Inspection on 13/12/05 for Parkland House

This inspection was carried out on 13th December 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

Parkland House 07/09/07

Parkland House 19/09/06

Parkland House 15/07/05

Parkland House 12/01/05

Parkland House 16/06/04

Parkland House 18/03/04

Parkland House 10/02/04

Similar services:

Manor Lodge

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Parkland House Parkland House Barley Lane Exeter Devon EX4 1TA Lead Inspector Ms Rachel Fleet Unannounced Inspection 12:30 13 December 2005 th 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 Parkland House DS0000055233.V259392.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. Parkland House DS0000055233.V259392.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkland House Address Parkland House Barley Lane Exeter Devon EX4 1TA 01392 251144 01392 252774 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) Peninsula Care Homes Limited John Surel Bayliss Care Home 49 Category(ies) of Dementia - over 65 years of age (49), Learning registration, with number disability over 65 years of age (2), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (49), Old age, not falling within any other category (49), Physical disability over 65 years of age (49) Parkland House DS0000055233.V259392.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That the category of Learning disability applies for two named service users only On the termination of the placement of the two named service users, the registered person will notify the Commission in writing and the particulars and conditions of this registration will revert to those held on the 16th December 2003 The maximum number of placements including that of the two named service users, will remain at 49 15th July 2005 3. Date of last inspection Brief Description of the Service: Parkland House is a care home for up to 49 people above retirement age who may also have dementia, mental disorder or physical disability. The Home also offers day care, but only cares for a maximum of 49 people including residents. The Commission does not regulate day care services. It is a detached and extended period house, with large gardens, on the western outskirts of the city. In a residential area of Exeter, it is not too far from some local shops and a bus route to the city centre, with St Thomas shopping centre less than a mile away. The property has been extensively refurbished, including The Coach House (providing accommodation for more independent service users). There is one passenger lift between the ground and first floors. Residents have the use of three lounges, a sun lounge and a spacious hallway. The Home also has a large dining room, a lounge/dining room, and a kitchenette / dining area which is used for activities and where residents can make themselves drinks or snacks. The gardens are well kept, with good wheelchair access to sitting areas, and with a walkway around the building. A courtyard garden has been created which gives an improved view from rooms overlooking it. There is some car parking space at the front of the Home. Parkland House DS0000055233.V259392.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector was at the home for five hours. She met with 22 of the 44 residents, around the home, as well as a relative. Although some were too frail to give their views in depth, there were many positive comments about the home from the ten residents who were able to give opinions. She also looked at various written records (including care notes), and spoke to four staff. Two CSCI comment cards were subsequently received from relatives/visitors. Both were positive about the home, although one was in relation to someone at the home for day care rather than a resident (- CSCI does not regulate day care). Some standards were reported on following the last inspection carried out on 15 July 2005. This report should therefore be read together with that report, since standards met on that occasion have not been re-inspected this time. What the service does well: What has improved since the last inspection? Medications are stored securely, and staff practice in administering medicines is monitored, to ensure safe systems are in place. Arrangements have been made to install a proper sluice facility, to improve infection control procedures at the home. Upstairs window restrictors are Parkland House DS0000055233.V259392.R01.S.doc Version 5.0 Page 6 regularly checked, to ensure risks of falling from them are controlled. Managing risks from low beds has been discussed with staff, to protect their wellbeing. 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. Parkland House DS0000055233.V259392.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 Parkland House DS0000055233.V259392.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 Prospective residents’ needs are fully assessed to ensure the home can meet their existing needs should they be admitted to the home. EVIDENCE: The home does not provide intermediate care. An informative written assessment of needs by a care manager was seen in a resident’s care notes. The comprehensive pre-admission assessment of needs by the home’s manager was also available. A CSCI comment card showed the respondent was satisfied with care provided. Residents looked happy and well cared for. Those asked had no complaints about the way their admission to the home was managed, or about their subsequent care. Parkland House DS0000055233.V259392.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): 9 Residents’ wellbeing is protected by good, safe medication procedures. Other core standards were met at the previous inspection. EVIDENCE: Residents spoken with were satisfied with the way the staff managed their medication for them. Medications, including creams, were stored securely. Appropriate records of two controlled drugs were seen and stocks correlated with totals shown. Drug fridge temperature records showed correct storage conditions had been maintained. Staff said their practice in administering medications was observed by each other, with Mr Bayliss saying assessment was also part of supervision. Parkland House DS0000055233.V259392.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): None of these standards were inspected on this occasion, the core standards being met at the previous inspection. EVIDENCE: Parkland House DS0000055233.V259392.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): None of these standards were inspected on this occasion, the core standards being met at the previous inspection. EVIDENCE: Parkland House DS0000055233.V259392.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): 26 The standard of the environment is good, providing residents with a clean and pleasant home. Other core standards were met at the previous inspection. EVIDENCE: The environment was very clean, without malodour, and well maintained throughout. Residents and a visitor said this was the usual standard of cleanliness, and they were satisfied with the housekeeping. Staff appropriately described infection control measures they used daily. Mr Bayliss said footoperated pedal bins are being obtained, as is a sluice facility (although the exact date of its instalment was not known) and hoist slings for individual residents, so that they are not shared between people. The two washing machines had recommended programmes, and alginate bags are used for soiled washing. Parkland House DS0000055233.V259392.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): 28 & 30 There are sufficient staff employed with an appropriate variety and level of training to meet residents’ needs safely. New staff would benefit if induction and foundation training was linked to ‘Skills for Care’ specifications. Other core standards were met at the previous inspection. EVIDENCE: A CSCI comment card showed the respondent felt there were enough staff on duty. Residents spoken with said the same, and said they felt safe. A relative said the person they visited always looked well cared for, whatever time they visited them, and they were extremely pleased with the standard of care. Care staff had requested additional laundry staff. Of 33 care staff, 18 have an NVQ2 (or higher), or equivalent, in care; another six staff are undertaking NVQs in care. Staff spoken with were interested in their work, expressing commitment to residents’ wellbeing. Although two new staff had not yet attended training sessions on topics such as dementia or safeguarding of adults, they described appropriate care and knowledge - learnt from colleagues whilst working with them giving care during their induction period. They had shadowed senior care staff before working unsupervised, and still felt well supported, saying senior staff were readily available to advise them. The staff training and development programme does not yet meet Skills for Care (previously TOPSS) specifications for induction and foundation training. Parkland House DS0000055233.V259392.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): 33 & 38 There are good systems for obtaining residents’ views and involving them in the running of the Home, a variety of strategies being used. Systems are in place to promote the safety and health of residents, and to ensure safe working practices for staff. Other core standards were met at the previous inspection. EVIDENCE: Residents said meetings with the manager were useful, and held regularly enough, as well as seeing him on a one-to-one basis. They felt able to make suggestions, and felt respected by staff. There is a residents’ committee. A ‘quality of care’ survey is due in January 2006, the findings of which are to be shared with residents and CSCI. Mr Bayliss said he had an ‘open door’ policy, making himself freely available to residents’ relatives. A relative said senior Parkland House DS0000055233.V259392.R01.S.doc Version 5.0 Page 15 staff always rang them, if they were not immediately available when the relative wanted to speak to someone. Residents spoken with did not have any concerns about health and safety matters at the home. One said a water test had been done recently, and the fire alarm tested on the day of the inspection. Staff spoken with confirmed they had had recent mandatory training, or would be undertaking it soon, regarding manual handling, fire safety and first aid. They also had some knowledge of health and safety matters. Manual handling training, including use of hoists, is being given in the near future. Fire safety checks were recorded regularly. Infection control matters had been discussed at a recent staff meeting. Kitchen areas looked well organised generally; dating of leftovers in fridges and temperature checks on frozen food deliveries were discussed with Mr Bayliss, with a view to ensuring appropriate food storage was achieved. There were no staff concerns about low beds, unlike at the last inspection; Mr Bayliss said safe-working procedures had been discussed with staff. A record was seen of regular checks on window restrictors, bedrails and hot water temperatures. Parkland House DS0000055233.V259392.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 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 3 STAFFING Standard No Score 27 X 28 3 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Parkland House DS0000055233.V259392.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. 1. Refer to Standard OP30 Good Practice Recommendations You should ensure the staff training & development programme meets Skills for Care (previously TOPSS) specifications for induction and foundation training, including the experiences & particular needs of the service user group. Parkland House DS0000055233.V259392.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Parkland House DS0000055233.V259392.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. 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