Inspection on 25/09/05 for Parkhill Lodge

This inspection was carried out on 25th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parkhill Lodge 15/07/08

Parkhill Lodge 17/07/07

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 Ms Rosemary Reid Unannounced Inspection 09:00 25th September 25th & 26 October2005 th Parkhill Lodge DS0000033263.V249024.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 Parkhill Lodge DS0000033263.V249024.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. Parkhill Lodge DS0000033263.V249024.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkhill Lodge Address Larch Road Maltby Rotherham South Yorkshire S66 8AZ 01709 813040 01709 790325 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.V249024.R01.S.doc Version 5.0 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. 14th May 2003 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. Parkhill Lodge DS0000033263.V249024.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place from 8:45am to 2:15 on the 25th September and further visits to the home on the 25th and 26th October 2005. The manager was on holiday on the first visit and was seen on the 26th October. On the first day of the inspection the senior person in charge of the home was a relief member of staff as the registered manager was on holiday. Four staff on duty, ten of the nineteen residents were spoken with over the period of the inspection to collate their views about the care given at the home. No relatives visited the home during the inspection. Many of the residents were at home due to two social centres being closed for training. Twenty comment cards and prepaid envelopes were left at the home so that residents or their representatives can contact the CSCI with their views about the home. No comment cards were returned. Twelve residents were spoken with along with staff on duty. This inspection focused on the requirements from the previous inspection, four residents files were case tracked along with medication, staffing rota, complaints, Adult Protection and Health & Safety issues for the safety and well being of the residents at Parkhill Lodge. On the 26th October the inspector met with the manager and gave feedback from the inspection. What the service does well: The majority of the staff have worked at the home for many years, which provides continuity for residents. Staff were observed to have good rapport with residents. All the residents confirmed that staff were caring, the home was always kept clean and tidy, and that service users did chose furnishings/wallpaper in their bedrooms. There is a varied activities programme in and outside the home and this was confirmed by residents, relative and by observation for example knitting, colouring in books, word search books, jigsaws, short breaks, days out, Halloween Party. Meals are varied and service users said they enjoy their meals. All of the service users and the relative spoken with were satisfied with the delivery of care and had no complaints. No complaints had been recorded. Medication records were examined and found to be correct which helps to promote service users’ health. Health and Safety records were examined and found to be up to date. 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. Three domestics have achieved their NVQ level 1. The home was tidy, clean with no offensive odours. Parkhill Lodge DS0000033263.V249024.R01.S.doc Version 5.0 Page 6 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.V249024.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 Parkhill Lodge DS0000033263.V249024.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): These standards were not assessed on this occasion. EVIDENCE: Parkhill Lodge DS0000033263.V249024.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): 7 - 10 The home has a care plan system however the home is changing to a new format to ensure that residents changing needs and direction for staff are included within the care plan to support residents in their day-to-day life at Parkhill Lodge EVIDENCE: Each service user has a file. On the first day of inspection four care plans were examined which did not address service users changing needs or direct staff to care for those residents. This had been recognised by the management team and action had been taken to change the format of the care plans. The new formats were at the printers. On the second visit of the inspection the changeover was in process but not completed. The manager stated that the changeover for all the file/care plans would be completed in November. Daily working notes were up to date. All residnets have had their care plan reviewed. The home are reminded that for any residents who are over 65 years old care plans must be reviewed on a monthly basis as indicated in the National Minium Standards for Older People. Parkhill Lodge DS0000033263.V249024.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): 11 - 17 The home provides a range of activities both in and out of the home for the stimulation and enjoyment, which benefits residents. Residents have options at meal times. Menus are formulated to include the likes of the service users EVIDENCE: Two residents were seen doing word search, another was doing a jigsaw with further two service users were relaxing watching television and one resident doing knitting. The home puts on different types of activities and entertainment depending on age groups. There was a notice advertising a “Halloween Party” staff had arranged two holidays to Blackpool and a day trip to the “Blackpool Illuminations” Depending on assessment service users attend college or day care facilities. However on the day of this inspection two of the social centres were having training days and were closed. Staff were seen asking residents what they wanted for the lunchtime snack with the main meal being served in the evening. Residents said, “I enjoy all the meals – they are good” and went on say they had no complaints about the quality or quantity of meals prepared at Parkhill Lodge. Parkhill Lodge DS0000033263.V249024.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): 18 - 21 The ethos of the home promotes dignity, respect and independence with the service users taking part in self-advocacy meetings. Residents and relatives are informed of advocacy services, which promote and advance residents’ rights. Residents’ physical and emotional health care needs were met by the involvement of doctors, hospital, physiotherapists and occupational along with the community nurses. Medications were administered as prescribed and the staff at the home work to their medication policies, which promotes the wellbeing of residents. EVIDENCE: The home’s diary and care records show that there was involvement the Primary Care Team and appointments kept at hospital/clinics. During the inspection the District Nurse visited residents. The home’s manager and the manager of the day centre have regular meetings to discuss issues and to keep up to date with residents’ progress/ regression. Medication records were examined which were satisfactory. The pharmacist visits the home on a regular basis. Residents they said they were treated with respect and dignity and was confirmed by observation of the staff group. Staff members were seen to knock on bedroom doors. Parkhill Lodge DS0000033263.V249024.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): 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 listen to residents’ views through residents meetings and in discussions with staff along with making complaints through the complaints process. The home has a complaints policy with no complaints recorded and no Adult Protection investigations since the previous inspection. Rotherham Metropolitan Borough Council has policies on Adult Protection matters. Records show that all new staff goes through the induction programme, which includes Adult Protection issues. Training course on Adult Protection has been undertaken. Parkhill Lodge DS0000033263.V249024.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): These standards were not assessed on this occasion. EVIDENCE: Parkhill Lodge DS0000033263.V249024.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): 32,33,35, 36 The home has appropriate staffing levels that support residents in their day-today needs. The home is not in a position to ensure that 50 of care staff have achieved NVQ level 2 by the end of 2005. EVIDENCE: The majority of the staff group have worked at the home for many years and have developed a variety of skills. The parent organisation has a training department and there was evidence that staff had attended training courses. The training plan for the home was examined, which showed that names of staff had been submitted in July 2004 for NVQ level 2 and resubmitted in 2005. However, no further developments had taken place to ensure that 50 of care staff that work at the home have achieved NVQ level 2 by the end of 2005. Training for staff is dependent on the training department putting on courses. Parkhill Lodge DS0000033263.V249024.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): 37 - 42 The manager promotes the health, safety and welfare of residents. EVIDENCE: The manager has been at the home for many years and is residents hold all members of the staff team in high esteem. Audits are undertaken and monitoring visits are undertaken on a monthly basis. 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.V249024.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 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parkhill Lodge Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000033263.V249024.R01.S.doc Version 5.0 Page 17 Yes 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 YA3 Good Practice Recommendations It is recommended that care staff be enrolled on NVQ level 2 to ensure that 50 of the staff achieve It is also recommended that staff have training in challenging behaviour. It is recommended that all residents who are over 65 years old should have their care plans reviewed on a monthly basis. 2 YA6NMS YA 6 Parkhill Lodge DS0000033263.V249024.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Parkhill Lodge DS0000033263.V249024.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!