Inspection on 14/06/05 for Park Hall Resource Centre

This inspection was carried out on 14th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 Hall Resource Centre 28/10/08

Park Hall Resource Centre 03/10/06

Park Hall Resource Centre 15/11/05

Park Hall Resource Centre 22/11/04

Park Hall Resource Centre 22/01/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Park Hall 1 Park Hall Reigate Surrey RH2 9LH Lead Inspector Helen Dickens Announced 14 June 2005 09:30 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 Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park Hall Address 1 Park Hall Reigate Surrey RH2 9LH 01737 224420 01737 223755 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) Surrey Children`s Services, SW Surrey Adults & Community Care Services, Grosvenor House, London Sq, Cross Lanes, Guildford, Sy, GU1 1FA Sharon Gina Woodings Care Home (CRH) 50 Category(ies) of Dementia - over 65 years of age (DE(E)) registration, with number 26 of places Old age, not falling within any other category (OP) 30 Mental Disorder, excluding learning disability or dementia - over 65 years of age (MD(E)) 6 Learning disability over 65 years of age (LD(E)) 1 Park Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Accommodation and Services may be provided to named persons aged 60 - 65 years with prior written agreement of the NCSC. 2 Abbey Unit will be exclusively for the provision and/or Intermediate Care to a maximum of 10 Service Users. 3 Respite Care may be provided to a maximum of 5 persons at any one time. These persons should be grouped into the same unit. 4 Cloverdale (L&R) Unit will be used only by Service Users with Dementia. 6 Service Users with Dementia may be cared for in other parts of the Home. 5 In addition to Service Users accommodated at the Home, Day Care may be provided on the Day Care Unit to a maximum of 20 persons. 6 One named service user in the category LD (learning disability) may be accommodated on Brock Unit Date of last inspection 22 November 2004 Brief Description of the Service: Park Hall is located in a quiet residential area on the outskirts of Reigate. Surrey County Council operates the care home. Care and accommodation is provided to older people, some of whom have dementia. It is purpose built and of modern design. Accommodation is arranged in five units all of which are at ground floor level. Each unit has its own bathroom and toilet facilities and a communal lounge/dining area. All bedrooms are single. Additional facilities include the day centre, offices, meeting rooms and kitchen. The home has ample off street parking and an enclosed garden. Surrey County Council are considering extending the home to provide nursing care and accommodation. Park Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 7 hours and was the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. The inspection was carried out by Helen Dickens, Lead Inspector for the Service. Sharon Woodings, Registered Manager, represented the establishment. A full tour of the premises took place. The inspector saw most of the residents and spoke with eight of them in more depth. Three staff were interviewed. A pre-inspection questionnaire and a number of returned ‘comment cards’ were also used to write this report. This was a very positive inspection. The inspector would like to thank the residents, staff and manager at Park Hall for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? There was a previous requirement to hold formal staff supervision sessions and this has now been put in place. Each staff member will have five sessions per year plus an appraisal. There was also a recommendation to have a video on adult protection issues for new staff until they could be trained on the Surrey County Council course. Park Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 6 However, the home has now included this subject in their induction programme for new staff. All staff go on this programme within weeks of joining and some start their induction course before they begin work at the home. There was a requirement to replace a fridge on one unit, which had damaged casing. There is a now a new fridge on this unit. Menus have been revised since the last inspection and residents were involved in devising the new menus. Following the circulation of a draft version, residents made further comments and these were included in the final version. 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 Hall H58 S33528 Park Hall V219054 140605 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 Hall H58 S33528 Park Hall V219054 140605 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) 3,4 and 5 Prospective residents and their families can be confidant that their needs will be properly assessed and their wishes taken into account if they choose to live at Park Hall. EVIDENCE: Assessments on the last two new residents were sampled and provided a good overview of resident’s needs. There is ample information in the statement of purpose and service users guide to inform residents about what is available. In addition, residents come for a trial visit to meet staff and other residents. Several residents pointed out that they were treated as individuals, which suggests the system for assessing and meeting needs is very good at Park Hall. Park Hall H58 S33528 Park Hall V219054 140605 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 and 10 Residents at Park Hall have their health, personal and social care needs identified and well met. EVIDENCE: Care plans sampled were well set out, reviewed regularly and up to date. Recent changes in one resident’s circumstances had been added to his care plan and instructions given to staff about his care. There were examples of residents health needs being identified and catered for. Continence needs were recorded on individual plans and a continence resource folder had been compiled to keep staff informed on best practice in this area. In all instances of staff interaction with residents on the day of the inspection, staff were observed to respect the dignity and privacy of residents. More importantly, residents reported that they felt as if they were treated with respect. One resident wrote on a comment card that ‘I have not been so happy and contented for a long time. I feel I am a person in my own right again, I feel wanted. Thanks to one and all for your kindness.’ Park Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 10 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 and 14 Park Hall enhances the quality of life of residents with a range of pleasurable activities and by encouraging the involvement of family and friends. EVIDENCE: There is a weekly activities programme at Park Hall and this includes communal activities as well as individual pursuits. The weekly programme over the course of four weeks included salt dough modelling, bingo and raffle morning, film mornings, ‘play your cards right’, ‘countdown’, and ‘what the papers say’. In addition, individual residents were engaged with their own activities such as artwork and jigsaws. One resident who was in her room showed the inspector some word games she had been set by a member of staff; she said she liked word games and her favourite TV programmes were the word games and quizzes. The theme for the week was summer and holidays, and a staff member had brought in shells and special sand to create a seaside scene which a resident was working on. Two ‘artists’ were working on designing an underwater sea scene, supported by a member of staff. Another small group of people were playing ball games, and yet another group benefiting by an exercise class with a staff member who is a qualified EXTEND tutor. Park Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 11 The residents with dementia were being given special consideration and their activities well supported by staff. There is a well-equipped hair salon for residents and the manager said musical entertainment is provided during hairdressing sessions. There were a number of pets in the home and residents were being supported to care for them. The fish, bird, cat and hamster brought obvious pleasure to residents and staff alike. Residents were encouraged to keep in contact with friends and relatives and a number of these visitors were in the home on the day of the inspection. Those spoken to commented favourably and one said ‘Nothing’s too much trouble…staff are all very nice and the food is good…she makes us jealous every time we come.’ Park Hall H58 S33528 Park Hall V219054 140605 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) 18 The arrangements for the protection of vulnerable adults at Park Hall are good. EVIDENCE: Protection of vulnerable adults training is now part of the programme of induction for all new staff at Park Hall. There have been no protection issues since the last inspection. The up-dated multi-agency procedures for the protection of vulnerable adults were available in the office and accessible to all staff. Park Hall H58 S33528 Park Hall V219054 140605 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) 19,20,23,24 and 26 The home is purpose built and the overall standards within the home are good. There are however a number of outstanding maintenance issues which detract somewhat from the otherwise high standards. EVIDENCE: The home is generally well kept and benefits from its own handyman who is able to deal with maintenance and repairs as needed. The grounds are also well kept and Park Hall even grows some of their own tomatoes in the greenhouse. There is a nice terrace for residents to sit out, and the dementia unit has an enclosed garden, which is safer for those residents. Outstanding maintenance issues which the manager and handyman cannot organise without permission and funding from Surrey County Council include the uneven and dangerous pathway at the back, the external doors needing maintenance or replacement, and the leaking gutters at the front. In addition, a wooden ramp at the back is deteriorating and needs replacing. The programme of routine maintenance was being kept at head office and a copy Park Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 14 of this should be available in the home for inspection. Residents all have single rooms and there is much evidence that these have been personalised by residents, some of whom chose to bring their own furniture. The premises were clean and hygienic and special consideration was being given to the hygiene of pets being kept on the premises. Park Hall H58 S33528 Park Hall V219054 140605 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, 28 and 30 Staff morale was good and there were sufficient numbers of them to meet the needs of residents in Park Hall. EVIDENCE: There are 8 staff on duty at all times during the day and 3 waking night staff. This had been calculated according to the needs of residents and the manager said more staff could be brought in if circumstances warranted it. In addition to care hours, there were also extra hours provided for social activities. The guidance from the Department of Health on calculating staffing numbers was not currently being used and the inspector will recommend this guidance is obtained and referred to. It is likely that over 75 of care staff will have NVQ2 or above by the end of this year, exceeding the target of 50 set by Standard 28. The inspector reminded the registered manager that agency staff need to be counted in this ratio. Staff training is well organised and recorded at Park Hall. Induction training is compulsory for all new staff and training days exceed the minimum of three per year as set down in Standard 30. Park Hall H58 S33528 Park Hall V219054 140605 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, and 38 Park Hall is well run and the manager has a very supportive staff team. Residents benefit from the ethos and good management of the home. EVIDENCE: The registered manager has been at the home since 2002 and a number of improvements have been noted over this period. There has been a more stable staff team and the number of agency staff required has been much reduced. Clear lines of accountability were noted and the staff were supportive of the home and its management. Residents benefit from the open and positive atmosphere within the home and were complimentary about the way the home was run. The induction programme and training for staff were well managed and documented. The system of regular supervision was now in place and the Park Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 17 inspector saw evidence of this working well. The few outstanding maintenance issues were compromising health and safety at Park Hall. Otherwise standards were good, risk assessments were in place and up to date, the hazardous substances cupboard was locked and water temperatures were being controlled to around 43C. The inspector recommended that water temperatures be monitored regularly to ensure the thermostatic controls are still working well. Park Hall H58 S33528 Park Hall V219054 140605 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 x 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 2 x x 3 3 x 3 STAFFING Standard No Score 27 2 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 3 x x x 3 x 2 Park Hall H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 19 yes 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. Standard OP19, OP20 and OP38 Regulation Requirement Timescale for action 14.07.05 23(2)(b) Outstanding maintenance issues 13(4)(a)(c need to be remedied as soon as possible as some of these were requirements from the last report. The three outstanding issues are; repair of rear pathway, repair of leaking guttering, and repair or replacement of external doors. In addition, a wooden ramp to the rear of the property needs replacing. 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 27 Good Practice Recommendations The home had sufficient staff, calculated according to the needs of residents. However, to fully meet Standard 27 these calculations should be made in line with the Department of Health Guidance on this issue. The home should get a copy of this Guidance, together with the definitions of the categories of need, and review their staff/resident ratio. The water temperatures where water is accessible to residents is currently regulated to around 43C. However, H58 S33528 Park Hall V219054 140605 Stage 4.doc Version 1.30 Page 20 2. Park Hall 38 the inspector recommended that temperatures are monitored regularly to ensure thermostats continue to work well. 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