Inspection on 12/01/06 for Park House Residential Care Ltd

This inspection was carried out on 12th January 2006.

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

The inspector 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 Residential Care Ltd 27/06/07

Park House Residential Care Ltd 06/09/05

Park House Residential Care Ltd 01/02/05

Park House Residential Care Ltd 19/07/04

Park House Residential Care Ltd 24/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Park House Residential Care Ltd 77 Queens Road Oldham OL8 2BA Lead Inspector Sandra Bennett Unannounced Inspection 12th January 2006 11:09 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 Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 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 Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park House Residential Care Ltd Address 77 Queens Road Oldham OL8 2BA 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) 01616260802 0161 620 8144 Park House Residential Care Limited Ms Barbara Connolly Care Home 27 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (18), of places Physical disability over 65 years of age (5), Sensory Impairment over 65 years of age (2) Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 27 service users to include: *up to 18 service users in the category of OP (Old age not falling within any other category). *up to 5 service users in the category of PD(E) (Physical disability over 65 years of age). *up to 15 service users in the category of DE(E) (Dementia over 65 years of age). *up to 2 service users in the category of SI(E) (Sensory impairment over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 6th September 2005 2. Date of last inspection Brief Description of the Service: Park House is a detached property situated one mile from Oldham town centre. The home is close to local bus routes and amenities. Accommodation for service users is provided in 27 single rooms, 21 of which have en-suite, with other toilets being situated close to service users’ rooms and lounges. Three large lounges and a dining room/conservatory provide adequate seating and a choice of dining areas. Outside of the property is a large landscaped garden overlooking a local park which service users can access unaided. Both inside and outside of the property are well maintained to a good domestic and homely standard. Park House has two assisted bathrooms. Aids and adaptations are provided for service users in communal facilities and exclusively for individuals. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unscheduled inspection four service users were interviewed in private, as were three members of staff. Discussions also took place with the manager and visitors. A selected tour of the premises was undertaken and a number of records scrutinised which included, staff rotas, medication records and care planning. Service user, relatives and professional questionnaires were left for completion. Three relative questionnaires were returned at the time of writing this report, all were complimentary of the care and support provided by staff at Park House. One professional questionnaire was returned which stated the staff provide a high standard of care. What the service does well: The home obtains information on the care needs of service users prior to their admission. One service user recently admitted to the home said they had been given information about what the home was like and decided to give it a try. They said “ I really like it here”, and “It is the next best thing to being at home”. A newsletter is published to inform service users of forthcoming activities and developments in the home. Service users are encouraged to submit articles and participate in the preparation of the newsletter. Service users spoke about the quality of food served and the choices available to them some comments made were “ staff always ask us what we want and offer choices” and “we have nothing to complain about, everything is very good.” There is a well-established staff team who maintain their professional development through continuous training with 68 of staff having been trained in care practices. Communication is promoted through regular staff and service user meetings. Relatives and professionals stated they were always kept aware of the service users progress. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 6 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 Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 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 Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 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 the following standard(s): 3, 5 (Standard 6 is not applicable to Park House) Service users are encouraged to visit the home prior to admission, in order to see if they would like to live in the home. A professional assessment of the service users needs is obtained prior to being offered a place in the home to ensure their needs can be met. EVIDENCE: Examination of service users files found a detailed assessment of need had been obtained by professionals prior to their admission in order to ensure the home could meet their needs. During interviews with newly admitted service users they confirmed they were encouraged to visit the home prior to admission and were given information on the facilities and services the home offers. In some instances due to physical infirmities or hospital admission service users relied on families to make a decision. One service user said, “I think my family got me the best home they could, I really enjoy living here”. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9. Care plans did not reflect service users assessed needs which may pose a risk to service users. Medication procedures were appropriate and protected the health care needs of service users. EVIDENCE: Four-service users files were examined. These were difficult to follow due to the lack of an appropriate filing system. Care plans did not always record the service users assessed needs. Daily reports need to be more explicit on care delivery. Through interviews with staff, evidence was gained of their in depth knowledge of the service users physical and emotional needs alongside their likes and dislikes. However inconsistencies may occur if record keeping and filing systems do not improve. There was evidence that reviews of care had taken place. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 10 Health care visits and weights were recorded. The home uses a communication book, which is referred to at staff handovers. There were items in this book that referred to service users care to ensure staff are fully informed. This information must be reflected in daily reports and care planning. The safe keeping of medication, administration and recording was examined and found to be correct. Medication was signed for at the point of administration. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,14,15. An appropriate range of activities and choices are provided by the home resulting in service users having control of the daily lives and achieving a sense of fulfilment. EVIDENCE: Service users spoke freely about their lifestyle in the home and were found to be very interactive with each other and the staff group. All service users were well groomed with some of the ladies having their personal hairdresser attending. Many wore jewellery and nail polish with staff ensuring that clothes were always clean and in good condition. One service user said “laundry always comes back in time and in good condition, sometimes I think they wash things that don’t need it”, another said” night staff always come to see if you are ok, you can ask staff any thing and if they don’t know they will find someone that does”. Service users spoke of activities and gave examples of pub lunches and trips out. A service users said that staff brought in some old photos of the local area for discussion, which they really enjoyed. Activities and forthcoming events are displayed on the homes notice board. The home also employs an activity co-ordinator. One service user said, “ The managers runs a happy ship here”. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 12 The inspector dined with service users who discussed the quality, quantity and choice of food on offer saying,” staff always asked us what we want and there is always a choice but if we don’t like that they will offer something different, we also have good suppers, too much really”. Meals are served in two of the lounges and the conservatory with tables being set to a hotel model. One service user said that wine is offered during afternoons and activities. Many service users had keys to their rooms and were happy to show the inspector their personal rooms, which were personalised and homely. Several choose to retire to their rooms after lunch for a rest and said they felt free to come and go has they liked. Park House publishes a newsletter with the help of service users. This includes a report from the manger, a poetry section and forthcoming actvivities. Twoservice user submitted a short story about events in their lives that they wished to share. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 16, 18. Service users are confident they can talk to staff and their concerns will be acted upon making them feel safe within the home environment. EVIDENCE: The above standards were inspected in full on the previous inspection. The inspector took the opportunity to discuss with service users how they felt about making a complaint. One service user said they could discuss any issues with any of the staff, manager or proprietor who visits on a daily basis and were confident that their concerns would be listened to. This comment was also reflected throughout other interviews with service users. One said “we have nothing to complain about everything is very good.” The home maintains a record of complaints however minor. Interviews with staff clarified their knowledge on the protection of vulnerable adults. Knowledge of protection of vulnerable adults is included in NVQ staff training. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 19,26. The home is clean, tidy and well maintained providing a homely environment for service users. EVIDENCE: All the above standards were examined on the previous inspection, therefore only a selection of service users rooms were inspected and communal areas on this occasion. Park House employs a maintenance person 37 hours a week, which results in the home being well maintained. Each bedroom is decorated and new curtains and bedding are provided before a new service user is given the room. One service user showed the inspector their bedroom and said that the home asked them to choose wallpaper and colours for the bedroom. They said “ I really liked the colours in the room so I asked them if the would leave the room as it was, but I thought it was very good of them to ask me”. Another service user said “this is the next best thing to being at home”. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 15 A good standard of hygiene is provided with duty rotas reflected domestic hours over a weekend and evening period. The carpets in the corridors of the home needed renewing together with some chairs in the lounge. The manger had also noted this and included it within the homes refurbishment plan with timescales for completion. To date the home has provided none slip flooring in two bathrooms and a number of WC, five rooms have had carpets replaced and three rooms have been redecorated. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Staff numbers, training and induction were sufficient to ensure service users needs were met. EVIDENCE: Staff duty rotas were well planned with sufficient care staff to meet the needs of service users. Ancillary staff was also to cover the day, evening and weekend periods ensuring staff time is directly care related. During interviews staff demonstrated a good knowledge of the service users needs and discussed training they had attended which included; moving and handling, first aid, infection control, prevention of adult abuse and NVQ’s. Senior staff had undertaken training in the safe handling of medication. Staff induction was in line with Skills for Care with workbooks being available for inspection. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35,36,37. The leadership and management style of the home is inclusive of the views of service users, providing a sense of fulfilment. Service users are protected through the home’s financial procedures. Record keeping and filing systems in the home need to be improved to ensure service users needs are consistently met. EVIDENCE: The home’s manger has many years experience in management and has achieved NVQ4. They maintain an open and inclusive atmosphere through regular consultations with staff and service users. The home only holds the finances of four service users; others are looked after and administered by the service users families or advocates. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 18 Examination of finances held on behalf of service users found that incoming monies and expenditure had been recorded fully and monies held matched the final balance. There was recorded evidence that regular staff supervision took place. Record keeping and filing systems need to be improved. (See Standard 7) Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 19 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 X X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 4 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 4 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 2 X Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 20 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. 1 Standard OP37OP7 Regulation 15 Requirement The registered person must ensure that service user’s assessed needs are reflected in care planning and daily reports. Timescale for action 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP37OP7 Good Practice Recommendations The registered person should review the filing systems in the home in order to provide a uniform approach to ensure service user needs are consistently met. Park House Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Residential Care Ltd DS0000005514.V271035.R01.S.doc Version 5.0 Page 22 - 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!