Inspection on 21/07/05 for Parkfield Rest Home

This inspection was carried out on 21st July 2005.

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.

Other inspections for this house

Parkfield Rest Home 02/07/07

Parkfield Rest Home 04/07/06

Parkfield Rest Home 06/03/06

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 West Yorkshire BD8 7AB Lead Inspector Gillian Sangster Announced 21 July 2005 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 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 J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parkfield Rest Home Address 9 Parkfield Road Manningham Bradford BD8 7AB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01274 488280 Mrs L Fehintola Mrs L Fehintola Care home 9 Category(ies) of Old age (5) Dementia - over 65 (2) Dementia registration, with number over 65 (1) Mental Disorder (1) of places Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 25/03/05 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 older people. 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. Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out between 10am and 3pm. The provider said that she did not receive notification of the inspection and explained that she had problems with post not being delivered. During the visit I spent time with the three residents who are living at the home. I looked around the home and had lunch with the residents. I looked at some records including care plans, duty rotas, staff recruitment files, maintenance records, accident records and food records. The manager and senior care assistant were on duty and both were present for feedback at the end of the visit. What the service does well: What has improved since the last inspection? What they could do better: Care planning is poor and must be improved to make sure that staff know the action they need to take to meet the residents’ needs. All care records should be dated and signed by the staff completing them. Any restrictions placed on residents must be recorded. Radiator guards must be fitted to protect the residents from hot surfaces. A robust recruitment procedure must be put in place for all staff employed at the home. This will make sure that staff are suitable and safe to work in the home and safeguards the residents. Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 6 Duty rotas must be recorded and show all staff working in the home. 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 Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 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 standard(s) None of these standards were inspected at this visit. EVIDENCE: Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9 and 10. Care planning is poor and must be improved so that staff know what action to take to meet the needs of the residents. Suitable arrangements are in place for residents to access health care services. Residents receive their medication as prescribed. Residents’ privacy and dignity is maintained. EVIDENCE: I looked at the care records for all three residents. There was some good information recorded about the resident’s previous life and their interests and lifestyles. However care planning was poor with little information to show what help and support staff need to provide to meet the resident’s needs. Many of the records were not dated or signed. Some monthly reviews of care were recorded but these were not linked to the care planning process. Day and night reports for all the residents are recorded in one book. It was clear from discussions with the manager and staff that they have a good understanding and knowledge about the individual needs of all the residents. They are committed to providing good care and welcomed the suggestions I made about improving the care records. It is recommended that an individual file is used to store all the care records for each resident including their daily reports. This will make it easier for staff to access any information. It will also Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 10 allow each resident to look at their own personal records without breaching the confidentiality of other residents. Care plans must show how the resident’s health, social and personal care needs are met. They should be drawn up in consultation with the resident and reviewed at least once a month. Arrangements are in place for the residents to access health care services as required. The chiropodist and optician visit the home. The manager said that all three residents refuse to see a dentist although if emergency treatment were needed this could be accessed through the GP. A community psychiatric nurse provides specialist support to one of the residents. Medication administration charts showed that residents are given their medicines as prescribed. Storage and ordering arrangements were not discussed at this visit. The resident’s privacy and dignity is maintained. Screening is provided in shared rooms. Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14 and 15. Residents are supported to keep their chosen lifestyles by staying independent and going out in the community. Residents enjoy their meals. EVIDENCE: Residents are encouraged and supported to maintain their independence and enjoy the same lifestyles as living in their own homes. Residents regularly go out independently using local transport to go shopping or just out for a walk. The staff and residents also all go out together as a group for the day, again using local transport and enjoy shopping in local markets and having meals out. Residents said how much they’d enjoyed a recent day out when they’d gone on the train to Skipton. Planning trips is flexible with residents and staff agreeing what they want to do according to the weather and how everyone is feeling. The residents have regularly holidays and said how much they’d enjoyed a four day break to St Annes in November. Residents are given choice in their lives in relation to how they spend their days. This includes what times they get up and go to bed, when and what they have for their meals and how they chose to spend their time. There are some restrictions in place to safeguard the residents, which have been agreed Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 12 with the individuals and their social workers. These restrictions must be clearly recorded in the care records. Residents and staff had lunch together and enjoyed a takeaway from Kentucky Fried Chicken. The food diary showed that a variety of meals are provided which includes takeaway meals and eating out. Residents said that they enjoyed their meals. Environmental Health officers have carried out a recent inspection of the kitchen and their report showed everything to be satisfactory. Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed at this visit. EVIDENCE: Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 24, 25 and 26. The home is comfortably furnished and homely. Residents’ rooms are clean and communal areas are well used by the residents. EVIDENCE: All parts of the home were inspected. Only two bedrooms are currently occupied. Two residents share one room. Bedrooms are comfortably furnished and were clean. The residents have few personal possessions due to the lives they have lived before moving into the home. Communal areas are comfortably furnished and well maintained providing a homely environment. There are some pictures and ornaments as well as photographs of residents on outings and celebrating special occasions. Some radiators are unguarded. Radiator guards must be fitted to make sure that the residents are kept safe from the risk of hot surfaces. The manager agreed to produce a plan to fit radiator guards throughout the home. Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 15 Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29. Duty rotas must be maintained. Recruitment procedures are very poor and must be improved to safeguard the residents. EVIDENCE: There are only three residents living at the home. The manager lives on the premises and works as part of a small staff team. The manager said that she had experienced difficulties in recruiting suitable staff. Recruitment records for five staff were examined. Recruitment practices are very poor with written references on file for only one employee. There were Criminal Record Bureau (CRB) checks for only two of the staff. There were no application forms completed for any of the staff, just some personal details included on a form. A relative of the manager who is 16 years old is working in the home. There was no employment information available for this person. The manager advised that this person is not involved in any personal care of the residents. All staff working in the home must be subject to a robust recruitment procedure that establishes their fitness and suitability to work in the home. This protects the residents by ensuring that the staff who care for them are thoroughly checked before starting work at the home. The duty rota for the week of the inspection was seen but the rotas for previous weeks could not be found. Duty rotas must be maintained showing the hours all staff are working in the home. Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 17 Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were inspected at this visit. EVIDENCE: Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x 3 3 3 STAFFING Standard No Score 27 2 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 20 no 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 op7 Regulation 15 Requirement All residents must have an upto-date care plan that sets out the individuals health, personal and social care needs and the action staff need to take to meet those needs. Care plans must be drawn up in consultation with the resident and reviewed at least monthly. Radiators must be guarded to safeguard residents against the risk of burns from hot surfaces. Duty rotas must be maintained showing all staff on duty. The registered person must provide and implement a robust recruitment procedure and must ensure that all information detailed in Schedule 2 is obtained for all new staff prior to employment. Timescale for action 31/08/05 2. 3. 4. 5. op7 op25 op27 op29 15 13 18 19 31/08/05 31/12/05 31/08/05 31/08/05 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 Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 21 1. 2. op7 op7 All care records should be dated and signed by the staff completing them. Any restrictions placed on the residents should be recorded. Parkfield Rest Home J52 S1217 Parkfield V231098 210705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP 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. 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