Inspection on 17/06/05 for 1 Parkstone Avenue

This inspection was carried out on 17th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

1 Parkstone Avenue 22/10/08

1 Parkstone Avenue 27/11/06

1 Parkstone Avenue 30/12/05

1 Parkstone Avenue 22/06/04

1 Parkstone Avenue 16/05/04

1 Parkstone Avenue 12/11/03

Similar services:

Claremont House

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Sun Court Nursing Home

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Paradise Lodge

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Upaya Ananda

15 Bramble Close

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Parkstone Avenue (1) 1 Parkstone Avenue Benfleet Essex SS7 1SP Lead Inspector Valerie Buckle Unannounced 17 -26th June 2005 th 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 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. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parkstone Avenue Address 1 Parkstone Avenue Benfleet Essex SS7 1SP 01702 558571 01702 558571 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Redbridge Community Limited Carroll Bailey CRH Care Home (8) Category(ies) of LD Learning Disability (8) registration, with number LD Learning Disability-Over 65 (1) of places PD Physical Disability (7) Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered manager to complete NVQ level 4 in care and management by 2005. 2. The registered manager to complete 2 courses approved in consultation with the CSCI local area office, one relevant to the best practice in the management of staff. The second course to be relevant to reflective care practice within 8 months of registration. Both courses to be identified within two months. Registration Number: 1060000200 Date first registered: 30th August 2002 Date of latest registration certificate 17th February 2003. Date of last inspection 16th May 2004 Brief Description of the Service: 1 Parkstone Avenue is a single storey purpose built care home built in a residential area of Thundersley. Care and accommodation is provided in two units. Each unit has a lounge, dining area, kitchenand four bedrooms. The home has a medium sized garden area, which is accessible to wheelchair users. Each resident living at the home has a learning and/or physical disability. The home is close to local shops, parks, libraries and other facilities. A local bus route runs by the home regulalrly. There is some parking to the side of the home, pathways leading from the home to the local amenities are accesskible for wheelchair users. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Not all standards will have been inspected at this inspection. Standards not covered during this inspection will be inspected at the next inspection. Records, practices, policies and procedures have only been sampled. At future inspections other issues may come to light. When different items are sampled on different people spoken to. This inspection was unannounced and took place over four hours, there was a tour of the premises, three residents, five members of staff and a visitor to the home were spoken to. A second and third visit took place in 19/26 June to clarify issues concerning practice, the manager Deputy and Senior carer assisted in the process of the inspection. Ten of the fifteen requirements from the last inspection were met, four are being processed, one was not inspected at this inspection. The six good practices recommend actions, some have been met, others are being processed. What the service does well: What has improved since the last inspection? The woodwork on the outside of the home has been painted. Residents bedrooms, the bathrooms, dining rooms and lounges have been redecorated. One kitchen has been refurbished. New furniture has been provided for the lounges. A robust system is in place to protect residents monies. The building and garden is kept secure at all times. There is a variety of fresh foods, vegetables and fruit available for residents at meal times. All staff have completed training in the Protection of Vulnerable Adults and other courses relevant to the complex needs of the residents living at the home. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 6 What they could do better: 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. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Standard(s) 2,3,4, Prospective residents and their families have the opportunity to visit the home and have the information they need to make an informed choice about where they live. EVIDENCE: The initial assessment involves a meeting with the family, the new resident and other professionals involved to ensure that there is appropriate equipment available, and the building is adequately staffed to meet the residents needs. At this meeting a discussion takes place, a full assessment is carried out and a plan of care is identified. The family and new resident are then introduced to staff and the other residents living at the home. Each resident has a statement of terms and conditions and a contract for the home. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,10 Resident’s health and personal care needs are appropriately met. Residents are treated with respect and their privacy is upheld. EVIDENCE: Care plans in place were detailed and contained all the relevant information covering health, personal and social care needs. There are sufficient staff on duty throughout the day and night to provide individual personal care to all the residents. Staff on duty were observed to be very attentive to residents individual needs and treated the residents with respect and understanding. A key number of staff have been trained in specific areas relating to health care needs of residents, areas covered include food hygiene, health and safety, moving and handling, Rectal Diazepam, equal opportunities, the safe use of medication, adult protection, the safe use of rectal sterilised training and risk assessments. There is a high level of dependency amongst the residents living in the home, and a good range of specialist equipment is provided to maintain the independence of residents which include hoists, specialist baths, specialist wheelchairs, call advance systems and specialist bed. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 Daily activities are varied and depend on the needs and choices of residents. Visitors to the home are made very welcome. The menu is well balanced and offered a choice. EVIDENCE: A variety of activities are provided at the home. Four activity workers are employed to support residents with activities of their choice. Most of the residents attend a day centre, one resident attends college, one resident at home during the day has a full time activity worker who involves the resident in a variety of community activities. The activity/sensory room at the home is not used for its stated purpose, it is used as a storage space for broken furniture. This room should be cleared so that residents can use this area for relaxing activities. Visiting times at the home are very flexible, and all of the residents have lots of regular contact with their families. The menu is wholesome and nutritious, a variety of fresh fruit and vegetables were available in the kitchen, the home does not employ a cook, all staff take turns daily in preparing and cooking meals, residents accompany staff to shop for foods. Individual records of residents daily foods are kept in their files. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 11 Regular parent/carer meetings take place, carers speak on behalf of the residents, these meetings take place three monthly, issues are raised and discussed with residents and families. During this inspection, a family member visiting his son said that he was very happy with the care and support that is provided to his son. Comments from him were, the staff are very friendly and I am always able to visit any time of the day. Three residents living at the home communicated that they were happy living at the home and that they loved going to the day centre and staff were very kind. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16-18 Arrangements for protecting residents and responding to their concerns are satisfactory. Systems are in place to protect residents from abuse. EVIDENCE: Issue raised in complaint in March 2004 have been dealt with satisfactorily and a copy of the report was sent to the C.S.C.I. Since the last inspection, four complaints have been raised by family members, these were seen to have been resolved satisfactorily. A system of recording complaints was in place and a compliments book was available for family members and visitors to the home. Comments recorded expressed appreciation from families to the staff of their kindness, care and support to their family members. The senior member of staff on duty said that procedures are in place to safeguard residents monies and that only senior members of staff have access to their monies. A secure system is in place; all residents’ accounts are kept in individual petty cash tins in individual drawers of a located filing cabinet. All staff have received training in the Protection of Vulnerable Adults. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,24 1 Parkstone Avenue provides the residents with a safe, and comfortable environment. Specialist equipment is available to ensure that the residents maintain their independence. EVIDENCE: 1 Parkstone Avenue is a small single storey care home, which is divided into two units. In general the home is well maintained and suited to residents’ needs. It is decorated and furnished in a style, which creates a comfortable and homely atmosphere. The lounge and dining rooms had been recently decorated and new furniture is in place. Comfortable chairs and new leather sofas were seen and a variety of electrical appliances, including T.V, DVD player and music systems. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 14 A new kitchen had been fitted and the fridge was seen to be stocked with fresh food and vegetables and a large bowl of fresh fruit was available for the residents. The bathrooms and toilets were pleasantly decorated, they were clean and fresh, most of the bathrooms/shower rooms had missing wall tiles, which need replacing. The resident’s bedrooms looked homely, they were decorated to the individual tastes of residents, and all had en-suite facilities, they were fitted with good quality furnishings, carpeting and bedding. It was noted that the outside woodwork of the home had been recently painted and large plant pots were tastefully displayed at the front. Part of the back garden had been landscaped; this made the garden accessible to wheelchair users. The unused west side of the house was seen to be neglected. Overgrown weeds had made the paving slabs uneven and a number of them are overgrown, this area urgently needs some attention. Since the last inspection, the issue concerning the security of the building and garden area had been addressed. The hole in the fence has been repaired, the back gate is kept locked and the security of the building is checked at least once a day, any specific area of the home that is not in use is secured by staff. The sensory room which is a large pleasant multi-functional room is currently not in use, it is being used as a storage area for broken furniture. It is important that this furniture is removed allowing the staff to use the room for its stated purpose. It was noted that the staffing rota displayed in the hallway was in a pictorial form, photographs of staff were displayed which informed residents which staff were on duty throughout the day. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,30 Staff at the home are well trained and supported, and there are sufficient employed to met the complex needs of the residents. EVIDENCE: At the time of the inspection there were sufficient staff on duty to meet the needs of the residents. The rota showed that there is a mix of trained and experienced staff on duty at all times. The home also regularly uses bank workers at the home, the bank workers are employed by the organisation and all have worked at the home for a number of years. Training is well planned and supports the staff in meeting the varied needs of the residents. Five members who were spoken to said they were very happy working at the home and were supported by the manager and receive regular supervision and training. Training is planned for staff in managing challenging behaviour and the home is working towards 50 of the staff group being NVQ trained by the end of 2005. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34,35,38 The home is managed efficiently; procedures are in place to safeguard resident’s finances. EVIDENCE: The manager is registered and qualified and is currently studying her NVQ Level 4 in Care. Staff spoken to said that the manager is approachable and supportive. Records of resident’s monies were seen, a robust system is in place to ensure that residents monies are protected. Resident’s monies are checked daily as well as petty cash; at change-over meetings two staff check and sign these records. A sample of records seen were appropriately documented and kept safe. Health and safety issues were well managed. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 17 M.O.A.T. housing association are responsible for the maintenance of the home; meetings have taken place with M.O.A.T. and the housing officer to raise issues concerning maintenance that is required at the home. In the redecoration of the corridors, the replacement of missing tiles in the bathroom and the maintenance of the garden. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 x 3 x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x 3 x 3 3 x x 3 Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 19 YES Are there any outstanding requirements from the last inspection? 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 YA 27 Regulation 23(2)(b) Requirement The home to be kept in a good state of repair, particularly effective extraction fans and tiles replaced as necessary in the bathrooms/shower room. The home must give consideration to having a visitors room. Equipment and unused furniture must be removed from the sensory room. Records of all employed staff to include proper identification and two references prior to employment. Timescale for action 31 Oct 05 2. 3. 4. YA27 YA28 YA34 13(2)(7) 23(2)(a) Schedule 4 31 Oct 05 31 Oct 05 This standard to be inspected in full at the next inspection. 31 Dec 05 5. YA39 24(i) The review of care carried out by the registered person is to be forwarded to the C.S.C.I. local office. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 20 No. 1. Refer to Standard Good Practice Recommendations Parkstone Avenue (1) I56-I06 S18102 Parkstone Ave V228313 170605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Kingwoods House Baxter Avenue Southend-On-Sea Essex, SS2 6BG National Enquiry Line: 0845 015 0120 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. 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