CARE HOMES FOR OLDER PEOPLE
North Park I`Anson Street Darlington Co Durham DL3 0SW Lead Inspector
Bridgit Stockton Unannounced Inspection 27th June 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address North Park DS0000069201.V343274.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. North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service North Park Address I`Anson Street Darlington Co Durham DL3 0SW 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) 01325 356000 01325 356002 Barchester Healthcare Homes Ltd Anthony McGarry Care Home 60 Category(ies) of Dementia - over 65 years of age (26), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (60), Physical disability (5) North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection Brief Description of the Service: North Park Care Home is a sixty bedded home which provides care to older people. The home also provides care for service users with dementia on the top floor. The home is split over three floors, the ground floor has eight beds and the first and second floors have twenty-six beds. There is lift and stair access to all floors. The home overlooks parkland and there is a small patio area to the rear of the home. The home is purpose built and is decorated to a high standard, all rooms are en-suite and specialist bathing equipment is available to support service users who are less mobile. The home is owned by Barchester Healthcare and managed by Tony McGarry. Fees range between £329.00 and £383.40 per week. The fees do not include hairdressing, newspapers, or toiletries. North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 5 hours on the 28th June 2007. The home did not know the inspection was going to take place. The plan for the inspection was to talk with the residents about living in the home; to meet with care staff and the home’s management team; and to look at records. A pre inspection questionnaire had also been returned to the Commission with some information before the site visit. Some of this information has been included within this report. What the service does well: What has improved since the last inspection?
The home has continued to offer a very good standard of care and support for the people who live there. The manager and staff are continually working hard and looking to always improving the care and support they give to the residents who live at the home. A new system of care planning has been introduced into the home, and staff said they have found this system comprehensive. Several rooms have been redecorated and new carpets have been fitted in some bedrooms and corridors. The dementia unit had been refitted, corridors decorated with interactive memorabilia and a new fitted kitchen has been installed for people to use. North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 6 A hot drinks machine has been installed at the front entrance for the use of visitors to the home, a small toy box has been place in one lounge for when children visit the home. 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. North Park DS0000069201.V343274.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 North Park DS0000069201.V343274.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): 1,2,3 &6. Quality in this outcome area is good. People can be assured that their needs are appropriately assessed prior to admission to the home and that they are given sufficient information to make an informed choice before moving into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been updated. These guides contain information that is required to enable people to make an informed choice about where to live. Included in the service users guide are comments that have been made by residents about living at the home. Evidence was seen that service users or their representatives have signed a contract with the home. The manager confirmed that visits to people wanting to use the service always takes place before their admission to the home, to carry out an assessment of needs.
North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 9 Four care plans examined contained notes from assessments made on these visits. Also, each person’s care plan contained assessments from the placing authority that were responsible for commissioning the service at the home. The home does not provide intermediate care. North Park DS0000069201.V343274.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, &10 Quality in this outcome area is good. Good systems are in place to ensure that health care needs of the people using the service are met. Privacy and dignity is protected and people are treated with respect This judgement has been made using available evidence including a visit to this service. EVIDENCE: A new care plan has been developed for each person that identifies needs associated with health and personal care. This ensures that staff are clear about what is required of them in meeting peoples needs. The care plans of four service users were inspected. They were comprehensive and well written. Careful and thoughtful strategies to address particular needs or problems of some service users were well documented and sensitively written. They described the ‘finer detail’ of service users requirements that make sure service users really do receive individual planned care and support. There was evidence of involvement of specialist healthcare people such as the community psychiatric nurse, the dietician and continence nurse. The management and administration of medication is carried out appropriately. A senior member of care staff has been given the responsibility of making sure
North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 11 that the ordering and checking of people medication is done properly. This is very good practice. Dedicated time has been set aside for this. The senior care assistant was spoken to, she was very knowledgeable and showed a very good understanding of this role and was aware of her responsibilities. Staff were seen to be treating service users with respect and dignity and this was also reflected within the care plans. Service users said that the ‘girls are kind’ and ‘I have good staff who look after me they speak kindly to me and help me do things I cannot manage’. North Park DS0000069201.V343274.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&15 Quality in this outcome area is excellent The recreational and social needs of service users are very well catered for which enables service users to make daily choices and promotes independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs an activities co-ordinator who produced a varied and interesting activities program, appropriate to people’s needs and interest. During the site visit some people were going on a trip to the local school for afternoon tea and entertainment. One person said` now the weather is finer we get all over in the mini bus, it’s great’. The home had a busy and purposeful atmosphere, some service users were enjoying chatting with each other, some were listing to music or else joining in with a group activity. Activities for the service users in the dementia unit were appropriate and promoted life long skills. A specially adapted fitted kitchen has just been installed where people can cook and bake safely. At the time of the inspection the dementia unit was calm and quiet and service users looked happy and content. The dementia unit is called Memory Lane and the corridor displays interactive memorabilia, this is a really good resource. Many of the
North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 13 items on display are personal belongings that have been donated to the home by the current service users. All of the service users said the food was good, a choice of meals were offered and the menus were well thought out, catering for most people’s tastes. Residents who required extra food supplements were given high calorie snacks during the day, such as milkshakes and fruit smoothies. The dining tables were beautifully set out and the dining areas bright and spacious. One service user said ‘I eat very well and have put on weight since I came to live here.’ Another person said ‘we had pork chops for lunch the meat was cooked perfectly’ North Park DS0000069201.V343274.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&18 Quality in this outcome area is good. Service users can be confidant that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are adequate written policies and procedures in place to deal with complaints and the care staff spoken to confirm they were aware of these. Staff knowledge of these help ensure that they were able to address any issues or anxieties of the residents, relatives and visitors to the home. Staff training has taken place in the protection of vulnerable adults in abuse. Staff recruitment procedures were adequate and staff were employed and deployed following appropriate CRB and POVA checks. The manager and staff team were clear and confident in the protection of vulnerable adult procedures. North Park DS0000069201.V343274.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 Quality in this outcome area is good The home was clean, comfortable and well-maintained providing service users with a safe and pleasant environment This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual bedrooms and communal areas were suitably furnished and decorated in a style liked by people living there. Several communal areas have been re-carpeted. Some service users bedrooms have been redecorated and new carpet laid. During the inspection there was an unpleasant smell on one of the corridors, the manager took action to rectify this at once. The communal areas of the home were clean and residents confirmed that their bedrooms were also cleaned to a good standard. Disposable gloves and aprons were available for staff use, and staff had been trained in infection control. North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 16 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 good. Service user can be confident that staff are trained and on duty in sufficient numbers to meet their assessed needs. This judgement has been made using available evidence including a visit to this service EVIDENCE: The home’s manager and company are committed to having a fully trained workforce. Twenty one out of thirty four care staff are trained to the National Vocation Qualification (NVQ) level two or above in care. There was evidence of on going training for staff in such things as moving and handling of service users, fire awareness and prevention of falls, and the protection of vulnerable adults. Induction training takes place and staff have a training computer available them to them so they can access training resources. From the rota supplied with the pre inspection questionnaire there was sufficient care staff on duty to meet the assessed needs of service users. Service users said that staff were always around and answered the call bells quickly. One service user said ‘the staff are kind and helpful’ Another service user said ‘ they are really good nothing is a bother to any of them’. North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 17 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 &38 Quality in this outcome area is excellent. Service users can be confident that the home is well managed. Systems and safeguards are in place to ensure the health, safety and welfare of service users and staff is protected. This judgement has been made using available evidence including a visit to this service EVIDENCE: The manager of the home is experienced in managing a care service. There was an open, friendly culture between the management team and the staff at the home, and staff said they felt very well supported in their work. One member of staff said ‘he is the best person I have ever worked for’ another member of staff said ‘he has really turned this home around, he is a brilliant
North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 18 manager’. Service users said that the manager was very approachable and they would go to him or any of the staff if they had any concerns. A service satisfaction questionnaire is also used within the home, some of these are sent to service users families and visitors, the results of these are available at the home, and are included in the statement of purpose. Regular staff, resident and relative meetings take place and minutes are available. The records regarding administration of residents’ personal allowances were inspected. All transactions are recorded correctly and receipts are kept. The homes health and safety file was examined; all equipment in the home is regularly checked with valid certificates issued. There are no outstanding issues from environmental health inspections or the fire and rescue services. North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 X X 3 North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 20 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. Standard Regulation Requirement Timescale for action 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 Standard Good Practice Recommendations North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 North Park DS0000069201.V343274.R01.S.doc Version 5.2 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
