Latest Inspection
This is the latest available inspection report for this service, carried out on 19th February 2010. CQC found this care home to be providing an Good service.
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.
For extracts, read the latest CQC inspection for Pepenbury.
What the care home does well All service users cash seen at the time of this inspection was stored securely and individually and tallied with records kept; records seen were generally maintained appropriately. Since the last key inspection the service has developed a new auditing system which aims to protect service users financial interests. What the care home could do better: There are some gaps in audit procedures. There are no recorded assessments of service users capacity regarding financial procedures. Thematic inspection report
Care homes for adults (18-65 years)
Name: Address: Pepenbury Cornford Lane Pembury Tunbridge Wells Kent TN2 4QU two star good service 16/07/2009 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 thematic inspection of this care home. A thematic 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: Helen Martin Date: 1 9 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Pepenbury Cornford Lane Pembury Tunbridge Wells Kent TN2 4QU 01892822168 Telephone number: Fax number: Email address: Provider web address: stevemcdermott@pepenbury.info www.pepenbury.info Name of registered provider(s): Name of registered manager (if applicable) Mrs Alyson Moseley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Larkfield Hall Ltd care home 70 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 70 The maximum number of service users to be accommodated is 70. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home Pepenbury offers a range of services and support for adults with a learning disability. A large part of this is the care and accommodation for up to seventy adults on the main Pepenbury site near the outskirts of Tunbridge Wells. The centre of Tunbridge Wells is
Care Homes for Adults (18-65 years) Page 2 of 9 1 6 0 7 2 0 0 9 Brief description of the care home approximately two miles away and local facilities are available in the village of Pembury. Service users are accommodated in eleven detached houses, each with its own manager, staffing structure and records. There are extensive grounds which include day service facilities, a swimming pool, a shop, cafe, gardens, animals, a woodland area and the organisations main administrative premises. Items produced and vegetables grown by service users who live on the site and those who attend day services are on sale to the public. Pepenbury provides a service for people with a range of different needs. For example, two houses are semi independent living accommodation whilst another two support people with challenging behaviour and more complex needs. Staffing levels vary across the houses depending on the needs of service users. Full details of the services provided and the fees charged are available from the Manager. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
Pepenbury offers a range of support for adults with a learning disability on the main site at Pembury, where the service is registered to provide care and accommodation for up to seventy adults. This Random Inspection was undertaken on 19th February 2010, where the Chief Executive and Responsible Individual, the Registered Manager, one House Manager, four Support Workers and two service users were spoken with. The focus of this inspection was to look at the systems in place to protect service users financial interests following issues raised during previously closed safeguarding investigations. Four out of the eleven houses, Willows, Fern, Robins and Pines, were visited and their individual facilities and systems assessed. Records were examined for eight service users, two from each house. Some assessments of the service provided were taken from observation and conversation. All of the above have been included within this inspection process and a summary of some of the gathered evidence is mentioned where appropriate. This random inspection report includes service users financial interests only and therefore should be read in conjunction with the previous key inspection report of 16th July 2009, which looks at all core standards. During this Random Inspection of 19th February 2010 we found the following: The service has a system in place, which aims to protect the financial interests of people who live there and small amounts of cash are held on behalf of some service users. Cash seen was stored securely and individually. The system in place includes tagged pouches with tag numbers. The latter together with service users cash are checked and recorded daily at staff shift handover. Since the last key inspection the service has developed a new auditing system which aims to protect service users financial interests. All cash seen at the time of this inspection tallied with records kept; records seen were generally maintained appropriately although there are some gaps in audit procedures. Transaction records are maintained by staff for service users cash and bank account activity. Those seen were maintained appropriately. Receipts seen tallied with entries in records for purchases made. The majority of purchases made were confirmed by a receipt, although a few were not. There is no system of receipts or invoices in place for chiropody. In two houses, Fern and Robins, although cash tallied with receipts and records kept, the process of auditing was complicated by the amount of expenditure only being present on receipts and not detailed in transaction records. Receipts are not always routinely given to all relatives when they give cash to staff for service users. A system is in place for the reconciliation of records, bank statements and any cheque books. Care Homes for Adults (18-65 years) Page 4 of 9 Audits are undertaken by the service finance department. Although largely undertaken by one individual, they have not signed the list of staff who have access to service users cash and transaction records. The Responsible Individual explained that although they had not undertaken any specific financial training, supervision was provided by people experienced in auditing. Audits are entered in transaction records and separate records are kept for individual service users. Three audits have been undertaken between 1st January 2010 and 19th February 2010. Records seen were signed and dated with the exception of one. Bank records showed that one service users savings account had not been audited since the beginning of December 2009. This was immediately undertaken by the Registered Manager on the day of inspection, who stated that the minor discrepancy identified was due to interest accrued. Although statements confirmed no activity, another service users savings account had no equivalent bank transaction records and therefore no audit trail. These accounts were not identified in the finance departments audit of 10th February 2010. All purchases for service users seen in Robins House were confirmed by a receipt with the exception of one. This was not identified in the finance departments audit of 10th February 2010, which indicated that all receipts were present. Care plans include information regarding service users financial issues. The amount of detailed information varies. All care plans seen were up to date with the exception of two which were in need of review. The Registered Manager said that this would be undertaken shortly. Although recorded and known by managers, the name of the service users appointee is not routinely included in care plans. There are no recorded assessments of individual services users capacity regarding financial issues and procedures. The Responsible Individual stated that these would be recorded shortly. One service user spoken to on the day of inspection held their own money and explained the system in place. Staff on duty were not so clear. A detailed care plan and risk assessment is available, although there is no record of the service users capacity to look after their own money. The finance department does not audit cash for this individual. Confirmation of visits to the bank by service users and staff were recorded in all daily records seen with the exception of one. Signature lists are maintained for staff who have access to service users cash and complete transaction records. Whilst it was evident that many staff had signed these, at the time of this visit, three members of staff on duty in three houses, Willows, Fern and Pines had not. The latter signed the records immediately on the day of inspection. New policies and procedures have been provided for staff regarding service users financial issues. These are available in each house. Staff sign records to say that they have read and understood these. In Willows House only two staff signatures were present. Records about visits from representatives of the Provider are made. The House Manager
Care Homes for Adults (18-65 years) Page 5 of 9 explained that these visits are made on a monthly basis to different houses; therefore each house receives a visit approximately every three months. Some records of these visits include checks of financial procedures and some do not such as the last visit to Fern House in January 2010. The service did not hold any bank cards on behalf of service users looked at during this inspection. The House Manager explained that the service was in the process of developing a system for auditing service users belongings and any valuables. The Responsible Individual, Registered Manager and House Manager stated that previous safeguarding investigations regarding issues relating to service users finance had been closed. A current police investigation regarding allegations made was not mentioned. When visiting Robins House, it was noted that there was one member of staff on duty with seven service users, one of whom uses a wheelchair. Although the staffing roster detailed two staff on duty, one was in practice covering for staff absence in Willows house. Neither the House Manager nor the Senior Support Worker were rostered on duty. The House Manager for Fern House contacted the Duty Manager for the service who arrived immediately and assured the inspector that they would be present in the house until 22.00 when the next staff shift arrived. 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 6 of 9 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 7 of 9 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 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 Care Homes for Adults (18-65 years) Page 8 of 9 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
