Inspection on 13/03/06 for Park House

This inspection was carried out on 13th March 2006.

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 House 12/09/07

Park House 14/12/06

Park House 09/08/05

Park House 23/02/05

Park House 06/09/04

Park House 17/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Park House Park House 7 Manor Road St Marychurch Torquay Devon TQ1 3JX Lead Inspector Margaret Crowley Unannounced Inspection 13th March 2006 11:30 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 DS0000018407.V269090.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 DS0000018407.V269090.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park House Address Park House 7 Manor Road St Marychurch Torquay Devon TQ1 3JX 01803 314897 01803 323784 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) Mr Christopher Norman Bennett Mrs Diane Winifred Bennett Lorraine Barbour Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (21) Park House DS0000018407.V269090.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate up to 2 Service Users over 60 years. Date of last inspection 9th August 2005 Brief Description of the Service: Park House is a large detached property with pleasant gardens situated in a quiet residential area on the outskirts of Torquay close to local amenities. It is registered to provide care for older people including those with physical disabilities and/ or dementia, and up to two people aged over 60years. The home currently accommodates 19 older people in single rooms and one double room. Fifteen rooms are en suite. There are two spacious lounges; part of one is used as the office, and a separate dining room. It has a shaft lift and various aids and adaptations to aid mobility. Park House DS0000018407.V269090.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 13th March 2006. A tour of the premises took place, and records were inspected. Service users and a relative were spoken with. Staff were observed in the course of their duties and were spoken with. Mrs.Bennet, the proprietor was present in the home, assisting with the care of service users. Discussions took place with Lorraine Barbour, the registered manager. What the service does well: 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. Park House DS0000018407.V269090.R01.S.doc Version 5.1 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park House DS0000018407.V269090.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 DS0000018407.V269090.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): 1 Prospective service users are provided with some information to assist them in choosing to live at Park House. EVIDENCE: Park House has a statement of purpose/ service user guide, which has been reviewed since the last inspection. It does not yet provide information regarding the sizes of rooms and a staff list showing the number and qualifications of staff currently employed. Park House DS0000018407.V269090.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): 7,10 Service users care plans enable their health and personal care needs to be met, but a more frequent review system should be established. EVIDENCE: Care plans inspected contained relevant information relating to the individual service user’s care, but are not reviewed monthly. Regular monitoring of service users’ weight and dietary needs should be recorded. Daily records showed that concerns are recorded and addressed. Service users and a relative spoken with were pleased with the care given and said that staff are kind and helpful. Park House provides care for service users with dementia some of whom are quite frail were not able to express themselves other than in smiles and nods. Help is sought from the community psychiatric team when re-assessments are necessary. Staff were observed respecting service uses privacy when entering rooms and addressing service users in a kindly manner. Park House DS0000018407.V269090.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): 12,13,15. Service users are provided with a flexible life style, with some activities provided for those who wish to participate. EVIDENCE: Service users said that they enjoy musical entertainment provided by an entertainer who comes to the home. A member of staff was seen providing group activities in the afternoon during the afternoon. Stimulation should also be tailored to meet the needs of the service users individually, particularly those with dementia. There is an open visiting policy and it was confirmed by relatives that they are made welcome. Service users were observed enjoying their lunch and praised the quality of the food. There is a varied rotating menu, which is adapted to suit service users’ dietary needs and choices. Park House DS0000018407.V269090.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): 18 Service users can be confident that procedures are in place to enable them to complain and to protect them from abuse EVIDENCE: The complaints procedure is displayed so that it is accessible to service users. There is an adult protection policy and procedure which is accessible to staff. Staff have not yet received multi agency adult protection training. Park House DS0000018407.V269090.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): 19.26 Service users are provided with accommodation that is comfortable, clean and homely. EVIDENCE: Some improvement has been made to assist service users in orientation within the home by the use of photographs to enable them to recognise their own room. Greater use of signage and colour would help them to distinguish between floors. There is an attractive spacious garden, but no improvement in has been made to make it more secure for use by service users with dementia. Potential trip hazards were identified in the carpets in rooms 8 and12. Service users rooms have locks but these are the type opened with a coin instead of a key. The bathroom upstairs was not accessible and the dining room was locked after lunch. The management should review the practice of locking doors to communal facilities The home was clean and free from unpleasant odours throughout. In discussion with the registered manager it was suggested that paper towels and Park House DS0000018407.V269090.R01.S.doc Version 5.1 Page 13 antibacterial liquid soap are used in all communal hand washing facilities to control the spread of infection. The laundry is situated in an outhouse that is also used for general storage and was untidy. Park House DS0000018407.V269090.R01.S.doc Version 5.1 Page 14 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): 28 Recruitment problems are causing difficulties in ensuring that staffing levels are maintained at a safe level to meet the needs of service users. EVIDENCE: Park House continues to have recruitment difficulties although additional staff are being sought. There were three staff vacancies at the time of the inspection. The registered manager said that she and the proprietor ensure that there are sufficient staff on duty by covering shifts themselves at times of staff shortages. The staff rota showed that the registered manager is working excessive hours. Existing staff also assist by working additional hours. On the day of the inspection there were only 3 staff on duty including the registered manager and the proprietor, for the 19 service users many of whom have dementia. One member of staff was off sick and the cook had needed to leave early. The registered manager said that they are reluctant to employ agency staff because of lack of continuity for the service users, but this may be necessary to ensure that staffing levels are met. Park House DS0000018407.V269090.R01.S.doc Version 5.1 Page 15 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): 31,38 Service users live in an environment where most health and safety standards are met EVIDENCE: Diane Bennet ,the proprietor and Lorraine Barbour, the registered manager, both hold relevant qualifications which include the Registered Managers Award. They have many years experience in the care of older people. Routine health and safety issues are managed satisfactorily and records are maintained up to date and accurate. Fire prevention measures are in place, and it was evidenced that equipment is regularly tested. Park House DS0000018407.V269090.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 2 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 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 x 17 x 18 2 2 x x x x x x 3 STAFFING Standard No Score 27 x 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x 3 Park House DS0000018407.V269090.R01.S.doc Version 5.1 Page 17 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 OP18 OP19 OP38 Regulation 13 23 18 Requirement Staff must attend training in the protection of vulnerable adults The potential trip hazards in the 2 carpets identified must be addressed Staffing levels must be maintained at a safe level to meet the needs of service users Timescale for action 13/07/06 30/04/06 13/05/06 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 OP1 Good Practice Recommendations The statement of purpose/service user guide should be amended to include information regarding the sizes of rooms and a staff list showing the number and qualifications of staff currently employed. Care plans should be reviewed monthly or more frequently if necessary. The garden should be made more secure to meet the needs of the service users with dementia. The management should continue to review ways in which service users orientation within the home can be DS0000018407.V269090.R01.S.doc Version 5.1 Page 18 2 2 3. OP7 OP20 OP22 Park House 4 OP24 improved. The management should review the type of locks in use and the practice of locking doors to communal facilities Park House DS0000018407.V269090.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 DS0000018407.V269090.R01.S.doc Version 5.1 Page 20 - 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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