Inspection on 20/06/07 for Jack Parkinson Court

This inspection was carried out on 20th June 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Jack Parkinson Court 06/10/05

Jack Parkinson Court 05/05/05

Jack Parkinson Court 27/01/05

Jack Parkinson Court 20/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Jack Parkinson Court Ruskin Road Mablethorpe Lincs LN12 1BP Lead Inspector Kathryn Emmons Key Unannounced Inspection 20th June 2007 10:00 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 Jack Parkinson Court DS0000002375.V323986.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. Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jack Parkinson Court Address Ruskin Road Mablethorpe Lincs LN12 1BP 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) 01507 477391 manager.jackparkinson@osjctlincs.co.uk www.oxfordshire.gov.uk The Orders Of St John Care Trust Mrs Rosemary E Robinson Care Home 44 Category(ies) of Dementia - over 65 years of age (44), Old age, registration, with number not falling within any other category (44) of places Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (44) Dementia - over 65 years of age (DE(E)) (44) The maximum number of service users to be accommodated is 44 Date of last inspection 6th October 2005 Brief Description of the Service: Jack Parkinson Court is one of sixteen care homes in Lincolnshire operated by The Order of St. John Care Trust, which is a charitable organisation. It is registered to provide care and accommodation for forty-four older people, some of who may have needs associated with dementia. The home is located on the outskirts of the seaside resort of Mablethorpe, which has a range of services and facilities. It is a purpose built property set around a courtyard within its own grounds. The home provides its own minibus service. Facilities are provided mainly on the ground floor in five units called flats each containing bedrooms, lounge, dining room, bathroom, toilets and kitchenette. Two bedrooms, a bathroom and staff room are located on the first floor, which can be reached by a flight of stairs. In addition there is a bungalow within the grounds, known as The Lodge. This is registered to accommodate four service users Over the summer months The Lodge is rented out for holiday lets for older people who are selfsufficient and do not receive any care from the staff in the main building. The current fees range for £348 - £470 per week depending on assessed need. Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the service took place on June 20 2007. This visit was unannounced and took place over 5 hours. Care received by three residents was looked at in detail. This is a method called case tracking. This included looking at their personal records, a range of general home records and staff detail records. Residents were also spoken to including those whose care was not looked at in detail. Staff were spoken with and the care they provided was observed. Eighteen residents completed comment cards sent to the service by us and the detail in these was also used to provide information about living at the home. We also sent a pre inspection questionnaire to the registered manager to provide information before we did a site visit. We spoke with ten residents on the day of the inspection to discuss their views of the home. We also looked at how the provider makes information about their service, including CSCI reports available to prospective service users. Residents made comments such as ‘staff understand care needs and are able to meet them”, “staff are always pleasant and very helpful nothing is too much trouble” “even though staff are always busy they are always manage to be available when needed,” “the care is excellent “Other comments made by residents and staff can be seen in the main body of the report. What the service does well: What has improved since the last inspection? Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 6 There has been a major re decoration programme in place and new carpets furniture and curtains have been provided. The grounds of the home have been made more secure so those residents who are at risk of leaving the home unsupported are kept safe. An activities coordinator has been employed for 20 hours a week and this has meant that residents have more opportunities to go on outings. There is also more time for dedicated one to one time in the form of reminiscence activities and general discussion. This benefits those residents who have a dementia condition. Staffing levels have been increased in the morning and this has enabled residents to have more time made available to them to receive care and support. 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. The summary of this inspection report can be made available in other formats on request. Jack Parkinson Court DS0000002375.V323986.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 Jack Parkinson Court DS0000002375.V323986.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6.Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Through pre admission assessment systems residents can be confident that their assessed needs can be met when they are admitted to the home. Up to date information enables residents to make an informed choice regarding living at the service. EVIDENCE: Resident comment cards for four residents stated they had not received contracts. On the visit to the service the contracts folder was locked away so it could not be checked if there were contacts in place for these four residents or those case tracked. Those residents case tracked said they thought they had contracts in place. All files inspected evidence a pre admission assessment which was completed either by care staff or information was supplied by other health care professionals such as social workers. Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 9 A brochure pack was on display including our inspection report and easy read service user guide and statement of purpose. Residents were spoken to about the admission process and how they came to decide to live at the home. Comments made were “I was in another home but had visited here before and decided from that” and “social services and CPN (community psychiatric nurse) advised about the home”. The care staff told us that when a new resident was going to be admitted to the home their needs were already known and the pre admission assessment would have been discussed with staff. The service does not provide intermediate care Jack Parkinson Court DS0000002375.V323986.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents assessed needs are recorded and reviewed. Health care needs are met. Medication is administered safely and residents are satisfied with how they are spoken to. EVIDENCE: Residents all had clear comprehensive care plans in place with full history details and up to date information about their individual care needs. Evidence of regular reviews which had been signed by staff and residents were in the files. This included risk assessments for needs such as self medicating, moving and handling and continence. Medication sheets were inspected and one did not have all signatures in place. It is important that the record is maintained accurately. All other medication Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 11 sheets had been completed correctly. The care leader said that the process for checking in medication had changed slightly however the practice was returning to how it used to be so that no errors would be made. Residents said they were happy and satisfied with the access to health care. It was evidenced from a couple of files seen that residents had access to opticians, dentist and chiropodists. The community nurses visit the service when needed and records showed that when doctors were requested they did attend the service to see residents. Interactions seen between residents and staff were valuing with residents being spoken to in their chosen form of address. Comments from residents about how they were treated were positive and one comment card completed by a relative said “staff understand care needs and are able to meet them”. Another resident said “I do get the help I need”. Jack Parkinson Court DS0000002375.V323986.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents are satisfied that social and recreational needs are provided for. Residents are able to exercise their rights and make their opinions known. Catering needs and preferences are catered for. EVIDENCE: An activities co-ordinator works 20 hours a week and does assessments on all residents when they are admitted, so that the residents preferences and abilities are known The coordinator had recently attended dementia training to enable appropriate activities to be provided. Observations by us saw the coordinator interacting on a one to one basis with some residents and with a small group of residents doing a board game. There is a reminiscence table in one of the quiet lounges of 1950’s memorabilia. On the day of the visit there was an outing to a seal sanctuary taking place using the service mini bus. A risk assessment is completed for all activities that take place outside of the home. Residents are supported by staff who volunteer to assist residents in their own time. We were told that Dementia mapping takes place and one of Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 13 the team leaders confirmed this. Dementia mapping is when a staff member sits in a lounge for a couple of hours and watches what tasks and activities a small group of residents with dementia conditions engage in. This helps staff to identify what level of support and engagement the resident needs. Residents told us that felt they were able to join in activities at their choice. Residents meetings take place and minutes were seen of these. Residents say they can “have their say and this is noted.” Residents said they could chose when to see visitors and there are quiet areas to meet with visitors in private. Once a month a visiting clergy from the local Roman Catholic and Church of England Church attend the home to provide a communion service. One resident said they had been told by staff they could attend a service outside of the home if they wanted to. One comment card received indicated that a relative thought there was not much food choice for residents who had diabetes. This was discussed with the senior care staff and menus were seen. Residents spoken to who had diabetes said that they were satisfied with the choice they were given. It was confirmed by the team leader that diabetic puddings are bought but also most puddings made were made in both sugar and sweetener form. Lunch is served from hot cabinets, which are placed in the flat lets. Residents are able to choose how much food they have and are discreetly assisted when necessary. Staff spoken to were clear on what to do if someone was not eating their meals and that this was maybe due to their dementia condition. Jack Parkinson Court DS0000002375.V323986.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents are confident that their concerns will be listened to and that the services safeguarding adults polices and training protect them from potential abuse. EVIDENCE: Residents were clear on the complaints procedure and knew this was on display on each of the pin boards in the flat let areas. Comment cards all indicated that residents felt that any concerns they had would “always” be listened to and acted upon. One resident gave an example of an issue they had raised and said “Rosemary (manager) sorted it out straight away”. Staff were able to say what they would do if they saw an incident which could be seen as a safe guarding adult incident. A training matrix and pre inspection information showed that most staff had received training in dealing with complaints and safeguarding adults issues. The manager was aware that one staff member needed to receive training in this area. A safeguarding adult procedure is in place and staff knew where to find this if they had any issues to raise. Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 15 Jack Parkinson Court DS0000002375.V323986.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24 and 26 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. Resident live in clean safe and comfortable surroundings. Small group living enables residents to enjoy a more homely environment. EVIDENCE: During the visit the home was found to be clean fresh and tidy. All comment cards return to us indicated that residents “always “ found the home clean and fresh. Comments made from residents included “its always clean and bright and airy”. All corridors were free from hazards and residents were able to wander around the home without restriction. Residents who use wheelchairs were able to move around the home without assistance. Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 17 The lay out of the home consists of a quiet lounge and five flats which have a communal lounge, dining room, kitchen, 2 toilets and a bathroom and between five and seven bedrooms. This enables residents to live in smaller groups, which promotes a more homely environment. All furniture was in good repair and a recent redecoration programme has provided new carpets, furniture and curtains in communal areas. Some bedroom carpets have also been replaced. Residents who gave permission for their bedrooms to be viewed all said they were satisfied with the layout of their rooms and that the décor was of a high standard. Staff spoken with said all equipment they use such a hoists and bathing equipment is in good working order. They staff said they have sufficient infection control equipment such as aprons gloves and disposable laundry bags. These were seen to be used during the visit. The grounds have new fencing in place. This gives residents privacy and enables residents who have a dementia condition to be able to assess the garden without them being at risk of walking out of the service grounds without support. Jack Parkinson Court DS0000002375.V323986.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is Adequate . This judgement has been made using available evidence including a visit to this service. A trained and enthusiastic care team who have been safely recruited cares for residents. A reduction in care staff levels at certain times of the day may not provide residents with the same level of care at all times. EVIDENCE: In the past 9 months the organisation has changed the categories of registration for the service so that residents with a dementia condition can live at the home. Staff numbers in the morning have been increased to provide an extra member of care staff, this has increased the quality of care provided but comments for staff and residents indicated that there were times when staff were very busy. Comments such as “There are staff shortages”, “staff are always pleasant and very helpful nothing is too much trouble,” “ even though staff are always busy they are always manage to be available when needed,” , “the care is excellent but the home is often short staffed which affects the level of care” and “the staff are excellent and always caring and concerned and friendly and supportive. During the visit call bells were often ringing in the morning and even though 10 residents were out on a trip straight after lunch the early afternoon period was busy with people being assisted to take their meals and then have support to go to their rooms and receive personal care. The shift consists of a team Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 19 leader and 5 care staff in the morning and in the afternoon 1 care leader and 3 staff . It was not clear from case tracking or from speaking with care staff and residents how care needs were less in the afternoon. Residents said they could have a bath at any time of the day and there did not seem to be less residents needing assistance in the afternoon. Recent discussion between the registered individual and the home manger has resulted in an extra care staff for 4:30pm – 9:30pm and an extra night carer as currently there is 2 waking staff and a carer who starts work at 6am. Staffing levels need to be continually reviewed to ensure that residents emotional, psychological and social needs are met as well as physical care needs. Staff records were not available for inspection as they were locked away and the manager was on a study day. This is the second time records have not be accessible so it is recommended that the manager reviews the situation. Staff spoken with confirmed they had received training recently and a training matrix was available to see what training had been provided and was due to take place. Staff spoken to were clear on residents individual needs and gave examples of the care needs of those residents case tracked. Because staff records were not available it was not clear what checks had taken place prior to a new member of staff starting work in the home. However at the time of the visit 2 care leaders were interviewing prospective care staff and confirmed that all staff must have a completed application form, references a Criminal Record Bureau check(CRB) and health declaration in place before a position would be offered to them. A new member of staff was spoken to and they also confirmed what documents they had had to provide before they were offered a position in the home. The carer also talked about their induction programme and confirmed that a senior care staff “shadowed” them until they were confident they could provide care and had the necessary skills. Jack Parkinson Court DS0000002375.V323986.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. A manager who has a good rapport with residents, staff and visitors manages the home. Quality assurance systems show how the service is run in the best interests of residents. Residents are protected by the homes health and safety polices and procedures including financial procedures. EVIDENCE: Staff told us that the manager is “approachable and friendly” and “she is supportive” Staff said they have staff meetings and are able to express their views. Minutes are made of these meetings. Residents said they see the manager on a daily basis and if they ask to speak with her in private this is Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 21 actioned. A comment card from a relative said, “Since my mother has been in the home she has improved and has been very well looked after” Quality assurance systems are in place including resident meetings, and monthly reports produced by the registered individual regarding the conduct of the service. Monies are only held for safekeeping if no other family or friends are available and then only small amounts are kept. Health and safety policies are in place and evidence of fire safety tests were seen, at the time of the visit, emergency lighting was being serviced. Staff were aware of health and safety and knew where to access the relevant polices. Jack Parkinson Court DS0000002375.V323986.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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 3 x x x 3 x 4 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? yes 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 OP27 Regulation 18 (1) (a) Requirement There must be enough staff on duty at all times to ensure residents receive the care they require and are kept safe. Timescale for action 30/08/07 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 OP29 Good Practice Recommendations It is recommended that staff record storage is reviewed to always make details about staff available to show that residents are in safe hands at all times. Jack Parkinson Court DS0000002375.V323986.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Jack Parkinson Court DS0000002375.V323986.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. 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