Inspection on 06/10/05 for Jack Parkinson Court

This inspection was carried out on 6th October 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 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 20/06/07

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 Mrs Sue Daniells Unannounced Inspection 6th October 2005 12:50 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.V255925.R01.S.doc Version 5.0 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.V255925.R01.S.doc Version 5.0 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@osjctlines.co.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.V255925.R01.S.doc Version 5.0 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 5th May 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 DS0000002375.V255925.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two inspections of the home, which are required by law each year. The inspection was unannounced and lasted for 3.75 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 felt safe and well cared for by the staff; they also said that they felt it was their home and could influence what went on. The manager was not present on this occasion; the shifts were being run by knowledgeable and competent care leaders. What the service does well: What has improved since the last inspection? Pre-admission assessments are comprehensive and now evidence the involvement of the prospective resident and/or their relatives. In addition, all written documents used for this purpose are named, dated and signed. Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 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 DS0000002375.V255925.R01.S.doc Version 5.0 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.V255925.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 An assessment of need is undertaken for prospective residents involving them, or their relative, in the process. They are assured by the home that their needs can be met. EVIDENCE: Because of a requirement and recommendation being made in the last inspection of the home, relating to pre-admission assessments, three assessments of newly admitted residents were examined during this visit. It was found that all of these documents had evidence of either resident or relative involvement in the process and that they were also dated and signed by the assessor and named. All the needs of the residents were contained in the assessment. Letters are written before admission assuring the resident or relative that the home can meet their needs. Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 and 9 Resident’s health needs are fully met by appropriate health professionals. Where appropriate, residents are able to self-medicate with policies and procedures in place to protect both staff and residents. EVIDENCE: Discussion with residents and staff and the examination of records showed that residents have their health care needs fully met by the appropriate health professionals. These include, GP’s, community nurses, chiropodists and dentists. Staff informed the inspector that they felt the rapport was not always good between the community nurses and the home, but wasn’t sure why. One staff member stated that it was difficult obtaining incontinence pads for a resident following a continence assessment. Currently, only one resident is responsible for their own medication and this is stored in a locked drawer in their bedroom. Staff liaise with the resident to ensure that they have adequate stocks of medication and monitor discreetly. A full risk assessment is undertaken if resident wishes to self medicate. The home has comprehensive policies and procedures in place to protect residents Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 10 and staff and one resident stated that “they put the pills in pots and bring it to us, and then they watch to make sure we take it”. Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 15 Friends and family are able to visit the home at any time and can access the local community if they wish to. Residents are provided with plentiful food, which is nutritious and varied and can eat meals where they wish. EVIDENCE: It was not possible to speak to visitors during the inspection, but residents spoken to stated that they could have visits from family and friends at any time during the day; one resident spoke of her daughter visiting every day and the fact that the carers were always nice to her. One resident enjoys walks into the town on a regular basis and if staff are able to, they will take residents for a walk or to undertake shopping. The inspector was able to see the lunch provided on the day of the inspection. This consisted of roast chicken, stuffing and a variety of vegetables with a fruit tart and custard for sweet. Residents were very complimentary of the food offered with comments such as ”the food’s good and we have a choice every day” and “the food is lovely and it’s well cooked” Menus seen showed a varied and well balanced diet and the cakes offered at teatime were all homemade. Residents can request different meals during their regular meetings and diets are catered for. Each “flat” has a dining area where the residents sit to eat their meals but they can eat in their rooms if they wish to. Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 12 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 and 18 Residents are confident that if they bring any complaints to the staff’s notice it will be dealt with appropriately. The residents are also protected from abuse by staff who are aware of such issues and would react if such an occasion arose. EVIDENCE: The home has a complaint’s policy and procedure, which is displayed in the entrance. The complaints log showed that one complaint had been received by the home, which had been investigated with the complainant being satisfied with the outcome. Residents and staff spoken to during the visit were aware that they could take any concerns or issues to the manager and felt that she would listen and deal with them in a satisfactory manner. One resident stated that they didn’t have to complain because “everything is OK and I like it here” Staff spoken to had a good knowledge of adult protection issues and stated that they would immediately inform senior staff if they felt something was wrong and make sure someone did something about it. Training on adult protection issues is provided, although one staff member stated that they had received this about three or four years ago and really needed an update. Residents stated that if they felt anyone had done anything wrong to them, they would tell a member of staff straight away “because they would sort it out” The home has an adult protection policy, which is linked to the local guidance. Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 13 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): The key standards from this section were inspected during the last visit to the home. EVIDENCE: Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 14 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): 27,29 and 30 Because of the dependency levels of residents, staffing in the afternoons is not sufficient to meet their needs and residents could be at risk due to inadequate recruitment practices. Staff are trained and competent to do their jobs. EVIDENCE: Throughout the visit, staff informed the inspector that they felt there were not enough staff during the afternoon shift between 1430 hrs and 2130 hrs. The home is difficult to staff because of its layout, i.e. five separate units, and as well as a reduced number of care staff at this time of day, (only four), there is no housekeeping staff after 1330 hrs to address such things as spillages. The previously highlighted shortfall in staff first thing in the mornings has been addressed and staff feel it works well, but there is a lot of concern regarding the afternoons because of the increased number of residents with confusion or dementia, and although this problem has been acknowledged by higher management, staff are currently struggling to provide the care required, especially if a resident displays aggression or inappropriate behaviour. One resident spoken to stated that “the staff just have to cope” and a staff member said that the majority of resident falls occur in the afternoon. The personnel files for two new members of staff were not available at the time of inspection. The files requested were posted to the Commission two days later. One file had all the necessary documentation in place, whilst the other did not contain evidence of an enhanced criminal record check or Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 15 evidence that they had not been placed on the Protection of Vulnerable Adult list. The manager realised this mistake and asked the staff member to return for duty when a satisfactory check had been received. Staff spoken to showed a good knowledge of the “tracked” residents’ care needs and discussed the training that they had undertaken which included moving and handling, first aid, food hygiene, diabetes awareness, infection control and dementia. The inspector was informed that a course on Parkinson’s disease was booked for the near future. Residents spoken to felt that they were being cared for by staff who “knew what they were doing” Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 16 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): 33 and 38 EVIDENCE: Four residents spoken to stated that they had a meeting every month to discuss all sorts of different things including outings and food and felt that “the home is run for us. If we don’t like something, we’re not frightened to speak out, so we can say so and they put it right” These meetings are minuted. The home operates a quality assurance system and residents and relatives are handed questionnaires on a regular basis, which the manager analyses and acts upon. The home has a comprehensive Health and Safety policy which staff are aware of. A random selection of records was seen for the checking of pieces of equipment; these included fire alarms, hoists, generator, and water temperatures. These were seen to be in order and up to date. Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 17 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 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 x x x x x x X X STAFFING Standard No Score 27 2 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 18 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 OP18 Regulation 13 (6) Requirement Staff must receive appropriate training related to adult protection and ensure that this information is updated at regular intervals. The numbers of staff on duty must be appropriate to the health and welfare needs of the residents, particularly the residents with confusion and/or dementia. Personnel files must be available at all times for inspection. All the documentation for newly employed staff must be on file before employment is commenced. Timescale for action 31/12/05 2 OP27 18 (1) (a) 30/11/05 3 4 OP29 OP29 Schedule 4 Schedule 2 17 (2) 19 (1) 31/10/05 31/10/05 Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 19 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 OP8 Good Practice Recommendations It is recommended as good practice that the home renews attempts to maintain an increased rapport with community nurses Jack Parkinson Court DS0000002375.V255925.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office 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. 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