Inspection on 28/06/06 for Dale Park

This inspection was carried out on 28th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Dale Park 26/07/07

Dale Park 29/12/05

Dale Park 14/06/05

Dale Park 23/12/04

Dale Park 16/06/04

Similar services:

Chirnside House

Emmaus House

East Croft Grange

Craignair

Croston Park Nursing Home

Conifers Nursing Home

Cloisters

Elmsdene Care Home

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

CARE HOMES FOR OLDER PEOPLE Dale Park 221 Meols Cop Road Southport Merseyside PR8 6JU Lead Inspector Mr Mike Perry Unannounced Inspection 28th June 2006 09:30 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 Dale Park DS0000017278.V299440.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. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dale Park Address 221 Meols Cop Road Southport Merseyside PR8 6JU 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) 01704 501780 01704 501782 www.schealthcare.co.uk Southern Cross Healthcare Services Limited Mr John Melvyn Price Care Home 54 Category(ies) of Dementia (54) registration, with number of places Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 54 DE Date of last inspection Brief Description of the Service: Dale Park is a purpose built home providing nursing care for 46 older residents with mental health needs related to dementia [the home is registered for 54 but shared rooms are used for single use]. The home is owned privately by Southern Cross Health Care and the Responsible Person is Mr Phillip Scott. The Registered manager is Mr John Price. The home is situated in Southport close to a retail park and with access to a bus route for the town centre. There are shops close by and a pub. Dale Park is divided over 2 floors and 4 units. Each floor has 2 lounges and 2 dining rooms. The first floor is accessible by a passenger lift and stairs. Two bedrooms have ensuite facilities. The home is equipped with manual handling aids and grab rails to promote independence. There is a car park to the rear of the home and there is a garden. The range of fees in the home are £493 - £500 Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was a ‘key’ inspection for the service and covered the core Standards the home is expected to achieve. The inspection took place over a period of 11 hours over 2 days. The inspector met and spoke with some residents and 5 relatives who were visiting the home [1 relative by phone]. The inspector also spoke with members of care staff [8] on a one to one basis and the registered manager and a senior manager from Southern Cross. A tour of the premises was carried out and this covered all areas of the home including the resident’s rooms [not all bedrooms were seen]. Records were examined and these included three of the resident’s care plans, staff files, staff training records and health and safety records. What the service does well: The home has a useful range of information guides available such as the ‘Service Users Guide’, which describes the facilities and services in the home. Relatives spoken to said that they had been given copies of this document which had helped in both choosing the home and also assisted in the settling in period The manager or senior nurse in the home carry out assessments prior to residents coming into the home so that the home is better able to make a judgment as to whether needs can be met. The assessments seen were very comprehensive and included assessments from health and social care professionals also involved with the residents care. The assessments include all routine daily living activities such personal care as well as more specific assessments covering mental health. Care plans were reviewed and these were very well written and detailed the health and personal care needs of residents in a clear manner. Relatives spoken to have some involvement with the care plans and, depending on choice, had contributed information and views. Some care plans reviewed were for those residents who exhibited more challenging behaviour such as aggression or non-compliance with care. It was Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 6 clear that these residents were having their needs met. A good example was one resident who had undergone extensive review by the community mental health team so that more effective care could be provided. This resident was able to meet with the inspector whereas on the previous visit this had been difficult. Visits by the GP as well as other health care professionals clearly recorded in the care files. One resident with a pressure sore was being monitored effectively with regular liaison with the tissue viability nurse. Observation of residents evidenced a good standard of personal care for residents. Residents seen were clean and tidy. Relatives reported that personal car standards are maintained. One comment was that ‘care is very good – my wife is always clean and tidy’. Another said ‘ there is a good lot of staff at the moment and they are very caring’. The home have a full time activities coordinator employed. The inspector observed her spending some time out in the garden with 2 / 3 residents. There was also an entertainer in the home on the second day of the inspection. There is a relaxed feel to the home and relatives commented on this. Relatives can attend a ‘friends and family’ meeting run by the activities coordinator and can have some input into the social event in the home. There is some choice on offer each meal and this is managed to some extent by staff being aware of resident’s likes and dislikes. Relatives stated that meals were good and that ‘ if something special is requested the kitchen will supply it’. Some residents are on soft diets and these are presented well. There is a complaints procedure clearly available in the residents’ information guide [service users guide] and displayed around the home. There were three complaints registered and these had been investigated satisfactorily. Relatives interviewed felt that staff were approachable and issues were dealt with appropriately. The home has policies around adult protection and understands, and have accessed, locally agreed investigation procedures in the event of any allegations. Staff observed displayed very good communication skills when dealing with residents who are confused and did not seem rushed in any aspect of care. Relatives described staff as ‘caring’ and ‘very hard working’. There is a good training plan. NVQ training is ongoing and 65 of staff are trained to this level. More recent training planned for staff includes adult protection / abuse awareness. Three staff files were inspected and the standards for the recruitment of staff are good. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 7 The Registered Manager is Mr John Price who was appointed in December 2002. Mr Price has many years experience working with the older resident group and has held previous managerial positions within the care profession. The home has very good systems in place for monitoring and improving quality. There is an annual external independent QA audit conducted as well as various ongoing internal auditing processes undertaken by the company and staff in-house. Relative’s views are canvassed and can therefore have some input into the running of the home. Southern Cross carries out service user satisfaction surveys. What has improved since the last inspection? What they could do better: Care plans are evaluated / reviewed on a regular basis. The concept of evaluation was discussd with the manager and agreement reached that this should be a discussion and evaluation of progress made against the goals set on the care plan. Relatives generally felt that the activities were to thinly spread and that there could be more input organised. The garden facility is not safe at present for residents to wander out on and so all but 3 were therefore maintained indoors despite very good weather during the inspection. The home does have a rolling programme of décor and maintenance and this was seen. Since the previous inspection there have been some shower facilities Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 8 fitted as well as doors fitted leading from one of the day areas to the garden. There was also decorating of bedrooms going on during the inspection. This work has, however, been ongoing for some time. Relatives gave examples of the corridors taking 4 months to be decorated because the one maintenance person is continually have to fit in other jobs. This was described as ‘ridiculous’ and relatives said that this sort of management undermined the otherwise good work of the home. Both staff and relatives reported that not enough hours are available to complete work in reasonable time as the company rely on an internal workforce, which is insubstantial. Relatives reported that standards of cleanliness in the home fall at the weekends when there is reduced domestic cover. The system of formal supervision in the home has commenced although still needs to be more consistent as some staff reported that they had had no sessions as yet. 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. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 9 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 Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 10 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): 1,3 [standard 6 NA] The quality in this outcome area is good. The home provides good information for prospective residents and their relatives so that an effective chioce can be made to move into the home. Appropriate assessments are carried out by the home, which include social service and / or health assessments so that the home is better able to ensure care needs will be met. EVIDENCE: The home has a useful range of information guides available such as the ‘Service Users Guide’, which describes the facilities and services in the home. These are displayed in the entrance to the home. Relatives spoken to said that they had been given copies of this document which had helped in both choosing the home and also assisted in the settling in Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 11 period. There is an up-to-date copy of CSCI’s inspection report available in the entrance as well as the results of service user satisfaction surveys which are displayed on the wall. There is a copy of the Service User Guide in each of the resident’s bedrooms. The manager or senior nurse in the home carry out assessments prior to residents coming into the home so that the home is better able to make a judgment as to whether needs can be met. The assessments seen were very comprehensive and included assessments from health and social care professionals also involved with the residents care. The assessments also include a ‘draft care plan’ which outlines the residents more immediate assessed needs so that care is planned from admission. Further assessments are carried out once the resident is admitted and from these a more comprehensive care plan is devised. The assessments include all routine daily living activities such personal care as well as more specific assessments covering risk, nutrition, pressure area care, and mental assessments. The social assessments display evidence that relatives are involved in the care. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 12 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 The quality in this outcome area is good. Individual care plans are of a very high standard and display evidence of relatives being involved so that care is managed effectively. There is good liaison with health care support services so that residents are referred appropriately and receive the necessary care. The previous requirements regarding medication administration have been met so that standards in this area are safe. Residents are afforded a good standard of personal care so that dignity is preserved. EVIDENCE: Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 13 Individual care plans were available for each resident. 4 care plans were reviewed and these were very well written and detailed the health and personal care needs of residents in a clear manner. The files are so arranged that each care need has any supporting care documentation along side for easy reference. Care plans are evaluated / reviewed on a regular basis. Reviews of the care plan are indicated on a form which consists of dates but no notes. the concept of evaluation was discussd with the manager and agreement reached that this should be a discussion and evaluation of progress made against the goals set on the care plan. Relatives spoken to have some involvement with the care plans and, depending on choice, had contributed information and views. There is a ‘client review’ form, which outlines reviews with relatives. Relatives found these useful and said that staff were particularly good at keeping them updated regarding changes in care. Staff interviewed were keen to highlight the importance of good communication with relatives. Some care plans reviewed were for those residents who exhibited more challenging behaviour such as aggression or non-compliance with care. It was clear that these residents were having their needs met consistently and the care plans and records include observation charts [behavioural observation charts] that are able to more accurately contribute to the evaluation and development of the care plan. Staff interviewed were aware of the care needs of these residents. One resident discussed was on 1:1 management and had also undergone extensive review by the community mental health team so that more effective care could be provided. This resident was able to meet with the inspector whereas on the previous visit this had been difficult. The staff in the home are careful to refer residents for health care reviews and this was evident from the regular visits by the GP as well as other health care professionals clearly recorded in the care files. One resident with a pressure sore was being monitored effectively with regular liaison with the tissue viability nurse. The medication issues from the previous inspections were around the inconsistencies in the administration process. These have been addressed. The managers have updated there medication audit tool to ensure more careful monitoring. Observation of residents evidenced a good standard of personal care for residents. Care staff complete daily records of care interventions such as washing and dressing. Residents seen were clean and tidy. One resident who can refuse personal care from staff had an approach outlined in the care plan Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 14 and was being monitored. Relatives reported that personal car standards are maintained. One comment was that ‘care is very good – my wife is always clean and tidy’. Another said ‘ there is a good lot of staff at the moment and they are very caring’. It was noted that the home have reduced resident numbers at present and therefore slightly higher staffing ratios than usual. Staff commented that they can spend a little more time on care and not feel as rushed in their work. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 15 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): The quality in this outcome area is adequate. Some residents are supported to be involved in activities although more could be done in this area. Residents are encouraged to maintain their independence and exercise choice within the limits of their disability. A choice of good quality home cooked food is provided to the residents EVIDENCE: The home have a full time activities coordinator employed. Her time is divided between all of the residents and she does a lot of 1:1 work. The inspector observed her spending some time out in the garden with 2 / 3 residents. There was also an entertainer in the home on the second day of the inspection [this was very favourable reported as a good activity]. Staff reported individual trips out for residents and one resident was receiving some aromatherapy. The home has a snoozelyn facility. There is a relaxed feel to the home and relatives commented on this. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 16 Relatives can attend a ‘friends and family’ meeting run by the activities coordinator and can have some input into the social event in the home. Relatives generally felt that the activities were to thinly spread and that there could be more input organised. The garden facility is not safe at present for residents to wander out on and so all but 3 were therefore maintained indoors despite very good weather during the inspection. The patio doors [newly installed] leading from one day area were locked. The personal exercise of choice and control over resident’s daily life in the home is a difficult balance to achieve given the lack of mental capacity of the resident group. There were examples however of how the home were trying to achieve a good balance. For example staff interviewed were aware of individual residents likes and dislikes in terms of dress and food preference. Individual bedrooms displayed photographs and ornaments, which reflected individual’s history and personality. The activities organiser runs a ‘friends and family’ group so that there is an additional opportunity for relatives to have input into the home. Meal times for residents have improved in that the more disruptive residents are now managed on a 1:1 basis so do not impinge on the other residents ability to enjoy a more relaxed meal. Meal times are organised so that residents who require assistance with feeding are cared for first and then staff attention can be paid to the more social needs of the more independent residents. There was also some attempt made by staff to set tables. This was further discussed and more work could be developed here. There is some choice on offer each meal and this is managed to some extent by staff being aware of resident’s likes and dislikes. Relatives stated that meals were good and that ‘ if something special is requested the kitchen will supply it’. Some residents are on soft diets and these are presented well. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 17 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 The quality outcome in this area is good. There is an effective complaints procedure in the home so that residents and their representatives feel that they are listened to and their concerns are acted on. The policies and training of staff in the home evidence good awareness of issues surrounding the protection of vulnerable adults so that residents are protected from abuse. EVIDENCE: Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 18 There is a complaints procedure clearly available in the residents’ information guide [service users guide] and displayed around the home. Complaints are logged in a complaints register, which is routinely audited by Southern Cross. There were three complaints registered. One was around environmental issues in the home and had been investigated by the homes management. Some of these issues have been followed up on this inspection. Another complaint was registered with the Commission and was investigated by an inspection officer. The complaint centred on the admission of an elderly resident to hospital. The allegations concerned examples of poor care and possible neglect. There was also concern that the resident arrived at casualty unescorted. The elements of the complaint that were founded was that the resident in question had appeared unkempt and with worn out clothing. Also that, due to communication errors, the resident had been taken to casualty unescorted and due to confusion was not able to give any presenting history. There were 3 requirements issued at the time following this complaint. These have since been addressed. Relatives interviewed felt that staff were approachable and issues were dealt with appropriately. The home has policies around adult protection and understands, and have accessed, locally agreed investigation procedures in the event of any allegations. There is a training package available and during the inspection the homes manager was arranging for training from social services for staff. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 19 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 The quality in this outcome area is currently adequate. There are maintenance issues that are ongoing and which need to be met so that the home is pleasant, safe and comfortable to live in for residents with dementia. EVIDENCE: As an over view the Home is purpose built to meet the needs of people with dementia and has many good practice facilities such as level access to bedrooms and good day space as well as very good bath / shower room facilities. However, one of the complaints received by the home had highlighted poor maintenance of the home in certain areas and this was reviewed on this inspection. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 20 The home does have a rolling programme of décor and maintenance and this was seen. Since the previous inspection there have been some shower facilities fitted as well as doors fitted leading from one of the day areas to the garden. There was also decorating of bedrooms going on during the inspection. This work has, however, been ongoing for some time. Relatives gave examples of the corridors taking 4 months to be decorated because the one maintenance person is continually have to fit in other jobs. This was described as ‘ridiculous’ and relatives said that this sort of management undermined the otherwise good work of the home. A good example of this is the fitting of the doors leading to the garden following previous recommendations, which would allow residents access to the garden area. The décor around these doors is not finished and the doors have to remain locked as the garden area needs work completing to make it safe. [Thus defeating the original objective]. Both staff and relatives reported that not enough hours are available to complete work in reasonable time as the company rely on an internal workforce, which is insubstantial. Despite the work underway the following were observed to be in need of maintaining: • • • • • Window in poor condition with double glazing units needing replacing. Garden area not safe for residents to wander out. Rear garden area over grown with some fencing panels still in need of replacement. Chest of draws in some bedrooms in desperate need of replacement. Carpets in some lounges in poor condition The real issue is one of being able to speed the maintenance plan up by shortening dates for completion so that the home reaches an acceptable state of repair and can then be maintained effectively. The home was found to be clean on the days inspected. Relatives reported that standards fall at the week ends however when there is reduced domestic cover [one staff for the whole home]. Relatives gave examples of dirty bibs being piled on chairs following meals, debris on bedroom and lounge carpets. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 21 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 The quality ion this outcome group is good. The staffing in the home is generally settled and minimum numbers are maintained so that care needs can be met. The recruitment processes are good and ensure that residents are protected. There is ongoing training for staff to support them in carrying out their care work. EVIDENCE: For 40 residents in the home there were 2 trained nurses and 9 care staff on duty and these figures are generally consistent from reviewing the duty rota. The manager and activities person are additional to these numbers. There is also an administrator. There has been very little use of agency cover over the recent weeks so that continuity of care is more likely to be provided in meeting resident’s needs. Staff observed displayed very good communication skills when dealing with residents who are confused and did not seem rushed in any aspect of care. Staff did comment that with a reduced level of residents at present there was more time to ensure good standards and there are times when care is not as thorough. All staff felt however that a good standard of care is maintained and this was echoed by relative interviews who described staff as ‘caring’ and ‘very hard working’. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 22 Staffs training files were seen. The home has a good induction programme for new staff and staff spoken to had found this beneficial. NVQ training is ongoing and 65 of staff are trained to this level. More recent training planned for staff includes adult protection / abuse awareness. 3 staff files were inspected and the standards for the recruitment of staff are good. All files contained necessary details including POVA [Protection of Vulnerable Adult] and Criminal Records Bureau [CRB] checks. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 23 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 The quality in this outcome area is good. The manager of the home displays the skills and knowledge to manage the home so residents and staff needs are supported There are systems in place so that the quality of the service can continue to be improved with reference to service users needs and comments. EVIDENCE: Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 24 The Registered Manager is Mr John Price who was appointed in December 2002 having worked at Dale Park as the Deputy prior to this appointment. Mr Price has many years experience working with the older resident group and has held previous managerial positions within the care profession. Mr Price is a qualified nurse RMN, SEN (Gen) and also has a social work management qualification [CSWM]. Mr Price is undertaking Level 4 in NVQ Management which is due for completion in September. Staff interviewed felt generally supported and stated that the manager was approachable and helpful. The system of formal supervision in the home has commenced although still needs to be more consistent as some staff reported that they had had no sessions as yet. The home has very good systems in place for monitoring and improving quality. There is an annual external independent QA audit conducted as well as various ongoing internal auditing processes undertaken by the company and staff in-house [medication audit, care plan audit, Health and Safety Audit] and the results are discussed at staff meetings as well as management meetings. The ‘assured care’ audit conducted lacks any for m of written feedback in terms of recommendations or action required and the manager will discuss this with the auditor. There is a ‘Friends and Family’ forum held on a regular basis where relatives can have some input into the running of the home. Southern Cross also carries out a service user satisfaction survey. None of the residents have the capacity to manage their own finances. The policy of the home is for relatives to manage this. The administrator manages personal allowances in house with input from relatives. Records are maintained and receipts kept for money spent. A finance manager from the company also completes a regular audit of the system. There are good systems in place for the ongoing management of health and safety in the home. Policies and procedures are continually reinforced with staff via the regular Health and safety meetings as well as dissemination of policies on a regular basis. Records seen, such as [fire, manual handling, gas], were all up-to-date [the electrical certificate is due for update]. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 25 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 3 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 2 X X X X X 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 3 X 3 X 3 2 X 3 Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 26 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 OP19 Regulation 23 Requirement The home must be maintained at all times in a suitable state of décor and appropriate furnishings. The maintenance programme must be realistic in achieving this aim. The garden area must be made safe and accessible for residents who are confused. The standard of cleanliness and hygiene in the home must be maintained satisfactorily at all times including weekends. The supervision programme must be streamlined to include all staff on a regular basis. Timescale for action 01/08/06 2 3 OP19 OP26 23 23 01/08/06 01/08/06 4 OP36 18 01/10/06 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 Refer to Standard OP7 Good Practice Recommendations The evaluation of care plans should be a record of the discussion of care set against the aims and objective of DS0000017278.V299440.R01.S.doc Version 5.2 Page 27 Dale Park 2 3 4 5 OP12 OP26 OP33 OP38 2the care plan [as discussed]. Relatives reported that more activities should be organised. The management should be aware of this and try and work to build on the existing programme. The cleanliness of the home should be maintained consistently with attention to all areas. The ‘assured care’ audit should include some written feedback for the manager in terms of recommendations. The electrical certificate should be renewed. Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Dale Park DS0000017278.V299440.R01.S.doc Version 5.2 Page 29 - 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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