Inspection on 08/09/05 for Park House

This inspection was carried out on 8th September 2005.

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 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 17/10/07

Park House 28/02/07

Park House 11/01/06

Park House 15/02/05

Park House 16/08/04

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

CARE HOMES FOR OLDER PEOPLE Park House 1 Walton Park Bexhill-on-Sea East Sussex TN39 3NH Lead Inspector Andy Denness Announced 8 September 2005 15:00 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 H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Park House Address 1 Walton Park Bexhill-on-Sea East Sussex TN39 3NH 01424 211258 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) Mrs Jacqueline Brittain Care Home (CRH) 7 Category(ies) of Dementia (DE), 7 registration, with number of places Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum service users to be accommodated is 7 2. Service users should be aged 65 years or over on admission and have a dementia type illness Date of last inspection 15 February 2005 Brief Description of the Service: Park House is a detached property situated approximately one mile from Bexhill town centre. Accommodation is on two floors with a stair lift fitted to assist service users access first floor accommodation. The home has a pleasant garden which is shared with another care home next door that is owned by the same proprietor. The home is registered to accommodate up to seven older people who have a dementia type illness, the registered owner is Mrs J Brittain. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced Inspection took place over an afternoon and evening in September and lasted 4 hours. To help gather evidence on how the home is performing the Inspector met with staff, the manager and the owner of the home, and examined a range of records and written information. An inspection of the premises took place. Discussions took place with all six service users currently resident and one visitor. Information was also obtained from comment cards returned by relatives and health professionals and a preinspection questionnaire completed by the manager. What the service does well: What has improved since the last inspection? What they could do better: Following this inspection requirements have been required regarding staff training and some health and safety/hygiene matters. The owner has also been required to review evening staffing arrangements to ensure that service users’ needs are appropriately met. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 6 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 H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 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 H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 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) 1, 2, 3, & 4. Pre admission procedures are satisfactory and help ensure that service users are admitted to a home that is suitable to meet their assessed needs. EVIDENCE: A service user guide and a statement of purpose have been produced for the home, these documents provide guidance for prospective service users and their relatives about the home, the service provided and how it is performing. Both documents were examined; the statement of purpose has recently been reviewed and now clearly contains all of the required information. The owner of Park House has recently undertaken an assessment of a potential new service user, this was examined, it contained all required information and was of a good quality. The home has a contract for issuing to service users and their relatives, a copy of the document was examined, it was of a satisfactory quality. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 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 and 11 The policies, procedures and practices in the home regarding health, personal and social care needs are good and help ensure that identified service user needs in these areas are appropriately met by staff. EVIDENCE: Using the initial assessment of need as a starting point individual plans of care are compiled for each service user; these identify amongst other things what support service users require from staff to meet their day to day needs in relation to health, personal and social care needs. Since the last inspection improvements to the care planning process have taken place and all plans examined are now of a satisfactory standard. From observations made, records examined and information obtained from comment cards from health professionals it was evident that needs identified in the plans were being appropriately met by staff. Because of their mental health needs, service users do not manage their own medication, this is done for them by staff; a monitored dosage medication system is used, storage and records were examined and found to be in order. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 10 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 14 & 15 Arrangements in the home regarding social and recreational needs, visitors and meals are good and ensure service users choice and variety in all of these areas. EVIDENCE: Because of their mental health needs it is not always possible for service users to make informed choices, however from discussions with service users and staff and from observations made during the inspection it was evident that staff worked hard to ensure them choices in their daily living. The inspector met with a visitor during the Inspection; they visit the home regularly and said that they are always made to feel welcome; they were very complimentary of the home. A small sun lounge is available for service users to see their visitors in private if they so wish. Records examined confirmed that a range of activities are available for service users including bingo, music afternoons, accompanied walks etc. The home has a well-tended large garden, service users spoke very positively of this and on the day of the inspection all service users had a cream tea served to them in the garden. Records examined confirmed that a varied menu is provided; the Inspector sat at ate an evening meal with service users, it was well prepared and obviously enjoyed by them. Care staff also undertake catering duties, it has been required that hygiene Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 11 procedures are drawn up and followed for when staff transfer from caring to catering duties. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 12 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 & 18 Current arrangements regarding complaints and adult protection matters are satisfactory and ensure that these matters are managed appropriately. EVIDENCE: The home has detailed complaints and adult protection procedures in place, both procedures were examined; they were of a satisfactory standard. Records examined confirmed that the manager handles complaints in line with the written procedures. The manager has been trained in adult protection matters, it has been required that this training is now extended to all staff. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 13 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 Physical standards and accommodation throughout the home are good and ensure that service users live in a comfortable, safe and well maintained environment. EVIDENCE: An inspection of all areas of the environment confirmed that physical standards throughout the home are good. Bedroom accommodation is provided in five single and one double rooms, all of which comply with the size requirements of national minimum standards; the Inspector was told that service users are able to bring their own furniture with them if they so wish, some have done this, which has resulted in pleasant personalised rooms. Communal accommodation includes a lounge, dining room and a small sun lounge; these rooms are furnished and decorated in a comfortable homely style. Heating is provided by a gas central heating system with radiators in all rooms, which are all guarded. Tests confirmed that hot water is delivered to wash hand basins and baths at a safe temperature. The home is fitted with a stair lift to assist service users access first floor accommodation. The main bathroom is fitted Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 14 with a special bath seat to assist access and handrails and other adaptations are fitted in key areas to assist those with mobility problems. A satisfactory standard of cleanliness was found in all areas of the home. Written policies are in place regarding infection control and training plans examined confirmed that staff are trained in infection control. The home has large well tended gardens. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 28, 29, 30 Staffing arrangements were generally satisfactory although some training and a review of evening staffing levels have been required to ensure that service users’ needs are appropriately met. EVIDENCE: Records examined confirmed that staffing levels consist of two care staff on duty at all times during the day and one member of waking night staff. Care staff also undertake all cleaning and catering duties. These levels are generally satisfactory however it was noted that one service user who requires two staff to get them ready for bed goes to bed early as there is only one member of staff is on duty after 7pm; because of this it has been required that evening staffing levels are reviewed. Staff were observed to work in a caring and respectful way with service users; comments from service users and relatives regarding staff included “staff are really good, you cannot fault them” and “I must say helpful and kind the owners of the home have been”. Records examined confirmed that are trained in food hygiene, moving and handling, fire prevention and first aid. Currently no staff are trained to NVQ level as is required, however the manager said that 5 staff are starting their training in the very near future. Records examined confirmed that satisfactory recruitment procedures are followed when new staff are employed. The owner currently provides induction training for new staff. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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) 31, 34, 35, 36, 37 & 38. Management and administrative systems in the home are good and work well in supporting staff in their day-to-day work. EVIDENCE: The manager is relatively new in post and is about to apply to the Commission for Social Care Inspection to be registered; she said that she is due to start her required management training in the very near future. She is experienced in caring for older people with dementia and throughout the inspection demonstrated a clear understanding of the needs associated with their condition. The home does not hold any money on behalf of service users. The insurance certificate for the home indicated that insurance levels are set at the required levels. From an examination of records it was evident that staff receive the one to one support from the manager that is required. A selection of records and policies and procedures required by regulation were examined, Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 17 these were in order and stored securely. The manager showed an understanding of health and safety matters including the risk assessment process. A selection of health and safety records were examined, these were generally in order although it has been required that the frequency of the tests that check to see that hot water is delivered at a safe temperature are increased. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 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 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 x STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x x 3 3 3 3 2 Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 19 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. Standard 38 Regulation 13(3) Requirement Timescale for action 8/10/05 2. 3. 4. 18 25 27 18(1)(a) 12(1)(a) 18(1)(a) That written guidelines are produced for staff detailing the hygiene procedures to be followed when transferring from caring/cleaning duties to catering duty. That POVA training is provided 8/12/05 for staff. That the frequency of the testing 8/10/05 of hot water outlets is increased. That evening staffing 8/10/05 arrangements are reviewed to ensure that service users needs are appropriately met. 5. 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 28 Good Practice Recommendations That 50 of staff are trained to NVQ level 2. Park House H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex BN21 4QT 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 H59-H10 S21183 Park House V237319 080905 Stage 4.doc Version 1.40 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. 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