Inspection on 20/07/07 for Park House Nursing Home

This inspection was carried out on 20th July 2007.

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 Nursing Home 29/04/08

Park House Nursing Home 23/08/06

Park House Nursing Home 14/12/05

Park House Nursing Home 22/06/05

Park House Nursing Home 18/11/04

Park House Nursing Home 22/07/04

Park House Nursing Home 05/02/04

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Hawkhills

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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 Park Lane Queensbury Bradford BD13 1QJ Lead Inspector Mary Bentley Unannounced Inspection 20 July 2007 09:15 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 DS0000029237.V345282.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 DS0000029237.V345282.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Nursing Home Address Park Lane Queensbury Bradford BD13 1QJ 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) 01274 817014 01274 884514 Kloriann Medicare Ltd Mrs Helen Patricia Harrison Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25), Physical disability (1), Terminally ill over of places 65 years of age (3) Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for PD is specifically for the service user named in the application for variation dated 20 May 2005 23rd August 2006 Date of last inspection Brief Description of the Service: Park House is a converted Victorian house set in its own grounds and situated near the village of Queensbury. The home has well maintained gardens that include a woodland walk, and are accessible to people. There is wheelchair access to a patio area from one of the lounges. The home provides nursing care and the majority of people living there are over the age of 65. There are seven double and nine single rooms, a number of rooms have en-suite toilets. Many of the rooms in the old part of the house have excellent views of the gardens. The home has 2 lounges, a dining room, conservatory, and a small seating area on the second floor. The standard of décor is good. The home has a no smoking policy. In July 2007 the weekly fees ranged from £450.00 to £590.00. Additional services such as hairdressing and private telephones are not included in the fees. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I did this unannounced inspection in one day and spent approximately 7.5 hours in the home. During the visit I spoke to people who live at the home, visitors, staff and management. I looked at various records relating to care, staff, and maintenance and looked at some parts of the building. Earlier this year a referral was made to the Adult Protection unit in Bradford. The referral concerned the care of one person in the home. As part of the investigation we made an unannounced visit to the home on 23 May 2007. Following the visit the home was sent a report of our findings. This included information on what they were required to do to address the shortfalls we found. The report from that visit will not be published but can be requested from our office in Leeds. The Adult Protection investigation has not yet been concluded. A second referral was made in early July and that has been incorporated into the Adult Protection investigation. The purpose of this visit was threefold: a) To look at how the home was progressing with meeting the requirements made in May 2007, b) To look into some of the concerns arising from the second Adult Protection referral and c) To look at how the needs of other people living in the home are being met. Before the visit we sent a number of comment cards to people living in the home, relatives, and health care professionals who visit the home. We also left comment cards for staff at the home. Comment cards give people the opportunity to share their views of the service with us. The information we get is shared with the home without identifying who has provided it. In total 23 comment cards were returned. Before the visit the home completed a quality assurance self-assessment form. We have used some of that information as well as the information from the surveys in this report. What the service does well: The home is decorated and furnished to a high standard making it a pleasant and comfortable place for people to live. Several people said the home is always clean and never smells and one person said, “The home is well presented and always clean and well maintained”. The home has been awarded a 5 star rating by Environmental Health for its standards of food safety and hygiene; this is the highest rating. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 6 People spoke very highly of the staff describing them as “caring”, “friendly”, and “helpful”. One person who lives in the home said, “Its lovely here, staff are marvellous”. People can see their visitors at times that are convenient to them and one relative said the home is “Welcoming for relatives day/night or anytime” One health care professional who visits said the home “Respects residents dignity and responds well to advise with regard to residents rehabilitation requirements” People said the food was “very good”. People are encouraged to visit the home before moving in and they said they had been given enough information to help them make an informed decision. People’s wishes about how and where they spend their time are respected. One regular visitor said “people can go to bed and get up when they want, can stay in their rooms if they wish, are encouraged to join in activities but if they choose not to that is ok” What has improved since the last inspection? What they could do better: One person said, “Some physiotherapy would be appreciated”. The home must continue to improve the way it provides for social care needs so that people can continue to have a good quality of life. People should have more opportunities to get involved in activities outside the home. There should be enough staff available to make sure that the planned programme of events can go ahead even when the activities organiser is not on duty. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 7 There must be enough staff available to make sure that people’s needs are met in a timely way. The number and skill mix of staff must be kept under review and must be appropriate to the needs of people living in the home. The home must continue to improve the care records so that they can demonstrate they are identifying people’s needs and taking appropriate action to address those needs. 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 DS0000029237.V345282.R01.S.doc Version 5.2 Page 8 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 DS0000029237.V345282.R01.S.doc Version 5.2 Page 9 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, 2, 3 & 5 Standard 6 does not apply to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Information is available about the range of services offered and people are encouraged to visit before making a decision about moving in. EVIDENCE: The Statement of Purpose has been updated and includes all the required information. Five people living in the home said they had been given enough information about the home before they moved in and all said they had contracts. One person said they had not been given any notice of the fee increase in April 2007. People are encouraged to visit the home so that they can see for themselves what services and facilities are available and have an opportunity to meet some of the people who live and work in the home. Many of the people living Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 10 in the home were in hospital before moving in and their relatives visited the home on their behalf. Someone from the home visits people before they move in, to find out about their needs and to give them information about the home. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 11 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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. For the most part people’s personal and health care needs are met. The home is working to improve the quality of the care records however, more work needs to be done to make sure that care is delivered consistently and people’s needs are not overlooked. EVIDENCE: When we visited the home in May 2007 we found a number of shortfalls in the care records. The home was informed of the actions they needed to take to address these concerns. Since then all the nurses have had training on care planning and at the time of this visit they were in the process of updating all the care plans. I looked at 2 sets of care plans. One of the areas of concern at the last inspection was about how nutritional needs were identified and dealt with. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 12 In one of the care plans the pre-admission assessment identified that the person had nutritional needs due to poor appetite and recent weight loss. The first weight record was 2 weeks after admission. There was a care plan about eating and drinking. However, this did not include specific information, for example it did not say anything about offering snacks between meals and did not make reference to a food chart. Changes made as a result of evaluation were not reflected in the care plan. A food chart was started approximately four weeks after admission, however not all the charts were available and those that were had not been filled in properly. A referral was made to the dietician and the outcome of this was recorded. The nutritional risk assessment used by the home was not adequate and is in the process of being changed. The manager said she had attended an update on nutrition and has given the kitchen staff additional information on how to cater for the needs of people who are nutritionally at risk. The person had pressure sores when they moved into the home. However, the wound care plans did not give a clear picture of the condition and treatment of the wounds. Change of position charts were started approximately 2 months after admission. The home said that until then position changes were recorded in the daily notes. The tissue viability nurse specialist was consulted and the home acted on her advice. There were care plans showing how other identified health and personal care needs would be met. The daily records contained detailed information about how people’s care needs were being met. The other set of care records had care plans showing how all the needs identified in assessment would be met. Generally they contained clear information for staff on how to deliver care. The care plan on communication was vague and did not make it clear how to interpret non-verbal communication or if any alternative methods of communication were being used or had been tried. One of the wound care charts was up to date the other was not. Moving and handling risk assessments were up to date in both sets of care records. The care plans had evidence of discussions and consultation with relatives. People living in the home said they receive the care and support they need. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 13 Relatives said they are satisfied with the care provided and are kept well informed. One person said, “I am so pleased with the care she gets and I have seen given to other residents.” The majority of staff said they are well informed about people’s needs and are kept up to date about changes in people’s conditions. At the last visit there were concerns about how some medicines were managed, the manager said this has been dealt with. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 14 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 & 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are opportunities for people to take part in a range of social and leisure activities. The home is continuing to work on improving this aspect of the service so that people’s quality of life matches their expectations, needs, and preferences. EVIDENCE: The activities programme is displayed in the dining room. The activities listed for the week of 16 July included a birthday party, games, bingo and sing a long. The home had a garden party the weekend before this visit and the money raised will be used to fund activities. The activities organiser works, on average, 10 hours a week, when she is not there it is up to care staff to organise activities. This is not always possible because they are busy dealing with personal and health care needs. People living in the home said activities are provided for them to take part in if they want to. Some people prefer not to take part and this is respected. One Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 15 person said, “activities are arranged but I do not like taking part, I like to be quiet and read magazines sometimes”. The manager said one area that had improved over the past 12 months is that people are now consulted more about what activities they would like to be provided. The activities records have improved and show what people enjoyed and when they declined to take part in organised events. Some relatives are satisfied with the way social care needs are met; one said the home “has lots of stimulation for residents”. Others felt this was an area that could be improved, one person said, “the residents are often bored, more activities or trips would be nice”. Information provided by the home showed that they had already identified this as an area for improvement. Ministers from the local Church of England and Catholic churches hold services in the home and some people have private visits from church representatives. People said the food is “very good”; one person said they are a “fussy eater” and the home always prepares anything they request. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 16 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home has the required policies and procedures in place to make sure that complaints are dealt with appropriately, and that people are protected from abuse. EVIDENCE: The home has a complaints’ procedure. Most people said they know how to make a complaint. One person said the home had responded very well to some concerns they had raised, they said the matter was dealt with “delicately and discreetly”. Two people said they were not sure how to make a complaint, one person said. “Would just go to the office but I don’t know if this is the correct procedure” The complaints’ records showed that the home has received 3 complaints since the last inspection and these have been dealt with. A complaint made by a relative to one of the nursing staff had not been recorded although the matter had been dealt with. Staff said that if someone spoke to them about a concern/complaint they would refer it to the manager or owners. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 17 There have been two referrals to the adult protection unit and these are still being investigated. We visited the home in May 2007 to look into some of the issues raised by the adult protection referral. One of the concerns was that staff had not reported an accident involving a person living in the home. Since then all the staff have had training on how they should report incidents and/or concerns and the “whistle blowing” policy has been updated. Staff have had training on adult protection and the local adult protection policies and procedures are available in the home. Staff said they are aware of what to do if they have any concerns that people are not being treated properly. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 18 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, 20, 21, 24, 25 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is clean and comfortable and provides a pleasant place for people to live. EVIDENCE: All parts of the home are decorated and furnished to a high standard. The dining room has been refurbished since the last inspection and provides a light and airy room where people can enjoy their meals. The home was clean and there were no unpleasant odours. One person said the home is “always clean and never smells”. One person said the standard of cleanliness in the bedrooms did not always match that of the communal rooms. As an example they said that people did Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 19 not always move or dust pictures when they were dusting the tops of drawers in bedrooms. A new bath has been fitted to the top floor bathroom. This means that the home now has enough baths to meet the recommended ratio of 1:8. However, the new bath is only suitable for people who can have a bath independently. Thermostatic valves are fitted to hot water outlets to control the temperature. The water temperatures are checked and the records showed that the temperature is being maintained within the recommended range. Door locks have been fitted to the bedroom doors. There is information in the care records to show that people have been given the opportunity to have keys or to explain why it is not safe for them to have one. In most of the rooms seen people had some of their personal belongings around them. There are privacy screens in the shared rooms. The hairdresser works in a bedroom because there is no dedicated hairdressing facility. Although the people concerned have given their permission this is not an ideal situation and will have to be addressed at some point in the future. There is a passenger lift, which means that people have easy access to most parts of the home. There is one bedroom on the ground floor that can only be reached by going up 2 steps. The manager said this room is only offered to people who are able to walk up the steps. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 20 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 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are not always enough staff available to make sure that people’s care needs are dealt with in a timely way. People are protected by good recruitment procedures. Staff receive the training they need to help them understand and meet people’s needs. EVIDENCE: Duty rotas are available for all grades of staff. There is always one nurse on duty. There are usually 4 care staff on the morning shift (7.30am to 2.00pm) and 3 care staff on the afternoon shift, (2.00pm to 9.00pm). Overnight there are a total of 2 staff, a nurse, and a care assistant. Separate staff are employed for housekeeping and catering, these include a tea assistant who works from 6.00pm to 8.00pm four days a week. Staff said they enjoyed working in the home. Six of the ten staff that completed our questionnaire said they sometimes had enough time to care for people properly and 7 said there are usually enough staff on duty. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 21 One person said, “There is often work pressure, but we try our best to give adequate care to our residents” Some staff said it would be helpful to have a breakfast assistant. They said this would allow care staff to concentrate on helping people to get up and dressed and people would be able to get down for breakfast at a more reasonable time. Another member of staff said one nurse on duty was not enough because of high dependency of people living in the home. A relative made a similar comment. People said staff are usually available when they are needed. One person said “Sometimes there is a delay with toileting resulting in accidents” Most people said staff listened to them and took notice of what they said; one person said they did not always respond. One person said it would be helpful to have information displayed about which members of staff are on duty each day. These are some of the comments people made about the staff: • “Staff seem very friendly and helpful” • “All staff are caring and treat their clients with appropriate respect” • “Staff seem to be experienced” There is an ongoing programme of NVQ (National Vocational Qualification) training and 71 of care staff have an NVQ at level 2 or above. The files of 2 newly appointed staff showed that all the required checks had been completed before they started work. This included PoVA (Protection of Vulnerable Adults) and CRB (Criminal Records Bureau) checks. Newly employed care staff receive a detailed induction programme that meets national standards, (Skills for Care). The majority of staff said they had received good induction training when they started work. The training records showed that staff received fire safety and moving & handling training in May 2007. Information provided by the home showed that all staff have completed training on the control of infection control. Generally staff were satisfied that they are getting the training they need, one person said, “If any changes occur we are informed as soon as possible and receive training” Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 22 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, 36, 37 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Overall the home is well managed. However, more needs to be done to make sure that people have the opportunity to share their views on how the home is run and to contribute to the development and improvement of the service. EVIDENCE: The registered manager is a nurse and has many years experience in the care of older people. She has completed the course work for the Registered Managers’ Award and is waiting for the final assessment. The amount of supernumerary time allocated to the manager varies between 2 and 4 days a week. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 23 There was a residents’ meeting in January 2007, the topics discussed included activities, menus, and laundry. The manager said another meeting is due. Staff meetings are held regularly, as well as general staff meetings there are meetings for different groups of staff such as the nurses or senior care staff. The majority of people said they satisfied that they are kept informed about changes and consulted about how care needs will be addressed. One person said there is “Excellent two way communication” between them and the home. Most of the consultation is about how individuals care needs will be addressed. Therefore, people are not always given the opportunity to comment on wider issues relating to the running of the home. The manager has prepared questionnaires to send to people living in the home and their relatives, they have not yet been sent out. A staff questionnaire is also being developed. There are systems in place for monitoring accidents, falls, and pressure sores. As a result of the recent complaint the manager is now checking all the accident forms every week to make sure that there has been appropriate follow up and that this is recorded. There has been no change to the systems for dealing with people’s finances. There is a long-standing arrangement whereby the home acts as appointee for two people. This came about because of exceptional circumstances. Neither of these people receives a personal allowance and any additional services they require, such as hairdressing, are paid for by the home. The management does not get involved in managing money on behalf of any new people coming into the home. Invoices are issued for additional services such as hairdressing and/or newspapers. No one living in the home manages his or her own finances. The programme of staff supervision has lapsed, the manager is aware of this. The deputy manager has attended training on coaching and supervision and will take over the supervision of care staff. The manager will continue to provide supervision for nursing staff. Most of the maintenance records were available and showed that equipment and installations are checked at the required intervals. The electrical wiring certificate was not available at the time of the visit however the owners confirmed that this work had been done. Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 24 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 2 3 X 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 2 17 X 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 2 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 2 2 Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 25 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 OP2 Regulation 5A Requirement People must be given at least one months notice in advance of any increase in the fees so that they have accurate and up to date information about the charges and have time to make the necessary financial arrangements. Everyone living in the home must have a comprehensive assessment of their needs and this must be kept up to date to take account of changes in their condition. This is to make sure that people’s needs are properly identified and appropriate care is given. Carried forward from the last inspection. Everyone living in the home must have a detailed plan of care setting out how their assessed needs will be met in relation to personal, health and social care so that care can be delivered in a consistent way. Previous timescale of Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 26 Timescale for action 30/11/07 2 OP7 14 30/11/07 3 OP7 15 30/11/07 24/11/07 not met. 4 OP8 13(4) Risk assessments such as those relating to nutrition must be up to date so that appropriate action can be taken to reduce the risks to people living in the home. Carried forward from the last inspection. There must be enough staff on duty at all times to make sure that people’s care needs are met in a timely way. The numbers and skill mix of staff must be kept under review and must be appropriate to the needs of people living in the home so that people can be cared for by suitably skilled and competent staff. 6 OP33 24 A system for evaluating the quality of the services provided at the home must be established and maintained. Previous timescale of 2/6/07 not met. 30/11/07 30/11/07 5 OP27 18 30/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Park House Nursing Home DS0000029237.V345282.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 DS0000029237.V345282.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!