Random inspection report
Care homes for older people
Name: Address: Park House The Parade St Marys Isles of Scilly TR21 0LP one star adequate service 21/10/2009 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 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: Melanie Hutton Date: 2 6 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Park House The Parade St Marys Isles of Scilly TR21 0LP 01720422699 01720422699 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) : Council of the Isles of Scilly care home 14 Number of places (if applicable): Under 65 Over 65 4 14 0 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 2 The maximum number of service users who can be accommodated is 14. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP - maximum 14 places Physical disability - Code PD maximum 2 places Dementia - Code DE maximum 4 places The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following caegories: Old age, not falling within any other category - Code OP - maximum 14 places Physical disability Code PD - maximum 2 places Care Homes for Older People Page 2 of 10 Date of last inspection Brief description of the care home 2 1 1 0 2 0 0 9 Park House provides long-term care to older people and is situated in the town of St. Marys and very close to the sea front. The home has a progressive attitude to community contact, which they actively encourage at every opportunity. The style of care provided is based upon residents individual needs within which empowerment; dignity, rights and maximising independence are central features. The Home is also committed to ensuring that changing needs are recognised and that the care provided is adjusted accordingly. There are strong links with the carers and friends of residents and the setting has a flexible approach to visiting arrangements. Day Care and shortterm residential care are also available if the resources permit. The bedrooms are for single occupancy and the home is comfortably furnished. There is limited outdoor space for people who use the service, however there is a park immediately opposite the home and a beach close by. People who use the service are offered a financial assessment by the Isles of Scilly Social Services to determine their contribution. Fees are based at 465.42 pounds per week. Care Homes for Older People Page 3 of 10 What we found:
We conducted this random inspection on 26 January 2009, with one inspector spending 3 hours talking with the registered manager, responsible individual and viewing the premises. The purpose for this inspection visit was to establish the progress made towards meeting the requirements and recommendations identified within the last inspection report dated 21 October 2009. We also reviewed the progress made by the home in view to their recent application to register with CQC to provide care to people with dementia. The registered manager provided us with a copy of a report provided by Dementia Voice following a survey conducted on 16.11.09. The surveyor made some recommendations within this report that the home has incorporated into their action plan. We have also been provided with a copy of the action plan developed by the registered manager and responsible individual. The last inspection report identified 8 requirements and 10 recommendations. Of these 5 requirements have been met and 3 partly met. Of the 10 recommendations 5 have been fully met and 5 partly met. Further detail is contained below. The registered manager and responsible individual have shown commitment to addressing the requirements and recommendations from the last report and also to further their application to register the home to provide dementia care. They continue to engage fully with us and provide detailed feedback of the actions taken. We were able to speak with people who use the service and also people who use the domiciliary care service provided by Park House. We were told by 2 people that they were concerned that people currently have to move to the mainland for care if they have dementia. They also told us of the impact this was having on not only the person with dementia but their families and friends e.g. difficulties with visiting arrangements and issues of separation from loved ones. What the care home does well:
The statement of purpose and service users guide have been reviewed and developed. These are due to be ratified by the Community Services Committee at a meeting planned for 2 February 2010. The responsible individual told us that once approved they will be distributed to people who use the service. We were told that the Isles of Scilly Council is now a member of the Cornwall and Isles of Scilly Adult Safeguarding Board. Training has been planned for March 2010 through the safeguarding unit for all staff. In the interim period the Isles of Scilly adult learning department has provided awareness raising sessions that most staff have attended. Evidence of attendance is contained within the staff personnel files. Fire training has been booked for all staff and is due to take place in February 2010, provided by the local fire officer. The registered manager is aware of the need for night staff to complete this every 3 months and day staff very 6 months. Further training has been provided to staff regarding provision of activities e.g. singing for all. The lifelong learning department is also supporting the home to plan an annual training programme for staff that is due to commence in April 2010. Hot water outlets within the home have been fitted with thermostatically controlled valves that restrict the temperature of the water delivered to 43 degrees Centigrade to
Care Homes for Older People Page 4 of 10 prevent the risk of scalding. The evidence to support this was in the form of the plumbers invoice to the home. Water outlets tested randomly throughout the home by us did not provide exceedingly hot water to the touch. The registered manager assured us that the plumber will be monitoring the ongoing effectiveness of the valves every six months. The water has been tested for E-coli, with a written report available. We were informed by the registered manager that the new water supply system does not require testing for legionella. However, regular checks should be made on areas where the water may remain standing for a period of time e.g. shower heads or unused basins. At the last inspection it was observed that a number of windows did not have window restrictors fitted. The registered manager told us that since the inspection 9 restictors have been fitted to windows on the first floor, with a further 5 (deemed as lower risk) that remain to be fitted. This work has been planned and booked to be completed within the next 2 weeks. Automatic door closures have been fitted to a number of doors to avoid the use of door wedges. The electrician was in the home on the 2nd day of inspection fitting additional door closures. Electrical wires within communal areas that could be considered a tripping hazard have been secured since the last inspection. No new staff have been recruited since the last inspection. The registered manager and responsible individual were clear about the recruitment practices that will be put into place when recruiting new staff and that these will be robust and protect people who use the service. The care plans are reviewed and updated on a monthly basis and where possible signed by the person using the service to demonstrate their involvement and agreement with the care plan. Signs have been ordered by the home to identify where oxygen is in use or stored, these are yet to be received. In the interim period signing has been made by the home and put in place. The medication policy and procedure has been reviewed and developed as recommended in the last inspection report. Temporary pictorial signs have been fixed to identify communal areas and some bedrooms. The registered manager told us that work is progressing to improve these through the weekly art activity class held. Further considerations have been raised by Dementia Voice which the home plans to implement. A hard bound book has been obtained to record any complaints, although none have been received since the last inspection. The kitchen is currently being refurbished, with new cupboards and equipment purchased. Satisfactory arrangements have been made to provide food to the people who use the service whilst this work is being carried out. There is a locking facility to the kitchen door that will ensure people who use the service do not place themselves at risk when staff are not in the area. Concerns were raised at the last site visit regarding the front door as this does not have a locking facility and is also used by residents living in the attached sheltered housing flats.
Care Homes for Older People Page 5 of 10 We were shown a set of internal doors that do have a locking and alarm facility that effectively secure the main part of Park House, allowing people who use the service access to bedrooms, 1 lounge dining area and bathrooms and toilets. The office, 1 bedroom and 2nd lounge diner is outside of these doors. It is planned that external work to the flat roof and main door will enable the whole home to be secure. This work is planned to be completed during May 2010. The home has been generally tidied and de cluttered since the last inspection. Large cupboards have been built into corridor areas that provide lockable storage. We were shown another area within the hallway where further cupboards are planned to be installed. An action plan has been drawn up to refurbish the bathrooms. This takes into account recommendations made within a report provided by Dementia Voice. This work is due to be completed by May 2010. 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 6 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 18 13 The registered provider shall 07/12/2009 make arrangements, by training staff or by other measures,to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. All staff should be provided with training to ensure that they are confident of the action they must take should they observe any suspected abuse. 2 25 13 It is required that the 07/12/2009 registered person shall ensure that all parts of the home that the service users have access to are so far as reasonably practicable free from hazards to their safety. Window restrictors must be fitted to ensure the safety of the service users. 3 30 18 The registered provider shall, 07/12/2009 ensure that at all times suitably qualified and competent person are working at the care home. All staff must have induction training and a record Care Homes for Older People Page 7 of 10 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 maintained of this training. Further training must be provided to all staff to ensure that they are trained and competent in order to meet the needs of service users. 4 36 18 The registered person shall 07/12/2009 ensure that persons working at the care home are appropriately supervised. Written records must be kept to evidence that formal supervision is taking place for all staff. 5 38 23(4)c-e Fire training and drills must 30/12/2006 be undertaken on a regular basis that reflects good practise standards. (Previous timescale of 30 April 2006 not met). 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, 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 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 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: 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 Older People Page 10 of 10 - 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!
