CARE HOMES FOR OLDER PEOPLE
Park House Congleton Road Sandbach Cheshire CW11 4SP Lead Inspector
Joan Adam Unannounced Inspection 1st February 2006 09:30 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 House DS0000006665.V280648.R01.S.doc Version 5.1 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 House DS0000006665.V280648.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Park House Address Congleton Road Sandbach Cheshire CW11 4SP 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) 01270 762259 Mr Edward Robert Venables Dale Mrs Charlotte Victoria Ellison Mr Edward Robert Venables Dale Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. This home is registered for a maximum of 29 service users in the category OP (old age not falling within any other category) 3rd June 2005 Date of last inspection Brief Description of the Service: Park House is a large detached building set in its own gardens and grounds about a mile from the centre of Sandbach. Care is provided for up to 29 older people. Park House is a two-storey building, and access between floors is via stairs and a shaft lift. The home has 27 single bedrooms and one double bedroom. All of the bedrooms have en suite facilities. The home offers four main lounges on the ground floor, and a sun room on the first floor overlooking the courtyard. Gardens are set in two acres of land. There is one shared dining room, a hairdressing salon, three bathroom/shower rooms and six WCs. Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced visit of the home took place over five hours and was carried out as part of the yearly inspection process. Care records, fire records and staff personnel files were inspected. The service history of the home and the previous inspection report were read in preparation for the inspection. Residents, visitors and staff members were spoken with during the inspection. A number of additional visits have been made to the home since the last inspection as concerns were raised about care plans. At each of these visits, the inspector made a number of requirements for compliance with the Care Homes Regulations. Letters sent to the proprietor following these visits can be obtained from the CSCI office on request. What the service does well:
The care needs of the residents living at Park House continue to be met to a good standard. The atmosphere at the home is warm and welcoming and comments made by residents and their relatives were complimentary. Staff were seen to treat residents with courtesy and kindness and appeared to have a good relationship with the residents in their care. Residents living at the home said that “the staff are lovely” “they work really hard” “the staff spoil me” The assessment and care planning documentation has improved to an adequate standard and gives care staff direction as to the needs of the residents living at the home. There have been no complaints made to the home or CSCI. Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? 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 House DS0000006665.V280648.R01.S.doc Version 5.1 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 House DS0000006665.V280648.R01.S.doc Version 5.1 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 Assessment procedures before residents move into the home are in place and allow family members to be part of the process of assessing needs. The home only admits those people whose needs are in keeping with the skills and knowledge of staff working within the home. EVIDENCE: Care plans were looked at for two residents recently admitted to the home. These contained pre-admission information, which enables staff to be aware that the residents needs can be met prior to them, being admitted to the home. One resident spoken with said that they had looked round the home before they went to live there. Park House DS0000006665.V280648.R01.S.doc Version 5.1 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 the following standard(s): 7,8 Care plans are in place and enable staff to care for the residents living at Park House. The home can demonstrate that the health care needs of residents are met. EVIDENCE: Care plans were looked at for five residents. These were of a satisfactory standard and improvements have been made since the last inspection. Care plans were in place for hygiene, continence, mobility and tissue viability. Choices were recorded as to the times of rising and retiring and likes and dislikes of food. These had been up dated and reviewed on a monthly basis. Risk assessments were in place for moving and handling, bed rails and mobility. These had been signed by relatives. Details of visits by other health care professionals such as GP’s and district nurses were documented in the care plans. Park House DS0000006665.V280648.R01.S.doc Version 5.1 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 the following standard(s): 14 Residents can make choices and have control over their own lives. EVIDENCE: Residents’ choices were documented in the care plans. The home has an open visiting policy and relatives said they were always welcome. Residents spoken with said they could stay in their own room or use the various sitting areas. One resident who did not feel well and was in their own room said that “ The staff are lovely and spoil me.” Another resident who preferred to stay in their own room for meals said that “ This is no trouble at all, the staff know what I like and support me “ Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 11 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): 16,18 Complaints at the home are dealt with in accordance with the homes complaints policy and residents and relatives know who to raise concerns with. All staff members should be trained in adult protection to maintain the safety of the residents. EVIDENCE: There have been no complaints made to the home or to CSCI since the last inspection. A copy of the complaints procedure is available in the service users guide and in the entrance hall. Residents and relatives spoken with said that they had no complaints and that they were aware of who to speak to if they were unhappy about any aspects of the home. The senior care staff at the home have received adult protection however further training has not been arranged for other members of the care team. This was a recommendation at the last inspection. Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: The key standards were assessed at the last inspection and requirements made were met. Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 13 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): 29,30 Adequate training needs to be available so that all staff have the knowledge, skills and competence to do their jobs effectively. The recruitment procedures at the home are robust to ensure residents safety. EVIDENCE: A requirement made at the last inspection regarding CRB checks on new staff employed at the home has now been met. The home has a training programme in place for NVQ level two in care. One staff member has completed the course and five members of staff are at present working toward the award. The government target of fifty per cent of all care staff to be qualified by 2005 has not been met. Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 14 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): 31,33,36,38 The managers/proprietors are experienced but do not have NVQ level four in management. A quality assurance system needs to be in place to enable the views of residents to be recorded. Formal staff supervision at the home is not in place to ensure the health and safety of the residents EVIDENCE: The managers/proprietors at the home are experienced in care home management however, at present they do not have an NVQ four qualification in management and care and the government target of all managers qualified by 2005 has not been met.
Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 15 Staff are receiving informal supervision on a daily basis however, formal supervision is not in place at the home. The home does not have any responsibility for any resident’s finances. Residents who live at the home said that feel that they can make choices as to how they spend their time however, Park House does not have a quality assurance system in place at present to enable residents views to be recorded. The fire log was checked and staff training in fire safety has taken place and was recorded. Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 16 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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 2 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X N/A 2 X 3 Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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 Standard OP33 OP36 Regulation 24 18 Requirement A quality assurance system must be in place. All staff at the home must receive formal supervision. Timescale for action 31/03/06 30/04/06 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 OP7 Good Practice Recommendations It is recommended that risk assessments for bed rails contain information regarding entrapment. All staff working at the home must have adult abuse training. The home must have 5o of care staff qualified to NVQ level 2 or equivalent. The managers/proprietors should have NVQ level 4 or equivalent. 2 3 4 OP18 OP28 OP31 Park House DS0000006665.V280648.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 House DS0000006665.V280648.R01.S.doc Version 5.1 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
