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Inspection on 12/05/05 for Park House, Little Knowle

Also see our care home review for Park House, Little Knowle for more information

This inspection was carried out on 12th May 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a group of staff who have worked at the home for a long time providing continuity of care. They are keen to ensure the well being and comfort of the service users and were observed treating them with great respect and kindness. All service users spoken with praised the care they received from the staff and said they were very happy living at the home. Thank you letters from relatives praised the care at the home. The staff team manage the daily activities well and provide opportunities for residents to maintain links with the local community.

What has improved since the last inspection?

The home continues to provide high quality care with competent staff in a well decorated, pleasant and homely environment. Staff and management have worked hard to meet the requirements and recommendations made at the last inspection report. Medicines received at the home are now accurately recorded. All residents are now provided with a lockable storage facility for the safe keeping of valuables. A new commercial washing machine has been fitted which increases the efficiency and quality of the laundering of clothes and linen at the home. The provider is continuing to fit covers to radiators to ensure that residents are living in safe surroundings.

CARE HOMES FOR OLDER PEOPLE Park House 11 Park Lane Little Knowle Budleigh Salterton EX9 6QT Lead Inspector Michelle Oliver Announced 12 May 2005 09:30 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 D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park House Address 11 Park Lane Little Knowle Budleigh Salterton EX9 6QT 01395 443303 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 Mabel Eileen Lily Perry Care Home 27 Category(ies) of DE(E) Dementia - over 65 (27) registration, with number MD(E) Mental Disorder - over 65 (27) of places OP Old age (27) PD(E) Physical disabilities - over 65 (27) Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23 November 2004 Brief Description of the Service: Park House is a large detached property situated in a large garden approximately half a mile from Budleigh Salterton town centre. Bedroom accommodation is provided on the ground and first floors. The first floor bedrooms can be reached by a chair lift.The home provides personal care for up to 27 older people who may have physical needs or dementia. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over four and a half hours on 12th April . The Provider/ Registered Manager, Mrs M Perry was present during the inspection. Residents, visitors and members of staff on duty also took part in the inspection. The inspector looked around the building, a number of records were inspected, which included pre inspection questionnaire, comment cards from other residents and relatives, thank you letters from relatives and staff files. What the service does well: What has improved since the last inspection? What they could do better: Care plans must be expanded to include details of how specific individual needs will be met. Mrs Perry is aware that some parts of the home are looking tired and need redecorating. Some furniture and carpets need to be replaced. All pre-employment checks must be done before staff start work. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 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 D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 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 D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 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) 3 &6 Service users benefit from good admission and assessment practice which ensures that the home is able to meet their needs. EVIDENCE: All residents are visited by the manager or senior carer to undertake an assessment of their needs before deciding to live at Park House. Residents are sent written confirmation that their assessed needs can be met. Intermediate care is not provided at Park House. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 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) 7,9,10. Service users’privacy and dignity are met and promoted by the staff and management team at Park House. Improvement is needed in the care planning process to ensure that staff are aware of residents’ needs. EVIDENCE: The home promotes residents’ welfare in co-operation with families and health care professionals. Current care plans do not detail how residents’ health and welfare needs are to be met. The quality of record keeping does not reflect the quality of care being given. Medication records were correct. No residents currently wish to look after their own medicines. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 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 &15 Social activities and meals are well managed for people living in the home. Opportunities are available for residents to take part in appropriate exercise or physical activity Residents are encouraged to maintain contact with their families or friends as they wish. EVIDENCE: Residents were sitting in the lounge, in their own rooms if they preferred and some walking freely around the home. Residents’ preferences and interests are recorded in their individual care plans. The Inspector was told that an entertainer visits fairly regularly, and many of the residents enjoy singing along to the music. Some residents were taking part in an exercise session during the visit with a person who visits the home twice a week as an activities organiser. Residents are encouraged and supported to maintain links with their families and with the community. A visitor said that he visits every day, is always made very welcome and often stays for lunch. Meals provided at Park House are varied and nutritional. A menu is displayed in the homes comfortable, homely dining room. Meals at Park House are unhurried and individuals are given discreet assistance as needed. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 11 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 Residents and relatives are confidant that they are listened to and their requests actioned. EVIDENCE: The home has a detailed complaints procedure that is well displayed and all residents have a copy of. There have been no complaints and residents stated that if they were not happy about anything they would speak to the manager. Staff and residents spoken to, say the manager is very approachable and understanding. A relative said that “ I can talk freely to Mrs Perry. She is always happy to listen to me and to put anything right. I have never had to make a complaint but am sure that if I did it would be dealt with” Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 12 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) 20,24 &26 Some decorations throughout the home are looking tired others areas are well decorated and bright. The home is comfortable, clean and hygienic. Some outstanding matters with regards to safety have been dealt with by short term measures which require a permanent solution as soon as possible. EVIDENCE: The home is generally decorated and furnished to a good standard and decorating is ongoing. The standard of the environment within the home is generally good providing the service users with an attractive and homely place to live. Some carpets were worn and threadbare, some paintwork needs renewing and some furniture in residents rooms would benefit from being replaced. Residents’ rooms are personalised, suit their needs and are comfortable. Locks have not been fitted to bedroom doors as previously recommended. Residents and representatives have been asked whether they would like a lock fitted and care plans include signed refusal of the offer. Mrs Perry would arrange for a lock to be fitted on request. All service users have a lockable space provided in their rooms for the storage of valuables. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 13 Furniture has been placed in front of some radiators to minimise the risk of scalding. The provider is working towards covering one radiator a month. Evidence of this was seen during this visit. All areas of the home smelled pleasant and were cleaned to a high standard. This has been noted on previous visits and is commendable in the context of the special needs of some people with dementia. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 14 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& 29. Staff are employed in sufficient numbers to meet residents needs. The procedures for the recruitment of staff are not consistent and therefore do not provide safeguards for the protection of people living in the home. EVIDENCE: Residents spoken to said that the staff were kind and caring and always there to help. During the visit staff were observed spending time with residents and call bells were answered quickly. A relative said that “ staff are always busy”. New staff have recently been employed at the home. Five staff files were looked at. Two included all the documents required in Schedule 2 of the National Minimum standards. and there was inconsistency in references and proof of identity. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 15 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) 32 &38 There is clear leadership and guidance to staff to ensure residents receive consistent care in a safe environment EVIDENCE: The manager shows great empathy towards residents and their families and gives clear leadership, guidance and direction to staff. Residents feel the manager is approachable and seeks to ensure all their needs are met. Attention has been made to the safety of residents and staff with good environmental risk assessments and fire safety measures in place. Records indicated that regular safety and fire checks are carried out. Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 16 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x 2 x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x 3 Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 17 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 op7 Regulation 15[1] Requirement Timescale for action 12.07.05 2. op19 16[2][c] 3. op29 19[1][b][ 1] The registered person shall prepare a written plan as to how the service users needs in respect of his health and welfare are to be met. The registered person shall 12.11.05 provide in rooms occupied by service users adequate furniture including floor coverings suitable to the needs of service users.[This relates to some decorations,furniture and carpets which are worn]. The registered shall not employ 12.06.05 a person to work at the care home unless he has otained the information and documents specified in Schedule 2 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 Good Practice Recommendations Park House D54 D06_s22001_parkhouse_v217319_120505 stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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. 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