Inspection on 09/02/06 for Pippin House

This inspection was carried out on 9th February 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

Pippin House 11/01/07

Pippin House 26/07/05

Pippin House 19/10/04

Pippin House 04/05/04

Pippin House 18/09/02

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 Pippin House 8 Keyberry Park Newton Abbot Devon TQ12 1BZ Lead Inspector Mark Sharman Unannounced Inspection 9th February 2006 13:15 Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 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 Pippin House DS0000003776.V275729.R01.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 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. Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pippin House Address 8 Keyberry Park Newton Abbot Devon TQ12 1BZ 01626 354521 01626 360260 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) RNID Care Services South West and Wales Ms Mary Jennifer Parsons Care Home 8 Category(ies) of Learning disability (8), Mental disorder, registration, with number excluding learning disability or dementia (8), of places Sensory impairment (8) Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26/07/05 Brief Description of the Service: Pippin House is a specialist home operated by The Royal National Institute for Deaf People and registered to accommodate people between the ages of 18 and 65. All of the residents are profoundly deaf, but are in residential care due to a range of learning disabilities (including autistic spectrum disorder) and/or mental health problems. The focus of the work undertaken at Pippin House is to enable the residents to achieve their maximum potential, and great emphasis is placed on communicating with them. The home is a detached house in a quiet residential area less than a mile from the town centre. It has a large, secluded garden and a car parking area. Each resident has a single bedroom with his/her own toilet and shower facilities, located over three floors. On the ground floor there is a communal lounge, dining room, conservatory, kitchen, laundry and office. There is no lift and the building is not suitable to accommodate anyone with significantly impaired mobility (there are no bedrooms on the ground floor). Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and about four hours were spent at the home. Most of the residents were spoken to (with help from the staff) and five staff were also consulted. A sample of care records was inspected and some of the rooms were seen, including some bedrooms. What the service does well: What has improved since the last inspection? No requirement was made at the last inspection. One recommendation was made that all staff should receive professional medication training, and this has now been provided. This should help to ensure that medication is handled safely. Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 6 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. Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 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 Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 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 the following standard(s): None of these Standards was considered on this occasion. EVIDENCE: Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 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 the following standard(s): 6 and 9. There is a satisfactory care planning system, and residents are supported to take sensible risks in the encouragement of independence. EVIDENCE: Two of the residents’ individual files were seen. These contained their care plans as well as assessments of need and risk assessments. The care plans had been reviewed approximately every three months by home staff (key worker, a senior support worker and the resident) including a review of progress in meeting their stated goals. An annual review of the care plan is also held to which the resident’s care manager and relatives are invited, and in fact such a review was to be held for one of the residents in the week following this inspection. Many activities carry an element of risk and there was substantial evidence of residents being enabled to take risks (following assessment of risk by the staff). Some go out unaccompanied, for example out shopping or to college, and in fact one resident was walking out alone to the local supermarket as the inspector arrived at the home. This person also went to a local gymnasium in the afternoon for a fitness session on her own. Two residents use trains and buses alone, and another comes and goes entirely as he wishes. Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 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 the following standard(s): 12, 14 and 17. Great efforts are made to create as normal a lifestyle as possible for the residents, including opportunities for education, work experience and leisure activities. The catering arrangements are satisfactory. EVIDENCE: Most of the residents’ activities take place in the community. A diary of all the residents’ regular commitments for the week was displayed, which clearly demonstrated that they have a positive, busy lifestyle. On the afternoon of the inspection one resident was at an arts/crafts session in Kingsteignton, one was at an adult education centre in Newton Abbot, one was at a local gymnasium, and one was engaged in farm work experience near Totnes. At present most of the residents are doing educational courses at local community colleges, for example horticulture, cookery, computer skills. One resident is working towards an NVQ in catering. The home has its own transport, having its own modern minibus and a car. Residents take part in a wide range of leisure activities. One had been out with a walking group in the morning and then to a gymnasium, and some were going out to a deaf club in Exeter that evening. A monthly disco in Newton Abbot is popular with most. All had a holiday in the New Forest last September, except for one who chose to remain at Pippin House. This person Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 11 generally prefers to take his meals in his own room. The meals provided are varied, and the staff said that they are aware of residents’ particular likes and dislikes. Residents are encouraged to cater for themselves (with help), although the main meal of the day is prepared by staff. Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 20. The medication system is satisfactory. EVIDENCE: None of the current residents is deemed able to self-administer reliably. There is a policy and procedure for the management of their medication. The medication cupboard and the medication administration recording sheets were examined, and medication was stored securely. At the last inspection it was recommended that all staff should receive professional medication training, and this has now been provided. They attended training in general medicines management, and a sample of their certificates of attendance was seen. Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 22. Complaints are taken seriously and there is a satisfactory complaints procedure. EVIDENCE: The home has a complaints procedure, which includes the stages and timescales for the process. A copy of the procedure was displayed on the ground floor. Emphasis is placed on the importance of communication with the residents, and it was clear during this inspection that the staff take a lot of trouble to understand what residents tell them. Since the last inspection a complaint was received by the Commission for Social Care Inspection about the attitude of the home’s registered manager towards a particular resident. This complaint was upheld, and appropriate action is being taken by the registered provider (RNID Care Services). Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 25, 26 and 30. The home provides spacious, comfortable accommodation which is domestic in style. It was warm, clean and hygienic. EVIDENCE: The home is in an attractive residential area and looks like a large family house. It has a large garden (with greenhouse) and a sizeable car parking area. The communal rooms are comfortable and quite spacious. Some of the bedrooms were seen. They have all been made very homely, reflecting the occupant’s taste and interests. All the bedrooms are single and of a good size, and each resident has his/her own toilet and shower facilities. All of the residents use their door key, which also locks/unlocks the front door to the home. The home was warm, clean and hygienic (including toilets and bathrooms). There is a laundry room equipped with modern washing machines and dryer. Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 33. The staffing arrangements are satisfactory, and staff morale is high. There is a good staff training programme. EVIDENCE: This was an unannounced inspection, and the number of staff on duty for the day was certainly sufficient to meet the residents’ needs. This enables the residents to be given some individual attention by staff and to take part in individual activities in the local community. Five of them were out during the day (some being picked up by staff in the afternoon). Two or three were going out in the evening to a deaf club in Exeter. The staff rota was examined. Staff consulted said that staffing levels are generally good. The staff on duty showed patience in their interaction with residents, and have developed the ability to communicate with them in ways that best suit the residents. The 50 NVQ target for staff has been met, and some of their NVQ certificates were seen. Several of the staff have worked at Pippin House for several years, thus providing good continuity of care for the residents. Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these Standards was considered on this occasion. EVIDENCE: Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 17 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 x 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 x ENVIRONMENT Standard No Score 24 x 25 4 26 3 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 x 14 3 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x x x x x x x x Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 18 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 Pippin House DS0000003776.V275729.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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