Inspection on 02/02/06 for Park House

This inspection was carried out on 2nd February 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 04/06/07

Park House 04/05/06

Park House 31/05/05

Park House 26/11/04

Park House 09/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Park House 2 Richmond Road Stockton-on-Tees TS18 4DS Lead Inspector Derek Stow Unannounced Inspection 2nd February 2006 10:30 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 DS0000000023.V272882.R01.S.doc Version 5.0 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 DS0000000023.V272882.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park House Address 2 Richmond Road Stockton-on-Tees TS18 4DS 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) 01642 674703 dash377@ntlworld.com Mr Jack Elliott Mrs Geraldine Elliott Mrs Margaret Lavinia Horner Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Park House DS0000000023.V272882.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can allow one person under the age of 60 years to be admitted to the home. 31st May 2005 Date of last inspection Brief Description of the Service: Park house is registered as a care home for 18 older people and is situated in a quiet residential road in Stockton. The home has attractive and well-kept gardens and a private paved area to the rear of the building. The home is a short bus bride from the town centre and a few minutes walk from Ropner Park. Accommodation is provided in sixteen single bedrooms, nine of which have en-suite facilities. There is one double bedroom. All bedrooms meet the spatial requirements of the National Minimum Standards. Communal space comprises a dining room and two lounges, one of which has been designated a smoking lounge. Park House DS0000000023.V272882.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours, with the inspector looking around the building, examining a number of records, speaking to three residents, two relatives, the manager and two members of the Care staff. This inspection looked at those key standards, which were not examined at the last inspection in May 2005. Any issues identified as requiring action are to be found at the back of this report. What the service does well: What has improved since the last inspection? The registered manager continues to work very closely with the proprietors to introduce new systems and improve existing ones. The manager is building up a new staff team following the recruitment of three new care staff. Park House DS0000000023.V272882.R01.S.doc Version 5.0 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 DS0000000023.V272882.R01.S.doc Version 5.0 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 DS0000000023.V272882.R01.S.doc Version 5.0 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): This section was not looked at during this inspection as the key Standards were examined at the last inspection in May 2005. EVIDENCE: Park House DS0000000023.V272882.R01.S.doc Version 5.0 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. Residents’ health and personal care needs are set out in care plans; however, they must show more evidence that social and leisure needs are addressed. Drawing up the care plan should involve the resident/relative and sign agreement to the plan. EVIDENCE: The care plans examined demonstrated that health and personal care needs were addressed and risk assessments were also in place. Relatives spoken to said that they were invited to reviews. The care plans did not show sufficient evidence of social religious and leisure needs or involvement of the service user/relative in drawing up the care plan nor had they signed agreement to the care plan. Park House DS0000000023.V272882.R01.S.doc Version 5.0 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 Residents find that the lifestyle at Park House meets their expectations; however this must be supported by a formal activities programme for planned activities both inside and outside the home together with records of activities undertaken. EVIDENCE: The atmosphere at park house appeared relaxed, friendly and flexible. There is no fixed breakfast time and breakfast in bedrooms is offered according to individual time preferences. Named trays were observed in the kitchen for this purpose. Residents said that they could come and go as they please and that they are offered activities such as cards, dominoes and bingo. Relatives spoken to said that they could visit freely at any time and that they were always given a warm welcome. Park House DS0000000023.V272882.R01.S.doc Version 5.0 Page 11 The staff and manager said that residents are asked what activities they would like to do and that cards and dominoes are usually offered on a Tuesday with bingo on a Saturday. Staff also take people to the local shops and to the park nearby. A music and motivation group visit the home monthly with church visits and communion every 2-4 weeks. A formal programme of activities within the home together with trips outside the home should be developed to help inform and motivate both staff and residents. These programmes should support the social and leisure needs and wishes identified in the care plan. Park House DS0000000023.V272882.R01.S.doc Version 5.0 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 the following standard(s): 18 Appropriate policies and procedures are in place in relation to the protection of vulnerable adults and residents feel safe at Park House. Not all staff have yet received training/instruction in adult protection. EVIDENCE: The Manager said that she and four care staff had undertaken the “No Secrets” training offered by the local Council. Whistle Blowing and adult protection policies are in place; however, the manager must ensure that all staff including ancillary staff receive an appropriate level of training. No incidents of adult abuse have been reported and residents and relatives spoken to on the day of inspection all said that they feel safe and protected by the staff at Park House. Park House DS0000000023.V272882.R01.S.doc Version 5.0 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 the following standard(s): This section was not looked at during this inspection as the key Standards were examined at the last inspection in May 2005. EVIDENCE: Park House DS0000000023.V272882.R01.S.doc Version 5.0 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): 27,29 & 30 Service users needs are met by appropriate numbers of staff and the home is working to increase staff qualified to NVQ 2 from 31 to 50 as well as improving training plans and records. Safe recruitment practices were not adhered to at all times and staff files did not contain all the required documents. EVIDENCE: On the day of inspection there were appropriate numbers of staff on duty, this being five care staff in the morning, three in the afternoon and three staff were on the rota for the evening. In addition there was a cleaner and the proprietor was cooking as the cook had left his employment a few days earlier. Staff training records also shows that 31 of care staff have NVQ 2. The registered manager said that she has recently employed a number of new staff to replace staff that had left, and this had affected the percentage of trained staff available in the home. One care staff is currently engaged on a formal college induction course which meets “skills for care standards “ and three care staff are awaiting places on the next intake. The training records and training plans for individual staff members were not up to date or accurate and not all staff had received a minimum of three paid days training per year (including Inhouse training). Park House DS0000000023.V272882.R01.S.doc Version 5.0 Page 15 Not all of the staff files contained a photograph as well as a copy of a birth certificate and passport. The registered person must ensure that new staff are only confirmed in post following completion of a satisfactory police check, and satisfactory check of the protection of children and vulnerable adults and NMC registers. Even in urgent situations a minimum of a Protection of Vulnerable children and adults register check whilst awaiting a full criminal record bureau check must be adhered to. This was not evidenced when auditing staff recruitment practices. Park House DS0000000023.V272882.R01.S.doc Version 5.0 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 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): 33 & 38 Park House is run in the best interests of service users, however the homes quality assurance systems need to be strengthened by annual survey. Residents financial interests are safeguarded and documentary evidence of Legionella risk assessment and compliance will strengthen health and safety. EVIDENCE: There are a number of quality assurance systems in place, which focus on the needs and views of residents including, six-week review, six monthly and annual care plan reviews. Park House DS0000000023.V272882.R01.S.doc Version 5.0 Page 17 There is also a freely available quality questionnaire, of which four had been completed over the past year. These systems must be strengthened to include a more formal resident/relative survey, feedback from other stakeholders with the findings being analysed and the results published and made available to interested parties including the Commission for social Care Inspection. All residents handle their own money independently from the home, which provides each resident with a lockable cash box to keep in their own room. A number of health and safety records were examined to confirm that up to date maintenance/checks were in place relating to the gas safety certificate, water temperature and the lift. Documentary evidence that a legionella risk assessment has been carried out should be available together with records of actions taken in complying with up to date and approved “Code of practice and Guidance on Legionella Disease.” The accident book was also examined and the manager said that she regularly reviews this to see if any preventative actions are required. Park House DS0000000023.V272882.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 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 3 28 X 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 2 Park House DS0000000023.V272882.R01.S.doc Version 5.0 Page 19 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. OP7 15 Standard Regulation Requirement The care plan must be strengthened to include social, religious and leisure needs and show signed evidence of resident/relative involvement. The manager must arrange for an activities programme and records to be developed relating to in-house and outside activities and consult with residents regarding proposed activities. All staff must receive training in adult protection including ancillary staff. The registered person must comply with POVA 1st CRB checks at all times. All staff records must contain a photograph, copy birth certificate and passport. The training records must be accurate and up to date. Evidence of legionella risk assessment and records of action taken in compliance of guidance must be available. Timescale for action 31/03/06 2. OP12 16 31/03/06 3. 4. 5. 6. 7 OP18 14 OP29 OP37 OP37 OP38 19 sched’ 2 17. sched’ 2&4 17(3) 13(2c) 31/03/06 02/02/06 31/03/06 31/03/06 31/03/06 Park House DS0000000023.V272882.R01.S.doc Version 5.0 Page 20 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 OP28 Good Practice Recommendations 50 of staff should have achieved NVQ level 2 in care. Park House DS0000000023.V272882.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 DS0000000023.V272882.R01.S.doc Version 5.0 Page 22 - 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. 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