Inspection on 25/09/07 for Powbeck House

This inspection was carried out on 25th September 2007.

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 09/08/06

Powbeck House 23/02/06

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 25th September 2007 09:10 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.V345501.R01.S.doc Version 5.2 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.V345501.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Powbeck House Address Meadow Road Mirehouse Whitehaven Cumbria CA28 8HL 01946 852563 01946 696574 powbeck.house@cumbriacc.gov.uk www.cumbriacare.org.uk Cumbria Care 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) Care Home 38 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (37), of places Physical disability (1) Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 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 37 service users in the category of OP (Old age, not falling within any other category) up to 11 service users in the category DE(E) (Dementia over 65 years of age) to include 1 named service user in the overall numbers on the Frail Elderly Unit 1 service user in the category PD (Physical disabilities) to be accommodated on the Intermediate Care Unit 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. 9th August 2006 3. Date of last inspection Brief Description of the Service: Pow Beck House is a care home owned by Cumbria Care, an internal business unit of Cumbria County Council. It is registered to provide accommodation and care for up to 38 older people, some of whom may have varying forms of dementia. The home currently has no registered manager but is being run on a day-to-day basis by Debbie Sandwith who was recently appointed as the home manager and is awaiting registration with the Commission for Social Care Inspection. 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 Pow Beck House are welcome to use the facilities, the unit is not currently subject to inspection. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 5 Fees in this home range from £372.00 to £434.00 with extra charges for chiropody, hairdressing, newspapers, magazines, dry cleaning and private telephone calls. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This site to visit to Pow Beck House that forms part of the key inspection took place over one day and we were in the home for six and a half hours. Information about the service was gathered in different ways: • The completed Annual Quality Assurance Assessment document. • Survey questionnaires returned by residents • The service history • Interviews with residents, visitors and staff on the day of the visit. • Discussions with the operations manager during the visit. We looked at care planning documentation to ensure the level of care provided met the needs of those living in the home and a tour of the building to inspect the environmental standards was undertaken. Staff personnel files were examined. The manager has been on sick leave for three months but was due to return to work the day after this visit. In the interim the home has been run by a manager from a similar service within the organisation, with support from the operations manager. What the service does well: There is a staff team that promotes and encourages the residents to remain as independent as possible and to exercise choice and control over their lives as far as they are able. Feedback from residents and staff about this service was very positive. Comments such as “ It is lovely here ” and “the staff are like angels” were made. The home also ensures that service users have access to recreational and social activities. There are many varied activities available to suit both male and female residents. Residents can choose whether to participate or not. Residents are provided with a safe, clean, and comfortable place to live. Meals served at the home are of a very good standard with plenty of variety and choice. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 8 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.V345501.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments are completed before people move in to make sure that their individual needs are identified and met. EVIDENCE: All prospective residents are fully assessed prior to moving in to the home. The assessment covers areas such as mobility, diet, health and social care and gives an indication as to whether or not the assessed needs can be met. The manager and/ or a member of the senior team is responsible for the assessments, which are carried out in the hospital or the person’s own home. This assessment is continued during the first 4-6 weeks of residency as this time span is an important settling in period for the resident and staff. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 10 Family members or advocates are invited and encouraged to visit the home to look at the available rooms before a place is offered. This gives the opportunity to meet the manager, staff and other people living in Pow Beck House. In the past some residents have spent time in the intermediate care unit of the home so they are familiar with the surroundings and staff before they move in. During the visit we were able to spend some time in the intermediate care unit that is situated on the ground floor. We discussed, with the member of staff, the level of support and encouragement the unit provided to enable the residents to return to their own homes. The residents were happy and agreed that the period spent in the unit was very beneficial to them. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which residents receive is based on their individual needs, which are met with respect and dignity. EVIDENCE: Each resident has an individual plan of care and we looked at those for four people. The information provided covered areas such as mobility, diet, health and personal care. The care plans are reviewed monthly by the “tick box” system of review used throughout the organisation. It was evident that two of the reviews did not “marry up” with the information contained in the daily notes. The manager was returning to the home the day following this inspection after a period of sick leave so we discussed this situation with the operations manager who was present during the visit. He agreed that in depth Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 12 reviews of the care plans would take place and that this matter would be discussed during staff meetings and supervision. The home is hoping to move to a more person-centred approach to care and the new corporate care plan format soon to be introduced will be more in keeping with this approach. Discussions with one of the visitors on the dementia unit confirmed that she discusses her mother’s care with the staff and that she is interested in the care planning system. The home encourages all families to be involved with the care provided to their relatives. Records of healthcare visits are kept, including chiropody and optical and the relief manager confirmed that the doctors and nurses at the local practices are extremely helpful and supportive. Nutritional screening is now undertaken in order to ensure all residents receive the correct diet and maintain a healthy lifestyle. We looked at the medication procedures and found that the residents are protected by safe systems for handling medication and record keeping was completed in an appropriate manner. We also checked the procedure for recording any controlled drugs that may be prescribed and found these to be correctly and safely maintained. We noticed, during the visit, that those living in the home are treated with respect at all times. This was confirmed by the residents who said, “the girls are so kind and always polite” One of the visitors said, “ I cannot fault the staff, they understand exactly what my mum needs. If it wasn’t for these girls she would not be here now”. The delivery of personal care is varied in order to meet the needs of the residents. Staff listened when residents spoke to them and it was obvious that they recognised the assessed needs and supported the residents to retain as much independence as possible. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use this service are able to make choices about their lifestyle and are supported to maintain their independence. EVIDENCE: The home has appointed a support worker who has delegated responsibility for organising activities for those living there. Discussions with the relief manager and residents evidenced that this was proving very successful. We looked at details of the monthly programme, a copy of which is displayed on each unit. This also contained details of birthdays, staff and residents, and other information the residents may find interesting such as new babies born to staff members. Residents have been making bookmarks and key rings, which were on display in the hall and are available to buy. The proceeds are used to provide further activities and outings and the residents had enjoyed a cream tea the weekend before the inspection visit paid for by the sale of the handicrafts. Many of the Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 14 activities are enjoyed in small groups and this is proving to be very beneficial. The home plans to further improve the level of activities available over the coming months. There is a photograph album on display in the hall recording recent events. There are details shown of the monthly church service conducted by the local Anglican minister. There is one resident who is able to attend his own church on a regular basis. Visitors to the home are welcome any time and when we discussed this with the residents they said their visitors “are always offered tea and coffee when they come to see me”. We were able to speak to visitors on the day of the visit, one of which commented, “I cannot praise the staff enough. If it were not for these girls my mum would not be here now. They have even helped her to make me a key ring”. Lunch is served to residents on each of the units with help given appropriately when required. There is always a choice at each meal and comments such as, “the food is very good”, and I always get plenty to eat” were made. Menus are currently being revised after a recent meeting between the manager and the catering staff to take into account nutritional assessments/needs, healthy eating and residents’ opinions. One of the cooks has recently left but interviews for a replacement were to be held during the week of the inspection. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident that any issues or complaints that they may have will be listened too, taken seriously and acted upon. EVIDENCE: There is a policy and procedure in place regarding the protection and mistreatment of vulnerable adults, which means that all staff have access to refer to this should it ever be necessary. The home also has a copy of Cumbria’s up to date guidance and procedures on this subject. Internal training is provided for all staff and this will be updated on a regular basis. There is a clear and accessible complaints procedure that is made available to residents and visitors to the home. A copy of this procedure is on display in the hall and there is also a copy contained within the statement of purpose and resident guide. When we spoke to residents during the visit they all said they would never be afraid to raise a concern if they had one. A recent complaint made to the home was documented and dealt with according to the defined procedure. The Commission for Social Care Inspection has not received any complaints regarding this service. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is warm and comfortable and is suitable to meet their needs EVIDENCE: Pow Beck House is purpose built over two floors with the upper level accessible via a passenger lift. Because of recent financial constrains within the organisation there has been very little improvement to the internal decoration of the home. However this situation has improved and we were given a copy of the schedule and plans outlining the redecoration and refurbishment work due to be started over the next few weeks. This work will greatly improve the physical environment for those living and working in the home. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 17 The ground floor of the home contains a six-bed intermediate care unit and also a twelve-bed unit dedicated to the care of those residents who suffer from any form of dementia. Both units have lounge/dining and kitchen facilities as well as residents’ bedrooms. There is also a day-care unit on this floor with the large lounge available to the home during the evening for activities, parties or visiting entertainers. The first floor has two separate units each having a lounge with dining and kitchen facilities and also residents’ rooms. Many of the bedrooms are quite small but the residents who spoke to us during the visit were happy with their accommodation. All room throughout the home have been personalised by pictures and photographs from the residents’ own homes. There is a small rear garden with a patio area that is accessible to the residents and used during the warm weather. The home employs domestic staff to ensure a high standard of cleanliness is maintained. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent, well trained and able to meet the needs of those using this service in a safe and appropriate way. EVIDENCE: We looked at a sample of staff personnel files and found them to be appropriate and up to date. Prospective staff are required to complete an application form, provide referees and attend an interview. Special checks such as Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) are completed prior to the employee starting work. This in-depth recruitment process ensures that only suitable people are employed to work at this home. Staff training is ongoing with records kept on each individual professional development file. Training recently completed includes dementia awareness, medication, manual handling, mistreatment of adults and infection control. Some members of staff have recently completed a National Vocational Qualification (NVQ) in dementia care organised by Cumbria Care. In the past it has sometimes been difficult to obtain places on internal training courses due to the allocation system that was in place. This has now been altered and Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 19 places are allocated to each home within the organisation in specified numbers. There were sufficient numbers of staff on duty on the day of the visit to ensure the residents received a high level of care. There are currently some staff shortages but arrangements are in place to ensure there are always sufficient numbers of staff to meet the needs of those living in the home. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service live in a home that is safe, well managed and run in their best interests. EVIDENCE: The manager was appointed to this service earlier this year and is awaiting registration with the Commission for Social Care Inspection. She is very experienced in the care of older people having previously managed the home in an “acting” capacity. She was on sick leave on the day of the visit but was due to return the following day. She has completed the registered manager award. The atmosphere in the home is warm and friendly and the residents Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 21 who spoke to us on the day of the visit all said they loved living there because they could live their lives just how they wanted. The home takes care of small amounts of personal money for some residents. This is used for hairdressing, newspapers and personal toiletries. We were able to check the records and found they were up to date with all of the transactions handled by two members of staff. The entries are also audited on a regular basis to ensure the residents’ finances are protected and managed safely. Staff receive regular supervision from their line manager with records kept on their individual files. Risk assessments are in place and are reviewed on a regular basis and regular health and safety audits are completed. Annual quality audit forms are sent to residents and staff to ask their opinions about the level of care provided. Records regarding the running of the home are in place and kept appropriately. All policies and procedures are updated regularly to ensure they are always in line with current legislation. All equipment is serviced under annual service level agreements and fire procedures and risk assessments are in place. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 22 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 X X 3 3 3 3 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 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 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 X 3 X 3 3 X 3 Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 in order to deal with the increasing dependency of those living in this home. Powbeck House DS0000035545.V345501.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 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 © 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.V345501.R01.S.doc Version 5.2 Page 25 - 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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