CARE HOMES FOR OLDER PEOPLE
Park Lane House Off Rochdale Lane Royton Oldham OL2 5QX Lead Inspector
Carol Makin Unannounced Inspection 16th November 2005 10:00 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.V263616.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 Lane House DS0000005515.V263616.R01.S.doc Version 5.0 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 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.V263616.R01.S.doc Version 5.0 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 27th July 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 theses two floors and ramped access has been provided externally. There are ten single bedrooms, six of which have en-suite toilet facilities, and three double bedrooms, none of which have en-suite facilities. Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 16th November 2005. All of the assessed standards were met, and the quality of care provided was good. Those key standards not inspected on this occasion had been met on the previous inspection. The inspector spoke with some of the residents, the manager and a member of care staff, and carried out a partial inspection of the premises, and examined records. Residents who spoke with the inspector were very complimentary about the service provided at the home. Verbal feedback of the findings of the inspection was given to the manager during the inspection. What the service does well: What has improved since the last inspection? What they could do better:
As at the last inspection, the standards, which were assessed, were met. Please contact the provider for advice of actions taken in response to this
Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park Lane House DS0000005515.V263616.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 Lane House DS0000005515.V263616.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): The standards in this section were not assessed on this occasion. EVIDENCE: Standard 3, which was met at the last inspection, was not reassessed on this occasion. Intermediate care is not offered at Park Lane House. Standard 6 is therefore not applicable. Park Lane House DS0000005515.V263616.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): The standards in this section were not assessed on this occasion. EVIDENCE: The key standards in this section, all of which were met on the last inspection, were not fully assessed on this inspection. Reference was, however made to certain aspects of these standards during the inspection, and the comments subsequently made by residents and staff, and observations made by the inspector, were positive. For example, at interview staff comments demonstrated that they knew residents well, and residents said that they were well looked after. Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 10 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): The standards in this section were not assessed on this occasion. EVIDENCE: All of the standards in this section were met on the last inspection, and they were not fully assessed on this inspection. Reference was, however made to certain aspects of these standards during the inspection, and the findings were positive. Examples were given which illustrated the flexibility of the daily routine, and various activities/entertainment/outings. Food was said to be good and plentiful, and comments included, “ they come round with food and drinks at all times, we often have wine in the afternoon, and sometimes we have chip butties at suppertime”, “the food is very good, and there’s plenty of choice”. Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 The home’ procedures for dealing with complaints were appropriate. Staff had received training to protect residents from abuse. EVIDENCE: The complaints procedure was displayed in the hallway and residents’ bedrooms. A book was available for recording complaints made to the home, but there had been none since January 2003. Residents who were interviewed said that they had never had any complaints, but they were confident that the manager or her deputy would be able to deal with them if they ever had any. Since the last inspection all members of staff had completed training regarding identifying abuse and the protection of vulnerable adults. Oldham Social Services and the home’s own policies and procedures regarding the protection of vulnerable adults were available for staff, together with “Action on Elder Abuse” literature. A member of staff who was interviewed was able to demonstrate an awareness of different forms of abuse, and knew what do if an incident of abuse was to occur in the home. Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 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 the following standard(s): 19 and 26 The environment of the home is clean, well maintained and safe. EVIDENCE: Standards of cleanliness within the home continued to be maintained, and no unpleasant odours were detected. Residents were satisfied with their rooms, and they were able to bring in furniture and other personal possessions of their choice to meet their needs, and make the rooms homely. The manager said that the proposed building work to extend the property, and improve the existing accommodation, referred to at the last inspection, had not begun as planned, because the owner was finding it difficult to find a suitable contractor. She added that the owner was determined to resolve the matter in the near future. Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 13 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 The staffing levels within the home were sufficient to meet the needs of the residents. Procedures for recruiting new staff were satisfactory for the protection of the residents. The training programme for staff was suitable for meeting the needs of the residents. EVIDENCE: The information, which was obtained for the inspection, indicated that staffing levels within the home met the standards and were sufficient to meet the needs of the residents. Information which was provided for inspection showed that 8 of the 10 care staff (i.e.80 ), had achieved an NVQ level 2 qualification or higher. The staff records which were inspected, contained 2 written references and a Criminal Records Bureau check, which had been obtained prior to employment commencing, together with an application form, interview notes, and various documents showing proof of identity. Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 14 Since the last inspection staff had received training regarding Sensory Impairment, and the Protection of Vulnerable Adults (see standard 18). Food hygiene training had been updated for 2 members of staff, and the manager had details of other safe working practice training, which was due for updating in 2006, (See standard 38). Also planned for next year was a course about death and dying and additional medication training. Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 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 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, and 38 The home was being managed to a satisfactory standard. The home had an appropriate quality auditing system. The health, safety, and welfare of the residents and staff was promoted and protected. EVIDENCE: The manager stated that she had completed NVQ Level 4 in care, and 3 units of the Registered Manager’s award, which are needed to meet standard 31. The system of quality includes an ongoing programme of surveys of residents and other interested parties. Since the last inspection 5 residents, 10 relatives/friends, and 3 visiting health professionals were given questionnaires to find out their views about the service provided at the home.
Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 16 An analysis of the responses had also been done. Responses included additional comments such as: “Staff are friendly and helpful”, “ A well managed home with excellent staff and happy residents”, “A nice place to visit”. Tests and checks in relation to fire precautions had been done at the prescribed intervals, a fire drill had been held in February 2005, and certificated training in ‘Fire Awareness and Fire Safety’ was provided by the Greater Manchester Fire Service in April 2005. The emergency call system was also checked each week. Individual reports of accidents were kept, and recording was appropriate. Reports of servicing of the passenger lift were available. Staff had received training and up dates regarding safe working practices, (see Standard 30), and dates were kept of when up dating was due. There was a sufficient number of staff (7), trained in first aid, to provide a trained first aider on each shift. Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 17 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 18 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. 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. Refer to Standard Good Practice Recommendations Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
© This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Park Lane House DS0000005515.V263616.R01.S.doc Version 5.0 Page 20 - 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!