Inspection on 04/05/06 for Park House

This inspection was carried out on 4th May 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 04/06/07

Park House 02/02/06

Park House 31/05/05

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 Key Unannounced Inspection 4th May 2006 10:00 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 DS0000000023.V292657.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 DS0000000023.V292657.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park House Address 2 Richmond Road Stockton-on-Tees TS18 4DS 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) 01642 674703 dash377@ntlworld.com Mr Jack Elliott Mrs Geraldine Elliott Mrs Margaret Lavinia Horner Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can allow one person under the age of 60 years to be admitted to the home. 2nd February 2006 Date of last inspection 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 en-suite 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 DS0000000023.V292657.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection covering all of the key standards. It commenced on 4th May and was completed on 17th May 2006. During the inspection a tour of the building was conducted, records were examined and the inspector spoke to service users, staff, the proprietor and registered manager. An important part of the inspection process was the “case tracking” of four residents to see whether they had been given sufficient information before making a decision to enter the home and whether the care they were receiving after admission met their individual needs and wishes. This process involved examining personal care plans, talking to the resident and relatives (if available) also members of staff, especially the key worker. What the service does well: What has improved since the last inspection? Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 6 All of the requirements and recommendations from the last inspection have been addressed: Personnel files have been updated and now contain all necessary documentation; training records have been updated and now present an accurate picture of the status of training for all members of staff; all members of the care staff are now qualified to a minimum of NVQ level 2, or are currently undergoing training. 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 DS0000000023.V292657.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 DS0000000023.V292657.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 Quality in this outcome area was good. 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 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. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 9 Four resident files were examined, each contained a copy of the homes own assessment and, where referred by the social Services Department, a copy of the care manager’s assessment. The manager stated that, prior to admission, prospective residents and their relatives were invited to visit the home to have a meal and meet with existing residents and staff. 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. The home does not offer intermediate care therefore standard six does not apply. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 10 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): 7,8,9,10 Quality in this outcome area was good. The homes care planning process ensured that resident’s needs were identified and met. Personal care was conducted in a sensitive manner that upheld the dignity and privacy of residents. Systems were in place to ensure the safe handling of medication, however the manager must ensure that all outdated procedures are removed from the procedures file. EVIDENCE: Monitoring of health was undertaken and healthcare needs addressed by community based healthcare professionals e.g. G.P’s, District Nurses, Physiotherapists, Chiropodists etc. Members of staff were able to demonstrate a sound knowledge of each resident and his/her needs. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 11 Examination of four care plans revealed each to contain information about the general health of the service user and details of any specific condition or ailment. Risk assessments and risk management strategies had been developed for areas such as: mobility, risk of falls etc. Reviews and reassessments regularly took place to ensure changing needs were recognised and appropriate action taken. All medication was stored securely and appropriately and administered by designated staff whom had all received appropriate training in the administration and safe handling of medicines. Examination of the policies and procedures file, however, revealed an out-of-date medication procedure to be in place - this could lead to confusion. This procedure must be removed and be replaced with the current medication administration procedure. All of the residents had been asked if they wished to look after their own medication, and assessments had been carried out to determine their ability to safely keep and administer their own medicines (recorded in care plans). None of the current residents had expressed a wish to self-medicate. Three residents were spoken to during the inspection, all expressed satisfaction with the way in which care and support was given and felt they were always treated with respect by staff at the home and that their right to dignity and privacy was respected, particularly when being assisted with personal care needs. One resident said to the inspector: “It’s awful when you’re old and someone talks to you as if you’re five years old. Staff here do not talk down to you. They treat you with respect and treat you as a normal person. I feel equal.” 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 said visitors were welcome at any time and could be received in private. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 12 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 Quality in this outcome area was good. Residents said that the lifestyle in the home met their expectations. 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: There was a relaxed, informal and friendly atmosphere in the home. Routines appeared flexible and allowed residents to exercise personal choice and maintain control over their lives, subject to their individual plan and risk assessments. Meals were generally served in the dining room at set times, although there was a great deal of flexibility to allow for individual wishes and circumstances. The dining room was pleasantly decorated and each table had freshly laundered linen, including linen napkins. It was observed on the day of the inspection that three lunch trays had been prepared and were ready to be delivered to individual rooms. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 13 Service users in conversation with the inspector made the following comments: “I came here about a year ago, it was my choice to come here and I have never regretted it………. It is nice here, there are no rows of chairs and there are places where we can be quiet…….. There is plenty to do: reading and crossword puzzles………The food is good and my diabetic needs are met very well.” “It is very pleasant here. The staff are very pleasant and look after us really well, if we don’t like anything they will put it right if we say. We can get up and go to bed whenever we wish. We have a beautiful garden with lovely flowers”. “Time seems to have flown past. I love it here.” An activities co-ordinator made regular visits to the home and staff tried to encourage residents to take part in a variety of activities such as: cards, bingo, knitting, simple crafts and “chairobics.” It was said however by members of staff that the majority of residents preferred not to join in communal activities and chose instead to sit chatting, watching television or pursuing a solitary activity such as reading or listening to the radio. Staff also accompanied residents to the local shops and to the nearby Ropner Park. One resident told the inspector that she was sometimes taken in her wheelchair to the park. Four residents regularly received Holy Communion from a visiting clergyman. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 14 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): 16,17 Quality in this outcome area is good. The home had appropriate policies and procedures in place in relation to the protection of vulnerable adults and for dealing with complaints. Residents felt confident that appropriate and swift action would be taken to resolve any complaint or concern they might have. All staff had received, or were undergoing, training in adult protection. 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, all of whom expressed satisfaction with the general running of the home and with the care and attention shown by management and staff. One resident said; “I have never heard anyone complain, however if I was unhappy about something I would know what to do about it and who to speak to.” The complaints book revealed that there had been no complaints received since the last inspection. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 15 All members of staff had either completed or were undergoing training in adult protection, and when interviewed were able to demonstrate knowledge of the nature of abuse and the procedure to be followed in the event of such an incident occurring. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 16 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): 19,20,21,22,23,24,25,26 Quality in this outcome area was good. 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 décor of the building was maintained in good condition. Records showed regular checks and servicing was undertaken of 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 DS0000000023.V292657.R01.S.doc Version 5.1 Page 17 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 style, comfortable and suitable for purpose. Bedrooms without en-suite facilities had been provided with a wash hand-basin, all had been personalised by the inclusion of furniture and other items brought from the occupants own home. The home presented as being clean, hygienic and free from offensive odours. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 18 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): 27,28,29,30 Quality in this outcome area was good. Staff were employed in sufficient numbers, and with appropriate skills and training, to meet service users needs. The home operated a robust recruitment procedure. EVIDENCE: On the day of the inspection staff were employed in sufficient numbers to meet the assessed needs of residents. Examination of staffing rosters showed that appropriate staffing levels were maintained at all times. Five personnel files were examine, each contained evidence that all necessary checks, including Criminal Records Bureau, were carried out and satisfactory references obtained prior to commencement of employment. All new members of staff undertook an induction programme, meeting “Skills for Care” standards. Personnel files and staff interviews revealed staff were encouraged to undertake training courses to aid their personal development and to help them meet service users needs. Training undertaken in the last twelve months included: Safe Handling of Medicines, First Aid, Health & Safety, Moving & Handling, Food Hygiene, COSHH, Fire Training. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 19 Currently only five of the fourteen care staff are qualified to a minimum of NVQ level 2, however all members of the care staff not holding a qualification at a minimum of NVQ level 2 had been enrolled on a course leading to either NVQ level 2 or 3. In addition appropriate NVQ training was being provided for domestic staff. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 20 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 Quality in this outcome area was good. A well managed home with systems in place that protected residents and ensured their health, safety and welfare. EVIDENCE: Park House is a small family run home with an active proprietor who works closely with the registered manager to form a robust management team. The registered manager has extensive experience in the managing of a residential home for older people and is the holder of appropriate qualifications in both care and management. When interviewed members of staff said they found the manager and proprietor approachable and supportive. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 21 They said they were encouraged to undertake training courses and received regular formal supervision sessions (examination of the supervision and appraisal files confirmed all staff received supervision on at least six occasions per year). All necessary records (including individual service user records and care plans) policies, procedures and records to cover all aspects of the health, safety and welfare of service users were in place, up to date and stored appropriately. Management and staff were aware of their responsibilities under health and safety legislation. Staff training was ongoing and covered areas such as First Aid, Health & Safety etc. There were various systems in place, both formal and informal to measure success in meeting the aims, objectives and statement of purpose: Regular care plan reviews, residents and relatives questionnaires, daily contact with residents and their relatives. Service users were encouraged to look after their own money (a lockable cash box was provided in each bedroom for the safekeeping of valuables). Financial affairs were generally handled by a designated representative, usually a family member. The home was not involved in any financial transaction on behalf of residents. Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 22 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 2 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 3 18 x 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 23 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 OP9 Regulation 13(2) Requirement The manager must remove all out of date medication procedures from the procedures file. Timescale for action 17/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Park House DS0000000023.V292657.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Tees Valley Area Office 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 DS0000000023.V292657.R01.S.doc Version 5.1 Page 25 - 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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