Inspection on 24/05/07 for The Penant

This inspection was carried out on 24th May 2007.

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

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

Other inspections for this house

The Penant 17/11/06

The Penant 21/03/06

The Penant 23/12/05

The Penant 05/11/04

The Penant 09/07/04

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

CARE HOME ADULTS 18-65 The Penant 7-9 Harold Road Clacton on Sea Essex CO15 6AJ Lead Inspector Neal Wolton-Harragan Key Unannounced Inspection 24th May 2007 10:30 The Penant DS0000054579.V340001.R01.S.doc Version 5.2 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 The Penant DS0000054579.V340001.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 Adults 18-65. 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. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Penant Address 7-9 Harold Road Clacton on Sea Essex CO15 6AJ 01255 475688 01255 475306 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) The Regard Partnership Limited Mrs Elizabeth Anne Barfield Care Home 10 Category(ies) of Learning disability (10), Learning disability over registration, with number 65 years of age (3) of places The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 10 persons) Three named persons over the age of 65 years who require care by reason of a learning disability The total number of service users accommodated in the home must not exceed 10 persons 17th November 2006 Date of last inspection Brief Description of the Service: The Penant comprises of two Victorian dwellings joined by a connecting door, located close to the sea front at Clacton on Sea and the amenities the area has to offer. The home is managed by one registered manager and accommodates six people with a learning disability. The accommodation offers single rooms all of which, bar one, have en-suite facilities. There are adequate communal and bathing facilities. The front garden is mainly laid as a hard standing for vehicle parking, with a small-bordered area. The rear garden is enclosed and is also mainly laid as a patio area with some small-bordered areas. The fee range for staying in the home is from £460.00 to £1,500.00 per week, with additional charges being made for items such as hairdressing, toiletries, magazines and personal shopping. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows a key inspection of The Penant that included an unannounced visit to the service on May 5th 2007. The judgements made within this report are based upon evidence found on the inspection visit along with information submitted by the service and feedback from service users, staff and other parties since the previous inspection. Mrs Elizabeth Anne Barfield, The manager of The Penant, was available throughout the inspection visit and took an active role in the inspection process. During this inspection 30 of the 43 applicable standards were looked at; all of these were met. During the visit to The Penant, people living at the home and staff were spoken with. All were positive about the home and the people living there appeared at ease and were happy to talk to the Inspector. Interactions between staff and the people living at The Penant observed during this inspection were positive. The visit to The Penant included an environmental tour of the home, discussions with people living at the home, staff and the home manager, as well as the opportunity to look at records of how people living at The Penant were supported and how the staff were recruited and trained. What the service does well: What has improved since the last inspection? Since the last inspection, funding has been agreed for improvements to the patio in the back garden and upgrading of laundry facilities. The manager is now waiting for a date for this work to start. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 6 Staff working at The Penant have received Protection of Vulnerable Adults training since the home was last inspected. 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. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the Pennant and their representatives, as well as those seeking to live there, have the information needed to choose a home which will meet their assessed needs and aspirations. EVIDENCE: The Penant has not admitted anyone since the last inspection and those living there have done so for a number of years. Discussions with the manager indicated that anyone who was seeking to move into the home would have their needs assessed to ensure the placement The Penant was appropriate for the person and that the home could meet their needs and aspirations. Part of this process would include the opportunity for the individual to visit the home before deciding whether to move in. The admission would then be on a trial basis before the person would need to decide if they wished to stay permanently. The examination of records showed that each person had an individual contract or statement of terms of conditions with the home as well as a copy of the service user guide. These documents were in an easy to read format with supporting pictures. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 9 The service user guide and statement of purpose contained sufficient information for someone seeking accommodation at the home although they did not include contact details for the local office of the Commission for Social Care Inspection. However, this has since been amended and the Commission has received revised copies of the home’s Service User Guide and Statement of Purpose. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Records for those living at the home were sampled during the inspection and showed that individual needs were assessed and were reflected within individual service user plans. These plans were subject to regular monitoring and review and changes in needs were identified and acted upon. The examination of records and discussions with people living at the home gave evidence that they were central to the decision-making processes within the home as well as playing a primary role within the care review system in place. There were regular service user meetings held at The Penant and minutes of these were available. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 11 Records showed that risk assessments had been undertaken and risks were managed and reviewed appropriately. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: All the people living at The Penant had full programmes of daytime activities. These activities included education, drop in centres and lunch clubs as well as individual shopping and shopping for the home. The home also undertook regular activities at evenings and weekends according to the needs and choices of individuals. Those living at the home reported that they often went to local pubs and restaurants for meals and enjoyed going shopping had having walks along the sea front. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 13 Most people had regular contact with their families and visits to the home by relatives and friends were encouraged. The manager reported that there was an ‘open door policy’ at the home and visitors were welcome at any reasonable time. People living at The Penant said that they were able to choose how to spend their spare time. People were encouraged to participate in domestic tasks and take responsibility for keeping their own rooms tidy. This was supported by discussions with staff as well as entries in individual records. From discussions with people living at The Penant the home it was possible to form the opinion that people felt their rights were respected. Observed interactions between staff and people living at the home showed that people were treated with mutual respect and dignity was upheld. Individual bedrooms had locks fitted although most living at the home had chosen not to use them. Discussions were individuals and the examination of records showed that a varied diet was offered with all nutritional needs being met. Staff stated that the menu was compiled jointly and that those living at the home participated in the shopping and meal preparation. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive at The Penant is based on their individual needs and the principles of respect, dignity and privacy are put into practice. EVIDENCE: Individuals spoken with were happy with the way they were supported at The Penant and this was reflected within the care plans examined. Some people had an understanding of the contents of their individual plans and all had contributed to their development and review. Care plans identified individual needs, as well as the choices made as to how these needs were to be met. Care plans were well detailed, regularly monitored and formally reviewed at appropriate intervals depending on individual need. There was an ongoing process of review to take account of the changing needs of individuals and the services of healthcare professionals such as community nurses, speech and language therapists or psychologists were accessed as necessary. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 15 Medication was appropriately stored, administered and recorded and the medication policies and procedures at the home afforded protection to those living there. No one living at the home was administering or controlling their own medication at the time of this inspection. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at The Penant can expect their views to be listened to and acted upon and to be protected from abuse, neglect and self-harm. EVIDENCE: The home had a robust complaints procedure that included contact details for the Commission for Social Care Inspection and was distributed to all people living at The Penant. The adult protection policies and procedures were adequate to protect service users from abuse and where individuals presented with behaviours likely to cause self-harm, these behaviours were identified within their care plans and management strategies devised. The Manager had copies of the Essex Vulnerable Adults Protection Committee guidelines and would refer to these in the event of a Protection Of Vulnerable Adults issue being raised at the home People spoken with on the day of inspection said that should they have concerns or complaints they thought these would be taken seriously by the staff and manager of The Penant and appropriate actions would be taken. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables people to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The environmental tour of the pennant showed the home to be homely, well maintained and pleasantly decorated. Furniture was over the quality not sure what you are saying and in proportion to the rooms. Individual bedrooms were appropriately furnished and equipped and individuals had been able to have their rooms decorated to their own personal taste. Most rooms had en-suite toilet facilities, some also benefited from en-suite baths or showers. The building was in keeping with the local community and offered easy access to local community facilities. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 18 The service comprised of two semi detached houses that were linked internally by a door on the first floor. Externally, there was one large garden with a second, smaller paved garden. At the previous inspection, the paved garden was of concern due to the potential trip hazards present and funding has now been released for this area to be improved. The home’s laundry facilities were housed in outbuildings that will also be upgraded as part of the external improvements. All areas of the home visited as part of the inspection were clean and hygienic. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained and skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Examination of staff records, as well as discussions with the manager and staff, gave evidence that care staff had a good understanding of their roles and responsibilities and that staff were cords qualified and competent. Staff spoken with on the day of inspection stated that training was regularly made available and the manager fully supported staff in meeting their training needs. Records examined showed that staff had received induction and mandatory training with ongoing refresher training. Records showed that staff received regular formal supervision. Examination of staff rotas showed that staff were employed in sufficient numbers to meet the needs of those living at the home , creating an effective staff team. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 20 Staff records gave evidence that the home’s selection and recruitment policies and procedures were effective and adhered to with all required checks and documentation being available for inspection. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The home continued to be managed in an open and inclusive manner and staff spoke positively of the working atmosphere. The manager has many years of experience in the field of learning disabilities and has achieved the NVQ level 4 Managers Award. The manager was able to provide evidence of undertaking periodic training to enable them to remain up to date with current best practice and theory. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 22 Discussions with people living at the home and the examination of records indicated that The Penant was managed in such a manner that considered the views of those living at the home. This was done through the home’s quality assurance process that was managed at a corporate level and included regular service user meetings, staff meetings and questionnaires to a range of stake holders including those living at the home, staff, relatives and other interested parties such as community nurses and social workers. The collation of these had enabled action plans for the home to be developed. In addition to this there was evidence of regular Regulation 26 visits by the Responsible Individual to monitor the effectiveness of the service. Record keeping at the home was of a good standard and showed that the health, safety and welfare of those living at the home was promoted and protected. Fire detection and protection equipment was regularly serviced as were electrical appliances and hosting hoisting? equipment. The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 3 X The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 The Penant DS0000054579.V340001.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!