Inspection on 02/07/07 for Parkfield Rest Home

This inspection was carried out on 2nd July 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 Rest Home 04/07/06

Parkfield Rest Home 06/03/06

Parkfield Rest Home 21/07/05

Parkfield Rest Home 20/10/04

Parkfield Rest Home 18/03/04

Parkfield Rest Home 12/01/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Parkfield Rest Home 9 Parkfield Road Manningham Bradford West Yorkshire BD8 7AB Lead Inspector Ashley Fawthrop Key Unannounced Inspection 2nd July 2007 10:00 02/07/07 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 Rest Home DS0000001217.V336370.R02.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 Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkfield Rest Home Address 9 Parkfield Road Manningham Bradford West Yorkshire BD8 7AB 01274 488280 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) Mrs Letitia Alake Fehintola Mrs Letitia Alake Fehintola Care Home 9 Category(ies) of Past or present alcohol dependence (1), registration, with number Dementia - over 65 years of age (2), Mental of places disorder, excluding learning disability or dementia (1), Old age, not falling within any other category (5), Physical disability (1) Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2006 Brief Description of the Service: Parkfield Rest Home is a large Victorian house in a residential area near Valley parade football ground in Bradford. The home is registered to provide personal care for up to nine people with mental illness or dementia. The accommodation consists of three single and three double bedrooms. There is a lounge and separate dining room. There are gardens to the front and a large paved area at the back of the home. To the 2 July 2007 the home charges local authority rates. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out without prior notification and was conducted by one inspector over the course of one day. Before the visit, accumulated information about the home was reviewed. This included looking at the number of reported accidents and incidents, adult protection issues, reports from other agencies, i.e., the Environmental Health Officer, and correspondence following the last inspection. This information was used to plan this inspection visit. The inspector case tracked two people’s care plans. Case tracking is the method used to assess whether people who use services receive good quality care that meets their individual needs. Where appropriate, issues relating to the cultural and diverse needs of the people and staff were considered. Using this method, the inspectors assessed all twenty-one key standards from the Care Homes for Older People National Minimum Standards, plus other standards relevant to the visit. The inspectors spoke with identified people who live at the home and relevant members of the staff team who provide support to them. Documentation relating to these people was looked at. Where possible, contact was also made with external professionals to obtain their opinions about the quality of services provided at the home. What the service does well: Park field continues to be a small friendly home that provides a good basic service and meets the majority of the key standards. The home is able to meet the needs of the people who live there. The staff team has remained stable, which helps to provide continuity of care. A good diverse mix of nationalities is employed among the staff team, which brings different cultural experiences into the home. The home is clean and provides a comfortable and homely environment. Service users are helped to lead as normal a life as possible and enjoy going out into the community independently. Staff and people also go out together as a group using public transport for day trips which are planned often on the spur of the moment. People said that they enjoyed the meals and have a mixture of home cooked food, takeaways and meals out. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 6 Routines in the home are flexible and centred round the needs of the people who live there. People have a say in the running of the home including activities and menus. What has improved since the last inspection? 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 Rest Home DS0000001217.V336370.R02.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 Rest Home DS0000001217.V336370.R02.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): 1, 3, 5 and 6 People using the service experienced adequate quality outcomes. We made this judgement using a range of evidence including a visit to this service. People receive information about the home in sufficient detail before they move in. EVIDENCE: The statement of purpose is available to people before they move into the home. This provides general information about the home and the services provided. There is information relating to peoples diverse needs including religious needs and how these will be met. The information is sufficient to give anyone wanting to use the service an insight into the running of the home and gives people an opportunity to make a decision as to whether the home can meet their needs. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 9 The information is not available in any other way apart from English and we recommend that the registered person consider having copies in other languages or easy read format. Only one person had been admitted since the last inspection. There was an assessment available but this did not reflect the up to date needs. The person visited the home before moving in where his needs were assessed. This is not good practice because staff do not have sufficient information to commence a care plan on admission. Parkfield Rest Home DS0000001217.V336370.R02.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): 7, 8, 9 and 10 People using the service experienced good quality outcomes. We made this judgement using a range of evidence including a visit to this service. The records do reflect the diverse social and health care needs of service user and were up to date. The medication administration system was safe. EVIDENCE: The care plans of two people were case tracked as part of the inspection. These continue to be basic but they do reflect the needs of the of people living in the home. These include basic health care needs and preferred social activities. There was good information regarding the input of other health care professionals and there was evidence that positive improvements had been made to health and well being due to this input. This was good practice. The care plans included also provide a good picture of the persons’ life history, these are written by staff and giver them good information about their diverse needs either in the individual care or in personal activity. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 11 This is good practice as it shows that people are seen as individuals and it was evident that the provider and the staff had a very good knowledge of the people they cared for. As required at the last inspection care plans are now reviewed monthly, this has improved the quality of the information recorded in the plan and any changes to the needs of an individual is recorded. The medication system is pre packed by the chemist and is delivered on a monthy basis. This reduces the number of medications in the home and reduces the risk of mistake. The medication administration sheets were seen and were appropriately recorded. Parkfield Rest Home DS0000001217.V336370.R02.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 and 15 People using the service experienced good quality outcomes. We made this judgement using a range of evidence including a visit to this service. People are supported to keep their chosen lifestyles by staying independent and going out in the community. People do enjoy the food but fruit and vegetable should be promoted. EVIDENCE: People living at the home at the time of the inspection were independent and tend to organise their own activities. The two people said they enjoy shopping trips either on their own or with a staff member. Other people go out on a regular basis using local facilities and public transport. There is a list of activities and trips organised by the home and due to the number of people living at the home the atmosphere is homely and many activities such visits to markets and the countryside are done as a group. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 13 An annual holiday is organised each year, which is much enjoyed by all. The provider and the staff do try to introduce the new people to new experiences, however they do tend to be quite set in their ways. Socialisation is part of the daily routine of the home and people were coming and going as they wished and some were enjoying the privacy of their own rooms. A record is kept of the food provided. They show service users are offered a wide range of different food and much of it is home made using fresh produce, however, we would recommend that more fruit and vegetables were available in line with the recommended five per day. Parkfield Rest Home DS0000001217.V336370.R02.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 and 18 People using the service experienced adequate quality outcomes. We made this judgement using a range of evidence including a visit to this service. Complaints information is available, however the staff need formal adult protection training. EVIDENCE: Details of the complaints procedure are available. There have been no complaints since the last inspection. An adult protection policy and procedure are available together with a whistle blowing policy and procedure. Some information regarding the local authority No Secrets guidance is also available and since the last inspection a full updated version needs to be obtained. At the last inspection it was a requirement that staff are provided with adult protection training. Only one member of staff has attended this training. This is not good practice and the registered person must make sure that all staff receive training in this area. Parkfield Rest Home DS0000001217.V336370.R02.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, 23 and 24 People using the service experienced good quality outcomes. We made this judgement using a range of evidence including a visit to this service. The environment meets the needs of people and is maintained to a good standard of hygiene. EVIDENCE: A full building inspection was undertaken during this visit. The lounge and dining room are decorated and furnished to a comfortable standard. People are given the opportunity to have personal possessions in their rooms giving a feel of individuality and ownership. A stair lift is available to link the ground and first floors, however the people living on the first floor are all ambulant and do not need to use it. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 16 There are sufficient WC’s and bathrooms near to the lounge and dining room for easy access. The home appeared clean and tidy with a pleasant odour. Parkfield Rest Home DS0000001217.V336370.R02.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 and 30 People using the service experienced adequate quality outcomes. We made this judgement using a range of evidence including a visit to this service. The staffing was adequate for the numbers of service users living at the home. The recruitment procedures have improved. EVIDENCE: Though some training had taken place this related to health and safety. There has been no development training for staff since for some time and the last recorded training other than adult protection training for the deputy manager was 2005. This is not good practice as staff need the skills to meet the diverse needs of individual people. The current staff team has worked at the home for a number of years and are very familiar with the daily routines and the needs of the people who live in the home. The recruitment and selection process has become more robust and does protect people in the home. All the staff have Criminal Records Bureau checks and application forms and references are on file. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 18 However, the registered person is recruiting a new handyman if he is to have direct access to people living at the home then she must make a decision as to how she will make sure people are protected if she chooses not to have a criminal records check undertaken. Parkfield Rest Home DS0000001217.V336370.R02.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, 32, 33, 35 and 38 People using the service experienced good quality outcomes. We made this judgement using a range of evidence including a visit to this service. The home is well managed and people have the opportunity to contribute to the decision making process. The people who live at the home, visitors and staff are provided with a safe environment. EVIDENCE: The home is run on a day-to-day basis by the provider/manager and an experienced member of the senior care staff who is qualified to NVQ levels four. This is good practice as they have the skills and knowledge between them to meet the needs of people. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 20 On talking to people and the staff there is evidence that people living in the home have a say on how the home runs on a day to day basis including trips out and the menu. This is good practice and addresses peoples needs on an individual basis. The staff team is very small and stable with information tending to be passed from staff to staff in an informal manner. However policies and procedures are available for key areas of work. All the people in the home receive a full allowance to spend as they wish. Where there are no relatives to take responsibility for personal monies advocates are used. Detailed health and safety information continues to be available and staff are required to read and sign the information. Equipment safety checks are completed. An accident book is available and weekly fire safety checks are undertaken and recorded. Regular fire instruction is provided for the staff team. Parkfield Rest Home DS0000001217.V336370.R02.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 3 X 2 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X 3 X 3 3 X X STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X 3 Parkfield Rest Home DS0000001217.V336370.R02.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. 2. Standard OP 3 OP18 Regulation Reg 15(1) Reg 13(6) Requirement Each person must have there needs assessed prior to moving into the home. Adult protection training must be provided for all staff. The senior care staff must be prioritised. (Timescale of 01/06/06 not met from last inspection) Staff must be offered training relating to the needs of the people in the home so that they can meet their needs. Timescale for action 01/09/07 01/09/07 4. OP27 Reg 18(1)(a) 30/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP1 OP15 Good Practice Recommendations Look at ways of recording the statement of purpose in other languages or in easy read format. Look at ways of introducing more fresh fruit and vegetables in the menus. Parkfield Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Rest Home DS0000001217.V336370.R02.S.doc Version 5.2 Page 24 - 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!