CARE HOMES FOR OLDER PEOPLE
Park Lane House Off Rochdale Lane Royton Oldham OL2 5QX Lead Inspector
Carol Makin Unannounced 27th 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 House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Park Lane House Address Off Rochdale Lane Royton Oldham OL2 5QX 0161 624 3697 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) Dr Saphal Kanti Pal Ms Samantha Lorraine Pal Ms Claire Louise Butterworth CRH Care Home 16 Category(ies) of DE(E) Dementia - over 65 - 7 registration, with number OP Old Age - 7 of places SI(E) Sensory Impairment over 65 - 2 Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 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 23rd November 2004 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 F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 27th July 2005. The inspector spoke with some of the residents, relatives, the owner, and the manager, carried out a partial inspection of the premises, and examined records. Verbal feedback of the findings of the inspection was given to the manager, during, and at the end of the inspection. There were a number of matters related to the home’s environment, which were identified at the previous inspection. All of these matters will be addressed during the planned refurbishment of the home which is currently awaiting approval from the planning authorities. What the service does well: What has improved since the last inspection?
Radiator guards have been fitted on all corridor radiators, and many of the bedrooms, and ‘cold touch’ radiators had been installed in the lounge. The owners have informed the Commission of their plans for improvements to the accommodation.
Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 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 standard(s) 3,4, and 5 Assessments of prospective residents care needs were completed before they moved into the home. Prospective residents and their relatives have an opportunity to visit and assess the suitability of the home. EVIDENCE: Residents were seen and assessed prior to admission to the home either by visiting the home, and if they wished, having a meal and spending a day there, or by the manager or her deputy visiting them at home or hospital. There was confirmation of this on files which were inspected, and from discussions with relatives, and the manager during the inspection. Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 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 standard(s) 7,8,9 and 10. Residents’ health, personal and social care needs were set out in an individual plan of care, and are met in the home. Procedures for dealing with medicines were appropriate. Residents’ rights were respected and maintained by the staff in the home. EVIDENCE: Care plans, which were based on daily living activities, were in place on the residents’ files which were inspected, and had been reviewed each month. The inspector was pleased to note that comments had been made about residents each month even when changes to the care plans were not needed. Risk assessments had also been completed as required. Relatives signed care plans to confirm that they agreed with them. Nutritional assessments had been carried out together with a corresponding care plans regarding dietary needs and preferences, and weight. Records
Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 10 showed that residents were weighed on admission and subsequently each month. Residents felt that they were well looked after in the home, and that their health and social care needs were met. The medicine records which were selected for inspection, were found to be in order. Residents said that staff treated them with respect, and their rights to privacy and dignity were maintained. References to maintaining residents rights to respect, privacy, dignity and independence were also noted in care plans. Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 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 standard(s) 12,13,14 and 15 The daily routine within the home was flexible, and enabled residents to make choices in various aspects of their daily life within the home. Residents were able to maintain contact with relatives and friends. Activities provided residents with enjoyment and stimulation. Residents enjoyed the food provided at the home. EVIDENCE: Routines of daily living within the home were said to be flexible. Residents said that they could ‘ do as they pleased’, and they gave examples such as getting up and going to bed when they wished, taking time over meals, having visitors when they liked, and joining in with activities if they wanted to do so. One lady enjoyed spending time in her room reading and watching television. Residents were satisfied with the activities provided, which included music, sing-a-longs, bingo and games, and entertainers gave performances in the home regularly. The home was sometimes closed for the day when all of the residents were taken on a trip out, either locally for a meal, or further a-field. Photographs of a recent trip to Knowsley Safari Park were displayed the home, which showed residents looking happy, and enjoying themselves.
Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 12 Relatives were very complimentary about the home and the service provided for the residents. Staff were said to be good and considerate, and gave support to them, as well as to the residents. An example of this being an occasion when staff phoned to let a relative let him know that his wife, who had been upset before he returned home after visiting her, had settled down and was no longer upset. Residents were very complimentary about the food, which they said was of good quality and plentiful, and there were choices, and alternatives to the meals on the menu. Breakfast and lunch were served in the dining room, and a large choice of hot snacks was provided for tea, which was served in the lounge. Residents said that they were able to ‘eat at their own pace’ and have a chat during meals. Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 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 standard(s) The standards in this section were not assessed on this occasion. EVIDENCE: Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 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 standard(s) 23 and 26 The home is clean, pleasant, and suitable for the people who live there. EVIDENCE: At the time of the inspection the home was clean and free from unpleasant odours, and residents and visitors confirmed that this was the normal standard of cleanliness within the home. The home provides a large through lounge, a separate dining room, and a small room for hairdressing. The bedrooms inspected were personalised to varying degrees according to residents’ choice, including some items of their own furniture. Issues regarding the provision of storage areas and the renewal of laundry equipment and facilities are to be addressed during the building of an extension to the property, for which an application for planning permission has been made. Other internal alterations are to be carried out to the existing accommodation at the same time, to convert all double rooms to singles, some
Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 15 rooms also having an en suite toilet facility installed. Since the last inspection safety guards had been fitted to radiators in corridors and in many of the bedrooms, and ‘cold touch’ radiators had been installed in the lounge. The remaining radiators are to be replaced with safety radiators during the alterations to the property, and risk assessments had been completed, and action subsequently taken to assist in preventing injuries to residents in the mean time. Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 16 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) 30 The training programme for staff was suitable for meeting the needs of the residents. EVIDENCE: Since the last inspection 7 carer and domestic staff had received training in relation to sensory impairment, and Protection of Vulnerable Adults, and the same training has been arranged for the remaining 7 members of staff on 27/9/05. All staff received fire procedures training from an external trainer on 24/4/05. Induction training continues to meet the National Minimum Standards. Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 17 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) 35 and 36 Residents’ financial interests were safeguarded. Staff are appropriately supervised. EVIDENCE: Records of money held in safekeeping for residents were selected at random for inspection, and were found to be in order. A system was in place of regular appraisals for staff and the manager, together with staff meetings, which provided further opportunities for staff development and training. Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 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 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION x x x x 3 x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 3 3 x x Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 19 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 Good Practice Recommendations Park Lane House F54 F04 s5515 Park Lane Hse un v241991 270705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 OQD National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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