Inspection on 16/02/06 for Park House Rest Home

This inspection was carried out on 16th February 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 Rest Home 18/12/08

Park House Rest Home 04/02/08

Park House Rest Home 14/09/06

Park House Rest Home 09/08/05

Park House Rest Home 04/11/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Park House Rest Home 220 Havant Road Hayling Island Hampshire PO11 0LN Lead Inspector Michael Gough Unannounced Inspection 16th February 2006 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 Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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 Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park House Rest Home Address 220 Havant Road Hayling Island Hampshire PO11 0LN 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) 02392 730613 Ms Sally-Jayne Hoke Mr Lee John Gosling Miss Georgina Mitton Care Home 14 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (14), Mental disorder, excluding learning of places disability or dementia (3) Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category DE may only be admitted over 65 years of age. Date of last inspection Brief Description of the Service: Park House is a detached residential care home situated within its own grounds, in a quiet residential area of Hayling Island. The home is registered with the Commission for Social Care Inspection (CSCI) to accommodate up to a maximum of 14 service users. The home benefits from a large rear garden and the front of the property is gravelled, with hanging baskets and flowers in the borders and provides parking for approximately 6 vehicles. The home is on a local bus route and the seafront at hayling island is within easy reach. The home meets the individual accommodation space requirements set out in the National Minimum Standards (NMS) 3rd edition for existing providers. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection took place on the 16 February 2006, the inspection took place over 3 hours and the inspector was assisted throughout by the homes manager. Evidence for this report was obtained by speaking with the manager, from reading and inspecting records, touring the home and from observing the interaction between staff and service users. It was also possible to speak with 2 service users and also 2 members of staff. On the day of the inspection there were 11 service users living at the home. What the service does well: What has improved since the last inspection? What they could do better: The inspection report will make 1 requirement, which will help improve the service provided for residents. Service users and staff would benefit from more of the staff team obtaining relevant NVQ training. The rear garden has been re-fenced to provide a secure outdoor environment, however more work is required to make this area freely accessible for service users. The front of the home has been laid with gravel and although the home does not provide accommodation for people who are physically disabled, the gravel may present problems to those service users who use a wheelchair to access the community. It is a requirement that the rear fire door be secured so that it can easily be opened by staff or service users in the event of an emergency. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 6 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 Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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 Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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): EVIDENCE: None of these standards were inspected on this occasion. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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, 9 & 10 Service users health, personal and social care needs are set out in a plan of care and health care needs are met. The receipt, storage and administration of medication is satisfactory. Service users are treated with dignity and respect and their right to privacy is upheld. EVIDENCE: Care plans were seen for 3 service users, these have recently been updated and contained clear information on individual care needs and also had information on risk assessments. Daily notes were recorded and monthly reviews are conducted. The home has a policy for the receipt, storage, return and administration of medication and all staff at the home has undertaken training with regard to medication. Medication records sheets were inspected and found to be up to date and correct. There are currently no service users at the home who have any “as required” night time medication. The inspector spoke to 2 service users and they stated that they are treated with dignity and respect, and that the home meets their individual needs. Service users receive their mail unopened and are assisted by staff if required Service users have access to a telephone where they can make or receive calls in private. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 10 Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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 & 15 Service users are content in the home and are encouraged to continue an active lifestyle, however it was not possible to establish if service users expectations are being met. Meals at the home are wholesome and appealing and provide a well balanced diet. EVIDENCE: Those service users spoken to confirmed that they had enjoyed the Christmas celebrations in the home and enjoyed participating in various games and activities including bingo. During the morning, many service users were sitting in the lounge watching morning television. Staff were observed to be attentive and responsive to their needs. Although no activities were seen to be taking place the manager stated that there is a regular programme of activities. However it was not possible to establish if all of the service users expectations are being met due to the majority of service users being unable to communicate effectively with the inspector. Those service users spoken to were very happy with the food provided by the home and stated that the food was plentiful and good. On the day of the inspection lunch was Hot Pot with green beans and carrots followed by jam tart and custard. The home operates a four-week rolling menu, which is changed seasonally. Service users are offered a choice at meal times and are able to eat their meals in the dining room or elsewhere if they prefer. The inspector observed lunch being taken in the dining room and staff provided suitable support for service users. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 12 Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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 There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The home protects Service from any form of abuse. EVIDENCE: The home has a policy and procedure for dealing with any complaints and this was displayed in the home and contained all of the required information and gave details of how to contact the CSCI. Staff members spoken to were also aware of the complaints procedure. Staff has received training on adult protection and the home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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 Service users live in a safe environment and there is a lot of refurbishment work being undertaken to improve the environment for service users. EVIDENCE: The home has a programme of refurbishment and this includes the reduction of double rooms in the home and also the provision of additional accommodation and communal space. In light of this work this standard will be more fully inspected once the refurbishment work has been completed. The rear garden has been re-fenced to provide a secure outdoor environment, however more work is required to make this area freely accessible for service users. The front of the home has been laid with gravel and although the home does not provide accommodation for people who are physically disabled, the gravel may present problems to those service users who use a wheelchair to access the community. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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 Service users at the home are supported by staff in sufficient numbers and with the skills to meet their needs and service users are in safe hands. New staff are employed after robust recruitment practice’s have been carried out and this protects service users. EVIDENCE: The homes staffing rota showed that there are a minimum of 2 care staff on duty between 8am and 8pm, this is in addition to the registered provider who visits the home regularly and provides additional support to the homes manager and staff. Between the hours of 8pm to 8am the home has 2 care staff on duty, 1 remains awake throughout and one sleeps in between the hours of 10pm to 7am. The home also employs domestic staff to cover cleaning duties in the home and a cook is also employed. The home employs 11care staff at the home and 1 has already obtained their NVQ qualifications. At present there are no other staff undertaking NVQ training. Service users and staff would benefit from more of the staff team obtaining relevant NVQ training and the home should aim to achieve a minimum of 50 of its staff trained to NVQ level 2 or equivalent. The home has an effective recruitment policy and suitable procedures are in place. Staff records were seen for 3 staff members and these contained all of the required information, including 2 references and details of CRB checks. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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): 31, 33 & 38 The home is run in the best interests of service users and the homes manager is responsible and of good character and is able to effectively run the home. The health, safety and welfare of service users and staff are generally promoted and protected. EVIDENCE: The homes manager has been running the home for 1 year and has completed NVQ4 and the registered managers award. The home sends out questionnaires to relatives to see how effective the home is in meetings its aims and objectives and questionnaires are also available in the entrance hall of the home. The inspector was informed that responses are not always forthcoming, however relatives do have an opportunity to voice their opinions at service users reviews or whenever they visit. The Fire logbook was inspected and all required training and testing had been carried out. The rear fire door to the building is kept locked by means of a key lock and the key to this door is left on the windowsill, if this key were to be mislaid or removed Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 17 staff and service users would not be able to use this route out of the building. It is a requirement that the rear fire door be secured so that it can easily be opened by staff or service users in the event of an emergency. Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X X STAFFING Standard No Score 27 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 2 Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 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 OP38 Regulation 13 Requirement It is a requirement that the rear fire door be secured so that it can easily be opened by staff or service users in the event of an emergency. Timescale for action 01/03/06 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 Standard Good Practice Recommendations Park House Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Rest Home DS0000062008.V283121.R01.S.doc Version 5.1 Page 21 - 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!