Inspection on 06/02/06 for Park House

This inspection was carried out on 6th February 2006.

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 03/11/06

Park House 19/04/05

Park House 07/10/04

Park House 01/04/04

Similar services:

Carentan House

Ravensworth Lodge

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

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

CARE HOMES FOR OLDER PEOPLE Park House Worsbrough Road Worsbrough Village Barnsley South Yorkshire S70 5LW Lead Inspector Mrs Sue Stephens Unannounced Inspection 14:00 6 February 2006 th 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 DS0000018273.V261332.R01.S.doc Version 5.0 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 DS0000018273.V261332.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park House Address Worsbrough Road Worsbrough Village Barnsley South Yorkshire S70 5LW 01226 281228 01226 281228 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 Paul Crabtree Mrs Gloria Crabtree Mrs Gloria Crabtree Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2005 Brief Description of the Service: Park house is a stone built property, which was originally the schoolhouse to the village school. The home has been adapted and extended while maintaining many of its original features in order to create a personal care home with accommodation for 20 elderly persons. It occupies a central position in the conservation village of Worsborough and is surrounded by one acre of well-maintained gardens, including a small orchard. The home is adjacent to Worsborough country park and is in close proximity to the Parish Church of Saint Marys and the local pub. Main bus routes are close by and the home is about three miles from Barnsley town centre and two miles from junction 36 of the M1 motorway. Accommodation is on two floors, serviced by a passenger lift. There are 12 single and four double bedrooms, two lounges and one dining room. Car parking is provided to the rear and side of the building. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place between the hours of 2pm and 6:45pm. The provider had been informed a week before the visit. This was done because on the last inspection some documents were not available for checking; it was important that the inspector could access records on this visit. This inspection focused on the standards relating to records and documentation. Care plans, staff records and health and safety records were checked. The provider, Mrs Crabtree assisted with the first part of the inspection. The administrator assisted with the records and a senior carer showed the inspector the homes medication systems. The inspector consulted residents, mainly in groups, and visited some residents in their own rooms. The home was warm and welcoming, and residents said they were happy and comfortable in their surroundings. What the service does well: What has improved since the last inspection? Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 6 Staff had received protection of vulnerable adults training. Staff had been informed not to prop fire doors open. A new care plan format had been introduced. 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 DS0000018273.V261332.R01.S.doc Version 5.0 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 DS0000018273.V261332.R01.S.doc Version 5.0 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 and 4. Standard 6 was not applicable to the home. The homes own assessment tool was insufficient. This could put residents at risk of their health and personal needs not being met when they are admitted. EVIDENCE: There was evidence to show that social service assessments had taken place for funded residents prior to their admission. However the homes own assessment did not cover all the aspects of support and health care needs as set out in standard 2. The plans had not been developed from the single care assessment, or the homes own assessment. (This was a previous requirement). All residents consulted told the inspector they were very satisfied with their care, they said the staff were kind and caring and the manager Mrs Crabtree was very attentive. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 9 Residents made positive comments that included: “Its lovely here, I’ve been here for 17 years” “Mrs Crabtree will do anything for you”. Park House DS0000018273.V261332.R01.S.doc Version 5.0 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, and 9. The residents received good personal support and care, and they had access to health care services. The plans of care did not reflect the good care given to the residents. This could put residents at risk or receiving inappropriate, inconsistent or unsafe care. EVIDENCE: The care plans had improved since the last inspection, and staff were using a new format. However it was evident that some staff did not understood how to complete the plans correctly. Information was insufficient to provide a good picture of some residents’ health, social and personal needs. The plans did not include individuals’ preferences about their personal care or other issues important to the individual. (Improvement of plans was a previous requirement). Health information including G.P, dental, optical, and chiropody details had been missed out in some of the plans. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 11 Residents said they were very happy about the care they received. They said staff cared for them well and gave them support when needed. The residents said they did get access to health care services and could see a G.P if they needed one. Care staff were very attentive to the residents, and showed that they understood their different needs and preferences well. The inspector observed a drugs round and checked the medication storage and records. In the main the home followed good practices, however the following areas were identified: • • • People checking administration signatures could not identify the staff signatures on the medication records. Staff did not access to The Royal Pharmaceutical Society guidelines for care homes. A staff member handled a residents tablets instead of putting the tablets straight into a pot. Park House DS0000018273.V261332.R01.S.doc Version 5.0 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 and 15. The residents were very satisfied with the daily routines, the activities, and the meals at the home. The home provided these to a very high standard. EVIDENCE: The residents spoke very positively about the routines and activities they enjoyed. Residents said the owner went to a lot of trouble to make sure residents enjoyed their birthdays and special occasions. The resident would choose their favourite meal, a singer would come and presents were shared. Residents said they enjoyed the events very much. At the time of the visit the home was preparing for Valentines Day, this involved decorating the home, preparing valentine menus and entertainment for the day. On a monthly basis an entertainer came to the home, the resident described the monthly entertainment as “ high class” and “very good”. Residents said they also enjoyed music (classical music concerts on a Wednesday) and the exercises they did with staff. Exercises took place three times a week. The residents said the staff made their visitors welcome, and residents could see visitors in private if they wished. Visitors were offered drinks when they arrived. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 13 The residents said they were highly satisfied with their meals. The inspector observed one mealtime. It was evident that the owner, cook and care staff took great pride in the food and nutrition at the home. The food was cooked and served to a very high standard. Food was prepared from fresh produce; this included the cakes and pastries and birthday cakes. Fresh fruit was offered to the residents, and the fruit was varied and of good quality, for example melon and strawberries. The cook and owner put a lot of thought and care into providing residents with their favourite meals. Staff served the food in a very dignified manner. For example the food was nicely laid out on the plates and the pastries were served on traditional stacking plates. The mealtime was very much a social occasion, classical music was played and the dining room set in a manner that was inviting and pleasant to be there. The staff and cook served the meals to the residents; the residents received a lot of attention. Residents who needed support were assisted by staff in a helpful and dignified manner. Park House DS0000018273.V261332.R01.S.doc Version 5.0 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 and 18 The homes complaints procedure and the staff adult protection training helped to protect residents from harm or abuse. EVIDENCE: Residents said they had no complaints, however they said if they did they felt they could tell the staff or the manager. A complaints procedure was available at the home. Staff had received adult protection training. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 15 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 and 26. The residents were happy with the homes environment; it was clean and comfortable, with nice homely rooms. EVIDENCE: The residents said they were very satisfied with the homes environment. They said they were warm and comfortable and their own rooms suited their needs. The home was furnished and decorated in a very homely manner. It was evident the owner and staff took a lot of pride in making sure the home was comfortable and pleasant for the residents. A lot of effort had been made to make the home pleasing for the residents, for example the manager had arranged interesting ornaments and pictures that the residents could relate to. The entrance hall was inviting and provided seating for residents to spend time there if they wished. The lounge had a variety of comfy chairs, footstools, and small tables for residents to put their drinks. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 16 The manager had put in new good quality tables and chairs in the dining room. The manager said she had replaced the table and chairs because she thought the new ones were much more comfortable for the residents. The home was clean and tidy. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 17 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): 28, 29 and 30. The homes recruitment practices and staff training activities were not sufficient to fully protect the residents’ safety and welfare. EVIDENCE: Two staff were training towards a National Vocational Qualification in care. The number of staff with NVQ training met the National Minimum Standard target of a ratio of 50 trained members of staff. There were serious deficiencies in the recruitment of staff. The home was required to take immediate action and bring all recruitment practices up to safe standards before any further staff were employed. This included ensuring the home carried out a criminal record check, and the protection of vulnerable adults check (POVA) before a new employee starts work. (This was a previous requirement). Staff training was insufficient. The training records showed that staff were out of date with training, induction did not meet skills for care requirements and there was no training programme set for the coming year. (This was a previous requirement). Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. The homes quality assurance, record keeping and safe working practices were not sufficient to fully protect residents, safety and welfare. EVIDENCE: The manager was very experienced; she was the owner of the home and had run the home for well over 5 years. The residents spoke highly of the manager; and the inspector noted that the manager was extremely attentive to the residents. She regularly observed care practices and made sure the residents were comfortable. The manager put a lot of care and thought into providing pleasant and enjoyable experiences for the residents. The manager did not have a National Vocational Qualification in management at level 4 or equivalent. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 19 The inspector acknowledges the manager’s good care skills; however, the home did not manage its records safely. This is part of the manager’s responsibility. The manager had recently employed an administrator; the administrator had started to improve and organise some of the systems. In order for the systems to be effective the manager and administrator need to work together to make sure residents safety is at the forefront of all the records managed at the home. The recording of quality assurance at the home was insufficient. The commission had not received monthly reports and some notifiable incidences. There was no evidence of recorded self-monitoring, for example residents and family views and internal audits. The resident or their family handled the residents’ financial affairs. The homes administrator confirmed this. The home did have safe storage for residents to keep valuables. All staff had received fire safety training. However records showed that a number of staff had not received up to date training in other safe practice training areas, for example first aid, food hygiene and infection control. The health and safety manual was not readily available for staff to refer to. On the day of the inspection the manual could not be found. Maintenance records had not been safely stored. These were difficult to retrieve. The homes electrical circuit certificate could not be found. Fire drills had not been carried out yearly for each staff member. The homes fire risk assessment was not completed. Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 1 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X 3 X 1 1 Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 OP3 Regulation 14 Requirement Plans of care must be based on the outcomes of residents’ needs assessments and risk assessments. Previous action date 30.05.05 The homes assessments must include all the details as set out in standard 3. Residents’ records must include all the information in schedule 3 of the Care Homes Regulations 2001, and be regularly reviewed to reflect the changing needs of the residents. Previous action date 30.06.05 Staff signatures must be made identifiable. The Royal Pharmaceutical Society guidelines must be available for staff to access. Immediate requirement Staff must not be employed at the home until all recruitment procedures have been completed Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 22 Timescale for action 30/04/06 2. OP7 15,17 30/04/06 3 OP9 13 30/04/06 4. OP29 17,19 06/02/06 and are satisfactory. 5. OP30 17,18 Previous action date 31.05.05 All staff must receive training appropriate to their work. Previous action date 31.05.05 Staff inductions must meet sector skills council requirements. A training programme must be devised that covers training in line with resident care needs and staff development needs. The manager must arrange for National Vocational Training in management. Records specified in schedule 2, 3 and 4 of the Care Homes Regulations 2001 must be maintained at the home. The records must be kept up to date and at all times available for inspection. All records must be maintained for not less that 3 years after the last date of entry. Previous action date 30.06.05 The electrical wiring certificate must be produced to the commission by 30/04/06 A quality assurance system must be introduced into the home and records of audits and other outcomes must be recorded. Staff must receive up to date safe practice training. The health and safety manual must be made available and Park House DS0000018273.V261332.R01.S.doc Version 5.0 Page 23 30/04/06 6. 7. OP31 OP37 18 15,17 30/04/06 30/04/06 accessible to staff at all times. Maintenance records must be safely stored and maintained for a minimum of 3 years. The home must produce a fire risk assessment, this must be produced to the commission by 30/04/06 Staff left in charge must carry out a fire drill at once least yearly. Staff must participate in a fire drill at least once yearly. 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 DS0000018273.V261332.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 DS0000018273.V261332.R01.S.doc Version 5.0 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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