Inspection on 14/08/07 for Park House Nursing Home

This inspection was carried out on 14th August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Park House Nursing Home 07/08/06

Park House Nursing Home 21/11/05

Park House Nursing Home 28/04/05

Park House Nursing Home 02/02/05

Park House Nursing Home 06/07/04

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 Nursing Home 50 Park Road Wellingborough Northants NN8 4QE Lead Inspector Judith Roan Unannounced Inspection 14th August 2007 10:45 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 Nursing Home DS0000012631.V346717.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 Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Nursing Home Address 50 Park Road Wellingborough Northants NN8 4QE 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) (01933) 443883 01933 279844 park.house@fshc.co.uk Four Seasons Homes (No 4) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Manager post vacant Care Home 42 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (42), of places Physical disability over 65 years of age (10) Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No one falling within the category OP may be admitted into the home where there are 42 service users of this category already accommodated within the home No one falling within the category PD(E) may be admitted into the home where there are 10 service users of this category already accommodated within the home No one falling within the category DE(E) may be admitted into the home where there are 6 service users of this category already accommodated within the home No one faling within the category TI(E) may be admitted into the home where there are 42 service users of this category already accommodated within the home To be able to admit the named person in variation application dated 20th May 2004 number V000014766 7th August 2006 Date of last inspection Brief Description of the Service: Park House is situated close to Wellingborough town centre. It is a purpose built home located in a residential area of the town. All the rooms are single rooms with ensuite facilities. The home is laid out over two floors with a small outside area, which is accessible to residents. The home provides residential and nursing care to residents of both sexes who are elderly. Fees range from £340 to £560 per week according to individual assessed needs. Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 3 residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. A new manager has been appointed and they will be making an application to the CSCI to become registered. The inspection took place during the late morning and afternoon, over a period of 6 hours and was carried out on an unannounced basis. Two complaints have been received by CSCI that we asked the provider to investigate. A POVA (protection of Vulnerable adults) investigation is presently ongoing in relation to one resident being admitted into hospital with a pressure sore from the home. The service provider has responded positively to the criticisms made by the complainant and is working with healthcare professionals during the investigation. What the service does well: What has improved since the last inspection? The home has complied with the Fire Safety Officers requirement that automatic closures must be fitted to all bedroom doors identified. Dressings are now individually prescribed for each resident that has an assessed need. Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 6 Records of the testing of fire alarms and emergency lighting are now available to demonstrate that these have been tested at the required intervals. Records now demonstrate the progress of treating wounds and the reviews that have taken place. Risk assessments are in place for all residents assessed as requiring “cot sides” to ensure their safety and to minimise the risk of entrapment. 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 Nursing Home DS0000012631.V346717.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 Nursing Home DS0000012631.V346717.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): 1,3 Standard 6 does not apply Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is provided to residents prior to admission and they can be assured that their needs are fully assessed. EVIDENCE: The needs of prospective residents are assessed prior to admission. Information about the home is provided within the homes Statement of purpose and service users guide and these are available to all residents. The resident’s files contained full details of assessed needs that enable carers to provide the service. The home does not have any intermediate care beds therefore this standard was not inspected. Park House Nursing Home DS0000012631.V346717.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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care practices observed demonstrate residents are respected and supported with dignity. The care plans reflect the needs of residents and contain their preferences. EVIDENCE: Care plans were evident on all residents’ files. Plans stated how the resident would like to be cared for and were detailed. The files could be developed so that they were written in the first person and gave details on how an individual liked to be supported. The mental health needs of people who have a dementia were appropriately detailed. A requirement made at the last key inspection has in part been met but more information is required about the social needs of individuals. Care plans are reviewed on a regular basis and meet standards. In observation throughout the inspection residents were treated with respect and their personal care needs were carried out with dignity. However it was noted and fed back to the Manager that medication profiles did not contain details of why the medication was prescribed which would assist carers to have more detailed knowledge of the residents needs. Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 10 Monitoring systems in relation to healthcare needs were found in individual files and records were up to date. Medication storage, administration and disposals were carried out professionally and in accordance with the Royal Pharmaceutical Society guidelines. Risk assessments were available for all activities and all incidents, and accidents were reported on individual files. Risk assessments are in place for all residents who require cot sides that contain how carers are to minimise the risk of entrapment. This requirement made at the last inspection is now met. Park House Nursing Home DS0000012631.V346717.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to participate within activities at the home, however more thought needs to taken in meeting the needs of residents with memory needs. Residents enjoy a good standard of meals that are freshly prepared and take into consideration individual dietary needs. EVIDENCE: As part of the assessment process social profiles needs to more fully completed to ensure that appropriate daily activities are provided within the home. This is particularly important for residents with mental health care needs. The newly appointed manager is working to extend the activities within the home to create a person centred approach an activity organiser is to be appointed. Staff have now undertaken specialist training in Dementia care to increase their awareness and skills. Families are welcomed at the home and in discussion with one relative they feel that they are included within the support for their relative. Meals served were attractively presented and met varied diets. Residents agreed that the meals are well cooked and appetising. Support for individuals with eating is available with sufficient staffing levels available at mealtimes. Hot and cold drinks are available throughout the day. Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by safe working practices. EVIDENCE: Since the last inspection the CSCI have received two complaints about the well being of residents and how the service provided had deteriorated. The provider and the temporary manager have investigated these and changes have been made to rectify any areas of needs. Service users spoken with were aware of the complaints made and were now happy with the outcome. They all knew how and to whom they should make a complaint. Changes had been made to staffing levels and the way they were supervised. A new manager has made further changes by involving senior staff I the assessment process and the development of care plans. A new chef has been appointed who has developed the menu and enabled residents to have wider choice. Staff training records confirms that they have undertaken safeguarding adults training and in discussion were aware of signs that would raise any concerns and the procedures to follow. Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect a clean safe and well maintained environment. EVIDENCE: The home is homely, clean and hygienic. A dedicated housekeeping team ensure that standards are well maintained. Resident’s rooms were personalised and meets their needs. All rooms are single and have ensuite facilities. Specialist bathing equipment and hoists are available within the home in adequate supply to avoid residents having to wait for personal care. The records reviewed confirm that the home is well maintained and that safety checks are in place for fire, electricity, gas and water. A requirement made by the fire officer to have automatic closures fitted to identify bedroom doors has been complied with. All fire safety records are now kept on the premises. Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Positive management support and supervision ensures that carers are well trained and deliver a good service to residents. EVIDENCE: Sufficient carers were on duty during the inspection to meet the needs of residents. A qualified nurse leads the shift on the first floor nursing area and the manager is available for additional support when required. Staff training is available for all staff and all required training is up to date. Additional training has also been undertaken to improve awareness in dementia care. Safe working practices were observed throughout the day and carers were following guidelines. Staff recruitment procedures are robust and ensure that full checks have been undertaken prior to new staff taking up their appointment. All carers have had a criminal record disclosure and references were taken up. Training certificates were found in the training file. In discussion with carers the inspector found that they were very knowledgeable and competent within their role. Good support and supervision is available within the home and there is a positive relationship between managers and staff. Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home is proactive with resident’s views central to development. EVIDENCE: The newly appointed manager will be making an application to CSCI to become the registered manager. The manager demonstrated that they are able to carry out their role professionally within the home and has worked effectively within in the short time since their appointment to meet the outstanding requirements. The home is run and managed in the best interests of residents with their and their representative’s views central to the development of the service. Good communication is maintained with families and there are regular surveys carried out to check quality. The new manager has already invited the relatives into the home to meet with her and the staff to talk about Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 16 developments. Resident’s families are fully involved with the maintenance of finances as appropriate. Full records are maintained of all health and safety maintenance checks and these seen to be kept up to date. Regular checks are undertaken for fire safety, legionella water test, electrical & gas supplies and emergency call systems. The requirement made at the last inspection to hold records on the premises of the testing of emergency alarms and lighting has been fully complied with. Records are fully maintained within the home in relation to care practices and all files are kept confidential. Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 17 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 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 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations Care plans should be expanded to ensure that information for each resident is detailed and specific to their individual needs. Medication profiles needs to include why it has been prescribed. So that carers have a greater understanding of the healthcare needs of residents. 2. OP9 Park House Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Nursing Home DS0000012631.V346717.R01.S.doc Version 5.2 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. 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