Inspection on 27/05/05 for Park Farm House

This inspection was carried out on 27th May 2005.

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

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

Other inspections for this house

Park Farm House 26/10/07

Park Farm House 15/05/07

Park Farm House 17/05/06

Park Farm House 12/12/05

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 Debbi Flint Announced 27 May 2005 10:00 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 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 D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park Farm House Address Parkfield Pucklechurch South Glos BS16 9NS 0117 9372388 0117 9374500 Mrs Margaret Joan Hanney 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) Mrs Margaret Joan Hanney Care Home for Older People 7 Category(ies) of DE(E) Dementia - over 65, 7 registration, with number of places Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none- Date of last inspection 10-Feb-2005 Unannounced Brief Description of the Service: Park Farm House is an old farmhouse which over many years has been renovated and extended. The house is off the beaten track in a peaceful location and not close to any public amenity. Access is from an unadopted lane to which the owners of the house have full right of way at all times. The lane has home made sleeping policemen installed adjacent to one property. These can be hazardous. The owners of the home will often collect visitors at the top of the lane and drive them to the house because of these obstacles The village of Pucklechurch, over a mile away, is the nearest shopping area and an infrequent bus service ends a little short of the lane to the home. The home is comfortably furnished and service users rooms are attractively decorated. Communal areas are spacious and well set out. There is an attractive accessible garden adjoining the conservatory. Service users are able to use this independently. The garden area to the front of the house incorporates parking facilities. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Residnets would be better protected form fire if fire drills were conducted for staff more frequently so that they are fully aware of the procedure to be followed in the event of fire. The home would be able to demonstrate that it had ensured that hot food was served at a safe temperature if it was probed before serving and the temperature recorded. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 6 The residents would be protected from the potential mis-use of cleaning materials if these were safely locked away. 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 D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 &4 The admission procedure is comprehensive and consistent with good practice. EVIDENCE: A thorough assessment is carried out prior to people moving into the service and this assessment is recorded and staff are familiar with it. There had been one new service user since the last inspection. This service user had been referred by a Social Worker following admission to hospital. The Provider had visited the service user in hospital and carried out a full assessment of her needs which had been recorded. The Inspector spoke to staff on duty and saw that they were familiar with the service user assessment of needs. The Inspector saw that the service user had a written contract. The Provider advised the Inspector that the service user was there on a months trial basis. The Inspector spoke to the new service user and to a relative who visited and both were satisfied with the standard of care provided. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 &11 The health, including administration of medication, personal and spiritual nedds of residents is met in the home in a respectful and dignified was. EVIDENCE: The service users health care needs are set out in a plan of care and appear to be comprehensively met. There are satisfactory procedures in place for administration, storage and disposal of medication. Service users appeared to be treated with respect and their dignity upheld and there were procedures in place to meet their spiritual needs and assure them that they and their family would be treated with sensitivity and respect at the time of their death. The Inspector examined a sample of care plans and saw that they were comprehensive. Areas covered included orientation, communication, medication, temperament, bathing, mobility, climbing stairs, continence and sleeping. Care plans had been reviewed on a monthly basis. The Inspector observed staff assisting service users with their personal care needs in a warm and friendly manner and the Inspector also ate the lunchtime meal with service users and she saw that staff assisted them with this meal in a relaxed and unhurried manner. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 10 At the time of the Inspection two service users were visited by their relatives and the Inspector spoke with them. They were both very pleased with the standard of care. The Inspector reviewed the procedures for administration, storage and disposal of medication. The home had changed to an M.D.S. (Monitored Dosage System) since the last inspection and all staff had received medication training in May 2005. The requirement from the previous inspection that medication must not be double dispensed prior to administration to service users had been met. Administration charts were up to date and accurate and the Inspector examined the records for receipt and disposal of medication. The Inspector saw that service users were treated with respect and observed staff knocking on the doors of their rooms before entering them. The Inspector spoke with the provider who stated they were regularly in touch with the local priests from various churches and the local vicar visited the home regularly. Spiritual needs, rites and functions would be observed at the time of death. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 &15 Whilst the home is in a remote location it appeared that there were sufficient social and therapeutic activities on offer to meet service users needs and all service users maintained contact with family and friends. Nutritious and balanced meals were on offer which were well managed. EVIDENCE: A record was seen of activities on offer and these were Old Time Music, Singing and Dancing, Soft Ball, Chair Exercises, Tables skittles, Painting and Drawing, Dominoes and Puzzles. There was a large Games room which could be used for special events. There is an enclosed garden and a greenhouse to enable service users to have an active involvement outside. The Provider stated that all service users were in regular contact with friends and relatives who could visit at any time although visits at mealtimes were not encouraged. Two service users received visitors on the day of the Inspection. The Inspector had sight of a two week menu plan and meals on offer appeared tasty and nutritious. An alternative choice of a cold salad was always available. The Inspector ate with service users and sampled the food which was tasty, well presented and nutritious. Meals were eaten in pleasant surroundings and there was a relaxed and unhurried atmosphere. Staff were attentive to service users needs. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 &18 There is a satisfactory complaints procedure in place and service users legal rights are protected and respected. There are procedures to protect service users from abuse. EVIDENCE: The home has a complaints policy which was displayed and was up to date stating whom to contact if choosing to complain about the home. The area office details for the Commission for Social Care Inspection were also included. The complaints log was viewed and there had been no complaints since the previous Inspection. The Inspector had received comment cards from relatives of all 7 residents and all were positive. Service users spoken with appeared positive about the standard of care received. The provider stated that service users legal rights were protected and those able to exercise their vote at the General Election had been enabled to do so. Due to the fact that this is an EMI home only one service user had understood the democratic process sufficiently to be able to vote and that service user had been registered for a postal vote. The Inspector saw that the policy for the protection of vulnerable adults was displayed in an area of the home which service users do not use and all staff had last had training in Adult Protection Procedures on 12th May 2005. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,23,24 &26 The home was attractively decorated, safe and well maintained. EVIDENCE: The Inspector toured the home and saw that the home is a converted older building that includes an added extension and there is an enclosed garden and a greenhouse. There is a large dining room leading into the larger lounge area which leads on to a conservatory area overlooking the garden. There is a smaller lounge near to the entrance of the home. Toilets and washing facilities are provided to meet the needs of the service users. Accessible toilets are located close to the lounge and dining room and there is a hand washbasin in each bedroom. Bedrooms met National Minimum Standards spatial requirements and were personalised and homely. Five of the bedrooms are en suite. There is one double bedroom and the remaining bedrooms are for single occupancy. Room sizes meet the National Minimum Standards spatial requirements and all bedrooms contained personal items such as pictures, photographs and mementos belonging to the service users living in them. All Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 14 rooms were clean and tidy at the time of the Inspection and free from unpleasant odours throughout. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 & 30 Staff recruitment is robust and ongoing training is provided with sufficient sttaff available to support residnets however, there is a need for updated training in first aid. EVIDENCE: The provider stated that there were always two staff on duty at any one time and the Inspector examined the Duty Rota and saw that this was the case. The owners provided a sleep in service. The Inspector observed that two staff were on duty in the morning and the evening on the day of the Inspection. The Inspector examined the staff records of the most recently appointed staff member and saw that two references and a Criminal Records Bureau check were in place. The inspector viewed the staff training records and saw that staff had received training in Food Hygiene, Principles of Care, Cleaning and Health and Safety. Mr Hanney was the person responsible for Manual Handling and he had received adequate training in this area. Staff had received First Aid Training but all staff were due an update. Some staff had received training in Dementia Care. All staff had received training in the Protection of Vulnerable Adults. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,36,37 &38 The home appeared to be efficiently managed with good support for staff and most aspects of health and safety met. EVIDENCE: The home is well established and has been in operation for 12 years. Staff spoken with said they had a good relationship with the provider. The provider explained that she had not taken the Registered Managers Award because she had hoped to expend the home and appoint a Registered manager but had been unable to do this as yet due to a planning dispute. The provider said she was willing to take the Registered Managers award if this could not be resolved. The inspector examined the supervision records and saw that all staff had formal supervision on a three monthly basis. The provider stated that informal supervision is carried out on a weekly basis as the home is small and she is able to meet with staff regularly. The Inspector did not examine the financial records as this standard had been met at the previous inspection. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 17 Generally the records seen were well maintained and up to date, legible and in order. Overall the environment appeared to be satisfactorily maintained in all areas viewed however an examination of the kitchen revealed that substances hazardous to health were not kept in a locked cupboard and an immediate requirement is made at this inspection that a lock be placed on this cupboard. The inspector also noted that whilst there was a food probe in the kitchen and whilst staff said they did probe food regularly, this was not recorded. An immediate requirement is made at this inspection that the temperature of food probed be recorded. The inspector examined the fire log and found that staff training was up to date. Staff checks and contractors maintenance were up to date and Avon Extinguishers had visited on 10th February 2005. The Inspector noted that no fire drill had been carried out since November 2004 and a requirement was made at this inspection that a fire drill be carried out within the next week. Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 1 3 x x x 3 3 1 Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard 38 38 38 Regulation 13 13 23 Requirement Substances hazardous to health must be kept in a locked cupboard A record must be kept of the temperatures of food after probing Firedrills must be carried out at regular intervals to ensure all staff experience a drill every six months Timescale for action 31/05/05 31/05/05 31/05/05 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 Good Practice Recommendations Park Farm House D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 D56 D05 OP S3369 Park farm House V222478 270505 Stage 4.doc Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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