CARE HOMES FOR OLDER PEOPLE
Parkhouse Grange 47 Park Road Earl Shilton Leicestershire LE9 7EB Lead Inspector
Kim Cowley Unannounced Inspection 3rd November 2005 11:00 X10015.doc Version 1.40 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 Parkhouse Grange DS0000001679.V262608.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 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 DS0000001679.V262608.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Parkhouse Grange Address 47 Park Road Earl Shilton Leicestershire LE9 7EB 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) 01455 851333 01455 851333 A.L.A. Care Limited Mrs Regina Summerfield Care Home 40 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number disorder, excluding learning disability or of places dementia (10), Mental Disorder, excluding learning disability or dementia - over 65 years of age (10), Old age, not falling within any other category (40), Physical disability (5), Physical disability over 65 years of age (5) Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. No-one under the age of 55 years may be admitted into the home in categories MD or PD. Service user numbers. No person falling within categories MD/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, PD(E) may be admitted to the home when there are 5 persons of these categories/combined categories already accommodated in the home. Service Users Numbers No person falling within the category DE(E) may be admitted to the home when there are 20 persons of that category already accommodted in the home. Named Person To admit a named person in category SI(E) as identified in correspondence with CSCI dated 10.5.04 Service User Numbers No person falling within the category DE/E may be admitted to the home when there are 20 persons of that category already accommodated in the home. Named Person To be able to admit a named person in the category SI(E) as identified in correspondence with CSCI dated 10 May 2004 23rd August 2005 3. 4. 5. 6. 7. Date of last inspection 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 DS0000001679.V262608.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a weekday. When undertaking inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ five residents. This means the inspector checked their care records and met with them. In addition the inspector talked to two other residents, one carer, and the Owner and Manager. Further care and other records were examined. The home’s assessment process was commended, as was the Manager for her role at the home, and the staff in general for enabling residents to make choices about their lives. No requirements or recommendations were made. What the service does well:
Parkhouse Grange is a well-run residential home with a caring and enthusiastic Manager and staff team. This inspection focussed on the assessment process that residents undergo prior to admission, the management approach in the home, and health and safety. All resident interviewed said they were happy with all aspects of the home and in particular the Manager and the staff team. One resident commented ‘The Manager and the staff look after us very well.’ Another said ‘Everyone here is friendly and kind.’ The Manager assesses all potential residents prior to admission. She said ‘It’s very important that residents have a thorough assessment before they come in. I try and talk to families, and health and social care staff as well as the resident so I can get a full picture of their needs. We do take residents with dementia providing they do not have extreme challenging behaviour.’ The Manager has 13 years experience in care and NVQ Level 4 registered Managers Award. She has a good rapport with both staff and residents, and is knowledgeable about her role at the home. All residents interviewed spoke highly of her. One resident commented ‘Gina looks after us all, staff and residents.’ Residents who live at Parkhouse Grange are encouraged to make choices about their day-to-day lives. The Manager said ‘They do what they want. Lunchtime is at 12.30pm but if they want to eat it at 2pm they can. Some residents want to get up early but others are still in bed at 10am because they like a lie in. We fit in with the residents, we don’t expect them to fit in with us.’ One resident
Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 6 said, ‘I’ve got my own routine and the staff go along with it. I don’t like anyone telling me what to do. That happened in my last home but it doesn’t happen here.’ Good policies and procedures are in place to maintain health and safety in the home. 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 DS0000001679.V262608.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 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 the following standard(s): 3 A comprehensive and robust assessment process is in place to ensure the home can meet residents’ needs. EVIDENCE: The home takes both private and social services funded residents. The Manager assesses all new referrals using a standard checklist to determine their needs. The home admits older people, some of whom have mental health needs and/or physical disabilities. Social and health service assessments are taken into account when a decision is made about whether the home is suitable for a particular resident. The Manager said ‘It’s very important that residents have a thorough assessment before they come in. I try and talk to families, and health and social care staff as well as the resident so I can get a full picture of their needs. We do take residents with dementia providing they do not have extreme challenging behaviour.’
Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 23.08.05. Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 10 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 the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 23.08.05. Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 11 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 the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 23.08.05. Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 12 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 the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 23.08.05. Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 13 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 23.08.05. Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 14 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38 The Manager is experienced, well trained and caring. The home is run in the best interests of residents and their financial interests are safeguarded. Good systems are in placed to maintain the health and safety of residents and staff. EVIDENCE: The Manager has 13 years experience in care, three at management level. She has NVQ Level 4 and the D32/33 Assessors Award. During the inspection the Manager was observed as having a good rapport with both staff and residents, and to be knowledgeable about her role at the home. All residents interviewed spoke highly of the Manager and the following comments were made: ‘Gina’s around and lot and she often comes and talks to us.’ ‘I’d tell Gina if anything was wrong.’ ‘Gina looks after us all, staff and residents.’
Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 15 The Manager is commended for her role at the home. Residents who live at Parkhouse Grange are encouraged to make choices about their day-to-day lives. The Manager said ‘They do what they want. Lunchtime is at 12.30pm but if they want to eat it at 2pm they can. Some residents want to get up early but others are still in bed at 10am because they like a lie in. We fit in with the residents, we don’t expect them to fit in with us. She said it was more difficult to enable residents with dementia to make choices, but staff encouraged them as far as possible. She commented ‘I know they can’t make a lot of choices about their lives, but they can make some choices, even if it’s just between two outfits in the morning when they’re getting dressed. We also observe their body language – if they push their dinner away they probably don’t like it, so we can offer them something else. By caring for them we gradually learn what makes them happy.’ One resident said, ‘I’ve got my own routine and the staff go along with it. I don’t like anyone telling me what to do. That happened in my last home but it doesn’t happen here.’ The staff are commended for encouraging residents to make choices about their lives. Residents’ finances are handled by the residents’ themselves, or their representatives. The Manager said that if any concerns arise about residents’ access to their own monies social service are informed. There is a range of policies and procedures in place to maintain health and safety in the home. Good records were available to show the home is properly maintained and in discussions the Manager demonstrated her commitment to keeping the environment safe. She carries out a health and safety audit of the premises every three months. The Fire Officer visited the home on 10.01.05 and approved the Fire Risk Assessment. The Environmental Health Officer inspected the kitchen on 15.06.05 and advised that all staff handling food should have Basic Food Hygiene certificates. In response training was organised and seven staff obtained these certificates in October 2005. Parkhouse Grange DS0000001679.V262608.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 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 17 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. Refer to Standard Good Practice Recommendations Parkhouse Grange DS0000001679.V262608.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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