Inspection on 29/06/05 for Parkgate Manor

This inspection was carried out on 29th June 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

Parkgate Manor 01/11/06

Parkgate Manor 18/10/05

Parkgate Manor 05/10/04

Parkgate Manor 06/04/04

Similar services:

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Insight - Eastchurch

Southfields

Magenta

Seabourne House

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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 29 June 2005 10:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Parkgate Manor Address Catsfield Battle East Sussex TN33 9DT 01424 773251 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) 7 Mr R A Williams & Mr B D Scarles Mrs Maria Hearfield Care Home 40 Category(ies) of Learning disability (LD) 40 registration, with number of places Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of adults to be accommodated is forty (40) Date of last inspection 5 October 2004 Brief Description of the Service: Parkgate Manor is a large detached house and provideng 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, approximatley 2 miles from the town of Battle. Residents rooms are on the ground and first floors, and there are a variety of attractive commonual rooms. The gardens are also a well-used resource. The home has its own day centre, offering a range of opportunities in artistc, domestic and work related activities. It also enables access for residents to a wide variety of community events and educational facilities. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 10.00 and 14.00 with the inspector made very welcome to the home. The inspector was impressed by the high standards of care and support and of the excellent qualities of the management team and staff. During the course of the inspection, five residents were happy to speak with the inspector both privately and within a group, passing on news about their lives, recent outings and the night before disco. Also four staff were interviewed and they all spoke positively about the home, their roles within the home and the training their had undertaken. The inspector spent time in the office with the registered manager and the assistant manager reviewing care plans and other documentation. This was followed by a full tour of the home including viewing a selection of residents’ bedrooms. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 6 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 Standards Statutory Requirements Identified During the Inspection Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 7 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 standard(s) 1,2,3,4 & 5 Prospective residents are provided with a good level of written information about the service, and there are comprehensive procedures, in place, which include formal and informal information collected and the opportunity for prospective residents to visit the home. EVIDENCE: The resident group has tended to be stable, however, a new resident had just arrived a few days before this inspection. All the documentation including the gathering of information to make the new resident’s care plan was seen by the inspector. It was evident that the resident had, had access to suitable written information to inform her of the service and what it is like to live at Parkgate Manor in the form of a welcome pack, which includes the statement of purpose and service users guide Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 8 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 standard(s) 6,7,8,9, & 10 Residents’ care and support needs are well managed enhancing residents’ independence and overall quality of life. EVIDENCE: Residents told the inspector that the staff knew their needs well, as was seen during the inspection. Care plans were inspected and indicated that the standard and depth of recording is very good. In hearing about peoples news, the inspector was assured that needs are regularly reviewed with any changes managed in discussion with the resident and other relevant people. The residents have monthly meetings and from the minutes seen it was evident to acknowledge that this was a forum for residents to discuss the running of the service, any changes and plans for the future. A discussion with one resident evidenced the level of support given within a sound risk assessment process. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 9 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 standard(s) 11,12,13,14,15,16&17. Residents have every opportunity to live a fulfilled, responsible, valued and socially active life. EVIDENCE: The residents on the day of the inspection were seen to be occupied in various activities. The inspector visited the day centre and spoke to the residents participating in art and craft activities. It is evident that the residents dictate the pace of life, with more elderly people taking the day slowly, sitting quietly content in the home’s lounges and in the garden under erected gazebos, with the staff offering support and refreshments. The residents’ notice board was full of all the activities planned for the coming months. The manager explained to the inspector that some of the external courses attended by the residents had now stopped for the summer, and therefore the home has the summer months forthcoming events planned around trips out, holidays and entertainers coming to the home. The home produces a Parkgate News information newsletter for residents, families and friends, and the inspector was given the July/August 2005 edition, which confirmed that the residents has a variety of activities planned for the summer. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 10 The newsletter also includes information and significant events about new staff, staff training, the achievement of residents and staff at their college courses. This newsletter requested the filling in of a quality assurance survey, to ensure that the home is providing a good service. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 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 standard(s) 18 & 19 Residents’ health and care needs are very well managed and take into account residents’ individual preferences and needs EVIDENCE: Residents feel that they are treated as individuals and that this is respected in care giving and support. Health care is well managed with residents encouraged to take responsibility as far as they are able. A resident spoke of her eye operation and how her sight had improved, she told the inspector that the manager and staff had supported her and she felt very lucky to be living at Parkgate Manor. Health records indicated frequent visits to the chiropodist dentist and optician and the manager confirmed that the home had a good relationship with the local GP surgery. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 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 standard(s) 22 & 23 Residents are able to raise concerns and be assured that these concerns will be listened to and acted on. The Residents are protected as far as possible from the risks of harm or abuse. EVIDENCE: Residents have a range of opportunities to voice concerns and worries about the service. It was evident from the residents’ meeting minutes, that these meetings are one place where residents felt comfortable to raise concerns. A resident informed the inspector that if they had worries they would speak to the manager. The home has comprehensive policies and procedures on the prevention of abuse; staff understanding of such policies was explored during discussion with them and they were found to have a good understanding and awareness. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 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 standard(s) 24,25,2728 &30 Residents enjoy living a Parkgate Manor, it is safe, nicely decorated and although it is a large house, it is well maintained and homely. EVIDENCE: Parkgate Manor is a large property, but maintains a homely atmosphere with good quality furnishings and subtle decor throughout. Bedrooms are generally single but there are a few double rooms, which the manager confirmed that the residents have agreed and enjoy sparing together. All the bedrooms seem by the inspector were furnished to an acceptable standard with many personal items belonging to the residents. The communal areas are spacious and provide many areas for quite relaxing and watching of the television. This inspection was carried out on a very hot day and the home was airy with doors and windows open, and many residents were enjoying the garden under the shade provided by gazebos, it was also noticed that cold drinks were provided throughout the day. There was a slight odour on the top corridor and in a double bedroom not serious enough to be offensive, also areas around some light switches were stained. The manager agreed to review the cleaning of these areas and would be discussing these areas with the cleaning staff. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 35 Residents quality of life is enhanced by the support and expertise of the staff employed. EVIDENCE: Residents spoke very highly of the manager and the staff team. It was felt the manager and staff were very approachable. It was evident that staff listened to residents and supported rather that directing their lives. The staff interviewed all expressed how much they enjoyed their work. Residents have a range of abilities and wishes and staff receive in house and external training and direction to work with individuals their preferred manner. The manager confirmed that the staff are undertaking NVQ level 2/3 training, and this training is on track with 50 of the care staff trained. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38 & 42 Residents are safe in the home, being well managed and maintained. EVIDENCE: A competent and well-qualified manager manages the home. She has qualifications in nursing and management, which are equivalent to the NVQ, level 4 in care and management and surpass this standard. Resident and staff spoke very highly of the management of the home, and from speaking to residents the manager is a consistent feature in their lives. The staff are expected to follow the principles of care that will benefit the residents to develop their potential and have a good quality of life. The documentation in relation to the health and safety of the residents was found to be in good order and well maintained. Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 3 3 Standard No 11 12 13 14 15 Parkgate Manor 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x Version 1.20 Page 17 H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 18 Are there any outstanding requirements from the last inspection? No 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 Regulation Requirement None from this inspection 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 Good Practice Recommendations None from this inspection Parkgate Manor H59-H10 S21184 Parkgate Manor V222821 170505 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection 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. 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