Inspection on 18/10/05 for Parkgate Manor

This inspection was carried out on 18th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Parkgate Manor 01/11/06

Parkgate Manor 29/06/05

Parkgate Manor 05/10/04

Parkgate Manor 06/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Parkgate Manor Catsfield Battle East Sussex TN33 9DT Lead Inspector Jeanette Denereaz Unannounced Inspection 18th October 2005 09:30 Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 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 Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 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 Adults 18-65. 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. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkgate Manor Address Catsfield Battle East Sussex TN33 9DT 01424 773251 01424 777072 enquiries@parkgatemanor.co.uk 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) Mr Roger Williams Mr Brian Scarles Mrs Maria Hearfield Care Home 40 Category(ies) of Learning disability (40) registration, with number of places Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is forty (40) Service users must be aged thirty (30) years or over on admission Service users with a learning disability only to be accommodated Date of last inspection 29th June 2005 Brief Description of the Service: Parkgate Manor is a large detached house and provides residential care for up to 40 adults over the age of 30, with a mild to moderate learning disability. The home is set in extensive grounds, approximately 2 miles from the town of Battle. Residents’ rooms are on the ground and first floors, and there are a variety of attractive communal rooms. The gardens are also a well-used resource. The home has it’s own day centre, offering a range of opportunities in artistic, domestic and work related activities. The residents also access a wide variety of community events and educational facilities. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second in the year running from April 1st 2005 to March 31st 2006. The inspection took place between 11.00 and 13.00. The overall focus of the inspection was on meeting with the manager and reviewing the progress of the home since the previous inspection. A full tour of the communal area of the home was undertaken. Time was spent meeting the manager, inspecting a number of records, policies, procedures and other documentation. A few resident were spoken to during the tour, and they all expressed their satisfaction with the home. As this report was made following the second unannounced visit, and does not cover all the standards, therefore for the reader to make a judgment about the home, it is recommended that a copy of the last inspection report of the 29th June 2005 also be obtained to have a clearer picture of the home. What the service does well: What has improved since the last inspection? What they could do better: There are areas of the home that have become worn and the manager is having discussions with the proprietors to plan a renewal programme for these areas, which includes the corridors and hallways décor and carpets. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 6 It is recommended that the manager investigates an alterative banking system for residents’ monies, and avoids ‘pooling’ residents’ money and interest accrued. 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. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards were inspected at the last inspection on the 29th June 2005, and were found to be fully met. EVIDENCE: Since the last inspection the manager has reviewed and updated the home’s Statement of Purpose and the Welcome Pack for new and prospective residents. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards were inspected at the last inspection on the 29th June 2005, and were found to be fully met. EVIDENCE: Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards were inspected at the last inspection on the 29th June 2005, and were found to be fully met. EVIDENCE: Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 & 21 Residents’ health and care needs continue to be very well managed and take into account residents’ individual preferences and needs. EVIDENCE: Residents who wish to take part in the administration and control of their own medication are fully risked assessed and supported individually. The majority of residents are supported by staff, who are fully trained and follow the home’s policy and procedures for the administration of medicines. The home has a robust policy and procedures and two staff undertake the giving out of medication. The home approaches the subject of death and dying in a sensitive and respectful manner, the resident and families are consulted for their preferences and wishes for the end of their lives. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The residents are protected as far as possible from the risks of harm and abuse, however, the manager should review the procedures used when dealing with residents’ finances and avoid pooling residents’ monies and interest accrued. EVIDENCE: The dealing with residents’ monies is undertaken in a very transparent and safe way, however, the residents have one account in which money is credited and withdrawn. The account is showing interest accrued as one sum, which is carried forward. It is recommended that the manager investigates an alterative baking system in which residents hold an individual account or one account with separate sub-accounts within it, in which interest in calculated on the amount in each account or sub-account. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 & 30 Residents enjoy living at Parkgate Manor, it is safe, nicely decorated and well maintained, but there are areas that are now worn and need replacing. EVIDENCE: During this inspection the home was found to clean and free from offensive odours. The house is well maintained, but the main stairway and corridors carpet is worn and needs to be replaced. The manager is aware of this and has been in discussion with the Proprietors and there is a planned replacement programme to replace carpets and improve the décor. The home consults and has input from the Community Learning Disability Team’s Physiotherapist, and other residents attend the local hospitals for physiotherapy. Wheelchairs are regularly serviced and the home as a walk–in shower and assisted baths to maximise the residents independence. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34 & 36 Residents quality of life is enhanced by the support and expertise of the staff employed. EVIDENCE: The home has robust recruitments procedures, and all staff are subject to 3 months probationary period, and an in-depth induction programme. All staff have a staff handbook, which is updated regularly. All staff take the opportunity for training, including the manager and the assistant manager. The manager has just undertaken a Managers’ Workshop training programme organised by The Independent Providers Forum. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39,40,41 & 43 Residents continue to live in a safe home, being well managed and maintained. EVIDENCE: The residents are very involved in the review and development of the home with regular meetings and an annual quality assurance survey. The home’s risk assessments are constantly reviewed, and all staff are required to read all policies and procedures, this was evident in the duty room, with the most recent reviewed documentation available with instruction to be read and sign. The manager has a good rapport with the proprietors, she stated that they are ‘very approachable’ she feels that the home has an adequate budget and they ensure the home is well maintained. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x 3 x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 x 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parkgate Manor Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 x 3 DS0000021184.V249213.R01.S.doc Version 5.0 Page 17 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA23 Good Practice Recommendations It is recommended that the manager investigates an alternative banking system for residents’ monies, and avoids ‘pooling’ residents’ money and interest accrued. Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parkgate Manor DS0000021184.V249213.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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