This inspection was carried out on 6th March 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
CARE HOMES FOR OLDER PEOPLE
Parkfield Rest Home 9 Parkfield Road Manningham Bradford West Yorkshire BD8 7AB Lead Inspector
Michael Smithson Announced Inspection 6th March 2006 09:45 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.V280873.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 Rest Home DS0000001217.V280873.R01.S.doc Version 5.1 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.V280873.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The place for PD is for the named service user only. Date of last inspection 21st July 2005 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 DS0000001217.V280873.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over the morning and early afternoon of the 6th March 2006. It was the second and final inspection for this year. Gill Sangster undertook the first inspection in July 2005. Copies of reports for this and previous inspections are available on the CSCI website. The home is provided with a copy of the reports. This was the first ever inspection of the home undertaken by Mick Smithson. The focus of the visit was to look at progress made since the last inspection and to spend time with service users. A spot check of the service user and staff records was also undertaken. The inspector spent a considerable amount of time speaking to service users and also joined them for lunch. The service users have all lived at the home for a number of years and all enjoyed living there. They all have the opportunity to make choices in their daily lives. They enjoy going out shopping with the staff and by themselves. They also enjoy the annual holiday. What the service does well: What has improved since the last inspection?
Parkfield Rest Home DS0000001217.V280873.R01.S.doc Version 5.1 Page 6 The care planning system has improved and includes more information about the identified needs of service users. Radiator guards are now fitted in areas used by service users. Basic staff rotas are now available. The staff recruitment system has improved. Application forms and reference request information is now available. There has been no new staff employed 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. Parkfield Rest Home DS0000001217.V280873.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 Rest Home DS0000001217.V280873.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 and 3. The statement of purpose and service user guide has been produced but could not be located on the day of the inspection. EVIDENCE: A statement of purpose and service user guide has been produced however they could not be located on the day of the inspection. It must be available at the next inspection. No new admissions have taken place since the last inspection. All three current service users are funded by the local authority and have been issued with local authority contracts. Parkfield Rest Home DS0000001217.V280873.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): 7 and 8. The care records have improved and now provide more information regarding service user needs. EVIDENCE: The care records are basic, however they do reflect the needs of the current service users. A care plan has been produced for each service user, which is updated each month. The provider has produced individual day and night reports for each service user. The reports are very informative and provide good information of any progress or deterioration. The care records also provide a good picture of service users life history, which has been gleaned following discussions with the staff team. It was evident that the provider and the staff had a very good knowledge of the service users. Parkfield Rest Home DS0000001217.V280873.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 and 15. Residents are supported to keep their chosen lifestyles by staying independent and going out in the community. Residents enjoy their meals. EVIDENCE: The current service users are fairly independent and tend to organise their own activities. The 2 ladies enjoy shopping trips either on their own or with a staff member. An annual holiday is organised each year, which is much enjoyed by all. The provider and the staff do try to introduce the service users to new experiences, however they do tend to be quite set in their ways. They tend to spend their time in the home sat chatting in the lounge and watching television. The inspector joined the service users for lunch. The meal was enjoyable; it was tasty and well presented. The service users said they usually enjoyed the meals. Parkfield Rest Home DS0000001217.V280873.R01.S.doc Version 5.1 Page 11 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): 16 and 18. Adult protection 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. The local authority No Secrets guidance is also available. None of the staff or management has undertaken any formal adult protection training. This must be addressed. Parkfield Rest Home DS0000001217.V280873.R01.S.doc Version 5.1 Page 12 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): 24 and 26. The areas seen meet the needs of service users. EVIDENCE: A full building inspection was not undertaken during this visit. However the inspector did familiarise himself with the building. The bedrooms used by service users are a double on the ground floor and a single on the first floor. The areas seen were kept clean and tidy. The outstanding radiator covers have now been fitted. Parkfield Rest Home DS0000001217.V280873.R01.S.doc Version 5.1 Page 13 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): 27 and 29. The staffing was adequate for the numbers of service users living at the home. The recruitment procedures have improved. Basic staff rotas are now available. EVIDENCE: A vacancy exists for a part time care assistant. The provider has had difficulty recruiting a suitable person to the post, however she does have a pool of reliable casual staff to cover any hours required. All the staff team are employed to cover the day shifts. The provider/manager cover the night duties. The provider/manger lives on the premises. 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 3 service users. The permanent staff have had CRB checks and the most recent staff have references. The recruitment procedure has improved over the recent years and the provider has now produced an application form and reference request forms. A basic staff rota is now available which provides information regarding staff hours and working days. The rota is organised on a four weekly basis. Parkfield Rest Home DS0000001217.V280873.R01.S.doc Version 5.1 Page 14 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 and 38. The home is well managed and service users have the opportunity to contribute to the decision making process. EVIDENCE: The home is run on a day to day basis by the provider/manager and an experienced senior care staff. 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. Detailed health and safety information is available and all the required 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.V280873.R01.S.doc Version 5.1 Page 15 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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 X X X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Parkfield Rest Home DS0000001217.V280873.R01.S.doc Version 5.1 Page 16 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 OP1 OP18 Regulation Reg 4 Reg 5 Reg 13(6) Requirement The statement of purpose and service user guide must be available for inspection. Adult protection training must be provided for all staff. The senior care staff must be prioritised. Timescale for action 01/04/06 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkfield Rest Home DS0000001217.V280873.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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