Inspection on 31/01/06 for Pocklington House

This inspection was carried out on 31st January 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

Pocklington House 30/04/07

Pocklington House 18/07/05

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 Yoke-Lan Jackson Unannounced Inspection 31st January 2006 11:30 X10015.doc Version 1.40 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 Pocklington House DS0000019497.V281117.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 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 DS0000019497.V281117.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pocklington House Address Eastbury Avenue Northwood Middlesex HA6 3LN 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) 01923 824585 01923 842237 Thomas Pocklington Trust Miss Lavina Hall Care Home 35 Category(ies) of Sensory impairment (35), Sensory Impairment registration, with number over 65 years of age (35) of places Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2005 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 DS0000019497.V281117.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. The registered manager and the deputy manager were present. The home is full with 35 service users and there is a waiting list. The inspection began with a tour of the premises. The care plan files and medication records were examined. Some service users were seen having their morning walk in the garden and others were relaxing in the lounge. The standard of care and service provided continue to be maintained to a very high standard. All the service users were complimentary about the staff and management. (Please see below for details of the inspection findings). What the service does well: What has improved since the last inspection? All doors are now fitted with electronic hold-open door devices and meet the fire safety requirements. Pocklington House DS0000019497.V281117.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. Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 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 the following standard(s): 1, 2, 3, 4, 5. Prospective service users and their relatives are given information they need to make an informed choice. They are given an opportunity to visit and assess the facilities and suitability of the home. EVIDENCE: This is a home for service users with sight impairment. Therefore information is provided in an alternative format and the facilities provided ensure their independence. All relevant information is in the Service User Guide. A trial period is arranged for the prospective service user. One prospective service user has been assessed and is currently on the waiting list. Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9, 10. Service users are treated with respect and their right to privacy is upheld. All medication is administered in accordance with legislation. EVIDENCE: On the day of the inspection the service users were smartly dressed. They appeared contented and happy. Only complimentary remarks were received from them on the day of the inspection. The health, personal and social needs of a service user are set out in the care plan. The care plans examined have been maintained and they were up to date. 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. Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 12, 14 & 15 The service users are encouraged to exercise choice and control over their lives. Each service user is given every opportunity to participate in the activities that they prefer. They maintain contact with their family and friends. Meals are served in congenial surroundings. The meals provided are nutritious and wholesome and choices are given. EVIDENCE: Relatives and friends are invited to in-house entertainment and birthday parties. The activities provided are stimulating and varied. In-house social entertainment included live performances by classical musicians and others. One to one assistance is provided for those who wish to go shopping. Outings included visits to the theatre. Special arrangements were made to accommodate the service users, who have impaired vision. The home employs 3 chefs who are all experienced in their profession. The menu is reviewed regularly. Service users are offered hot meals each mealtime. On the day of the inspection, the service users were served pork casseroles and rice. Some had with second helpings. Those who prefer salad were given a selection. The service users made complimentary remarks about the meals served. Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 16, 17, 18. The home has a robust Complaints’ Policy and Procedure. The legal rights of service users are protected. EVIDENCE: The home has not received any complaints about its service and care. Only compliments were received. However, the training for all staff in regard to the Adult Protection Procedure is maintained. A copy of the manual by Hertfordshire Social Services on Adult Protection is kept in the office. Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Service users live in a clean, safe and well-maintained environment. They have access to safe and comfortable indoor and outdoor facilities. The premises have CCTV cameras in situ and security devices on exit doors. EVIDENCE: The management are aware that the surrounding area of Northwood has had incidence of vandalism. Staff are constantly reminded to be extra vigilant. All the doors have electronic hold-open door devices. The hand rails are in good condition. All facilities are serviced regularly and they are well maintained. Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 13 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Service users are supported and protected by the home’s recruitment and selection policy and procedures of the home. The staffing level is maintained. Staff have the experience and skills required to care for the service users. EVIDENCE: The home has ‘quality staff’ remarked a visitor. The members of staff were observed to interact well with the service users and among themselves. The managers are experienced assessors. Staff have regular in-house training which is well organised and structured to meet the needs of the service users. All staff have opportunities to attend NVQ programmes. Senior staff have opportunities to shadow the managers in the day to day management of the home. Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 14 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36, 37, 38. The home is very well managed. It is run in the best interests of the service users. Their health, safety and welfare are promoted and protected. EVIDENCE: The registered manager and the deputy manager have worked together for many years and the administration and management of the service and care continue to be consistently maintained. All facilities are serviced and records of servicing are kept up to date. The rights and best interests of the service users are safeguarded by the record keeping policies and procedures of the home. They are kept up to date and stored in accordance with the Data Protection Act 1998. Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 15 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 4 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 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 3 3 3 X X 3 3 3 Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 16 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 Pocklington House DS0000019497.V281117.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire 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. 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