Inspection on 15/08/06 for Cleveland Park Care Home

This inspection was carried out on 15th August 2006.

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 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

Cleveland Park Care Home 20/08/09

Cleveland Park Care Home 23/06/09

Cleveland Park Care Home 11/03/09

Cleveland Park Care Home 04/12/08

Cleveland Park Care Home 02/06/08

Cleveland Park Care Home 31/07/07

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

CARE HOMES FOR OLDER PEOPLE Cleveland Park Care Home Cleveland Road North Shields Tyne And Wear NE29 0NW Lead Inspector Ian Armstrong Key Unannounced Inspection 09:45 15th August 2006 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 Cleveland Park Care Home DS0000065838.V296346.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. Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cleveland Park Care Home Address Cleveland Road North Shields Tyne And Wear NE29 0NW 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) 0191 2585500 0191 2584141 cleveland.park@ashbourne.co.uk www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Mrs Carol Ann Spence Care Home 62 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (61) of places Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Admission into the home of residents to receive personal care should only occur where assessment confirms the persons care needs and lifestyle are Compatible with those of the existing residents. 5th September 2005. Date of last inspection Brief Description of the Service: Cleveland Park is a care home with nursing. Providing care for older people with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is situated in North Shields in Cleveland Park Road close to local shops and good public transport links. The building is comprised of two floors with resident bedrooms on each floor all with en-suite facilities. Each floor has lounge and dining rooms with a number of bathrooms, toilets and shower facilities. The home has its own kitchen and laundry services. The philosophy of care is to support the residents in their activities of daily living and to provide for their physical, mental, and social care needs. On the day of the inspection there were sixtyone residents in occupation eleven males and fifty females. Fees in the home range from £376 to £460. Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day. All of the key standards have been assessed during this visit and from other information provided to the commission. Five residents and eight staff (nurses carers and ancillary) were spoken to. Three relatives were also spoken to during the visit. Six service user care plans, staff training records, medication records, resident’s finances and health and safety documentation were looked at. What the service does well: What has improved since the last inspection? New carpets have been fitted to corridor areas. Improvements to downstairs bedroom doors painted with bright individual colours, letterboxes and doorknockers fitted, to create impression of front door to their rooms. Themed seating areas in corridors. The purchase of new patio/garden furniture. A rolling programme of redecoration, refurbishment of residents’ bedrooms to a good standard has commenced. Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 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. Cleveland Park Care Home DS0000065838.V296346.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 Cleveland Park Care Home DS0000065838.V296346.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 from evidence gathered both during and before the visit to this service. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. The home does not provide intermediate care. EVIDENCE: Six residents’ pre-admission assessment documents were examined. All of these were completed to a good standard. A full range of their needs had been assessed and identified. Assessments carried out by other health and social care professionals were inspected these also were well completed. A relative spoken to said that the home had provided good information about the services and facilities available, they had had an opportunity to visit the home prior to the admission. Cleveland Park Care Home DS0000065838.V296346.R01.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 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 adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The service users’ health, personal and social care needs are not fully set out in an individual plan of care. Service users’ health care needs are fully met. Residents, where appropriate, are responsible for their own medication, and are protected by the homes policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Six care plans were inspected. There was no mental health care plans in two of these records, in all six records social care plans were too generalised and must be more individually focussed. Daily records are in general not linked to the care plans. Sleep profiles are not being carried out for each resident by Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 10 night care staff on admission. Records by visiting professionals were examined and were of a good standard. The treatment room was visited and was clean and tidy. Residents whose records were case tracked their medication administration records were checked and were satisfactory. The systems for the management of medicines was satisfactory. Records show that relatives are involved in care plans and in the reviews of their care needs. One relative said that care plans had been discussed with her and she was happy the residents care needs were being addressed appropriately. Cleveland Park Care Home DS0000065838.V296346.R01.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 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 adequate. This judgement has been made from evidence gathered both during and before this visit. Service users generally find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents maintain contact with family/friends/representatives and the local community mainly as they wish and are helped to exercise choice and control over their lives. Service users generally receive a wholesome appealing balanced diet at times convenient to them. However the environment in which meals are provided is at present not adequate. EVIDENCE: Records show that food likes, dislikes are identified for all residents. Staff also identify what types of clothes residents like to wear and ensure these needs are met. The weekly activities programme showed a good range and choice of activities taking place. There has been no resident group trips out from the home during the summer months. A recent summer fayre was enjoyed by Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 12 residents, relatives and staff, monies made from this has gone into the residents social fund. Menus were examined these need to show a greater choice and range of food that is offered. Sandwiches in the menus their ingredients must be specified. A relative said ‘’ the food provided by the home is good’’. Cleveland Park Care Home DS0000065838.V296346.R01.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 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 from evidence gathered both during and before this visit. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: The homes complaints policy was examined and is satisfactory. The policy for the Protection of Vulnerable Adults is based on the Department of Health’s, No Secrets and is satisfactory. Staff training records were checked and good levels of training are being carried out for this subject. A relative spoken to said they would know who to complain to and felt their concerns would be addressed. Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 14 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, 24 & 26. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before this visit. Service users generally live in a safe, well maintained environment. Residents live in safe, comfortable bedrooms with their own possessions around them. The home is generally clean, pleasant and hygienic. EVIDENCE: A tour of the building was carried out. The grounds and garden areas are generally well maintained. New garden, patio furniture has been purchased since the last inspection and is of good quality. However the following matters must be addressed, discarded old furniture to the side of the home must be disposed of, clinical waste bins must be kept locked to reduce the risk of the spread of potential infection. Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 15 Good work has been carried out in the downstairs corridor areas. Residents bedroom doors have been painted with different bright individual colours each door has a door knocker and letter box fitted to create for each resident their own front door to their rooms. Wall fixings of a sensory nature have enhanced these areas, new carpets have been fitted. Comfortable seating areas for the residents have also improved the environment. However a number of ceiling tiles are missing in corridors which detract from the good work achieved. Work to the upstairs corridors is soon to commence to the same standard. A number of residents bedrooms were visited a rolling programme of redecoration; refurbishment of these rooms has commenced to a good standard. Resident bedrooms showed lots of evidence of personal possessions. The lunchtime meal was observed six members of staff were in attendance, staff were assisting those residents who required help with feeding. However there was little or no interaction observed between the staff and the residents. The food on offer was Shepherds pie or Sausage, with cauliflower, peas and potatoes, Chocolate sponge and custard or ice cream or yoghurt for sweet. The food was nicely presented. The dining areas however are poorly decorated, and not homely in feel. Dining tables, the tablecloths are faded and frayed, placemats need to be purchased for all of the residents, and a centrepiece table setting should be purchased for all of the tables. Condiments need to be placed on all tables at mealtimes. One relative was observed to have a meal with a resident, another informed me he liked to come in and assist with meals. Much work is needed to make mealtimes a more pleasant experience for the residents. A number of residents’ bedroom door closure mechanisms were observed to be too fierce in closing. Two bedrooms upstairs were identified to the manager as being malodorous and the carpets must be industrially cleaned. The majority of vent axias in residents’ bedrooms were not working. A downstairs shower room was seen, this room was extremely malodorous. The kitchen area was visited; cleaning schedules for here are not being properly maintained. The food mixer is broken and needs repair or to be replaced. The tinned and dried food store needs to be cleaned. Cleveland Park Care Home DS0000065838.V296346.R01.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 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 from evidence gathered both during and before this visit. Service users’ needs are met by the numbers and skill mix of staff and are in safe hands at all times. Residents are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. EVIDENCE: Duty rosters were examined these showed the following levels of staff employed in the home each day; Am, Pm, Nights,2 Qualified 10 care staff, 2 Qualified 10 care staff, 2 Qualified 4 care staff. The rosters showed that these levels of staff were being maintained. Three staff files were inspected. all three files had appropriate checks completed to a good standard. Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 17 Four staff training files were examined in all of these a good induction had been achieved. Statutory training for moving and handling, health & safety and fire training had all been completed. Person centred training for the client group in dementia awareness and managing challenging behaviour is being organised. Levels of training were satisfactory. Cleveland Park Care Home DS0000065838.V296346.R01.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before this visit. 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. The homes manager is currently on long-term sick leave. A first level qualified Registered Mental Nurse must be appointed to deputise in their absence. The home is run in the best interests of service users. Residents’ financial interests are safeguarded. Staff at the present time are not receiving appropriate levels of supervision. The health, safety and welfare of service users and staff are promoted and protected. Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 19 EVIDENCE: The current situation of a second level nurse being in charge of the home is not satisfactory a Registered Mental Nurse deputy must be appointed. Three relatives spoken to all said the staff had the best interests of residents at heart. One relative said ‘’staff deserve an MBE, they are all kind and caring’’. Four residents financial records were inspected, these showed evidence of regular expenditures with two staff signatures for all transactions. Money balances were checked and were correct. Four staff supervision records were checked and these are not at present occurring two monthly. Utility certificates were checked and were satisfactory. The fire log book and accident book records were also satisfactory. Cleveland Park Care Home DS0000065838.V296346.R01.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 Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 2 X 3 Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 21 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. 2. 3. 4. 5. Standard OP7 OP19 OP19 OP19 OP15 Regulation 15.1 23.2(o) 23.2(o) 23.2(b) 23.2(g) Requirement All residents must have written mental health and social care plans. Old furniture to the side of the home must be disposed of. Clinical waste bins must be kept locked when not in use. Missing ceiling tiles in the downstairs corridor must be renewed. Both of the dining rooms must be decorated. New tablecloths, placemats and table centrepieces must be purchased. Door closure mechanisms all need to be checked as at present a number are too fierce in closing. Two identified upstairs bedroom carpets are malodorous and must be industrially cleaned. A number of vent axias in ensuite facilities must be repaired. A downstairs shower room is malodorous; the drains here must be cleaned. Cleaning schedules in the kitchen must be properly maintained. The food mixer in the kitchen DS0000065838.V296346.R01.S.doc Timescale for action 31/10/06 31/10/06 16/08/06 31/10/06 30/12/06 6. OP19 23.2(b) 30/09/06 7. 8. 9. 10. 11. OP19 16.2(k) 23.2(b) 16.2(k) 23.2(d) 23.2© 20/08/06 30/09/06 20/08/06 16/08/06 30/09/06 Page 22 OP19 OP19 OP26 OP19 Cleveland Park Care Home Version 5.2 12. 13. OP31 9.i1 18.2. OP36 must be repaired or re-newed. A Registered Mental Nurse must be appointed to deputise in the absence of the Manager. All staff must be supervised a minimum of at least six times a year. 30/09/06 31/10/06 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. 2. 3. Refer to Standard OP15 OP13 OP26 Good Practice Recommendations Menus should be amended to show a better choice and variety of food. Sandwich ingredients in menus should be specified. More trips out for residents should be organised. The dried and tinned food storeroom needs to be cleaned. Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Cleveland Park Care Home DS0000065838.V296346.R01.S.doc Version 5.2 Page 24 - 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. 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