Inspection on 18/09/07 for Carlisle Dementia Centre (Parkfield)

This inspection was carried out on 18th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Carlisle Dementia Centre... 18/08/09

Carlisle Dementia Centre... 09/07/08

Carlisle Dementia Centre... 11/05/06

Carlisle Dementia Centre... 27/01/06

Carlisle Dementia Centre... 25/05/05

Carlisle Dementia Centre... 27/01/05

Carlisle Dementia Centre... 06/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Parkfield Residential Home 256 London Road Carlisle Cumbria CA1 2QQ Lead Inspector Diane Jinks Unannounced Inspection 18th September 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parkfield Residential Home DS0000061178.V346927.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 Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkfield Residential Home Address 256 London Road Carlisle Cumbria CA1 2QQ 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) 01228 818933 Hometrust Care Limited Nichola Jane Gibson Care Home 32 Category(ies) of Dementia - over 65 years of age (15), Old age, registration, with number not falling within any other category (15), of places Physical disability (2) Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 32 service users to include:*up to 15 service users in the category of OP (Old age, not falling within any other category). *up to 15 service users in the category of DE(E) (Dementia over 65 years of age). *up to 2 service users in the category of PD (Physical disability under 65 years of age). 11th May 2006 Date of last inspection Brief Description of the Service: Parkfield provides care and accommodation for up to 32 older people, 15 of whom may also have dementia, and two of whom may have a physical disability. The home is a three storey detached property quite close to the centre of Carlisle. The accommodation for service users is provided on the ground and first floors. There is a passenger lift, handrails, grab rails, and ramps to assist people in moving around the home. All of the bedrooms are for single occupancy and have en-suite toilet and washbasin facilities. There are Additional toilets and communal bathrooms, which have equipment to assist people to get in and out of the bath safely and in comfort. The home car parking facilities. A variety of information has been produced by the home and is available on request from the manager. The scale of charges range from £373.00 to £434.00 per week (September 2007). Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This assessment of the service took place over several weeks and included a visit to the home. The inspector spoke to people using this service and staff at the home. Questionnaires were also sent to some of the people living at the home, their relatives and care staff. This helped to obtain different views and perspectives of the service. The manager was also required to complete an Annual Quality Assurance Assessment of the service. This information was used to verify aspects of the inspection process. A random inspection visit was also undertaken in November 2006. What the service does well: What has improved since the last inspection? What they could do better: Improvements to the provision of care for people using this service could be improved by ensuring that their care plans are up to date and accurately reflect the care and support needed. Attention should also be given to the way in which risks are assessed and recorded to help ensure that service users and Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 6 staff are properly protected from harm or injury. A system for measuring and monitoring the quality of the service is in the development stage and the manager acknowledges that this is something that the home could improve upon. 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 Residential Home DS0000061178.V346927.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 Residential Home DS0000061178.V346927.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): Standards 1 and 3. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager at the home generally ensures that potential residents have their care needs assessed. This means that people usually have their needs and expectations met. EVIDENCE: The home has developed a Service User Guide, Statement of Purpose and brochure. These documents are intended to provide people thinking of living in this home with information. They should help them decide whether the home will be suitable and able to meet their needs and expectations. Aspects of these documents would benefit from a review to ensure that the information is accurate and up to date. In particular the details regarding the availability of social and leisure activities and the name and contact details for the Commission for Social Care Inspection. People thinking about moving into the home are able to visit with their relatives or representative, prior to making a decision. Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 9 People who are thinking about moving into the home usually have their care needs assessed before they move in. The manager at the home carries out assessments and where applicable, assessments are obtained from social services or the primary care trust. Copies of these documents are kept on individual care files. Needs assessments are not always completed in great detail. Where information is incomplete, inappropriate decisions may be made and the person’s care needs may not be met. Pre-admission assessments help the home to decide whether they are able to meet the needs and expectations of people wishing to move into the home. Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Records relating to the health and care needs of people using this service are not always completed accurately and with sufficient detail. This means that people may not receive the most appropriate care and support. EVIDENCE: A sample of care files was looked at during this visit to the home. The manager is in the process of changing the care planning system to a more person centred approach. Examples of both systems were looked at. Care records do not consistently contain sufficient information about individual care needs and requirements. Clear strategies to help staff support people appropriately and safely are not always recorded. Information relating to nutritional needs and risk assessment is included in care records, but there are gaps in the level of information recorded. Some people have very high care needs but their care plan does not reflect the amount of care and support needed. Community nurses have developed health care plans for some residents and staff at the home do have access to these. The lack of detailed care planning indicates that Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 11 people may be receiving care, which may not always meet their needs in the most appropriate way. Records are kept of significant events that affect the lives of people using this service and staff have access to this information. The health and welfare of people living at this home is monitored and records show that people access to health care professionals such as GP’s, community nurses, podiatrists, opticians and dentists. The staff on duty during the visit were very attentive and people using this service are cared for with respect and dignity. Some of the people living at the home were spoken to. They were very complimentary of the staff and described them as ‘very friendly’ and ‘kind’. One member of staff who participated in this inspection felt that the care staff ‘try to meet everyone’s needs where possible and care and look after residents like we would like to be cared for’. Comments from staff, relatives and people who use this service indicate that there may not always be sufficient staff on duty to meet needs and expectations of residents. One member of staff said ‘we have residents now who need more care and they need one to one care most of the time. I think more staff would be very helpful to give better care’. A relative felt that the service could improve by having more staff on duty. There is a policy and procedure in place at the home with regards to the administration of medication. Senior staff are responsible for the administration of medication and have received training in this subject. There is a system in place at the home to help ensure the safety of people who wish to manage their own medication. There were no people managing their own medication on the day of this visit. Medications are generally stored safely and cabinets were clean and tidy. There were some prescribed medications that were not kept safely and had been stored in an unlocked, communal bathroom cupboard. This was discussed with the person in charge. The notes of one person indicate that they were without some of their medicine for a short time. The same person has recently been prescribed antibiotic medicine. The records showed that this medication had not been administered correctly. Medication records are not always completed accurately and there are instances where medication has not been signed for after administration. One person’s medication could not be found initially. It was eventually found under another resident’s name card. These shortfalls in practice potentially increase the risk of medication errors occurring and places people using this service at risk from harm. Parkfield Residential Home DS0000061178.V346927.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): Standards 12, 13, 14 and 15. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There are limited opportunities and activities available for people using this service. This means that people are restricted in their choices about how they live their lives and maintain their interests, hobbies and contact with the local community. EVIDENCE: People using this service have limited opportunities with regard to leisure, social and recreational activities. This places restrictions on the choice and control they have over their lives. The home has been without an activities coordinator for some time and the activities room continues to be out of commission and used as a storage room. A staff member felt that the service could do better ‘if it were possible be able to have more time with residents because the only time that we usually have with them is when it’s meal times, getting up and helping them with bathing and dressing’. Care staff sometimes undertake activities with people using this service, but this does not always work out as planned due to staff shortages at times. Managers at the home acknowledge that this is an area for improvement. Activities at the moment are limited to trips out and staff try to ensure that everyone has the opportunity to go on an outing. People living at the home Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 13 spoke about the trips with enthusiasm and some were looking forward to the trip to Blackpool the following day. The home accesses a community transport scheme to help with these outings. A member of staff has undertaken a special driving course in order to drive the minibus. Staff and volunteers also attend the trips out to help ensure that people using this service are safe and cared for away from the home. The home is equipped with televisions, music centres, DVD and video players. Some of the televisions in the communal areas of the home require attention and upgrading to ensure that people wishing to use the subtitles facility are able to do so. Some people have their own televisions and radios in their bedroom. Newspapers and magazines are available in the home and people are able to order their own preferred magazines and newspapers if they wish. There is a telephone available for people living at the home. It is situated in a suitable area to help ensure privacy. The manager holds regular meetings with people living at the home and they are encouraged to participate and express their ideas and suggestions on various aspects of life at the home. Minutes of the meetings are kept. Visitors to the home are made welcome and people living at the home are able to receive visitors at any time. People may see their visitors in one of the communal areas or in the privacy of their own rooms. The staff were friendly towards visitors and made them feel welcome. A visit to the kitchen was made during this assessment of the home. The chef was spoken to about the menus and choice of meals. People are able to choose from two options both at lunchtime and teatime. The menus have not yet been changed although people using this service have recently been consulted about the meals and food choices. Menus are going to be reviewed and updated and the chef hopes to be part of this project. The chef is aware of people with special dietary requirements and the home has been given dietary information in respect of people with diabetes. This information would be helpful to the chef when meal planning and preparation. During the day hot drinks and snacks are available from staff. Jugs of juice are available in each dining room for people to help themselves to if they wish and if they are able to. Some of the people living at the home say the meals are ‘very good’ and that although there are choices, they ‘can usually have whatever they want’. Someone participating in this inspection did say ‘I would prefer more vegetables and more to eat’. Parkfield Residential Home DS0000061178.V346927.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): Standards 16 and 18. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The systems in place at the home help to ensure that people using this service are generally protected from harm and abuse. EVIDENCE: People spoken to during the visit know who to direct concerns or complaints to. The resident’s meetings also provide a forum for concerns to be identified and discussed if appropriate. A copy of the complaint process is included in the service user guide, a copy of which is kept in each bedroom and a copy is also available on the main notice board in the home. The procedure makes reference to complaints being raised with other agencies and consideration should be given to including the full and accurate contact details of these agencies. The complaint process would benefit from a review to help ensure that people using this service know that their concerns will be dealt with quickly and within a given timescale. Records of complaints or concerns are kept. The records do not state the name of the person making the complaint nor do they contain details of any investigation, action taken and whether the complainant is satisfied with the outcome. This is an area that would also benefit from further development. A record of compliments is also kept. Comments recorded are mainly about the staff at the home. They are described as being ‘very kind’ and ‘worth their weight in gold’. Staff files show that training in relation to safeguarding adults has commenced. Adult protection awareness is also covered in the staff induction training programme. Where serious events may have occurred they have been Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 15 reported to social services for further discussion and investigation. This helps to ensure that people using this service are safe and protected from harm. Risk assessments have been undertaken for people living at the home and include information regarding the use of equipment, the risks of falling and the risk associated with immobility (pressure sores). Some people have bed rails fitted to their bed. The rails are checked for safe fitting by the maintenance person but there are no assessments or risk assessments included in care records to indicate that this is the most appropriate way of safeguarding the person from harm or injury. Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a warm and comfortable environment, which generally meets the needs of the people living there. EVIDENCE: There were no organised activities taking place on the day of the visit. People were sitting in one of the lounges or in their own rooms. Some people were going out with family and one person was on their way to day care. Televisions were on but some of them had poor quality pictures and subtitles could not be read. One of the lounges was not well lit and some of the lights did not work. The handyman replaced these quickly after they had been pointed out. The home is in the process of having an extension built. Despite this disruption the home was found in a clean and tidy condition. A temporary fire exit has been arranged in one area of the ground floor and the fire authority are said to be aware of the temporary exit arrangements. Exit doors are alarmed and the building site area is fenced off to help ensure people are safe. Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 17 There are communal lounges and dining rooms on both the ground and first floor. Some of these areas have recently been redecorated. Furniture and carpets have been replaced making the home pleasant and comfortable. The home has a designated smoking room that can be used by people living at the home who wish to smoke. There are some areas of the home, particularly bathrooms and toilets, where emergency call bells have been shortened and do not touch the floor. This potentially makes it difficult for a person to summon help should they fall. Fire fighting equipment and handling equipment such as hoists are regularly serviced to ensure they function properly and safely. Individual bedrooms have en-suite washbasins and toilets. People living at the home are able to bring in their own personal possessions and items of furniture (electrical items are subject to a safety test) to help make their rooms homely and comfortable. There are aids and adaptations throughout the home, including a passenger lift, to help people access all areas of the home safely. Communal bathrooms are warm, clean and equipped with aids and adaptations to help people access the baths and toilets. There is not a shower room at the home but there are plans to include showers in the new extension. This will provide further choice for people living at the home. Domestic staff are employed at the home to ensure the home is clean and that the laundry is carried out. The laundry is well equipped and protective clothing such as gloves and aprons are provided to staff working in this area. Laundry bags are colour coded so that staff are aware of any infection control hazards that may be present. Likewise, mops and buckets are colour coded for different areas of the home. These measures help to reduce any risk of cross infection. The hairdressing salon has been moved downstairs next to the activities room. This room is designed to look like a regular hairdressers shop and is brightly decorated. The activities room is still out of action and continues to be used as a storage area. Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are some gaps in the recruitment practices at the home. The lack of thorough pre-employment screening potentially places people using this service at risk from harm. EVIDENCE: There are generally sufficient staff on duty to meet the care needs of people living at the home, but there are not enough staff available to ensure that social and leisure activities take place. Comments about staffing levels were made by relatives, people living at the home and staff working at the home. A sample of care staff personnel files were looked at during the visit to this home. Prospective staff complete application forms and previous employment histories are obtained but these do not always contain sufficient detail. Prospective staff also have to attend for an interview to help assess whether they will be suitable for this type of work. Written references and criminal record bureau checks (CRB) and protection of vulnerable adult lists (POVA) are undertaken for each member of staff. Records do not confirm that this information is always obtained prior to the person commencing employment. Sometimes staff are employed before the manager has full information about them and the necessary procedures for monitoring and supervising these staff are not fully implemented. This could place people using this service at risk from harm. Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 19 The home has volunteers who assist with the trips out for people using this service. There is no evidence to support that there is a thorough selection process, including police checks. Staff meetings take place and minutes are kept. Subjects such as care practices, care plans, uniforms and training have been discussed during these meetings. Some staff supervision also takes place. Staff meetings and supervision helps to monitor care practices and identify areas where further training may be required. The manager has started to produce and implement a staff training and development plan. The plan shows when staff have undertaken training and when they are due to receive refresher training. The plan includes induction training, medication awareness, manual handling, fire training, safeguarding adults and first aid. Training records show that induction takes place over three days. The home has started to use a new induction training programme, which meets the requirements of the common induction standards. This training includes the completion of workbooks that are checked and signed off when completed. The majority of the care staff working at the home have gained NVQ to at least level 2 and two thirds of the staff responsible for catering have received training in the safe handling of food. The maintenance person has received training in health and safety, first aid, manual handling and special training to enable him to test portable electrical equipment for safety. He has also undertaken fire warden training and is responsible for the staff fire procedures training. Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 36, 37 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally run in the best interests of people using the service. Records are generally well maintained although there are some gaps, which potentially place people using this service at risk from harm. EVIDENCE: The manager was not on duty on the day of this visit, but the area manager indicated that the manager is progressing with various aspects of management training. The home acknowledges that improvements could be made to the quality assurance and monitoring systems in place at the home. People living at the home have recently been involved in a survey to obtain their views of the food and menus in place at the home. This information has been collected but not acted upon yet. Questionnaires to obtain more general views of people using this service, their relatives, representatives and staff are in the development Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 21 stage. The involvement of people using this service and internal audits will help the manager and provider to devise a development plan for the home, which meets the aims and objectives of the Statement of Purpose. The plan will also help to improve outcomes for people using this service. Samples of some finance records were looked at. Records are held electronically and clearly show when money is deposited or withdrawn. Where shopping or other items are purchased on behalf of a person living at the home, receipts are obtained and kept as an extra check. Evidence of some staff supervision was seen, particularly on staff that had worked at the home for some time. This appeared to be undertaken every two months. There are no supervision records for new staff even though they had commenced work in August 2007 and a CRB certificate was still outstanding. Care records contain some element of risk assessment, but there are gaps in the records kept regarding risk assessments in relation to people using this service, particularly in the use of equipment and people who may demonstrate behaviour that challenges. The manager generally carries out a daily visual check of the home. A record is kept of this audit and where issues have been identified, there is evidence to show that the manager has actioned them. Accidents and incidents are recorded in the accident book. There were several incidents noted where people using this service had demonstrated aggression towards other people. These incidents are not always notified to CSCI. Fire records were sampled during this visit. They had been well maintained and were up to date and accurate. Fire fighting equipment and manual handling equipment have been regularly checked and maintained. Maintenance records are kept accurately and well ordered. Pest control have visited the home – due to the building work going on, no issues were identified and protective measures have been put in place. Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 2 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 2 2 2 Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 A detailed plan of care must be developed for each person using this service, taking into account the needs and risk assessments. This will help ensure that people using this service are supported safely and the care needs and outcomes identified are being met properly. Medicines, including creams and ointments must be kept secure at all times and given or used for the people for whom they are intended. Records relating to the administration of medication must be accurately completed and maintained. Medicines must be administered as the doctor intended. This will ensure the health, safety and welfare of people using this service. Timescale for action 30/11/07 2. OP9 13 01/11/07 3. OP12 16 People using this service must be 30/11/07 consulted about their social and recreational activities and interests. A programme of suitable and stimulating activities at the care home must be available for people living at DS0000061178.V346927.R01.S.doc Version 5.2 Page 24 Parkfield Residential Home the home. 5. OP29 18 19 Staff, including volunteers, must not be appointed or confirmed in post until satisfactory checks (CRB and POVA) and references have been obtained. This will help to ensure that people living at the home are protected from the risk of harm. Staff employed at the home must be supervised and have their care practices monitored on a frequent basis. This helps to make sure that staff are working to the policies and procedures in place at the home as well as identifying any training and development needs they may have. The Commission for Social Care Inspection must be notified of any event, which adversely affects the well-being or safety of any person using this service. Risk assessments must be carried out for all aspects of working practices at the home. Risk assessments must record the risks and hazards and provide safe systems of work for staff to follow. This will help minimise the risk of harm or injury to both people using this service and staff employed at the home. 01/11/07 6. OP36 18 30/11/07 7. OP37 37 01/11/07 8. OP38 12 13 01/11/07 Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations The Statement of Purpose should be reviewed and updated. This document should include the full and detailed process for making a comment or complaint. This document provides information to people using this service and to prospective clients. Information about the organisation and the type of services provided must accurately reflect the service to enable people to make an informed choice. It is recommended that care needs assessments be reviewed so that they clearly identify the care and support needs and reflect the preferences and choices of people using this service. It is recommended that the televisions in the communal areas receive attention to ensure that there is adequate reception of programmes and subtitles. This will enhance the quality of viewing for people who may have hearing or visual impairments. It is recommended that the menu be reviewed with people living at the home and ideally the chef. This will help to promote individual choices and ensure that appropriate diets are provided. It is recommended that the system in place for monitoring complaints and concerns be reviewed. This will help ensure that confidentiality is maintained and details of investigations and outcomes are clearly recorded. It is recommended that staffing levels be reviewed in line with the identified needs of people living at the home to ensure that their care and social needs will be appropriately met in a safe and timely manner. An effective quality assurance and quality monitoring system should be developed and implemented. The views of people using this service and other stakeholders should be obtained to help identify areas of success and areas where the service needs to be improved. 2. OP3 3. OP12 4. OP15 5. OP16 6. OP27 7. OP33 Parkfield Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 Residential Home DS0000061178.V346927.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!