Inspection on 24/05/05 for Park House Nursing Home

This inspection was carried out on 24th 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.

Other inspections for this house

Park House Nursing Home 10/09/08

Park House Nursing Home 23/01/08

Park House Nursing Home 05/02/07

Park House Nursing Home 12/01/06

Park House Nursing Home 25/10/04

Park House Nursing Home 19/04/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing 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 Kinlet Bewdley Worcestershire SY12 3BB Lead Inspector Keith Salmon Unannounced 24 May 2005 09:30 th 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 Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park House Nursing Home Address Kinlet Bewdley Worcestershire DY12 3BB 01299 841262 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) Park House Care Ltd Mrs Melanie Allen Care Home with Nursing 38 Category(ies) of 16 x Dementia (DE) registration, with number 22 x Old age, not falling within any other of places category (OP) Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate a maximum of 38 Older Persons requiring nursing care of whom a maximum of 16 may have Dementia. 2. 3. 4. There must be a registered nurse (RGN/EN or RMN) on duty at all times. During the daytime there must be a minimum ratio of 1:5 care staff to service users. During the night time there must be a minimum ratio of 1:10 care staff to service users. Date of last inspection 25th October 2005 Brief Description of the Service: Park House is registered as a Care Home with places for 38 older people requiring nursing care. A maximum of 16 Residents, designated elderly mentally infirm, may be accommodated. Park House comprises the original house, plus a more recent extension, and is furnished and decorated to a high standard. Accommodation is arranged on three floors, reached via a shaft lift or staircase, and the Home sits amidst well-maintained gardens and grounds, which provide a safe outside environment for Residents and their Visitors. Residents also benefit from arranged trips and entertainment visits. The Proprietor, and registered ‘Responsible Person’, is Mrs Carla Gregory and the Registered Manager/Matron of the Home is Mrs Melanie Allen, who is supported by a team of well-qualified and experienced Staff covering all aspects of the Home’s provision. Care Staff receive regular training, and more than 50 of Care Staff have attained Level 2 NVQ Award. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection commenced at 09.30, lasted 6.0 hours and was undertaken by one Inspector. This Report is a product of observations made during a tour of the Home, discussions with the Proprietor and the Manager, Staff, plus a review of care related documentation, including staff recruitment/ deployment records, and a range of documents/records reflecting the general operation of the Home. Discussions were also held with Residents (4) and Relatives/Visitors (2), this relatively small sample being determined by the nature of the client group. Previous high standards of overall management and direct care provision have been maintained, and carried out in what is, clearly, a very friendly and open atmosphere. 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 Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 6 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 Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 7 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) 1, 2, 3 and 4 Prospective Residents are enabled to reach an informed choice as to whether they wish to enter the Home. Prior to admission processes ensuring appropriate, thorough and effective care needs assessment are diligently undertaken and applied. Staff are enabled to provide the type, and quality of care required by Residents. EVIDENCE: The Home has a clearly written Statement of Purpose and a recently introduced revised information package available to all prospective Residents. This package comprehensively meets the requirements of the Standard. Written Contracts / Statements of Terms and Conditions of Residence were observed in Residents’ files, as was documentation demonstrating the Matron, or Deputy Matron, undertakes a pre-admission assessment of all potential Service Users. In addition, there was clear evidence of involvement of Residents upon their admission, and that of the ‘Key Worker’ assigned to a particular Resident. Since the previous Inspection the ‘Key Worker’ system has undergone further development, with Residents cared for by one of four teams, each team comprising 2 RGNs (1 covering day shifts the other night shifts) supported by 6-7 Care Assistants per team. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 8 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, 8, 9 and 10 Care provided by the Home is effective in meeting Residents’ assessed care needs. Staff relate to Residents and their families/visitors in a friendly and respectful manner. The storage, administration and disposal of medicines are fully in accordance with accepted good practice. EVIDENCE: Care documentation selected at random, and relating to 10 Residents, showed evidence of full pre-admission assessment having been carried out by the Matron or Deputy Matron. Care Planning documentation comprehensively encompassed the range of ‘care areas’ necessary to ensure the delivery of care appropriate to the needs of each Resident, was well organised, current and clearly written. Operational Policies and Procedures were reviewed and found to be comprehensive and up-to-date. A particular aspect to be applauded is the full involvement of Care Staff as ‘named key workers’, with responsibility for the ‘social care’ planning for specific Service Users. It was clear from discussions with Care Staff they greatly value their involvement in developing care planning through this approach. Inspection of medicine storage provision, and administration records, showed the Home’s practices meet the guidelines of the Royal Pharmaceutical Society. Staff training records confirmed that all Staff receive initial and refresher training in the safe handling of medicines, which is provided by the local Pharmacist. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 9 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, 14 and 15. A range of leisure opportunities, consistent with Residents’ capabilities, is provided, and the Home facilitates achievement of desired lifestyle, through Residents conducting the pattern of their day as they wish, contact with family and friends, continuation of religious practices, provision of a daily choice of attractive and nutritious meals. The Home appears to be well integrated into the Community and its’ activities EVIDENCE: The Home engages the services of an ‘Activities Organiser’ on a twice weekly basis. Many of the activities are based on discussions with Service Users or their Relatives, which seeks to discover individual expectations, preferences and interests. The Inspector was informed by Service Users of the range of activities offered, including arts and crafts, bingo, music (including entertainers visiting the Home) and, recently reintroduced, dominoes. (Very popular with a number of Service Users). Residents also stated they enjoyed freedom of choice in how they plan their ‘day’, and they are able to receive visitors, in private, at any time. Some of the Residents attend the neighbouring Public House every Friday for lunch. The Home arranges trips to the local safari park, several times a year,– an outing very much enjoyed on the day by those with poor memory function – and also walks of up to 1 mile in the Wyre Forest. Residents said their meals were generally tasty, varied and met their requirements. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 10 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, 17 and 18 The interests of Residents are protected through ready access to the Home’s Complaints Procedure and information relating to advocacy services. Staff are clearly aware of their role in protecting Residents from abuse. EVIDENCE: A clear and concise Complaints Procedure is displayed in the main hallway, which includes reference to the Commission for Social Care Inspection as the regulatory body, together with contact details. The Home maintains a record of complaints, which was observed to be current. Residents stated they would have no hesitation in raising matters if they had any concerns, and were confident these would be dealt with promptly. Information relating to the use of advocacy services is also displayed. Policies relating to protection of Residents from abuse were observed to be in place and readily accessible – these included, ‘Whistle Blowing’, ‘Abuse Awareness’ and ‘Adult Protection’. Staff training files indicated that Staff had received training in respect of these Policies. Residents who wished to were enabled to vote at the recent General Election. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 11 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) 19, 20, 21, 22, 23, 24, 25 and 26. The Home is decorated to a high standard, with furnishings that create a comfortable and ‘homely’ atmosphere, and it provides a generally safe environment. The Home has well tended gardens, which are accessible, and appropriate in design to the needs of the Residents. The lack of a sluice with disinfecting cycle presents an infection control risk. EVIDENCE: There are several lounge/sitting and dining areas offering a variety of size and outlook. Furniture in lounge and dining areas are of good order and present a ‘domestic’ ambience. The specialist equipment, available to facilitate provision of care e.g. hoists, wheelchairs, stand-aids appeared to be in good working order, is consistent with the needs of the Service Users, and the demands of tasks carried out by Care Staff. The Home has a full range of maintenance contracts in place, and, through an on-going refurbishment/redecoration programme, communal areas on the 1st Floor have benefited from the replacement of carpets, chairs, soft furnishings and wallpaper. The Home’s sluices are of an older and unsatisfactory design in that they do not have the required disinfecting cycle. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 12 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, 28, 29 and 30 Staff numbers and skill-mix on duty were consistent with that shown on the rota, and were sufficient to meet the assessed care needs of current Residents. Recruitment and employment practices are consistent with the safeguarding of Residents. The commitment of the Home to providing training for Care Staff is exemplary. EVIDENCE: The current staffing rota, and those from the immediately preceding weeks, were examined. Staffing numbers and skill-mix enable a service provision, which meets the care needs of the Service Users. In addition, ‘bank’ staff are utilised to increase staffing levels, when judged necessary by the Manager, e.g. periods of peak activity and/or increased dependency. Staff Personal Files demonstrated evidence of full compliance with the Standard and Schedule 2 of the Regulations. Staff are subject to a thorough, and relevant, orientation/ induction programme, which is followed by comprehensive ‘foundation’ training, e.g. manual handling and lifting, fire safety, simple infection control. In addition, the Home enjoys an excellent record for the continuing development of Care Staff, and supporting Staff in undertaking appropriate training based on a well-structured plan for determining individual training needs. The current high level of NVQ Level 2 attainment (65 of Carer Staff), is further complemented by in-house training. The Home’s very positive approach to enabling skills development is seen in the opportunity afforded to ancillary staff to undertake NVQ Level 1– an opportunity greatly appreciated by the Staff involved. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 13 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) 31, 32, 33, 36, 37 and 38. Operationally, the Home is very well organised, with the central purpose being ‘the best interests of Residents’. Staff are subject to effective support with regular ‘supervision, and appeared involved and happy in their work. EVIDENCE: The Management Team comprises Mrs Carla Gregory, Registered Provider, who carries business/administrative responsibility, the Matron, Mrs Melanie Allen, RGN, who holds responsibility for the day-to-day management of care provision, and the recently appointed Deputy Matron, Miss Christine Thomas. It was evident from discussions with the Registered Provider and the Manager there are clear lines of accountability established within the Home, and Staff informed the Inspector that regular Staff meetings were held, involving all grades of Staff, which they valued, and that they receive support and commitment from both Mrs Gregory and Mrs Allen. The leadership provided by all the Management Team is exemplary Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 14 The Home has a structured ‘Quality Assurance’ Programme, which includes regular ‘in-house’ auditing of all areas of service provision at preset review dates. As part of this the Home undertakes fact-finding activities to ascertain the views of the Service Users, Relatives and also visiting Clinical and Social Care Professionals, as to the quality of service provided COSHH requirements were satisfactory, with maintenance and servicing regularly undertaken, and appropriately documented. Recording of accidents/incidents is satisfactory, and a ‘first-aider’ is always available. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 15 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 3 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 4 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 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 4 3 x x 3 3 3 Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 16 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 13 (2) (k) Regulation OP26 Requirement A sluicing disinfector must be provided. Timescale for action 12/09/05 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 OP 19 Good Practice Recommendations That the replacement of baths be included in the refurbishment programme. Park House Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 Nursing Home E56 S41214 Park House NH V220359 UI 240505 Stage 4.doc Version 1.30 Page 18 - 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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