Inspection on 20/07/05 for Park Cottages

This inspection was carried out on 20th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Park Cottages 18/12/07

Park Cottages 02/07/07

Park Cottages 06/07/06

Park Cottages 09/11/05

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 S70 3HF Lead Inspector Sue Stephens Unannounced 20 July 2005 16:30-21:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Park Cottages Address Neville Avenue Kendray Barnsley S70 3HF 01226 771 891 01226 733345 None Park Care Limited 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) Carol Gibbons PC Care Home Only 6 Category(ies) of LD Learning Disability 6 registration, with number of places Park Cottages Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 20 October 2004 Brief Description of the Service: Park Cottages is an adapted stone built cottage/barn conversion and 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 proprietors. The home is in the residential area of Kendray with good access to public services and amenities, including bus services, supermarket, chemist, hairdresser, post office, newsagents health centre, and local pubs. The home has two levels and all rooms are single. There is a small garden to the front and rear of the building. Car parking is shared with the adjacent home. The building is not suitable for wheelchair users. Park Cottages Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4 and ½ hours, between 16:30 pm and 21:00 pm. An inspection of the premises was carried out. Consultation with residents and the manager took place. Samples of the homes records, including residents finance and fire records were checked. Six residents were consulted, either individually or in small groups; and observations were made of the resident’s daily routines, and their relationship with the manager. The residents, staff and manager are thanked for the welcome they gave to the inspector and their assistance during this inspection. What the service does well: What has improved since the last inspection? The manager was improving record systems and the manager stated that the staff team had improved, they worked well and staff turnover had decreased. The manager was developing links with another home to look at quality issues and share good practice. The dining area carpet had been replaced. Park Cottages Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park Cottages Version 1.10 Page 7 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 Standards Statutory Requirements Identified During the Inspection Park Cottages Version 1.10 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 5. The Statement of purpose, service user guide and contracts need to provide up to date information and include all additional charges; so that residents can make informed choices. EVIDENCE: The Statement of Purpose and Service User Guide had not been updated with information as previously required and the present documents did not include the homes fees for transport and escorts. (See standard 43 for information). The statement of terms and conditions (contract) was clear and easy to read, however this also did not include transport and escort fees. Park Cottages Version 1.10 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 8 Residents were well supported and encouraged to participate in the running of the home. EVIDENCE: Residents confirmed that they were involved in the day-to day running of the home, including daily household tasks, shopping and making decisions, for example outings and socialising. Residents were seen helping each other with tasks which included watering the garden, washing pots, laundry and tidying. The manager was noted to have a good rapport with residents and involved them in the events of the evening and followed their preferences. Residents were very positive and motivated and there was a happy atmosphere as they went about their usual routines. Resident’s preferred informal day-to-day discussions rather than formal meetings, the manager said this worked well and everyone was happy with the arrangement. Park Cottages Version 1.10 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,12,14,15, and 16. Residents were involved in good education, occupation and leisure opportunities; this helped to promote self-esteem, independence and wellbeing. EVIDENCE: All residents said they were very satisfied with their occupational and leisure activities. Residents spoke about the day centres they attended and said they enjoyed going; they described leisure opportunities including social clubs, independent trips to the pub, shopping, meals out, barbeques at home, spending time in their rooms with music and videos, and spending time with their families. Residents were involved in the planning and preparation of outings and the manager confirmed staff escorted residents for safety and support. Residents had recently introduced a puppy into the home; residents were fond of the dog and involved in its care. Residents were treated with respect, they could lock their doors if they wished and choose when to spend time alone. Park Cottages Version 1.10 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 Some medication recordings need to be improved to maintain residents safety. EVIDENCE: Medication was stored safe, tidy and clean. Records in the main were orderly, however the last receipt of medication had not been recorded, two signatures had not been obtained where it was required to write on the medicationrecording chart, and initials were not linked to staff names. Staff had received medication training, and where staff had not completed training the manager provided supervision of administration. Medication training certificates had not yet been received from the training provider. Park Cottages Version 1.10 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Adult protection training is needed to further protect resident’s safety and wellbeing. EVIDENCE: A complaints policy, procedure and recording system were in place. The procedure on display did not have the Commission for Social Care Inspection correct title for people to contact if needed. Government guidelines and local authority adult protection procedures were available, however the homes own policy and procedures were not available. (See recommendation). Staff and the manager had not received adult protection training. Park Cottages Version 1.10 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29 and 30 The home was comfortable and suitable to meet resident’s needs; it was maintained in a domestic style that promoted independence. Because some areas had not been promptly maintained this could affect resident’s safety and wellbeing. EVIDENCE: The home was clean and in the main well maintained, residents said they were happy with the environment and were comfortable. Furniture and fittings were suitable and the residents said their beds were warm and comfortable. All bedrooms were seen on invitation by residents, these were clean and personalised and residents were proud of their rooms. Shared rooms included the lounge and kitchen/dining area and residents could see family and friends in private in their own rooms. The garden area at the back was pleasant and inviting, it was well looked after by the residents with flowers, pots and hanging baskets, and shrubs. Garden furniture was provided and the area was well used. Park Cottages Version 1.10 Page 14 One bathroom and one shower area was provided; these were domestic in style and adequately maintained. Domestic laundry facilities were available in the kitchen areas and this was suitable for the residents needs. The manager provided staff with hygiene and infection control information leaflets. Residents did not require additional aids and adaptations to the home; a call alarm system was not provided and the manager said there had been no occasion when this had been needed; residents assessed needs did not identify the need for a call alarm system. Some areas were not adequately maintained these were: the bath panel which was broken and had sharp edges; some radiators were too hot to touch and were not safely covered, (the manager said all radiators were planned to be covered and residents understood that they could be very hot at times); the front door Jamb was in disrepair and the security of the door was insufficient; a chair seat in one bedroom was broken and a laundry basket was worn and discoloured. Park Cottages Version 1.10 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 33, 35 and 36. Staffing levels were adequate, however training and supervision systems need to be improved to ensure residents continue to be well supported and benefit from an efficient staff team. EVIDENCE: Two staff were trained to National Vocational Qualification level 2 in care, and one staff member was training towards this. In the main there were sufficient staff provided, a minimum of two staff per shift, however on this date only the manager was on duty because of an unexpected staff absence. The manager confirmed this was rare and support staff did not work alone. The manager was in the process of identifying suitable training for staff that was relevant to the needs of the client, however this had not been finalised on this date. Training considered included protection of vulnerable adults, dealing with difficult behaviours and Learning Disability Award framework Accreditation. Training and development records were not sufficiently recorded to identify what training staff had received and what training was planned or required. The manager said she offered staff support and supervision, however formal supervisions had not yet begun. Park Cottages Version 1.10 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 41, 42 and 43. The home was well run benefiting the resident’s wellbeing and daily lives; however records and fire safety systems need to be improved to ensure residents safety is well maintained. EVIDENCE: The manager had sufficient experience to run the home, this was demonstrated by the good practice procedures identified on this inspection, the manager said she had enrolled on relevant National Vocational Training, however this had not yet begun. Some recording systems were not adequately in place for example training and supervision; the manager said she was aware of this and working towards improvements. The manager said the proprietor visits the home and reports on the findings; the manager was aware that other quality assurance systems needed to be introduced, however these had not yet been implemented. Park Cottages Version 1.10 Page 17 Sufficient fire training had not been provided for staff in the past 6 months and fire drills did not record the nature or blocked exit used. Dates were missing on the weekly fire alarm checks and a fire risk assessment had not been carried out. The manager said she was waiting for advise from the local fire authority about risk assessments, and whether a fire exit light was required. Residents who received mobility allowanced paid this in whole as a fee towards the transport and escort costs provided by the home, records were not available to demonstrate this and the statement of purpose, service user guide and contract did not include the fee. (see standard 1). Park Cottages Version 1.10 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x x 2 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x 2 3 x 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x 2 2 2 Park Cottages Version 1.10 Page 19 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 1 Regulation 4 and 5 Requirement A statement of purpose must be provided to include all information listed in schedule one. (previous requirement action date 15.12.04) A service user guide must be provided for all current and prospective residents. (previous requirement action date 15.12.40 The statement of purpose and statement of terms and conditions must include the fees that are charged for transport and escort. Medication records must be maintained in compliance with the Royal Pharmacuetical guidelines and must include - recording of all received medication - two signatures on written instructions -Initials linked to staff names. A record of the medication training must be kept which includes dates, who attended Park Cottages Version 1.10 Page 20 Timescale for action 31.08.05 5 2. 20 13 31.08.05 and the contents of the training 3. 22 17 The complaints procedure must contain correct details of the Commission for Social Care Inspection. The manager and all staff must receive adult protection training. The bath panel must be replaced. The radiators must be covered. The door jamb must be repaired and the front door made secure. The broken chair must be replaced. The Laundry basket must be replaced. Provide all staff with appropriate training designed to meet the service user group needs. (Previous requirement action date 11.01.05) training and development records must identify training completed and training needs. All staff must have at least six recorded supervision meetings per year. (Previous requirement action date 11.01.05) A quality monitoring system must be provided. (previous requirement action date 11.01.05) All records as required by the standards and regulations must be in place. Fire prevention systems must be carried out in accordance with local authority guidelines. These must include sufficient staff training, risk assessments and recording the nature of fire Park Cottages Version 1.10 Page 21 31.08.05 4. 5. 23 24 13 and 18 16 and 23 31.08.05 31.08.05 6. 32 18 30.09.05 7. 8. 35 36 18 18 31.08.05 31.08.05 9. 39 24 30.09.05 10. 11. 41 42 17 13 and 17 31.08.05 31.08.05 drills. The local fire authority must be consulted about the emergency lighting - the advice and outcome must be recorded and kept accessible. Records and accounts must be kept available at the home relating to the receipt of mobility monies and the travel and escort fees. 12. 43 17 31.08.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 8 Good Practice Recommendations Documentation should be considered that covers residents conserns, requests or matters arising from informal discussions. (For example recorded in the communication book). The Government guidelines, local and the homes own policies and procedures and protection of vulnerable adults list guidance should be kept together in an easily recognisable file for staff to access, this would benefit staff who were on induction, training or needed advise. 50 of staff need to be trained to National Vocational Level 2 or above in care by 2005. The registered manager requires a qualification at level four NVQ in management and care (by 2005). 2. 23 3. 4. 32 37 Park Cottages Version 1.10 Page 22 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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 Park Cottages Version 1.10 Page 23 - 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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