Inspection on 12/12/05 for Park Farm House

This inspection was carried out on 12th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Park Farm House 26/10/07

Park Farm House 15/05/07

Park Farm House 17/05/06

Park Farm House 27/05/05

Park Farm House 10/02/05

Park Farm House 27/07/04

Park Farm House 01/12/03

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

CARE HOMES FOR OLDER PEOPLE Park Farm House Parkfield Pucklechurch South Glos BS16 9NS Lead Inspector Chris Lewis Unannounced Inspection 09:30 12 December 2005 th 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 Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park Farm House Address Parkfield Pucklechurch South Glos BS16 9NS 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) 0117 9372388 0117 9374500 Mrs Margaret Joan Hanney Mr. Jeffrey Hanney Mrs Margaret Joan Hanney Care Home 7 Category(ies) of Dementia - over 65 years of age (7) registration, with number of places Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th May 2005 Brief Description of the Service: Park Farm House is an old farmhouse set in a peaceful location away from public amenities. It has been renovated and extended over the years. Access is from an unadopted lane to which the owners of the house have full rights of way at all times. The village of Pucklechurch is the nearest shopping area about a mile away. An infrequent bus service ends a little short of the lane to the home. The home is comfortably furnished and residents’ rooms are attractively decorated. Communal areas are spacious and well set out. The accessible garden is enclosed and residents are able to use this independently. Parking is available to the front of the home. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is based on an unannounced visit lasting 6.5 hours to Park Farm House by Christopher Lewis, Locum Regulatory Inspector. Spoken with at length during the inspection were the Manager Margaret Hanney and her husband Jeffery; care staff on duty were also spoken with and observed going about their duties. The inspector also met all the residents at present living in the home, some of whom, because of dementia, were less able than others to contribute their views on life at Park Farm House. All the residents’ bedrooms and all communal areas were seen as was the garden. A selection of the residents’ care needs and the home’s policies and procedures were examined. What the service does well: What has improved since the last inspection? The home has now securely locked away cleaning materials to prevent their possible accidental mis-use. Hot food is now probed to ensure that it is safely cooked through. Fire drills are now conducted on a regular basis. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4,5 Residents’ assessments are comprehensive and kept updated and the home ensures that it offers a place only to those whose needs they can meet. People are encouraged to visit and try out the services on offer. EVIDENCE: As part of the visit, three residents’ assessment records and care plans were reviewed including that of the last resident admitted six weeks previously. A satisfactory assessment had been done in each case. Information was included on how best to meet the needs of the resident, including such matters as mobility, dressing, feeding, sleeping, plus details of next of kin and so on. Staff spoken with demonstrated a considerate attitude towards the residents in their care and considerable knowledge of how the requirements of these residents would best be met. Mrs Hanney explained that the home rarely needs to advertise should they have a vacancy; they would normally receive an enquiry direct from Social Services or other professionals if they had a place, as they offer a service that is greatly sought after. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 9 The latest resident to be admitted was in another local home but went absent from that setting and was missing for some time. Mrs Hanney explained that her relatives are now glad she is in a more secure environment which is able to care for her safely. Relatives are encouraged to have a first-hand view of what the home has to offer and admissions are on a trial basis of one month each way to make sure that all are happy with arrangements, particularly important with such a small community such as Park Farm House. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 Individual health plans are completed in a detailed fashion and reviewed, though they need to be stored in a manner which offers ease of access. Access to health care is robustly maintained. Residents are treated with respect and dignity. EVIDENCE: Each of the three care plans examined gave detailed descriptions of the medical conditions and the appropriate level of support that individual residents required. Plans have been reviewed on a monthly basis, with some fall back recently which Mrs Hanney gave assurances would soon be rectified. Some difficulties were experienced in laying hands on care plans, mostly because of the administrative upheaval caused by the home owner’s involvement in a planning dispute. It is recommended that systems are quickly put back in order to ensure that such plans are easily accessible to staff. Daily records however are kept for each resident and they provide comprehensive daily assessment of residents’ well-being and progress. It was evident from discussions with Mr and Mrs Hanney and a review of paperwork that the overall health care support of individuals living in the home is good. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 11 The daily record sheets showed when a person had seen the doctor, optician and chiropodist. Evidence was also seen of the close involvement of local district nurses. Accident records were also seen and were in order and confirmed that Mrs Hanney closely monitors any accidents and their causes within the home. The procedures for the administration, storage and disposal of medication were not looked at in any great details in this visit, as they had been satisfactory at the last announced inspection. However, it was noted that the home continues to use the Monitored Dosage System and that all staff had received medication training in May 2005. No resident at present self-medicates. Mrs Hanney stated that the home will aim to continue to care for residents where health may deteriorate significantly for as long as possible before considering alternatives. Staff were seen throughout the visit to be helping residents in a warm and respectful manner and residents were guided where necessary in a calm and friendly way. Those residents spoken with were appreciative of the staff’s efforts and it was clear that staff understood the importance of giving time to those less able to participate fully in the life of the home. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15. The home is situated in an isolated area; however there would appear to be enough therapeutic and engaging activities on offer ‘in house’ for residents. Visits from relatives and friends are encouraged. The food is tasty and nutritious and served in comfortable surroundings. EVIDENCE: It was clear from the records and from conversations with Mrs Hanney that Park Farm House seeks to stimulate residents’ interests by means of nonchallenging activities that are “fun”. These activities include reminiscence events, old-time sing-alongs and dancing, painting and chair exercises. The rear garden is enclosed which enables residents to engage in safe active recreation when the weather permits. Visits from relatives are encouraged at any reasonable time although people are asked to avoid mealtimes. No residents received any visits during the time of the inspection; Mrs Hanney explained that, despite encouragement, many relatives appear to lessen their visits once they know that their “loved ones” (several of whom it would appear from the records, have had some traumatic experiences in previous placements) are now safe and happy. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 13 The food served at the home appeared to be good. A sample of the lunchtime meal was eaten and residents were observed while they ate in a relaxed and happy atmosphere. The home aims to offer three portions of fruit or vegetables with every main meal and choice of dish is always available. Fresh food is usually bought at a market organised by a local contact in the village. One resident is diabetic and special cakes are cooked with low sugar content for that person. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. A complaints procedure is in place, as are procedures to protect residents from abuse. EVIDENCE: Park Farm House has a complaints procedure which is prominently displayed and up to date. It includes details of whom to speak to if a resident or their relative wishes to express dissatisfaction about the service. The telephone number and address of the Commission for Social Care Inspection is also given. No complaints were voiced either by residents or staff. Most residents spoken with expressed satisfaction with the care they were receiving, though it should be noted that due to their dementia, not all were able to express their clear opinions directly to the inspector. However, it was obvious that residents felt safe and the general atmosphere of the home was very relaxed and friendly. The home’s complaints log was seen and no complaints have been recorded since the last inspection. Cards from relatives to the home were on display containing such comments as “To all the wonderful staff at Park farm House”. The home has a Protection of Vulnerable Adult policy in place and records showed that all staff had received some form of training on the subject. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26. The home is attractively decorated and fixtures and fittings are satisfactory. It is clean and tidy throughout. Bedrooms are personalised and the home generally is safe and well-maintained. EVIDENCE: Park Farm House is a period property converted over the years with an extension added. The garden is landscaped and walled and is thus secure and safe. It includes areas where residents may sit with a degree of privacy to converse with their relatives and friends in the summer months. The garden is maintained by the owners with help from someone who used to work in the grounds of the local remand centre. He makes no charge for this service, which demonstrates the home’s involvement in local community life. The home has a large dining area and a lounge which leads into a conservatory. There is also a smaller lounge near to the main entrance to the home. Accessible toilets are located close to the downstairs communal rooms and are sufficient in number to meet the needs of current residents. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 16 The home provides one double bedroom and the remaining bedrooms are singles; all were viewed and were judged to be homely and well-decorated. The rooms have been individualised by residents to reflect their own particular tastes with personal photographs and possessions. The standard of furniture and fittings was satisfactory and rooms were clean and tidy and free from any unpleasant odours. A call system is fitted in each bedroom. Water temperatures at the sinks in residents’ rooms were checked and were satisfactory. The home was warm and comfortable with all areas being centrally heated. Of concern is a long-term planning dispute with a neighbour which inhibits such issues as the access to the property. It appears that this challenge may possibly affect the long-term operation of the home and consequently the proprietors are asked to keep the Commission for Social Care Inspection informed of any significant developments with this matter. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30. Park Farm House is adequately staffed to meet the needs of residents. Ongoing training is provided; however, there is a need for updated training in first aid and manual handling. EVIDENCE: Conversations with Mr and Mrs Hanney and a review of staff rotas showed that there are a minimum of two staff on duty during the day. The owners at present work a “sleeping in” cover on most nights; however they have now recruited one of the more senior members of staff to work Friday and Saturday nights. In addition, a new team member will be starting soon who will be able to do another three nights, leaving the proprietors/managers to be “on duty” for only two nights per week. Comments from residents about the staff were very positive and included such remarks as, “They’re perfect” and “We love it here”. A review of staff training records showed that they had been trained in food hygiene, principles of care, cleaning and health and safety. All staff had received some level of training in the Protection of Vulnerable Adults. It was noted at the last inspection that updated training in first aid was due; this has still not been provided. In addition manual handling training needs to be updated and it will be a requirement that these two areas of training need are dealt with. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35,36,37,38 The home is well managed with staff well supported though formal supervision needs to be put back on track. Administrative systems are in place and Health and Safety procedures in the home are generally satisfactory. EVIDENCE: Park Farm House is a well-established home having been operating for the last twelve years. Both Mr and Mrs Hanney have an approachable manner to staff and residents. They say that they aim to provide a “home from home” and that they try to treat residents as if they were members of their own family. Mrs Hanney feels that many of the people who use the home’s services would need hospital care if the home was not in existence. Staff spoken with said that they enjoyed working at Park Farm house; one staff member had worked in a larger home before coming to the Park Farm House. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 19 She said that she found it much better being employed in a smaller and friendlier establishment where residents receive more one-to-one attention. The financial needs of two residents were examined. Residents’ money is kept in a locked money box and a system is in place to record any cash drawn from the residents’ personal spending allowances. Only very small sums are kept on the premises to cover such small extra personal costs such as hair care. Mrs Hanney stated that as the home is small she is able to see the staff on an informal and continuous basis. However, her stated aim to formally supervise staff regularly appears to have fallen by the wayside recently, not least because of a recent illness she has suffered. Mrs Hanney gave assurances that the situation will soon be rectified and a requirement will be made that formal supervision of staff at least six times a year is undertaken. Records generally were legible and in order although with the recent problems over planning disputes and Mrs Hanney’s illness has led to general upheaval, some of these records were difficult to locate. The home appears to be satisfactorily maintained with Mrs Hanney being responsible for the day-to-day maintenance work. It was noted that substances hazardous to health are now kept in a locked cupboard as required at the last inspection. It was also noted that the home now records the temperature of food probed and that an extra stand-by probe has been purchased. Records showed that fire drills have been carried out within the required period. The need for constant vigilance over fire precautions in such an old building with its narrow stairs and corridors was emphasised by the inspector who was pleased to see that staff fire training was also up-to-date. Records of the weekly testing of fire alarm systems were also in order as were fridge and freezer temperature logs. Residents spoken with who were able to voice an opinion said they felt safe living in the home. Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X 3 2 2 2 Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard OP36 OP37 OP38 Regulation 18(2) 17(3) 13.4/13.5 Requirement Timescale for action 31/01/06 Staff supervision must be given at least 6 times yearly. Records must be easily 31/01/06 accessible. Training must be provided in first 31/01/06 aid and manual handling 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 Park Farm House DS0000003369.V261823.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Farm House DS0000003369.V261823.R01.S.doc Version 5.0 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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