Inspection on 17/05/05 for King`s Park Nursing Home

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

King`s Park Nursing Home 14/09/07

King`s Park Nursing Home 06/10/06

King`s Park Nursing Home 10/11/05

King`s Park Nursing Home 04/12/04

King`s Park Nursing Home 26/05/04

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

CARE HOMES FOR OLDER PEOPLE Kings Park Nursing Home Kings Road Ashton-under-Lyne Lancashire OL6 8EZ Lead Inspector Fiona Bryan Announced 17 May 2005 09:00 th 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. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kings Park Nursing Home Address Kings Road, Ashton-under-Lyne OL6 8EZ 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) 0161 343 4733 0161 343 4943 Southern Cross Healthcare Services LimitedUnit 2G, First Floor, Enterprise House, Valley Street North, Darlington, Co Durham DL1 1GY Care Home with Nursing 44 Category(ies) of DE Dementia - 44 registration, with number DE(E) Dementia - over 65 - 44 of places Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No service user to be admitted to the home under the age of 55 years. Two registered nurses to be on duty in each 24 hour period. The manager to be an RMN and supernumerary to the above staffing hours. Date of last inspection 27th November 2004 Brief Description of the Service: Kings Park is a Care Home with Nursing that provides specialist dementia care for up to 44 service users. Kings Park is owned by Southern Cross Healthcare, which is a private limited company. Registered nurses with both mental health and general nurse qualifications are on duty throughout the 24 hours and a manager who is also a registered nurse manages the home on a day-to-day basis. The home is a purpose built, two-storey building. Accommodation is provided in 36 single rooms, four of which have en-suite facilities. Four double rooms are provided for service users who wish to share. There are several lounge and dining areas on each floor. Hallways are wide ensuring that service users have plenty of room to mobilise. A keypad system ensures that potentially hazardous areas to service users are restricted. The home is situated in the Hurst Cross area of Ashton under Lyne. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 8.5 hours, during which two residents and two relatives were spoken to and four staff were interviewed. Many of the residents were unable to participate, however staff practices and interaction with residents were observed and note was taken of the general appearance of residents and apparent level of comfort and relaxation. Comments cards were left at the home but none had been returned at the time of writing this report. Since the last inspection the manager has moved to another home and Kings Park has been managed by a project manager from within the company. At the time of the inspection a new manager had just been appointed in an “acting” capacity for a three months probationary period and was being supported by the projects manager. A visit was last made to the home in April 2005 to investigate complaints made by a member of staff about how the home was being managed and the specific care of one resident. No requirements were made as a result of the investigation although advice was given on an informal basis. What the service does well: What has improved since the last inspection? Staff said that more equipment had been obtained since the last inspection, which had helped them carry out their tasks more efficiently. Staff said they thought the home was more organised than previously due to better communication and improved documentation. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 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. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 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 Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 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 Residents’ needs are assessed before they come into the home. EVIDENCE: Four residents were looked at in detail. Full assessments had been undertaken prior to their admission to the home. Staff knew the residents well and said they got information about a new resident from the nurse in charge and from reading the residents care file and speaking with the resident and their relatives. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 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 standard(s) 7 and 8 Care plans do not identify resident’s social needs. Residents’ health care needs are fully met, but staff must pay more attention to detail in the provision of personal care to residents. EVIDENCE: Four care files were looked at in detail. Care plans had been developed from the information obtained during the assessment. Care plans for physical and mental health care were detailed but plans for residents’ social care were less so. Development of these care plans will assist staff in identifying ways in which residents can participate in social events and receive stimulation and interest in their daily lives. Nursing staff spoken to were aware of the specific nursing needs of residents and described monitoring systems they used for residents who needed close supervision and evaluation of planned care. Risk assessments had been undertaken for residents at risk of falls, pressure sores and nutritional deficit. As part of these assessments the residents’ body mass indices had been calculated, which is good practice as it produces a more accurate assessment of risk. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 10 A number of residents were observed not to be wearing stockings or tights which led them to appear slightly unkempt. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 and 15 The recreational and social interests and needs of residents are not always met. Residents are encouraged and assisted to maintain contact with friends and family. Individual choices and preferences are recorded and taken into account by staff when caring for residents. Food provided for residents is plentiful, appetising and of good nutritional quality. EVIDENCE: Although the home employs an activities organiser, staff, residents and relatives all agreed that the provision of leisure pursuits and social stimulation was an area that needed further development. The activities organiser had not received any training about the types of activities that might be beneficial for residents with dementia therefore specific needs were not addressed. Residents’ preferences with regard to their daily routine were recorded in their care plans. Staff reported that every effort was made to respect individual choice, for example where residents had specific objections to being assisted with personal care tasks by care staff of the opposite gender, this was complied with where possible. A number of relatives visit the home on most days, and are welcomed at any reasonable time. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 12 The advocacy service from the Citizen’s Advice Bureau is involved in the majority of reviews and information about how to access the advocacy service is displayed in the reception area. Residents were given a choice of chicken or steak and kidney at lunchtime, which most residents ate well and said they were enjoying. The menus need reviewing as examination of them showed that virtually the same meal is sometimes served on two consecutive days, and the menus are no longer accurate as the home has recently changed the service so that the main meal of the day is now served at lunchtime and a lighter meal at teatime and not vice versa as before. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Procedures in the way that complaints are managed ensure that they are dealt with effectively. Some staff did not have the necessary training to protect residents from abuse. EVIDENCE: The complaints procedure is available in the home’s statement of purpose and the relatives spoken to were aware of it. A record of complaints made is kept, which records the outcome and action taken to address the issues. Complaints are monitored by the company’s head office. Most staff spoken to had not received training in dealing with residents with challenging behaviour, and some had not undertaken training regarding the protection of vulnerable adults, although all staff stated that they would report any suspected abuse to the manager. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 Kings Park is a safe and generally well-maintained home. Cleaning schedules need reviewing for a small number of rooms. EVIDENCE: The home has a secure keypad lock system on each floor to ensure that residents at risk of wandering out of the building are safe and are able to mobilise around each floor freely. Some rooms would benefit from being redecorated but it was reported that the home has a rolling programme of maintenance and areas for redecoration and refurbishment had been identified. Some carpets were due to be replaced and new bed linen is being purchased. A mal odour in a small number of rooms was identified during the inspection. Otherwise the home was clean and tidy. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 15 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 and 30 Staffing numbers are usually maintained at satisfactory levels, but specific training is needed in the care of people with dementia. EVIDENCE: The majority of staff spoken to stated that staffing levels were usually satisfactory and that there was little usage of agency staff. However, two relatives felt that the home was sometimes short staffed, especially at weekends. Duty rotas indicated that staff numbers are maintained in line with previously agreed minimum levels. Staff had received mandatory training in topics such as moving and handling, food hygiene and fire procedures. A detailed system is in place to record the training received by staff, which ensures that health and safety updates are delivered at the appropriate times. One member of staff had received training in one-to-one person centred approach to care and had reviewed and changed some of their practice as a result. Training in dealing with challenging behaviour and protection of vulnerable adults needs to be provided (standard 18) and the activities organiser requires training in the provision of suitable activities for residents with dementia (standard 12). In addition staff, including the RGNs need specific training in the care of people with dementia. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 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 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 and 38 Residents’ financial interests are safeguarded. Practices within the home ensure that the health and safety of residents and staff are promoted and protected. EVIDENCE: Procedures for handling money on behalf of the residents were satisfactory. Staff had received mandatory training in health and safety topics and sound systems were in place to ensure that they received updates at regular intervals. Records showed that staff had participated in fire drills. The home had received fire inspections and environmental health inspections at which no requirements had been made. Accident reports were completed correctly and audited monthly. Maintenance records viewed were up to date. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x 3 x x 3 Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 18 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 7 Regulation 15 Requirement The registered person must ensure that the service user plan sets out the action which must be taken by staff to ensure that the social care needs of the resident are met. The registered person must ensure that care staff maintain the personal hygiene of each resident. The registered person must ensure that facilities are provided for the residents recreational and social interests. The registered person must ensure that staff receive training in dealing with challenging behaviour, protection of vulnerable adults, care of people with dementia and the provision of activities for people with dementia. Timescale for action 31/7/05 2. 8 12 31/7/05 3. 12 16 31/7/05 4. 12,18,27, 30 13, 18 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 19 Kings Park Nursing Home Standard 1. 2. 12 26 The registered person should ensure that the menu is reviewed and updated. The registered person should review the cleaning schedules in the rooms identified during the inspection. Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL6 0QD 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 Kings Park Nursing Home F54-F04 s25439 Kings Park v218799 170505 Stage 4.doc Version 1.30 Page 21 - 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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