Care Home: Richard Peck House

What the care home does well Richard Peck House continues to provide an excellent service to the people staying there. The personal qualities of the staff team are highly valued as is the care and support provided. The home is very comfortable and well maintained and a wide range of activities and outings are arranged on a very regular basis. The meals are of high quality, nutritious and varied. Without exception, people staying at the home that were spoken with, were full of praise for the care, support and kindness received. What the care home could do better: Richard Peck House continues to be very well managed and all staff work hard to maintain very high standards. At this random inspection, no requirements or recommendations were made. Inspecting for better lives Thematic inspection report Care homes for older people Name: Address: Richard Peck House 1 St Thomas Road Lytham St Annes Lancashire FY8 1JL 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a thematic inspection of this care home. A thematic inspection is a short, focussed inspection. 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: Denise Upton Date: 0 5 0 3 2 0 0 9 Information about the care home Name of care home: Address: Richard Peck House 1 St Thomas Road Lytham St Annes Lancashire FY8 1JL 01253725519 01253725063 ann.mulvey@rafa.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Royal Air Forces Association care home 9 Number of places (if applicable): Under 65 Over 65 7 0 old age, not falling within any other category physical disability Conditions of registration: 0 2 The registered person may accommodate up to a maximum of 9 older people when not utilising those places for younger adults with a physical disability. Date of last inspection Brief description of the care home Richard Peck House is owned and managed by The Royal Air Force Association (RAFA) and joint funded by The Royal Air Force Benevolent Fund. The home provides short welfare breaks to service personnel and their relatives in a comfortable, hotel style environment. The accommodation registered with the Commission for Social Care Inspection, provides residential accommodation for up to nine people who are assessed as requiring assistance with personal care tasks. In addition, other people are accommodated who are self-caring and do not require this level of support. The internal environment made available to users of the service and their relatives is welcoming, comfortable and maintained to a very high standard. All bedroom Care Homes for Older People Page 2 of 10 Brief description of the care home accommodation is provided with an en-suite facility and appropriate aids and adaptations are provided to promote independence including the provision of a passenger lift and ramped access to enable ease of access throughout the building. The home is conveniently located in a residential area of the town close to the main shopping area and community resources and facilities. A small library is provided; table games are available and `in-house` entertainment is arranged. This is supplemented by very regular outings and trips in the homes adapted minibus. The external environment provides a garden/patio area with seating and a car park to the side of the building. Care Homes for Older People Page 3 of 10 What we found: This short, unannounced, truly random inspection, was made to make sure that the home continued to provide an excellent service for the people who visited. On this occasion we looked at nine of the key minimum standards. This gave us a good overview of the service provided so that a judgement could be made regarding the quality of care and support given. We spoke with the homes manager, five residents that were staying at the home and one relative. A number of records were viewed and a brief tour of the building took place looking at communal areas of the home. This all helped to form an opinion as to whether Richard Peck House was continuing to provide an excellent service. Prior to admission, a pre admission assessment of current needs and requirements is undertaken. As people that enjoy a short break at Richard Peck House live in various parts of the country, it is initially one of the organisations welfare officers who visits the prospective resident in their own home to assess if the person qualifies for a period of short-term care at Richard Peck House and to initially establish if their individual strengths and needs could be met. Since the last inspection, the training for the organisations welfare officers has been strengthened and now includes a three day course at Birmingham University that covers a wide range of topics including important information that must be established during the pre admission assessment and report writing. This helps to ensure that the manager at Richard Peck House has sufficient information to make an informed decision as to whether the needs and requirements of a specific individual could be met. Prospect residents are also provided with a self assessment form to complete about their medical and health care needs as well as any support that may be required in respect of personal care. If there is any concern about a medical condition, with the prospective residents consent, the manager at the home contacts the individuals General Practitioner (G.P.) to discuss. Prior to admission the manager also telephones the prospective resident to confirm that the information on the self assessment form remains current, including any health needs and requirements. Once it is established that the individual needs and requirements could be met, a letter is sent to the prospective resident confirming details of the short break and that their requirements could be met at the home. The self assessment information provided is again confirmed on arrival at the home. A number of residents were spoken with during the course of the visit, all confirmed that a thorough needs assessment had been undertaken prior to their visit to the home. It was consistently stated that You cannot fault them, the service is marvellous. Care plans are structured, person centred and clearly advise staff of the level of assistance or help required. This means that staff know exactly what they needed to do to help the person to meet their needs in a way they prefer. The care plans focused on what people were able to do for themselves, which helps them to maintain their independence. Once the care plan is devised, the content is discussed with the Care Homes for Older People Page 4 of 10 individual resident to make sure that the intended support will meet individual requirements. Where necessary, appropriate risk assessments are also undertaken with significant outcomes incorporated into the care plan. This is to help protect the resident from risk or harm. However on some occasions, over the first few days, it becomes apparent that the initial information provided is not necessarily accurate. In these instances, the care plan is reviewed and amended in order to provide the required level of care and support. Likewise, if a residents needs change over the period of time they are staying at the home, the care plan is reviewed and amended to reflect the new requirements. People staying at the home spoke very highly of the care and support offered and the qualities of the staff team. One person told us that staying at the home was, Wonderful respite for me, lovely feeling that if I need help I have it. The staff are very, very caring, it is very difficult to find fault. The social care programme at Richard Peck House is excellent. A wide range of social activities and outings are arranged. From direct observation during the course of the visit, it was clear that residents could choose to attend an activity or enjoy a planned outing in the specially adapted 17 seater mini bus or simply enjoy a relaxing morning staying at home. People spoken with were very pleased with the two weekly social programme that includes live entertainment six nights a week from visiting artists, very regular visits to places of interest such as Morecambe, Southport, Boundary Mill or more local towns such as Garstang, Fleetwood Market and Cleveleys. Visits are arranged to a local theatre and sports events are accessed such as cricket matches. In addition, there are board games available, there is a small library that guests can access, card making is arranged and some residents enjoy a walk along the promenade or to visit the local shopping centre. Time was spent talking collectively with a number of residents in the main lounge area of the home. It was very evident that these people just enjoyed talking with each other and gained a lot of pleasure from each others company. As one person said, We are all kindred spirits (RAF) and have a lot of shared interests and a lot to talk about. There is also regular contact with outside organisations. The South Fylde Branch of the Royal Air Force Association hold their weekly meetings at Richard Peck House that guests staying at the home are very welcome to attend. The people spoken with were extremely complementary about the meals provided at Richard Peck House. Meals and mealtimes are given high priority. All meals are of high quality and standard and presented and served in a restaurant style environment. There is a wide choice of nutritious and appealing foods served at each mealtime and although there are daily meal choices, if a resident did not wish to eat from the daily meal choice, an alternative would be provided. Prospective residents are asked to complete a food list prior to their admission listing their dietary likes and dislikes. This information is held in the dining room to enable staff to be aware of personal preferences. Specialist diets can be accommodated including any religious and cultural dietary requirements. Recently a halal diet was provided for a resident and specialist diets in respect of medical need are readily available. If a specialist diet is requested, the chef will speak individually with the newly admitted resident to make sure that their needs are known and to discuss their Care Homes for Older People Page 5 of 10 personal preferences. The home has policies and procedures in place regarding abuse and the protection of people staying at Richard Peck House. Staff have easy access to these documents, which include guidance to staff should they become concerned about the work performance of another staff member. All staff undertake annual training regarding the protection of vulnerable people and issues regarding protection and vulnerability are addressed during induction of new staff and also within National Vocational Qualification (NVQ) training programmes. Richard Peck House is situated on one of the main thoroughfares of the town and in close proximity to the local shopping centre, community amenities and the promenade. The home offers an extremely comfortable environment that is maintained to a very high standard. Communal accommodation is attractive and welcoming and all bedroom accommodation is provided with an en-suite facility. All rooms are spacious, attractively decorated with high quality furnishings and fittings. Since the last inspection, two further bedrooms have been provided with a ceiling hoist and two wet rooms have been upgraded. The large conservatory to the front of the building has been redecorated, along with the main lounge and the two dining rooms. A number of bedrooms where personal care is provided have also been redecorated. New carpet has been provided to the reception area, stairs and landings throughout the building and new bedroom furniture, curtains and bedding have also been purchased. In addition, the dining rooms now have new tables and chairs. There is a programme of routine maintenance that is continually ongoing. Residents spoken with were all very pleased with the communal accommodation provided and their individual bedroom accommodation. One resident spoken with that visits Richard Peck House on a very regular basis, said that the accommodation was excellent and commented on the constant improvements to the home and the facilities provided. Another person said, The accommodation here is superb The staff group at Richard Peck House have in the main, all worked at the home for a considerable period of time. As a result of this, people staying at the home who visit on a regular basis, get to know the staff well and there is a continuity that people value. Staffing levels are determined by the dependency needs of the particular group of people staying at the home. When required, existing staff will undertake additional hours or alternatively agency staff will be used. This is managed by the same member of staff from the agency, who is familiar with the home and the ways of working, being used to provide continuity of care and support. Staff training is given high priority. All but one recently appointed member of staff has achieved at minimum a NVQ Level 2 in care. The recently appointed member of the care staff team is currently undertaking this award. A number of staff have also achieved more advanced awards in this qualification, meaning that people staying at the home are supported by a well qualified staff team who have had their competence externally assessed. This is to be commended and is a real strength of the service. Residents spoken with were, without exception, extremely complementary about the manager and the group of staff working at the home. Comments included, Its wonderful coming here. First class surroundings, very comfortable and the caring is Care Homes for Older People Page 6 of 10 very, very good, the staff are wonderful And, Nothing is too much trouble for the staff, the manager is on top of everything. The staff training programme addresses all the relevant aspects of health and safety, such as food hygiene, moving and handling, first aid, fire safety and infection control. This means that staff have been equipped with the necessary information they need to work in a safe manner. Written policies and procedures are also available to guide staff in their work practices. Records relating to health and safety were seen. These included records of checks such as hot water temperatures, small electrical appliance testing, fire equipment testing and passenger lift inspection. The RAFA undertake a very detailed health and safety inspection of the home on a annual basis. At the last annual inspection in January 2009, the home was rated excellent with no issues identified as in need of attention. A variety of environmental and health and safety risk assessments are in place. All these checks and practices, along with the training that staff receive, help to protect people staying at the home and the people that work there. 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 Older People Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a thematic inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 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 Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 Older People 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: 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). 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. 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