Inspection on 08/01/07 for Parkfields

This inspection was carried out on 8th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Parkfields 25/10/07

Parkfields 11/05/06

Parkfields 15/12/05

Parkfields 12/05/05

Parkfields 05/10/04

Parkfields 01/06/04

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

CARE HOMES FOR OLDER PEOPLE Parkfields 556 Wolverhampton Road East Parkfields Wolverhampton West Midlands WV4 5AA Lead Inspector Mr Ian Harris Key Unannounced Inspection 8th January 2007 08:00 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 Parkfields DS0000017196.V325684.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. Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkfields Address 556 Wolverhampton Road East Parkfields Wolverhampton West Midlands WV4 5AA 01902 621721 01902 339915 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) Dr Mohan Lal Passi Dr Uma Passi Miss Cheryl Fenton Care Home 49 Category(ies) of Physical disability (49), Physical disability over registration, with number 65 years of age (49), Terminally ill (3) of places Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No number division between categories except 3 (only) palliative care. Up to a maximum of 7 beds may be used for intermediate care. Date of last inspection 11th May 2006 Brief Description of the Service: Parkfields Nursing Home is a privately owned care home registered with the Commission for Social Care Inspection to provide nursing care to 49 people with physical disabilities aged over and under 65 years of age. It is also registered to provide palliative care for three people with a terminal illness. The Home is owned by Dr Mohan Lal Passi and Dr Uma Passi. Ms Cheryl Fenton is the registered manager and has day to day management responsibility for the home. Parkfields Nursing Home is two-storey, purpose built accommodation set in attractive grounds with parking at the front and gardens to the side and rear. The Home is situated close to Wolverhampton city centre, on a public transport route and with shops and local services nearby. Care and nursing is provided in modern accommodation offering well-equipped single rooms. 22 bedrooms have en-suites all other bedrooms have a hand-wash basin. The communal areas comprise of 3 lounges and a separate dining area. There is a passenger lift to access the first floor. The fees charged by the home are based on local authority rates and range from £336/week (residential) to £428/week (nursing). Additional fees may be involved for those individuals requiring palliative care. Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 5 hours in the presence of the Care Manager. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked and the last reports of the Fire Prevention Officer and Environmental Health Officer were considered. 3 members of staff 6 residents were spoken to. What the service does well: What has improved since the last inspection? The home has a good programme of maintenance and refurbishment and since the last inspection it was noted that 12 residents’ bedrooms the corridors, dining room and lounges have been re-carpeted and the Kitchen has been fitted with new floor covering. Two new hoists and three reclining chairs have Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 6 been purchased. Also the residents’ files and care plans have been updated to provided more detailed up to date information. 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. Parkfields DS0000017196.V325684.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 Parkfields DS0000017196.V325684.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): 3 and 6 The quality in these outcome areas is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory admissions procedure ensuring the individual needs of the residents are fully met. The home does not provide intermediate care but does provide step down beds. EVIDENCE: All the residents who are funded by the Local Authority undergo a full multidisciplinary assessment prior to admission. The residents’ who are self funding are assessed by the Care Manager, using the homes assessment forms. Copies of the assessment, Care Plan and Reviews are on the residents’ files. The Six residents files and care plans inspected contained pre admission assessments of the persons needs, both from assessments by the home’s staff and other relevant professionals. Observations and discussions with residents, the Care Manager and staff on duty indicated that the home continues to meet Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 9 . the individual needs of the elderly people living at the home in a satisfactory and sensitive manner. Parkfields DS0000017196.V325684.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): . 7,8,9, and 10 the Quality in these outcome areas is good. This judgement has been made using available evidence including a visit to this service. Each resident has a individual care plan that is reviewed on a regular basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are met. EVIDENCE: The home provides a Care Plan for each individual resident based on the initial assessment. Where possible the Care Plans are drawn up by the Care Staff in consultation with the resident and their family. There was evidence on the files to show the care Plans are being carried out and reviewed on a regular basis. The care plans have improved since the last inspection and now provide more detailed information about treatments and the equipment used to deliver care to individual residents. It was evident during the inspection, from looking at Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 11 records, inspecting the facilities, observation of care given and chatting to staff and residents that individual health, and personal needs were being met. Residents were being treated with respect, and staff were working sensitively in meeting individual needs. All the residents looked comfortable and well cared for. The case tracking demonstrated an effective review process together with the home’s ability to meet the changing needs as they occur. The residents’ health is closely monitored and appropriate medical care services are sought as and when required. The Inspector spoke to several residents all stated they are well cared for. The residents appeared to be content, comfortable and happy. Medication is administered, by qualified nursing staff and the system appears to be working very well. The home receives good support from the pharmacist. All Senior Staff have been trained to use the system before they are allowed to administer medication and have completed the Safe Handling of Medication training course. The home has good policies and procedures, regarding the administration, storage and recording of medication. Parkfields DS0000017196.V325684.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): 12, 13, and 15 the quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality outcome for this area is good. Daily routines are flexible with residents being offered a choice of varied activities. The home provides meals that offer variety and cater for different cultural and nutritional needs. EVIDENCE: The routines and activities within the home are flexible and are built around the needs of the residents. The home does not have a staff member designated to organise social and leisure activities and who identified interests that the residents wish to pursue. However activities are provided by an outside entertainer three days a week. There was evidence to show staff do consult with the residents regarding the choice of meals through residents/ relatives meetings, the Care Manager and key-workers. There is evidence that family and friends are encouraged to keep good contact with the home and their relatives. It was noted that approximately 10 residents go out with their relatives. The relatives spoken to all spoke highly of the home and the care provided. All residents’ were very complimentary about the standard and choice of Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 13 food provided. It was apparent that the menu is changed on a regular basis. Several residents’ told the Inspector that the food was good, tasty and well prepared. It was also noted that Afro-Caribbean, Asian and Vegetarian meals are being provided. Parkfields DS0000017196.V325684.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): 16 and 18 the quality in these outcome areas is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure and there is evidence that residents’ and their families feel that their views are listened to and acted upon The home has good policies and procedures regarding protection from abuse, which includes a whistle blowing policy. EVIDENCE: The home has a good comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide, which a copy is placed in the reception hall. The home has a complaints book in which all complaints are recorded. It was noted that the home has not received any formal complaints since the last inspection all minor complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in external and N.V.Q. training, which all care Staff have undergone. Parkfields DS0000017196.V325684.R01.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 and 26 the quality in these outcome areas is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home and the garden is good providing the residents with a very attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. EVIDENCE: The home has been established for a number of years and was purpose built in order to provide appropriate accommodation for older people. The home is maintained to a good standard as is the gardens and grounds which provides a comfortable homely and safe atmosphere. It was noted that 12 residents’ bedrooms the corridors, dining room and lounges have been re-carpeted and the Kitchen has been fitted with new floor covering. Two new hoists and three reclining chairs have been purchased. It was noted that two of the lounges are in need of redecoration. The home is furnished to a good standard throughout. Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 16 All the bedrooms are well furnished. All the shared spaces within the home provide a warm, friendly, safe and comfortable environment. The home was found to be clean tidy and free from odour. The home has good hygiene and infection control policies and all the care and catering staff have undergone Food Hygiene and infection control training. All the staff are conscious of the risks of cross infection. Parkfields DS0000017196.V325684.R01.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 the quality in these outcome areas is good This judgement has been made using available evidence including a visit to this service. The home is staffed with good numbers and skill mix of staff. The staff have a very good understanding of the residents support needs. The home has good policies and procedures regarding the recruitment of staff. The manager has introduced a good staff-training programme however the staff induction needs to be updated.. EVIDENCE: The inspection of staff rotas and discussions with staff and residents indicated that the home is adequately staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. It was noted that there have been minimal staff changes since the last inspection. On the day of the inspection, two qualified nurses and 7 carers were on duty, as well as a student nurse on placement to the home. The home has not used agency staff for some time, preferring instead to utilise existing staff and bank staff to cover shifts if required. Members of staff spoken with felt that staffing levels are sufficient to meet resident’s needs and observations during the inspection showed that staff responded promptly residents call buzzers and requests. The home operates an efficient recruitment procedure. On inspecting 6 staff files, there was evidence within them that all C.R.B. checks are being carried out. All staff at the home are committed to developing their knowledge and Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 18 skills through training and have regular opportunities to do so through external and internal training activities. The home has a good programme of N.V.Q. training has now exceeded the minimum standard. Care staff have also attended courses on Safe handling of medication, Prevention of Abuse, Team Building, Risk assessment, Palliative care, Moving and handling First Aid , D32, A1 assessors courses and Health and safety at work. However the home does not have an adequate staff induction programme, which should be updated. Parkfields DS0000017196.V325684.R01.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, 33, 35 and 38 The quality in these outcome areas is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, where service users interests and welfare is promoted. The home is operating a good system to assist residents with the safe handling and keeping of their personal finances and good records are being kept of all transactions made. The records inspected, were found to be well ordered and maintained. The home has good policies and procedures regarding Health and safety and meets the requirements of the Fire Officer and Environmental Health Officer, promoting. EVIDENCE: Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 20 The home is well managed by the Care Manager who is qualified in both practice and management and has considerable experience in caring for older people in residential homes There are clear lines of accountability within the home and the manager is very supportive of both staff and residents. Observations made and discussions with residents’ and staff indicated that the Care Manager is very approachable and operates an open door policy. The staff and residents who could express themselves stated that they are happy to approach the Care Manager and staff with any problems they might have and were confident that they would be responded to. There is a good staff supervision system in place and there is evidence that the staff have regular supervision meetings. It was also noted that the home has a Quality Assurance system in place, which includes questionnaires to residents, visitors and relatives to obtain feedback on the quality of service. However consultation only takes place annually and no action plan is compiled to address the findings. Consultation should take place at least twice a year and an action plan produced. The feedback from the last issue of questionnaires was very positive with all feedback stating they are satisfied with the care they are receiving. All the records and administrative procedures within the home that were, inspected were found to be well ordered and maintained. It was noted that residents’ monies are being stored in a filing cabinet in the office, the home should be provided with a safe. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. All recommendations and requirements made at the last inspections of the Fire Prevention Officer and Environmental Health Officer have been actioned. All safety equipment is regularly checked and well maintained. Parkfields DS0000017196.V325684.R01.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 X X 3 X X 3 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 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 22 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 OP33 Regulation 24 (1) Requirement Timescale for action 01/03/07 2 OP30 18 3 OP19 23 The registered person must ensure that consultation questionnaires are issued at least twice a year as part of the homes quality assurance system. The registered must ensure that 01/03/07 a staff induction programme that meeting skill for care standards is provided for all new staff. The registered person must 01/04/07 ensure that the two lounges on the ground floor are redecorated. 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. 2. Parkfields Refer to Standard OP30 OP34 OP12 Good Practice Recommendations To assist the manager in reviewing staff training, it is recommended that a training matrix be devised. To provide the office with a safe To employ an activities co-ordinator DS0000017196.V325684.R01.S.doc Version 5.2 Page 23 Parkfields DS0000017196.V325684.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. 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