Inspection on 06/09/05 for Park House Residential Care Ltd

This inspection was carried out on 6th September 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 Residential Care Ltd 27/06/07

Park House Residential Care Ltd 12/01/06

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 Limited 77 Queens Road Oldham Lancashire OL8 2BA Lead Inspector Sandra Bennett Unannounced 6 September 2005 09:00 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 Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Park House Residential Care Limited Address 77 Queens Road, Oldham OL8 2BA 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) 0161 626 0802 Park House Residential Care Limited Ms Barbara Connolly Care Home 27 Category(ies) of OP - Old Age - 18 registration, with number DE(E) - Dementia - over 65 - 15 of places PD(E) - Physical Disability - over 65 - 5 SI(E) - Sensory Impairment - 2 Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 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. 2 Date of last inspection 1st February 2005 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 Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 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. 10 service user and 10 relatives 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. What the service does well: Park House provides a good standard of accommodation in a homely atmosphere. Service users are able to choose the decor and fabrics for their personal rooms. Record keeping in the home reflects service users likes and dislikes. The individuality of service users is promoted by keeping links in the community and encouragement from staff to maintain their skills, an example being one service user playing the organ for other service users. Activities took place inside and outside of the home. Service users discussed trips to Knowsley Safari park, which they all liked, and meals out. One-service users stated “ we couldn’t do better if they put us in the Hilton.” Meals were served in congenial settings with a choice on offer. Service users said, “ meals are always very good and staff know our likes and dislikes well.” There is a well-established staff team who maintain their professional development through continuous training with 50 of staff having obtained level NVQ2. Effective communication is promoted through regular staff and service user meetings. Relatives stated they were always kept aware of the service users progress. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 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 Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 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 standard(s) 1,2,3 and 5 Service users are provided with information of the facilities and services on offer and encouraged to visit the home prior to their admission. A professional assessment of the service users needs is obtained prior to admission. Service users are informed of the terms and conditions of the placement. EVIDENCE: Interviews with a service user and their relative confirmed that they were given the home’s service user guide prior to admission into the home and advised to visit for short periods before making a decision. They stated that this information gave them a good overview of the home. Those service users who were privately funded had a copy of the home’s terms and conditions on file. Four service user files were examined and were found to have detailed assessments from health and social services professionals. In addition to this the home undertakes an assessment of each service user’s need. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 9 One service user stated that they had visited a number of homes and also had short stay periods and were very unsettled until visiting Park House and choosing to stay there saying “ people are very nice here and there is always some one to talk to”. Park house does not provide intermediate care. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 and 9 Service users care plans reflected their assessed needs. An efficient recording system ensures the health care needs of service users are met. The recording of medication administered to service users needs to be improved. EVIDENCE: Care plans of service users reflected their assessment of need. Risk assessments had been completed with a record of health care visits and daily reports being maintained. Service users talked about the podiatrists visit and that dental screening was about to take place because the notice was on the information board. The likes and dislikes of service users were recorded on care plans. Care plans were signed by the service user or their representatives were possible. There was evidence of special needs being met including the provision of hoist, moving and handling equipment and cutlery adapted to the service users needs. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 11 Staff had received training in moving and handling techniques. There were no incidences of pressure sores or MRSA in the home, however staff were aware of action to take in such circumstances. All senior staff had received training in the administration of medication. Examination of medication recording sheets found minor errors in recording e.g. build up drinks had not been signed for at the point of administration. Some service users were self-medicating by applying their own prescribed cream. There were no audit trail or risk assessments provided in these instances. Any allergies identified should be recorded on medication sheets to increase staff awareness. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and15. A range of activities was provided in the home. Service users are able to exercise choice and control over their daily lives. Food is well prepared and provided by the home in congenial settings. The cultural and religious needs of service users are meet. EVIDENCE: Service users likes and dislikes are reflected in care planning. On the day of this inspection, service users were being entertained in the conservatory one service user playing the organ. Other service users were singing along and drinking wine. Talking to the service users afterwards one commented “we couldn’t do better if they put us in the Hilton”. Others stated that the manager and proprietor always make a point of asking if we are all right and do we want any thing. A service user discussed their visit to a local community centre, which they had continued to attend after being admitted into the home. The service user had also booked a holiday with a friend. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 13 Another service users reported they had kept their personal hairdresser and had a taxi to take them on a weekly basis. There had recently been a 100th birthday party celebrated in the home and photos were on display of the celebration. Minutes of service users meetings recorded discussions on activities in the home and choice of meals. Details of forthcoming trips were on the notice board. Service users said that staff had just been round to inform them of a trip to Blackpool lights which they were looking forward to. Meals out were especially enjoyed; much talked about was a recent trip to Knowsley Safari park. Praise was given to staff for their attentiveness and their input into activities especially “who wants to be a millionaire”. Service users also said, “staff like to give us surprises like doing our hair, nails or make up” A vicar from a local church was visiting at the time of inspection and was available to give communion for those who wish to attend. One service user reported that their room had just been decorated and the manager had brought in a wallpaper book and samples of material for them to choose from. Meals are served in each of the three lounges and conservatory providing a relaxed and intimate atmosphere for service users. Each table is set attractively. Service users have their own teapots on the table with staff giving support where needed in a discreet manner. The inspector dined with service users who reported that meals were always good and choices were always available. However this was not a concern to them because “staff know our likes and dislikes very well” choice was promoted by meals being served from a trolley instead of being plated up. This method gives service users a choice in preferences and quantity of meals. All service users appeared well groomed and cared for with attention being given to personal preferences in make up, nails and jewellery. Those service users that were able choose to help staff with setting tables and completing light duties and reported “they were glad to be able to do something”. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 14 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 and 18. The home operates an effective complaints procedure. Service users were confident they could talk to staff if they had a problem. Service users are protected from abuse and exploitation. EVIDENCE: The homes complaints procedure stipulates timescales for action. Each service user have a copy on their file. At interview service users were confident that should they have any concerns their complaints would be listened to.” A log of complaints is maintained by the home. Neither the home nor the CSCI had received any complaint about the service since the last inspection. Adult protection and whistle blowing policies were in place. Staff at interview were aware of these procedures and their responsibility in reporting any such event. Staff had received training in the protection of vulnerable adults. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 15 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 and26 Park House presented as being well maintained, safe, clean and tidy throughout. Service users bedroom were homely and appropriately personalised. Adequate aids and adaptations are provided both in the home and individually to promote service users independence. EVIDENCE: Park House is well maintained and provides a good standard of hygiene. There are safe enclosed patio garden areas for service users. A recent improvement has been a garden area to the side of the home giving service users whose bedrooms face onto this area a more pleasant outlook. There are three lounges and a lounge conservatory area. One lounge is an allocated smoking area. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 16 Twenty-one of the single rooms have ensuite facility with bathrooms and additional toilets being situated close to bedrooms and communal areas. The home has appropriate equipment to promote the independence of service users. These include a hoist, turntables and moving belts. Service users were observed to use personal aids, which had been assessed and provided by health professionals to aid their mobility. A selection of service users rooms were inspected and were found to be well maintained, comfortable and made homely with their personal possessions. Some service users had installed personal phones and in some instance their own beds. Service users discussed their involvement in the decoration and refurbishment of their rooms being able to choose wallpaper fabrics, which they were keen to show the inspector. The inspector noted that the corridor carpets and some chairs in the smoking lounge needed replacing or recovering. This had been recognised by the manager and proprietor and had been included into the homes refurbishment plan. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 17 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) 27,28,29,30. Staff recruitment procedures and training were robust and provided protection for service users. Suitable staffing levels were maintained in the home. EVIDENCE: Three staff files were examined and found to have the appropriate references and criminal record bureau checks. Each member of staff has a training file. There was evidence that 50 of staff had trained to NVQ2 with some advancing onto level three. Staff interviews verified this and additional training they had undertaken which included training in dementia care, moving and handling, managing challenging behaviour and the protection of vulnerable adults. Several staff had worked for many years in the home with the continuity of care benefiting the service users. Examination of the duty rota showed that staffing levels were maintained in line with the needs of the service users. All service users comments throughout the inspection were positive regarding the care, treatment and respect they received from staff. The gender mix of staff reflects the composition of the service users group. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 18 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) 31,32,33,34,35,36,37 and 38. The leadership and management style of the home is inclusive of the reviews of service users, their representatives and staff. The home has appropriate financial and accounting procedures. Health and safety is promoted by staff training and completed risk assessments. Formal supervision of staff is undertaken on a regular basis. EVIDENCE: The manager has a number of years experience in the care of the elderly and management. They have completed an NVQ4 in management. The manager continues to improve their professional development attending short course in relation to the needs of the service users and disease relating to old age. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 19 The manager has recently enrolled on a staff supervision course to consolidate previous experience. Evidence was gained on how well the home was managed through interviews with staff, service users and their relatives. Comments were made regarding the level of training and supervision in the home and effective communication through staff and service users meetings. Relatives said they were always kept informed and were impressed by the level of care and commitment of staff. Service users stated that the manager and proprietor spoke to them every day to ensure their needs were being met. Service users confirmed they felt very them feeling very much involved in developments in the home. The home retains some service users finances. Appropriate records were maintained with balances matching monies held. Receipts of any purchases were attached to expenditure sheets. Record keeping and policies and procedures in the home were maintained to a good standard. Risk assessments had been completed on all aspects of the building and equipment. All care staff receive training in moving and handling and most in health and safety. Staff confirmed the availability of disposable gloves and aprons to minimise the risk of cross infection. Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 20 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 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 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 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 3 3 3 3 3 Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 21 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 9 Regulation 12 Requirement The registered person must ensure that all prescribed medication and supplements are recorded on medication sheets. Any identifed allergies of service users must also be recorded to promote staff awareness. Service users who self medicate must do so only after a risk assessment has been completed and an audit trail maintained. Timescale for action Immediate 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 Good Practice Recommendations Park House Residential Care Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 2nd Flor, Heritge Wharf Portland Place Ashton-under-Lyne 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 Limited F54-F04 s5514 Park House v243268 060905 Stage 4.doc Version 1.40 Page 23 - 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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