Inspection on 19/04/05 for Park House

This inspection was carried out on 19th April 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 House 03/11/06

Park House 06/02/06

Park House 07/10/04

Park House 01/04/04

Similar services:

Carentan House

Ravensworth Lodge

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

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

CARE HOMES FOR OLDER PEOPLE Park House Worsbrough Road Worsbrough Village Barnsley S70 5LW Lead Inspector Sue Stephens Unannounced 19 April 2005 12:00 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 House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park House Address Worsbrough Road Worsbrough Village Barnsley S70 5LW 01226 281226 01226 281226 None Mrs Gloria Crabtree Mr Paul Crabtree Mrs Gloria Crabtree PC Care Home only 20 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) Category(ies) of OP Old Age (20) registration, with number of places Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 07 October 2004 Brief Description of the Service: Park house is a stone built property, which was originally the school house to the village school. The home has been adapted and extended while maintaining many of its original features in order to create a personal care home with accommodation for 20 elderly persons. It occupies a central position in the conservation village of Worsborough and is surrounded by one acre of well maintained gardens, including a small orchard. The home is adjacent to Worsborough country park and is in close proximity to the Parish Church of Saint Marys and the local pub. Main bus routes are close by and the home is about three miles from Barnsley town centre and two miles from junction 36 of the M1 motorway. Accommodation is on two floors, serviced by a passanger lift. There are 12 single and four double bedrooms, two lounges and one dining room. Car parking is provided to the rear and side of the building. Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a Tuesday over five hours between 12:00pm and 17:00pm. The visit included a partial tour of the premises, observations of care and practices, and consultation with residents, family, staff and the manager. Samples of the homes records, including three care plans, were checked. Most of the residents were consulted, either individually or in small groups; one family member was also consulted. All staff on duty were seen and one staff member was interviewed in detail. The residents, family member, staff and manager are thanked for the welcome they gave to the inspector and their assistance during this inspection. What the service does well: What has improved since the last inspection? Improvements have been made to the care plans. Needs assessments had been reviewed for some residents, this gave a good information about their needs. Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 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 House J51 18273 Park House V222318 19.04.05 UI 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 House J51 18273 Park House V222318 19.04.05 UI 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. Standard 6 was not applicable. Residents were confident that the home met their needs. The assessments identified resident’s changing needs ensured the resident’s needs were understood. Putting in place plans of care based on the outcomes of the assessments would reflect the homes good practice and ensure resident’s received consistent care. EVIDENCE: Residents said they felt well cared for and their needs were well met. The current needs assessment covered areas including nutrition, mobility and personal care needs; this provided staff with good information about resident’s individual care needs and preferences. The plans of care however had not been based on the assessment outcomes, which meant staff did not have clear written guidance on how the individual’s care needs were to be met. Park House J51 18273 Park House V222318 19.04.05 UI 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 felt well cared for because they were treated with dignity and respect, and could access health care professionals. The care plans need to be accurate, up to date and regularly reviewed. EVIDENCE: Residents said they were aware that they could see and be involved in their care plans if they wished. A staff member said she shared information from the care plans with residents, who in particular liked the photographs of themselves in the plans. The photographs were large and clear, positive and dignified. Care plans did not set out the action staff need to take to ensure the resident’s health, personal and social needs are met consistently, and in line with the resident’s wishes and good practice guidelines. Risk assessments did not refer directly to falls and pressure care, which are relevant to the needs of the residents. Residents were positive about their health care needs; they could access a G.P or nurse when needed and said their health and wellbeing were well looked after. Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 10 Equipment for the prevention of pressure sores was provided, and the manager acknowledged good relationships between the staff and visiting health professionals. An excellent programme of activities was provided, which encouraged residents in activities that were mentally and physically stimulating, for example gentle exercise, singing and concerts. Residents, and the family member, made very positive statements about the care provided, including: “Mrs Crabtree is very caring” “we get treats, flowers and other treats” “staff are very kind here” “They are nice people, everybody is kind” “they (staff) will get you anything you want” “you get the best of everything”. Staff were quick to respond when residents called and staff ensured residents were supported, if needed, when moving around the home. The staff and manager were polite and friendly towards the resident’s and their visitors, and a lot of care and attention had been given to celebrate a resident’s birthday. A family member said this happened for all birthdays and special events including valentines and Halloween. Park House J51 18273 Park House V222318 19.04.05 UI 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) X Outcomes for these standards were not assessed. EVIDENCE: Park House J51 18273 Park House V222318 19.04.05 UI 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 and 18. Residents felt safe and assured because they could voice their concerns and were listened to by staff and the manager. Insufficient knowledge on the adult protection procedures could put resident’s safety and welfare at risk. EVIDENCE: Residents said they felt safe, people at the home were kind and friendly and staff and the manager listened and took action if residents had concerns. The complaints procedure was in the entrance hall, and the manager said there had been no recent complaints made to the home. Local Authority and the homes own procedures on adult protection were available, however the homes own procedures were not easily accessible to staff, and the governments guidance No Secrets had not been obtained. Staff consulted said they had received adult protection training, and understood what to do if they suspected abuse, however the staff did not have enough knowledge about the contents of the local authorities and homes procedures and where to find them. Park House J51 18273 Park House V222318 19.04.05 UI 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, 20,23,24,25,26. The environment was well maintained and furnished providing a warm, comfortable, clean and pleasing home. The practice of propping open fire doors could put resident’s safety at risk. EVIDENCE: The home was well maintained and residents said they were warm and comfortable. Attention to detail had been given to the homes décor, which included displays of pottery, pictures, photos and soft furnishings. Cushions and blankets were placed around the home and there were music systems or a radio in most shared places. The grounds were well maintained and attractive and residents said they were looking forward to sitting in the gardens again in the finer weather. The dining area was prepared with comfortable seating designed to enable residents to move close up to the table and the tables were set in a manner that made the environment pleasing to eat in. Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 14 Resident’s bedrooms were well furnished and personalised; residents said they were warm and comfortable and they could enjoy privacy in their own rooms. Two fire doors had been propped open, one being an external door, putting residents, staff and visitors safety at risk should a fire break out, the manager closed the doors once she noted them open. The home was clean and free from offensive odours. Park House J51 18273 Park House V222318 19.04.05 UI 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 and 30. Staffing levels were sufficient. The failure to follow thorough and legislative recruitment procedures could put resident’s safety and welfare at risk. Without available training records the home cannot demonstrate that staff have relevant and current training. EVIDENCE: Residents said there was always a member of staff available when they needed them including at night; and one resident said the manager never left without making sure enough staff cover was available. Rotas met with agreed staffing levels and systems were in place to cover staff sickness and leave. Some staff recruitment records were missing, employment gaps had not been checked, and staff had been employed before references and criminal bureau checks were returned. Staff training and induction records could not be produced for inspection. A staff member said she had received training including adult protection training. Park House J51 18273 Park House V222318 19.04.05 UI 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) 32,33,36 and 37. The manager and registered provider gave residents and staff time and attention, this contributed to the home being managed well. The resident’s rights and best interest could be placed at risk by the homes failure to maintain all records adequately and securely. EVIDENCE: Residents and staff spoke positively about the manager, she consulted with residents regularly and provided guidance to staff by having a regular presence in the home. Staff said the manager was always available for support and advice. The manager showed great energy and commitment in running the home and had a good understanding of the needs of the residents. Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 17 The responsible individual visited at least once a week, consulted with residents and had some involvement in the running of the home. Quality assurance systems included the managers monitoring of the home through observations, consultation and staff guidance; a trained staff member carried out health and safety checks. The policy and procedure system also formed part of the quality assurance systems. Recorded staff supervisions were not available, however staff said they received regular support and guidance from the manager. Records were not securely stored to ensure easy retrieval and some of the records were not maintained in good order or contained sufficient up to date information. Park House J51 18273 Park House V222318 19.04.05 UI 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 2 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x 3 3 x x 3 1 x Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 3 Regulation 14 Requirement Plans of care must be based on the outcomes of residents needs assessments and risk assessments. Residents records must include all the information in schedule 3 of the Care Homes Regulations 2001, and be regularly reviewed to reflect the changing needs of the residents. All staff must be made aware of, and be able to access, the homes, and local authorities, adult protection procedures. Timescale for action 30.06.05 2. 7 15,17 30.06.05 3. 18 13,17,18 31.05.05 4. 5. 19 29 23 17,19 6. 30 17,18 Records must be maintained on the training, or other measures, staff receive to prevent residents from being placed at risk of harm or abuse. Fire doors must not be proppoed 30.04.05 open. Staff must not be employed at 30.04.05 the home until all recruitment procedures have been completed and are satisfactory. All staff must receive training 31.05.05 appropriate to their work. Training records must be maintaned for all staff. Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 20 7. 37 15,17 Records specified in schedule 2, 3 and 4 of the Care Homes Regulations 2001 must be maintained at the home. The records must be kept up to date and at all times available for inspection. All records must be maintained for not less that 3 years after the last date of entry. 30.06.05 8. 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 7 Good Practice Recommendations The new devised care plan, which includes the action staff are to take, should be introduced for all residents as soon as possible, and staff should be made aware how to use them. The manager and staff should all access the local authorities adult protection training events, to ensure good knowledge and understanding of protecting vulnerable adults, and local authority procedures. a record storage system should be put in place for the manager to be aware of and retreive records easily. 2. 18 3. 37 Park House J51 18273 Park House V222318 19.04.05 UI Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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. 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