Inspection on 25/05/05 for Park Street Home For The Elderly

This inspection was carried out on 25th May 2005.

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 Street Home For The Elderly 05/12/06

Park Street Home For The Elderly 18/10/05

Park Street Home For The Elderly 04/01/05

Park Street Home For The Elderly 24/05/04

Similar services:

Belma

Hunters Care Centre

Manor Lodge

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Park Street Home for the Elderly 10 Park Street Lansdown Bath Bath & N E Somerset, BA1 2TE Lead Inspector Jon Clarke Draft - Announced 25 May 2005 09:30 th 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 Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park Street Home for the Elderly Address 10 Park Street Lansdown Bath Bath & N E Somerset BA1 2TE 01225 425011 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) Mrs Alice Togher Mrs Alice Togher PC Care Home 10 Category(ies) of DE Dementia (10) registration, with number MD(E) Mental Disorder -over 65 (10) of places MD Mental Disorder (10) DE(E) Dementia - over 65 (10) Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The total number of people who may be accommodated in the home at any one time shall not exceed 10. All service users accommodated must be ambulant and able to use the stairs independently. The home may, at any one time, accommodate up to 10 people with dementia aged 65 years and over. The home may, at any one time, accommodate up to 10 people with mental disorder (not dementia) aged between 55 and 64 years of age. The home may, at any one time, accommodate up to 10 people with mental disorder (not dementia) aged 65 years and over. The current service user whose needs do not fall in to either the MD or DE categories may continue to be accommodated in the home until such time as that person does not wish to remain in the home or the home is unable to meet that person`s needs. Date of last inspection 4-Jan-2005 Brief Description of the Service: Park Street is a converted three storey Georgian town located in the centre of Bath with easy access to local shops and amenities. The home provides accommodation for 10 residents with 4 single and 3 double rooms, 2 of the rooms have en-suite facilities. The one communal lounge is on the first floor with dining room on the ground floor. There is no lift available and therefore the home would not suitable for individuals who could not manage stairs. The home is registered to provide care for older people with dementia, individuals aged between 55 and 65 with a mental disorder and individuals over 65 with a mental disorder. The philosophy of care is that Park Street aims to provide its service users with a secure, relaxed and homely environment in which their care, well-being and comfort are of prime importance and all residents are assured they will be treated with respect and dignity according to their individual needs and wishes ( From the homes Statement of Purpose ) Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day, the manager and deputy manager were present throughout the inspection. The focus of this inspection was to “ interview “ where possible residents, observe staff interaction with residents and if possible seek views of visitors and relatives. As part of this inspection comment cards have been sent to a number of relatives and G.P.s to request their views. A visiting social worker from a mental health team was interviewed and their comments have been incorporated into this report, discussion with 2 relatives also took place during this inspection. A number of documents were examined including care plans, pre-admission assessments, daily records, medication administering records. What the service does well: What has improved since the last inspection? A number of requirements were made as a result of the previous inspection these have all been met. Included was a requirement about seeking views of relatives and where possible residents. This has now been introduced in the form of two questionnaires, one about the admission to the home and the other on living in the home. Hopefully this will result in confirming the good quality of care provide at the home as well as suggestions and comments about the service offered. Other areas which have been addressed are: supervision of staff is now taking place, full induction and health & safety training is provided to all staff and adaptations have been made or are in the Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 6 process of being made to assist residents who have a physical disability. The home has also installed radiator covers throughout the home which provides a greater degree of safety. 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 Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 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 Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 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 There is not consistent practice in obtaining pre-admission assessments and this could result in a failure to meet the individual’s care needs or make an informed decision as to the home’s ability to meet care needs. EVIDENCE: Whilst there were some pre-admission assessment giving details of individuals care needs for two residents who had been admitted 06/05/05 & 17/01/05 no assessments were available. A letter is sent to individuals or their representative stating that the home can meet their needs. Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 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) 7,9 There is a lack of consistent care planning system in place to make sure that all of the necessary information about an individual’s care needs is provided to staff so that they can satisfactorily meet the resident’s needs. Residents health is protected by safe working practice in the administering and storage of medication. EVIDENCE: Care Plans for recently admitted residents were not available and had not been completed. Other care plans were seen and provided a good basis for providing care identifying health and social care needs. A relative confirmed that they had discussed with staff the care that was needed. Administering records were seen and were satisfactory as were the arrangements for storage and returning of medication. Controlled drugs are administered with the additional safeguard of a witness to the administering and storage in a secure cupboard. Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.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) 12,15 Staff provide activities which meet the needs of residents and encourage residents to maintain links with the local community, family and friends. The importance of open and regular contact with family and friends is recognised as important in meeting social needs. Meals are provided which are nutritious and appealing maintaining a balanced diet. EVIDENCE: Staff were observed undertaking activities with residents on a one to one basis. They were suitable activities taking into account mental health difficulties. Staff are very much encouraged to spend time with residents and there was a relaxing and comfortable environment. A resident spoke of regularly going out shopping and collecting her pension. Staff also accompany residents to the local shops. Staff were observed serving meals and did so in a supportive way encouraging residents to finish their meals in a sensitive way. Residents said how the food was “ good “, “ I like the food here its always nice ’’. Records of meals were looked at and demonstrated that balanced and varied home cooked food is provided and choices are available to residents. Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 11 A relative commented on how she felt able to visit at any time and was always “ made to feel welcome ’’. A social worker also commented that she felt able to visit at any time. In talking with staff they recognised the importance of relative and friends visiting. Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.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 There is a satisfactory complaints procedure and some residents and relatives feel they are listened to and able to say if they are unhappy about the service provided at the home. The manager and deputy encourage an environment which is open and honest where individuals are able to express their views and feel part of the home this includes relatives. EVIDENCE: No complaints have been made since the previous inspection. In talking to some residents they said if they were unhappy they would “ speak to the ladies” or “ the one in charge ’’. A relative said they were aware of the complaints procedure, “ would say if I was worried about anything ’’, staff are “approachable’’. Another relative also said they were aware of the complaints procedure (a copy is displayed in the home) and she had been given a copy. Also she would “ speak to Mrs Togher or her daughter ’’ if she had concerns or was unhappy about anything, that she was also “ getting more feedback about how he (relative) is ’’. Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.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 The standard of decoration in the home is fair with ongoing maintenance and improvement providing residents with a homely environment. EVIDENCE: A number of resident’s rooms were seen during this inspection. Whilst they were generally in reasonable condition and rooms are decorated particularly when becoming vacant (one room was seen which had recently been decorated for a new resident) improvements could be made in the general décor. It was discussed with the manager that some of the rooms were in need of decorating in particular one room which had a crack in a wall. Since the previous inspection carpeting had been replaced in the lounge area and further improvements are planned for the hallway. Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 14 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) 27,30 Sufficient numbers of staff are on duty at all times to meet the needs of residents. Training and Induction is provided to all staff to make sure they are skilled and have the knowledge to care for residents in a professional way. EVIDENCE: Training records were seen and showed that staff had completed relevant training particularly about caring for individuals who have mental health needs. Staff had attended Caring For People with Dementia course and Managing Abusive and Aggressive Behaviour training. Staff have also had Adult Protection training and the manager and deputy had completed the Investigator’s Adult Protection training. There is a structured induction for staff which includes Health & Safety training. Staff record showed that they had completed Induction (including fire safety), Manual Handling, First Aid and Basic Hygiene. Staff rota showed that there are 2 members of staff on in addition to senior care. A relative confirmed that when they visited there was always at least 2 staff on duty and she visited at different times of the day. Criminal Records Checks were seen for all staff and were satisfactory. Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 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 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) 33 The home is now making efforts to seek residents and relatives views about the quality of care provided at the home which will provide not only opportunity for positive comments but also enable individuals to make suggestions about how the quality of care could possibly be improved. EVIDENCE: Questionnaires have been introduced since the last inspection one which is given on admission to the home. This asks questions such as: Were you given enough information about the home to help you decide to move in? Did you feel that your needs (as a resident) were understood when you moved in? When you moved in were you made to feel welcome? A relative confirmed that she had been given a questionnaire. Another questionnaire is about Living In the Home. Questions are asked about the quality of the food, the personal care & support, daily living, the premises and management. A questionnaire completed by a resident was seen and was Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 16 very positive. Copies had also been sent out to relative though none had been returned at the time of this inspection. As part of its Quality Assurance the home also has a regular audit of its procedures undertaken by ARCHA ( Care Homes Association) these have been positive though do not involve discussion with residents or relatives. These questionnaires are therefore a good development in the practice of the home and are to be commended. Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 1 x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 3 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 3 x x x x 3 x x x x x Park Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 18 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. 2. Standard 3 7 Regulation 14 15 Requirement Ensure full pre-admission assessments are obtained for all new residents. Ensure that a Care Plan is completed and made available to staff within one month of admission. Undertake repair and decoration of residents room where there is possible structural work required. Timescale for action From 25th May 2005 From 25th May 2005 By 31/09/05 3. 19 23 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 Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 Page 19 Commission for Social Care Inspection 300 Aztec West Almondsbury South Gloucestershire BS32 4RG 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 Street Home for the Elderly D56_S8159_ParkStreetHomeFortheElderly_V226004_250505Stage4.doc Version 1.30 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!