Inspection on 13/12/05 for Park House Residential Home

This inspection was carried out on 13th December 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 Home 07/09/06

Park House Residential Home 14/03/05

Park House Residential Home 28/09/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor 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 Home Park House (Weston Super Mare) Ltd Park Place Weston Super Mare North Somerset BS23 2BA Lead Inspector Alison Murray Announced Inspection 13th December 2005 09:30 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 Home DS0000008054.V261573.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 Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park House Residential Home Address Park House (Weston Super Mare) Ltd Park Place Weston Super Mare North Somerset BS23 2BA 01934 415701 01934 415701 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) Park House (Weston Super Mare) Ltd Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 30 persons over 65 years of age requiring personal care 22/07/05 Date of last inspection Brief Description of the Service: Park House provides personal care for up to 30 older people. The home is owned by Park House (Weston Super Mare) Limited; Mr Geoffrey Seaman is the Director. Jane Legge was appointed as home manager in autumn 2005. Her application to become registered manager is being processed by CSCI. Park House is a converted period property and is situated in a prominent position overlooking the sea and pier. The home has a pleasant terraced garden. Wheelchair access is facilitated by a series of ramped paths. There is easy level access to local shops; The town centre is about a quarter of a mile from the home. Accommodation is provided on four floors. A passenger lift provides access to the majority of the building. 24 of the 26 single rooms have en suite facilities, as do both of the double rooms. Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was Mrs Legge’s first inspection since her appointment as home manager. Because of this, the announced inspection was mainly office based, to give Mrs Legge an audit of how the home was performing against the National Minimum Standards. One resident was consulted individually, and others chatted informally to the inspector during the course of the day. A total of 9 comment cards were received from residents, and one from a GP practice. What the service does well: What has improved since the last inspection? At this inspection, it was pleasing to see how well Mrs Legge has settled into life at Park House. Residents commented that she has worked very hard to get to know them and their families. They said that they like her informal, and ‘hands on’ management approach. Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 6 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 Home DS0000008054.V261573.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 Home DS0000008054.V261573.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): 1, 2, 3, 4 and 5. Standard 6 does not apply. Residents’ needs are effectively assessed before they are admitted to the home. They are given good information about the range of services offered. EVIDENCE: Mrs Legge said that she always visits prospective residents before their admission to Park House. She uses this opportunity to assess their needs, and tell them about the home. Care records reviewed contained evidence of a comprehensive pre admission assessment. One of these indicated a need for specialist equipment. It was clear that this had been obtained and was available for the resident to use on admission. The written information given to new and prospective residents is well presented and easy to read. It has not yet been amended to include Mrs Legge’s details, or the new address of the local CSCI office. Park House Residential Home DS0000008054.V261573.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. 10 and 11. Residents’ health and personal care needs are well met. There is a friendly atmosphere in the home, with a good rapport between residents and staff. The planned review of care documentation should help to ensure that these records are more accessible to both residents and staff. EVIDENCE: Comments received from residents indicated a high level of satisfaction with the care provided at Park House. There was a calm, relaxed atmosphere in the home. The residents said that the staff were ‘lovely’. They said that the staff always treated them with respect, and gave numerous examples of staff members going out of their way to be helpful. Mrs Legge said that staff receive good support from the local surgeries, and district nursing team. She gave an example of a resident who recently died in the home. Staff were able to care for the resident and her family at Park House, with an increased level of input from the GP and community nurses. Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 10 She said that the resident found it particularly comforting that she was in familiar surroundings, and could do things ‘her way’. Care records reviewed contained good information about residents’ likes and dislikes. Care plans offered variable guidance as to how staff should meet residents’ assessed needs. In the case of a resident admitted for convalescence following orthopaedic surgery, the care plans did not provide sufficient information to meet her needs. In another, staff were given very good guidance to meet a resident’s emotional needs. There was a lot of duplication in the different monthly reviews carried out by the manager, and care staff. Mrs Legge said that she planned to review all the care documentation early in the New Year, with a view to making it more accessible to both residents and staff. Medicine administration records were generally well completed, but staff had used correcting fluid to amend errors. This is not good practice. A significant number of the current residents choose to self medicate. A risk assessment had been carried out, and was regularly reviewed. Park House Residential Home DS0000008054.V261573.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, 13, 14 and 15 The programme of planned and informal activities offered at Park House, meets the needs and expectations of the residents. Family and friends are made welcome. Residents enjoy the meals provided. EVIDENCE: When they are first admitted to the home, residents are asked to complete a form, stating likes, dislikes and preferred daily routines. Residents said that they had a good deal of control over how they spent their time. Several suggested areas where this control could be increased. They said that they were happy to take these suggestions to Mrs Legge themselves. Residents have their own keys and can come and go as they wish. They said that they could do as they pleased and did not have to join in activities if they did not wish to. Many have formed close friendships, and enjoy shopping trips, or walks together. Trips and activities are discussed in detail at the regular resident meetings. Residents had recently enjoyed a trip to see the Christmas decorations at a local garden centre. One of the residents organises a weekly ‘charity bingo’ afternoon. Attendance at this is always good. Organised events are advertised on the dining room door. These advertisements are drawn up by one of the Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 12 residents. He said that he liked to make sure that the colours, and print he used were clear, so that even those with poor eyesight could read them. The residents said that staff made visitors welcome. Some have relatives and friends share meals at the home (for which there is a small charge). All those consulted commended the standard of food provided in the home. They said that the cook was always happy to discuss the menu, and very responsive to requests. Residents said that they were given a good choice of food at each meal. The lunchtime meal looked and smelt appetising. Park House Residential Home DS0000008054.V261573.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, 17 and 18 Residents and their relatives know how to complain should the need arise, and feel comfortable that their complaint would be addressed. EVIDENCE: The home has a clear and comprehensive complaint procedure. Residents said that they would feel comfortable about raising any concerns should the need arise. Staff keep a record of concerns and complaints made. This demonstrated that issues raised were thoroughly investigated, and the complainant informed of the outcome of this investigation. Park House Residential Home DS0000008054.V261573.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 and 26 Park House offers very good all round accommodation. The standard of housekeeping is commendable. EVIDENCE: Since the last inspection, work has continued to refurbish and redecorate the home. Furniture and fittings were of a very high standard, and complement the character of the property. Communal space is provided in two lounges, a conservatory and the dining rooms. All the rooms were well proportioned, light and airy. Residents said that they appreciated the staff’s efforts in decorating the home for Christmas. All the residents consulted commended the standard of housekeeping. The home was spotlessly clean and tidy. Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 15 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, 28, 29 and 30 Robust recruitment procedures ensure suitable staff are employed to work in the home. A comprehensive training programme equips staff with the skills and knowledge to meet the needs of the residents. EVIDENCE: Conversations with staff indicated that staffing levels were appropriate to the needs of residents. Staff said that they were kept busy, but still had time to chat with the residents. Call bells were answered promptly during the inspection. Residents confirmed that this was always the case. Records relating to staff employed since the last inspection were reviewed. These confirmed a robust recruitment procedure. Training records were filed in a variety of places. It was difficult to track individual training records, but with Mrs Legge’s assistance, it was possible to evidence that staff had attended a good range of relevant training events. Approximately 50 of the current staff have NVQ qualifications. Mrs Legge plans to review all the staff records in the New Year. She hopes to be able to keep all information relating to individual staff together in one file. Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 16 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): 32, 33, 35, 36, 37 and 38. The home is effectively and efficiently managed. Systems are in place to enable residents to comment on the way the home is run. EVIDENCE: Mrs Legge started work at Park House in autumn 2005. She has many years of experience in the care of older people. It was apparent that she has quickly settled into her new role. Her application to become the registered manager is being processed by CSCI. Residents consulted said that they had been impressed with Mrs Legge’s efforts to get to know them and their families. They appreciate their regular meetings with her. Several commented that Mrs Legge actively seeks their views about the running of the home. She has invited members of the Primary Care Trust Older Persons’ team to meet with the residents, to discuss proposed changes in the health care provision at the home. Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 17 There was a strong sense of teamwork amongst the staff. Several staff members told the inspector ‘We are a good team. We all work well together’. They demonstrated a commendable pride in their work. Financial records for monies kept on behalf of residents were reviewed. There was a clear audit trail of monies received for residents, and spent on their behalf. The money itself was securely stored in the safe. All the records seen during the inspection were well maintained, and securely stored where necessary. Notices and reminders to staff posted around the home confirmed a good awareness of health and safety issues. The fire log contained records stretching back for a number of years. It was difficult to find the current records, and not possible to confirm that night staff had attended regular fire drills. Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 18 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 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 2 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 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 X 4 3 X 3 3 3 2 Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 19 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 OP1 Regulation 6 Requirement The statement of purpose and service user guide must be amended to include Mrs Legge’s details, and the new CSCI address. The terms and conditions of residence document must be amended to include the room number to which the resident is to be admitted, and the address of CSCI. A specific care plan must be provided for each area of identified need. Correcting fluid must not be used on medicine administration, or care records. Night staff must attend regular fire drills. Timescale for action 13/03/06 2 OP2 5.-(1) 13/03/06 3 4 5 OP7 OP9OP7 OP38 15.-(1) 17 23.-(4) 13/02/06 13/12/05 13/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000008054.V261573.R01.S.doc Version 5.0 Page 20 Park House Residential Home 1 2 Standard OP7 OP30 Mrs Legge should carry out her planned review of the care documentation. Mrs Legge should carry out her planned review of the staff records. Park House Residential Home DS0000008054.V261573.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 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