Inspection on 23/02/06 for Powbeck House

This inspection was carried out on 23rd 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

Powbeck House 25/09/07

Powbeck House 09/08/06

Powbeck House 31/08/05

Powbeck House 23/02/05

Powbeck House 08/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Powbeck House Meadow Road Mirehouse Whitehaven Cumbria CA28 8HL Lead Inspector Mrs Margaret Drury Unannounced Inspection 23rd February 2006 10:00 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 Powbeck House DS0000035545.V281028.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. Powbeck House DS0000035545.V281028.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Powbeck House Address Meadow Road Mirehouse Whitehaven Cumbria CA28 8HL 01946 852563 01946 696574 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) www.cumbriacare.org.uk Cumbria Care Ms Barbara Carr Care Home 38 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (38), of places Physical disability (1) Powbeck House DS0000035545.V281028.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 38 service users to include: up to 38 service users in the category of OP (Old age, not falling within any other category) up to 10 service users in the category DE(E) (Dementia over 65 years of age) 1 service user in the category PD (Physical disabilities) When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. 31st August 2005 3. Date of last inspection Brief Description of the Service: Powbeck House is a care home owned by Cumbria Care, an internal business unit of Cumbria County Council and registered to provide accommodation and care for up to 38 older people, some of whom may have varying forms of dementia, a physical disability or a mental disorder. The home currently has no registered manager but is being run on a day-to-day basis by Debbie Sandwith acting as a relief manager. The home is situated in a large housing estate on the outskirts of Whitehaven, where there are two churches, a library, shops and a sheltered housing complex in close proximity. The accommodation is situated over two floors with a day care centre and offices forming part of the ground floor. Also on the ground floor are two specialist units. One 10-bedded unit is devoted to people with varying forms of dementia and the other is designated as an intermediate care unit that is staffed and equipped to deliver packages of care to enable people to regain their independence and return home. There are two units on the first floor each providing communal and personal space for the residents together with bathing and toilet facilities. There is a secure garden to the rear of the property that includes a patio area for sitting out during the summer months. Limited car parking is available at the front of the home. The day care unit operates every day and although residents from Powbeck House are welcome to use the facilities, the unit is not currently subject to inspection. Powbeck House DS0000035545.V281028.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 of the home that took place over the morning of the 23rd of February. It was the second inspection of the yearly cycle and the standards not assessed on this occasion were inspected and met during the previous visit that took place in July 2005. During the inspection, time was spent speaking with the acting manager, staff and residents. Documentation relating to care of the residents was examined and some parts of the home were looked at. What the service does well: What has improved since the last inspection? Powbeck House currently has no registered manager in post but there is an acting manager responsible for the day-to-day care of the residents and operation of the home. She has worked hard with the senior team to bring all the care plans and records up to date. Internal audits of medication records have been introduced to ensure the safety of the residents. Powbeck House DS0000035545.V281028.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. Powbeck House DS0000035545.V281028.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 Powbeck House DS0000035545.V281028.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 The home’s statement of purpose and resident guide provide prospective residents and/or their families with sufficient information to enable them to make an informed choice about moving into the home. EVIDENCE: The home’s statement of purpose and other information outlining the facilities on offer at the home is made available to all prospective residents and their families. There are also copies on display in the hall. All residents are given a contract and terms and conditions. The information available allows prospective residents to make an informed decision about moving into the home. Powbeck House DS0000035545.V281028.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): 11 The residents benefit from knowing all their wishes will be met with dignity and sensitivity EVIDENCE: The home has a comprehensive policy outlining the procedure to follow on the death of a resident and the wishes, wherever possible, are noted on the care plans. Family members are offered hospitality and facilities at the home if they wish to remain with residents. Discussions with the acting manager confirmed that every effort is made to ensure all the wishes of the resident are met with care and sensitivity. Powbeck House DS0000035545.V281028.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): 15 Dietary needs of the residents are well catered for with a balanced and varied selection of food that meets the residents’ tastes and choices. EVIDENCE: The home has a 4-week menu in place that provides residents with a varied diet with a choice at each meal. There is also an alternative made available should this be required. The manager has introduced the first of several “taster days” in an effort to provide even more choice and to ascertain exactly what the residents like to eat. The inspector observed meals being served in an easy, relaxed atmosphere with help available where needed. This was given in a sensitive and caring manner. Powbeck House DS0000035545.V281028.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): All these standards were assessed and met at the last inspection. EVIDENCE: Powbeck House DS0000035545.V281028.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): 22, 23 & 25 The home offers comfortable, homely accommodation with all areas reasonably well maintained. Residents benefit from the provision of specialist equipment that enables them to move about the home and retain their independence. EVIDENCE: The home provides hoists and other specialist equipment in order that the independence of the residents can be maintained as long as possible. All the bathing and toilet facilities are suitable for those who may have a physical disability and there are handrails on the corridors to assist with movement around the home. All the rooms are for single occupation and although some are a little on the small side they do suit residents’ needs. All those inspected were nicely decorated, clean and, on the whole, bright and airy. Although the home is registered to care for up to 38 older people it still retains a warm and friendly atmosphere due to the fact it is run in 4 small units. Powbeck House DS0000035545.V281028.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): 28 Staff are well trained to ensure they have the competencies to meet residents’ needs. The deployment of staff throughout the home is sufficient to meet the assessed needs. EVIDENCE: Cumbria Care provides an ongoing training programme in place covering all statutory training required, plus other courses, such as medication and infection control. All staff are responsible for their own personal development file and are given the opportunity to undertake any of the training provided. The acting manager is looking to access other external training courses wherever possible. The home has just over 50 of the care staff qualified to NVQ level 2 All staff have received the required three days training, which has ensured there is a skilled staff team able to meet the assessed needs and keep the residents safe. There are sufficient staff on duty during the day to meet the assessed needs but the inspector is concerned that the home provides only 2 members of waking night staff given that there are 38 registered places and one of the units cares for people with varying forms of dementia. Powbeck House DS0000035545.V281028.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, 35 & 37 There is, currently, a strong sense of leadership, ensuring that the staff are well directed to deliver good quality care to those living in the home. EVIDENCE: There is, currently no registered manager at Powbeck House but an acting manager has been appointed until a new manager is appointed. It was obvious to the inspector from discussions with her and the senior team that she is has a clear development plan and vision for the home. She is working closely with the senior team to bring the care plans up to date and ensure all staff supervision is completed within the allotted timescale. Cumbria Care senior management is aware that any newly appointed manager must be registered with The Commission for Social Care Inspection. The inspector examined the records pertaining to residents’ personal finances and found them to be in order. All transactions are signed for by 2 members of the senior team and regularly audited by the operations manager. Powbeck House DS0000035545.V281028.R01.S.doc Version 5.1 Page 15 Cumbria care has put in place all the required policies and procedures and these are made available for staff to read whenever they wish. Powbeck House DS0000035545.V281028.R01.S.doc Version 5.1 Page 16 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X 3 3 X 3 X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X 3 x Powbeck House DS0000035545.V281028.R01.S.doc Version 5.1 Page 17 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. 1. Refer to Standard OP27 Good Practice Recommendations It is recommended that consideration be given to increasing the number of waking night staff. Powbeck House DS0000035545.V281028.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Powbeck House DS0000035545.V281028.R01.S.doc Version 5.1 Page 19 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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