Inspection on 19/04/07 for Parker House Nursing Home

This inspection was carried out on 19th April 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 but made no statutory requirements on the home.

Other inspections for this house

Parker House Nursing Home 19/04/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Parker House Nursing Home 6 Albemarle Road Woodthorpe Nottingham NG5 4FE Lead Inspector Karmon Hawley Key Unannounced Inspection 10:00 19th April 2007 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 Parker House Nursing Home DS0000065380.V335561.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. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parker House Nursing Home Address 6 Albemarle Road Woodthorpe Nottingham NG5 4FE 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) 0115 414591 Rodenvine Limited ** Post Vacant *** Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2006 Brief Description of the Service: Mr Rashid and Mr Hassin own Parker House. Parker House is a care home providing nursing and personal care for 19 older people. It is located in a residential area of Nottingham, close to local shops, general practitioners surgery and other amenities. A bus route into the city is accessible within walking distance. The home is a converted residential house, which consists of two storeys. The home has one lounge, a conservatory and a dining room. Established gardens lay to the rear of the building with sufficient car parking space. Accommodation consists of thirteen single rooms and three double rooms. There is a passenger lift and stair lift available to the upper floor and the home is accessible for wheelchair users. There are two bathrooms and one shower room. The current weekly fees range from: high dependency residential £334; nursing £360; in addition to these fees are the nurse banding fee and room supplements of £16 for a double room and £32 for a single room. The provider makes information available on initial enquiry and when visiting the home. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager about Parker House and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the manager matched individual experiences of service users living at the home by talking with them and observing the care received. Six service users and one relative were spoken with, all of them expressed that care was at a good standard and staff were very kind and attentive. General house records and staff records were also looked at to ensure these were maintained and provided positive outcomes for service users. Two members of staff were spoken with and were able to discuss service users needs and support required. What the service does well: What has improved since the last inspection? Recruitment processes have been improved to ensure all new staff have the necessary documentation in place prior to commencing employment thus ensuring service users are protected. Staff files have been audited to ensure all the necessary documentation is in place to ensure service users are fully protected. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 6 Staff training has continued to develop ensuring staff individually and collectively have the required skills to fully meet service users needs. The homes policies and procedures continue to develop ensuring good working practices are maintained. Registered nurses professional identification numbers are checked on a periodical basis to ensure these are effective, thus ensuring service users are protected. 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. Parker House Nursing Home DS0000065380.V335561.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 Parker House Nursing Home DS0000065380.V335561.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are assured that service users needs are assessed and met prior to admission. The home does not offer intermediate care services. EVIDENCE: Registered nurses or the acting manager visit prospective service users within the community to carry out a preadmission assessment. Evidence of this taking place was available within service users case files. Prospective service users may visit the home and spend time there prior to making a decision to moving in. One service user and one relative spoken with discussed the preadmission procedure undertaken and how they had visited the home before moving in. The home does not offer intermediate care services. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users health, personal and social care needs are met. Staff are working towards ensuring relevant systems are in place to ensure service users are fully protected by the homes medication policies and procedures. EVIDENCE: Service users undergo various assessments such as manual handling, the activities of daily living, nutritional needs and pressure area care. Information gained forms the plan of care. Plans of care in place were personalised and reflected service users needs and support required. Appropriate risk assessments were in place for identified risks. There was evidence of reviews taking place, which were service user focussed. Service users spoken with said that staff were kind and attentive and their needs were met. Staff spoken with were able to discuss service users needs and the support they required in meeting these. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 10 There was evidence within service users plans of care to show that the doctor, district nurse, tissue viability nurse and other specialist services are accessed as required. During the tour of the home specialist mattresses and cushions were available. One service user spoken with said that they could see the doctor at any time. Medication records and procedures were observed. On two occasions where antibiotics had been prescribed these had been signed for but not administered. This was discussed with the acting manager and registered nurse who stated that regular audits of certain medicines and the signing of medicines had been taking place following a recent pharmacy visit. They stated that they would now include antibiotics into this audit to ensure this does not reoccur. Hand written entries were not signed to show these had been checked as correct. Relevant records such as fridge temperatures, medicines signed into and out of the building were seen. Service users spoken with said that staff treated them with respect at all times and that their privacy is maintained. Screening is available within double rooms. Staff spoken with discussed how they ensure service users privacy is maintained. Staff were observed to knock on doors prior to entering. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users find the lifestyle experienced in the home matches their expectations and satisfies their needs. Service users are able to exercise choice and control over their lives. EVIDENCE: At present the acting manager is advertising for an activities coordinator, in the mean time staff deliver activities as able. Activities range from board games, quizzes, jigsaws, playing cards and trips out. Service users spoken with said that they enjoyed activities on offer. One service user was seen to be playing cards with a member of staff whilst another was doing a jigsaw. The acting manager does a monthly newsletter which gives information of all forthcoming events. Although there are no church services in house, Holy Communion is offered by local vicars should service users require it. The acting manager said that if a service user wishes to go to church this would be accommodated. Both staff and service users of the home said that the routine of the home was flexible and service users may spend time as they wish. There are no restrictions imposed upon visiting and visitors may be received in private should they wish. Service users spoken with confirmed this and said Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 12 that their visitors were always made welcome. One visitor spoken with said that staff were always respectful, kept them informed of events and made them feel welcome. Within service users plans of care there was evidence that service users personal choices and preferences had been acknowledged. Staff spoken with were able to discuss how they ensure service users are treated as individuals and their personal needs and preferences are catered for. Service users spoken with said that staff were kind and respectful at all times and they felt that they were listened to and their needs met. A wholesome and appealing diet is on offer. Service users spoken with said that food was at a good standard and plentiful. Relevant records such as cleaning rotas and temperature control readings were seen. Staff spoken with were able to discuss special diets and personal preferences of service users. Staff were seen to assist service users with the main meal appropriately. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and relevant others are assured that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: There have been no complaints received since the last inspection. Staff spoken with were able to discuss how they would deal with a complaint should it be received. Service users and the relative spoken with spoke highly of staff and care received and expressed no concerns. All staff employed have Criminal Record Bureau checks in place (a police check to see if an individual has any cautions or a criminal record). Relevant polices and procedures were in place for the protection of vulnerable adults. Staff spoken with were able to discuss how they would prevent abuse and deal with abuse if it occurred. The acting manager is going to attend a course on the protection of vulnerable adults and is intending to pass all the necessary information to junior staff. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: An ongoing maintenance plan is in place. Redecoration and refurbishment continues in service users rooms. An additional washing machine has been purchased to supplement equipment in place. The home remains well maintained throughout. One service user spoken with said that the home was always clean, tidy and comfortable. The home was clean and tidy throughout. Hand washing facilities are available throughout the home. Sufficient laundry equipment is available. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number and skill mix of staff meet service users needs. Service users are in safe hands at all times. EVIDENCE: The staff duty rota seen showed that one registered nurse and three care assistants are on duty throughout the day and one registered nurse and one care assistant during the night. In addition to this a cook and two domestic members of staff are also on duty throughout the day. Service users spoken with said that sufficient staff were available to meet their needs. Staff spoken with confirmed this. One member of staff has attained the National Vocational Qualification (a nationally recognised work and performance based qualification) level two and one member of staff is working towards completing this. The acting manager is in the process of registering a further three members of staff on this training. The induction is in house and consists of health and safety training and an outline of the routine of the home. Staff work closely with other members of staff for a number of days so that they can learn about the service users and their personal needs and preferences. Two new members of staff spoken with said that they had been made very welcome by the staff team and they and undergone an induction with a trained member of staff. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 16 Four staff personnel files were looked at and contained all the required documentation. Staff training continues to develop, certificates to confirm further training had taken place were available within staff personnel files. Staff spoken with said that training was at a good standard and they felt supported by the acting manager in their training and development. The acting manager has plans to arranged additional training sessions; information to confirm this was seen. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home, which is run in the best interests of service users. The health safety and welfare of service users and staff are promoted and protected. EVIDENCE: The acting manager is in the process of completing an application to become the registered manager. She has commenced the Registered Managers Award (a nationally recognised work and performance based qualification). She stated that she felt much more settled and had made many improvements within the home. Staff spoken with said that the acting manager was approachable and the home was well run. Service users spoken with also said that the home was well run. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 18 The acting manager has not sent any further questionnaires to service users or relatives since the previous inspection. The proposed newsletter has been completed and now is sent out regularly. Coffee mornings currently take place at the home, the acting manager is intending to use this time for a meeting where service users and relatives may air their views. Four service users personal allowances were checked these corresponded with the accounting sheet. Receipts were available for transactions. Service users may access their money at any time; one service user spoken with confirmed this. Maintenance certificates such as the gas, electrics, lift and hoist were seen. The fire logbook showed that emergency lights and the fire alarm systems are tested as required. The accident records contained significant information. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 19 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 Sore 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 2 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13(2) Requirement Medicines must not be signed for unless these have been administered to ensure that accurate records of medicines taken by service users are maintained. The acting manager is required to submit an application to the Commission for Social Care Inspection to become the registered manager. This is an outstanding requirement since 20/10/06 and must be addressed. Timescale for action 25/05/07 2. OP31 9 (1) 25/05/07 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 OP9 Good Practice Recommendations Hand written entries are signed by two members of staff to show these have been checked as correct. Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Parker House Nursing Home DS0000065380.V335561.R01.S.doc Version 5.2 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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