Inspection on 10/05/07 for Parkcare Homes (No 2) Ltd (Alexandra Road)

This inspection was carried out on 10th May 2007.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkcare Homes (No 2) Ltd... 03/06/09

Parkcare Homes (No 2) Ltd... 12/06/08

Parkcare Homes (No 2) Ltd... 30/10/06

Parkcare Homes (No 2) Ltd... 03/02/06

Parkcare Homes (No 2) Ltd... 21/10/04

Parkcare Homes (No 2) Ltd... 21/06/04

Similar services:

Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

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Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Parkcare Homes (No 2) Ltd (Alexandra Road) 17 Alexandra Road Enfield Middlesex EN3 7DD Lead Inspector Wendy Heal Key Unannounced Inspection 10th May 2007 09:00 Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 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 Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.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 Adults 18-65. 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. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkcare Homes (No 2) Ltd (Alexandra Road) Address 17 Alexandra Road Enfield Middlesex EN3 7DD 020 8443 5240 020 8804 6518 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) Craegmoor Homes Ltd Mr Arthur Snelson Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th October 2006 Brief Description of the Service: Alexandra Road is managed by Craegmoor Healthcare services. It is a home, which is registered to provide a service to ten younger adults with a learning disability. Alexandra Road is located in Ponders End. The home is purpose built and first opened in 1994. It is an attractive detached house. The accommodation is over two floors. On the ground floor there is a large lounge and dining room and a kitchen. The lounge leads out to a smallenclosed garden with chairs. Also on the ground floor there is a small second lounge, which offers an alternative quiet seating area. In a separate building accessed through the garden there is a laundry. On the ground floor there are bedrooms and an assisted bathroom for disabled people and two toilets, one of which is wheelchair accessible. On the first floor there are the remaining bedrooms, a bathroom, a shower room and the office. The house does not have a lift. The stated aim of the service is to treat the service users as individuals and to promote independence and ensure that privacy and dignity is maintained. The service promotes a holistic approach to care where physical, social and psychological needs are given equal importance and appropriate care plans and interventions are put into place. The purpose and function document and last inspection report are available to be viewed at the entrance of the home and in the staff office. The fees range from £700.00 - £1200.00 per week. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place as part of the inspection programme. Compliance was checked against key standards. The inspection took approximately 8 hours. The Deputy Manager assisted me throughout the day, as the manager was absent due to being on a training course. I undertook a tour of the building, interviewed people living in the home and observed the interaction between the people and staff working in the home. Further information was obtained by an inspection of the documentation kept in the home including care plans and health and safety documentation. I would like to thank all of those present during the inspection, for their openness and participation. What the service does well: What has improved since the last inspection? Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 6 The people living in the home now have individual contracts of terms and conditions, which reflect the new accommodation in which they live, which ensures their individual rights are safeguarded. People living in the home now have activities recorded on one document which ensures an effective recording system is in place which allows for the clear monitoring of activities to ensure people’s individual needs are being met. People’s medical appointments and the outcome of these appointments are clearly recorded which ensures there is an effective recording system in place to ensure that people’s health needs are being met. The home now has adult protection procedures in relation to people’s placing authorities available within the home and they are now kept within an identified place, which ensures that staff have the necessary documentation available to protect people from potential abuse. Staff have undertaken Makaton training, which ensures that they have the skills to meet the needs of the people in the home who have particular communication needs. Staff have also undertaken epilepsy, and food hygiene training, which ensures they have the necessary skills to meet people’s needs. The broken dishwasher has been replaced and the shower door has been made safe which ensures that this particular equipment supplied for used within the home is working effectively. What they could do better: The homes statement of purpose needs to be updated to ensure it provides clear up-to date information in relation to the service offered. The service user guide needs to be partly updated to ensure that the information in relation to staffing is accurate and reflects the staff that are currently working in the home. All care plans must be detailed and up- to -date to ensure that people’s individual needs can be met. One identified person must have an epilepsy chart, which is in the same format as the other epilepsy charts that are being used with the home to ensure consistent professional practice is being undertaken by all staff. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 7 All people living in the home must have an individual record of activities available for inspection to ensure their individual needs are being met. The home needs to obtain an appropriate means of transport to ensure that people living in the home can have access to the full range of community activities. One identified person’s bedroom which has suffered water damage to the ceiling must be decorated along with the staff sleep in room which also needs the carpet and bed replaced, which will ensure that both the staff and people living in the home have a pleasant place in which to both live and work. The new shower must meet the Occupational therapists requirements in relation to the layout and adaptations required to ensure that peoples individual needs can be met. The hoist must have the necessary part replaced if this is not possible a new hoist obtained to ensure that peoples personal care needs can be met. 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. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. People do not have all of the information they need to make an informed choice about were they want to live as the service user guide is not fully up-todate and also the purpose and function document needs updating. Assessments are undertaken prior to people moving into the home, which assists staff to meet people’s needs. Each person does have an up-to-date contract of terms and conditions, which means people know what to expect and vice versa. EVIDENCE: Since the previous inspection there has been one new admission to the home. I looked at the statement of purpose document, which needs to be updated to ensure that all information in relation to the service is fully accurate. The service user guide has been partly updated and it takes into consideration the needs of the people living in the home and is in a pictorial form, which ensures it is accessible to them. However it does not indicate that it can be translated and made available in Braille and audio to ensure that it is fully accessible to those people who may need it, the staffing section also refers to previous staff members, and further action needs to take place to ensure the document is completely updated. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 10 People’s files were inspected and the service user agreement clearly specifies the terms and conditions of the home and includes areas like the opportunity for people to furnish their room with personal items, it confirms that heat and light will be supplied and contains details of the notice period which means people living in the home know what they can expect and vice versa. Each person living in the home does have an up-to-date contract of terms and conditions which had been signed by the manager, and on the day of the inspection were signed by the relevant key workers at the request of myself and I have requested that the contracts are signed by the people living in the home and their representative to ensure that the individual people living in the home have their rights fully safeguarded. People living in the home are assessed before they receive a service, which ensures the staff can meet people’s individual needs. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Not all of the people’s care plans living in the home are being kept up-to date as they do not all contain accurate information. People do make decisions about their lives with assistance, which empowers them. People are supported to take risks which assists them to develop their independence. People’s information is handled appropriately which means that their confidentiality is respected. EVIDENCE: People’s care plans were inspected and were clear to read. The management team are in the process of updating People’s care plans as a new format has been developed based on person centred planning which is in a pictorial form and ensures care plans will be fully accessible to the people living in the home. One identified person who listens to audio books now has their individual Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 12 comments noted by staff in a separate book as stated in the care plan and this information was available on the day of the inspection which ensues the care plans are being followed effectively which assists them to meet the persons needs. One person who has recently moved into the home has the same care plan, which was used in his previous home. This identified persons care plan must be fully updated in sufficient detail to ensure that the staff team work consistently to ensure his needs are met. This person also is supported by the use of an epilepsy chart with regard to when a seizure occurs what type of seizure was it and how long did it last but this also is in a different format to the other epilepsy charts used for the other people living in the home and to ensure a consistent approach is undertaken the same format must be followed. A requirement has been made in relation to this. One identified persons care plan needs to be updated in relation to the activities that they currently undertake as they no longer attend college and refuse to take part or attend certain activities which is not reflected in the current care plan and therefore is not a true reflection of their daily life. A requirement has been made in relation to this. The care plans were informed by current risk assessments, which included areas such as infection control, risk of abuse, risk of falling and fire evacuation, which ensures that the potential risks to people are being identified and action is being taken to minimise the risks to the individual people concerned. I noted information on people’s files that there are guidelines for staff in relation to managing identified areas in relation to challenging behaviour, and the use of a catheter which means that staff are being provided with sufficient information to enable them to support the people who live in the home. People’s risk assessments are being regularly updated. I saw evidence of monthly meetings taking place, which allowed people living in the home to express their views. I noted that people had been asked how they felt about the home, activities were discussed and the option to go to church which assists their spiritual needs to be me. A new person was moving into the home and it was discussed with the people living in the home, which bedroom this person would be moving into and one person wanted to be shown the bedroom and a member of staff responded to this request by taking the person to the identified bedroom. The meeting also noted a recent conference held to obtain the views of the people living in the organisations homes. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 13 Peoples information are handled appropriately as files are kept in the office and information stored on the computer is accessed by a password, which protects people’s confidentiality. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 14 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 14,15,16,17, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. . People are maintaining a good quality of live due to established links with the community. Although not all people’s social needs are being met due to restricted access outside of the home. People’s contact with their family is promoted which benefits their emotional wellbeing. People benefit from good quality balanced meals. EVIDENCE: People’s activity records were inspected. I saw evidence that people undertake a movement and dance session at the home, which has been undertaken by an independent teacher on the day of the inspection. A musician also comes to the home and plays 60’s and 70’s music, which is dependent on the wishes of the people living in the home. The staff support people to undertake activities in the community such as shopping which increases their independence and Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 15 social interaction. On person had also had a birthday part at the home a couple of days before I visited. Activities undertaken are clearly recorded on one document which makes it easier for the activities that people undertake to be identified and ensures that the level of people’s activities and social interaction can be monitored to ensure that adequate activities are taking place. One identified person living in the home had no activity records available on the day of the inspection which means that an accurate record of activities undertaken was not available to show this persons needs are being met. A requirement has been made in relation to this. The opportunity for people to maximise their enjoyment of external activities and personal choices are not being maximised due to the fact that Alexandra Road does not have its own means of transport even though this was provided to those people who were transferred from one of the other organisations homes prior to them moving. I am disappointed that the organisation has not given due consideration to obtaining appropriate transport as this difficulty has been highlighted previously. An amended requirement has been restated. I would like to see the people living in the home take part in a holiday of their choice, which meets their individual needs. A good practice recommendation has been made in relation to this. The people living in the home have regular contact with their relatives, which benefit their emotional wellbeing. On the day of the inspection the kitchen was clean and tidy, which benefits the wellbeing of the people who live in the home and those that work there. The menu of food available was wholesome and nutritious which ensures that people’s dietary needs are being met. The food available was varied and I saw evidence of fresh fruit and vegetable and also a sweet box. The home keeps a record of the food people have actually eaten, which ensures people’s individual dietary requirements can be met. The fridge and fridge freezer were inspected and all food was within its use by date and properly labelled which ensures that people are not eating food that could be harmful to their health. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. People living in the home do not receive support in a way they prefer and require, as they do not have the necessary equipment for their individual needs. People have access to all the necessary health care appointments which, means their individual health care needs are being monitored. The people living in the home are protected by the homes policies and procedures for dealing with medicines. . EVIDENCE: People do not receive support in a way they prefer as the shower and hoist provided are not adequate and do not allow meet peoples to be supported in a way they prefer requirements are made in relation to this equipment under the section marked environment. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 17 The people’s health records were inspected. People do have access to specialist and primary health care when this is required. I saw evidence of appointments with the relevant professionals, which ensures that people’s health needs are being monitored. Medical appointments with outcomes are now recorded on one document which means that information in relation to peoples health appointments can be identified to allow clear monitoring to ensure people’s individual needs are being met. Peoples weight charts are being kept up to date which means that a persons weight gain or loss is being monitored which is important with regard to people’s health and wellbeing. The home has appropriate policies and procedures regarding the administration of medication which safeguards people’s health being at risk due to errors taking place in relation to the mismanagement of medication. I witnessed that people were appropriately dressed at the time of the inspection, which assists people living at the home to have a positive selfimage. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. People are protected by trained staff that have an adequate understanding of how to protect people from abuse neglect and self harm. EVIDENCE: The home has a satisfactory complaints procedure that was seen displayed at the entrance to the home. A satisfactory pictorial version of the complaints procedure was seen which was kept in people’s folder in their room, which ensures that information regarding the complaints procedure is accessible to all of the people in the home. The complaints book was inspected and one complaint had been made since the previous inspection, which the manager was in the process of investigating. The home had available the necessary adult protection procedures and multi agency documentation. I saw the alerter’s training manual, which ensures that staff have the necessary written documentation to ensure they follow the correct procedures in relation to adult protection procedures. The policy on whistle blowing was satisfactory and the staff know how to use it to ensure that unprofessional practice is reported to protect the people living in the home from any unprofessional practice. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 19 Staff had undertaken adult protection training, which ensures they are provided with the necessary knowledge to protect people in their care from potential abuse. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,27,30, Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to the service. People living in the home have benefited from recent improvements in the environment. Although there are still outstanding environmental issues that need addressing to ensure that that people’s individual needs are met and promoted. The home was clean and hygienic at the time of the inspection. EVIDENCE: During a tour of the home I looked at people’s bedrooms having sought their permission. One person’s chest of drawers needed to have the drawer replaced. I also noticed a door needed to be fixed back onto their wardrobe to ensure that the person was living in a comfortable safe environment. I requested the maintenance man attend the home on the day of the inspection and these tasks were completed. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 21 One identified person’s bedroom is in need of redecoration as the ceiling has been affected by water damage, which will ensure they continue to live in a pleasant environment. A requirement has been made in relation to this. The bedroom identified as the staff sleep in room must be decorated the carpet needs to be replaced and a new bed needs to be obtained to ensure that staff are provided with an appropriate environment in which to sleep when staying overnight at the home. The kitchen was clean and tidy and a new fridge freezer, fridge and dishwasher has been obtained which ensures that the people living in the home and the staff employed to support them have been provided with effect equipment to enable people to lead an every day life. I noted that the door below the kitchen sink was not fully attached and therefore the door was not operating effectively I discussed this with the maintenance man who took the appropriate action to ensure that the people living in the home could operate the door effectively on the day of the inspection. One identified shower has had the door replaced, which means it is now safe for people to use. I inspected the second shower in the home and was very concerned that although I had requested that the occupational therapists were consulted before the people were relocated to the home and was aware that this in fact had not happened until after the people had moved to their new premises the shower which had been installed still did not meet the specified occupational therapists requirements. The shower wall on one side is very thin and moves when it is held to assist the person to enter or exit the shower. The shower therefore does not meet people’s needs. I contacted the area manager on the day of the inspection and requested that I am provided with a date when the work will commence to ensure that an effective shower is fitted. I was supplied with a date some time after my visit, however due to the level of concern in relation to how long it has taken for an effective shower to be put in place the area manager has been invited to a meeting with the Commission for Social care inspection to discuss their concerns. I was informed by the staff team that the hoist which is used to safely transfer people when their personal care needs to be undertaken had not worked consistently for a period of two months and as a consequence people living in the home were during the periods that it was not working having to have a strip wash. I immediately spoke with the area manager who informed me that the relevant company had inspected the hoist that the hoist would function correctly for a short period and then break down again. The area manager stated that the company were going to access the equipment to see if it could be repaired or would need to be replaced. I asked to be informed as a matter Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 22 of urgency as to when this would take place and have since been informed that the part to ensure the hoist works effectively has been ordered. The downstairs bathroom and toilet were inspected and I noticed that the lights in both of these rooms were not securely fixed to the ceiling at the time of the inspection to ensure that this did not pose a health and safety risk to the people living in the home I ensured that the maintenance man rectified this problem before I left. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 23 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Qualified staffs support people living in the home, which ensures that they have the necessary skills to meet people’s needs. People are protected by the homes recruitment procedures, which, protects people from potential abuse. Staff are supervised which means they are supported to work in a consistent way with the people living in the home. EVIDENCE: The current deputy manager has just returned for a short period at which she was requested to cover at another home and her return means that the manager can be provided with the necessary support and assistance to ensure the home is run effectively. The staff rota was inspected and it was noted that staff are working long days, which, consist of fourteen-hour shifts, and that one senior staff member does not work weekends a meeting with the manager and relevant staff has taken place and the staff rota has now been reviewed to ensure that staff are working in the most effective way that ensures the health and safety needs of Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 24 people living and working in the home are fully safeguarded due to the fact that the necessary action has taken place a requirement has not been made. People are protected by the homes recruitment policies and procedures all relevant documentation was in place, which, included up-to-date CRB checks, and two references, which ensures people living in the home, are protected from potential abuse. Staff had undertaken training in relation to fire training, protection of vulnerable adults training, health and safety training, CosHH training, catheter training, infection control, manual handling training, and makaton training which is essential as the people living at Alexandra Road have very individual communication needs and it is important that the staff have the opportunity to develop their communication skills on a regular basis. The other training provided assists the development of staff skills to ensure that they are qualified to meet the needs of the people living in the home. Staff supervision is taking place on a regular basis, which ensures that staff work with people living in the home in a consistent way. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 25 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42, Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. People who live at the home do not benefit from a well-run service. People can be confident that their views underpin monitoring review and development within the home. The health safety and welfare of people living in the home is promoted and protected. EVIDENCE: I inspected a range of health and safety documentation which included a portable appliance testing certificate valid until July 2007 this ensures that all electrical goods are checked by a qualified electrician to ensure they meet Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 26 health and safety standards, the electrical certificate dated 15/12/05, and gas certificate dated 14/12/06 was seen and found to be in order. the The fire extinguishers had been serviced on 03/05/07, a fire drill had taken place on the 03/04/07 and a check regarding the emergency lighting had taken place on the 01/05/07 which all serve to protect the people living in the home in the event that a fire takes place and ensure that correct procedures are followed in the event of an evacuation of the home. On the day of the inspection the quality assurance document was made available and found to be in order. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 3 26 X 27 1 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 2 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 28 Yes 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 YA1 Regulation 4 Timescale for action The Registered Provider must 20/06/07 ensure that the homes statement of purpose is fully updated. The registered Manager must 10/06/07 ensure that the service users guide is fully updated and must include accurate staffing information. This requirement has been partly met previous time scale of 12/03/07. The Registered Manager must 20/06/07 ensure that the person who has moved into the home has a new detailed up-to date care plan and epilepsy chart which is in the same format as the other epilepsy chats used within the home to ensure that consistent practice is followed and peoples needs are met. The Registered Manager must 26/06/07 ensure that the identified person who no longer attend college and who activities have changed has their care plan up-dated to reflect this. The Registered Manager must 12/06/07 ensure that the person who has just moved into the home has an DS0000010588.V333465.R01.S.doc Version 5.2 Page 29 Requirement 2. YA5 5 (1c) 3. YA6 15 4. YA6 15 5. YA41 17 Parkcare Homes (No 2) Ltd (Alexandra Road) 6. YA13 16 (m) activity record of his or her own which will ensure his activities are effectively recorded. The Registered Provider must 10/07/07 give due consideration to obtaining a minibus to ensure that people’s needs are met. This requirement is restated from the previous two inspections. Previous timescale of 01/06/06 and 10/04/07 was not met. The Registered Manager must 15/07/07 ensure that the identified persons bedroom that has suffered water damage on the ceiling from the shower located above their room has their room redecorated to ensure it meets their needs. The Registered Manager must 20/07/07 ensure that the staff sleep in room is redecorated, the carpet is replaced and a new bed is provided to ensure a pleasant environment is provided in which staff work. The Registered Provider must 15/06/07 ensure that occupational therapists requirements in her report are acted upon in relation to the layout and adaptations required in the shower room in the home, to ensure that people’s needs are met. This requirement has been restated the previous timescales of 20/01/07 not met. The Registered Manager must 10/06/07 ensure the hoist is effective and in working order to ensure the needs of those living in the home can be met. 7. YA24 23 2 (b) 8. YA24 23 2 (b) 9. YA27 23( 2) 10. YA27 23 (2) Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 30 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 YA14 Good Practice Recommendations The registered person should ensure that all of the service users at Alexandra Road experience a holiday in 2007. Parkcare Homes (No 2) Ltd (Alexandra Road) DS0000010588.V333465.R01.S.doc Version 5.2 Page 31 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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. 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