Inspection on 05/01/06 for Park House Holiday Hotel

This inspection was carried out on 5th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park House Holiday Hotel 22/05/07

Park House Holiday Hotel 10/08/05

Park House Holiday Hotel 11/03/05

Park House Holiday Hotel 15/04/04

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

CARE HOME ADULTS 18-65 Park House Holiday Hotel Sandringham Kings Lynn Norfolk PE35 6EH Lead Inspector Mr Roger Andrews Unannounced Inspection 5th January 2006 10:30 Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 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 Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. 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 Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park House Holiday Hotel Address Sandringham Kings Lynn Norfolk PE35 6EH 01485 543000 01485 540663 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) Leonard Cheshire Mrs Betty Doreen Lewis Care Home 24 Category(ies) of Physical disability (24) registration, with number of places Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Park House is registered to offer both personal and nursing care to its guests. Date of last inspection 10th August 2005 Brief Description of the Service: Park House Hotel provides holiday accommodation for people with physical disabilities. It is situated in large well kept grounds on the Sandringham estate. Park House offers all of the usual facilities one would expect of hotel accommodation and has full disabled access throughout all parts of the building accessible to guests. The hotel is run by the Leonard Cheshire Foundation. Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. Its focus was mainly on the premises and some of the records that the staff have to keep. A more thorough look at the National Minimum Standards was undertaken in August 2005 and that report should be consulted for extra detail. At the time of the inspection there were thirteen guests staying at Park House. What the service does well: What has improved since the last inspection? 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 Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. EVIDENCE: Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. EVIDENCE: Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 A varied menu is on offer. EVIDENCE: The food on offer was not looked at in detail. However, it was noted that a guest was having a mid morning ‘brunch’ which was a reflection of the flexible dining routine on offer top guests. The dining room, which is located on the ground floor, offers pleasantly decorated tables and a very nice view out over the countryside to the rear of the hotel. The menu, which offers a wide selection of meals, is displayed prominently on the guest’s notice board close to the main hotel reception area. Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Medication is properly managed. EVIDENCE: Medication is stored in a secure cabinet which is kept in a locked room. Medication records were up to date. Many of the guests who stay at Park House look after their own medication. Medication is administered by nursing staff only. Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion. EVIDENCE: Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The environment allows good access for guests including those requiring wheelchair access. Bedroom and communal areas are pleasantly furnished and clean. EVIDENCE: The hotel is furnished to a high standard. All areas are well lit and fully accessible to guests. Appropriate festive decoration was in place. Bedrooms are spacious and are en-suite. Doors are opened by electronic key passes. Switches are located at waist level so that guests using wheelchairs have easy access to these. In some rooms overhead tracking hoists are fitted to assist staff in moving guests from their bed to the bathroom. Bedrooms contain typical hotel facilities such as tea and coffee making equipment, a television, telephone and a guide to the hotel and surrounding places of interest and amenities. In addition to en-suite facilities, disabled access toilets and adapted bathrooms are also provided. Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 13 Guests have a choice of communal areas. There is a pleasantly furnished lounge where guests were observed gathering for morning coffee. Next door to this is a library room with a selection of books, a computer and music equipment. There is a large conservatory area to the rear where a small stage has been set up. Guests can participate in various activities here or listen to musical entertainment. Adjacent to this is another large room with a piano and various equipment where guests can gather. There is a large main lift for the use of guests which can easily accommodate a guest in a wheelchair and their helper. Guests have a good range of information displayed in the building about forthcoming activities, local weather for the week and menu choices. The grounds are very well maintained and there is an outdoor swimming pool for summer use. A tour of the premises was undertaken. No obvious hazards were noted. Laundry is done in house. The laundry room was suitably organised and has an industrial washing machine with a sluice facility. There is also a sluice room on the first floor. All areas were clean and there was no trace of any unpleasant odours throughout the building. Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Two written references must be taken up as part of a robust recruitment procedure. EVIDENCE: Two staff files were checked in respect of staff appointed since the previous inspection took place. All essential detail including Criminal Records Bureau checks were in place except one file only contained one written reference. The taking up of two written references prior to the commencement of a member of staff must be seen as one of the key ingredients to a robust recruitment process. This matter was also identified in the previous inspection report. See requirement. Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 Guests’ views are sought on a regular basis. Fire systems are serviced, but weekly tests must be undertaken regularly. EVIDENCE: All guests are asked to complete a questionnaire following each stay and copies of these are kept. Regulation 26 visits are carried out on a monthly basis by the manager of another Leonard Cheshire service. The fire records were viewed. Generally these were in order. However, no weekly fire point test had been carried out since 12th December. See requirement. The fire alarm system, emergency lighting and fire extinguishers have been serviced in accordance with recommended time scales. The last fire test was carried out in September 2005. Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 16 The hot water tap in one bedroom was tested by hand. The water remained at a suitable temperature. Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X X 2 X Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 18 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 YA34 Regulation 19 Requirement It is required that two written references are in place on each member of staff employed to work at Park House Hotel. It is required that fire point checks are undertaken weekly. Timescale for action 05/01/06 2 YA42 23 05/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Park House Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Holiday Hotel DS0000015671.V276287.R01.S.doc Version 5.1 Page 20 - 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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