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Inspection on 27/11/08 for Park House

Also see our care home review for Park House for more information

This inspection was carried out on 27th November 2008.

CSCI found this care home to be providing an Excellent service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Good care planning meant residents had their assessed and changing needs met in a way that was suitable to them. Risk management supported residents to be independent and keep safe. Residents were consulted and given information which assisted them to be involved in day to day routines. Confidential information was handled right. The scope of opportunities for personal development, family contact, and social activities was excellent. This meant residents were treated with respect and lived a fulfilling lifestyle in the home and in the wider community. Individual preferred routines likes and dislikes allowed residents to enjoy personal carein a dignified way. Their health care was monitored very well. The complaints procedure and way the home was managed made it very easy for residents to raise any issues or concerns they had. Good practice in employment, formal training for staff in adult protection, and residents shown how to protect themselves in and outside the home, meant they were protected from abuse, neglect, and self-harm. Excellent recruitment practice involving residents helped select people who were suitable to care for them in the home. Staff employed were trained, skilled and in sufficient numbers to support the residents. The management of the home promoted equal opportunities for everyone, which meant the home was run in the best interests of people living there and protected their health, safety, and welfare. This helped toward residents quality of life experience in the home and community being very good.

What the care home could do better:

There were no areas identified for improvement during this inspection.

Inspecting for better lives Thematic inspection report Care homes for adults (18-65 years) Name: Address: Park House 73 Todmorden Road Burnley Lancashire BB11 3ES The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a thematic inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Marie Dickinson Date: 2 7 1 1 2 0 0 8 Information about the care home Name of care home: Address: Park House 73 Todmorden Road Burnley Lancashire BB11 3ES 01282436471 01282414997 parkhouses@btclick.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Joseph Serge Zephir care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 13 Over 65 0 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 13 Date of last inspection Brief description of the care home Park House is a large spacious property situated in a residential area of Burnley. It has enclosed garden areas and parking to the rear of the building. It is within a short walking distance to Burnley town centre. The home is owned by Mr and Mrs Zephir and managed by Sandra England. Park House accommodates service users with severe to moderate learning disabilities. Accommodation is in eleven single and one double bedroom, three of which are en suite rooms. The home is managed in two units both with lounge, dining and kitchen facilities. Information about the service is available at the home. Weekly charges are agreed prior to admission and are assessed on peoples needs. Care Homes for Adults (18-65 years) Page 2 of 9 Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The visit to the home was unannounced. An annual quality assurance assessment (AQAA) was sent to us by the service for an Annual Service Review carried out by the Commission in April 2008. This review considered the service was continuing to provide an excellent service to the people living in the home. Two residents records were looked at. Both held a copy of their care plan in their possession. The principles of individuality were identified in these plans. They had sufficient detail and were written with service users in an easy to read format for understanding. The plans were very well written and linked to peoples initial assessment for care. They were person centred which meant all the support residents received was what they needed and wanted and their wishes and aspirations were accounted for. The type and level of support they required was varied for example personal care, budgeting, cooking and social integration. Good communication methods were used, that enabled residents to say what how they feel, what they like and dislike, what they want and dont want. This meant carers could understand what they said. Care and support arrangements promoted independence and self awareness. For example residents developed their own health action plan to help them access health care when required, with the right level of support provided. For example, I rely on staff to know when I am not well by my face and knowing me. There was evidence potential risks were identified and proper measures taken to minimise the risk. This helped to make sure residents made good safe decisions. Residents who completed written surveys said they always make decisions about what they did each day. They said we have meetings every week, and I have my meeting in the house. Residents chose their carers. They interviewed staff and gave new staff induction training. They were also involved in staff reviews and attended staff meetings to have their say. People using the service knew information about them was confidential. The home had a policy on equality and diversity, and training was provided. Staff are issued with a Code of conduct and practice to follow, and are required to comply with for example the homes philosophy of care, confidentiality, and non discriminatory practice. Staff training also includes valuing people. The homes policies and instruction for staff, gave professional guidance on treating people with dignity, respect, and promoting privacy. All residents who sent written comments, considered staff treated them well all the time. People living in the home enjoyed activities that suited their lifestyle. They discussed the type of activities they did. For example they knew when they cooked a meal, cleaned their bedroom, and what day they went to College and clubs. Staff helped them where needed. Some people did voluntary work. All residents had weekly planners to help them remember what to do and where to go. They usually did something different every day. Social recreation was very good. Residents were supported to make full use of community facilities. A few examples were, they went to town regularly, used public transport where possible, went out for meals, to clubs and Care Homes for Adults (18-65 years) Page 4 of 9 had outings and holidays. Several residents had been to Benidorm for a holiday, some residents had recently been to see Cliff Richards. All residents were making preparations for the Christmas festivities. Minutes of residents meetings showed family had been sent a full Christmas list of activities. Family links were encouraged and personal files listed names of family and friends and their birthdays. This helped people remember to send greeting cards and purchase gifts if they chose. As part of care planning support was given to help people identify what their own goals are, and what they want and need to do. Examples of this were, I will try to learn to swim. I will continue to help with training new staff. At their review meetings every month, people who could support them achieve their goals can be invited to attend. This can be College tutors, or day centre staff, and key worker, medical professionals, and any other person who has an interest in their well-being. Goals set were achievable, with everyone involved knowing what their role was. There were no complaints made against the home. The complaints procedure and the way the home was managed made it very easy for residents to raise any issues or concerns they had. People who sent written comments to the Commission said they were reminded at meetings of their right to make a complaint. Staff were trained in adult protection, and residents shown how to protect themselves from abuse, neglect and self harm. They also had their own policies and procedures, information about their rights and their own house rules they agreed on. Residents said they continued to be involved in interviewing and selecting new staff. Records showed they also continued to provide an excellent staff induction training programme. Topics included the basic principles of care such as choice, privacy, dignity, and respect from their view. Staff training included learning disability, abuse of vulnerable adults, health and safety and principles of care and care planning. Staff files were complete. Recruitment Practice met with legislative requirements and equal opportunities, and staff employed were trained, skilled and in sufficient numbers to support the people who use the service. Residents were supported to attend East Lancashire Service Users Network meeting run by Lancashire County Council. Quality Assurance monitoring was very good. Residents had opportunities to have their say and influence how the service was run and to ensure it was run in their best interests. What the care home does well: Good care planning meant residents had their assessed and changing needs met in a way that was suitable to them. Risk management supported residents to be independent and keep safe. Residents were consulted and given information which assisted them to be involved in day to day routines. Confidential information was handled right. The scope of opportunities for personal development, family contact, and social activities was excellent. This meant residents were treated with respect and lived a fulfilling lifestyle in the home and in the wider community. Individual preferred routines likes and dislikes allowed residents to enjoy personal care Care Homes for Adults (18-65 years) Page 5 of 9 in a dignified way. Their health care was monitored very well. The complaints procedure and way the home was managed made it very easy for residents to raise any issues or concerns they had. Good practice in employment, formal training for staff in adult protection, and residents shown how to protect themselves in and outside the home, meant they were protected from abuse, neglect, and self-harm. Excellent recruitment practice involving residents helped select people who were suitable to care for them in the home. Staff employed were trained, skilled and in sufficient numbers to support the residents. The management of the home promoted equal opportunities for everyone, which meant the home was run in the best interests of people living there and protected their health, safety, and welfare. This helped toward residents quality of life experience in the home and community being very good. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a thematic inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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