Inspection on 31/08/05 for Powbeck House

This inspection was carried out on 31st August 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

Powbeck House 25/09/07

Powbeck House 09/08/06

Powbeck House 23/02/06

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 Margaret Drury Unannounced 31 August 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. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cumbria Care Barbara Carr Care Home 38 Category(ies) of 38 OP - Old Age registration, with number 11 DE(E) - Dementia, over 65 of places 1 MD - Mental Disorder 1 PD - Physical Disability Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. 2. A maximum of thirty eight older people (OP38) of whom eleven have dementia (DE(E)11) may be accommodated and one named person in the category MD(1) and one named person in the category (PD1) 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults by 1st April 2004. 4. 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. Date of last inspection 23 February 2005 Brief Description of the Service: Powbeck House is a care home providing accommodation and care for up to 38 older people, some of whom may have dementia, a physical disability or a mental disorder. The home is operated by Cumbria Care, which is part of Cumbria County Council. 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 accomodation is situated over two floors with a daycare centre and offices forming part of the ground floor. Also on the ground floor are two specialsit 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 independance 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 daycare 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 F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, and took place over one morning. During the inspection, time was spent talking with the supervisors, care staff on duty and visiting professionals. Records to do with the day-to-day running of the home and the care of residents were examined. Time was spent with the residents individually and in a small group and much of the home was looked at during the visit. What the service does well: What has improved since the last inspection? The home has had an extra 35 care hours allocated to assist with the implementation of the recently introduced medication policy. This will prove beneficial to the residents and existing staff. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 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 F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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 Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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) 2, 3, 5 & 6 Residents benefit from a thorough admission process that includes an assessment of need. Residents and families benefit from the opportunity to visit PowBeck House prior to admission in order to assess the facilities offered and the suitability of the home. Residents in the Intermediate Care unit benefit from experienced care staff and a team of professionals, all of whom ensure that residents are rehabilitated in order to return home. EVIDENCE: There is a clear admission procedure to the home, which includes a full assessment of needs and capabilities being completed, to ensure the correct level of care is delivered. Residents are families are invited to visit the home prior to admission in order to assess the suitability and whether or not the home can provide the correct level of care to meet the assessed needs. The inspector was able to speak with staff and residents in the Intermediate Care unit and was impressed with the level of care given. Staff had learnt to be “enablers” more than carers, which ensures that the residents regain sufficient independence to allow them to return to their own homes. Discussions with Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 9 members of the multi-disciplinary team that visit the home every week confirmed that the unit is extremely successful in rehabilitating people to return home. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 10 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 The systems for the administration of medication are good with clear comprehensive arrangements being in place to ensure residents’ medication needs are met. Residents benefit from a comprehensive care planning system, which ensures their health and social care needs are met in a way that promotes their dignity and independence. EVIDENCE: The home has a very detailed care planning system that was examined during the inspection. The care plans contain information about residents’ care needs, including moving and handling assessments. They are regularly reviewed and updated by the relevant supervisor and key worker, together with the resident, wherever possible. The plans provide the staff with the information needed to deliver the correct level of care. Details of healthcare needs and professional visits are recorded on the supervisors’ daily record sheets and in the diary. Residents said that they only have to request a G.P. visit and the appointment is made. District nurses visit the home when required. There is a comprehensive policy for the administration of medication and all responsible staff have completed training courses to ensure they are able to Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 11 give out the medication in a responsible manner. Extra care staff hours have been allocated to facilitate this. The care staff speak to the residents in a courteous and polite manner and always knock before entering bedrooms. Residents said that the staff always give personal care in a way that preserves their privacy and dignity, whilst encouraging independence. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 12 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 Residents benefit from “an open door” policy which means that visitors are welcome at any tome. Residents also benefit from being able to exercise choice about how to spend their time during the day. EVIDENCE: There is a limited activity programme in the home although every effort is currently being made to recruit an activities co-ordinator and the inspector was advised that staff interviews to fill this post have already been arranged. This appointed will be beneficial to those residents who wished to take part in a regular programme of activities. Currently the care staff are responsible for ensuring there is some form of stimulation. Residents told the inspector that if there were activities organised they did not have to join in if they did not want to. There is open visiting to the home providing the visit does not impinge on the life of the other residents. Church services held monthly and Communion is given weekly to those wishing to partake. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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 The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Staff understood adult protection issues, which safeguards the residents. EVIDENCE: A copy of the complaints procedure is given to each resident when they move in to the home and although there is a complaints book in place there have been none to record. Residents did assure the inspector that they knew who to speak with if they had any issue at all to raise. All residents are given the opportunity to vote in the elections using a postal ballot but very few chose to vote this year. When talking with the inspector, staff showed an awareness of adult protection issues and Protection of Vulnerable Adults training will be completed by every member of staff by the end of this year. This subject is also covered in NVQ training and discussed at unit meetings. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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, 24 & 26 Residents benefit from a warm, comfortable and safe environment in which to live. EVIDENCE: The Inspector looked around all parts of the home and judged that there was sufficient communal space to meet the needs of residents. This included a lounge/dining room with kitchen area on each of the four units, as well as a small quiet lounge on the unit for people with dementia, and a lounge on the first floor that can be used by people who wished to smoke. The decorating, on the whole, was good although there were some parts of the home that would benefit from redecoration. There is a range of equipment available in the home to assist people in their day-to-day life. This includes a passenger lift, hand and grab rails, assisted baths and toilets and hoists. There are sufficient bathrooms and toilets for the residents, all of which are suitable for people with a disability. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 15 The bedrooms that were inspected during the visit were all personal to the individual, with ornaments, pictures and photographs from the residents’ own homes. Although there is currently a domestic post vacant, the home was very clean and fresh on the day of the inspection. Arrangements are in hand to recruit further domestic staff. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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, 29 & 30 An experienced and trained staff group, who are appointed following a robust and thorough recruitment procedure, cares for the residents. This ensures maximum protection for living in the home. EVIDENCE: The manager uses her allocation of staff hours extremely well, the result being a staff team that work together for the benefit of the residents. There is sufficient staff on duty during the day to meet the assessed needs but only two through the night. It would be beneficial for there to be an extra member of waking night staff in view of the number of places the home is registered for. Extra staff hours are utilised for a member of staff to work with the seniors when giving out the medication. This system is working very well and means added security for those responsible for handling the medication. The home uses the organisation’s recruitment policy and the manager ensures all the required checks are completed prior to employment starting. There is a good training programme with each member of staff being responsible for keeping their own continuous professional development files up to date. Almost half of the care staff are qualified to NVQ level 2 and a further 4 are working towards the award. The manger is keen on ensuring all staff training is up to date and is constantly looking for as much external training as possible. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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) 32, 33, 34, 36 & 37 Although the manager was not on duty on the day of the inspection there was an indication of clear leadership, guidance and direction to staff to ensure residents receive consistent good quality care. EVIDENCE: The manager was not available on the day of the inspection but the two supervisors on duty were able to assist the inspector. Those staff that were interviewed said they found the manager supportive and approachable, which motivated them to improve their knowledge and skills and so continue providing good care to the residents. The manager has an open door policy and the supervisors told the inspector she is readily available for help and advice. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 18 As Cumbria Care is responsible for the operation of the home the financial viability is in the hands of the accounting staff at the organisation’s head office. There are policies and procedures in place and these, together with the home’s record keeping safeguard the residents and contribute to their welfare. All staff are supervised by their line manager and discussions with them evidenced they found the regular meetings meaningful and beneficial. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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 x 3 3 x 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 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 x 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 x 3 3 3 x 3 3 x Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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 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 27 Good Practice Recommendations It is recommended that consideration be given to increasing the number of waking night staff. Powbeck House F58 F10 s35545 powbeck house v238266 310805 ui stage 2.doc Version 1.40 Page 21 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 F58 F10 s35545 powbeck house v238266 310805 ui stage 2.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. 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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