Inspection on 27/06/07 for Park House Residential Care Ltd

This inspection was carried out on 27th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 12/01/06

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 Buckley Unannounced Inspection 27th June 2007 09:30a 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.V333085.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 Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 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.V333085.R01.S.doc Version 5.2 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. 12th January 2006 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. Fees charged range from £313.88 to £361.88. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was made to the home on 27th June 2007. This means that the manager was not told we were coming to visit. The inspection included a review of all available information received by the Commission for Social Care about the service provided by the home. All the key standards were assessed at the time of this visit and information was taken from various sources. This included observation of care practices, talking with people in the home, relatives, staff and the manager. Questionnaires from professionals, people in the home and their relatives had been sent prior to the visit with the information and comments received being reflected in this report. A selective tour of the home was undertaken and a sample of care, employment and health and safety records were seen. Information has also been included from the home’s quality assurance system and questionnaires. What the service does well: The home promotes a holistic approach to people’s needs, which is reflected in their assessments and care planning. People’s preference of when they wish to go to bed or get up and their likes and dislikes were also recorded. Two relative comments from questionnaires said “I feel the care home cares for my mother in all aspects for her to live in a comfortable and caring environment. Staff are aware of her needs and help her any way they can.” Also “my relative needs a lot of patience and understanding, the home cares for him very well.” One person told the inspector “I was told this is your home so treat it as such,” another said “staff are very caring and respectful towards us.” People also commented on trips out for lunches and activity afternoons. One person said, “I love the arts and crafts”. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 6 A professional questionnaire said, “From management to employees the professionalism is of a very high standard” and “It is a happy and friendly place like a first class hotel.” Staffing levels in the home were appropriate to meet the needs of the people living there. Staff were trained, with half having completed a NVQ qualification. The home’s quality assurance systems ensured people’s views are taken into consideration on any developments in the home. 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. The summary of this inspection report can be made available in other formats on request. Park House Residential Care Ltd DS0000005514.V333085.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 Residential Care Ltd DS0000005514.V333085.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): Standard 3 Quality in this outcome area is good. A professional assessment of people’s needs is obtained prior to coming into the home, which ensures their needs can be met. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Three people’s files were examined in depth following their care from the time of the admission. Two of the files were professional assessments, the other one had been completed by the home. The home’s assessment would benefit from more explanation of what and how care issues present. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 9 Interviews with staff and people in the home provided evidence that staff had a good knowledge of people’s needs and that people felt their needs were met. People are encouraged to visit the home prior to admission. A comment from a questionnaire said, “my decision to stay in the home was based upon my regular visits to the home.” Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 10 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): Standards 7, 8, 9 and 10 Quality in this outcome area is good. Positive outcomes for people in the home are maintained through staff training, communication and the home’s holistic approach to people’s needs. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home was in the process of streamlining the filing systems. Examination of three care plans in depth found the recording of people’s health care needs from their assessments would benefit from more written details and instructions for staff. This was also applicable to daily notes. recorded on a regular basis. Reviews of people’s needs were Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 11 Through interviews with staff evidence was gained of their in-depth knowledge of people’s physical, emotional and spiritual needs. Staff were also aware of people’s likes and dislikes. People in the home said “staff keep an eye on me and notice anything different”, “staff are very courteous and very respectful to people” and “staff have to help me to have a bath, they respect my privacy and encourage me to do what I can for myself.” One relative questionnaire said, “my relative needs a lot of patience and understanding, the home cares for them very well.” Records of health care visits were maintained. One person said “they send for the doctor when I need one, they arranged for a specialist and I am going to have an operation to help me walk better.” The home’s quality monitoring system seeks the views of professionals regarding the care provided. Some comments from questionnaires said “there is always senior staff available to discuss any issues,” “we have an excellent working relationship” and “staff are very professional.” Over 50 of staff are trained to NVQ level II, with additional training being provided, examples include: first aid, administration of medication, malnutrition screen tool, protection of vulnerable adults and manual handling. Observations made throughout the day found staff applied their training with ease. Regular handovers at change of shift constantly raised staff awareness to people’s needs. The safekeeping of medication, administration and recording were examined and found to be correct. Medication was signed for at the point of administration, with only senior staff being responsible for administrating medication. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 14 and 15 Quality in this outcome area is excellent. The home’s holistic approach to care, looking at peoples preferences, quality of life, health care and spiritual needs leads to fulfilment in people’s daily lives. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: People spoke freely about their lifestyle in the home. Many had formed good friendships with other people in the home. Staff gave thought to whom people sat and dined with in order to match personality types, interests and hobbies. Staff discussed at interview the importance of maintaining people’s self image. The inspector observed that ladies were dressed very smartly, nails manicured and hair done. Most were wearing personal jewellery. Several people talked about the memories they had associated with these. The notice board showed trips out for a pub lunch and access to local amenities. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 13 People said, “I really enjoy the trips out to the pub” and “we all get on really good together here.” One person said, “my hair has been done today but what I really like is if you are going out somewhere special, the home will ring for the hairdresser to come again so you always look nice.” Another person said, “I prefer a daily shower which I always have.” People also discussed the twice-weekly arts and crafts group. One said “there will be crafts this afternoon and we will make cards and nice things.” All people spoken to said they had choices in their daily lives of when to rise and go to bed. The home completed the preference sheet for people on admission, which asks their preferred bedtimes, if they would like a newspaper, any specific dislikes in food and would they like to attend any religious services. One preference sheet stated that the person likes a drop of sherry at 8:30pm. This was also transferred into care planning. Staff gave this as an example of how the home promotes choice. One person said, “I could not live in a better place”, another said, “Staff are lovely and always nice to us.” Although people look well groomed, one questionnaire returned said, “Sometimes laundry gets stored incorrectly.” One person said “all our clothes are well looked after.” In discussions with the manager, they said they were aware of laundry problems with this being placed on the agenda for the next staff meeting. People said they could have visitors any time and there were no restrictions. The inspector dined with five people in the home. Dining tables are situated in all three lounges and conservatory area providing small group living and promoting interaction for people. Tables were set on a hotel model and were attractive, with menus on the table and individual teapots. People said, “food is really good and the tables are always set really nice.” Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 14 They discussed the choices offered, saying staff came round to see them before lunch asking if they are satisfied with the menu or would prefer something else. Of the five people the inspector dined with, one chose an alternative meal. One person said, “We could not live in a better place we are all so well looked after.” The inspector observed lots of interaction between people in the home and staff. People moved freely into either of the rooms. One person said, “I was told this is your home and treat it as such.” Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 15 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): Standards 16 & 18 Quality in this outcome area is good. People were confident they can talk to management or staff about their concerns and they would be listened to. Staff training in the protection of vulnerable adults ensures people in the home are not placed at risk. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Staff training is provided in the protection of vulnerable adults. At interview, staff demonstrated an understanding of how abuse may present and their responsibilities in reporting such an event. The CSCI had not received any complaints about the home. The last complaint the home received was in September 2006, with one person saying they would like more time to eat their main meal before sweets were served. The manager discussed this with staff and it was resolved immediately. One person said, “If I were not happy I would see the manager but we have nothing to complain about.” Another said, “I cannot complain about staff they are all great.” Other people interviewed said the same however they would feel comfortable in bringing concerns to the manager if they had any. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 16 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): Standards 19 & 26 Quality in this outcome area is excellent. The home provides a high standard of domestic living, which is safe, clean and well-maintained, ensuring people’s comfort. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home has a continuous refurbishment programme, with rooms being redecorated and carpeted when someone new is to occupy them. Since the last inspection one of the large lounges has been provided with new chairs and there have also been new carpets to the entrance hall and corridors in the home. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 17 Several bedrooms have also been redecorated and re-carpeted to a good standard. The manager said choices regarding carpets, wallpaper and bedding were discussed with people who were to occupy the room. This was also confirmed during interviews with people living there. The rear car park has been extended and tarmac’d to provide additional parking for visitors. The employment of a handyman results in the home being well maintained and regular risk assessments being completed on the building. People who live there said “I could not have a better place to live” and “my room is lovely and I have brought some of my own things.” They also said “we have had some new furniture and carpets and other bedrooms are going to be done next” and “I like Park House it is so spacious fresh and clean.” A selection of rooms was inspected and all were individual in style and personalised. Twenty-one of the 27 rooms have en-suite facilities, with other rooms being situated close to toilets and bathrooms. Appropriate aids and adaptations are in place to ensure the safety of people in the home. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 18 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): Standards 27, 28, 29 & 30 Quality in this outcome area is good. Recruitment procedures ensure the protection of people in the home. Staff are trained, skilled and in sufficient numbers to ensure people’s needs are met. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: Staffing rotas were well planned, with additional management and staffing hours at peak times. Domestic hours were sufficient to ensure staff concentrated on care tasks. The home employs 16 care staff and eight ancillary staff, with over 60 of staff having trained to NVQ II or above. Good interactions between staff and people in the home were observed. A selection of comments received from interviews with people in the home, questionnaires and relatives’ questionnaires included: “during my stay at Park House I have always been treated by respect and kindness by all the staff and could not wish for a better place to live”. Also, “staff are courteous and informative. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 19 The manager encourages staff to continue their professional development and update their skills through additional training, such as first aid, moving and handling, protection of vulnerable adults, food hygiene and nutritional screening tool. Each member of staff has a personal training file. Staff were asked at interview of the particular care needs of people in relation to their care plans. They had a good knowledge of their needs and preferences, acknowledging needs of individuals. Staff confirmed the manager consulted regularly on a formal and informal basis through staff meetings and supervision. One person said, “staff are all great.” Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 20 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): Standards 31, 33, 35 and 38 Quality in this outcome area is excellent. Management responsibilities are fully discharged, which means that people’s health, safety and welfare are maintained. People in the home have opportunities to share their views, knowing they will be acted upon. This judgement has been made using available evidence, including a visit to this service. EVIDENCE: The home manager has many years’ experience in care and management and is qualified to NVQ level 4. They have continued their professional development by undertaking the Registered Manager’s Award and short courses in line with people’s needs. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 21 There was evidence that the manager supports staff in their personal development, an example being the deputy manager had been encouraged to undertake NVQ level 4 in management which they had now achieved. People in the home confirmed that the manager and the owner speak to them on a daily basis to ensure their satisfaction. Residents’ meetings are held formally on a less regular basis and are recorded. The minutes are displayed on the notice board. Quality assurance is high on the home’s agenda and questionnaires from relatives, professionals and people in the home were available for inspection. All commented on the commitment and professionalism of staff and management in treating people as individuals, using a person centred approach and improving services where possible. Discussions with the manager indicated that they understood the needs of people with a disability and had awareness that they were sometimes subject to unfair treatment, which needed to be challenged. The home had a number of written policies covering such topics as harassment, bullying and antiracism. Twelve people manage their own financial affairs with seven being managed through a power of attorney. Records were examined for the people whom the home holds finances and were found to be accurate, with receipts retained for proof of purchase. Staff and management received training in health and safety with seven staff being qualified in first aid. Risk assessments were carried out on all parts of the building and equipment was serviced regularly. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 22 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 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 4 X 4 X 3 X X 3 Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 23 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 OP3 Good Practice Recommendations The home’s review of recording systems should include the assessment process which needs to be expanded to provide full details of people’s needs that are reflected in care planning and daily reports. Park House Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Greater Manchester Local Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU 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 Residential Care Ltd DS0000005514.V333085.R01.S.doc Version 5.2 Page 25 - 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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