Inspection on 29/10/07 for Parkfield House

This inspection was carried out on 29th October 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

Parkfield House 10/04/07

Parkfield House 11/04/06

Parkfield House 12/09/05

Parkfield House 12/04/05

Parkfield House 16/11/04

Parkfield House 14/06/04

Parkfield House 15/12/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Parkfield House Charville Lane West Hillingdon Uxbridge Middlesex UB10 0BY Lead Inspector Mrs Rekha Bhardwa Key Unannounced Inspection 10.25 29th October 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 Parkfield House DS0000010935.V349190.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. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkfield House Address Charville Lane West Hillingdon Uxbridge Middlesex UB10 0BY 01895 811 199 01895 811 131 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) HALTON SERVICES LIMITED Mrs Gurbachan Kaur Sandhu Care Home 44 Category(ies) of Dementia (8), Old age, not falling within any registration, with number other category (36) of places Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 36 BED NURSING UNIT Day Shift: 33-36 service users, Two Registered One additional carer for a half day. 31-32 service users, Two Registered 29-31 service users, Two Registered 23-27 service users, Two Registered Assistants. Nocte Shift: 33-36 service 31-32 service 29-31 service 23-27 service users, users, users, users, One One One One Registered Registered Registered Registered Nurses and Five Care Assistants. Nurses and Five Care Assistants. Nurses and Four Care Assistants. Nurses and Three Care Nurse Nurse Nurse Nurse and and and and Two Two Two One Care Care Care Care Assistants. Assistants. Assistants. Assistants. 8 BED DEMENTIA UNIT Staffing levels in the Dementia Unit must at all times be maintained at 1 RMN (or RN with appropriate post qualification training in dementia care) and 1 Care Assistant unless negotiated and agreed with the Commission For Social Care Inspection in advance of any change being made. Date of last inspection 10th April 2007 Brief Description of the Service: Parkfield House Nursing Home is a Georgian building, situated in a residential area in Hillingdon. The building has 3 storeys. It is registered to accommodate 44 people, 8 of whom are accommodated in a dementia care unit. The building is a listed building, and is a converted mansion. There are 36 single bedrooms (spread over the ground, first and second floor) and four double bedrooms (all situated on the first floor). All bedrooms are en-suite. There are 2 sitting areas on the ground floor and one sitting area on the second floor. There is a dining room on both the ground and first floors. The Home is near the local high street, public transport and local amenities. The fees range from £640 to £850 per week. Parkfield House DS0000010935.V349190.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 carried out as part of the regulatory process. A total of 15 hours was spent on the inspection process, and was carried out by 2 Inspectors. The Inspectors carried out a tour of the home, and service user plans, medication records & management, staff rosters, staff records, financial & administration records and maintenance & servicing records were viewed. 18 residents, 20 staff and 3 visitors were spoken with as part of the inspection process. The pre-inspection Annual Quality Assurance Assessment (AQAA) document completed by the home, plus two comment cards from representatives/visitors have also been used to inform this report. No comment cards were received from any of the residents living at the home. What the service does well: What has improved since the last inspection? The medication management has improved and medications are now being well managed at the home. The home has started to gain information regarding the wishes of residents and their families in respect of end of life care, so that their wishes can be respected. The home has appointed an activities co-ordinator and work is being done to provide activities to meet the interests of the residents. Resident food preferences, both for personal reasons and in respect of cultural and medical reasons, are ascertained and the cook works hard to meet these preferences. There is evidence of some improvements in the environment but further improvement is required to bring the it up to a good standard throughout. There has been a good improvement in the training provision for staff, and this needs to be ongoing to ensure all staff are kept up to date with subjects relevant to the work they perform. Action has been taken to ensure that in the absence of the Registered Manager, arrangements are in place to ensure the home continues to be managed effectively. The homes policies and procedures have been reviewed and where required updated. The risk assessments for fire, equipment and safe working practices have been reviewed and updated. There is now evidence that fire drills are being carried out at regular intervals. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 6 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. Parkfield House DS0000010935.V349190.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 Parkfield House DS0000010935.V349190.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. The home does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are fully assessed prior to admission, thus the home ensures they are able to meet each persons needs. EVIDENCE: The home has a comprehensive pre-admission assessment document that provides a good picture of the resident and their needs. Copies of the Social Services assessment are also obtained. Parkfield House DS0000010935.V349190.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, 10 & 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user plans are in place for each resident, however shortfalls in the information contained in the care plans could lead to residents needs not being fully met. Medications are being well managed at the home, thus safeguarding residents. Staff care for residents in a gentle and professional manner, respecting their privacy and dignity. Resident choices regarding end of life care are recorded, thus ensuring that individual wishes are respected. EVIDENCE: One Inspector viewed 3 service user plans plus 2 more in relation to wound care management. Clear admission assessments are carried out, however the information from these and the pre-admission assessment documentation is not being used to identify each need, and care plans had not always been formulated to address these needs. One service user plan viewed on the dementia care unit did not have a care plan for dementia care needs. New care planning documentation has been introduced that allows for specific information regarding each resident to be recorded. There was some evidence of input from representatives in respect of signing assessments and consents, Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 10 however residents spoken with did not appear to have had any involvement in the formulation and review of their service user plans. The importance of this was discussed with the Registered Manager. Some of the assessment documentation had been changed, and risk assessment and assessment information was very brief, to include information regarding falls risk. A requirement is set under standard 8. Wound care documentation was viewed. Care plans for wounds were in place, along with records of dressing changes, body maps and pressure sore risk assessments. Assessments for moving & handling and nutrition were very brief and did not provide a clear picture of the residents needs. Continence assessments were not available in the current service user plans, however one viewed for a previous resident was clear. The Inspector suggested that the documentation available be reviewed and the home use those documents that provide comprehensive information about each aspect of a residents care, so that appropriate assessments and associated documentation are in place for each resident. There was evidence of input from healthcare professionals to include GP, dentist, chiropodist and tissue viability nurse. The medication records and management were sampled. All receipts, administration and disposals had been clearly recorded. For each resident a front sheet with a photograph, name, allergy information and other relevant information was available. A list of staff signatures and initials was in place. With one exception all liquid medications had been dated when opened, however there was a date for commencing the medication clearly printed on the administration instruction label. The Inspectors recommended this date be circled to clearly identify when the medication was opened. Fridge minimum and maximum temperatures were being recorded and were within safe range. Since the last inspection the medication policy had been updated to expand the section for disposal of medications. Assessments and signed consents by the GP were in place for any residents for whom covert administration of medications is necessary due to non-compliance. A risk assessment was in place for one resident who self-medicates with one medication. The controlled drugs register was up to date, medications were correctly recorded and signed for and stock checks had been carried out. Since the last inspection new lancing devices for professional use are now being used for blood glucose monitoring. Stock control was checked for some residents and stock amounts tallied with the administration records. For one resident who had recently returned from hospital, a hand-written medication administration record (MAR) had been done and the stocks of medications received from the hospital had been entered. Medications are being well managed at the home. Staff were seen caring for residents in a gentle, caring and professional manner. Residents spoken with were very happy with the care they are receiving at the home and positive comments were also received from visitors and healthcare professionals. Bedrooms viewed were very personalised and looked homely. Residents personal clothing is labelled and residents were well Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 11 groomed and dressed, reflecting individuality. Residents can have their own telephone if they so wish, and mail is delivered unopened. Staff speak with residents using their preferred term of address. Information regarding the wishes of residents and their families in respect of health deterioration and dying is now being ascertained. The Deputy Manager said that some people find this a very difficult topic to discuss and the staff are sensitive to this. Several staff had undertaken training in dying and bereavement since the last inspection. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activity provision at the home has improved, however further work is needed in this area to ensure the interests of all residents can be catered for. The home has an open visiting policy, thus encouraging people to maintain contact with family and friends. Information regarding advocacy services was available, thus peoples right to individual representation is respected. The food provision in the home is good, offering variety and choice, thus meeting peoples’ individual needs. EVIDENCE: The home has appointed an activities co-ordinator and there was evidence of several outings over the summer plus activities on the units. At the time of inspection the activities co-ordinator was covering for the administrator who was on leave. The importance of ensuring activities are being organised each day was discussed with the Registered Manager. The Inspectors recommended that the activities co-ordinator accesses training relevant to her role. Some dementia care training has been given to staff, with a small element including activities for people with dementia, and training is needed to expand the staffs knowledge in this area. Residents and representatives are being asked to complete a ‘life history’ document, providing staff with information regarding Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 13 the residents social history to include interests and hobbies previously enjoyed. The home has raised flowerbeds so that residents who enjoy gardening can get involved in planting bulbs and other plants. The home has an open visiting policy and visiting is encouraged. Residents can receive visitors in their own bedroom or in one of the communal areas, as they so wish. The visitors spoken with said that they are always made very welcome at the home and are offered refreshments. Representatives are kept up to date with any issues. The home has access to the local Age Concern Advocacy service and information on this was clearly displayed on the notice boards. Information was also available for ‘Care Aware’ advocacy services, who provide advice on financial issues. One Inspector viewed the kitchen, which was clean and tidy, and kitchen records were up to date. The menus are regularly reviewed and the cook had a good understanding of meeting the needs of residents who have specialist dietary needs for medical or cultural reasons. The kitchen had recently been inspected by Hillingdon Environmental Health Department and had attained a Four Star food hygiene rating. The menu offers a choice of meals and residents spoken with confirmed that they are offered a choice. Completed menu choice lists were seen and staff were using these when serving the lunchtime meal. The food provision to include puree and soft diets was good and meals were well presented and looked appetising. Staff were available to assist residents as needed, and were doing so in a gentle manner. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has policies and procedures in place for the management of complaints and adult protection issues, and these are followed, thus safeguarding the residents. EVIDENCE: The home had received 4 complaints since the last inspection. These had been well managed and clear records maintained to show they had been investigated and responded to. The complaints procedure is on display throughout the home and relatives spoken with were clear on the procedures for making a complaint. People spoken with said that any issues are addressed promptly. The home has a POVA policy and also follows the Hillingdon Safeguarding Adults procedures. Staff spoken with were very clear to report any concerns and understood the ‘Whistle Blowing’ procedures. There was evidence that staff had received POVA training. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 15 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, 21 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Overall the internal and external environment is of a fair standard, thus providing a clean, comfortable and homely environment for people to live in. Plans for redecoration & refurbishment need expanding to ensure all areas in need of work are identified and addressed. One bath facility needs reviewing to ensure safety is being maintained for the residents. Infection control procedures are in place and are being followed, thus minimising the risk of cross-infection. EVIDENCE: The Inspectors carried out a tour of the home. There was evidence of some redecoration and refurbishment, to include the purchase of more profiling beds so that all residents now have one. Some of the individual tables are tatty and in need of replacement. Some of the carpets are also very worn and in need of replacement. One vacant room in need of redecoration had not been done, even though this would have been an appropriate time to complete such work. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 16 There is a redecoration and refurbishment plan, however this needs to be expanded to include all areas that require redecoration and refurbishment so that the work is being done in a timely manner. Several bedrooms and some bathroom areas were in need of redecoration. A further audit of the environment is needed so that all areas in need of redecoration and refurbishment, to include carpets, are identified and included on the action plan with timescales for completion for all areas. The external grounds are attractive and well maintained. Comment was received that the outdoor seating and sheltered areas provide areas for residents and their families to sit out in, in a pleasant environment. The redecoration of bath and shower facilities had been identified on the action plan. Work had been done to try and address the issue regarding the standing water in one of the assisted baths, however even when staff follow the correct procedures there is still an issue with standing water. Action needs to be taken to sort out the drainage or replace the bath with an up to date assisted bath facility. At the time of inspection some items were removed from bath & shower areas and these areas were not being used for storage. One Inspector viewed the laundry, which was clean and tidy. There are two washing machines with a sluice programme for soiled items and two tumble dryers. Personal items of clothing are labelled. Some comment was received regarding items not being returned, and the laundry lady said that she would look for the specific items and also that any unlabelled items are labelled promptly. Following the last inspection paper towel dispensers have been installed in the en suites for each bedroom. Protective clothing to include gloves and aprons were available. The home was clean and smelled fresh throughout. There are policies and procedures in place for infection control and these are followed. Infection control is well managed at the home. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 17 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are kept under ongoing review, thus ensuring appropriate numbers of staff are on duty to meet the needs of the residents. Training provision is good, thus providing staff with the skills and knowledge to care effectively for the residents. Systems are in place for the vetting and recruitment of staff, thus safeguarding residents. EVIDENCE: The home was being staffed appropriately to meet the needs of the residents. The Registered Manager said that the staffing is kept in line to meet the assessed dependencies of the residents at all times. The home was clean and fresh. Ancillary staff are employed in such numbers as to meet the overall needs of the home. There is a low turn over of staff. The AQAA document stated that 45 of the care staff have completed NVQ level 2 in care training, with 4 more staff due to complete, which will bring the home to over 50 of care staff with this qualification. One Inspector viewed 1 set of staff employment records and these were in line with Schedule 2 of the Care Home Regulations 2001. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 18 The home has an induction training programme based on the Skills for Care common induction standards. Staff spoken with said that they do receive induction training and do receive the induction booklet to complete. There is a comprehensive training matrix that evidences a significant amount of training has taken place since the last inspection, and staff said that they had learnt a lot from the training and that this had helped them in their work. The importance of continuing with ongoing training was discussed with the Registered Manager, so that staff continue to receive training and updates in current good practice. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 19 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 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager has the experience and qualifications to manage the home and does so effectively. Systems for quality assurance are in place, thus providing an ongoing process of management and practice review. Monies held on behalf of residents are being well managed and securely stored, thus safeguarding them. Systems for the management of health and safety at the home are good, thus safeguarding residents, staff and visitors. EVIDENCE: The Registered Manager is a first level registered nurse and has recently completed the Registered Managers Award, NV Q level 4 in management. She has undertaken recent training and updates in topics relevant to her role and to the needs of the residents. Comment was received that the home is well run ‘from the top down’ and that the Registered Manager is approachable and Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 20 deals with any issues raised. Since the last inspection the management arrangements to cover any absences have been reviewed to ensure that the home is being managed at all times. The home was due for an annual audit and was in the process of completing their annual home self-assessment. The home has obtained the Certified Quality System for Management. This covers several aspects of quality assurance. Internal audits to include medication, service user plans, accidents and pressure sores are undertaken, and it was clear that the medication audits had improved the standard of medication management. Staff meetings, relatives meetings and residents meetings take place and minutes are recorded. Policies and procedures have all been reviewed. Regulation 26 unannounced visits are undertaken monthly and a copy of the written report is sent to CSCI. One Inspector sampled the records for monies held on behalf of residents. Balances of monies checked tallied with the records. Receipts for income and expenditure were available. All monies are securely stored and residents have a lockable facility in their bedroom. Servicing and maintenance records were sampled and those viewed were up to date. The fire risk assessment had been reviewed as had the generic risk assessments and these were up to date. The Fire Safety Officer had visited in June 2007 and was satisfied with the homes fire safety. All staff had received health & safety training to include fire safety and moving & handling. Fire drills take place and the need to ensure all staff are involved in fire drills at the required intervals was discussed with the Registered Manager who was very aware of this. Regulation 37 notifications are made to CSCI in line with the regulation requirements and associated guidance. Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 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 2 X 2 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 3 X 3 X 3 X X 3 Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 15 Requirement Care plans must be formulated for each identified need, so that all the needs of each resident are identified and can be met. Input from the person using the service and/or their representative must be sought for the formulation and review of the service user plans, unless it is impracticable to carry out such consultation. Previous timescale of 01/07/07 not met. Assessments to include falls risk, moving & handling, continence and nutrition must be comprehensive and clear, so that the needs of the residents in these areas are clearly identified. A further environmental audit must be carried out and the redecoration and refurbishment plan updated to reflect all areas requiring work, so that they can be addressed in a timely fashion, providing a good environmental standard throughout. The parker bath provision on the first floor must be reviewed so DS0000010935.V349190.R01.S.doc Timescale for action 01/12/07 2. OP7 15 01/12/07 3. OP8 17 01/12/07 4. OP19 23(2) 01/12/07 5. OP21 13(3) 01/01/08 Parkfield House Version 5.2 Page 23 that appropriate bathing facilities are provided throughout the home. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection West London Local Office 11th Floor, West Wing 26-28 Hammersmith Grove London W6 7SE 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 Parkfield House DS0000010935.V349190.R01.S.doc Version 5.2 Page 25 - 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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