Inspection on 03/02/06 for Park House

This inspection was carried out on 3rd February 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 26/09/08

Park House 16/10/06

Park House 09/08/05

Park House 03/03/05

Park House 21/10/04

Park House 11/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Park House Park House Tyringham Nr Newport Pagnell Bucks MK16 9ES Lead Inspector Mrs Caroline Roberts Unannounced Inspection 3rd February 2006 12:20 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 DS0000015068.V282084.R01.S.doc Version 5.1 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 DS0000015068.V282084.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park House Address Park House Tyringham Nr Newport Pagnell Bucks MK16 9ES 01908 613386 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) Mr Edward Nigel Broadway Mrs Gillian Elaine Broadway Alyson Jane Laslett Care Home 24 Category(ies) of Dementia (4), Old age, not falling within any registration, with number other category (24) of places Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. This home is registered for 24 older people including 4 people over the age of 65 with dementia. The room at the back of the property is to be used to accommodate the identified service user only. The suitability of the accommodation for this service user is to be reviewed 3 monthly with a copy of this review being sent to the NCSC. When the room is vacated by the identified service user, the proprietors will need to apply to the NCSC for its re-registration. 9th August 2005 Date of last inspection Brief Description of the Service: Park House is situated in the country estate of Tyringham; it is 3 miles from the town of Newport Pagnell which provides a range of shops and community facilities. Park House has 24 single bedrooms of which 19 have en-suite facilities; accommodation is provided over two floors. A shaft lift is available to assist residents with access to the upper floor. The home has lovely grounds including two courtyard gardens. Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Each care home that is registered with the Commission for Social Care Inspection, receives one announced and one unannounced inspection each year and further additional visits as necessary. All inspections, both announced and unannounced are followed by a written report, which eventually become public documents. It is a requirement that inspection reports are made available within the home. This inspection was unannounced and took place on the 3rd of February 2006. The inspector present was Mrs Caroline Roberts (Lead Inspector). This inspection consisted of meeting with Residents and staff, viewing records and documents pertaining to the provision of care and the running of the home. The Inspector found staff polite, helpful and welcoming, and would like to thank them for their co-operation and assistance throughout the course of the inspection. The inspector met and discussed the inspection findings with the manager before leaving. What the service does well: What has improved since the last inspection? The homes pre-admission assessment paperwork has been completed fully. The manager has moved her office from the basement to the entrance area, this allows for her to be much more accessible to residents and families. Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 6 Numbers of NVQ qualified staff continues to rise 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 DS0000015068.V282084.R01.S.doc Version 5.1 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 DS0000015068.V282084.R01.S.doc Version 5.1 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): 3&6 Residents can be confident that pre-admission assessments are considered to be a valuable and essential tool for helping the home decide if they can meet assessed needs. Intermediate care is not provided in this home. EVIDENCE: The pre-admission assessment for the most recently admitted resident was viewed; this had been completed fully and provided the home with relevant information to allow them to make a decision as to if they could meet the individuals assessed care needs. Intermediate care is not provided in this home. Park House DS0000015068.V282084.R01.S.doc Version 5.1 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): 8 & 10 Resident’s health care needs are met. Residents at Park House are treated with dignity and respect. EVIDENCE: All of the residents spoken with said that staff treat them with dignity and respect. Staff were observed interacting with residents meaningfully and a member of staff was seen knocking on a residents bedroom door and waiting for permission before entering. Resident’s health care needs are met by supporting District Nurses and Doctors. At the time of this inspection the home had two residents with pressure ulcers, both of whom receive daily visits from the district nursing team. Tissue viability assessments are in place and detailed daily reports support these. While the inspector was in the home a resident was found on the floor in the dining room, staff attended to this resident at once, ensuring that she was not hurt and then proceeded to try and lift this resident from the floor, at this point the inspector stopped them and reminded them of moving and handling guidelines and instructed they should use the hoist, this was then done. It was Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 10 disappointing that three staff including a senior member of staff attempted this poor moving and handling (lifting) technique. This was fed back to the manager who confirmed all had received moving and handling training and she would investigate the matter. Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 The daily life and social activities provided match the resident’s preferences and interests. Residents receive a wholesome nutritious diet, and every effort is made to ensure that meal times are a pleasurable experience. EVIDENCE: Residents spoken with said that they were able to choose how they wished to spend their day and were not made to feel uncomfortable if they chose to stay in their own room, and not join in the activities provided. Others were pleased to have a varied programme of activities to enable them to lead a full and active life. The staff make every effort to find out what the individual resident’s life style, and preferences are and these are documented in the care plans. Two residents were asked about their lifestyle and activities within the home. Both said that there were activities organised, and that these were quite good – for example the ‘old time sing-a-long’ that was taking place during the inspection was very popular. Details of forthcoming planned activities are on display in the entrance area. Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 12 Lunch was observed being served and the food was of a good quality. The dining area was pleasant and the mealtime was relaxed. Good interaction was taking place between staff and residents who required support with eating their meal. Park House DS0000015068.V282084.R01.S.doc Version 5.1 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents are protected by the homes policies and procedures in relation to adult protection. EVIDENCE: Adult Protection training is provided to all staff as part of the induction and then ongoing training. The manager is aware of issues that would need reporting under local adult protection policies. And attends regular training updates herself to ensure up to date knowledge. Park House DS0000015068.V282084.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not fully assessed at this inspection. The home was clean and free from any offensive odours, the home benefits from having regular maintenance and refurbishments. Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): 30 Staff are trained and competent to undertake their duties fully. EVIDENCE: The home makes training a high priority, all mandatory training was found to be up to date. Nine care staff in the home currently hold an NVQ and six further care staff are undertaking this award at the present time. Park House DS0000015068.V282084.R01.S.doc Version 5.1 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): 31,33,35 & 38 The home strives to ensure resident’s safety is a priority. EVIDENCE: The registered manager has undertaken training aimed at developing the staff team, and arranges a lot of in-house training. The staff and residents stated that the manager is approachable and encourages good practice amongst the staff team. Quality assurance surveys are used as a means of seeking the views of relatives and visiting professionals. The manager conducts an internal audit annually with an action plan developed from this. Records were found to be well maintained and organised. Resident’s finances are managed separately. Records of two of these were inspected and found to be correct. Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 17 Service contracts are in place for: • Nurse call bells • Lift servicing • Electrical testing • Boiler servicing • Hoists • Fire safety equipment The manager ensures that the rota is covered in such a way as to ensure that a qualified first aider is on duty each shift throughout the day. The kitchen was found to be clean and well organised. All food stored in the fridge was covered and dated. Park House DS0000015068.V282084.R01.S.doc Version 5.1 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 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 2 9 X 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 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Park House DS0000015068.V282084.R01.S.doc Version 5.1 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 Standard OP8 Regulation 13(5) Requirement The manager must ensure that safe moving and handling techniques are adhered to in the home. Timescale for action 03/02/06 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 OP9 Good Practice Recommendations A lockable fridge is purchased for the storage of medication. Park House DS0000015068.V282084.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 DS0000015068.V282084.R01.S.doc Version 5.1 Page 21 - 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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