Inspection on 28/04/05 for Park Lane Residential Home

This inspection was carried out on 28th April 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 Residential Home 04/06/08

Park Lane Residential Home 30/05/07

Park Lane Residential Home 13/07/06

Park Lane Residential Home 11/08/05

Park Lane Residential Home 17/11/04

Park Lane Residential Home 02/08/04

Park Lane Residential Home 01/03/04

Park Lane Residential Home 20/11/03

Park Lane Residential Home 09/01/03

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

CARE HOMES FOR OLDER PEOPLE Park Lane Residential Home 7 - 9 Park Lane Congleton Cheshire CW12 3DN Lead Inspector Judith Morton Unannounced 28 April 2005 09:00 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 Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park Lane Residential Home Address 7 - 9 Park Lane Congleton Cheshire CW12 3DN 01260 290022 01260 290022 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) Winnie Care (Park Lane) Ltd Ms Amanda Elizabeth Sargeant Care Home 42 Category(ies) of Dementia - over 65 years of age (18) registration, with number of places Old age, not falling within any other category (42) Dementia (1) Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 42 older people, 18 of whom may be older people with dementia, and 1 adult aged 52 years of age with dementia. Date of last inspection 17/11/04 Brief Description of the Service: Park Lane is a care home owned by Winnie Care [Park Lane] Ltd. It is close to Congleton town centre and is near to all community facilities and public transport. There are a small number of car parking spaces available at the home. Park Lane has been purpose built to provide care to up to 42 older service users. The home is divided into five wings, one of which is designed to provide a more secure area for people who have dementia. The home is a three-storey building, accommodation being situated on lower ground, ground and first floors. Six service users who are more able to care for themselves have the rooms on the lower ground floor. Access between floors is via a passenger lift or the stairs. Service users accommodation consists of 38 single rooms, 36 of which have en-suite facilities and two double bedrooms both with en-suites. There are 5 day/quiet rooms available for service users. There are sufficient numbers of toilets and bathing facilities to meet the required standard. The main entrance of the home, plus a number of internal doors, are opened by a keypad system. There is a bench outside the entrance to the care home and several small patios around the home. There is an enclosed garden at the rear of the home. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over 6¼ hours. A number of service users and members of staff were spoken with. The manager was available throughout the inspection and gave the inspector a guided tour of the home. Records were checked. 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 Residential Home F51 F01 S40963 Park Lane V222375 280405 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 Residential Home F51 F01 S40963 Park Lane V222375 280405 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) 1,3,4 and 5 Information about the home and its services is available so that people moving in know what to expect. They can visit the home before moving in, to help them decide whether to move there. Residents’ are assessed before they move in so they and their relatives know their needs can be met at the home. EVIDENCE: The statement of purpose and service user guide for the home contained enough information to ensure that prospective residents knew what services the home provided. Four residents’ files were checked and each contained an assessment of the residents’ needs. Care plans had been drawn up from these, showing what staff should do to meet all the residents’ needs. Risk assessments were also included in the files and these had been reviewed. There was a record that showed which activities each resident had taken part in, so staff could check that social needs and interests were being met. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 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 and 10 There were systems in the home to make sure that all residents were well looked after and received medical treatment when they needed it. EVIDENCE: All the care files checked contained care plans that clearly identified the resident’s needs. However, action plans could contain more detail so that staff are clear about what they needed to do to meet each resident’s needs. Some of the care plans had been reviewed but others needed to be updated. There was little evidence that residents had been involved in reviewing their care plan with staff. Daily recordings continued to be uninformative in many cases, stating things such as “all care given”. This was identified as a problem at the last inspection. It was suggested that more information needs to be put in these records, including what the resident had felt that day. Records were kept of residents’ hospital, GP and other medical appointments. During the inspection one resident asked for an appointment with the chiropodist; this was made immediately by staff so the resident was reassured that their health needs were important. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 9 A health care assistant who was visiting the home said the manager and staff always responded well to any advice or instruction left. Residents told the inspector staff treated them well and were polite and courteous. One said they always helped her to have her meals in her room, which she preferred, and they always knocked on the door before entering. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 and 15 Steps are taken to help residents keep in touch with their families and there are activities available to interest and stimulate them. The food was well prepared but there was no alternative meals offered for residents to be able to choose what they preferred to eat. EVIDENCE: Residents said that they were able to spend time in their room or in the lounge or dining areas. Some residents occasionally went out with relatives and others were seen to receive visitors in their room. There was a poster about forthcoming activities on the notice board in the hall. It was suggested that there could be a notice board with this information in each dining room to enable most of the residents to see what was on offer more easily. There are a number of residents who would not be safe if they went out into the local community on their own. However, the manager has arranged for the enclosed garden at the home to be improved so that, when the warmer weather comes, these residents can go outside safely. There are a number of residents in the home who have dementia and it is recommended that steps are taken to help them find their way around the home and to recognise their own rooms, toilets and bathrooms. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 11 The manager intends to start up a relatives’ meeting so that she can obtain their views on how the home is being run. It was suggested that something similar could be done for residents. Although the lunch on the day of the inspection was hot and well cooked, there was no alternative offered. One service user confirmed this and added that “if they knew that you didn’t like something they would give you something else.” An alternative meal should be available and identified on the menu; the possibility of providing a menu with pictures of the meals on offer each day was discussed. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 12 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 and 18 There is a complaints procedure so that residents and relatives know how to raise concerns and complaints and how these would be dealt with. In order to protect residents, staff at the home should undertake training on how to protect vulnerable people from abuse. EVIDENCE: The manager said that there had not been any complaints made since the last inspection. There was a complaints book, which was empty but the templates were seen for recording any future complaints. These should include how and when the outcome of the complaint was fed back to the complainant. There was no evidence that staff had received training on protecting vulnerable adults from abuse. As it is important that staff can recognise abuse in all its forms and they know what the procedure is should they witness or suspect that abuse is occurring, this training should be undertaken as soon as possible. The manager also needs to be aware of her role should abuse be reported to her. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 13 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) 19,20,21,23,24,25 and 26. The home is generally well maintained and safe, providing a warm and comfortable environment for the residents. Residents have been able to use their own possessions, photographs and ornaments to decorate their rooms to make them more homely. EVIDENCE: On the whole the home was well maintained, although there were a few areas, mainly in the Chatsworth unit, that needed attention. The carpets in the lounge and in the hallway immediately outside of the lounge needed replacing. The bedrooms viewed by the inspector were adequately sized and furnished. The residents had furnished their room with photographs, pictures and ornaments from their own home. All of the bedrooms in the home were ensuite. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 14 The residents were seen to move about freely and had a number of lounges available in which they could spend their time. They were also able to spend time in their own room if they wished. Major work, now nearing completion, has been undertaken in the garden at the back of the home. It has been enlarged, with a patio, and completely enclosed with a gravel path running around the outside edge, making it safe for all of the residents within the home to enjoy. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 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 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) 27,29 and 30 The procedures for the recruitment of staff are thorough to protect the residents from possible harm and poor practice. There were sufficient staff on duty so that the needs of the residents can be met. EVIDENCE: The home had its full complement of staff and the manager was covering any gaps caused through illness or holidays. The recruitment procedure was being followed in detail and additional checks and evidence that the checks had been made were held on the staff’s file. These included, work permit, visa and immigration status. Staff training included health and safety, fire safety training, safe moving and handling, food hygiene and first aid. Five of the staff had obtained their NVQ level 2 and a further four staff were currently undertaking it. One staff member was undertaking level 3 and all of the ancillary staff had obtained NVQ level 1. The manager had started the NVQ level 4. Not all of the staff working on the dementia care unit had received training specific to the service users group. Such training is necessary if staff are to adequately meet the needs of the residents in this unit. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 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 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) 31, 33, 34 and 36 The manager gives guidance and leadership to the staff but this will be improved by the introduction of 1:1 supervision. EVIDENCE: The manager has applied for registration with the Commission for Social Care Inspection. She has worked in care related services for many years and is currently undertaking NVQ level 4. The manager intends to start up relatives’ meetings in the near future and needs to include the views of the residents about the way the home is run as part of the quality assurance measures at the home. The records for the residents who rely on the home to manage their finances are held in head office. However, the petty cash and the records are well maintained by the manager. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 17 The manager had started preparations for providing 1:1 supervision to the staff. The deputy manager and senior care worker are also going to conduct supervision. Files had already been made up. This will be looked at again in the next inspection. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 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 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 2 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x x 3 x 2 x x Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 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 7 Regulation 15 Requirement All of the care plans must be regularly updated and residents included in the review as far as possible. The manager and staff must undertake training on protecting vulnerable adults from abuse. The carpets in the lounge and the corridor on Chatsworth unit must be replaced. Staff must receive training specific to the service user group they support Timescale for action 01/09/05 2. 3. 4. 5. 6. 7. 18 19 30 12, 13 23 12, 18 01/09/05 01/09/05 01/10/05 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 14 Good Practice Recommendations Photographs or symbols could be used on the doors to the toilet or bathrooms, including the toilet in the service users bedroom, if required, so that residents who are confused or have dementia can recognise them. F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 20 Park Lane Residential Home 2. 3. 14 14 4. 5. 33 36 The photograph of any resident who is confused or has dementia could be placed at eye level on the door of their bedroom to help them to locate it independently. Alternatives should be offered at lunchtime and identified on the menue. Photographs of all meals could be provided to help residents make choices about what they would prefer to eat. The views of relatives, service users and professionals should be sought and included in the results of quality assurance reports. Staff should receive formal 1:1 supervision at least 6 times a year. Park Lane Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Unit D, off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Residential Home F51 F01 S40963 Park Lane V222375 280405 Stage 4.doc Version 1.30 Page 22 - 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!