treatment programme and staff support. Evidence: We spoke to the manager and staff and found one of the aims of the treatment is to ensure individual lifestyles are reflective of the needs of the individual. This is done by working through the needs of the resident in line with the treatment identified. One health professional wrote in a survey returned, The aim is to challenge people which is essential in addiction treatment. One resident spoken to said, Good staff who listen. The manager tells us in the AQAA how they encourage residents to maintain and Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: improve upon relationships within the peer group and family, based upon respect and understanding. One member of staff spoken to said, We try and help residents to improve the relationship with families if there is a break down. The treatment programme for residents includes periods of free time and staff encourage residents to mix with the local community when out on walks or visiting church this helps to build confidence and independence. One member of staff said, We help residents to attend local attractions for leisure activities. A resident said, I enjoy the walks. Comments about food were positive in that fresh produce is used and the quality is good ensuring residents receive a wholesome diet. However some residents said they would like the menu to be changed less often so that more choice would be available. The manager said they would discuss the matter at the next group meeting. We watched relaxed as well as structured routines being followed during the day as part of the daily routines which varied from group meetings, individual therapy sessions and group outside activities. Pierpoint House has a visitors policy which includes certain restrictions which ensure each resident knows when they can see relatives/ friends in line with the treatment programme. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health care needs are taken seriously and monitored. Evidence: Although most of the time the residents do not require support for personal care needs, any help with personal hygiene or dressing would be addressed as part of the care plan and treatment. One resident spoken to said, Good support from staff if i need it. There is excellent access to health care services by providing a nurse 24 hours a day, a Doctor visits the home three times a week to ensure residents health is monitored and offers the chance for residents to discuss any problems in private. One staff member said, It works well. We went through the medication practice of residents case tracked and found good systems in place to ensure safe administering of medicines at all times. One member of staff said, Only the trained nursing staff give out medication. Care Homes for Adults (18-65 years) Page 17 of 28 Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: Pierpoint House has a detailed complaints policy and procedure which is made available to all new residents when they arrive so that they are aware of who to speak to and what action to take. One resident spoken to said, I was given a copy when i was admitted. There has been one complaint made to us the Commission for Social Care Inspection (CSCI). The complaint was looked into and the relevant parties told of the investigation and outcomes the complaint was dealt with effectively. Details of any complaints and concerns are recorded and available for inspection during the visit. There is a procedure for dealing with allegations of abuse and staff spoken to were aware of how to deal with any concerns. The AQAA informs us how the home provides training in safeguarding adults issues and staff spoken to confirmed training was available. One staff member spoken to said, Safeguarding adults training is provided In house. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean however parts of the home needs redecorating and refurbishing to make sure residents are comfortable and live in pleasant surroundings. Evidence: We had a walk around the building and although found it to be clean, areas of the home need redecorating and refurbishing to ensure residents have a pleasant place to live. This was confirmed through discussions we had with residents, surveys returned to us and speaking to staff. Comments included, Some of the furniture has tears in it. Also, The bathrooms need doing up. And, The place looks tired. One staff member wrote, We keep it clean however it needs redecorating. During the walk we noticed stair carpets had been worn through, doors and paintwork in need of repainting, one bedroom on the first floor had doors hanging off a wardrobe. Other concerns included the basement areas had paintwork coming off walls and flooring also windows in lounges and some bedrooms had rotted and need repainting. The furnishings and fittings must be of good quality and the home kept in good order so that residents feel comfortable and are provided with pleasant surroundings. One resident spoken to said, It definitely needs painting. We looked at maintenance records and found repairs are attended to quickly and Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: anything broken is soon replaced or fixed. One member of staff spoken to said,They are pretty good at fixing things straight away. There are policies and procedures in place for laundry tasks and the control of infection ensuring the home is kept clean and free from offensive odors. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures for recruitment are good, training for staff is accessible and provides opportunities for staff development. Evidence: We looked at staffing duty records and spoke to the manager and staff to confirm sufficient numbers are on duty at any time of the day or night. There is a good mix of social care and professional health staff to ensure the needs of residents are being met. One staff member said about staffing levels, We have health and social care professionals on hand 24 hours a day. One resident wrote in a survey Always plenty of staff around. We looked at recruitment records and found procedures in place to ensure all checks have been carried out so that only suitable staff are employed. References for one staff member had been obtained verbally but not received until after the person had started work. Two references should be obtained before staff are employed to ensure they are suitable. The manager spoken said, We did receive verbal confirmation. Comments received from staff and looking at training records show that access to training and opportunities for staff to develop there skills is good. Over 50 of care Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: staff have completed a National Vocational Qualification (NVQ ) to level 2 and helps provide the skills to support the residents. Comments included, I enjoyed doing my NVQ training. Also, Very good Training opportunities here. One resident spoken to said, I must say the staff are good. Information in the AQAA tells us In house training is provided and regular updates for staff to attend courses is available to enhance their skills and competencies. Staff spoken to said they were clear about their role and work well as team to ensure residents benefit from the treatment programme. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run well with policies and procedures in place to make sure the health and safety of people living there is promoted and they are protected. Evidence: The manager has the necessary skills, competencies and qualifications to manage the home and enable it to meet its stated aims and help people throughout the treatment programme. One staff member spoken to said, Its a caring home run well. Another wrote in a surveyThe manager is very supportive. We looked at records of residents care and found them to be well written, up to date and comprehensive which helps make sure the right information is available through each stage of the persons treatment. There are good systems in place to seek the views of people who are on the treatment programme, those who have completed the treatment and staff members. One resident said, We have group discussions weekly which irons out any problems. Also Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: questionnaires are given to residents weekly and when they leave to give there views on how the home is run and what could be done to improve things. One staff member said, Its agood system. We looked at health and safety records and found regular tests are made to electrical equipment, and fire checks ensuring people at the home are safe. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 24 16 The premises must provide 14/06/2009 furnishings and fittings which are of good quality to be able to provide a pleasant home for residents. Redecoration is needed so residents are kept comfortable. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 34 Two references should be obtained before staff start to work at the home. All checks should be in place to ensure suitable people are are employed. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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