Inspection on 03/06/05 for Park House

This inspection was carried out on 3rd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Park House 29/08/07

Park House 04/10/06

Park House 01/02/06

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 3rd June 2005 09:00 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 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 F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park House Address Congleton Road Sandbach CW11 4SP Telephone number Fax number Email 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 01270 762259 Mr E R V Dale Mrs C V Ellison Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 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) Date of last inspection 22 February 2005 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 four main lounges on the ground floor, and a “sun room” on the first floor overlooking the courtyard. Gardens are set in two acres of land. There is one shared dining room, a hairdressing salon, three bathroom/shower rooms and six WC’s. Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over six hours and was carried out as part of the yearly inspection process. A tour of the home was carried out, and care records, fire records, staff files and staff training files were inspected. The service history of the home and the previous inspection report were read in preparation for the inspection. Four of the staff on duty, nine residents, and one relative was spoken with. The proprietor was not on duty at the time of the inspection however she visited the home and said that she would be happy for the inspector to give feedback to the care supervisor on duty. What the service does well: What has improved since the last inspection? Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 6 Social activities that residents take part in are being recorded by the activities co-ordinator. Staff members at the home are working toward completion of NVQ level 2 qualification in care. Some bedrooms at the home have been redecorated. 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 F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 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 standard(s) ,3 Although staff spoken with were aware of the residents needs there was no recorded evidence to support that the needs of the residents admitted to the home can be met. EVIDENCE: A sample of care plans were examined and there were no pre-admission documents contained an any of the files to guide staff on the actions to be taken to ensure that the needs of new residents are properly assessed and planned for. One resident spoken with said that he had visited the home prior to his admission but there was no documentary evidence to support this. One resident was transferred from another home in the area and staff had not visited the resident prior to her admission. (See requirement 1) The staff members on duty were spoken with and they were aware of the needs of three residents that had been admitted for respite care. Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 The home cannot identify the changing needs of the residents living there. Medication is not being properly managed to protect the residents living at the home. Residents are treated with dignity and respect. EVIDENCE: Those residents files looked at did not contain plans of care to identify the on going needs of the residents living at the home. Care plans of three residents newly admitted to the home and of two residents that had been in the home for some time were looked at. Some admission sheets were filled in with the resident’s diagnosis and reason for admission but some were not fully completed. A daily record sheet is in place which is completed by the staff on the day shift and again by the staff working on nights, giving some indication of how the residents day progresses. On one it was recorded when a GP had visited and action taken by the staff. Residents spoken with said that the staff treat them with dignity and their privacy is respected. Residents also said that the care and attention they receive from staff is good and that they are aware of their likes and dislikes. Good interaction was observed between residents and staff and the atmosphere in the home appeared warm and friendly. Staff spoken with were aware of the needs of the residents and could also give some history as to why the residents had been admitted to the home. However there Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 10 was little written evidence and a lack of clear plans and guidance for new staff working at the home. This approach is dependent on staff memory and good verbal communication systems. Residents are at risk of not having their health care needs met if these informal systems break down.( See requirement 2) Medication recording, management and storage were inspected. All medication administration records were completed correctly. Care supervisors had training on medication management at the home on 27th May 2005. It was found by the supplying pharmacy that the home has controlled drugs that are not being stored and recorded correctly. Advice has been taken by the home to rectify this. Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 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 standard(s) 12,13,15 Residents living at Park House are able to make choices regarding daily routines at the home. The residents enjoy a good and varied choice of wholesome and well presented meals. EVIDENCE: Residents spoken with said that they could make choices about how to spend their day. After lunch a number of residents went for a walk in the garden, which they said they do after every meal. A group of residents sat with the inspector to discuss their views on the home. All said that they liked living at Park House and felt that their needs were met at the home. An activities organiser is employed and a list of activities was on the notice board in the entrance hall. The residents said that although there is a programme of activities they discussed what they would like to do with the activities organiser and she would “go with the flow”. The atmosphere throughout the home was warm, friendly and relaxed. Menus at the home offer choice and snack foods are available between meals if requested. Home-made cakes are available each day. Residents said that they enjoy the meals on offer and can discuss with the cook if they do not like Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 12 anything on the menu, for example the residents no longer want fish for Friday lunch and have asked for egg, sausage and chips with mushy peas and grilled tomato to be provided. The cook said that there were no residents at the home who required specialist meals. Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 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 standard(s) 18 Training on adult protection is needed at the home to ensure that all residents are protected. EVIDENCE: The home has policy on adult protection and a copy of the “No Secrets” guidance issued by the Department of Health is available in the home. Staff spoken to were aware of the policy and of the different types of abuse and said that they would not hesitate to report incidents of abuse or mistreatment of residents to the manager. They said that they felt the proprietors would support them. Staff spoken with stated that they had not received training on adult protection. ( See recommendation1) Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 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 standard(s) 19,21,23,26 Some areas of the home require attention to ensure that residents live in a safe and well-maintained environment. The home is maintained in a clean condition. EVIDENCE: The home has a programme of redecoration in place but some of the corridor carpets upstairs are becoming worn and need to be replaced, one area was identified on the last inspection and has not yet been attended to. A bathroom on the ground floor contained a number of pieces of used soap at the side of the bath, this is a cross infection issue. The care organiser threw the pieces of soap away so that no one else could use them. Hoists, bath lifting aids and wheelchairs are provided for residents with mobility problems. Care call points are located in bedrooms, bathrooms toilets and communal areas. Residents rooms are well personalised with residents own furniture, photographs and ornaments. A number of residents said that they had been offered a key to their rooms. Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 15 Residents spoken with said that they liked their rooms and the different sitting areas available for use. They liked the courtyard area of the garden and those residents who could walk in the garden did so daily. The home was clean with no unpleasant smells. Residents and one relative spoken with said that the home is “always spotlessly clean” Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 The staff members working at the home are aware of the needs of the residents but there is no written evidence to support this. The recruitment procedures in place do not ensure that the residents are protected. EVIDENCE: The staffing numbers at the home are adequate to meet the needs of the residents. Duty rotas were seen and staffing levels were being maintained. Staff members spoken to were aware of their various roles and responsibilities, had an understanding of the policies and procedures that directed their work and had a very good relationship with those they cared for. The staffing numbers at the home are adequate to meet the needs of the residents. Support staff including domestic staff, cooks, kitchen assistant and laundry staff are employed in sufficient numbers to meet the home’s needs. Care staff spoken with had detailed knowledge of the needs and personalities of the residents. Staff files were looked at and one member of staff did not have a CRB check in place prior to commencing work in the laundry. During the course of her duties she comes in to day-to-day contact with the residents living at the home. Two written references had been obtained.( See requirement 5) Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38 The health, safety and welfare of residents are maintained. EVIDENCE: There was recorded evidence that staff had been trained and up-dated in moving and handling, fire and evacuation, food hygiene and COSSH. Accidents are recorded and the forms state what action has been taken to ensure that the resident’s safety is maintained. Four staff members are trained in first aid. Certificates were available for servicing of the lift and hoists at the home. A hoist was being stored in front of a fire exit on the ground floor and there were flammable objects stored under the back staircase. This was brought to the attention of the care supervisor and these items were moved before the inspector left the home. Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 18 New staff at the home receive basic induction training and a copy of the completed form is kept in the staff’s personal file. This induction training is not to TOPPS standard. Care records are stored inappropriately in an open trolley in the corridor of the home. This was a requirement at the last inspection.( See requirement 6) Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 x x x x x 2 x 3 Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 20 yes 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. 1. 2. Standard op3 op7 Regulation 14(2) 15 Requirement No residents must be admitted to the home without their needs being assessed. Plans of care must be in place for all residents in the home. (Previous timescale of 29th February 2005 ) Medication issues identified are addressed. Aeas identified as needing attention are addressed.(Previous timescale of 31st March 2005) All staff must have a CRB and POVA check in place before they commence employment. Care records must be stored securely(Previous timescale of 28th February 2005) Timescale for action 30th July 2005 30th July 2005 30th July 2005 30th July 2005 30th July 2005 30th July 2005 3. 4. op9 op19 13(2) 23(b) 5. 6. 7. op29 op37 19(1)(i) 17(1) (b) 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 op18 Good Practice Recommendations staff working at the home must have adult abuse training. F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 21 Park House Park House F51 F01 S6665 Park House V230000 030605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. 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