Inspection on 13/07/05 for Park Lane Care Home

This inspection was carried out on 13th July 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 Lane Care Home 11/12/06

Park Lane Care Home 13/12/05

Park Lane Care Home 24/02/05

Park Lane Care Home 01/11/04

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 Lane Care Home 45 Park Lane Barnstaple North Devon EX32 9AL Lead Inspector Vickie Stewart Unannounced 13th July 2005 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 Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park Lane Care Home Address 45 Park Lane, Barnstaple, Devon, EX32 9AL 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) 01271 373600 01271 329404 Waterfall Nursing Homes Limited Mrs Mavis J Eastaugh Care Home 27 Category(ies) of OP Old Age (27) registration, with number of places Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 14.6.04 The staffing issues agreed by you on 28th April 2004 are conditions of this registration Date of last inspection 24/02/2005 Brief Description of the Service: Park Lane Care Home is situated in the residential area of Newport on the outskirts of Barnstaple. There are local shops and facilities within walking distance of the home and it is the only remaining care home which provides nursing in this area of Barnstaple. The home previously consisted of two detached houses that have been connected to make one. It is situated in its own grounds, consisting of lawns, trees and flowerbeds. There is a designated parking area to the front of the building. The home stands on three floors with lift access to all areas. Bedroom accommodation currently consists of mainly single rooms but the home does have a small number of shared rooms available if required. The home is registered to provide care with nursing for 27 older persons. The home accepts day care service users which are included in the overall number.The home changed ownership on 1st June, 2004 and is now owned by Waterfall Nursing Homes Limited. The home continues to undergo major refurbishment, modernisation and updating to meet the national minimum standards. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was arranged as part of the normal programme of inspection. It took place over 4.75 hours. The inspector met or spoke with most of the residents, spoke with the manager, staff and a visiting relative. The inspector looked around the home and a number of records were looked at. What the service does well: 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 Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 6 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 Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 7 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) 3,6 No resident is admitted to the home without a full assessment having been carried out. EVIDENCE: Residents and their families are encouraged to visit the home prior to admission, although this is not always possible. Prospective residents have a thorough assessment carried out by the home before their admission and are assured whether or not their needs can be met. Assessments carried out by both health and social services and the home were seen in care plans. The home does not provide intermediate care facilities. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 8 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) 7,8,10 Resident’s health and social needs are assessed, documented and well met. Staff promote the privacy and dignity of residents in the home. EVIDENCE: There is a care plan in place for each resident. Three care plans were looked at and all contained clear, concise and up to date information that had been regularly reviewed. On the day of inspection, the inspector saw that all the resident’s health and personal needs were being met, were well cared for and were happy. Staff were seen treating residents with privacy and dignity and talked with residents in a kind and respectful manner. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 9 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) 12,13,14,15 Dietary needs of residents are well catered for with a balanced and varied selection of food available that meets resident’s tastes and choices. Activities are limited and do not provide residents with the stimulation and recreational interests they would like. Resident’s benefit from visitors being welcomed into the home. EVIDENCE: The home employs an activities co-ordinator for 20 hours a week. Current activities on offer are limited and whilst one resident said staff take him out in his wheelchair, the majority said that they would like to do more in the home. During the inspection, the inspector felt that the modern music playing to high dependency residents was inappropriate. Residents confirmed that visitors are made to feel welcome in the home and offered hospitality whilst visiting. One relative said that the home was “friendly, welcoming and an excellent atmosphere”. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 10 The home has employed a new cook since the last inspection who enjoys working at the home. Residents confirmed they have a choice of menu and they liked the food in the home. Special diets are catered for. The kitchen is to be totally refurbished as part of the ongoing refurbishment programme. Residents confirmed that they have a choice in their daily lives and there are few restrictions. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 11 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) 16,18 The home has a robust complaints procedure and residents are confident that all complaints will be taken seriously. Arrangements for protecting residents from harm or abuse are satisfactory. EVIDENCE: The home has a complaints policy and encourages residents to use it if required. No complaints were raised during the inspection. Residents spoken with knew how and who to make a complaint to. Staff currently have abuse training in house which is continuous and ongoing. The manager is planning to attend the recognised Devon County Council Protection of Vulnerable Adults training as soon as a place is available. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 12 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) 19,26 Residents live in an environment that is currently being updated and renovated to provide a high standard of living accommodation. EVIDENCE: The home continues to be developed, updated and modernised in a development programme. Communal areas on the ground floor (including the 2 lounges, dining room, entrance foyer and hall) have been completed to a high standard with quality fixtures and fittings. Residents who have been part of the transformation are proud of the way the new home looks. Staff are working very hard to ensure that the home is kept as clean as possible, under the difficult conditions arising from the ongoing refurbishment. 2 dedicated cleaners are employed who take a pride in the home and work extremely hard to keep it clean in a structured and organised way. Residents have access to the grounds both at the front and rear of the building. A sensory garden is planned for the near future. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 13 Private rooms continue to be developed with a number being completed. When these are finished, they provide residents with a high standard of living accommodation. One resident thought his room was small, but this is a temporary arrangement until his own room is completed which is very large. There are plans to build a new purpose-built laundry room with modern equipment. The current one is considered unsuitable for long-term use. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 14 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 Resident’s needs are met by the number and skill mix of the staff. EVIDENCE: The home was adequately staffed on the day of inspection. Residents confirmed that they were given the help and encouragement they needed – although some times of the day were busier than others and necessitated a short wait. Trained nursing staff and care staff are employed. The home employs a committed staff team who regularly work over and above their allotted hours to cover such events as staff absences, sickness, annual leave etc. The home does not have a high staff turnover. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 15 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) 38 Reliable systems are in place to ensure the good health, safety and welfare of residents and staff. EVIDENCE: Safe working practices are employed and managed with risk assessments undertaken, particularly whilst the renovation works are taking place. Staff fire training takes place regularly. Records showed that all fire safety checks had been undertaken with the exception of the fire alarm system. The manager stated that she thought that this was simply an error in the recording and that the maintenance man had actually done all the checks. Devon Fire and Rescue had recently carried out an inspection on 21.6.05 and everything was satisfactory. The accident book was not available on the day of inspection. Hazardous substances are secured. Residents said they felt well cared for. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 16 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x x x 3 Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 17 NO Are there any outstanding requirements from the last inspection? 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 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 12 Good Practice Recommendations It is recommended that the activities programme be developed further to accommodate residents recreational needs. Park Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Exeter Office, Suites 1 & 7 Renslade House Bonhay Road EXETER, EX4 3AY 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 Lane Care Home D54-D06 61234 Park Lane 231526 120705 Stage 4.doc Version 1.30 Page 19 - 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. 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