Inspection on 05/05/10 for Park Cottages

This is the latest available inspection report for this service, carried out on 5th May 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.

Other inspections for this house

Park Cottages 02/07/07

Park Cottages 06/07/06

Park Cottages 09/11/05

Park Cottages 20/07/05

Park Cottages 20/10/04

Park Cottages 27/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Park Cottages Neville Avenue Kendray Barnsley South Yorkshire S70 3HF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Ivan Barker     Date: 0 5 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Adults (18-65 years) Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Park Cottages Neville Avenue Kendray Barnsley South Yorkshire S70 3HF 01226771891 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): None Park Care Limited Name of registered manager (if applicable) Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability Code LD Date of last inspection Brief description of the care home Park Cottages is a stone built cottage adapted from a barn conversion; Park Cottages provides care and accommodation for six adults with learning disabilities. The property stands in the grounds of Park Grange Care Home, which is owned by the same proprietor. There are two levels to the home and all bedrooms are single accommodation. There is a small garden to the front and rear of the building and car parking is shared with the adjacent home. The building is not suitable for wheelchair Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 6 Brief description of the care home users. The home is in the residential area of Kendray; it has good access to public services and amenities, and these include bus services, supermarket, chemist, hairdresser, post office, newsagents health centre, and local pubs. The home will provide a copy of the statement of purpose and the latest inspection report. The information regarding fees was that fees were decided upon individual needs. Care Homes for Adults (18-65 years) Page 5 of 24 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: A number of the National Minimum Standards were examined at this inspection (with emphasis on the key standards), and the previous requirements. The persons present at the inspection were: S York, manager and R Shipley owner. Within this site visit, which occurred over a 4 hour and 30 minute period, we examined requirements relating to the previous inspection. We toured the building, case tracked 3 people (case tracked means looking at the care and service provided to specific people living at the service: checking records relating to their health and welfare: and by talking to specific people; viewing their personal accommodation as well as communal living areas). We spoke with people living at the service and examined assessments, care plans, risk assessments, menus, complaints files, staff records and quality monitoring documents. Care Homes for Adults (18-65 years) Page 6 of 24 The history of the service was examined prior to the site visit. This included the AQAA (Annual Quality Assurance Assessment), a self assessment document, telephone contacts, letters and notifications. Care Homes for Adults (18-65 years) Page 7 of 24 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 24 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 24 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. The service and each member of staff will be aware of the persons needs prior to admission. Evidence: Assessments were received prior to any admission into the service. These assessments provided sufficient information for care plans to be produced. Regarding the requirements from the last inspection relating to contracts, fees and charges. People now had up-to-date contracts, which reflected all the necessary information. Care Homes for Adults (18-65 years) Page 10 of 24 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. People living at the service will benefit from up-to-date comprehensive care plans. Evidence: On examination of the care plans it was found that a considerable amount of work had gone into the care plans and detailed all aspects of the care needs of the individual. These included the social, mental and physical interventions. The care plans were up-to-date, and had been evaluated on a regular basis. The manager advised us that she was looking into improving the files and we discussed the possibility of reducing the content in the files so as to make them more easy to reference. We spoke with people living at the service and it was established that they were satisfied with their care. Care Homes for Adults (18-65 years) Page 11 of 24 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. The peoples quality of life will be enhanced because of the availability of activities and outings and their participation within their selection of meals. Evidence: There was evidence recorded in the care plans which activity was undertaken on a daily basis. The activities ranged from shopping, swimming, bike riding, pub quizzes, computer courses, watching football matches, and visits to day centres, the cinema and the coast. The people living at the service confirmed that they did go out to some of the places by reiterating some of the activities detailed above. Regarding the meals we were advised that each individual had the opportunity to go out shopping for the meals of their choice. Also there were discussions around the Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: dining table to decide on the roast meal on a Sunday. The manager advised that they would often look to alternate the roasts. The people living at the service commented that they were satisfied with the food. Regarding the requirement from the last inspection relating to dignity, the manager advised that she had organised a staff meeting and informed all the staff that they should knock before entering a room. Care Homes for Adults (18-65 years) Page 13 of 24 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. Independence was promoted and people receive their medication in a safe manner. Evidence: The people living at the service had the opportunity to access the primary care facilities, which included GP and dental services etc. During the inspection two people were to visit their GP surgery. Two staff provided support for the people whilst they visited. Only some of the people were taking medication. The medications were securely locked away. The medication administration records were preprinted and all the administration boxes within the record were signed. None of the people were self administering medication. Medications which were refused or discarded for any reason were recorded in the medication administration records and the care plans. This meets the requirement within the last inspection. Care Homes for Adults (18-65 years) Page 14 of 24 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. Staff were trained in Safeguarding Adults. This will make them aware of action to be taken should any allegations be made, which would provide protection for people living at the service. Evidence: A complaints procedure was displayed and available to people living at the service and any visitors. On discussing complaints with the manager, she identified that the service had not received any complaints. There had been no complaints received by the Commission regarding the service. There were policies and procedures regarding Safeguarding Adults available to all staff. The training records of the staff were examined and it was established that all the staff including the manager had attended training on Safeguarding Adults. The manager attending the Safeguarding Adults training was a requirement from the last inspection. Care Homes for Adults (18-65 years) Page 15 of 24 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 service had been maintained to the required standard to provide a well maintained environment for the people living at the service. Evidence: On touring the building, we observed that the rooms had been personalised by pictures, posters and included many items which would be found in a younger persons room i.e. CD players, televisions etc. The home was clean, generally well maintained and well decorated and odour free. One of the toilets on the upper floor had water damage to the ceiling. The ceiling had been repaired but needed to be redecorated. The manager identified that this would be completed within the next week or so. All rooms now had lockable facilities. However the bedroom doors had Yale locks which could be securely locked from inside by pressing down a button on the lock. This restricted entrance even with the master key, which would be used in emergency. It was agreed that the button would be made inoperable. The atmosphere within the service was warm, friendly and relaxed. Care Homes for Adults (18-65 years) Page 16 of 24 Evidence: Regarding the requirements from the last inspection, the hot water temperature was thermostatically controlled and reduced down to 43 degrees centigrade and locks on the doors had been provided. Care Homes for Adults (18-65 years) Page 17 of 24 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. Staffing to the needs of the people can only benefit their quality of life. The staff recruitment process regarding the checking of staff will contribute towards the protection of people living at the service. Evidence: On examination of the staff rota and the staff on duty the following was established: Staff were rostered according to the needs of people within the service, for example: when all the people were out at day centres and other places, no staff were on duty. On discussing the staffing, for a normal day, with the manager. The following information was provided, as an indication for the programme of the day. One member of staff would be on duty at night and was a waking staff who would sleep in the lounge and be woken if needed. The people who lived at the service were consulted about this and their agreement was recorded. At 6.45am, the waking member of staff became the day member of staff and supervised people with washing, preparing breakfast and the making of the beds. We Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: were advised that this was more of giving verbal prompts rather than physical care. At 8.15am, people left to go out for the day. At 9.15am, the day staff would complete their shift. At 2.00pm, 1 member of staff would start on duty. At 3.00pm, 2 staff would start on duty, ready for the peoples return. It was identified that the 2 staff were on duty because 1 person needed 1-1 supervision during the afternoon period. At 9.15pm, 2 staff would finish duty, leaving 1 member of staff for the waking night shift. The numbers stated above, did include the manager. However she did identify that there were some hours that she did manage to undertake her management role. She also identified that she was on 24 hour call, and when the service was empty, calls would divert to her mobile phone. On examination of the staff training records, we observed that staff had received training in fire, moving and handling, first aid, safeguarding and other clinical training. On examination of 3 staff files, it was established that the files contained all the required information, within Schedule 2. Care Homes for Adults (18-65 years) Page 19 of 24 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. There clearly had been inprovements directed by the manager which had a positive effect on the care and service provision. Evidence: The current manager had been in post since the last inspection in 2007. However she was still not registered with the Commission. On discussing this with the manager and the owner, it was agreed that the manager would apply for registration. The manager identified that she had acted upon all the requirements and recommendation in the last report, and she felt more confident and in control of the service. Regarding Quality Assurance, we were shown evidence of surveys from the people living at the service. The manager identified that families had received surveys but she was awaiting the return of these. Regulation 26 documentation, which are a record of the registered persons monthly Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: visit were not completed on a mothly basis. This was a requirement in the last inspection report. However the most frequent one had been completed, with the last one dated the 1st May 2010. Therefore the requirement was not repeated. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by the Commission. The inadequate completion of the Annual Quality Assurance Assessment was discussed with both the manager and the registered person. Both agreed that there was insufficient information and accepted that there needed to be more information and evidence with the document. Care Homes for Adults (18-65 years) Page 21 of 24 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 22 of 24 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 37 There needs to be a registered manager in post. Care Homes for Adults (18-65 years) Page 23 of 24 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. 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