Inspection on 18/07/05 for Pocklington House

This inspection was carried out on 18th July 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

Pocklington House 30/04/07

Pocklington House 31/01/06

Pocklington House 23/09/04

Pocklington House 24/05/04

Similar services:

Coopers Mill Ltd

Newton Court (1-2)

Newton Court (3-4)

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

CARE HOMES FOR OLDER PEOPLE Pocklington House Eastbury Avenue Northwood Middlesex HA6 3LN Lead Inspector Lan Jackson Unannounced 18 July 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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Pocklington House Address Eastbury Avenue, Northwood, Middlesex, HA6 3LN 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) 01923 824585 01923 842237 Thomas Pocklington Trust Miss Lavinia Hall CRH Care Home 35 Category(ies) of SI-35, SI(E)-35 registration, with number of places Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23 September 2004 Brief Description of the Service: Pocklington House is provided by the Thomas Pocklington Trust (a charitable organisation). It is a purpose built care home providing care and support for thirty-five visually impaired service users mainly in the old age category. The home is situated in the village of Northwood. Northwood Underground station and various bus routes are within walking distance. There are parking bays to the side of the building. The building is well maintained. Accommodation is offered in three separate wings, one of which is single storey and the other having two floors. All the bedrooms, except for one, are single rooms. On the first floor there is a wide hallway furnished with easy chairs and a display of indoor plants. The kitchen, laundry and staff room are located in the basement. The dining room, administration offices, library, recreation room and the lounges are situated on the ground floor. There are ample community areas for the use of the service users and their visitors. The main lounge provides access to a patio and terrace with awnings in place and comfortable garden furniture. There are also seating areas at the entrance to the building. By the patio is a sensory garden. The summer house is situated at the bottom of the garden. The surrounding grounds have safe pathways and handrails to facilitate the service users. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection (Unannounced) for the year 2005. The deputy manager was present. The inspection centred on general observation of the lunchtime routine in the dining room, staff performance and staff interaction with the service users, conversation with the service users, visitors and discussions with staff and the deputy manager. Other areas inspected included the premises, the care plan files and other documents. The standard of care and services provided continue to be maintained to a very high standard. The service users appeared relaxed and contented. They gave very positive feedback about the care and services provided in the home. To date the home has not had a written complaint, only compliments from service users and visitors. (Please see below the details of the inspection findings). What the service does well: What has improved since the last inspection? The construction of the “Sensory Garden” is completed. The scented herbs are in full bloom. There is garden furniture nearby for the service users and their visitors. The garden is accessible to wheelchair users. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 6 Since the last inspection, the home has changed the system of prescribed medicines to monitored dosage system. Staff training was given by the supplied pharmacist prior to the change. The home has appointed one of the regular activity volunteers as the activity co-coordinator. The activities planned continue to be stimulating and varied in choices and preferences to suit the individual service user. 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. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5. The home implements a thorough admission process and information for the prospective service user is made available by a variety of means. The home only admits service users whose needs and aspirations can be met. EVIDENCE: The admission notes and the care plan files of the service users examined confirmed that a full assessment was carried out before a prospective service user was admitted to the home. Each service user is given a signed copy of the written contract and the Service User Guide on admission to the home. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10. Service users are treated with respect and dignity. Their right to privacy is respected. The care planning system ensures that all their needs are met in an appropriate way. The assessed and changing needs are reflected in the individual care plan. The administration of medication is in accordance with legislation and the guidelines from the Royal Pharmaceutical Society. EVIDENCE: The members of staff were pleasant and patient in their approach to the respective service users. They converse with service users in a manner that demonstrated respect and dignity for the service users in their care. Several service users spoken with gave positive feedback about the care and services in the home. One service user said: “I am very happy here. The manager is approachable. The staff are good.” Another service user commented: “ I was registered blind eight months ago but I have still maintained my independence here. I am very well looked after.” She showed the inspector her room on the first floor. Similar remarks Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 10 were echoed by other service users spoken to during this unannounced inspection. There were no negative remarks expressed. On the day of the inspection the service users were neatly and smartly dressed in their own clothes. They appeared contented and happy. The care plans examined have detailed accounts of the health care needs as well as the personal and social needs of the respective service users. They were thorough and up to date. Information was appropriately recorded. The home has the support of the local General Practitioner, the District Nurse and other healthcare workers who attend regularly and when requested by the home. The registered manager ensures that the administration of medication is in accordance with legislation. Since the last inspection, the home has adopted the monitored dosage system for the supply of medicines. The local pharmacist provided the appropriate training prior to the change and regular refresher training has being arranged. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15. The service users are given the opportunity to participate in all aspects of routine living. They are given choices and their preferences are respected. The meals presented are appealing and nutritious and the service users thoroughly enjoy mealtimes together. Service users are encouraged to maintain links with family and friends. EVIDENCE: The service users are encouraged to exercise choice and control over their lives. The activities are stimulating and varied and each service user is given every opportunity to partake in the activities that they prefer. One to one assistance is provided for those who wish to go shopping. In-house social entertainment included live performances by classical musicians and others. Outings included visits to the theatre for live performances. Special arrangements were made to accommodate the service users who are all visually impaired. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 12 Lunchtime was observed to be unhurried. The service users were served meals in a congenial setting. Practically all the service users had their lunch together in the dining room. The staff give assistance when needed. The service users spoken to confirmed that choices are given with regard to their menu and activities. One service user remarked: “The food provided is excellent.” Several service users spoken to expressed their satisfaction with the care and services given. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18. There is a complaint process that all service users can access, both formally and informally. Staff have been trained to protect service users from abuse and to protect their legal rights. The home has not had a complaint to date. All comments received were complimentary. EVIDENCE: The home has a system in place to ensure that the service users are protected from abuse and neglect. Their legal rights and their right to vote are protected and implemented. The members of staff have appropriate training on how to prevent abuse and to protect service users from being abused. All staff are cognisant of the Whistle-Blowing Process. A copy of the Hertfordshire Vulnerable Adult Procedure is kept in the office. The home is not involved in the financial affairs of the service users. The service users make their own arrangements, usually with relatives’ involvement. The management has an open policy so that service users, members of staff and others can discuss issues before they escalate. There are Residents and Relatives meetings held regularly to allow them to air their views corporately and individually. Appropriate changes are made accordingly to improve services and care. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, 26. The environment is homely, hygienic and generally safe for the service users. There are ample community spaces including the surrounding grounds and gardens. The en-suite facilities in the bedrooms are adequate for the respective service users. The registered manager must ensure that all doors are held open only with appropriate hold-open door devices. EVIDENCE: The home has a wide range of measures to promote independence for its service users who are all visually impaired. The bedrooms inspected are safe, clean and odour-free. There are personal items on display that reflect their individual lifestyle. One service user said: “My bedroom is arranged so that I am able to find my way around without needing the help of staff all the time. I use the lift by myself. I still have my independence here. I am very happy.” Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 15 The premises are clean and tidy. Since the last inspection, the home has built a “Sensory Garden.” The scented herbs and plants are in full bloom. Some service users were seen relaxing in the garden terrace after lunch. All health and safety precautions are generally good. However, on the day of the inspection, the doors in the administrative offices were wedged open with wooden wedges. The management must ensure that doors are only kept open with appropriate hold-open door devices. (On the day of the inspection, the registered manager was not on duty). (Please see Statutory Requirements). Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29,30. The home has an effective and dedicated team of care workers and other supporting staff. They have good knowledge of the service users’ health and assessed needs. The members of staff have undergone relevant training to meet the assessed and changing needs of the service users. The recruitment process is thorough and complies with current legislation. EVIDENCE: All the staff interact well with the service users. The members of staff present on the day of the inspection have demonstrated their dedication to the work they have been assigned to do. The members of staff confirmed that they have undergone appropriate training to meet the assessed and changing needs of the service users. The managers are experienced assessors and in-house training is organised and structured to meet the needs of the service users. All staff have opportunities to attend NVQ programmes and they have training that meets the National Training Organisation (NTO) specification. The home has close links with the University of Hertfordshire for the NVQ training programmes. New staff only commence employment subject to clearance by the police check and the Prevention of Vulnerable Adult (POVA) checks. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37, 38. The standard of administration and management of the home is consistently maintained above the National Minimum Standard. The home is run in the best interests of the service users. Their health, safety and welfare are promoted and protected in a consistent way. EVIDENCE: Care and services continue to be provided to a high standard. All the maintenance and servicing programmes are updated and in accordance with legislation. Records for the protection of service users and the effective and efficient running of the business are maintained, up to date and accurate. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 18 The home is not involved with the financial affairs of the service users. However, the service users’ personal allowances are safeguarded by the accounting and financial procedures. Random checks were made during the inspection visit. The money counted balanced the written accounting records. The CSCI Registration Certificate and the current Liability Insurance are on display on the wall in the entrance hall. Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 4 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 20 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 19.1 38 Regulation 23(4) ( c )( i ) Requirement The registered manager must ensure that all doors are held open only with systems approved by the Fire Authority. Timescale for action By 31/12/05 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 None Good Practice Recommendations Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Mercury House 1 Broadwater Road Welwyn Garden City, Herts AL7 3BQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pocklington House I52 s19497 Pocklington House v238845 180705 stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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