Care Home: Peasholm Court

What the care home does well People living at Peasholm Court are able to dictate their own lives within the structure offered by residential care. They are encouraged to remain responsible for their own living space and for their own actions and staff provide guidance throughout the day. This means that they continue to keep as much of their independence as possible. People`s needs are properly assessed so that they know they will receive the support they require. They engage in the process of deciding on mealtimes and assist with the shopping, so they are developing their independent living skills. Personal health care and support are identified in the care plans and both of the people living at Peasholm Court can access local health care facilities, either independently or with support. Feedback received from visiting professionals was positive in that the staff were supportive of the persons individual needs and worked with them to achieve independence. The premises are well maintained and meet the current requirements of the local Fire and Rescue Service. What has improved since the last inspection? The registered providers have worked to improve the working relationships with the local mental health teams. They have also increased the number of social activities available to the people living at Peasholm Court. What the care home could do better: There has been nothing major identified at this inspection as needing improvement. The registered providers are advised however, to have all their portable electrical appliances serviced annually to ensure they remain safe to use. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Peasholm Court 99 Peasholm Drive Scarborough North Yorkshire YO12 7NB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pauline ORourke     Date: 0 8 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Peasholm Court 99 Peasholm Drive Scarborough North Yorkshire YO12 7NB 01723362333 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr James Bhagwutt Seegoolam,Anne Marie Seegoolam Name of registered manager (if applicable) Mr James Bhagwutt Seegoolam Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Peasholm Court is a family run care home registered to Mr and Mrs Seegoolam to provide personal care and accommodation to a maximum of 3 younger adults with mental health problems. Mr and Mrs Seegoolam are the registered providers and Mr Seegoolam is the registered manager. The home is a large detached building that is situated in a residential area of Scarborough. Local community amenities and facilities are within walking distance and there is a good bus service in to town. Each of the bedrooms is for single accommodation, two of which have ensuite facilities while the third has an adjacent bathroom and toilet. These are situated on the first floor and are accessed via a staircase. There are well-maintained garden areas and parking is available on the road. Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 3 Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk The key inspection has used information from different sources to provide evidence for this report. These sources include: - Reviewing information that has been received about the home since the last inspection - Information provided by the registered person on an Annual Quality Care Homes for Adults (18-65 years) Page 6 of 26 Assurance Assessment (AQAA) - Comment cards returned from both people living at Peasholm Court, two health care professionals and one social care professional. - A visit to the home carried out by one inspector that lasted for three and a half hours. During the visit to the home both people living there, and two staff were spoken with. Care records relating to people living and working in the home and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at Peasholm Court for the people living there. Mrs Anne Seegoolam was available to assist throughout the visit and was available for feedback at the end of the inspection. A Statement of Purpose and Service User Guide are available in the home on request. A copy of this report will be included when published. The fee level notified on 8th December 2008 is from two hundred and seventy five pounds upwards depending on assessed needs and availability of funds. The fee includes personal care, accommodation all laundry with the exception of dry cleaning and transport costs when people go out as a group with the providers. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs would be properly assessed prior to admission ensuring they could be met. Evidence: There have been no new admissions for two years. There is a clear admissions policy in place and discussion with the management revealed it is thorough. Information is given to anyone looking to move in to Peasholm Court and/or their relatives or guardians. People looking for residential care have to be referred through the care management process and are subject to a multi-disciplinary assessment. The manager is involved in this process and would be mindful of the current occupants of the home in trying to maintain balance. Any placement made is initially on a trial basis to ensure that the available staffing is suitable to meet their needs and the interactions with the other people in the home are appropriate. Care Homes for Adults (18-65 years) Page 10 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The overall safety and welfare of the people in the home were well promoted through good care planning and risk assessment procedures. Evidence: The two people resident at Peasholm Court have care plans and these were seen during the visit. They simply outline the level of support each person requires and there was some evidence to show they are reviewed every six months. The plans include some risk assessments and discussions with one member of staff showed a good understanding of each person in the home. Both of the people in the home were spoken with and they are aware of their plans and said that they were involved in a meeting about the plan on a regular basis. One person said they were free to come and go as they wished. None felt any undue restrictions had been placed on them. They were aware of their risk assessments and those situations that could pose a danger to their overall welfare. One person said I Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: am happy at Peasholm Court. Been here for a few years and the staff are helpful Care Homes for Adults (18-65 years) Page 12 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Peasholm Court are able to exercise control over theri diet and what they eat. Evidence: Both people in the home said that they could if they wanted to go out in to the community and take part in the cultural and social life of the town. Although one person said he was more than happy away from a lot of people and enjoyed his own space. The routines of the home are designed around the people living in the home. Whilst a number of rules were in place, for example restrictions on smoking, these were designed for the overall benefit and safety of everyone. Both of the people in the home felt there were few rules and understood why these were in place and they generally accepted them. Occassionally they admited that the rules might be broken. Restrictions on smoking were recorded in the terms and conditions of residence. Any Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: similar restricitons with regard to alcohol or other substances were shown on their individual care plan. The care plans outlined the family support and contact details whilst conducting the visit one person told of his plans for Christmas and this invovled a visit to his fmaily. The people in the home have personal photographs displayed in their rooms of their family and friends with whom they have contact. One person said I am happy where I am and visit my mother from time to time. Keeping well One person confirmed he had a key to his bedroom and to the front door. They both said they had access to all parts of the house and to the gardens. One of them spoke about helping with domestic tasks including keeping their rooms clean, assisting with the laundry and doing some cooking. They can choose on a daily basis what they want to eat although a regular menu is maintained. They also help on a daily basis with the grocery shopping and can influence what they have at meal times. Both people living in the home also said that the staff respect their privacy and always knock before entering their rooms. One person said the staff respect me and treat me well Care Homes for Adults (18-65 years) Page 14 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Clear comprehensive arrangements were in place to ensure peoples physical and health care needs were properly met. Evidence: The care plans identified the level of support required pertinent to the individual concerned. The people living in the home confirmed that the staff provide support as and when required whether that be guidance or physical help. Both of the people in the home said they did their own shopping for clothes and other personal items. Neither of them required any specialist equipment. Both are able to use the facilities provided in the home without the need for any form of aid or adaptation. Both people in the home are registered with a local GP and evidence was available in their files to show that they had received appropriate dental and optical care. The staff at Peasholm Court have a good working relationship with the local community mental Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: health team and if necessary can call on them if they need support and assistance. Feedback received from health professionals included: we at Community Mental Health teams are satisfied by the level of care and general support they provide with their residents - open communication between our services and Very aware of complex needs of this client group and always phone or contact or mental health services if required One person is on medication and he manages this himself. The medication is kept in a locked cupboard in hi room and staff help him to access the medication when necessary. Staff monitor when he takes his medication and record this in his daily records. Care Homes for Adults (18-65 years) Page 16 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people in the home are aware of the complaints process and are protected from harm and abuse through the staffs knowledge of the Adult Protection Policy. Evidence: A complaints policy is in place and the people spoken with, confirmed that if they were unhappy with anything they would be confident enough to tell the providers. One said if I wanted to make complaint i would speak to the staff with my brother the other said I could complain to my social worker but normally approach Anne They also said that they have people outside the home who would help them if they were unhappy. These contacts include community psychiatric nurses, volunteers in the local MIND support group and at least one of the people in the home has access to a care manager. There is a monthly meeting with the providers and the people who live at Peasholm Court and any general issues are discussed and minutes are kept of these meetings. There is an Adult protection Policy in place and this includes the local protocols in the event of suspected abuse taking place. In discussion staff were confident that the protocols would be followed appropriately if needed. The people living in the home, with support from their families manage their own Care Homes for Adults (18-65 years) Page 17 of 26 Evidence: finances. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment is good providing people with a homely place in which to live. Evidence: The building remains in a good state of repair internally and externally. People have single rooms, two with ensuite facilities and one with exclusive use of an adjacent bathroom. One bedroom was seen with the persons permission. He said I am very happy with the room. It has everything I need. The staff see this as my space Throughout the inspection there was a problem with the central heating system and individual heaters had been provided to ensure the bedrooms and communal spaces were kept warm. Risk assessments were in place for these heaters. Those parts of the premises seen were clean, tidy and odour free. Good systems were in place for the laundering of bedding, linen, towels and personal clothing. Proper attention was given to matters of hygiene and infection control. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported and protected from harm through the registered providers recruitment and selection policies and procedures and through staff training. Evidence: The staff team comprised of the registered providers and two staff members both of whom are related to the providers. No other staff are employed. Three of the staff have a relevant nursing qualification and hold current Nursing and Midwifery Council registrations. Job descriptions were available should it be decided to appoint further staff. A recruitment and selection policy and procedure are in place. This made clear reference to the need for a thorough and detailed examination of any person applying for employment including a specific note about the need to obtain written references and an enhanced disclosure from the Criminal records Bureau. There have been no new staff employed in the home for two years. The providers do not envisage employing anyone else within the home and have decided that further admissions will take the current staffing availability in to account. Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: Enhance disclosures were available for the registered providers and staff. People living in the home were complimentary in their remarks about the registered providers and staff. A good rapport was noted between the two groups. Staff continue to update their training and this enables them to continue to provide appropriate support. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed and safe environment. Evidence: The registered providers are experienced at managing the home and other services, they work as part of the team and have an open door policy so people can speak to them at anytime. An audit tool designed to seek feedback on the performance of the staff and home has been produced and implemented. The information gathered through these questionnaires and through the monthly house meetings is used to help develop the service. Policies and procedures relating to the home were available. The registered person and staff were aware of their responsibilities with regard to the maintenance of a safe and secure environemnt. A sample of health and safety certificates were seen during the visit and these documents were up to date. It is recommended that the providers have Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: all the potable electrical appliances tested annually to ensure they continue to be safe to use. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 42 The registered providers should have all portable electrical appliances teested annually to ensure they are safe to use. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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