Latest Inspection
This is the latest available inspection report for this service, carried out on 26th May 2010. CQC found this care home to be providing an Excellent service.
The inspector found no outstanding requirements from the previous inspection report,
but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Peldon Campus.
What the care home does well Prospective people wishing to live at Peldon Campus, are assessed prior to admission so that they are able to meet the individual`s needs. People who live at the home and their representatives can raise concerns about the service freely and any complaints received are listened to, taken seriously and acted upon in a timely manner. People who live at the home are enabled to participate in a range of activities, which meet their social care needs. There is a quality assurance system in place so as to seek the views of people at the home and their representatives about the services and facilities provided at the home. Where comments have been made these have been incorporated into the main body of the report. What the care home could do better: The care planning system within the home would benefit from further improvements so as to ensure there are support plans in place for all of the identified needs of the person concerned. Medication practices and procedures in the home need to be improved so as to ensure people`s health and wellbeing. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Peldon Campus Church Road Peldon Colchester Essex CO5 7PT three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michelle Love Date: 2 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Peldon Campus Church Road Peldon Colchester Essex CO5 7PT 01206735279 01206735206 Telephone number: Fax number: Email address: Provider web address: www.autism-anglia.org.uk Name of registered provider(s): Name of registered manager (if applicable) Autism Anglia Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 21 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 21 Persons of either sex, under the age of 65, who require care by reason of a learning disability (not to exceed 21 persons) Date of last inspection Brief description of the care home Since the Annual Service Review on 22nd June 2009, a new complex needs unit for 3 people, John Jones House has been newly registered and the total number of people who can now be accommodated at Peldon Campus is 21. At the time of the site visit there were 20 people in total living at Peldon Campus, 2 people in John Jones House, 3 people in Ashton House, 4 people in Seymour House and 11 people in Peldon Old Rectory.
Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home The service is part of the Autism Anglia that has a number of care homes and other services in the Colchester area. The home provides structured support programmes tailored to the individual needs of the people living there. The range of monthly fees supplied to the Commission for Social Care Inspection (CSCI) on the 19th June 2007 and charged by the Society, is currently between £4,610:66 and £11,129:66, there are no additional charges. Information about the service, including inspection reports, are made available to prospective residents through a pack containing information about all of the services within the Peldon Campus, the Statement of Purpose, a current Newsletter, and literature regarding the Societies Jigsaw Study Centre. Peldon Campus is in a rural part of north Essex, approximately eight miles from Colchester Town Centre. Each unit has transport accessible to service users and public transport is available close by. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
This was an unannounced random inspection. The visit took place over one day by one inspector and lasted a total of 6 hours. The purpose of the site visit was to monitor compliance to the Outcome Groups relating to Personal Care and Healthcare, Concerns, Complaints and Protection and Conduct and Management of the Home. As part of the process a number of records relating to people who live in the home, support staff and the general running of the home were examined. Prior to the site visit, surveys for people who live at the home and support staff were requested to be sent to the home for distribution. We received 3 completed surveys from people who live at the home and 3 from support staff. We also looked at all the information that we have received, or asked for, since the last key inspection, including the Annual Service Reviews undertaken on 27th May 2008 and 22nd June 2009. Prior to this inspection, the manager submitted an Annual Quality Assurance Assessment (AQAA). This is a self assessment document, required by law, detailing what the home does well, what could be done better and what needs improving. Information given in this document has been incorporated into this report. Since the Annual Service Review on 22nd June 2009, a new complex needs unit for 3 people, John Jones House has been newly registered and the total number of people who can now be accommodated at Peldon Campus is 21. At the time of the site visit there were 20 people in total living at Peldon Campus, 2 people in John Jones House, 3 people in Ashton House, 4 people in Seymour House and 11 people in Peldon Old Rectory. The manager is employed at the home for 37.5 hours per week Monday to Friday and they are supernummerary to the staff roster. The manager is currently undertaking NVQ Level 4. The managers post is to be formally advertised and if they are successful in their appointment we were advised that an application to be formally registered with the Care Quality Commission will be submitted. The Deputy Director advised she will continue to have a presence at Peldon Campus for 2 days a week until a manager is formally appointed and registered with the Commission. The manager told us she feels supported by the organisation and that there is an open door policy at the home whereby staff, people who live at the home and others are welcome to meet with them to discuss any concerns or to raise issues that they wish to discuss. Practices and procedures for the safe storage, handling and recording of medication were examined as part of this inspection on each of the 4 units. Medication Administration Records (MAR) for 3 out of 4 units showed a number of unexplained gaps and omissions on the MAR record whereby it had been left blank and not signed by staff. The MAR records for one person showed the incorrect code was recorded by staff on several occasions. This refers specifically to the code D destroyed being consistently recorded when we were advised by a senior member of staff that the service user had been on social leave. The medication trolley on one unit was observed to have 2 bottles of medication that had gone past its expiry date (February 2010). When discussed with the senior member of staff we were advised that the medication was no longer prescribed for the service user. As part of good practice procedures we advised the manager that all packets and bottles of medication that are not included in the Monitored Dosage System (MDS) should be signed and dated when commenced. Where there are handwritten MAR
Care Homes for Adults (18-65 years) Page 4 of 11 records completed, not all MAR records inspected were double signed to confirm that the information recorded was accurate. One persons support plan made reference to them having one of their medications crushed and placed into a drink to take. No information was available confirming that consent had been agreed by the persons GP and that the pharmacist had been consulted so as to ensure that the medication remains effective when placed in a drink. We were advised by the Deputy Director of the organisation that there is currently no medication policy and procedure available and requests to the local pharmacy have repeatedly been made for this to be completed. Medication audits are not currently undertaken within the service. In light of our findings we discussed the value of undertaking these periodically. As part of this site visit we looked at a total of 4 support plans (2 in full and 2 in relation to specific healthcare needs). Records showed that each person had a support plan file. Records showed that admissions are not made to the home until a full needs assessment has been undertaken. Records showed that each person newly admitted to Peldon Campus had a pre admission assessment completed by the management team of the home prior to their admission and information recorded was noted to be comprehensive and detailed. Records for 2 people newly admitted showed they experienced a period of transition to the home over several weeks and there was a strong comittment by Peldon Campus to liaise with the persons current residential placement and/or school. Records relating to how each of the transition visits had gone was clearly recorded and these evidenced a positive experience for the service users concerned. One relative spoken with told us that they visited Peldon Campus prior to their member of family being admitted. Staff surveys forwarded to us confirmed that staff are given up to date information about the needs of the people they support. The support plans for the 2 newest people showed that not all of their care needs were clearly recorded yet one person had been living at Peldon Campus for the past 6 to 7 weeks and the other person had been at the home for 2 to 3 weeks. We discussed this with the Deputy Director of the organisation and the manager and while we recognise the staff team were still getting to know each persons care needs, a plan of care detailing all of their care needs and how these are to be met by staff is required to be completed. As a result of the specialist service provided at Peldon Campus for people with autism, appropriate communication systems and methodolgies are in place so as to ensure that the staff team can effectively communicate with the people who live there. People who use the service are given the opportunity to communicate effectively in order that staff are able to listen to their needs, wishes, choices and aspirations. One relative spoken with told us that there is good communication between themselves and Peldon Campus and they have been involved in their relatives annual review. They also told us that they are very happy with the care provided to their member of family. Risk assessments were completed for each person and these were seen to be detailed and comprehensive. Each risk assessment recorded the identified area of risk, degree of risk and the identified actions to be taken by staff to reduce the risk. Records showed that people have access to a range of healthcare professionals and services as and when required and these include GP, Dentist, Optician, District Nurse
Care Homes for Adults (18-65 years) Page 5 of 11 Services, Speech and Language Therapy, Dietician and Consultant Psychiatry and Psychology. People who live at the home are supported by staff to attend appointments and other healthcare checks. Each person has an individual Health Action Plan which provides an audit trail of visits to and/or by a healthcare professional. Information recorded includes the name of the healthcare professional or service, details of the visit, outcome and next appointment date where appropriate. The Health Action Plan for one person recorded them as having a significant number of allergies and food intolerances and having lost a considerable amount of weight in recent months. Records showed appropriate actions taken by the management team of the home to address the persons healthcare needs and there was evidence of positive links and interventions provided by healthcare professionals. Included within each support plan is a daily activity timetable. This records activities undertaken each day both in house and within the local community. Records showed that people are empowered and supported to follow their personal interests, hobbies and daytime activities of their choice e.g. television, films, walks, bowling, massage, external local clubs, computers, arts and crafts, horse riding etc. The AQAA details that to encourage fitness and well being, exercise such as aqua aerobics, swimming, cycling, trampolining, gardening and rambles are incorporated into peoples timetables. In addition people are actively encouraged to be involved with all daily aspects of their lives e.g. to go food shopping, help lay the table, to undertake laundry tasks etc. Information relating to how people can make a complaint or raise concerns is available within each of the 4 units and within each persons support plan. Information how people can make a complaint is in an appropriate format for people with autism and is provided in both a symbol and written format. From discussions with the Deputy Director of the organisation and the manager we were advised that in the last 12 months there have been no complaints. Appropriate safeguarding policies and procedures are in place. Within the past 12 months there has been 1 safeguarding referral. The Deputy Director told us that the safeguarding referral was upheld following an investigation and formal disciplinary by the organisation for one member of staff. From inspection of the staff training matrix not all staff working within the home have up to date SOVA training (Safeguarding of Vulnerable Adults). Records showed that training for some people relates to 2005, 2006, 2007 and 2008. Staff spoken with know how to respond in the event of an alert and to whom the alert should be raised. Autism Anglia have strategies in place for monitoring the quality of the service provided at Peldon Campus. This includes a member of the organisation visiting Peldon Campus once monthly as part of its obligation to undertake Regulation 26 visits and to compile a written report. The registered provider has a quality assurance system in place that includes obtaining the views of people who live at the home, their relatives and/or representatives and staff. Of those surveys inspected comments were noted to be positive and included Very satisfied with all the aspects of [name of service user] care, [name of service user] seems to enjoy themself and to lead a full life, The house is run very well and caters for their needs and We always consider ourselves very lucky that [name of service user] was allocated a place at Peldon. We appreciate the fact that they are happy there and that the staff take into consideration our well being as well as our member of family. Regular staff meetings are undertaken every 4 to 6 weeks and meetings for people who live at the home are conducted every 6 to 8 weeks. In addition
Care Homes for Adults (18-65 years) Page 6 of 11 there are regular senior and management team meetings. What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 7 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 8 of 11 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, 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 1 6 15 Support plans for individual people must identify all of their care needs and how these are to be met by support staff. So as to ensure that people receive appropriate care that meets their needs. 30/07/2010 2 6 15 Where medication is crushed 16/07/2010 and placed in drinks, ensure there is an audit trail detailing how the decision was reached and evidence that the medication remains effective. So as to ensure peoples health and welfare. 3 20 13 Ensure that any medication 01/07/2010 past its expiry date is returned to the pharmacy as soon as possible. So as to ensure peoples health and welfare. 4 20 13 Ensure that when medication 01/07/2010 is not administered to
Page 9 of 11 Care Homes for Adults (18-65 years) Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 people, records clearly record this, the rationale why they are not and any action taken to address the above. This is to ensure a clear audit trail and to ensure peoples health and welfare. 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 2 20 20 Hand written MAR records should be double signed, so as to ensure that the information recorded is accurate. All packets and bottles of medication should be signed and dated when commenced. Care Homes for Adults (18-65 years) Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 11 of 11 - 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!
