Care Home: 2 Perhaver Park

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What the care home does well The home and the care offered is totally directed at meeting the care needs and ensuring the welfare of the resident. The home operates as a family unit. What has improved since the last inspection? The resident continues to be happy, safe, and well in a family environment. What the care home could do better: There is nothing the registered provider`s could improve that would have a meaningful outcome for the resident. CARE HOMES FOR OLDER PEOPLE 2 Perhaver Park 2 Perhaver Park Gorran Haven St Austell Cornwall PL26 6NZ Lead Inspector Alan Pitts Unannounced Inspection 7th March 2008 10:00 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 2 Perhaver Park DS0000009076.V359851.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. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Perhaver Park Address 2 Perhaver Park Gorran Haven St Austell Cornwall PL26 6NZ 01726 842835 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) Mr Frederick Cecil Scott Mrs Maureen Scott Position Vacant Care Home 1 Category(ies) of Learning disability over 65 years of age (1) registration, with number of places 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th February 2007 Brief Description of the Service: Perhaver Park is a privately owned home, which offers accommodation over two floors. It is situated in a quiet residential location, in the village Gorran Haven. There is one resident who has lived as part of the family for many years and there are no plans to accommodate another person. The owners live on site and provide personal care to one resident. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the person who uses this service experiences excellent quality outcomes. This unannounced inspection took place on 7th March 2008, over a period of approximately 1.5 hours. The service user has lived with Mr & Mrs Scott for approximately 24 years as part of the family unit. The registered providers know the resident very well and have no plans to accommodate another resident. There is some difficulty in writing a meaningful report whilst protecting the anonymity of the resident, and for this reason this report is not as descriptive as might be expected in multi-occupancy homes. The registered providers offer an excellent service to the resident. What the service does well: 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. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 6 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 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 7 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, 6 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. This is an established home, and there is an established bond between the registered providers and the resident. EVIDENCE: The registered providers have produced a Statement of Purpose, which is suitable to the home. The resident has lived at Perhaver Park for approximately 16 years, and has known the providers for another seven years prior to this. The resident is actively involved in every aspect of daily life and therefore has all the information necessary in order to make considered judgements. No future admissions are planned for this home. Standard 6 is not applicable. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 8 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 excellent. This judgement has been made using available evidence including a visit to this service. The service user’s health and social care needs are fully met in a family environment that respects the rights and dignity of the individual members. EVIDENCE: The registered providers and the resident confirm that a high standard of care is offered, both in terms of social activities and medical aspects of care. The registered providers and the resident confirmed appropriate contact with other agencies as necessary (such as the General Practitioner, Nurse, Optician and Dentist). Aids have been provided as necessary to improve the residents’ quality of life. Medication is regularly reviewed and administered appropriately. The resident is completely included in care provision, including medication, and independence in daily living is encouraged wherever possible. Facilities are provided to allow relatives and friends to stay when visiting the resident. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident and registered provider live as a family and the former has a full and equal say in the menu, and the social/recreational activities enjoyed. EVIDENCE: The registered providers and resident live as a family. There are no fixed activities or routines within the home, though regular contact with friends and groups is evident. The resident enjoys a very full and varied social life, fully participating in all aspects of the daily life of the family. Regular holidays and activity breaks are taken as a family, and a number of breaks have already been booked for later this year. The resident is able to enjoy a full and stimulating life style with a variety of options to choose from. The home has seeks the views of the resident and considers their wishes and abilities when planning the routines of daily living and arranging activities. Routines are very flexible and the resident can make choices in major areas of their life. The resident is encouraged and assisted to maintain contact with friends. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 10 The menu is determined by ‘the family’, the resident having an equal say in this. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 11 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, 17, 18 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The resident enjoys all the rights and privileges of an adult family member. EVIDENCE: The resident is able to communicate wishes, needs and concerns. The resident has good contacts with other agencies and services, and therefore the opportunity to express any concerns. The resident has a clear understanding of how to make a complaint and is aware of what can be expected to happen if a complaint is made. The resident states that they are happy with the service provision, feeling safe and well supported. The resident is registered on the electoral roll. The registered providers are very clear when an incident needs external input, and are open in discussing incidents with external bodies (CSCI, local adult protection) to clarify difficult judgements. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 12 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. This judgement has been made using available evidence including a visit to this service. The resident and registered providers live in a well maintained, clean, and very pleasant home, which is suitable for its stated purpose. EVIDENCE: The resident and registered providers live in a very pleasant domestic setting, which affords the resident a very high standard of individualised, spacious accommodation. There are excellent ‘service’ facilities in the form of lavatories, bathrooms, laundry and kitchen. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are no staff employed within the home, and the registered providers give personal care. EVIDENCE: Standards 27 to 30 are not applicable. There are no staff employed within the home, only the registered providers give personal care. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 14 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, 38 - Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The best interests of the resident are promoted at all times within a family unit. EVIDENCE: There is no staff, and therefore no manager, employed within the home. The home is a comfortable, modern residential property; the registered providers and resident live together as a family. The registered providers have been providing care to the resident for approximately 24 years. It is the inspector’s opinion that the experience of the registered providers over this time, and the residents’ standard of life, far outweighs any necessity for the National Vocational Qualification Level 4 in Care and Management. The property is very well maintained and the registered provider has a very good awareness of the 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 15 residents’ care needs and capabilities. Fire equipment is properly maintained. The resident looks after their own financial affairs. 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 16 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 4 4 4 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 4 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 N/A 28 N/A 29 N/A 30 N/A MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score N/A X 4 X 4 X X 4 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 17 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 2 Perhaver Park DS0000009076.V359851.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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