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Inspection on 27/01/06 for Carlisle Dementia Centre (Parkfield)

Also see our care home review for Carlisle Dementia Centre (Parkfield) for more information

This inspection was carried out on 27th January 2006.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to provide a safe and secure place for the people living and working there. The home was fully staffed by knowledgeable and competent staff to provide a stable environment for the residents.

What has improved since the last inspection?

The appointment of a new manager has already improved standards within the home for the benefit of residents and staff. Care plans have been reviewed and updated with a summary to be placed discreetly in each resident`s room so that residents feel involved in the plan and staff can see at a glance if there have been any changes. The home has also benefited from the work that that has been done by the new activities co-ordinator. Additionally the development of a small day unit has meant that residents have somewhere else to spend their time to pursue hobbies and interests and meet socially. The work identified at the previous inspection to redecorate specific areas and replace floor coverings has been completed to make the home brighter and more homely.

What the care home could do better:

The manager has not completed the registration procedures with the Commission for Social Care Inspection and there is a requirement to address this shortfall. Lockable facilities are not available in all bedrooms for residents to safely store their precious personal possessions. A recommendation has been made to cover this matter.

CARE HOMES FOR OLDER PEOPLE Parkfield Residential Home 256 London Road Carlisle Cumbria CA1 2QQ Lead Inspector Jane Strawbridge Unannounced Inspection 27th January 2006 2:00 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.V277148.R01.S.doc Version 5.1 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.V277148.R01.S.doc Version 5.1 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 Vacant 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.V277148.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A full time manager who is suitably qualified and experienced should be in post and registered with the Commission for Social Care Inspection by 31st July 2004. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. The outstanding requirement made by the Fire Service with regard to the exit from the rear staircase leading from the first floor to the ground floor must be attended to by 31st December 2004. 25th May 2005 2. 3. 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 throughout the home and there are four communal bathrooms, which have equipment to assist people to get in and out of the bath safely and in comfort. There is a car park and garden with seating areas. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during one afternoon. Time was spent speaking to service users, their visitors and staff, looking around the home and checking records. Tamara Hope, deputy manager, was in charge of the home during the inspection because the manager, Mr Brian McCubbin, was having a day off. He had planned to call into the home and the inspector was pleased to be able to meet him before leaving. What the service does well: What has improved since the last inspection? What they could do better: The manager has not completed the registration procedures with the Commission for Social Care Inspection and there is a requirement to address this shortfall. Lockable facilities are not available in all bedrooms for residents to safely store their precious personal possessions. A recommendation has been made to cover this matter. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 6 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. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 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.V277148.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 This home has procedures in place to enable potential residents and their families make important decisions about their future. EVIDENCE: The new manager has been working on a new brochure that was in the final stages before being approved for general use. It is easy to read and contains the sort of information that answers the questions that any prospective resident and / or their family are likely to be asking when enquiring about a vacancy. The home welcomes prospective residents and their representatives to look around the home to see for themselves what facilities the home has to offer them. This policy had worked well for a number of people in residence who said that their visit had “helped them with the worry of moving.” Terms and conditions of residency are included in the service user guide and contracts are issued to all residents to be signed by them or their representative. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8, 9 The policies and procedures relating to health care needs had been designed to promote wellbeing of residents and protect them from harm. EVIDENCE: All residents had their health care needs reviewed on a regular basis and any changes were recorded and actions identified to address these. The district nurses visited daily to support the care staff by providing any necessary nursing care. The home has a policy to deal with residents who wish to continue administering their own medication. However, currently there are no residents who have elected to continue to do so. The medication trolleys on each floor were checked and found to be in order with all medication securely stored and records duly signed and up to date. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 Residents were satisfied with the interesting and stimulating activities on offer. They have been reassured that their views are being taken seriously. EVIDENCE: The new activities organiser has made an impact on the lives of the residents because there is a wide range of stimulating activities on offer. From the outset she asked all residents what their interests were and how they would like to spend their time. She worked with the manager to adapt a room in the basement and develop it into a small day room with a quiet area and tables for activities and hobbies. This means that residents can move away from their usual communal space to somewhere different to meet other residents, have their lunch if they wish and pursue their interests. Some residents prefer to stay in familiar surroundings and they too have benefited from more stimulating activities either as individuals or in groups. Her enthusiasm and commitment are infectious and everyone spoke about how they enjoyed working with her and looked forward to a full and busy programme of activities and outings. Residents also spoke positively about how the manager had organised meetings with them to find out what improvements they would like to see. They said that he listened carefully to what they had to say and promptly Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 11 returned to inform them of what would be happening in response to their comments or requests. Communication within the home had improved with regular meetings for residents and relatives and the introduction of a newsletter. The latest meeting held on January 17th 2006, was attended by 26 people including residents and their families and friends. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Staff members in this home appreciate the importance of enabling residents in their care to retain their rights so that they maintain control over their lives. EVIDENCE: The electoral roll is updated annually and all residents are encouraged to vote in political elections. The majority use the postal voting system although assistance would be provided for anyone who wished to vote at the local polling station. Staff members knew whom to approach if residents were incapacitated and were not capable of speaking on their own behalf. However it had not been necessary to use the local advocacy service because all residents had next of kin or relatives to support them. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 24, 25 Staff in this home value and uphold the right of residents to maintain as much independence as possible. EVIDENCE: There are handrails in all corridors to enable residents to move around independently and in safety. All bathrooms have been equipped with specialist bathing and toilet aids to assist residents retain their independence. When necessary senior staff can request an assessment from the community based occupational therapist to ask for advice about equipment and aids and adaptations that would be helpful for residents experiencing difficulties with their mobility or other daily living tasks. The home has developed a sound professional relationship with the local district nurses who can provide specialist mattresses, pressure cushions and bed hoists. Each bedroom door has a lock to provide residents with privacy. However there are no lockable facilities within the bedroom where residents can confidently store valued possessions and money. A good practice recommendation has been made to cover this shortfall. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 14 All work that had been identified in the previous inspection report had been completed satisfactorily. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29, 30 There are policies and procedures in place to ensure competent staff are able to protect the health and safety of people who live and work in the home. EVIDENCE: Since the previous inspection the work has been completed to ensure that staff files contain the necessary information that had been found to be missing. The home has a sound recruitment practice that includes senior staff working in pairs to undertake recruitment interviews. All essential checks designed to protect everyone living and working in the home are completed before new members of staff commence work. The staff team have continued to work for their National Vocational Qualification with over 50 of staff having achieved or enrolled on NVQ level 2 or above. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34, 35, 38 The health and safety and wellbeing of residents is protected by a competent staff team led by an experienced manager. EVIDENCE: An experienced manager had been appointed since the previous inspection and had begun working in the home in November 2005. Everyone spoke most positively about the way he had settled into his new role and what he had done so far to gain their respect and confidence. So that the manager could get to know what was going on in the home all staff had been given an individual appraisal and he had worked with staff on all shifts. Members of staff said they found it helpful and reassuring to know exactly the extent of their own responsibilities and what was expected of them. The manager had established a senior team of two deputy managers sharing the role and this arrangement was working well. Communication and commitment within the home has improved, for example, twenty-one of the possible twenty-nine members of staff had attended the latest staff meeting. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 17 Some policies and procedures have been changed and the impact of these changes will be looked at during the next inspection. The home has policies and procedures in place to protect the financial interests of the residents. Personal spending money is either held by the residents themselves or stored securely in the home’s safe. Any transactions are recorded and receipts required as proof of any purchases. As mentioned previously (see standard 24), secure facilities are needed for residents to keep their personal money and other valued possessions safe in their own room. Health and safety records were up to date. The home’s maintenance worker is responsible for the weekly fire alarm tests and visual checks of fire extinguishers and emergency lights. Unscheduled fire alarm tests have been introduced to ensure that everyone understands how to react in an emergency. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 18 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 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X 3 X 2 3 X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 3 X X 3 Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP31OP31 Regulation 8 Requirement The manager must submit his application for registration to the Commission for Social Care Inspection as stated in the Conditions of Registration. Timescale for action 31/03/06 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 OP2424 Good Practice Recommendations All residents should be provided with lockable facilities to store money and valued possessions. Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parkfield Residential Home DS0000061178.V277148.R01.S.doc Version 5.1 Page 21 - 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. 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