Inspection on 29/08/07 for Park House

This inspection was carried out on 29th August 2007.

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 04/10/06

Park House 01/02/06

Park House 03/06/05

Park House 01/02/05

Park House 12/10/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Park House Congleton Road Sandbach Cheshire CW11 4SP Lead Inspector Joan Adam Unannounced Inspection 29th August 2007 09:30 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 DS0000006665.V345313.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 DS0000006665.V345313.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Address Congleton Road Sandbach Cheshire CW11 4SP 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) 01270 762259 Mr Edward Robert Venables Dale Mrs Charlotte Victoria Ellison Mr Edward Robert Venables Dale Mrs Charlotte Victoria Ellison Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 29 service users in the category OP (old age not falling within any other category) 4th October 2006 Date of last inspection Brief Description of the Service: Park House is a large detached building set in its own gardens and grounds about a mile from the centre of Sandbach. Care is provided for up to 29 older people. Park House is a two-storey building, and access between floors is via stairs and a shaft lift. The home has 27 single bedrooms and one double bedroom. All of the bedrooms have en suite facilities. The home offers three main lounges and a dining room on the ground floor, and a sun room on the first floor overlooking the courtyard. Gardens are set in two acres of land. The current charges for the service are from £388 to £440 this information was received from the home. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place on 29th August 2007 and took six hours. It was carried out by an inspector of the Commission. The visit was just one part of the inspection. The home was not informed of the date the visit was to take place, but a few weeks prior to the visit the manager was asked to complete an Annual Quality Assurance Assessment to provide the inspector with some information about the service. The manager was also asked to distribute questionnaires to residents, relatives and health and social care professionals to help the inspector find out what they think of the home. Five responses were received from relatives. All were positive about the standard of care in the home. Comments such as “ lovely home,” ”the standard of cleanliness is good “” staff are friendly”. During the visit, the inspector spoke with the manager, staff and residents. The premises and various records held by the home were looked at. Feedback was given to the registered manager at the end of the inspection. What the service does well: All residents are assessed prior to admission so that the staff know they can meet their needs. The healthcare needs of people who live in the home are identified in their care plans and monitored to make sure that they stay as well as possible. Residents are offered choice in their daily lives and the standard of catering is good. “ Food here is excellent” “plenty to eat and it is home-cooked”. Residents are treated as individuals and their privacy and dignity is respected. The home is clean and well maintained and provides a comfortable welcoming environment. Good adult protection procedures are in place at the home, which means that the people who live there are not placed at risk of harm. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 6 Staff continue to be provided with training to make sure that they are competent to care for the residents. Recruitment practices are good so people living in the home can be confident that the staff employed are suitable to provide care for them. 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 DS0000006665.V345313.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 DS0000006665.V345313.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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assessed prior to admission so that care staff are able to meet their care needs. EVIDENCE: The pre admission assessments of two residents that had recently been admitted to Park House were inspected. These were carried out by senior members of staff and the content of the assessments contained adequate information needed to provide care. Information about the resident’s social history and preferences in relation to daily living and diet was included. Park House does not provide intermediate care so standard 6 does not apply. Park House DS0000006665.V345313.R01.S.doc Version 5.2 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. 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. Residents’ health, personal and social care needs are met by staff who enable them to maintain their privacy and dignity. EVIDENCE: The care plans for four residents were looked at. The care plans had addressed all care needs and potential areas of risk. Park House maintains good and close links with various health care professionals and these visits were recorded. The care plans had been reviewed so that changing care needs were recorded. Staff were observed and were respectful and courteous to the residents. The atmosphere at the home was warm and welcoming. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 10 Residents spoken with said that the staff “ they are a friendly bunch” “ I can sit in my room all day if I want to “ “the staff treat me with respect” Comments from questionnaires said, “ the home is supportive of my relative and my self.” A senior staff member was observed giving medications to residents in an appropriate manner. Park House DS0000006665.V345313.R01.S.doc Version 5.2 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. 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. The routines of daily living and activities available are flexible and varied to suit residents’ expectations, preferences and capacities. EVIDENCE: Residents spoken with confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living; for example, times of rising and retiring and where to spend their time. The home now employs two activities co-ordinators to offer more stimulation to the residents. The activities diary was seen. The activities which had taken place since the last inspection included birthday celebrations, watching films, baking, sing a longs, arts and crafts, board games and puzzles, chair based exercises, visits to local pubs for lunch, visits by the hairdresser, mobile library and outside entertainers etc. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 12 The recording of activities undertaken had improved since the last site visit and there was evidence of planned, individual and group activities on a daily basis. People cared for said they could choose which activities to participate in. Information received from the home in the Annual Quality Assurance Assessment stated that the home was to look in to improving the way they provided activities to those residents that chose to stay in their rooms. People spoken with confirmed that the food provided in the home was of a very good standard with home made cakes and scones high on the agenda. A new menu had been introduced following a residents meeting to give more choice at the evening meals. Residents felt that this was working well. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 13 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 good. This judgement has been made using available evidence including a visit to this service. Residents have access to a complaints procedure and are protected from abuse. EVIDENCE: The complaints procedure is displayed and residents said they would know how to complain. The complaints procedure is also contained within the Service User Guide (information leaflet) so that residents are aware of their rights. In discussion with four individuals, they each said they had had no cause for complaint and that if they were unhappy about anything at all they would feel happy to speak with the manager or staff members. There are robust procedures in place for responding to suspicion or evidence of abuse or neglect, including whistle blowing and care staff have access to the Department of Health guidance entitled, ‘No Secrets’. All members of staff have now received training in the Protection of Vulnerable Adults and the requirement made at the last visit has been met. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 14 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): 119,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Park House provides a comfortable environment for those living there and visiting. EVIDENCE: Park House provides a comfortable, homely and pleasant living environment for its residents. The decoration and furnishing is of a good standard. The home offers three main lounges and a dining room on the ground floor, and a sun room on the first floor overlooking the courtyard. Gardens are set in two acres of land and the garden walk is a favourite for residents on a daily basis. The dining room has been completely refurbished with new tables and chairs. Residents said, “ it is lovely and fresh” “ it has made it lighter and more modern.” Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 15 There has been new carpet laid in some of the corridor areas. A bathroom has been extended and refurbished to provide a new shower, which enables a choice of bathing to be provided for those residents who prefer a shower. A new fixed hoist has been installed by the bath for residents who require help with bathing and to enable staff to assist these residents more easily. The home was clean and fresh on the day of the visit. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 16 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. Staffing levels and skill mix are sufficient to meet the needs of the residents, Residents are protected by the home’s recruitment practices and staff training. EVIDENCE: There are adequate numbers of staff on duty to meet the needs of the residents living there. In conversation care staff demonstrated that they were knowledgeable about the care needs of residents. They also indicated that they enjoyed working at Park House. The staff turnover at the home is low and most of the staff have worked there a long time. The home is employing extra staff to be on duty at times of peak activity. Training sessions have taken place for all staff. These included moving and handling, fire awareness and first aid. Protection of Vulnerable Adults training and dementia care training has also taken place and the requirement regarding this is now met. There is a training programme in place for NVQ, however only twenty five per cent of the care staff have an NVQ level 2 in care. The government target of fifty per cent of all staff completing this course has not been met. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 17 Staff files were looked at for two newly employed staff members and all of these contained appropriate checks prior to commencement of employment. This means that only people suitable to work in care are employed and residents are not placed at risk of injury or harm. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 18 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management at the home need to complete relevant management courses to ensure that the home is well managed and so is run in the best interests of the people living there. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 19 EVIDENCE: The proprietor/managers at the home are experienced and are registered with CSCI, however at present they do hold and are not working toward a management qualification to meet the government target of all registered managers completing or being registered to undertake a management course by September 2007. The purpose of the qualifications targets within the national minimum standards is to drive improvement by promoting the development of a competent, qualified and skilled workforce which will better meet the needs of people who use services. Information and guidance regarding this was given to the home manager at the time of the site visit. Members of staff that were spoken with said they felt supported by the management of the home. Formal supervision is now taking place for all staff and these sessions are recorded to ensure the safety of residents is maintained and that staffs needs are discussed. Training has taken place in Protection of Vulnerable Adults and Dementia care so that the diverse needs of the residents living at Park House are met. Regular residents meetings now take place and a quality assurance system is in place to enable resident’s views to be recorded and acted upon. The home does not have any responsibility for resident’s finances. Staff meetings are also held regularly. This improves communication and gives members of staff an opportunity to have a say on the running of the home. The staff spoken with confirmed that meetings have taken place, however the minutes and contents of the meetings have not been recorded. The pre inspection Annual Quality Assurance Assessment provided information to confirm that equipment and installations at the home are serviced on a regular basis. Fire safety checks are carried out regularly and these are recorded in the logbook. Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 20 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 3 3 X X 3 Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 21 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. 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 Refer to Standard OP28 Good Practice Recommendations Systems should be in place to enable 50 of staff to be qualified in NVQ level 2 to ensure that the residents are in safe hands at all times and to meet the government target. The manager/proprietor of the home should undertake a management qualification to meet the government target of all registered managers completing or being registered to undertake such a course by September 2007 and so that the residents live in a home which is well managed. 2 OP31 Park House DS0000006665.V345313.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 DS0000006665.V345313.R01.S.doc Version 5.2 Page 23 - 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!