Inspection on 15/06/07 for Park Lane House

This inspection was carried out on 15th June 2007.

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 House 16/11/05

Park Lane House 27/07/05

Park Lane House 23/11/04

Park Lane House 28/06/04

Park Lane House 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 Lane House Off Rochdale Lane Royton Oldham OL2 5QX Lead Inspector Michelle Haller Unannounced Inspection 15th June 2007 09:45a 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 Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lane House Address Off Rochdale Lane Royton Oldham OL2 5QX 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) 01616243697 F/P 01616243697 Dr Saphal Kanti Pal Ms Samantha Lorraine Pal Ms Claire Louise Butterworth Care Home 16 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (7), of places Sensory Impairment over 65 years of age (2) Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 7 OP, up to 7 DE (E) and up to 2 SI (E). Date of last inspection 16th November 2005 Brief Description of the Service: Park Lane House is a privately owned care home, which is registered to accommodate 16 people. The home is situated close to Royton centre and is within easy reach of shops, community facilities and a local market. The building is a detached property with pleasant gardens to the front and car parking space to the rear. Accommodation for residents is provided on the ground and first floors of the building. A passenger lift has been installed between these two floors and ramped access has been provided externally. There are sixteen single bedrooms, twelve of which have en-suite toilet facilities. The home charges £330 each week. The previous CSCI inspection report is available on request. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection which included a site visit was carried out on 15th June 2007. The registered manager was on leave and the Deputy Manager Amanda Horrocks assisted with the process. The management of the home were not informed beforehand of this visit. This is called an unannounced inspection. Evidence for the inspection was gathered through interviewing people in the home including those using the service, their staff, their visitors and the person managing the home. Care plans; assessments, correspondence and other records concerned with running the home were also read through. A tour of the private and communal areas was undertaken, and the interactions between people concerned in the home were observed. In addition, two completed CSCI service users and one General practitioner surveys were returned and the manager returned a completed pre-inspection questionnaire. This information was used in this inspection. What the service does well: People at Park Lane House live in clean and comfortable surroundings. Staff are caring and competent in ensuring that physical health is maintained, and personal care and support is completed to a high standard. Meals in the home are good and people were in general satisfied with the general atmosphere and conduct in the home. One comment was “food is excellent- can have a choice without any trouble, none at all. Most get up and go for breakfast. Tea is served in our room if you want it- normally sandwiches. Had fruit and porridge for breakfast. Cooked lunch- 3 courseslots of veg. Never feel hungry- but I have snacks brought in, -care is excellent no complaints what so ever. Health and safety is, in the main, promoted through policies, procedures and monitoring. The general feeling about the care received is summed up by this comment:’I am very satisfied with the care- she gets a lot of attention, they sit with her and give her cuddles when needed”, and ‘staff are brilliant- always get the right medical attention, tells us if she’s eating alright”. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (standard 6 is not applicable) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given opportunities to find out about the home and have their needs are assessed before any decision is made about using the service. EVIDENCE: All the care files examined contained detailed assessments carried out by the referring agency or the manager and these had been completed prior to the date of admission. Information included physical, personal care and emotional needs and preferences. There was also indication that the manager or the deputy visited people prior to them moving into Park Lane House. People interviewed and who returned CSCI surveys were satisfied with the admission process and comments included: Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 9 ‘Yes I visited a couple of places including this one and felt that a small home was best.’ And ‘Yes someone visited him while he was at the other home waiting for a place.’ Intermediate care is not provided at the home. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Park Lane House receive a good level of care that is based on their individual needs, and is provided with dignity and respect. EVIDENCE: Each care plan examined contained, detailed information about the actions required to make sure that people’s personal and health care needs were met. These documents were individualised and demonstrated a person centred approach and had been reviewed and updated monthly or more frequently according to need. Care plans, and therefore the support people receive, would be improved if these related more closely to the psychological and social needs identified at assessment. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 11 All routine health checks and care including dentist, optician, podiatrist, general health checks, and people were observed wearing glasses and hearing aids. Through cross-referencing care plans, letters and other records it was possible to confirm that, the manager is successful in getting appropriate support from the district nurses, physiotherapist, continence nurse, mental health team, general practitioners and dieticians. However care plans did not always fully reflect the needs identified in the assessments and neither did the daily records always relate to the care plans or confirm that specific support needs were met. The comfort and safety of service users are promoted through the development of moving and handling risk assessments, and corresponding care-plans. Staff were observed adhering to these. During interview staff came across as caring and were able to discuss, in general terms, the actions required to maintain and promote the health and independence of service users. People were fully dressed and well groomed. Staff have received some health related training in the last year including, oral hygiene, pressure area prevention and infection control. Specialist training in dementia care would give staff a better understanding of the different ways of approaching people with dementia, and so increase the effectiveness of care provided. This is especially important as, the home is registered to provide care in this specific area and, a significant proportion people living in the home on the day of inspection were experiencing some degree of dementia. It was also noted that staff were inconsistent in their approach when supporting the same person. The medication policy was examined and this appeared in order. The Medication Record Sheets (MARS) were examined and the storage of medication was checked. In the main the medication record sheets had been completed correctly and a complete recorded of medication entering and leaving was maintained. This process would be safer if, as indicated, known allergies were printed or written on the top of the MARs, as this was not the case for one person with an allergy to Penicillin. Medication training is provided by Booths the Chemist and 50 of staff has completed this course. Pictures of service users, and sample initials of staff assigned to administer medication, were included in the medication administration record (MAR) file. All personal and health care procedures that occurred during the inspection were carried out in privacy. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 12 Although people were weighed regularly the home does not have a ‘sit and weigh scales’ which means that some people cannot be weighed at all and for those using walking aids the weights may be inaccurate. The manager should make sure that the nutritional state of all service users can be accurately monitored. The general practitioner who retuned a survey had no concerns regarding the management of health issues for people living in the home. Residents felt that they were well looked after and that their health needs were met. Comments about care included, ‘When I see people like the chiropodist it’s always in private.’; ‘Staff are brilliant she always gets the right medical attention.’ And ‘You only have to ask once and it’s done.’ Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at Park Lane feel that some aspects of living in the home, including meals and mealtimes fully meets their needs, but there is strong indication that the manager needs to do more to satisfy general expectations in relation to social, recreational and cultural activities. EVIDENCE: The depth of assessment and care plan information relating to hobbies and interests varied in contents, furthermore, the activities provided were not individualised even when a strong preference was identified. There were insufficient records concerning activities to confirm that people were given frequent and varied opportunities to participate in activities that were stimulating, promoted alertness and help to maintain peoples interest in the world about them. People living in the home, visitors and staff stated that activities did take place. In the past year there have been parties for special occasions, a trip to Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 14 Knowsley Safari, dominoes, cards, karaoke, bingo, discussions, visit to a local pub for tea and entertainers have visited. A small group also attend a weekly luncheon club. People who returned the CSCI survey concerning the home also indicated that ‘activities’ was the main area for improvement. And, although accepting of the situation, some who were interviewed confirmed that activities did not meet their needs. Comments concerning activities included: ‘I don’t think there’s enough to do but a man comes to sing and play instruments.’ And ‘..more ‘outings’ and daily social activities.’ Observations made during the course of the inspection and comments made confirmed that people could receive visitors at any time. Comments concerning visiting included: ‘I have visitors come and go every day- they are welcomed and they’re all known, the girls will have a bit of fun.’ And ’I feel very welcomed into the home they said I could visit when I wanted.’ Mealtimes Park Lane are unhurried and people can have their meals when they like. Breakfast on the day of inspection included, fruit, cereals and toast. People were able to have their meals at different times and in their rooms if they wanted. The menu offered was varied and culturally sensitive. Lunchtime meals include: a variety of flans, bakes, meat and poultry casseroles, pies and roasts. And the choice at teatime included sandwiches, soups and cakes. The midday meal on the day of inspection was steamed fish, boiled potatoes and green beans. Hot and cold drinks, biscuits and snacks were served throughout the day, and people felt able to ask for drinks when they wanted them. Comments included ‘Food is excellent- can have a choice without any troublenone at all.’ , ‘I have been invited for a meal and the food is good.’ Detailed food and drink records are not routinely maintained in the home. Lunchtime was observed for a short period and this was a pleasant unhurried experience, and those requiring additional support were treated as individuals and supported with dignity. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was some evidence that the manager listens and responds appropriately to complaints ensuring that people living in the home, or those acting on their behalf can be confident (in the main) that issues raised will be addressed. EVIDENCE: The manager stated in the CSCI pre-inspection report that no complaints had been made to the home in the past year, and returned CSCI surveys confirmed that people were aware of the home’s complaint procedure and would speak to the manager. Discussion with people using the service indicated, however, that complaints had been made and listened to. No record was in place to support this. Not all staff have not received up-to-date protection of vulnerable training and some were unable to fully demonstrate that they were fully knowledgeable about who could perpetrate abuse and what actions to take if an incident were to happen between people using the service. One staff member spoken with said “Tell manager and they would deal with it”. Staff who have received NVQ training will have covered elements of this subject in their training. The manager has informed CSCI that no issues concerning adult protection have occurred at Park Lane since the last inspection. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Park Lane is clean and the environment is well maintained and provides people with a comfortable and homely place to live. EVIDENCE: A tour of the communal and private areas of the home was completed. A significant number of bedrooms had been personalised with items chosen by the service users or brought from their homes. Private accommodation consists of 16 single rooms. In the main rooms were clean and free of unpleasant odours. Furniture, fixtures and fittings were also clean and free from stains. Aids and adaptations are installed in strategic positions throughout the home and includes a bath with chair lift and a walk-in shower. People were observed mobilising around the home independently. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 17 The laundry room has been rebuilt and refurbished. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at Park Lane House benefit from trained staff who are available in sufficient numbers to meet their needs. EVIDENCE: On the day of inspection there were 15 people living at Park Lane House and the staff compliment consisted of the deputy manager, a care assistant, cook and domestic staff. The staff were experienced and had completed National Vocational Training level 2 (or the equivalent) and above. The assistant manager is trained to NVQ level 4; she stated that the cook and domestic had also completed basic training in care because they were in frequent contact with people living in the home. Recent training included a medication course and falls prevention. A keyworker system is in place but the role is not yet clearly defined. Three staff files were examined and each contained: the original application form, two reference and confirmation that a criminal record bureaux check had been carried out by the home, additional proof of identity and a picture of the worker was also in place. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 19 The most recent recruit had completed the Skills for Care common induction course. Training for staff needs to be updated and this has been planned. Staff need updated moving and handling, dementia care, first aid and other specialist training. Staff and people using the service would benefit from a broader training plan, and the manager needs to become familiar with new and up-to-date training courses so that, care practises in the home can evolve in keeping with new developments and ideas about the care of older people in general, but specifically in dementia care. Both CSCI surveys that were returned confirmed that there was almost always sufficient staff available, this was also implied in the comments made by residence and their relatives, the duty roster confirmed that there was never less than four staff available at the busiest times. Throughout the day it was observed that all staff were able to support and tend to the basic needs of people in the home, and they were mainly dealt with in a kind and gentle manner. ‘Excellent’ was the predominant word used to describe the attitude of staff in the home. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home ensures that the health and safety of people living in the home and working there is promoted. EVIDENCE: The manager has completed the Registered Managers Award since the last inspection. Quality monitoring at Park Lane enables people living at the home to comment formally about the services in the home however there was no indication that their comments have influenced any changes in the delivery of the service.. Residents meetings do not take place and social care and other professionals Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 21 are not given the opportunity to formally to comment on the running of the home. Staff meetings are recorded and topics discussed included: the fire drill, plans for a party, developing a cleaning roster, training events, health and safety, developing the key worker system and the security of people in the home. Staff have received infection control training. Posters reminding staff and visitors to the home to wash their hands were in place. Fire safety equipment had been checked and logbook records indicated that fire safety checks were completed weekly, and fire drill occurred regularly. Staff were able to describe what they had learnt during the most recent drill. Signage was seen throughout the home directing to fire exits, equipment etc Health and safety records were checked and were up-to-date. Food hygiene is monitored through the Local authorities ‘Safer Food Better Business’ protocol. The home keeps a running total of the amount of money they manage for individuals. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X X X 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 3 X 2 X 3 X X 3 Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP18 Regulation 13(6) Requirement The registered manager must provide staff with protection of vulnerable adult training so that the risk of abuse is reduced and increase the likelihood of action been taken if this occurs. Timescale for action 01/10/07 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 OP8 Good Practice Recommendations The registered person should make sure that there is an effective way of monitoring all aspects of the health of people in the home, including accurate weight or body mass index, this is to make sure that remedial steps to prevent malnutrition can be taken quickly. The manager should look at the results of the quality monitoring exercise undertaken and show what has changed as a result of what people are telling her. A record of activities should be kept to show the range and frequency of activities which would help the manager and the staff to better plan the type of activities the people living at the home want. DS0000005515.V333074.R01.S.doc Version 5.2 Page 24 2 3 OP33 OP12 Park Lane House 4 OP7 Care plans and daily records should fully support the information gathered through assessment. This will ensure that all the needs of people are being met. Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Regional Office 11th Floor West Point 501 Chester Road Old Trafford M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Park Lane House DS0000005515.V333074.R01.S.doc Version 5.2 Page 26 - 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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