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Inspection on 05/05/05 for Jack Parkinson Court

Also see our care home review for Jack Parkinson Court for more information

This inspection was carried out on 5th May 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What the care home does well

The home provides a clean, well-maintained and homely environment, which is safe and suitable for the residents. Staff are generally experienced in their role and residents feel that they are looked after by carers who know what they are doing.

What has improved since the last inspection?

The home`s environment has improved since the last inspection with new carpeting being laid in the hallway and corridors. Pre-admission assessments are more thorough, which has the affect of ensuring the plan of care meets all the needs of the resident.

What the care home could do better:

Staff who undertake pre-admission assessments need to be sure that they mark each form with the resident`s name and evidence that they have involved the resident or, if necessary, a member of the resident`s family in that process. Once a new need has been identified for a resident, staff must ensure that care plans are changed immediately to reflect this.

CARE HOMES FOR OLDER PEOPLE Jack Parkinson Court Ruskin Road Mablethorpe Lincs LN12 1BP Lead Inspector Sue Daniells Unannounced 5 May 2005 9:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Jack Parkinson Court Address Ruskin Road Mablethorpe Lincs LN12 1BP 01507 477391 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Order of St John Care Trust Mrs R E Robinson Care Home PC Care home only 44 Category(ies) of DE (E) 44 registration, with number OP 44 of places Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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 27th January 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 whom 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 self-sufficient and do not receive any care from the staff in the main building. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of two inspections of the home, which are required by law each year. The inspection was unannounced and lasted for 5.25 hours. The main method of inspection used was “case tracking”. This involved selecting four residents and tracking the care they received through the checking of their records, talking with them and the care staff and observing the way that care was given. It also included talking to other residents and viewing the home. All the residents that were spoken to said that they felt they lived in a nice home and were well cared for by the staff; they also said that they had choices over their lives, for example when they got up and went to bed, which clothes they wore, what they did during the day and what they ate. What the service does well: What has improved since the last inspection? The home’s environment has improved since the last inspection with new carpeting being laid in the hallway and corridors. Pre-admission assessments are more thorough, which has the affect of ensuring the plan of care meets all the needs of the resident. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4. Standard 6 does not apply as the home does not currently provide an intermediate care service. Residents are fully assessed prior to their admission to the home and they, or their family are assured that the home can meet their needs, although evidence was not always available to demonstrate that the resident had been part of this process. EVIDENCE: Records for two newly admitted residents were examined and contained the information that was necessary to demonstrate that the home had a thorough assessment procedure, which takes place before the resident is admitted to the home. However, one resident’s assessment did not contain evidence that they, or their family, had been involved in this process and a resident’s name was missing from one of the documents. The manager produced letters sent from the home to the residents following their assessment and prior to their admission, confirming that the home could meet their needs. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 9 Resident’s records and discussion with the two residents and a relative demonstrated that care needs are regularly reviewed and involve the residents. One resident said that they had been given a copy of the guide to the home before admission. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 10 Care plans are thorough, although they are not always altered immediately care needs change, which may put the resident at risk. Resident’s privacy and dignity is maintained and staff treat residents with respect. EVIDENCE: Four care plans were examined during the inspection. Each resident has an individual plan of care, which sets out the care needed and how it is to be given. Risk assessments for the residents were also included in the plan with y action given to reduce the risk. An identified risk for one resident and two care needs for another, had not been written down, although this was put right before the end of the inspection. All the care plans had been reviewed at least monthly with any changes being agreed with the resident concerned. Discussion with the residents evidenced that they had been involved in their care plan and that they felt all their care needs were being met by the home’s staff. They also felt that their privacy and dignity was respected and gave examples of how this is achieved, for example “the carers always knock the door if I’m in my room” and “they leave the curtains shut until I’m dressed”. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 11 Observation by the inspector demonstrated that staff treat the residents with respect and call them by their preferred name. The staff spoken to were very aware of the importance of maintaining residents privacy and dignity and stated that they always keep toilet and bathroom doors shut when they are in use and they always knock on bedroom doors. Bedroom doors are lockable if residents choose to do this. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 14 Residents are satisfied with the choice and frequency of activities offered, and feel that they have as much choice and control over their lives as they wish. EVIDENCE: All the residents spoken to during the inspection said that did what they wanted to during the day. One resident liked to watch the television all day and stated that they didn’t want to join in any of the activities that were offered. Another said that they had played “bingo” the day before and had just taken part in a quiz and was very happy with the activities. Residents were seen to be reading, watching the television and talking to each other in various parts of the home during the inspection. Videos are also available. One resident is able to walk into the town and others are taken by staff, when time is available. A minister of religion attends the home on a monthly basis to hold a short service and give communion to those who want to participate. A monthly list of the activities in the home is placed on notice boards in the home and a newly appointed activity co-ordinator has been employed to provide 20 hours of activities over the week; sessions will include specific Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 13 activities for those residents with dementia. All activities are planned according to the wishes of the residents. Discussion with the residents evidenced that they are able to get up and go to bed when they want to, with some choosing to stay in their rooms and others using the lounge facilities. Staff stated that the residents who are able, make their own choices of what to wear each day and residents confirmed this. One staff member stated that they wished they had more time to chat with the residents, although the inspector did see this occurring during the afternoon. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the outcomes above were examined during this inspection; these will be addressed during the next inspection. No complaints have been received by the Commission for the home since the last inspection. EVIDENCE: Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home provides a safe, comfortable and homely environment for the residents, which is well maintained. Procedures have been established to ensure that the home is clean and hygienic. EVIDENCE: The home employs domestic staff and also a handyman, who undertakes maintenance of equipment and all painting and decorating. Because of this the home has an on-going programme of re-decoration and re-furbishment, and on the day of the inspection the home was clean and well maintained with new carpeting fitted to the hall and corridors and to a number of bedrooms. The home was safe with a home-like atmosphere and suitable for the residents. Resident’s were complimentary of the home with comments such as “it’s lovely and clean and my bedroom is nice too” Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 16 The home has policies and procedures for the control of any infection and the laundry is fitted with two commercial washing machines, both having the ability to cope with infected lined at high temperatures, and two driers. Apart from one area, the home had no apparent odours; the manager was aware of the problem and was dealing with it appropriately. During the inspection, cleaners were seen vacuuming and washing floors. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The staff group are, in the main, an established team and staffing levels are sufficient to meet the current needs of the residents, having the experience required to undertake their role. EVIDENCE: All of the residents spoken to were very complimentary of the care that the staff provide and felt that they had all their needs met. A “key worker” system is in operation, which gives each member of care staff specific responsibilities for specific residents and the residents, or family members, were aware of who their key worker was and said that if they had any problems they would, in the first instance, approach them. On the day of inspection 32 residents were in the home. Duty records showed that in the mornings, five care staff were on duty, in the afternoons there were four with an extra member between 6pm and 9pm to take the supper trolley round. At night-time, two care staff were on waking duty. The home intends to increase the staffing between 6am and 10am to enable them to meet the needs of the residents. One of the care staff on each shift is a team-leader and takes responsibility for the running of the shift. These carers are very experienced in care work. The home does have a number of “bank staff” who work when regular staff are sick or take annual leave. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 18 Staff spoken to felt that three carers should be on duty at night time, although the manager stated that this was not a view held by the night staff and residents did not raise this as a problem. A relative stated that they thought the staff were short-handed but still felt that the carers met their relatives needs. Residents also said that they felt the staff always knew what they were doing and were very kind. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home has satisfactory procedures to ensure that resident’s money is safeguarded. EVIDENCE: New residents are encouraged to look after their own finances or ask their family’s to do this. Of the four residents case-tracked during the inspection, three had money held on their behalf by the home. Money is kept in individually named packages and stored in a safe, with the administrator and manager being the only staff members having access to it. The money in the packages for the residents balanced with the amounts shown in the resident’s ledger. The manager audits this on a monthly basis and each transaction in the ledger is signed by two people, with receipts kept for any purchases. If the resident wishes, the home requests family’s to take responsibility for any large amounts that have accrued in the hom. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 20 The inspector was informed that only three residents took care of their own finances and the home collects the pensions for six residents. All resident’s rooms have a lockable drawer in which to keep small amounts of money and valuables. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 3 x x x Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 22 No 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 3 Regulation 14 Requirement Pre-admission assessments must evidence that the service user or their representative is involved in the process. Timescale for action July 31st 2005 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 3 Good Practice Recommendations As good practice, it is highly recommended that all assessments are named, dated and signed in order to provide a benchmark for future care. Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road Lincoln LN6 3QN 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 Jack Parkinson Court C53 C04 Jack Parkinson Court 224179 050505 Stage 4.doc Version 1.30 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. 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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