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Inspection on 06/06/06 for Charnwood Park Residential Home

Also see our care home review for Charnwood Park Residential Home for more information

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users needs are actively promoted. Relationships observed between staff and service users were based on friendliness and respect, as again stated by the service users spoken with, who were also happy with the activities provided. Staff were aware of how to promote service users independence and this was reflected in their Care Plans. Daily activities are provided and service users asked as to their preferred activities and outings. Risk Assessments are in place to ensure that all risks to service users are monitored and minimised. There was again a friendly, calm atmosphere and facilities were very clean and tidy with no hint of odour. Bedrooms were homely and personalised with service users stating they were happy with them and they could bring in their personal possessions. Staff training is emphasised so that there is good awareness of service users needs, and staff feel supported in their roles so that a consistently good service is provided.

What has improved since the last inspection?

The service continues to provide a high level of care to residents. The Moving and Handling practice appeared safe, as it did not involve staff lifting service users, to ensure service user Health and Safety is protected.

What the care home could do better:

The Registered Manager needs to ensure that there are referrals to medical services to ensure that the admission of service users does not breach the registration conditions of the service. To have more regular service user and staff meetings in order to give the opportunity of increased feedback on the running of the service.

CARE HOMES FOR OLDER PEOPLE Charnwood Park Residential Home 164 Charnwood Road Barwell Leicestershire LE9 8FU Lead Inspector Keith Charlton Unannounced Inspection 6th June 2006 09:45 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 Charnwood Park Residential Home DS0000001793.V298512.R01.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. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Charnwood Park Residential Home Address 164 Charnwood Road Barwell Leicestershire LE9 8FU 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) 01455 844770 01455 844770 Mrs Teresa Poynton Ms Karen Stevenson Mrs Teresa Poynton Care Home 11 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (11), Physical disability (11), of places Sensory Impairment over 65 years of age (11) Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No-one under the age of 55 years who falls within category PD to be admitted to the home. Named Person To be able to admit the named person of category DE named in variation application No. V19729 dated 25 April 2004 26th September 2005 Date of last inspection Brief Description of the Service: Charnwood Park Residential Home is registered to accommodate eleven service users. The home is an extended detached modern style house, within a residential area. The home is surrounded by a large accessible garden. The ground floor consists of a large dining room, large lounge, with two bedrooms. The home has a shower facility, incorporating a toilet and additional separate toilets on the ground floor and a bathroom incorporating a toilet and a separate toilet on the first floor. In addition three bedrooms have an en-suite consisting of a toilet and wash hand basin. The home is within easy reach of shops and facilities, in both Barwell and Earl Shilton. The weekly fee is from £290 - £384, which was provided on the day of the Inspection. There is an additional cost for hairdressing if the fee is at the lowest level. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service user and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. The Registered Manager was present for the first phase of the inspection but had to leave to attend a funeral. The inspection was completed the following day with the Registered Manager. Planning for the Inspection included looking at notifications of significant events sent to the Commission for Social Care Inspection and the Requirements of the last Inspection Report. There have been no formal complaints made about the service in the last year. The Inspection took place between 9.45 and 14.00 and included a selected tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke to five service users, two members of staff and the Registered Manager. One resident stated, ‘’ It’s very homely here. If we have any worries the staff quickly sort them out. Everyone gets on’’. This situation is commended. What the service does well: Service users needs are actively promoted. Relationships observed between staff and service users were based on friendliness and respect, as again stated by the service users spoken with, who were also happy with the activities provided. Staff were aware of how to promote service users independence and this was reflected in their Care Plans. Daily activities are provided and service users asked as to their preferred activities and outings. Risk Assessments are in place to ensure that all risks to service users are monitored and minimised. There was again a friendly, calm atmosphere and facilities were very clean and tidy with no hint of odour. Bedrooms were homely and personalised with service users stating they were happy with them and they could bring in their personal possessions. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 6 Staff training is emphasised so that there is good awareness of service users needs, and staff feel supported in their roles so that a consistently good service is provided. What has improved since the last inspection? 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. Charnwood Park Residential Home DS0000001793.V298512.R01.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 Charnwood Park Residential Home DS0000001793.V298512.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user needs are generally well assessed before admission so that staff are able to meet their needs. EVIDENCE: The Inspector looked at two service users files. There was a good deal of relevant information in terms of medical, physical and social needs of service users, which helps staff to deal with the individual needs of service users. A service user was admitted as assessed with confusion. This needed to have a medical referral before admission, as the service is not registered to admit service users with dementia. The Registered Manager said the referral would be arranged and if the diagnosis is dementia then there would be an application to the Commission for Social Care Inspection for a minor variation to legalise this situation. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 9 The Registered Providers do not provide intermediate care. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 10 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 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. Service users are well looked after in relation to their health and care needs. EVIDENCE: Some service users said that they could recall having Care Plans. Care Plans seen by the inspector contained information as to the physical, social and medical needs of service users. Staff said that they were encouraged to regularly read Care Plans to ensure they kept abreast of changing needs. Regular monthly reviews are carried out to ensure the service is still relevant. The Registered Manager was recommended to increase the information available to staff on service user assessed medical needs, e.g. distonia speech disability and diabetes to make staff more aware of individual service user needs. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 11 Daily care records were freely accessible by the medication cupboard outside the office. This was transferred to a locked cabinet to ensure confidentiality was maintained. Service users said when they felt ill then staff would swiftly summon medical assistance - service users contacts with medical personnel were documented in their Care Plans. A service user talked about all the medical checks she had since coming to live in the home – hearing, optical dental, chiropodist and said staff reminded her about these appointments. Accident records were checked and staff were seen to have acted appropriately. Some service users are able to self medicate for some of their medications – creams, inhalers etc though all asked appreciated the staff holding their tablets and giving them at proscribed times. There was evidence of staff training from the pharmacist in medication records. A staff member said she had not had any formal medication training from the pharmacist. The Registered Manager said that this is to be arranged though detailed in house training had been given to enable the issuing of medication to be correctly carried out. The records were well kept with no gaps. There is no controlled medication used at present. Medication was locked up securely in the medication cabinet. Service users again said that their privacy and dignity was respected with staff knocking on doors before they entered. Staff were observed to talk to service users in a friendly manner and there appeared to be very good relationships between staff and service users. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users lead full and active lifestyle and can exercise choice. EVIDENCE: Service users again said that they were satisfied with the range of activities on offer and staff came to them on a daily basis regarding games and quizzes and they liked it when staff had time to sit and chat with them. The Registered Manager said that she had reviewed activities to ensure that there were activities on every day. This is supported by service users key workers keeping a record of activities so that opportunities for stimulation can be monitored. The service user meeting notes recorded the choices put forward regarding activities. During the inspection service users had a visit from an exercise teacher. They said they enjoyed this activity. There was age appropriate music on which service users said they enjoyed. There was a request that a speaker be placed in the back lounge so that this could be heard more clearly. Service users said they liked being outside and enjoying the garden, which they did on a regular basis during warm weather. Service users can go out if Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 13 they wish and attend clubs. A service user was going to the local Age Concern day centre, which she said she did three days a week and enjoyed it there. Service users said that their visitors were made welcome by staff and their relatives took them out. Service users said that there were no rules and they could please themselves about things – getting up and going to bed times etc and that staff encouraged them to retain their independence. This was also recorded as part of the Care Plan. The Registered Manager said that it was important that service users were able to do things for themselves, however small. Staff also confirmed this aim of the service. Service users said they enjoyed the food and they could ask for an alternative if they wished. Food records showed there were a variety of vegetables offered. A service user was asked if she wanted an alternative as she did not want baked beans. Staff were aware of service users food preferences and this information was in Care Plans. The food tasted was found to be of a good standard with a homemade dessert. A service user said she liked to have her meals in her bedroom and these were always provided there. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 14 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 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. Service users views are listened to and acted upon and they and their representatives can be confident their concerns will be properly attended to. EVIDENCE: Service users again said that they would have no hesitation about going to management or staff if they had a problem and were confident it would be properly sorted out. The Complaints book was viewed - the service has had no complaints since the Registered Providers took over. The Commission for Social Care Inspection has also received no formal complaints about the service – this situation is commended. There is a Complaints Procedure displayed on the notice board, which complied with the National Minimum Standard – though the Registered Manager is to alter the procedure in the service user contract, as this is an old one, which did not fully follow the National Minimum Standard. Service users said they felt able to talk to staff, and felt that issues would be acted upon if they had a problem. One said ‘staff listen to us – I feel able to speak to them if I have problems’. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 15 Staff members were asked about their understanding of the adult protection procedures, and demonstrated a good understanding of them. Staff training has been provided on this essential issue of care practice. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 16 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 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. Service users live in a homely and comfortable environment, and standards of hygiene are very good. EVIDENCE: Service users all said that they liked their bedrooms and they could bring in their own furniture. These were observed to be personalised and homely by the inspector. The lounge was comfortable and furnished in a homely fashion with flowers displayed. Service users also appreciated the well maintained garden. Facilities were found to be clean and completely odour free. Service users said that this was always the case and their laundry was always fresh. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 17 A service user said she would like another light by her chair in her bedroom to improve lighting levels so that she could do her knitting there. The Registered Manager said this would be followed up. The ground floor shower flooring was clean though had stains. The Registered Manager said this was due to the glue used to seal the flooring. This would be looked at in the future. Doors to the shower and bathroom were stiff and needed to be planed so they could freely open. The Registered Manager said this would be followed up. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current staffing levels, safe recruitment practices and training provided lead to service users’ needs being met. EVIDENCE: Service users said that they did not have to wait long if they needed help. The Registered Manager follows the staffing ratios agreed by the last Registration Authority, which is two care/management staff with one cook from 8am – 2pm, two care/management staff from 2-9pm then one awake night staff member from 9pm – 9am. Staff records were inspected. The Registered Manager has ensured that two references, Criminal Records Bureau checks have been obtained and there were copies of passport or similar ID for the staff records inspected. Staff said that training is emphasised by the Registered Manager and that there is encouragement to complete National Vocational Qualification level 2 training – from information obtained from the Registered Manager all staff except one have either enrolled or obtained National Vocational Qualification level 2 courses – well above the National Minimum Standard of fifty of staff. There were training certificates on file to validate this. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 19 The Registered Manager keeps a training matrix for staff to identify training needs. There is also a good induction programme that covers all essential topics. Staff are currently undertaking training in the awareness of service users with dementia. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Management systems protect the welfare needs of service users. EVIDENCE: Service users and staff spoken to said that the home was run very well and they could not think of any improvements that were needed. This situation is commended. There is a very detailed Quality Assurance system in place. This is carried out on a yearly basis to ensure that the service is effective in meeting service users needs and wishes. The inspector read a letter where the Registered Manager was commended by the authors of this system for her reading of the system and pointing out where there were discrepancies in the system. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 21 There is a regular staff supervision system in place where staff are invited to carry out self assessments. Staff were observed to be following proper Moving and Handling techniques. Staff said that they had received Health and Safety training and this was indicated in the training records. Records indicated the frequency of fire drills meets the requirement and there is regular emergency lighting and fire bell testing. A staff member spoken to had a good awareness of the fire drill procedure. A fire risk assessment was seen and the Registered Manager said this was reviewed on a yearly basis. There are radiator covers to protect service users from burning apart from in the shower room, which had a written risk assessment of being low risk, and the hot water temperature was within the limit of the National Minimum Standard. Service users monies accounts were checked and found to be in order with proper balances, receipts and two signatures recorded. Regarding Health and Safety training all staff are expected to complete first aid training, fire training, infection control training, moving and handling training and food hygiene training and this was evidenced by the displayed training matrix. There were written Risk Assessments for safe working practices. Risk Assessments have been carried out, e.g. for window restrictors, and it was found that there was no need to fit them as no service users are currently at risk. Service users said that they were warm in the home and if not then staff would boost heating or provide portable heaters. Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 22 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 Score 19 20 21 22 23 24 25 26 X 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. Extracts may not be used or reproduced without the express permission of CSCI Charnwood Park Residential Home DS0000001793.V298512.R01.S.doc Version 5.2 Page 25 - 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!