Inspection on 29/03/07 for Park House Care Home

This inspection was carried out on 29th March 2007.

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 Care Home 23/07/07

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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 6 Alexandra Road Great Yarmouth Norfolk NR30 2HW Lead Inspector Mr Pearson Clarke Unannounced Inspection 29th March 2007 09:45 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 DS0000068809.V334911.R01.S.doc Version 5.2 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 DS0000068809.V334911.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Care Home Address 6 Alexandra Road Great Yarmouth Norfolk NR30 2HW 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) 01493 857365 01493 851045 www.blackswan.co.uk Black Swan International Limited Mrs Carol Ann Ridler Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 09/05/06 Brief Description of the Service: Park House is a large detached house situated in the centre of Great Yarmouth, close to local amenities. The service has recently been purchased by Black Swan International an established care provider with other homes in Norfolk and Essex. It continues to be managed by Carol Ridler. Accommodation is provided for up to 25 older people, and comprises of 21 single and 2-shared bedrooms, all have en-suite facilities. There is one large lounge to the front and large dining room with a small quiet lounge at the rear of the house. The home has a small-enclosed garden with a large car parking area. The current fee levels for the service are £285 to £338 per week. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the providers ,the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home and this report gives a brief overview of the service and current judgements for each outcome. This inspection included a site visit to the service which took place shortly after a change of ownership and as such judgements made relate to a service in transition. The new owners are experienced providers who operate good quality services and it is reasonable to expect that given a period of time to establish their way of working and to invest in the home then good outcomes will be achieved. What the service does well: What has improved since the last inspection? Since the last inspection of the service there has been a considerable improvement in basic health and safety. As such the many fire risks have been removed to the satisfaction of the fire officer. Essential equipment has been serviced and safety certificates obtained. The process of redecoration and improvement has begun, although there is still much to achieve. Staff training has been arranged although there is still more to achieve in this area. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 6 There has been some improvement in the range and frequency of activities for service users, with more to come. Improvements have taken place in the monitoring of the nutritional needs of service users. 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. The summary of this inspection report can be made available in other formats on request. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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 DS0000068809.V334911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is (good). That service users have an assessment of their needs prior to admission and as such are assured that the home is able to offer them appropriate care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit the inspector looked at records relating to the admission of the last service user. As such these showed a process of assessment had taken place which identified the needs and wishes of the service user and this assessment had been translated into a plan of care. The new providers have a well established and thorough assessment format which the inspector was shown and which will be introduced along with other systems for future admissions to the home. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is ( adequate). That service users are benefiting from an improving system of care planning. Health care needs are properly managed as is the management of medication. However the arrangements for the storage of medication need to be improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last key inspection of the service the manager has worked hard to address deficits identified in the care planning system and sample plans seen at the inspection were all up to date with evidence of review. A reduction in the numbers of people cared for has eased the pressure on staff and management, and service users and staff told the inspector that they felt care was being delivered effectively and that needs were being met. Evidence of nutritional screening was also seen and monitoring of the weight of service users is taking place. The service is still using the existing care planning system, but work has begun to introduce the new providers system. The new format was shown Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 10 to the inspector and when introduced should enable a consistent and effective system of care delivery. During the site visit the inspector looked at the arrangements for management of medication in the home. A monitored dosage system is used and sample administration records were checked and found to be accurate. The service has a controlled drug register and cabinet, however no controlled drugs are currently used. Whilst all medication was securely stored , the storage facilities are not ideal being in a very public area. This was discussed with the providers and management on the day and it is understood that it is planned to create a designated and suitable room for this purpose. Service users talked to were positive about their care and felt that their privacy and dignity was respected by staff and that their health care needs were appropriately met. Care records inspected support this view and written feedback received from health care professionals indicate that the home is felt to offer good quality care. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is (adequate). That service users enjoy a relaxed atmosphere where they are free to receive visitors. Although the levels of activity offered have improved, however there is still scope for further improvement. Service users are happy with the quantity and quality of food served. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users talked to during the site visit were positive about their lifestyle, feeling that they were able to choose their routine and that the home had a relaxed and friendly atmosphere. Visitors are encouraged and during the visit people were observed to visit and be welcomed in a friendly manner. All of those spoken to were happy with the food served and a new menu structure has been introduced by the new providers. Since the last inspection there has been some improvement in the range of activity on offer. As such there are two regular sessions of musical entertainment a week and staff play games with service users, however this is still an area which would benefit from further development. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 12 Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is ( adequate). That service users are better protected by the training that has taken place and that the more robust system of complaints to be introduced will help the service evidence how they deal with concerns. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service management has ensured that the majority of staff have received adult protection training in line with requirements outstanding from previous inspection. It is understood that the new providers will undertake a training audit in the near future and as such any outstanding deficits in this area will be addressed. Historically the service has failed to fully record concerns and complaints and although there has been some improvement the introduction of the new providers system should ensure full compliance in this area. Service users talked to on the day had no complaints, but did feel that they could raise issues with confidence if they needed to . Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,25 and 26 Quality in this outcome area is ( adequate ). Service users are beginning to benefit from improvements to their environment. As such safety in the home is much improved and when work is finished the home has the potential to offer comfortable and well appointed accommodation. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit the inspector toured the premises in the company of the manager. As such it was clear that much work has been undertaken since the last inspection to ensure the safety of the environment. As such the home is now fire safe with the removal of extensive amounts of clutter and unwanted items. The homes cooker has been replaced and electrical systems have been overhauled. Work has commenced on a major programme of redecoration Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 15 which will encompass the whole home. Several bedrooms have had new furniture, with more to follow and re-carpeting is taking place. The car park area has been cleared and a wall repaired. All areas seen on the day were clean with no unwanted odour. The homes bathroom provision is poor, but a second bathroom on the ground floor is planned for the near future. It is also planned to provide a proper office to replace the extremely cramped area used at present. During the site visit the new providers were present and outlined plans for substantive improvement and investment to the building as a whole, which when enacted will greatly benefit service users. Service users spoken to on the day were excited by the change to date and looking forward to future improvements. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is (adequate ). That current staffing levels are sufficient to meet need , but will need improvement as occupancy rises. Basic training is in place and likely to improve under the new providers. Sound employment practice is followed and new systems to be introduced will consolidate this. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of this inspection the occupancy levels in the home were low and as such the staffing found was adequate to meet the needs of those accommodated. During the site visit the inspector discussed staffing levels with the manager and the providers. From these discussions it was clear that there are plans to increase staffing as occupancy increases and as experienced providers there is an understanding of what staffing is needed. The employment process relating to the last two people employed was tracked and showed a safe approach. The providers will be introducing their own procedures and formats and these are thorough and should ensure good outcomes in this area. Since the last inspection staff have received more training including adult protection and some dementia training The service does not currently meets government targets for NVQ trained staff. A full training audit is planned by the new providers and the inspector was told that Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 17 any deficits identified will be addressed. Service users spoken to were satisfied with the care received and felt that the staff treated them with respect and kindness. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is ( adequate ). That service users benefit from a manager who is qualified, experienced and committed to their welfare. The introduction of the new providers quality systems is likely to further raise standards in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been at the home for a considerable period and has worked hard to maintain the service through some difficult times. It was clear that the manager has benefited hugely from the change of ownership and she told the inspector that she felt supported by the new providers who were allowing her to do her job. Staff supervision standards are still not being met and there is a Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 19 need for further work in this area. The new providers have a well established quality assurance system for their services and the inspector was shown how this will be introduced in the near future. Some personal monies are held for service users and the inspector checked the records held and security of storage, and found both to be satisfactory. There have been great improvements in basic health and safety, both in terms of the environment and staff training. The providers have well established systems to be introduced in respect of health and safety which will further build on the improvements to date. Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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 3 x x x 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 2 2 x x x x 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 2 x 3 x x 2 Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 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 OP22 Regulation 18,19 Requirement A regular system of staff supervision must be implemented Timescale for action 30/06/07 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 2 2 Refer to Standard OP12 OP28 OP9 Good Practice Recommendations That the range of activity available to service users is improved. That the service seeks to improve the levels of NVQ training for care staff. That arrangements for the storage of medication be improved Park House Care Home DS0000068809.V334911.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000068809.V334911.R01.S.doc Version 5.2 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. 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