Inspection on 20/12/07 for Park Riding

This inspection was carried out on 20th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Riding 15/12/08

Park Riding 24/07/07

Park Riding 02/08/06

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

CARE HOMES FOR OLDER PEOPLE Park Riding 66 Greenfield Road Holmfirth Huddersfield HD7 1LA Lead Inspector Gillian Walsh Key Unannounced Inspection 20th December 2007 09:30 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 Riding DS0000066741.V356873.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 Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Riding Address 66 Greenfield Road Holmfirth Huddersfield HD7 1LA 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) 01484 684503 F/P01484684503 Mr Avtar Singh Samrai Mrs Angela Hinchliff Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2007 Brief Description of the Service: Park Riding care home offers accommodation and personal care for up to 16 older persons. It is a well established home situated in a residential area of Holmfirth. Rooms are situated on the ground and first floor, which is accessed by the use of a stair lift. There are two homely lounges, a conservatory and a separate dining room. All bedrooms have a toilet and wash hand basin. The home serves traditional home cooked food. It has its own private grounds including a small putting green. The home is unable to accept people who are immobile owing to the absence of a passenger lift and lifting equipment. The manager informed the Commission that the charge for living at the home, as of July 2007, is £358.80 per week with extra charges made for hairdressing and other incidentals such as some activities. Information about the home is available within the Statement of Purpose and the Service User Guide, which are given to everybody who lives at the home and people enquiring about moving into the home. A brochure about the home is also available. Details of the Commission for Social Care Inspection are included within the Service User Guide. Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this full inspection, one inspector from the Commission for Social Care inspection (CSCI) undertook an unannounced visit to the home. The visit started at 9.30 am and finished at 1.00 pm on 20 December 2007 and was made as part of the Commission’s improvement strategy. The inspector’s time was spent speaking with people who live at the home and staff who work there, reviewing documentation and looking round the home. The home manager was not available at the home but the inspector was ably assisted by the senior care assistant on duty. On this occasion, the provider was not asked for information about the service prior to the inspection and surveys were not sent out to gain the views of people who use, or are involved in, the home. This is because this process was followed prior to the last inspection, which was completed less than six months ago, and all of the feedback received by the Commission was positive. Information and evidence was not only obtained by visiting the home but also from notifications and information obtained by CSCI, information about the home supplied by the home manager and the proprietor and from considering developments since the last CSCI inspection report. The inspector would like to thank everybody involved for their time and assistance during this inspection. What the service does well: What has improved since the last inspection? New bathing facilities have been fitted to promote the comfort of people with mobility problems. Moving and handling equipment has been obtained to make sure that people with reduced mobility are moved safely. Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 6 Systems for the safe handling of medication have been put in place and maintained. Care plans are being improved to inform staff about people’s needs and preferences. 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 Riding DS0000066741.V356873.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 Riding DS0000066741.V356873.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): 3and 6. People who use the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are not admitted to the home without the manager and staff being able to confirm that they are able to meet their needs. The home does not provide intermediate care and therefore standard 6 is not applicable. EVIDENCE: Since the last inspection, there has only been one person admitted to the home and the pre-admission details for this person were seen. The pre admission assessment included details of the individual’s personal care, physical, psychological, social and recreational needs and also information Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 9 about their lifestyle choices and preferences. This information had then been used to form the basis of an initial care plan. Park Riding DS0000066741.V356873.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. People who use the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are supported to make sure that all of their health and personal care needs are met in a way which respects their dignity. EVIDENCE: Since the last inspection, work has been taking place to develop the care plans in such a way that they would provide better detail about the individuals’ needs and preferences. Some development was evident in the four care plans seen during the visit, although discussion took place with the person in charge about how they may like to add more detail about people’s personal preferences within their lifestyles. Assessments including nutritional, moving and handling and skin integrity needs were included in the care plan files although the information from the assessments had not always been used within the care plans. Again, this was Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 11 discussed with the person in charge as the inclusion of this information would make sure that the care plans reflected all of the person’s needs and how they should be met. People’s healthcare needs are met through community services such as GP and district nurses and people are supported to attend local clinics or hospitals as the need arises. This is evidenced within daily records. Since the last inspection, people with particular needs in relation to moving and handling have been assessed and, where necessary, equipment appropriate to their needs has been purchased and staff have been trained in the use of this equipment. During the visit, systems for the storage and administration of medications within the home were checked. It is evident that a great deal of work has been undertaken since the last inspection to make sure that a safe system for managing medications is now in operation and being maintained. People spoken with during the visit said that staff at the home treated them with kindness and consideration. Observations were that staff were mindful of people’s needs in relation to privacy and maintenance of their dignity and supported people in a respectful manner. Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 12 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. People who use the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are supported to make choices about their lifestyles, maintain contact with their family and friends and find that life at the home meets with their expectations and needs. EVIDENCE: On the morning of the visit, people living at the home were joining in with armchair exercises being facilitated by a person who goes into the home on a regular basis to provide activities. After the exercises, people enjoyed a seasonal social event where they had a glass of sherry and a mince pie together. People spoken with said they were happy with their lifestyles at the home and that staff support them to engage in activities of their choosing. People also said that their friends and family are able to visit and spend time with them as they wish. During the visit, the person in charge took a call from a person asking about their relative. After giving the relevant information, the member Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 13 of staff asked if the caller would like to speak to their relative and took the telephone to them. This was very positive, giving pleasure and reassurance to both parties. Everybody spoken with said that the food at the home is very good. One person said that they were sure they would be provided with an alternative if they didn’t fancy the meal being offered but the food is so good that the occasion had never arisen. Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 14 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. People who use the service experience Adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. This outcome is particularly affected by the lack of appropriate checks during staff recruitment processes. People living at the home can be confident in raising complaints. People could be put at risk through poor recruitment processes. EVIDENCE: The complaints book showed that there have not been any complaints made about the home since the last inspection. Likewise, no complaints have been made to the Commission about the service. People spoken with said they would let staff know if they were unhappy about anything. Staff spoken with were aware of how to recognise and report suspicion of, or actual, abuse within the home. As part of this inspection, it was discovered that recruitment processes to protect people living at the home are not always being followed. All staff working at the home must have, prior to commencing work, a Criminal Record Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 15 Bureau check. This includes those returning from a break in employment but this had not been done for every member of care staff. Park Riding DS0000066741.V356873.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, 26 People who use the service experience Good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Although further environmental improvements would enhance the environment, people do enjoy the benefits of living in a comfortable, homely and clean home. EVIDENCE: Since the last inspection, a new bathroom has been developed which includes a bath specially designed for people with mobility problems. This provides a very pleasant place for people to bathe safely. Moving and handling equipment has also been provided to make sure that staff can move people with mobility problems safely and comfortably. Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 17 Recommendations made at the last inspection regarding the fitting of single action door locks to bedroom doors to aid people with reduced dexterity and the fitting of doors rather than shower curtains around toilets in bedrooms to provide better privacy and appearance of rooms, was discussed in a meeting with the provider. He said there is the intention to take action to address these issues. However, as this affects both the quality of life and independence of some people, the recommendations will be made again in this report. The home was clean and tidy and very nicely decorated for the festive season. Park Riding DS0000066741.V356873.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. People who use the service experience Adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. This judgement is particularly affected by the lack of proper checks during staff recruitment. People are supported by staff who are kind and respectful. However people could be put at risk through proper checks during recruitment of staff not being made. EVIDENCE: People spoken with were happy that there are enough staff on duty to support them at all times. People also said that staff were helpful, respectful and kind in their approach. Staff records show that training is provided to make sure that staff are competent to do their jobs although not all staff have record of a full induction. Two of the staff records looked at did not have evidence of a Criminal Record Bureau check being completed prior to the person starting work at the home, although one of these staff members did have evidence of a check being done Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 19 by the body through which the person had been introduced to the home. The other person had been employed at the home previously but none of the usual processes, in place to safeguard people, had been followed for this period of employment. This included an absence of application form, relevant references and Criminal Record Bureau checks. The registered provider was contacted during the visit to inform them of this situation and he made the decision that this person would not work at the home again until proper clearances had been obtained. From discussion it was evident that the registered person had not fully understood that clearances are not transferable from previous employers and that previously employed staff must be fully checked after a break in employment. In light of the actions taken to meet the requirements of the last inspection, bearing in mind the provider’s immediate action to safeguard people, it is acknowledged that procedures will be strengthened, although a requirement will still be made in relation to this. Park Riding DS0000066741.V356873.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 and 35. People who use the service experience Adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Management of the home is generally good but failure to obtain appropriate clearances for all staff could put people at risk. EVIDENCE: The home manager is an experienced carer who, since taking on the management of the home, has completed the registered managers award. People who live in the home spoke of their respect and fondness for the manager. Although it is clear that the manager works hard to make sure that the home is run in the interests of the people who live there, it is also the Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 21 responsibility of the manager to promote and protect people’s safety by ensuring that staff are not employed without clearances being obtained and this has not always being done. Small amounts people’s money is kept safely on their behalf in the home. This is so that people can pay for incidentals as they wish. Three balances of money were checked against documentation and found to be correct. As at the last inspection, it was recommended that two signatures be obtained for each transaction recorded. Park Riding DS0000066741.V356873.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 3 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 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 2 Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 23 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 OP29 OP18 OP31 Regulation 19(1) schedule 2. Requirement To protect people living at the home, staff must not start work until clearances have been obtained, this includes staff returning from a break in employment. Timescale for action 31/01/08 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. 2. Refer to Standard OP7 OP23 Good Practice Recommendations For people to receive more holistic care, the support plans should include details of people’s social, psychological, spiritual and recreational needs. To afford better privacy and to improve the appearance of bedrooms, consideration should be given to fitting doors, rather than shower curtains around toilets in bedrooms. As part of the refurbishment plan, consideration should be given to fitting single action handles/locks to bedroom doors to assist people with reduced dexterity. As an extra measure to protect people’s finances, two signatures be obtained for each transaction recorded in DS0000066741.V356873.R01.S.doc Version 5.2 Page 24 3. OP35 Park Riding documentation relating to personal monies. Park Riding DS0000066741.V356873.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Riding DS0000066741.V356873.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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