Inspection on 17/07/07 for Parkhill Lodge

This inspection was carried out on 17th July 2007.

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

Parkhill Lodge 15/07/08

Parkhill Lodge 25/09/05

Parkhill Lodge 11/04/05

Parkhill Lodge 11/01/05

Parkhill Lodge 17/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Parkhill Lodge Larch Road Maltby Rotherham South Yorkshire S66 8AZ Lead Inspector Mr Ashley Fawthrop Key Unannounced Inspection 17th July 2007 10:00 Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 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 Parkhill Lodge DS0000033263.V306494.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 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. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkhill Lodge Address Larch Road Maltby Rotherham South Yorkshire S66 8AZ 01709 813040 01709 790325 NONE 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) Rotherham Metropolitan Borough Council (LDS) Lilian Rigby Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of places registered is for 22 Younger Adults with Learning Disabilities between the ages of 18 to 65 years. Within this number the Home can accommodate four named service users over the age of 65 years. 25th September 2005 Date of last inspection Brief Description of the Service: Parkhill Lodge is owned and operated by Rotherham Metropolitan Borough Council. It is a care home offering accommodation for people with learning disabilities on a long stay, short stay and respite care basis. The home provides accommodation for up to 22 people in single room accommodation. The home is situated in its own grounds with gardens and patio area and is within walking distance of Addison Day Centre. The home is only a short bus journey on routes 101 and 102 from Maltby. The charges levied for this service at the 17th July 2007 were £374.13 per week. There are no extra charges for other services. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Before the visit, accumulated information about the home was reviewed. This included looking at the number of reported accidents and incidents, the action plan submitted following the previous inspection, and reports from other agencies, i.e., the Fire Officer. This information was used to plan the inspection visit. I case tracked three people. Case tracking is the method used to assess whether people who use services receive good quality care that meets their individual needs. Where appropriate, issues relating to the cultural and diverse needs of the people who live there and staff were considered. Pre admission information was available to people and pre admission assessments were done. Care plans are available for all people who live there. The environment is comfortable and well maintained and decorated to a good standard. The staff turnover is low ensuring a consistent approach to the day-to-day care of the people. What the service does well: The majority of the staff have worked at the home for many years, which provides continuity for the people that live there. Staff were observed to have good rapport with people. People said that they liked living at the home, that the staff were helpful and caring. People are supported in the community and have access to health professionals. There is a varied activities programme in and outside the home and this was confirmed by people relative and by observation. Meals are varied and people said they enjoy their meals. The staff and the management support people to live their live as they wish they support people to take risks and encourage independence. People’s opinions are valued and any comments or suggestions are acted upon All of the people who live at the home and the relative spoken with were satisfied with the delivery of care and had no complaints. Health and Safety records were examined and found to be up to date. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 6 Rotherham Metropolitan Borough Council has a Quality Assurance system and audits are undertaken on a monthly basis cover different areas of care within the home. Monitoring visits are undertaken by the Line Manager on a monthly basis. The home was tidy, clean with no offensive odours. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 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 Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 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): 1, 3 and 6 People using the service experience good quality outcomes. We made this judgement by using a range of evidence including a visit to the service. People receive good information about the service they are assessed and have a chance to visit before they move into the home. EVIDENCE: The statement of purpose and the service users guide gives people good information about the aims and objectives of the service. Information includes what disabilities the home can best help with and what will happen if the home can offer you a place. There is also information on how people’s rights will be protected. There is information on how people can complain and who they can complain to. The service users guide holds a lot of this information and has pictures to help people to understand the information Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 9 This is very good practice as it shows that the service see the importance of giving people information before they decide to use the service. There was good information about people and their needs, these are done before people move into the home and include a social worker assessment, which also included a financial assessment and the portion that each person had to pay for their care and accommodation. People said that they were given information and they had a chance to visit before the moved into the home, Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 10 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): 6, 7 and 9 People using the service experience good quality outcomes. We made this judgement by using a range of evidence including a visit to the service. People are involved in the planning of their care with personal goals. They are given assistance to make decisions and are supported to lead an independent lifestyle. EVIDENCE: Four care files were case tracked and there were risk assessments in place, the care plans did show the changing needs of people some of these showed how people had matured and developed personal relationships. Some are assisted to move into semi-independent living with support. Many people continue with activities that they did at home and the staff work with people and their families to maintain independence. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 11 People are given the opportunity to take risks these are assessed and information on how to minimise the risk is on the care plan. This is good practice as it allows people to lead their life as they wish. People ask said they liked living at Parkhill Lodge and the home is very friendly. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14, 15, 16 and 17 People using the service experience excellent quality outcomes. We made this judgement by using a range of evidence including a visit to the service. The homes managers and staff work hard to provide meaningful activities for people. They are given the opportunity to be involved in leisure activities and keep contact with friends and family. Menus are formulated to include the likes and choices of the people who live there. EVIDENCE: Many of the people who live at the home attend day centre, colleges or go to work. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 13 Social activity is part of the care planning and individual choices are recorded. Peoples different lifestyle choices included going shopping and going to the pub. Some they like rock music and spending weekends with family or friends. People said staff are supportive and respond to diverse needs. Others said that people are supported in the community and have access to health facilities. Staff were seen asking people what they wanted for the lunchtime snack with the main meal being served in the evening. People have the opportunity to help planning the menu. This is all very good practice it is evidence that people are assisted with their care and have control over their lives. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 14 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): 18, 19 and 20 People using the service experience excellent quality outcomes. We made this judgement by using a range of evidence including a visit to the service. The homes management and staff promotes dignity, respect and independence with people, their physical and emotional health needs are met and the medication administration is safe. EVIDENCE: The Statement of Purpose, the Service User Guide, the induction programme for staff, along with the policies refers to dignity respect and independence. People said they were treated with respect and dignity and this was confirmed by a relative who completed surveys Staff members were seen to knock on bedroom doors and care tasks were done in private. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 15 The home’s diary and care records continue to show that there was involvement the Primary Care Team and appointments kept at hospital/clinics. The home’s manager and the manager of the day centre continue to have regular meetings to discuss issues and to keep up to date with residents’ progress/ regression. Medication records were examined and found to be correct. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 16 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): 22 and 23 People using the service experience excellent quality outcomes. We made this judgement by using a range of evidence including a visit to the service. The Local Authority and the home have policies and procedures to protect residents from abuse. The home has a clear complaints system, which residents and relatives have used to record their grievances and/or concerns. EVIDENCE: Staff continue to listen to the views of people through meetings as well as along with making complaints through the complaints process. The home has a complaints policy and records show that a number of people do complain they also show what action had been taken by the manager to resolve their grievances. This is good practice. There have been no complaints or Adult Protection investigations since the previous inspection. All staff undertake training in the protection of vulnerable people. People said they knew who to talk to if they were unhappy. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 17 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): 24, 25, 27 and 30 People using the service experience good quality outcomes. We made this judgement by using a range of evidence including a visit to the service. The home is suitable for its stated purpose and people stay in a comfortable, homely, safe environment. The home has sufficient number of toilets and bathrooms for needs of the people who live there. EVIDENCE: There are three bathrooms and one shower-room with toilets along with six toilets. These need to be redecorated the paint was chipped and the tiles were old making these look less like a home and more like an institution. The home was clean and without offensive odours. The domestics were observed working in all areas of the home. Bedrooms are furnished to a good standard people can buy or bring their own furnishings making the rooms homely and give the feeling of ownership. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 18 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): 32, 34 and 35 People using the service experience good quality outcomes. We made this judgement by using a range of evidence including a visit to the service. The home has appropriately qualified staff at levels that support people in their day-to-day needs. The recruitment and selection procedures are robust and protects people from potential abusers. EVIDENCE: The majority of the staff group have worked at the home for many years and have developed a variety of skills that allow them to give a good standard of care to the people within the home. The staff have access to a training department and staff have National Vocational training at levels two and three. Other training includes Adult protection, Fire Regulations, Health and Safety, moving and handling. The homes recruitment and selection policies are developed and reviewed the Social Services Human Resources department. There are robust. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 19 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): 37, 39 and 42 People using the service experience excellent quality outcomes. We made this judgement by using a range of evidence including a visit to the service. The home is run in the best interests of the people who live there and the manager promotes the health, safety and welfare of staff and the people who live at the home. EVIDENCE: Audits are undertaken and monitoring visits are undertaken on a monthly basis. People are involved in the running of the home through information gathered at individual reviews, meetings and surveys. Information and ideas gathered from these and where appropriate acted upon. Any action taken is fed back to people who live in the home and their relatives. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 20 This is good practice as it is evidence that the homes management and staff take the comments of people seriously and people in the home have a say in how the service is developed. The home has a fire assessment and fire prevention training had been undertaken. Records show that Health & Safety procedures were undertaken and certificates were up to date. Parkhill Lodge DS0000033263.V306494.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 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 Standard No Score 1 3 2 X 3 3 4 X 5 X 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 22 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. 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 YA27 Good Practice Recommendations The bathrooms and toilets need to be redecorated. Parkhill Lodge DS0000033263.V306494.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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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