Inspection on 12/07/05 for Richard Peck House

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Richard Peck House 24/04/07

Richard Peck House 02/11/05

Richard Peck House 13/12/04

Richard Peck House 01/04/04

Richard Peck House 17/11/03

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

CARE HOMES FOR OLDER PEOPLE Richard Peck House 1 St Thomas Road Lytham St Annes Lancashire FY8 1JL Lead Inspector Denise Upton Unannounced 12 July 2005 09:30am th 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. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Richard Peck House Address 1 St Thomas Road Lytham St Annes Lancashire FY8 1JL 01253 721 821 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) The Royal Air Forces Association Mrs Annie Mulvey MBE Care home only 9 Category(ies) of OP Old Age (7) registration, with number PD Physical Disability (2) of places Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The registered person may accommodate up to a maximum of 9 older people when not utilising those places for younger adults with a physical disability. The registered person shall at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 13th December 2005 Brief Description of the Service: Richard Peck House is owned and managed by The Royal Air Force Association (RAFA) and joint funded by The Royal Air Force Benevolent Fund.The home provides short welfare breaks to service personnel and their relatives in a comfortable, hotel style environment. The accommodation registered with the Commission for Social Care Inspection, provides residential accommodation for up to nine service users who are assessed as requiring assistance with personal care tasks. In addition, further service users who are self-caring and do not require this level of support are also accommodated. The internal environment made available to service users and their relatives is welcoming, comfortable and maintained to a very high standard. All bedroom accommodation is provided with an en-suite facility and appropriate aids and adaptations are provided to promote independence including the provision of a passenger lift and ramped access to enable ease of access to the building.The home is conveniently located in a residential area of the town close to the main shopping area and community resources and facilities. A small library is provided; table games are available and `in-house` entertainment arranged. This is supplemented by very regular outings and trips in the home’s adapted minibus.The external environment provides a garden area with seating and a car park to the side of the building. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a period of five and three quarter hours and spanned the full morning and part of the afternoon. The inspector spoke with the registered manager and individual discussion also took place with three members of the staff team. In addition, in-depth discussion also took place with two groups of four people who were in residence, all of whom had visited Richard Peck House several times previously. Throughout the inspection general discussion also occurred with various other residents who were ‘at home’. A number of records, including care records, and policies and procedures were also examined and a partial tour of the building took place. What the service does well: The registered manager at Richard Peck House is very experienced in running a care home and helps staff to provide a high quality service through training opportunities and by helping them understand the individual needs of people who become resident at the home. The staff group are enthusiastic and work well together to ensure residents enjoy their stay. One resident who completed a Commission For Social Care questionnaire about their experience of staying at the home stated ‘The staff are very caring and helpful, the bedrooms are all very comfortable, the food is excellent and the service is good. My wife and I look forward to our stay’ It is very clear that there is a good relationship between residents and staff that helps people staying at the home to feel comfortable and welcome. The standard of the environment at Richard Peck House is very high, providing service users with an attractive, comfortable and homely place to live during their ‘holiday’ at the home. The health care needs of individual service users are well met with visits to local medical services arranged if necessary. Alternatively, a local G.P. practice provides a service to individuals staying at the home when required and district nurse visits can also be arranged. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 6 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. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 A pre admission assessment process to establish current strengths and needs is undertaken prior to a prospective resident being offered a period of short term care at the home. This ensures that the home can provide a service that meets the current requirements of the individual. EVIDENCE: Service users are only admitted to the home generally for periods of one or two weeks following a pre admission assessment of current needs and requirements. However, as individuals who use the service live in various part of the country, initially a member of the organisation’s welfare staff visits the prospective service user in their own home to assess if the individual qualifies for a period of short-term care at Richard Peck House and to initially establish if their individual strengths and needs could be met. As part of the information gathering process, prospective service user are also required to complete a self-assessment medical questionnaire. On receipt of the application, the home’s manager then makes personal telephone contact with the individual to confirm the details provided and to conduct a further verbal assessment. Occasionally further information is sought from the prospective service user’s Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 9 General Practitioner. Only if the registered manager is confident that the home can meet the assessed needs of the individual is written confirmation forwarded to the prospective service user. Once admitted into the home, a further guest assessment is carried out to ensure the information previously obtained remains current. From the collated information obtained a simple care plan is then devised and reviewed as required. Residents spoken with were very clear about this process and confirmed that this is what had happened in practice. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.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 There is a consistent care planning and risk assessment process in place to make certain that staff are provided with sufficient written information to ensure that the individual service user’s needs are met in full. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure service users medication needs are met. The health care needs of service users are well met when resident at the home, with evidence of good multi disciplinary working taking place as required. EVIDENCE: All service users who are assessed as requiring personal care have an individual plan of care based on current strengths and needs that is developed from the pre admission information received and evidenced at the time of inspection. In addition, individual risk assessments are undertaken as appropriate with outcomes incorporated in the care plan. The content of the care plan is discussed with the individual service user on admission who then signs the document as acknowledgement of their agreement to the content. This process was confirmed by one of the residents who were ‘case tracked’ during the course of the inspection. However in this instance, the spouse of the person in question, who was also resident had elected to continue providing Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 11 personal care for her husband during their period of residency. In practice, as guests are only in residence for a short period of time, it is not usually necessary to review the individual care plan unless the initial information was miss leading or the level of dependency changes during the period of admission. Richard Peck House has a medication policy that meets requirements in respect of the receipt, handling, recording, storage, administration and disposal of medicines. In line with the home’s policy document, all service users are enabled to self-administer their own prescribed medication and continue with their daily medication regime usually undertaken in their individual home environment. At the time of inspection no service user had medication administered by staff. A locked storage facility is provided for the safe storage of medication in individual bedroom accommodation and a controlled drug facility is also provided. Management and care staff received certificated medication training following a twelve-week module ‘Safe Handling of Medication’ training course that encompassed a workbook and final examination. A number of service users spoken with confirmed that the staff team promote service users to maintain their health and well-being and arrange health care service as appropriate. Advice is sought from the local continence advisor when appropriate and in order to ensure that the individual service user returns home as well equipped as possible, there are good links with local community medical resources including dentists and opticians. This enables service users to obtain assessment and treatment while resident at Richard Peck House or contact in made with the appropriate services in their local area to access when the individual returns home. Without exception, all service users spoken with felt strongly that their privacy and dignity was very well respected at Richard Peck House and spoke very highly of the entire staff team. These same views were also expressed on the Commission For Social Care Inspection comment cards completed by a number of service users who had recently enjoyed a ‘holiday’ at Richard Peck House. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.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) None of the four standards were assessed at this inspection. EVIDENCE: None of the four standards were assessed at this inspection. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the three standards were assessed at this inspection. EVIDENCE: None of the three standards were assessed at this inspection. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the eight standards were assessed at this inspection. EVIDENCE: None of the eight standards were assessed at this inspection. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29, & 30 Richard Peck House enjoys a stable staff group who support the registered manager to address the strengths and needs of service users accommodated. Recruitment policies and procedures are consistently carried out to ensure that staff members are properly vetted and service users are not put at potential risk. Staff training is seen as a priority to ensure staff have the understanding, skills and knowledge to provide a high quality service. EVIDENCE: The home employs a variety of well-motivated staff that enjoy working with the residents and want to give a good standard of care. The staffing rota confirmed that there are additional staff on duty at peak times of activity during the waking day and two night staff are on duty throughout the night time period including a ‘waking watch’ member of staff. The staff group, including ancillary staff, also provide a service to all guests accommodated at Richard Peck House and not just those with personal care needs. This ensures that the requirements of all individuals in residence are met. All members of staff spoken with individually said they enjoyed their work and enjoyed working with and supporting service users. One member of staff commented that they ‘gained a great deal of satisfaction of seeing a service user physically improve during their stay and then go home’. Service users spoken with were unanimous in their praise of the staff group describing them as ‘marvellous’ and ‘very kind and helpful’. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 16 Over 50 of the care staff team have now achieved an NVQ qualification in care. In addition, other staff are currently waiting for verification of this award and are keen to undertake training opportunities in order to increase their skills and knowledge. Further to this nationally recognised NVQ qualification, induction and foundation training that is compliant with ‘Skills For Care’ specifications is also available for newly appointed staff and all staff undertake a wide variety of additional training such as medication training, infection control, fire safety, moving and handling and health and safety training. All care staff and two members of the ancillary care team have completed the ‘First Aid At Work’ course and in consequence a qualified first aider is on duty at all times. Recruitment practices at Richard Peck House follow the corporate guidance to ensure that all newly appointed staff are properly vetted before they take up employment at the home. This protects service users and helps to make sure that newly appointed staff understand the philosophy of the home and would uphold the values practised. It was noted that the recruitment policy and procedures of the organisation are robust and detailed. However the recruitment policy does not pay reference to the requirement of Pova First/CRB clearances before a newly appointed member of staff can actually take up employment at the home. Whilst it is evident that this requirement is actually practiced, it is recommended that this information be incorporated in the actual policy document. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35 & 38 The manager is supported by the senior staff in providing clear leadership throughout the home with all staff demonstrating a clear awareness of their roles and responsibilities. The systems for service user consultation are good with a variety of evidence that indicates that service users views are sought and acted upon. EVIDENCE: The registered manager at Richard Peck House has extensive experience in running a care home and has recently received a certificate in respect of the successful completion of the Registered Managers Award. Evidence of the manager’s commitment to ensuring the aims and objectives of the home are achieved was gathered through discussion with residents and staff and observation at the time of inspection. In addition, the manager has also undertaken further periodic training to increase her skill, knowledge and competence while running the home. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 18 From discussion and observation it was evident that there is an open and transparent style of management that values the views, comments and suggestions of all residents and staff. All service users attend an introductory meeting and are provided with a service user survey questionnaire, evidenced at inspection, that residents are asked to complete on the day of discharge in respect of their stay comprising of a tick box and comment box section. This information is then shared at the managers meeting for comment and to influence any change. This process is further supplemented through informal daily dialogue and service user comment, complement and complaint cards that are freely available in the home. At the time of inspection no monies or valuables were held in safe keeping in respect of service users currently in residence. However a robust policy and procedures is available and practiced in respect of service users monies and valuables that would be held in a secure facility. In addition, a locked drawer is provided in all bedroom accommodation for the safe storage of personal possessions. The registered manager ensures as reasonably practical the health, safety and welfare of all residents, staff and visitors. A new health and safety policy manual incorporating safety management systems covering a wide variety of issues is now available and comprehensive work place risk assessments are in operation that are periodically reviewed to ensure they remain up to date. All staff receives mandatory updated health and safety training on an annual basis. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 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 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x 3 x 3 x x 3 Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 20 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 29 Good Practice Recommendations It is recommended that the requirement of a POVA First and CRB clearance is identified in the actual recruitment policy document. Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit 1, Tustin Court Portway Preston PR2 2YQ 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 Richard Peck House F57 F09 S33338 Richard Peck House V228087 120705 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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