Inspection on 14/10/05 for Park House Care Home

This inspection was carried out on 14th October 2005.

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

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

Other inspections for this house

Park House Care Home 23/05/07

Park House Care Home 08/05/06

Park House Care Home 05/07/05

Park House Care Home 23/03/05

Park House Care Home 14/03/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Park House Care Home Cinderhill Road Bulwell Nottingham NG6 8BS Lead Inspector Lee West Unannounced Inspection 14th October 2005 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 Care Home DS0000026460.V256049.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 Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park House Care Home Address Cinderhill Road Bulwell Nottingham NG6 8BS 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) 0115 9771363 0115 9771460 Eastgate Limited Eunice Browne Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47), Terminally ill (2) of places Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the total number of beds a maximum of 2 beds may be used for the category of TI 5th July 2005 Date of last inspection Brief Description of the Service: Park House is a purpose built care home with 47 places, offering residential and nursing care for 47 older people, including two beds for those who are terminally ill. Situated in the Bulwell area it has access to bus and tram routes into the City and various local community facilities. The building is on two floors with lift access to the first floor. All areas are wheelchair accessible. The garden has several seating areas with a conservatory leading onto the garden. There is ample parking in the large, well maintained front garden and car park area. Park House Care Home DS0000026460.V256049.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 over 5 hours and the method used was Case Tracking where 6 Service users were spoken with about their experiences and expectations of living at the home, with analysis of the records and talking with 4 members of staff to ensure that those living at the home have their needs met and their health and welfare maintained appropriately. The inspection was assisted by the Deputy Matron, Kate Fox and later, the Manager Eunice Brown. A tour of the building took place and visitors were also spoken with. At the time of inspection the home had 7 vacancies, some of which are used to provide respite care for terminally ill service users. What the service does well: What has improved since the last inspection? What they could do better: The Registered Manager, although providing leadership, has failed to meet all the requirements set at the last inspection regarding Care plans. The Registered Manager must ensure that when service users are admitted to the home risk and care assessments take place promptly to reduce risks to them and the staff. The care plans formulated must also contain the actions required by staff and service user to address needs and must be reviewed at Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 6 least monthly; more frequently if care needs change. Supervision of staff should be carried out at least six times during a year formally recorded. The maintenance and recording documents required for the Health and Safety of the service users and staff should be kept on the premises and kept updated. The communal areas, particularly bathrooms and shower rooms are being used as storage areas and these create hazards and more appropriate storage facilities need to be organised. Maintenance issues need to be addressed regularly and the maintenance record book kept on the premises. 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 Care Home DS0000026460.V256049.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 Care Home DS0000026460.V256049.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): 1,2,5,6 Prospective service users and their relatives have the information they require to make an informed decision. Service users referred for intermediate care are assisted to independence to return home. EVIDENCE: The care plans case tracked showed evidence of initial assessment, confirmation of terms and conditions and service users confirmed they had had the opportunity to visit and assess the quality and facilities. One service user’s family were present and they confirmed this was the case also. One service user recuperating after surgery said that the home met needs for increasing independence and the service user was preparing to go home within a few days of the inspection. One service user is on a trial period to see if the home meets needs. This service user and family are pleased with the care that is given. Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,10, Progress continues to be made on improving information in plans of care. However, there are still shortfalls and this has the potential of placing residents at risk. Medication was administered appropriately. The staff, on the whole, treat the service users with respect and maintain privacy. EVIDENCE: Requirements were made at the last inspection to prepare a written plan in respect of health, personal and social needs on service users entering the home, based on the care management assessment and setting out in detail what action is to be taken. Of the care plans case tracked none have actions to be taken, which has the potential of placing service users at risk. One service user, recently admitted, had no care plan, only the transfer form. Some care information on the extended community admission assessment was not identified in the plan tracked and reviews were overdue as last reviews were June 05. The planning documentation in use was a variety of styles producing inconsistencies within the plans tracked. The service users spoken with had mixed opinions of the staff treating them with respect and dignity. The majority are pleased with the way they are Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 10 treated but on the day of the inspection the inspector observed a toilet door, within the main entrance area, ajar, with a service user using the facility. Some service users said staff can be “bossy”. Also observed were other members of staff speaking with service users in a dignified manner and when entering private rooms, they were observed to knock on the doors. The visitors spoken with were pleased with the courtesy they receive from the staff and that they are always asked if they would like a drink, some said they are even regularly provided with a meal which is always of a high quality. Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14,15 The service users are encouraged to spend their time as they choose and recreational activities are organised. Family and friends are welcomed and meals are appetising in pleasant surroundings. Service users with diverse cultures have their needs met. EVIDENCE: Activities are arranged in small groups and are not set daily as “people have a tendency to change their minds on the day”. Service users confirmed this was the case and they said they preferred to chat but they have sing-songs and games. The care assistant responsible for activities had some ideas about improving activities. Relatives and friends are positively welcomed and those spoken with today said “the staff always make us welcome and we can come any time.” Service users confirmed they are encouraged to make choices in all aspects of their lives. “I can choose where I go and what time I do things here.” Lunch was observed to look appetising and nutritious and everyone spoken with said the food is always good with choices. The dining room was set out pleasantly with round tables around the large, “L” shaped room. Meals are chosen each day from a choice on the menu and individual requirements are met. Service users who eat Caribbean food do have choices and said they were happy with the food provided. Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 12 Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 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 the following standard(s): 16,18 Service users are aware of that any complaints will be dealt with and they are protected from abuse. EVIDENCE: All service users, staff and visitors, spoken with said they knew who to complain to and that any complaint would be taken seriously. However, there was no complaints book seen. Staff are aware of the Nottinghamshire Protection of Vulnerable Adults Procedures (POVA) and the whistleblowing policy. Staff recruited have Criminal Records Bureau checks and two references in their staff files. Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 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 the following standard(s): 19,20,21,22,23,24,25,26 The environment is clean and hygienic and there are sufficient toilet and washing facilities. The service users’ rooms are individually furnished, and all areas of the home are safe and comfortable. Specialist equipment is available to meet needs, however. there is a lack of storage space around the home. EVIDENCE: The areas of the home inspected were well decorated and service users said they were satisfied with their rooms and were able to have their personal possessions around them. The home was clean and free from any odour. The flooring in the visitors’ toilet had been repaired as had the covering on the stairs. However, the handle and lock on the visitors’ toilet was broken. There are adequate toilets and washing facilities within the home, however, as storage space is short, equipment is stored in shower and bathrooms. The stairwells of both sets of stairs are also used for storing mobility equipment and items for storage, which looks unsightly and could be a fire or trip hazard. The communal rooms are also cluttered with mobility equipment when service users are in these areas, especially at mealtimes, which is a further hazard. Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 15 All the maintenance is carried out by the group’s maintenance man who has the books with him, so progress of maintenance could not be inspected at this time. Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 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 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 The number of staff and skill mix on duty are sufficient to meet the needs of the service users and they are in safe hands at all times. The recruitment practices have improved and staff are trained and competent. EVIDENCE: The duty rota showed an appropriate number of staff and skill mix to meet the needs of the service users and the staff files case tracked contained photographs, evidence of Criminal Records Bureau checks and two references, together with copies of certificates of training attended. The staff interviewed confirmed they feel they are competent to do their job and do have regular training with some working towards a National Vocational Qualification. Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 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 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): 31,32,33,36,37,38 The Manager is Registered with the Commission and the home is well managed, with a clear sense of direction. Service users and staff rights, interests, health, safety and welfare are promoted and protected. EVIDENCE: Service users and staff spoken with said the registered manager’s management style gave clear sense of direction about the standards of care tat was expected. The service users and relatives spoken with said they felt the home was run in their best interests and if they had a problem with this that the manager would address any issues. Staff records did not identify formal appraisal and supervision, but staff spoken with confirmed that this was done informally, and if they felt they needed to they would speak to the Manager, or deputy, for help. The home’s policies and procedures in place safeguard the rights and interests of the service users. However, there are a number of records missing for the Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 18 checks which are to be made under the Health and Safety regulations. These include the water temperature checks, the weekly fire alarm tests, emergency lighting and Portable Appliance Testing dates. Service users spoken with though confirm that fire alarm tests are regularly carried out and that they feel safe and secure within the home. One service user who is going home shortly felt “anxious because they have looked after me so well here.” Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 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 2 17 X 18 3 3 2 2 3 3 3 2 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 2 2 Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 20 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 Prepare a written plan as to how the service user’s needs in respect of health and welfare are to be met. Assessments are carried out for all service users entering the home and the care plan is based on the Care management assessment Shall after consultation with service users or representative prepare a written plan as to how the resident needs in respect of health and welfare are to be met. The plan should set out in detail what action is to be taken, ensure that the plans are written in a style accessible to the service user and ensure the care plans are reviewed at least monthly Ensure that persons working at the care home are appropriately supervised. Care staff to receive formal supervision at least 6 times a year. Maintain in the care home the records specified in Schedule 4 and shall ensure that the records are kept up to date DS0000026460.V256049.R01.S.doc Timescale for action 02/01/06 2 OP7 15 02/01/06 3 OP36 18(2) 02/01/06 4 OP37 17(2)(3) 02/01/06 Park House Care Home Version 5.0 Page 21 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 OP16 Good Practice Recommendations Record all complaints made by service users or by persons working at the care home about the operation of the care home and the actions taken by the registered person in respect of any such complaint. Park House Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Care Home DS0000026460.V256049.R01.S.doc Version 5.0 Page 23 - 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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