Inspection on 18/12/07 for Park Cottages

This inspection was carried out on 18th December 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Cottages 02/07/07

Park Cottages 06/07/06

Park Cottages 09/11/05

Park Cottages 20/07/05

Park Cottages 20/10/04

Park Cottages 27/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Park Cottages Neville Avenue Kendray Barnsley South Yorkshire S70 3HF Lead Inspector Mrs Sue Stephens Key Unannounced Inspection 18th December 2007 15:00 Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 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 Park Cottages DS0000018268.V355770.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 Adults 18-65. 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. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Cottages Address Neville Avenue Kendray Barnsley South Yorkshire S70 3HF 01226 771891 none none None Park Care Limited 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) Vacant post Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category: Learning disability - Code LD The maximum number of service users who can be accommodated is: 6 2nd July 2007 2. Date of last inspection Brief Description of the Service: Park Cottages is a stone built cottage adapted from a barn conversion; Park Cottages provides care and accommodation for six adults with learning disabilities. The property stands in the grounds of Park Grange Care Home, which is owned by the same proprietor. There are two levels to the home and all bedrooms are single accommodation. There is a small garden to the front and rear of the building and car parking is shared with the adjacent home. The building is not suitable for wheelchair users. The home is in the residential area of Kendray; it has good access to public services and amenities, and these include bus services, supermarket, chemist, hairdresser, post office, newsagents health centre, and local pubs. The manager provided the information about the homes fees and charges on 18 December 2008. The fees are from £261.58 to £317.00 per week. Additional charges include hairdressing, toiletries, newspapers and magazines and transport. Prospective residents and their families can get information about Park Cottages by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced; it took place between 15:00 pm to 19:30 pm on the 18th December 2007. In the report we make reference to “us” and “we”, when we do this we are referring to the inspector and the Commission for Social Care Inspection. An expert by experience, Steven Robinson, accompanied us on this visit. Experts by experience are people who have experience of using care services. They offer their unique knowledge to help us improve the way we inspect and write reports. The expert by experience talked with people who live at Park Cottages. He observed some care practices; spoke to people who live there, and spoke to a member of staff. He saw a sample of bedrooms and communal areas. We have included Mr Robinson’s findings in this report. The manager, Sue York, assisted us during the visit. The manager is new and has not yet applied to us for registration. During the visit we looked at the environment, and made some observations on the staff’s manner and attitude towards people. We checked samples of documents that related to people’s care and safety. These included three care plans, and a sample of medication records, finance and health and safety records. We looked at other information before visiting the home, this included evidence from the last key inspection, and the homes Annual Quality Assurance Assessment (AQAA). An AQAA is information the commission ask services to provide once a year to show how the provider thinks the home is performing. We did not send surveys to relatives and visiting professionals on this occasion. This was a key inspection where we checked all the key standards. We would like to thank the people who live at the home, the manager and staff, for their warm welcome and help during this visit. We also thank the expert-by-experience for his help and advise. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 6 Expert by Experience Steven Robinson made the following comments: Me, my Support Worker and the inspector arrived at Park Cottages at 3pm. We were welcomed into the setting by a staff member. We waited in the kitchen for the residents to arrive home as no one was in. Once the residents arrived home a staff member showed us around the home. After the tour was over we went back into the kitchen where I had a chat with some of the residents and one staff member. What the service does well: The home has recruited a new manager who has made some good improvements. People told us they get on well with the manager and the staff. They told us they are happy with their care and support. People have assessments and care plans that tell staff about their support needs. People are very involved in their plans, and take an active part in putting them together. People said they are happy with their lifestyle and daily routines. When we visited, people were busy shopping and doing their own activities. People told us staff took action when people felt unwell. And we saw that people had good records about their health care needs. People’s medication was stored and recorded in a safe way. Staff had training so that they understood how to help protect people from harm or abuse. People said they were satisfied with their environment; they were involved in decorating and furnishing areas of the home. Park Cottages has a small staff team of about 6 staff. They have access to training, and half of the staff team have a National Vocational Qualification in care. This gives the staff team knowledge and skills in good care practices. The expert by experience, Steve Robinson made the following comments: • The home was clean and tidy, although there were areas, which needed redecorating. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 7 • I liked the fact that residents were able to choose how they have their bedrooms decorated and can choose their own furniture. • I think it is very good the residents can choose what and when they eat. • I think it is very good the residents have plenty of choice at meal times and are given enough time to eat. • I think it is good that residents are able to have access to the kitchen when they like. • I also think it is good that residents have a photographic cooking and cleaning rota so residents are responsible for some of the housework. • I think it is good that residents can talk to the staff or manger if they had any concerns, complaints or did not feel safe. • What has improved since the last inspection? Since we visited in July this year the home has recruited a new manager. The manager and provider have had meetings with us to show us how they are improving the recording systems at the home. They needed to do this because the record systems did not keep people’s information safe. We have seen good evidence that the manager has worked hard to improve the management and records at Park House. We have seen improved care plans, staff recruitment and training records; and finance and health and safety records. The care plans reflect peoples needs better, and give staff better instructions about how to support people. People now have risk assessments to help them keep safe without restricting their freedom too much. The information staff put on medication records has improved; this has made it safer for people. People have decorated and furnished the lounge the way they want it. Staff now carry out water temperature checks on taps where people have access to them. This helps to prevent the risk of people getting scalded. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 8 What they could do better: People need better contracts, that are up to date, and tell them their fees, and what the home charges them extra for. For example, each persons transport charges. People have a right to this information. Staff need to understand how to respect people’s dignity better, for example by knocking on doors and waiting for permission to enter. People who need support with their medication need to have a care plan. This will help make sure staff give people safe and consistent support. The manager needs better training in safeguarding adults. So that she will know the right action to take to help protect people. The manager needs to consult with people, and their representatives, about their opinion on staff using the lounge to sleep, in during a sleepover shift. This is because it could put people’s dignity, respect and freedom to use the home when they want, at risk. Toilets and bathrooms need suitable locks on them to protect people’s privacy and dignity. The staff should have their own toilet and not share with people whose home it is. Staff need to check water temperatures from all taps to help keep people safe from scalds. The responsible individual needs to consult with people who live at the home, and make a report on his findings of the home. This will help people to express their views about the standard of their care and accommodation. The manager needs to check the policies and procedures to make sure what they say helps keep people safe. The expert by experience, Steve Robinson made the following comments: • I recommend there is a shed or designated area to be used for storage. • I thought it was really bad that the staff do not have a staff bedroom. Residents cannot use the living room if staff are sleeping there. • I think the menu should be stored in the kitchen for residents to see. • I think there should be more choice of activities and there should be a Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 choice board with pictures so residents can choose what activities they Page 9 take part in. I also think residents should hold a meeting to organise activities they wish to join in with. • I think it was very bad that the staff member invited us into a bedroom where someone was getting dressed. I felt very embarrassed and the staff member did not respect the persons privacy and dignity • I also think residents should be able to lock the bathroom door. If staff are worried about the residents safety there should be an alarm in the bathroom and a lock which can be opened by staff from the outside if needed. 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. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 10 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 11 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. People who use this service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to Park Cottages. People do not have good information about their fees and charges. This affects their rights and ability to make informed choices. EVIDENCE: The manager told us that she planned to review the homes Statement of Purpose and Service User Guide because some things in the home has changed and some of the information is out of date. The manager told us she wanted to make the information easier for people to read by using symbols and pictures. We advised the manager that this was good practice, because it will help to keep people informed about information they have the right to know. We noted that people are more involved in information about themselves and the home, since our last visit. For example, people know where their records are and they have access to them. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 12 People had contracts, but these are not up to date. The manager said she was aware of this and planned to update them. The contracts are not in a style that helps people to understand the information well. We advised the manager that she could update the contracts using pictures and symbols the same way as she planned to do the Statement of purpose. The fees for transport are not included in people’s contracts. This means that people who live at the home, or their representatives cannot get clear information about what they will be charged for. Following our last visit, we asked the registered provider, to give us information about how he calculates people’s individual transport costs. The manager gave us some information, during this visit, but it is not enough to show how the provider charges people individually. It is not clear whether the provider charges people, regardless of how much transport they use. This could mean some people are at risk of unfair charges, or charges they are unaware of. The provider needs to make this information much more clearer. We saw samples of the assessments the home would use to assess people before they decide if the home is suitable for them. These covered personal, social and health care needs. And the manager has included a section to record people’s likes, dislikes and preferences under each area. This is good practice because it helps people to keep in control of their lives, and what they want for their own care needs. The manager has improved this since our last visit. We advised the manager that the assessment tool was good, but she might want to think about providing more writing space, when she reviews the document again, so that people can give plenty of information about themselves. This will help staff understand their needs better. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 13 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Park Cottages. People’s care plans reflect their needs and they have support to help them make decisions about their lives. EVIDENCE: The manager has done a lot of work to improve the care plans. She has involved people in drawing up their own plans. And she has helped people to become more involved by helping them use photos, and stories from relatives, to design their own new care plans. One person told us they chose the photos themselves, and they are very pleased with their plan. This is very good practice because it encourages people to be in control of their care and support needs. Two people showed us their plans and what they meant to them. We could see from this that people are in better control of their care, and the things that are important to them. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 14 The plans give staff clear instruction about what support people need, and they include risk assessments to allow people freedom to participate in normal activities. We advised the manager that she can continue to improve the plans, in a person centred way, by including people’s comments, likes, dislikes and preferences under each section of their plan. The manager also discussed using more pictures and symbols under each care plan area to help people understand their plans even more. We advised the manager this would be very good practice. The manager told us that some people have said they want to keep their plans in their own bedrooms, rather than in the home’s office. We have advised the manager that people should do this if they want. The manager should consider if there is any risk to confidentiality, such as if people have visitors in their rooms. In this case the manager might need to agree with the individual how to keep their information safe. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 15 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Park Cottages. People can follow the daily routines, activities and social lives they prefer. EVIDENCE: People told us they are happy and satisfied with their daily routines, work and leisure activities. When we arrived people were out shopping or coming home from work and day centres. We noticed the member of staff gave people a warm welcome as they arrived, and she spent time listening to their conversations and questions. There was a very friendly and family like atmosphere. It was busy and lively and we saw that people looked relaxed and happy with this. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 16 Two people told us about their family and friends, they said they can go to visit them, or their family and friends can come to the home. One person told us they liked to phone their relatives, and staff help them to do this. People told us they can choose to do the activities they want, or spend time alone in their rooms, where they liked to watch TV or listen to music. We saw that people are involved in menu planning and shopping. The manager and member of staff said, people can choose what they want, they come with us to the supermarket, and if they fancy something different to try they just put it in the trolley. People have a menu they can follow, however, the manager told us people can choose different meals to what other people are having, and some people prefer to do that. We saw that people could help themselves to drinks. The expert by experience, Steve Robinson, made the following comments: Socialising • • • I found that several residents go out independently to the shops. Staff told me that residents go to local clubs, pubs, or visit parents on an evening and weekends. Staff told me residents take part in the following activities during the day; o Table tennis o Shopping o Pub o Day centre o Karaoke machine Activities • • I found that residents do not have a say in activities or a choice board. The staff member told me, “We ask and they say if they want to do it.” I found that residents can take part in the following activities; o Knitting o Cross stitch o DVD’s o Puzzles and crosswords Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 17 Rights, dignity and respect: When the staff member showed me around the bedrooms she just walked into the bedrooms without knocking, although she did ask several of the residents if it was ok for us to look in their bedrooms. In one case the staff member told us to come into the bedroom and there was a male resident getting changed and wearing just his underpants. This was very bad; staff should knock and respect resident’s privacy. Food, drink and shopping. that residents follow for cooking and cleaning. • Residents are able to access the kitchen whenever they wish to make drinks and snacks. • There was a menu in the office for meals but the staff member told me, “If they all want different things to eat they get it.” • Residents are encouraged to go shopping independently, or with staff, and residents choose the food that goes in the shopping. • Staff support residents to cook the meals. There is a photographic rota Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 18 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Park Cottages. People receive good personal and health care from staff at the home. EVIDENCE: People said they are happy with the way staff give them support. We saw the member of staff give people support and advice about their personal needs, such as their clothing and appearance. We noticed the member of staff did this in a friendly and positive manner. People’s care plans now have better information about their personal care needs. The plans identify where people need support, and what action staff need to take. We noticed the plans did not take away people’s independence to do their own personal care. One person told us they had a health problem that had bothered them all day. They told the member of staff, who took immediate action and contacted the G.P to make an appointment. This shows that staff listen and take action about people’s healthcare needs. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 19 Peoples care plans now have better information about their healthcare needs. This includes a record of the outcome from their appointments. We looked at the home’s medication systems. We found these in good order. Staff had training, and the manager has arranged for staff to have more up-todate training. People who need support with their medication did not have a care plan to reflect this. We gave the manager advise about this. It is important staff understand how to support people with their medication without taking away their independence. And understand why the person needs the medication and how it promotes their health and welfare. The medication recording system has improved since our last visit. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 20 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Park Cottages. The managers and staff listen to people’s views and concerns. EVIDENCE: People told us they can talk to the manager and staff and they listen to them. We noticed people have good and relaxed relationships with the manager and member of staff; this will help people share their concerns, or any worries, with them. The home has a complaints procedure; it is on display in the hallway for people and visitors to see. The manager said they have not received any recent complaints, however they do have a recording system that shows what action they take if someone does raise a complaint or concern. Most staff have had safeguarding adult training (adult protection) and the manager said she has arranged more dates for staff to attend the local authority training. This will help keep staff informed about up-to-date practice and local procedures. The manager has not had sufficient safeguarding adult training for the position she holds. It is important that the manager does this training as soon as possible so that she has the skills and knowledge to follow the correct procedures and work with other authorities if someone in her care is suspected of being abused or harmed. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 21 The manager has improved how the home records people’s personal finance. It now shows where people have received an income and where they have made a withdrawal. The records have withdrawals supported by two staff signatures and receipts. The expert by experience, Steve Robinson made the following comments about concerns and complaints: • Residents said they can talk to the staff or manager if they had any concerns, complaints or did not feel safe. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 22 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, and 30. People who use this service experience adequate outcomes in this area. We have made this judgement using a range of evidence, including a visit to Park Cottages. People live in comfortable surroundings that meet their needs and preferences. However, some areas do not protect people’s privacy, dignity and safety. EVIDENCE: The home has made some improvements since our last visit. They have removed a broken chair and the manager said she has good support to maintain the environment, for example buying new furniture and decorating. People told us they are happy with the homes environment. They told us they liked their bedrooms and can personalise them the way they like. Park Cottages is a small home; people who live there have decorated and furnished it in a homely way. The home has domestic furnishings and fittings. People have put their own photos and ornaments and belongings around the home. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 23 The manager told us that the people who live at Park Cottages decided, in a meeting, that they wanted to redecorate the lounge. They did this themselves, with support from staff. They were involved in the DIY, and choosing the new décor. People told us they were pleased with the results. This also included a new suite and some furniture. This is good practice, it enables people to be independent and make real decisions about the way they live. The bathrooms and toilets are domestic in style. However, please see the expert by experience comments below about bathroom and toilet locks. There is a garden and sitting area to the rear of the cottage, and the home has a no smoking policy. We found the home clean and homely. Care staff are responsible for the cleaning and people who live at the home also do some cleaning duties. Staff told us that they checked the water temperature, in the bath before anyone got in. However, they do not check water temperatures from all taps in the house, such as the kitchen sink and wash basins that people use. This could put people at risk of scalds. The expert by experience, Steve Robinson made the following comments about the environment: I found the home to be clean and tidy in places. We were introduced to several residents who were sat around the table in the kitchen. The kitchen units and cooker looked very old and there was a table where residents can eat their meals. There was a bike stored under the stairs and a vacuum cleaner stored at the bottom of the stairs. There was also flat pack furniture at the bottom of the stairs. This is not safe and should be stored somewhere else. I found all the bedrooms were clean and tidy and also nicely decorated. The residents were able to have a say in how their bedrooms were decorated. The bedrooms were full of the residents’ personal belongings and the residents were able to choose their own furniture. We then looked in the Bathroom, which was clean and tidy although the bathroom did not have a nice smell. When I asked the staff member if there was a lock on the bathroom door she told me, “There is a lock but we don’t like it locked for safety.” I also think residents should be able to lock the bathroom door. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 24 The staff member then showed me the staff toilet, which was not accessible as it looked like it was being used for storage. We then went to the living room. The living room was very homely and had two large sofas. There was a fireplace and a TV. The room was decorated for Christmas. I was told there was no staff bedroom so staff sleep on the sofa when they are working sleepovers. I thought it was really bad that the staff do not have a staff bedroom. Residents cannot use the living room if staff are sleeping there. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 25 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Park Cottages. People receive good care from a small staff team. EVIDENCE: Park Cottages has a staff team of 6 carers. Three of the carers have a National Vocational Qualification in care and another member of staff is working towards the qualification. The NVQ gives staff knowledge and experience in good practices in health and social care. Last time we visited we required the registered provider to improve the home’s recruitment records because they did not show that the manager and provider had followed good procedures to make sure the home employs the right staff for people. We were aware from meeting with the provider and new manager, before this visit, that they were improving the files. On this visit we looked at a sample and found the files in order. The manager has audited the recruitment files and put in all the required information. They now show what the home has Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 26 done to make sure the staff they employ are suitable to help support people at Park Cottages. On our last inspection we found that staff did not have enough training to keep them up to date with current good care practices. We saw evidence on this visit that the new manager has booked staff on to local authority training events throughout the year. This will help staff to keep up to date with care practices and continue to give people good support. We advised the manager to produce a staff matrix so that she has good evidence to show what training staff have had and when they will need to renew it. This will help the manager audit staff’s individual training needs, and plan ahead for future training. There were no new staff at the home; however, we have advised the manager to look at the induction standards set by the Sector Skills Council. These are National guidelines and will help make sure new staff get the right support and guidance about social care practices when they start. The expert by experience, Steve Robinson made the following comments about the staff: “They’re alright” and gave the thumbs up. • I observed staff sitting and chatting with residents. • I was told there was a staff rota, which is kept in the drawer in the office. I was also told there were normally staff photographs and names on display but these have been taken down because of redecorating. • I was also told residents have their own key worker. • When asked what the residents think about the staff, the residents said, Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 27 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 40, and 42. People who use this service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to Park Cottages. People receive care and support from a service that is improving. EVIDENCE: The manager is new and has not yet registered with us. Therefore we have not scored standard 37. The registered manager should undertake NVQ Level 4 in care and management so that she has the right skills and knowledge to continue improving the service. The manager has worked with us; since the home appointed her, and she has followed National Minimum Standard guidelines to improve the quality of care people receive. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 28 The improvements we saw include assessments and care plans, staff recruitment records and access to training and better finance records. On our last visit we found that the home’s record keeping did not keep people’s information safe and accessible. We have seen good improvements on this visit and commend the manager for her hard work. On our last visit we required that the provider carry out a monthly visit, as stated in the Care Home Regulations 2001. It is an offence not to comply with this regulation. The manager told us the provider does visit regularly. However, the provider has not given the manager any records to show what he has covered on his visits. The provider should consult with people at the home, talk to staff, check the building and check a sample of records. And leave a copy of his findings with the manager. This will help the provider and manager identify good practices that work well in the home, and acknowledge them. And identify areas that they need to improve, and plan what action the manager and staff need to take. This would provide the home with a good quality assurance tool. The manager and provider told us in their AQAA (annual quality assurance assessment) that some of the homes policies and procedures did not have a review date. It is important that the manager, with the provider, do review these to make sure practice and policies are up to date and keep people safe. Staff now carry out water temperature checks, this helps prevent the risk of people getting scalded. This has improved since our last visit. The manager has audited staff safe working practice training, where staff need update training, for example infection control, the manager has arranged for staff to receive this. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 29 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X N/A X 2 2 2 3 X Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 30 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 YA5 Regulation 5 Requirement People must have up to date contracts that include their terms and conditions, fees and charges. The provider must include in people’s service user guide, and contract, what he charges people for additional services. (Such as transport charges). This will give people access to information they have a right to know, and that affects their personal finances. The manager must review the staff teams understanding about dignity and respect and make sure staff understand basic principles such as knocking on bedroom doors and waiting for permission to enter. People who receive support with their medication must have a care plan with the details. This will help make sure people receive safe and consistent support. The new manager must attend adult protection training. DS0000018268.V355770.R01.S.doc Timescale for action 28/02/08 2 YA5 5.1(bc) 28/02/08 3 YA16 12.4(a) 28/02/08 4 YA20 13.2 Schedule 3 m 28/02/08 5 YA23 13.6 28/02/08 Park Cottages Version 5.2 Page 31 6 YA24 13.4 This will help make sure she has the skills to take the right action, and give the people good and safe support, if the home has to deal with an allegation of abuse. The home must keep a record of 28/02/08 hot water temperatures from all taps. Hot water temperatures should be around 43 degrees centigrade to avoid the risk of legionnaires and prevent people from scalds. The manager must consult with 28/02/08 people, and their representatives, about their opinion on staff using the lounge to sleep in during a sleepover shift. This is because the arrangement could put people’s dignity, respect and freedom to use the home when they want, at risk. If people do not like this, staff must find alternative sleeping accommodation. If people are happy for this arrangement to continue the provider must put this arrangement clearly in the home’s statement of purpose. The arrangement must be reviewed on a regular basis, for example, during provider visits, and continue to ask people their opinion. The home must keep a record of the consultations and regular reviews, and have these available for inspection by us at anytime. Toilets and bathrooms must have lockable doors that protect DS0000018268.V355770.R01.S.doc 6 YA24 12.4(a) 7 YA27 12.4(a) 28/02/08 Park Cottages Version 5.2 Page 32 people’s dignity and safety. 8 YA39 26.426.5(b) The responsible individual must 28/02/08 carry out an unannounced visit at least once a month; and make a written report on the conduct of the home. The manager must receive a copy of the report. The report must be available for the Commission for Social Care Inspection to review. This will enable people who live at the home to express their views, and enable to provider to monitor and review the homes development. Previous action date: 31/08/07. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA12 YA24 YA27 Good Practice Recommendations The manager should encourage people to have a regular meeting and give people more say in the activities they would like to do. The home should have better storage for larger items such as the flat pack furniture, bike and vacuum cleaner. The manager should investigate why the bathroom does not smell nice, and take action to get rid of the odour. The staff should have their own toilet and not share with people whose home it is. The manager should undertake NVQ Level 4 in care and management. This will provide the manager with current good working practice in care management. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 33 4 YA37 5 6 YA35 YA40 New staff should have an induction that meets with the Skills for Care standards. The manager and provider should review the homes policies and procedures, in the very near future, to make sure they reflect the homes practices and keep people safe. Park Cottages DS0000018268.V355770.R01.S.doc Version 5.2 Page 34 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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. 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