Inspection on 24/04/07 for Richard Peck House

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 02/11/05

Richard Peck House 12/07/05

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 Inspection 24th April 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Richard Peck House DS0000033338.V332103.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. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Richard Peck House Address 1 St Thomas Road Lytham St Annes Lancashire FY8 1JL 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) 01253 721821 01253 725063 The Royal Air Forces Association Mrs Annie Mulvey MBE Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (7), Physical disability (2) of places Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 2nd November 2005 Date of last inspection 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 people who are assessed as requiring assistance with personal care tasks. In addition, other people are accommodated who are self-caring and do not require this level of support. The internal environment made available to users of the service 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 throughout 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 is arranged. This is supplemented by very regular outings and trips in the home’s adapted minibus. The external environment provides a garden/patio area with seating and a car park to the side of the building. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a midweek day and in total spanned a period of approximately six and a half hours. At this inspection, all of the key national minimum standards were assessed. Discussion took place with the registered manager, chef, and a care team leader. In addition, individual discussion took place with two people staying at the home. Time was also spent with four other people during the midday meal. These people gave a good overview of their experiences of spending time at Richard Peck House. Time was also spent in a communal area of the home sitting with other people who were enjoying their ‘holiday’. A number of records were examined and a partial tour of the building took place. Prior to the inspection, nine people staying at the home completed the Commission For Social Care Inspection comment cards. Comment cards were also received for five relatives. This provided further information on how people using the service and relatives felt that Richard Peck House was meeting the needs and requirements of people who were staying there. Information was also gained from a pre inspection questionnaire completed by the registered manager. The current scale of charges ranges from between £370:00 to £407:00 per week. What the service does well: Richard Peck House has a group of well-qualified staff that work well together to provide a high quality of care for people staying at the home. Comments from people spoken with and comments made on the Commission For Social Care Inspection survey forms were unanimous in praising the staff group. One person staying at the home commented that, “Always consistent care, people here cannot do enough, the staff are excellent”. Another person said that she had visited various other of the organisations home’s “But they are like a hotel, here it’s like family” A relative of a service user wrote on a comment card that: “The staff at Richard Peck House make every effort to meet our need’s”. The level of personal care is very high”. The standard of the environment at Richard Peck House is very high, providing people who use the service with a welcoming, attractive and comfortable place to live during their ‘holiday’ at the home. People were also extremely complementary about the quality and variety of meals served. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 6 People who stay at Richard Peck House enjoy a wide variety of activities. Evening entertainment is provided very frequently, ‘in-house’ activities are arranged and trips out in the home’s adapted mini bus take place five days a week to places of interest, shows and other outings including visiting local markets and trips to the Lake District. This facility is highly regarded and well used. 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. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 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 Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not appropriate for this home as Richard Peck House does not provide an intermediate care service Quality in this outcome area is good The pre admission assessment to identify what the prospective user of the service can do well and what help may be required is detailed in order to establish if current needs, wants and wishes could be met at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People staying at Richard Peck House who require personal care are generally only admitted to the home for a period of one or two weeks. Prior to admission, a pre admission assessment of current needs and requirements is undertaken. However, as individuals who use the service live in various part of the country, initially one of the organisation’s welfare officers visits the prospective user of the service 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. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 9 Since the last inspection, the organisations Welfare Officers are now required to attend in-depth training at the Royal Air Force Association ‘welfare school’ to ensure that have the necessary skills to undertake this task. As part of the information gathering process, prospective users of the service are also required to complete a self-assessment questionnaire. This covers a range of topics including medical needs, medication, personal care, social activities, spiritual/cultural needs and requirements, diet, social contacts and aids/adaptations required. This assessment is either completed independently or with the assistance of the welfare officer. 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. 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 resident. Once admitted into the home, a further guest assessment is carried out by a care team leader to establish if the information previously obtained remains current. From the collated information obtained a simple care plan is then devised and reviewed as required. Risk assessments, as required are also undertaken with significant outcomes incorporated into the care plan. Residents spoken with were very clear about this process and confirmed that this is what had happened in practice. One comment on the Commission for Social Care Inspection, resident survey form, received from a person who had been resident at Richard Peck House stated, “Before we stayed here, we came on a visit. The staff explained the level of care we would receive, the eating arrangements and the entertainment. All of which were fulfilled”. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, & 10 Quality in this outcome area is good. There is a clear and consistent care planning system in place that gives specific guidance to staff in order for them to satisfactorily meet individual needs and requirements. The health care needs of people using the service are well met with evidence of good multi disciplinary working taking place on a regular basis. The medication in this home is well managed promoting good health. Personal support is provided in such a way as to promote and protect service users’ privacy, dignity and independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 11 People who are assessed as requiring assistance with personal care all have a care plan developed from the pre admission assessment information. This also includes any further relevant information that becomes evident at the time of admission and incorporates the outcomes of any risk assessments undertaken. The registered manager gave a good account of two care plans that had had to be reassessed soon after admission of the individuals because the level of assistance required was in excess of what had been previously stated. In this instance the registered manager had also contacted a relative to explain the situation. This has enabled the relative to make alternative arrangements to address the concerns for the couple once they return home. The revised care plan clearly identified the additional assistance required and the outcome of the risk assessment undertaken in respect of this matter. The two people concerned were both spoken with and confirmed that the revised arrangements were to their satisfaction. Both spoke very highly of the care and support received at Richard Peck House and stated, “They (the staff) know before you do what is needed and are very good and helpful about sorting things out”. Once the care plan is devised, the content of the care plan is discussed with the individual resident who then signs the document as acknowledgement of their understanding and agreement to the content. People spoken with and written comments received, all unanimously expressed the opinion that staff at Richard Peck House provided a very high quality service. One written comment received was that “The staff at Richard Peck House make every effort to meet our needs especially for my wife, both before we arrive and when we are staying here. My wife needs a lot of personal care and a soft diet. Both of which are fully met. The level of personal care for my wife is very high. The food is also excellent”. Through discussion with users of the service, it was confirmed that individual health care needs are fully met during their period of short-term care at Richard Peck House. There is a good relationship with local health professionals that was evidence during the visit, in order to maintain health and social wellbeing. Comments on the Commission for Social Care Inspection, survey forms confirmed that people who use the service and their relatives felt that people always received the medical support that they required. Advice is sought from the local continence advisor when appropriate and in order to ensure that the individual returns home as well equipped as possible, there are good links with local community medical resources including dentists and opticians. This enables people who use the service to obtain assessment and treatment while resident at Richard Peck House or contact is made with the appropriate services in their local area to access when the individual returns home. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 12 Richard Peck House has a policy and procedure that meets requirements in respect of the receipt, handling, recording, storage, administration and disposal of medicines. 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. A locked storage facility is provided for the safe storage of medication in individual bedroom accommodation. At the time of this visit, it was necessary for staff to assist two residents to administer their medication. A medication risk assessment was in place and drug administration records were clear and correctly recorded. Staff with responsibility for the administration of medication, have all received certificated medication training following a twelve-week module ‘Safe Handling of Medication’ training course that encompassed a workbook and final examination. Through discussion with a care team leader, it was also established that a number of staff have also now also completed a more advanced course of medication training. 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. One person spoken with gave a good account of how staff had maintained his privacy and dignity when assisting with personal care and explained that he felt comfortable in allowing staff to assist. All staff receive training in respect of maintaining privacy and dignity during induction training, National Vocational Qualification (NVQ) training and through regular supervision. People spoken with were consistent in their praise of the care received with one person saying, “The staff are wonderful, excellent in every way”. Richard Peck House DS0000033338.V332103.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 A wide variety of social activities and outings continue to be arranged to enable users of the service to enjoy social stimulation and interaction with fellow guests. Individuals are encouraged and enabled to maintain contact with their family and friends while taking a ‘holiday’ at the Richard Peck House to ensure these relationships are sustained. Dietary needs of people staying at the home are well catered for with a balanced and varied selection of meals available that often exceeds people’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Through discussion with people staying at the home and through direct observation, it was clearly evident that residents are able to choose and participate in a range of activities. During the pre admission assessment process, prospective residents are encouraged to complete an, ‘about me’ Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 14 sheet that gives opportunity to detail their interests and hobbies. Wherever possible staff encourage individuals to continue with these interests while resident at the home. A wide variety of social activities are arranged ‘in-house’ for the majority of evenings that include outside entertainers. Daytime activities include, card making on a two weekly basis, a therapy dog (and owner) visit each week and the hairdresser visits each Friday. Board games are also available in addition to a small library. It was observed that residents also enjoy talking with each other and genuinely seemed to enjoy each other’s company. To supplement in-house’ activities, outings in the home’s adapted mini bus to places of interest are arranged on a very regular basis. People spoken with confirmed that this is usual practice and very much enjoyed by those who choose to participate. Routines are flexible to accommodate individual need and up to date information regarding proposed activities and outings is verbally discussed with residents on a daily basis. People staying at the home are also encouraged to participate in local events during their visit. There is regular contact with outside agencies and organisations and the South Fylde branch of the Royal Air Force hold their weekly meetings at Richard Peck House that guests are invited to attend. One person staying at the home commented that every time he visits “there is a wonderful atmosphere” Emphasis is also placed on ensuring religious and cultural needs are respected. One relative commented on a Commission for Social Care Inspection survey form that staff at Richard Peck House “Helps people to be independent whilst they are staying there. Will offer support to take mum to church so she can attend the Sunday service” Another relative said that she had sent a list of food likes/dislikes and information about special foods that would be required during her mother’s stay at the home to address her specific dietary needs. These had all been provided. This person went on to say “Richard Peck House is a 5* care home. Staff are always pleasant and caring. Mum gets all the help she needs and more” The home is provided with a loop line system to enable people with a hearing impairment to effectively enjoy the radio and television during their period of residence. Although guests at Richard Peck House are normally only ‘on holiday’ for a period of one or two weeks, people are encouraged to invite visitors of their choice during the course of their stay. All visitors are made welcome and residents are able to entertain their visitor in the privacy of individual bedroom accommodation or in any communal area of the home. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 15 All individuals who become resident at Richard Peck House are encouraged to remain financially independent while staying at the home. Occasionally a person is admitted that requests assistance from staff either to hold monies or valuables in safekeeping. A secure, safe storage facility is provided for monies or valuables with appropriate records kept. Meals and mealtimes continue to be given high priority at Richard Peck House. All meals are of a high quality and standard and presented and served in restaurant style environment. Individuals spoken with were all extremely complementary with regard to the meals served in both quality and quantity. There is a wide choice of menu or an alternative of the resident’s choice is always made available if required. Meals served were described as “excellent” and “the chef is very good”. Prior to admission, prospective residents are asked to complete a dietary questionnaire to ensure the catering staff are prepared for any personal needs, preferences or wishes. Specialist diets in respect of religious, medical or cultural needs can be accommodated and the chef personally speaks with all residents on admission as part of the assessment process to clarify and confirm their dietary requirements. If a resident, who requires a specialist diet on medical grounds, chooses not to follow the required diet, i.e. diabetic diet, the person is asked to sign a disclaimer to this effect. Discussion with the chef confirmed that a very adequate budget is made available for the provision of food and the meals served always consist of fresh meat, fish, vegetables and fruit. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 16 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. The home has a good complaints policy and procedures with evidence that users of the service feel their views are important, listened to and acted upon. All staff have received training in respect of adult protection issues that helps protect people staying at the home from potential abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Richard Peck House continues to have a comprehensive complaint policy and procedure that are compliant with all requirements and recommendations. Complaints are rare. The home does however receive many cards and complements from people who have been resident at the home. Any complaint received would be acted upon immediately either by the registered manager or by the organisations headquarters staff. A compliment, comment or complaint leaflet is readily available in all communal areas of the home and in individual bedroom accommodation and there is also a detailed client satisfaction questionnaire covering a wide range of topics provide to each guest when they are going home. A number of completed questionnaires were observed during the course of the visit that provided very positive comments about people’s experience of staying at Richard Peck House. A suggestion box is also available for comments should an Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 17 individual not wish to approach a member of staff in person with their comment or concern. The relationship observed between staff and guests is extremely cordial and positive and residents spoken with all stated they would have no hesitation in raising any concern or complaint directly with the registered manager but ‘there is never anything to complain about, it’s a superb home”. Richard Peck House has available a variety of policies and procedures for the protection of users of the service. These include an Adult Protection Policy based on the `No Secrets in Lancashire` document and a whistle blowing policy to protect people from abuse or discrimination. As part of the mandatory training programme, all staff are provided with adult abuse training. The care team leader spoken with was very clear of her responsibility should an allegation of abuse be made by a service user. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 18 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 & 26 Quality in this outcome area is excellent. The internal and external environment at the home is maintained to a very high standard providing people who use the service with an attractive, safe and comfortable place to visit. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Richard Peck House continues to offer a safe and extremely comfortable environment that is maintained to a very high standard. The home is domestic in character and is designed to meet the needs and requirements of people accommodated. Communal accommodation is attractive and welcoming and all bedroom accommodation is provided with an en-suite facility. Since the last inspection, new equipment has been provided to the kitchen including an air conditioning unit, refurbishment of bedrooms is ongoing Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 19 including the provision of very high quality bedding. The conservatory and back dining room have been redecorated and the conservatory has also been provided with air conditioning units. New carpets and floor coverings have been provided to some areas of the home. New electric adjustable beds have been provided in some bedrooms. New overhead hoists that extend from bedroom to en-suite facility have also been provided to some bedrooms and one bedroom has been provided with a turn- table ceiling hoist. There is a programme of routine maintenance and renewal with records kept. Grounds are landscaped and well maintained with a car park facility to the side of the building. The premises comply with current requirements of the Environmental Health Department and Fire Service. CCTV cameras are installed as a protective measure but are restricted to entrance areas and the bar area of the home. Richard Peck House has procedures for the control of infection and safe handling of clinical waste. All staff receive mandatory training in respect of infection control that is updated on an annual basis. Protective clothing is also provided. The home had a separate laundry area that does not intrude on service users and the washing machine has the specific programming ability to meet disinfection standards. A system is in place whereby fouled laundry is placed in a special bag that is sealed before being taken to the laundry and then washed in the bag to prevent staff having to handle fouled laundry. Separate hand-washing facilities are also available in the laundry area and laundry floor and wall finishes are readily cleanable. People spoken with were all were all very pleased with the accommodation provided. One service user said that: “The bedroom and accommodation here is very comfortable”. A relative had written on a Commission for Social Care Inspection relative survey, “This is an excellent care home which is run to the highest standard”. When answering the question ‘what does the care home do well’ the same person stated, “Everything, care, well maintained, cleanliness and especially the meals. Mobility aids of all description are available – lifts, hoists, sit down showers, high toilet seats, high seating”. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is excellent. 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. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels at Richard Peck House are determined in accordance with the assessed needs of people accommodated. However the number of staff required is very dependent on the dependency needs and requirements of each group of people who enjoy a period of short-term residency at Richard Peck House. In the main, when additional staff are required, the existing staff group work additional hours. However, it is occasionally necessary for agency staff to be recruited. In these instances, the same member of agency staff who is familiar with the home and the ways of working is used in order to provide continuity of care and support. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 21 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. Exceptionally positive comments were made in respect of the staff group. One individual spoken with stated, “The Bible talks about guardian angels, well there are angels here”. Another resident said, “The staff are very caring and helpful”. A relative wrote, “Richard Peck House staff provides me with a good respite break, knowing that my relative will be well fed, warm, clean, medically safe and in the company of cheerful and obliging staff and friendly guests”. There is a clear commitment to the training and development of all staff at Richard Peck House. National Vocational Qualifications (NVQ) training is positively encouraged and currently of the eleven care staff employed, two members of the care staff team have successfully achieved a nationally recognised NVQ Level 3 qualification in care. In addition, eight members of the care staff team have achieved Level 2 of this award and two members of staff have achieved assessor awards. In addition, three members of staff are currently undertaking NVQ Level 3 and a further two have almost completed Level 2 of this award. This exceeds the minimum recommendations in respect of NVQ training. Since the last inspection, no new members of staff have been appointed. However recruitment practices at Richard Peck House continue to follow the corporate guidance to ensure that all newly appointed staff are properly vetted before they take up employment at the home. This protects users of the service and helps to make sure that newly appointed staff understand the philosophy of the home and would uphold the values practised. Induction training, complaint with ‘Skills for Care’ specifications is in place. Members of staff also undertake a variety of additional training appropriate to their role. Recently a number of staff have self-identified that they would benefit from bereavement counselling training and this is in the process of being considered. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 22 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 excellent. The manager is qualified, experienced and supported by the senior staff in providing clear leadership throughout the home. The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which include seeking the views of users of the service, staff and relatives. Financial procedures in respect of service users monies and the safekeeping of valuables is robust to protect the interests of service users accommodated. Systems are in place to ensure as far as possible the health and safety of service users, staff and visitors. This judgement has been made using available evidence including a visit to this service. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 23 EVIDENCE: The registered manager at Richard Peck House has extensive experience in running a care home and has successfully achieved the Registered Managers Award. The registered manager is clearly committed to ensuring the aims and objectives of the home are fulfilled and all people spoken with felt this to be well achieved. In addition, the manager has also undertaken further periodic training to increase her skill, knowledge and competence while running the home. There are clear lines of accountability within the home and the wider organisation. Effective quality monitoring and quality assurance systems are in place. There is an open and transparent style of management that values the views, comments and suggestions of all residents and staff. Richard Peck House regularly reviews aspects of its performance through a good programme of self-review and consultation. All recently arrived guests, attend an introductory meeting and are later provided with a guest survey questionnaire, 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. A number of these questionnaires were observed and consistently provided evidence of high regard that people felt about their period of residency at Richard Peck House. This information obtained from the questioners 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. To supplement the formal processes, informal processes are in place that includes daily dialogue with residents. This informal dialogue also helps to influence change. The external management of the organisation also conduct an internal quality audit on at least a monthly basis and the welfare manager visits every 2/3 months. Detailed feedback is then given to the wider organisation and registered manager. Resident’s financial interests continue to be safeguarded by the corporate financial procedures adopted by the home. However in the main, residents maintain their own monies during their short stay at Richard Peck House. A secure facility is provided for the safe storage of any monies or valuables held in safekeeping and all bedroom accommodation is provided with a locked storage facility for items of a personal nature. Records evidenced at the time of the visit confirmed that monies/valuables in safe keeping were well recorded with the individual resident signing the record when monies were taken out of safekeeping. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 24 Systems are in place for the formal and informal supervision of staff. The registered manager has delegated responsibility for staff supervision to a designated care team leader. Currently all members of staff have at least four individual supervisions per year. This is supplemented by group supervision that is generally prompted by the specific needs of an individual or if a new piece of equipment has been obtained. Given the small staff group, and the daily information sharing that occurs within the staff group, both the registered manager and care team leader spoken with felt that this level of individual supervision to be appropriate. In addition, individual staff appraisals usually take place on a three monthly basis. Richard Peck House ensures safe working practices are maintained through implementation of the home’s policies and procedures and staff training in respect of health and training issues. All members of the care staff team receive annual mandatory health and safety training covering a variety of topics including moving and handling, fire training, food hygiene, COSHH, medication safe handling, infection control and first aid training that is updated on a regular basis. All care staff have obtained the more advanced ‘First Aid At Work’ qualification and transport staff have the option of undertaking the basic first aid course or the more advanced course provided to care staff. It was noted that excellent maintenance records are kept and equipment is regularly serviced. Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 25 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 X X N/A 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 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 3 X 4 Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Richard Peck House DS0000033338.V332103.R01.S.doc Version 5.2 Page 28 - 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. 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