Inspection on 05/09/08 for Park House Residential Home

This is the latest available inspection report for this service, carried out on 5th September 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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 House Residential Home 13/12/05

Park House Residential Home 14/03/05

Park House Residential Home 28/09/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 20/03/2009.

CARE HOMES FOR OLDER PEOPLE Park House Residential Home Park House (Weston Super Mare) Ltd Park Place Weston Super Mare North Somerset BS23 2BA Lead Inspector Jon Clarke Unannounced Inspection 10:00 5 September 2008 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Residential Home Address Park House (Weston Super Mare) Ltd Park Place Weston Super Mare North Somerset BS23 2BA 01934 415701 F/P 01934 415701 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Park House (Weston Super Mare) Ltd Denise Margaret Robinson Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 30 persons over 65 years of age requiring personal care 7th September 2006 Date of last inspection Brief Description of the Service: Park House provides personal care for up to 30 older people. The home is owned by Park House (Weston Super Mare) Limited; Mr Geoffrey Seaman is the Director. The registered manager is Denise Robinson. Park House is a converted period property and is situated in a prominent position overlooking the sea and pier. The home has a pleasant terraced garden. Wheelchair access is facilitated by a series of ramped paths. There is easy level access to local shops; The town centre is about a quarter of a mile from the home. Accommodation is provided on four floors. A passenger lift provides access to the majority of the building. 24 of the 26 single rooms have en suite facilities, as do both of the double rooms. Fees: £369-440 depending on facilities £600 Double Room Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience, good quality outcomes. This was an unannounced visit to the home as part of an inspection. We looked at a number of documents including care plans, medication records, staff recruitment and training. There was also an opportunity to talk with individuals who live in the home and staff about their experience of living and working in the home. A number of Have Your Say questionnaire were sent to the home before this inspection responses were received from 1 resident (a poor response) and 12 staff. As part of this inspection the manager completed a Annual Quality Assurance Assessment (AQAA) which set out the areas of practice based around the National Minimum Standards summarising what the home does well, the evidence for this, what they could do better and how they have improved in the last 12 months. The information from the AQAA and questionnaires has been used to help make a judgement about the quality of care provided in the home. What the service does well: What has improved since the last inspection? What they could do better: Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 6 This inspection identified the need to improve the training of staff there is a significant number who have not completed Adult Protection training this is considered as “mandatory”. Any staff who have responsibility with regard to medication must receive accredited training in this area. In addition staff would benefit from more generic training around the needs of Older People i.e. Dementia, Mental Health Awareness and condition such as strokes, Parkinson disease. Whilst from this inspection there were no concerns about staffing levels in the home taken against the current needs of individuals and the occupancancy level this is an area that must be kept under review. There have been occasions when individuals needs have changed and the home has continued to provide the necessary care which is to be commended. However this should not be at the expense of limiting the availability of staff to others who need assistance and care. The use of the home’s dependency scoring for each individual which is undertaken monthly would be a good method of allocating staffing in relation to needs. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home undertakes full and comprehensive assessment of prospective residents so that they are able to make an informed decision about the capacity of the home to meet health and social care needs. EVIDENCE: A number of pre-admission assessments were looked at and showed good detail about the care needs of individuals. Included were medical conditions, daily needs for assistance in personal care. Where individuals are known to the local authority a copy of their social services assessment is made available to the home. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care Planning and arrangements for meeting health care are generally good providing staff with the necessary information so that the health and social care needs of residents are met. Arrangements for managing resident’s medication make sure that resident’s health needs are protected. The practice of staff and policies of the home help to make sure that residents are treated with respect and their dignity is upheld. EVIDENCE: A number of care plans were looked at and showed good detail about the specific care tasks of the individual. Included were risk assessments and moving and handling assessments. Reviews had been held regularly. The home uses a Trigger Checklist around falls and associated risk and dependency profile on a monthly basis. There was little information about the social needs of the individuals however there were records of like and dislikes of the individuals. We spoke with one individual who confirmed that they had Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 10 discussed with staff “the help I needed” and what their daily routines, likes and dislikes were. Individuals we spoke with said that they felt their health needs were met. There is regular access to community health services such as chiropodist, dentists and optician. Records showed that district nursing support is made available if this is required and the home has used the rapid response nursing service. One individual said that they had always been able to “see the doctor when I want”. Medication administering records were looked at and had been completed as required. Controlled drugs administering record was signed by two members of staff, record was checked against stock and found to be correct. Medication where necessary is stored in a fridge and record kept of when medication opened and fridge temperatures are recorded. There was good stock control with little excess stock being kept. One individual was managing their own medication and a risk assessment had been completed. Three members of staff in their response to Have Your say questionnaire commented that they are expected to administer or deal with medication but have had no training. Records showed there one senior care staff who had no medication training. The manager did advise the inspector that medication training was planned for 10/09/08. In talking with individuals who live in the home they all felt that their privacy was respected and treated “as I would want to be”. Staff were observed throughout the visit talking and assisting individuals and this was always with patience and understanding and in a sensitive and respectful manner. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for meeting the social and recreational needs of residents are good and there are opportunities for residents to maintain links with family, friends and the local community. The home’s practice and routines are flexible and enable residents to exercise choice and have control over their lives. The home provides meals, which are balanced and meet the dietary needs of individuals in the home. EVIDENCE: In talking with individuals in the home they said how they felt there was “enough going on” “I enjoy the things we have on”. Included in activities is entertainment, quizzes. One individual said that they organise card games. The home also helps individuals use local facilities such as day centre and local church. One of the areas the manager noted in the home’s AQAA was to “increase staff ratio to take residents out more frequently on a one to one basis”. One staff member in their questionnaire response said they felt could “encourage more social activities”. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 12 We spoke to individuals in the home about their daily lives specifically around their ability to choose how they spend their time. One individual said, “Its up to me I can do pretty much what I like”. In terms of daily routines such as getting up and going to bed be one said “I choose when I get up”, “easy going get up when you want”. On the day of this visit the inspector joined individuals for lunch. It was well presented and appetising and individuals said how much they enjoyed the meals in the home. “Don’t think you could get better” “always excellent and always a choice”. Menu were varied and offered good choice of meals able to provide any specialised dietary needs. During the meal staff were available to give assistance and there was a relaxed and unhurried atmosphere. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear procedures in place and this enables individuals to make a complaint and voice their views about the service they receive and to know that they will be listened to and actions taken where necessary. The home makes sure that as far as possible residents are protected from harm by having policy and procedure about the Protection of Vulnerable Adults and providing training to all staff in this area. EVIDENCE: Since the last inspection one complaint had been made and this was investigated by CSCI. We found that there was a need to address how the home responded to incidents in terms of involving emergency services. The manager has responded well to our concerns and practice has now improved. When talking to individuals who live in the home about their understanding of their ability to make a complaint they spoke of how they felt this was something “we could do if we needed to” “I have never needed to make a complaint”. When asked what they would do if unhappy about anything one individual said they “would tell the manager or member of staff and they would do something about it”. Staff have received Safeguarding Training however there is a significant number who have not received this training. The home has policies in place to respond to any allegations of abuse made by individuals who live in the home Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 14 or others such as staff. We spoke to a member of staff about their understanding of abuse and they were able to provide an informed and knowledgeable response. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe and hygienic environment for the residents and staff. People who live and work in the home benefit from a warm, welcoming and well-maintained environment. EVIDENCE: In looking around the home it was evident that there a good standard of cleanliness and individuals we spoke with all commented on “how clean “ and “well kept” the home is. The communal areas are well furnished and comfortable and parts of the home including individual accommodation have been improved over the past year. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing arrangements in the home are generally satisfactory so that the needs of residents can be met in an efficient way. Training of staff needs to be improved so that staff have the necessary skills and competence to perform the work they are expected to do. The recruitment and selection of staff is undertaken to make sure that as far as possible the health and welfare of resident is protected. EVIDENCE: On the day of our visit there were 3 care staff on duty am and 3 pm including senior care. This is against current occupancy of 20 residents. Staffing rotas showed this is generally the level of staffing in the home. A number of staff comments were received about staffing levels and high level of needs of individuals in the home “when staff struggle to allocate valuable time to individuals”. Again in relation to higher dependency one staff member said there were “less and less” staff to meet the needs of individuals in the home. In response to the question: Are there enough staff to meet the individual needs of all the people who use the service? 1 said “always” 4 “usually” 5 “sometimes” 1 “never”. Recruitment records were looked at for three members of staff they showed that the necessary checks had taken place: two references, Criminal record Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 17 Bureau check and POVA. Application forms contained full and detailed history of the individuals. Training records were looked at for three members of staff and showed that they had completed mandatory areas of training: moving and handling, first aid, food hygiene. One senior member of staff had no medication training and another no Adult Protection training. Of the 22 staff members only 10 have had Adult Protection training. In response to have Your Say questionnaire staff commented about the lack of medication training and training around mental health. There was no evidence that training had been provided in mental health awareness, Mental Capacity Act. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good opportunities for individuals who live in the home and others to express their views about the service they receive. The practices of the home help to make sure that the health, safety and welfare of residents and staff is protected. EVIDENCE: The registered manager has managed the home for 6 years and individuals we spoke with said that she was approachable and “someone we can talk to”. There are regular residents meetings and questionnaires are used so that individuals who live in the home can express their views about the service they receive. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 19 Records relating to health and safety were looked at and showed that fire alarm tests are held weekly. The fire system was service on 5/11/07 and system check on 16/04/08. A fire risk assessment has been completed. Equipment is serviced annually and records confirmed this. A Health & Safety Inspection audit took place in January 08 and the home has adopted regular health and safety audits. An environmental health inspection awarded the home 4 stars for hygiene practice. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 Score X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No 27 28 29 3 30 Score 3 3 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP30 Regulation 18 (1) C Requirement The manager to make sure staff receive training appropriate to the work they are to perform. (This refers to training in Adult Protection and where individuals have responsibility in dealing with medication accredited medication training.) Timescale for action 30/12/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP30 Good Practice Recommendations Staff to receive training in Mental Health Aware, Dementia and other areas specific to the needs of older people. Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 22 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Park House Residential Home DS0000008054.V360389.R02.S.doc Version 5.2 Page 23 - 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. 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