Inspection on 31/05/05 for Park House

This inspection was carried out on 31st May 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 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 04/06/07

Park House 04/05/06

Park House 02/02/06

Park House 26/11/04

Park House 09/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Park House 2 Richmond Road Stockton-on-Tees TS18 4DS Lead Inspector Ray Burton Unannounced 31 May 2005 06:00 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 B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park House Address 2 Richmond Road Stockton-on-Tees TS18 4DS 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) 01642 674703 Mr Jack Elliott Mrs Geraldine Elliott Mrs Margaret Lavinia Horner Care Home 18 Category(ies) of OP Old age (18) registration, with number of places Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th November 2004 Brief Description of the Service: Park house is registered as a care home for 18 older people and is situated in a quiet residential road in Stockton. The home has attractive and well-kept gardens and a private paved area to the rear of the building. The home is a short bus bride from the town centre and a few minutes walk from Ropner Park. Accommodation is provided in sixteen single bedrooms, nine of which have ensuite facilities. There is one double bedroom. All bedrooms meet the spatial requirements of the National Minimum Standards. Communal space comprises a dining room and two lounges, one of which has been designated a smoking lounge. Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection commenced at 6 am on 31/5/05 and lasted for 6 hours. During the inspection comments were received from three residents, three visitors, the registered manager and four members of staff. During the course of the inspection an investigation was conducted into an anonymous complaint that had been received by the Commission for Social Care Inspection. Investigation into the complaint resulted in it not being upheld. What the service does well: 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. Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 6 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 B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 7 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) 1, 2, 3, 4, 5. The Statement of Purpose and Service Users Guide provided residents and prospective residents with information about the services and facilities available in the home. The assessment procedure ensured that only those whose needs could be met would be admitted. EVIDENCE: The home had a Statement of Purpose setting out the aims, objectives and philosophy of care. Each resident had been issued with a copy of the Service Users Guide and a contract (signed by the resident or his/her representative) showing the terms and conditions of occupancy, fees payable and details of charges for additional services. Five resident files were examined, each contained a copy of the home’s own assessment and, where referred by the Social Services Dept., a copy of the care managers assessment. The manager stated that, prior to admission, prospective service users and their relatives were invited to visit the home to have a meal and meet with existing residents and staff. Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 8 Extended visits and overnight stays could be arranged before admission. All admissions were subject to a trial period during which time new residents were able to decide whether their needs could be met and if they wished to continue to live in the home. Care plans contained background information and assessments of need and risk in all areas of daily living Park House B51-B01 S23 Park House V230131 310505 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) 8, 9, 10. Healthcare needs were met and there was evidence of multi-disciplinary working. Systems were in place for the safe and efficient administration of medication. Personal care was conducted in a sensitive manner that upheld the dignity and privacy of residents. EVIDENCE: The manager and staff demonstrated a good knowledge of individual residents and their healthcare needs. Care plans contained information about the general health of the individual and details of any specific condition or ailment. Risk assessments had been conducted in areas such as mobility, risk of falls etc and were regularly reviewed. Suitable management strategies had been developed to ensure that health related needs could be appropriately and safely met and that, where necessary, specialist advice and equipment would be obtained. Constant monitoring of health was undertaken and healthcare needs addressed by community based healthcare professionals e.g. G.P’s, District Nurses, Physiotherapists etc. Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 10 The home currently had one resident who looked after her own medicines, these were stored in an appropriate and secure facility within her room. All other medication was stored centrally and administered, according to the homes policies and procedures, by designated staff who had undergone appropriate training. Staff spoke of the importance of making sure that residents were always shown respect and that dignity and their right to privacy was upheld, particularly when giving personal care. Residents spoken to during the inspection expressed satisfaction with the way in which care and support was given and felt their personal needs were being met with sensitivity. Residents were able to make and receive telephone calls in the comfort and privacy of their own rooms either by their private telephone (most bedrooms had been fitted with telephone sockets) or by a cordless ‘phone provided by the home. Residents and visitors confirmed they were able to meet in private. Park House B51-B01 S23 Park House V230131 310505 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) 13, 14, 15. Staff encouraged and supported residents to maintain links with family and friends. Residents were able to exercise control over their lives. A healthy and balanced diet was provided. EVIDENCE: It was apparent from observation and conversation with staff, residents and three visitors that there was a relaxed and friendly atmosphere in the home. Routines were flexible and allowed residents to exercise personal choice and maintain control over their lives, subject to their individual plan. Residents confirmed they “could do as they liked” that they could take part in activities that were organised for them, however they “needn’t if they didn’t want to.” One resident said that he liked to go for a walk in the park each day by himself. All residents spoken to during the inspection said they could exercise choice over such things as when to rise and retire to bed and to eat meals in their own rooms if they wished. Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 12 It was observed on the morning of the inspection that residents were being served breakfast at a time that suited them. One resident said that he always got out of bed as soon as he awoke and that after he was dressed his breakfast was served to him, generally around half past six, “which is when I want it.” Another said he generally rose about seven o’clock and had his breakfast about half past seven. One lady expressed complete satisfaction with the way in which the home was run and said the manager and staff were all “very good.” She said that she could do whatever she wanted and could go to bed whenever she wished. She informed the inspector that she had ordered her breakfast to be delivered to her room each morning around 8 am. Records of food served showed a healthy, balanced and varied diet was provided and that alternatives to the main dish of the day were always available - this was confirmed by conversation with residents. The staff team understood the importance of residents maintaining links with their family and friends and helped them to keep in touch by assisting with the making of telephone calls and the sending of Christmas and birthday cards etc. A relative who visited during the inspection said there were no restrictions on visiting and that whenever she visited she was made welcome. She spoke very highly about the staff and said they were always very cheerful and kind. Another visitor said he was satisfied with the care extended to his mother and said staff were very pleasant, made him welcome and always offered him a coffee. He felt that he was kept fully informed about things affecting the welfare of his mother. Park House B51-B01 S23 Park House V230131 310505 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) 16 The home had satisfactory policies and procedures for dealing with complaints and residents felt confident that appropriate and swift action would be taken to resolve any complaint they might have. EVIDENCE: The home had a suitable complaints procedure, stating how complaints could be made, who would deal with them, the time scale for the process and what to do if not satisfied with the way in which the matter was handled. The inspector spoke to three residents and three relatives all of whom expressed satisfaction with the general running of the home and with the care and attention shown by management and staff. All three residents said that if they had any concerns or “little niggles” they could approach any member of staff and the matter would be very swiftly dealt with. They said they had never had cause to make a complaint, but that if they did they would know what to do and who to speak to. They said they were confident that any complaint would be dealt with quickly and efficiently. One resident commented “No complaints at all, nothing could be improved.” The complaints book revealed that no complaints had been received since the last inspection. Park House B51-B01 S23 Park House V230131 310505 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, 20, 21, 22, 23, 24, 25, 26 The environmental standard was good, providing residents with an attractive, homely and safe place in which to live. EVIDENCE: Park House is conveniently situated in a residential area of Stockton, close to all local amenities, and within a short distance of the town centre. There is an attractive garden to the front of the house and an outside sitting area at the rear of the building. The internal and external fabric and decor of the building was maintained in good condition. Records showed regular checks and servicing was undertaken for all equipment. All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to residents had been fitted with pre-set valves to provide safe water temperatures. Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 15 First floor windows had been fitted with restrictors. Lighting was domestic in nature and emergency lighting had been provided throughout the home. Toilet facilities were accessible from all communal areas and residents rooms. Nine of the sixteen bedrooms had en-suite facilities. The home met the National Minimum Standard in relation to the number and suitability of lavatory and washing facilities. Sufficient and appropriate specialist disability equipment (including bathing facilities) was available to meet the needs of residents. Regular monitoring and reviews ensured that changing needs would be recognised and addressed. Records showed regular checks and servicing of equipment was undertaken. The home provided comfortable and homely accommodation with sufficient communal space. Furniture was domestic in character, comfortable and suitable for purpose. Bedrooms without en-suite facilities had been provided with a wash hand-basin. All were nicely decorated and appropriately and comfortably furnished, and had been personalised by the inclusion of furniture and other items brought from the occupants home. On the day of the inspection the home presented as being clean, hygienic and free from offensive odours. The two domestic staff were observed to work in an efficient, safe and cheerful manner. Cleaning materials and equipment were not left unattended. When interviewed both members of staff displayed a suitable knowledge of safe working practices, including COSHH, and showed an awareness of the need to conduct their duties in a manner that would not impinge on the privacy and comfort of residents. The laundry equipment was suitable for purpose and maintained in good order. There were two washing machines, one had a built-in sluice facility and both were able to wash clothing at temperatures in excess of 65 degrees Centigrade. The home had policies and procedures in place for the control of infection, including the safe handling and disposal of clinical waste. Training in infection control had been given to staff and appropriate protective clothing was provided. It was observed during the walk round that, where necessary, separate facilities were provided in bedrooms for the collection and disposal of clinical waste. Park House B51-B01 S23 Park House V230131 310505 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) These standards were not assessed on this occasion. EVIDENCE: Park House B51-B01 S23 Park House V230131 310505 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) These standards were not assessed on this occasion. EVIDENCE: Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x x x x x x x Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 19 NO 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. 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 Good Practice Recommendations Park House B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX 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 B51-B01 S23 Park House V230131 310505 Stage 4.doc Version 1.30 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. 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!