Inspection on 22/11/06 for Park House

This inspection was carried out on 22nd November 2006.

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 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 20/11/08

Park House 10/11/05

Park House 19/05/05

Park House 19/11/04

Park House 18/05/04

Park House 14/10/03

Park House 06/05/03

Park House 28/05/02

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

CARE HOMES FOR OLDER PEOPLE Park House James Street Tyldesley Wigan Greater Manchester M29 8JJ Lead Inspector Sue Donovan Unannounced Inspection 22nd November 2006 08:30 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 DS0000005757.V301174.R01.S.doc Version 5.2 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 DS0000005757.V301174.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Address James Street Tyldesley Wigan Greater Manchester M29 8JJ 01942 882344 01942 886188 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) www.clsgroup.org.uk CLS Care Services Limited Mrs Sharon Davies Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (8) Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users to include:up to 30 service users in the category of OP (Older People over the age of 65). up to 8 service users in the category of PD(E) (Older People over 65 years with a physical disability). up to 10 service users in the category of DE(E) (Older People over 65 years with dementia) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. The service should employ suitably qualified and experienced members of staff, in sufficient numbers, to meet the assessed needs of the service users, including those with dementia. 10th November 2005 2. 3. Date of last inspection Brief Description of the Service: Park House, part of the CLS group of homes, is situated close to Tyldesleys local amenities and is well served by public transport. The Home is a single storey building, which is set in well-maintained grounds. Park House is registered to provide personal care for 40 residents of either sex over the age of 65, 8 of whom may have a physical disability, and 10 of whom may have dementia. All bedrooms are offered as singles; there are no shared rooms at Park House. At the time of this inspection weekly fees ranged from £312.15 to £450. Additional charges were for hairdressing, outings, newspapers, toiletries etc. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not told the inspection was to take place. The visit took place over eight hours from 8.30am to 4.30pm and included a site visit to the service. The report was written after looking at the information sent to the commission for social care inspection (CSCI), including comment cards( five from doctors and two from relatives) and after talking to the residents of Park House, their relatives, the manager and staff and looking around the home. During the inspection, care and medicine records were looked at to make sure resident’s needs were being met. The inspector looked around the building at the lounges, bathrooms, dining room and toilets to check if they were clean and well decorated. The inspector looked at what meal was provided for lunch, how resident’s money was looked after and checked records to see how the home and the equipment was kept safe. A copy of the service user guide and statement of purpose was kept in the welcome pack in the reception area. No complaints had been received by the CSCI since the last inspection and residents and relatives confirmed that they knew how to make a complaint. Residents said, “they look after me its nice here,” and “nothings to much trouble.” Relatives said, “staff are excellent,” and “we are very pleased with the care.” What the service does well: The home is very homely and welcoming. Residents live in clean comfortable surroundings. The manager and staff know the residents well and make sure they are cared for the way they like to be. A resident said, “you are made to feel welcome, its good company here.” Residents are asked what they think about the home and activities are arranged after listening to what residents are interested in and a regular Christian service is held at the home. The home has a specialist area that cares for people who have dementia the way they need to be looked after. A relative said, “it’s a fantastic place the care is brilliant.” Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 6 Park House is good at contacting doctors and district nurses when necessary and following advice given. A nurse said, “ staff are bob on here, they always contact me if they have any concerns.” 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. The summary of this inspection report can be made available in other formats on request. Park House DS0000005757.V301174.R01.S.doc Version 5.2 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 DS0000005757.V301174.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Up-to-date information is given to residents and families to enable them to make a decision as to the suitability of the home.With the exception of emergencies, prospective residents have their needs assessed prior to admission to assure these will be met. EVIDENCE: A statement pf purpose and service user guide is provided with other information in a welcome pack called ‘be yourself – your guide to living at Park House’. This was displayed in the entrance to the home and was seen to be in a user-friendly format and included photographs. The pack had been recently updated to include information about the new specialist unit, that supports residents with dementia, called ‘Manor Park’. A relative confirmed that they had received a copy of the pack prior to their family members admission. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 9 Four residents files were inspected and each contained evidence of the home’s assessment for both funded and self-funding residents. On two files evidence was seen of Social Services department care managers assessments. This information had been used when writing the care plans. A discussion took place with the manager regarding the assessment process that was undertaken when someone wanted to come and live at the home. She said that a senior member of staff visits the person at home or in hospital they are invited to spend a day at the home or just visit and a trial period is arranged. A relative said, “we have been made welcome from the very beginning.” Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 & 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The care planning system in place provides staff with the information they need to meet resident’s needs. Whilst resident’s health and personal care needs were met, a minority were not recorded and updated which could impact on consistency of care. The medication system was safe ensuring the residents received their medicines safely and correctly. EVIDENCE: Four care plans of the residents were looked at. The plans contained information about how to care for residents, what residents could not do and required help with and what they enjoyed. Completed care plans showed health and personal care needs and recorded the actions to be taken to meet these needs. They also included life profiles that showed some detailed information of resident’s interests, past careers, where Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 11 residents had lived, romantic or special dates and memorable moments from the past. One profile said “met Gracie Fields”. The care plan of a resident who had dementia included a section on well-being and ill being. This listed what might help to create a good mood and what may trigger anxiety or upset the resident. The team leader said that care plans were reviewed monthly, three of the plans seen had been reviewed within the last month but one had not. This file showed staff had documented on 03/10/06 that “X’s skin had broken” but there was no record of what had happened since. Care plans recorded involvement of doctors, district nurses and other healthcare professionals including regular visits by the chiropodist and optician. The team leader is presently trying to find a dental service that will provide a service at the home. Residents were weighed monthly and their weights monitored .The district nurse on the day of inspection said, “staff are bob on here, they are always in touch if they have concerns.” And five doctors returning comment cards considered the home communicated clearly with them; followed their advice; showed a clear understanding of residents needs; and provided satisfactory overall care within the home. Risk assessments were in place and up-to-date. Plans were in place for those residents that were at risk of falling. The activity programme at the home encouraged residents to keep active and the large, safe garden areas enabled residents to have a walk weather permitting. Medication policies and procedures were in place, these had been reviewed since the last inspection and included the policy for residents who wished to self-administer. Trained staff administered all medication and the certificates of the staff administering the medication on the day of inspection were seen. The manager said that training is done on a regular basis to keep staff up-to-date. Most medication was supplied in a monitored dosage system (MDS) with preprinted medication administration records (MAR). Medication appeared to be given and signed correctly.Records of medication received at the home were kept; one resident admitted from hospital the previous day had a hand written MAR sheet completed and signed by the team leader. The medication storage was orderly and secure. The drugs refrigerator temperature was satisfactory and a record of temperatures maintained. Improved practice was seen with regard to the times of medication being administered. Previously medicines were given during mealtimes, it was Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 12 observed that this has now been altered to after meals so residents are not disturbed whilst eating. On the day of the inspection site visit, observations showed that personal care and hygiene needs were met in a discreet and sensitive way. Staff spoke quietly to residents when encouraging them to move to the dining table and gave residents the time they needed. A resident commented that staff respected their privacy and dignity by always knocking on doors. Staff were observed during the day using residents preferred name. The feedback from residents, relatives and friends confirmed that residents received the care and support they required, relatives comments included, “care is brilliant” and “very pleased with the care”. Residents spoken with said, “they look after me, its nice.” “nothings to much trouble” and a friend of a resident said, “it’s good care here, like a five star hotel”. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Social activities which residents enjoyed were provided on both an individual and group basis enhancing the enjoyment and fulfilment of residents. Visiting arrangements in the home are good, ensuring links between residents and their families and friends are maintained. Meals are a highlight of the day providing a social experience and well balanced diet for residents. EVIDENCE: An activities coordinator is employed on a part-time basis. A programme of activities was displayed on a notice board outside the dining room and included gentle keep fit, massage, bingo, brass rubbing and a coffee morning. Other activities take place on a regular basis both in the home and in the community and included outside entertainers, gardening, and outings to the local town and further a field to Blackpool and Southport. Photographs of some of the activities were seen in albums. The coordinator said she uses ‘Ring a Ride’ when arranging outings. One resident said she really enjoyed the activities and had won a watch the previous week in the bingo session. A few residents go out independently to the local shops. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 14 The organiser keeps a record of the activities that have been undertaken by residents however the activities logs on two residents files had not been completed since 16/10/06 and 18/10/06. The inspector joined a relaxation/massage session, this was well planned and looked to be enjoyed and beneficial to the residents involved. However, just as one lady was becoming less anxious and relaxing a member of staff disturbed the session by walking through. A dedicated area would be beneficial or an area that would not be disturbed during sessions. The new ‘Manor Park’ unit also had therapeutic activities during the day. Staff said that residents were encouraged to continue to be as independent as possible, making their own bed and being involved in cooking and cleaning. It was observed that residents were enjoying music and dancing during the inspection and a large enclosed dedicated garden area with seating was available for residents to use. During the inspection a computer was seen being fitted into a residents lounge. The manager said that the computer will have internet access and residents will be able to set up an internet account to keep in contact with friends and family via e-mail or just enjoy using the technology. The home has an open visiting policy and a relative said, “we are welcomed everyday” “its nice and friendly we can visit anytime, you can just come and go.” Residents can see their visitors in any area or in their rooms. A visitor’s book showed the times people had visited. Communion is held for residents who follow the Roman Catholic faith and a Methodist minister visits. Those residents spoken to were satisfied with these arrangements. The choices residents made each day were varied, but residents were generally free to choose what time they get up, go to bed, what clothes to wear, what to eat (within the choice of the day), where to spend their day and whether to participate in activities. There was evidence of each of these choices being made on the day of inspection. Residents were seen coming in for breakfast anytime between 8 am and 11 am. One relative said, “she can get up when she wants and eat when she wants.” Information regarding a local independent advocacy service ‘Voice’ was displayed on the notice board outside the dining room. No one presently had an independent advocate. Menus inspected were seen to provide a nutritious and varied diet over a fiveweek period. Each morning residents are asked what they would like to choose from the menu for their meals. The lunchtime meal was observed. The dining room was set beautifully with coordinating double cloths in differing shades of Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 15 green, flowers, teapots, milk jugs and sugar bowls were on tables. The atmosphere in the dining room was good with “banjo party” music playing in the background. Staff served the meal of kippers and bread and butter followed by fresh fruit salad and cream. Some residents chose soup and a sandwich and some had a yogurt for sweet. The evening meal on the day of inspection was cottage pie and vegetables. Residents in ‘Manor Park’ prepared with staff their own breakfasts and some lunches. The main kitchen prepared some of the other meals and a hot trolley was provided to transport these to the unit but often meals were finished off in the units own cooker to enable the aroma of the food to permeate throughout the dining area. One relative said he thought this was good idea as it encouraged people to eat. One resident said “its good company and good food, and a relative said, “excellent food.” Suitable provision was made for those needing special diets i.e. diabetic. Food intake was monitored for those residents that were unwell or had poor appetites. The cook had enrolled on a nutrition course and was planning on undertaking her NVQ in catering and hospitality next year. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is goodThis judgement has been made using available evidence including a visit to this service. Residents and relatives were confident that their complaints would be listened to, taken seriously and acted upon. Appropriate systems were in place to protect residents from abuse whilst living at Park House. EVIDENCE: A complaints procedure was in place. The procedure was in the welcome pack displayed in the reception area of the home. The complaints log was examined to find no complaints had been received since the last inspection. No formal complaints had been received by the CSCI. Feedback from relatives who returned comment cards indicated they were aware of the procedure to take when making a complaint. One resident said,” I know how to complain, I would just say.” The home had received compliments on a regular basis and it was discussed with the manager setting up a comments/compliments file. A procedure for responding to allegations of abuse (including whistle blowing) was available as was the Wigan Social Services Departments safeguarding adult’s policy. Staff spoken to recognised the importance of reporting bad Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 17 practice and had received training in this area. Over 75 of care staff have an NVQ (national vocational qualification) and safeguarding vulnerable adults was included in the units for this award. Staff are not employed at Park House unless the criminal records bureau (CRB) have properly screened them and satisfactory references have been received. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good.This judgement has been made using available evidence including a visit to this service. A safe, clean, pleasant, hygienic and well-maintained building was provided for resident’s comfort. EVIDENCE: Park house is a large, single story, purpose built home close to Tyldesley town centre. The home has large garden areas with raised beds and seating areas. so residents can enjoy the grounds. The home is divided into three areas Ash walk. Beech Walk and the new specialist unit called ‘Manor Park’ that supports residents that have a dementia type illness. The inspector looked at the lounges, dining room and bathrooms and toilets. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 19 All areas were seen to be in good decorative order, although upgrading of the decoration in the dining room would improve the area. The handyperson decorates the bedrooms as needed or at residents request. A number of bedrooms were highly individualised with bright colours and personal furniture and fittings. Good practice was noted within the ‘Manor Park’ unit. Memory boxes were seen outside each room, these were filled with a variety of items from family photographs to favourite things to assist residents find their rooms. Signage in the new unit was large to assist residents retain their independence. The floor coverings in the new unit should be monitored over a period of time to assess whether residents struggle moving from one surface/colour to another. The carpet to the laminate flooring in the dining room could pose a problem for some residents with dementia. The manager said that this had already started to happen. The home has a hairdressing salon that was well fitted. Specialist equipment around the home included a medibath and moving and handling equipment. Everyone spoken with thought the home was a safe place to live and work in. Residents and relatives spoke positively about the cleanliness. One relative said, “the cleanliness is very good, there are no uncomfortable smells.” During the inspection two domestic staff were seen cleaning a room and corridor area using safe practices and being sensitive when explaining to people passing. Policies and procedures were in place for infection control. Staff were observed to be maintaining good hygiene practices. No staff entered the kitchen without whites on. Personal protective equipment was provided for all staff and used. The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and the laundry was attended to efficiently. A new trolley had been purchased that kept laundry separate with colour-coded bags for example blue was for personal clothing. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff were provided to meet the needs of residents. The majority of staff were trained and competent to provide residents with the care they needed. EVIDENCE: Observation showed sufficient numbers of staff were provided to meet the needs of residents on the day of inspection. Many of the staff team at Park House have worked at the home for a number of years although new staff have been recruited for the opening of the new unit. Residents said,” the staff are lovely, “and a relative commented, “staff are excellent, nothing seems to much trouble.” Over 75 of the care staff had a National Vocational Qualification (NVQ) to a minimum of level two. In addition, the domestic team were all qualified to NVQ two levels in cleaning building interiors. Inspection of three staff files showed that Criminal Record Bureau checks that the home had applied for were all in place for staff. One staff file did not have a photograph on it but the manager immediately rectified this. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 21 Inspection of the file belonging to the most recent member of staff recruited, showed that induction was provided. Staff said that they had shadowed other workers until they felt confident enough to work alone. The induction policy has recently been updated, a new DVD – Introduction to CLS, and Skills for Care workbooks are now being used. Training records were in place for all staff. These showed training had taken place since the last inspection and staff interviewed confirmed this. Training included, continence promotion moving and handling fire training dementia Infection Control prevention of pressure sores. Staff said,”I enjoy my work,” and “there’s lots of support” and “we are a good team.” Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 & 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well managed and quality assurance systems are in place to ensure residents can voice their opinion. The home has systems in place that are properly managed so that resident’s financial interests are safeguarded. EVIDENCE: The registered manager has many years experience within a care home setting. She has a NVQ 4 in care, Registered Managers Award (RMA) and A1 (NVQ assessors award). Since the last inspection she has updated her skills by completing training in; medication first Aid moving and handling Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 23 C.L.A.I.T. (information technology) The home has the Investors in People award as part of the C.L.S group and the responsible individual has conducted regular visits to the home as required by regulation 26 and copies of these were sent to the manager and received by the CSCI. The manager explained the quality audit that takes place annually. This includes satisfaction questionnaires for service users, visitors and other professionals. The results of the last survey had been published during November 2006. The system for safeguarding resident’s monies was good. Their families or a designated representative generally undertook the management of resident’s finances. Only personal allowances are held for any purchases made and receipts given. Money was found to correspond to the log.One resident’s money was over the amount that would normally be held within a residential home and ways for this to be reduced should be explored with the resident. A supervision plan was in place. The manager said that the aim was to hold six supervision sessions per year. The staff file looked at showed only two supervisions in ten months but staff spoken with confirmed that they were receiving supervision and this was now more frequent. The manager said that all staff had an annual appraisal; the format for this was seen on a the file of one of the staff. A record showed health and safety training was provided on an ongoing basis. Training records showed who had attended and when refreshers were due. Regular weekly checking and testing of the fire detection system and fire exits was undertaken and documented; the fire certificate was dated February 2006. No health and safety hazards were noted during the inspection. Regular maintenance checks had been undertaken for example the testing of all portable appliances (PAT) was completed in March 2006. The staff said the manager was, “really good”, “can ask her anything” and was “always there to help”. Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 24 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 X 3 Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 2. 3. 4. 5. Refer to Standard OP7 OP12 OP16 Good Practice Recommendations The registered person should audit residents files to ensure up-to-date records are kept. The registered person should ensure that the areas used for activities are not disturbed during sessions. The registered person should ensue small issues of dissatisfaction are documented in the complaints log to show how the home is responsive to residents requests. The registered person should consider providing the same colour/texture of flooring throughout the Manor Park unit. The registered person should arrange six supervisions a year for all staff. OP19 OP36 Park House DS0000005757.V301174.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000005757.V301174.R01.S.doc Version 5.2 Page 27 - 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!