Inspection on 23/08/05 for Parkhouse Grange

This inspection was carried out on 23rd August 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

Parkhouse Grange 12/03/09

Parkhouse Grange 28/10/07

Parkhouse Grange 27/07/06

Parkhouse Grange 03/11/05

Parkhouse Grange 11/04/05

Parkhouse Grange 04/05/04

Parkhouse Grange 22/03/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Parkhouse Grange 47 Park Road Earl Shilton Leicestershire LE9 7EB Lead Inspector Kim Cowley Unannounced 23 August 2005 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 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. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parkhouse Grange Address 47 Park Road Earl Shilton Leicestershire LE9 7EB 01455 851333 01455 851333 None A.L.A. Care Limited 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) Mrs Regina Summerfield Care Home 40 Category(ies) of DE/E - Dementia - over 65 years of age (20) registration, with number MD - Mental disorder, excluding learning of places disability or dementia (10) MD - Mental Disorder, excluding learning disability or dementia - over 65 years of age (10) Old age, not falling within any other category (40) PD - Physical disability (5) PD/E - Physical disability over 65 years of age (5) Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No one under the age of 55years may be admitted into the home in categories MD or PD. Service User numbers - No person falling within categories MD or MD(E) may be admitted to the home when there are 10 persons in total in these categories/combined categories already accommodated in the home. Service user numbers - No person falling within categories PD or PD(E) may be admitted to the home when there are 5 persons of these categories/combined categories already accommodated in the home. To be able to admit a named person in the category Sensory Impairment (over 65 years of age) as identified in correspondence with CSCI dated 10.05.04. Date of last inspection 8.03.05 Brief Description of the Service: Parkhouse Grange is a 40-bedded purpose built residential care home. It opened in 1996 and is situated in Earl Shilton, close to a range of local amenities. The home caters for older people, some of whom have mental health needs or physical disabilities. All bedrooms are single and 10 have ensuite facilities. There are three lounges, a dining room and a conservatory downstairs, and a lounge with an adjoining roof garden upstairs. The home is set in 1.5 acres of landscaped gardens. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place on a weekday. The inspector interviewed eight residents, the Manager, and one carer. The premises were toured. Care plans and other documentation was examined. Six Health and Social Care Professionals Comment Cards were returned. One recommendation was made. What the service does well: A hard working and enthusiastic Manager and her staff team run Parkhouse Grange. The Manager said ‘I love what I do and I have an excellent staff team. The rule in the home is that the residents come first and all my staff understand and accept this.’ The Manager and her staff team are commended. Residents made many positive comments about the staff including, ‘The staff are very good’, ‘If I need help the staff come and help me’, and ‘Gina (the Manager) is excellent. You can’t fault her.’ Staff are trained to treat residents with dignity and respect. This is stressed during their induction and when they shadow experienced members of staff. The Manager and seniors lead by example. One resident commented, ‘The staff are very kind and polite and they don’t rush me.’ The home has a new annual activities programme, which is in leaflet form and given to residents and relatives. Past and forthcoming activities include barbecues, karaoke, religious services and bible readings, Indian meals taster night, Grandparents’ Day, sing-a-longs, bingo, and clothes parties. The Manager said these events are open to all residents and their families/friends. The cook is qualified and experienced. At present she is working six days per week until a second (relief) cook can be appointed. All residents interviewed said they liked the food and the following comments were made, ‘The food is good – we always clear our plates’, ‘It was chicken today and it was lovely’, and ‘The food is excellent.’ The home was purpose built and has many interesting features including a clock tower, weather vane, and large outdoor seating area. Residents’ comments about the environment included, ‘’There is plenty of space in this home to move about’, ‘The new garden is beautiful’, and ‘This home is always clean. My relatives say that too.’ Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 6 Six Health and Social Care Professionals Comment Cards were returned. All respondents said the home worked in partnership with them, and that staff demonstrated a clear understanding of residents’ needs. None had received any complaints about the service. One respondent wrote ‘I have placed several clients at Parkhouse Grange and have found the carers professional and the service they provide very good. Both my clients are happy as their needs are being met.’ 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. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These Standards will be inspected at the next inspection. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 Care plans, which are comprehensive and contain appropriate risk assessments, are subject to ongoing improvement. Residents’ health needs are met with the input of local health care professionals. Medication is properly kept and administered. Staff treat residents with dignity and respect. EVIDENCE: Care plans were inspected and found to be of good quality, being comprehensive and containing appropriate risk assessments. The Manager has recently been on a ‘Certificate in Dementia Awareness’ course. She said this has led her to re-think care plans and she is now re-writing them stressing what residents can do, as well as what their needs are. She said ‘This is a more positive approach and helps staff to see the many abilities our residents have despite them needing residential care.’ A further eight members of staff are in the process of completing this course. The Manager said staff have good relationships with local GPs, who respond promptly if a resident needs a visit. District Nurses visit the home when necessary and are currently visiting three residents regularly. Chiropodists (both NHS and private), a dentist, and an optician visit the home when required. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 10 The contract pharmacist carried out an inspection on 18.05.05. One recommendation was made with regard to PRN medication, which the Manager said has been followed. Staff are trained to treat residents with dignity and respect. This training takes place during their induction and when they shadow experienced members of staff. The Manager and seniors lead by example. One resident commented, ‘The staff are very kind and polite and they don’t rush me.’ Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 The home has a varied activities programme and relatives/friends are invited to join is. Visitors are made welcome at the home. Residents are encouraged to make choices about their daily lives. All residents interviewed were satisfied with the food. EVIDENCE: The home has a new annual activities programme, which is in leaflet form and given to residents and relatives. Past and forthcoming activities include barbecues, karaoke, religious services and bible readings, Indian meals taster night, Grandparents’ Day, sing-a-longs, bingo, and clothes parties. The Manager said these events are open to all residents and their families/friends. The Manager said crafts person is being recruited to be shared with the two other ALA Care homes. Shops, the library, and Age Concern are close to the home. Mobile hairdressing is available with dates advertised on the residents’ notice board. The home has an ‘open house’ policy for visiting. Staff provide refreshments for visitors or they can make their own drinks in a designated area in the dining room. Visitors can stay for meals if they wish and can see residents in their bedrooms or in one of the lounges. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 12 Residents are encouraged to make choices about aspects of their daily lives, for example bedtimes and how they spend their day. The home has links with Age Concern, and advocacy services can be requested through this organisation. Menus are planned every six weeks. Residents’ meetings give resdients the opportunity to contribute to the planning process. In addition the cook goes round residents every morning asking for their daily choices. The cook is qualified and experienced and has a background in care homes and hotels. At present she is working six days per week until a second (relief) cook is appointed. Breakfast is served from 8 to 8.30am, lunch (the main meal of the day) at 12.30pm, tea at 5pm, and supper at 9.30pm. All residents’ interviewed made many positive comments about the food including: ‘The food is good – we always clear our plates.’ ‘It was chicken today and it was lovely.’ ‘The food is excellent.’ ‘The food is plentiful.’ ’ Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The complaints procedure has been updated to include information about CSCI. Satisfactory policies and procedures are in place to protect residents from abuse. EVIDENCE: The home has a Complaints Procedure, which is displayed in the entrance. A copy is given to all residents on admission. The Complaints Procedure has been updated to include information about how to complain to CSCI if complainants do not want to complain directly to the home. One resident commented, ‘I’d tell Gina (the Manager) if I wasn’t happy about anything.’ The home has a written policy called ‘Guidelines for the Prevention of Abuse to Residents’. This document provides information on safeguarding residents and explains procedures for passing on concerns to the relevant parties (in accordance with the Public Disclosure Act 1998 and Department of Health Guidance ‘No Secrets’). The Manager said ‘Staff are trained form day one to protect residents from abuse. They are approachable and residents can confide in them if there is anything wrong. All staff know they can come and tell me if they are not happy about the way another staff member is behaving. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 The premises are spacious and most areas are well decorated and maintained. All area inspected were clean, tidy and fresh. EVIDENCE: The home was purpose built and has many interesting features including a clock tower, weather vane, and large outdoor seating area. It is mostly well maintained inside and out and provides a good standard of accommodation for service users. Since the last inspection a new non-slip floor has been laid in the dining room. Some areas of the home are in need of new furniture and decoration. The Manager has agreed a two-year action plan with the Responsible Individual to address this. This was examined and appeared to be realistic and achievable. The home is set in extensive landscaped gardens, which are wheelchairaccessible. Since the last inspection a secure garden area has been created at the rear of the home. This area is suitable for residents who wander. There is a walkway, a lawn, and a patio area with tables and chairs. It has been designed Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 15 and created to a high standard and provides a secluded, safe area for residents to enjoy. This new garden area is commended. The home’s handyman is shared with two other ALA Care homes. For audit purposes the home is divided into three zones with a senior responsible for each. Details of any work that needs doing in each zone is put in the home’s repairs book for action to be taken by the handyman. Contractors maintain the gardens This was an unannounced inspection and all areas inspected were clean, tidy and fresh. Residents’ comments about the environment included: ‘There is plenty of space in this home to move about.’ ‘My bedroom’s very good – it’s not enormous but it’s just right for one.’ ‘The new garden is beautiful.’ ‘This home is always clean. My relatives say that too.’ Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The home is well staffed by an enthusiastic Manager and her staff team. Satisfactory policies and procedures are in place to ensure appropriate staff are recruited. Staff have a thorough induction and are offered on-going training opportunities. All residents interviewed praised the staff. EVIDENCE: At present the home is staffed by the Manager, her Deputy, four seniors, and 13 carers. Nine ancillary staff are employed. Staffing hours provided exceed the Residential Forum’s recommendations. The Manager is hard working, conscientious and enthusiastic about the home. She has a good working relationship with the Responsible Individual. The Manager said ‘I love what I do and I have an excellent staff team. The rule in the home is that the residents come first and all my staff understand and accept this.’ The Manager and her staff team are commended for their work. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 17 When recruiting staff a checklist is used to document the vetting and assessment process. Staff are sent an application pack and asked to come to the home for an interview, bringing with them the necessary documentation. If staff take up a post before they have received Criminal Records Bureau clearance they work under supervision at all times until it arrives. All staff are given contracts, the ALA Care Ltd profile and company structure, health and safety information, and an employee handbook. Staff files have been updated so they all contain photographs of the members of staff in question. The home has a new TOPSS induction, ‘First Steps’, which leads to NVQ Level 2. Courses in Basic Food Hygiene, Infection Control, Safe Handling of Medication, and Manual Handling are available to staff. The Manager has the NVQ Registered Manager’s Award, three staff have NVQ Level 2 or above, and eight staff are working towards NVQ Levels 2 or 3. Staff have the opportunity to study for a ‘Certificate in Dementia Awareness’ and to undertake other further training. All staff have an annual appraisal with the Manager. Residents made many positive comments about the staff including: ‘The staff are very good.’ ‘The staff are patient and work hard for me.’ ‘If I need help the staff come and help me.’ ‘Gina (the Manager) is excellent. You can’t fault her.’ Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These Standards will be inspected at the next inspection. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 x x x x x x 3 STAFFING Standard No Score 27 4 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 20 No 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 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 19 Good Practice Recommendations It is recommended that the staff proceed with their action plan to replace worn furniture and redecorate where necessary. Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove park Enderby, Leicestershire LE19 1SX 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 Parkhouse Grange C51 C01 S1679 Parkhouse Grange V222679 230805 STAGE 4.doc Version 1.30 Page 22 - 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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