Inspection on 12/09/07 for Parklands

This inspection was carried out on 12th September 2007.

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

Parklands 27/08/09

Parklands 24/01/07

Parklands 06/03/06

Parklands 28/06/05

Parklands 20/10/04

Parklands 01/06/04

Parklands 24/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Parklands Poynton Civic Centre, Park Lane Poynton Cheshire SK12 1RB Lead Inspector Mr Val Flannery Unannounced Inspection 12 September 2007 09:35 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 Parklands DS0000006679.V345106.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 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. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Address Poynton Civic Centre, Park Lane Poynton Cheshire SK12 1RB 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) 01625 879215 01625 850676 www.clsgroup.org.uk CLS Care Services Limited Jennifer Anne Jones Care Home 40 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (40) Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users in the category OP (Old age, not falling within any other category). Within that number one (1) service user in the category of MD(E) (Mental disorder excluding learning disability or dementia may be accommodated. When the home no longer cares for the service user in the category MD(E) the home reverts to forty (40) service users in the category OP. 24 January 2007 Date of last inspection Brief Description of the Service: Parklands is registered to provide personal care for forty older people. The home is in Poynton, next to the library and medical centre. A range of shops, pubs, a church and other facilities are within walking distance of the home. There is a passenger lift between the ground and first floor of the two-storey building. All the bedrooms are single rooms with hand-washing facilities. There are enough baths and toilets provided for the number of people who live in the home. There are several communal lounges in the home and there is a large dining room on the ground floor. The inner courtyard, with its fishpond and bridge, can be used by the people who live in the home. They can also use the garden at the back of the home. A range of aids including bath hoists, wheelchairs, grab rails and other lifting equipment are available for people with mobility problems. Staff are on duty twenty-four hours a day to provide care for the people who live in the home. The fees for the home range from £430 to £450 per week. Further details on fees and other charges can be obtained by contacting the home. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on 12 September 2007 and lasted seven hours. The visit was carried out by Val Flannery, Regulatory Inspector. This visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire and assessment to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families and health and social care professionals to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of people that live in the home, a relative, a district nurse and members of staff were also spoken with and they gave their views about the service. What the service does well: People are assessed before they move into the home and they are provided with written information about the home and can visit or stay on a trial basis. This ensures they have all the information necessary to decide whether their needs can be met at the home. The care plans for the people who live at the home identify their health and personal care needs. They include information on what staff need to do to meet those needs so that people receive the care they need in the way they prefer. Relatives and friends are able to visit the home as they wish so the people who live there are able to keep in touch with their families. The people who live in the home said the food offered is usually good so they enjoy a varied diet. People who live in the home are asked for their views about the home and there is a thorough complaints procedure, so they know their concerns will be listened to and acted upon. The home is well maintained with good standards of décor so people live in safe and comfortable surroundings. Thorough recruitment checks are carried out before staff start work at the home to make sure they are suitable to care for the people that live in the home. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 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 Parklands DS0000006679.V345106.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and/or their relatives are able to visit the home before making a decision about moving in. This ensures they have the information to show that their needs can be met at the home. EVIDENCE: Copies of the statement of purpose/service users guide are on display in the entrance area to the home with a copy of the previous inspection report. Copies were also was seen in a number of bedrooms. The people spoken with who live in the home said they were unsure if they received this information before they moved in. However, a relative spoken with said they had received information about the service offered by the home. They said the information was given to them when they visited the home on behalf of their relative. Care files for four people who live at the home were checked during the visit. They contained either an assessment done by the local authority and/or one Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 9 done by staff from the home to show the person’s assessed needs could be met. Copies of the local authority contracts with CLS to provide care are kept in the home service manager’s office as are copies of the contract of residency agreements between CLS and the individual residents. The people spoken with said that although ‘it’s not like living in your own home, it’s alright when you need people to help you with things’. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care needs of the people that live in the home and how these are to be met are included in their plans of care. This ensures staff have the necessary information provide the right care in the way that people prefer. EVIDENCE: During the visit, staff were seen asking the people who live in the home if they were ‘ok’ and if they needed help. The people spoken with and a relative also said that doctors; nurses visit the people when needed. A district nurse was spoken with during the visit. She said staff are ‘brilliant’ and that the care given to the people that live in the home is ‘very good’. She also said staff will contact the healthcare professionals for advice and guidance and will act upon the guidance given. CLS, the organisation that owns the home, has produced a document called ‘My Life’ in which the person’s life history/likes/dislikes are recorded. However, this has not been completed for all residents. A relative spoken with Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 11 said she has attended meetings where the care her mother receives is reviewed. Information was also seen on another person’s file that a review of her care needs had been carried out with the care manager from the local authority. Copies of CLS’ policy and procedures on the administration of medication to the people who live in the home are kept in the home. Records showed that staff who give out medicines receive training and are monitored by the manager. A care team leader was seen giving out medication in a satisfactory manner. A sample of the medication administration records was checked during the visit; these had been completed correctly. One person who lives at the home looks after her own medicines. A lockable drawer is provided in her bedroom where she can keep her medication and a risk assessment has been done to make sure that the person can continue to look after her own medicines safely. The people spoken during the visit, including the relative and district nurse, said things have improved and that staff are ‘kind and caring’. They confirmed that the people who live in the home are treated with respect. They said that because the number of agency staff being used in the home has dropped, the care given is ‘much better’. During the visit staff were seen helping people with meals, moving about the home, using the bathroom and day-to-day routines; this was all done in a sensitive and caring manner. The home has care plans that are based on the person’s individual care needs these include religious/cultural and relationships needs. Care plans based upon individual needs are in place with evidence to show that these could be met. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives and friends are able to visit the home as they wish. This helps ensure that the people who live in the home are able to maintain contact with their families and the local community. EVIDENCE: The people who live in the home and a relative spoken with said that having fewer agency staff and more ‘regular’ staff has ‘improved things in the home’. As at the previous visit, people who live in the home said they much preferred being cared for by staff that they know. People said they are encouraged to be as independent as possible; for example, moving about the home, using the bath/toilet, dressing/undressing and deciding where they spend their time. People who live in the home were positive about staff and how they cared for them. Some did say there are occasions when ‘it would be nice if there were more staff on duty’. During the inspection visit relatives were seen calling at the home. A relative spoken with said she ‘can visit any time she likes’ and feels able to talk with Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 13 staff about any concerns/worries she may about the care being provided. She said that staff are usually ‘very good’ about keeping her informed about issues affecting her relative. The people spoken with said that they are given help to use community facilities such as shops and places of worship. The location of the home in the centre of Poynton allows for easy access by family and friends. A list of activities for September was on display in the entrance to the home. A number of people said they could choose to take part in the activities organised by the activities co-ordinator. During the visit some of the people who live in the home were seen taking part in a quiz. During the visit the cook was seen talking with residents about the choices available for the mid-day meal. A number of people spoken with aid the food was ‘good’ and that they like the choices offered. A number said the meals are well presented and ‘you get plenty’. They also said they have their meals in the main dining area or in their bedrooms if they choose. The cook he said he is aware of the need to ensure the food offered is nutritional and is what the residents want. Staff were seen offering people hot and cold drinks throughout the visit and helping them with their mid-day meal. The mealtime seen during the visit was unrushed and relaxed. People are encouraged to practice their religion as they wish. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure and adult protection procedure in place at the home to ensure people who live there are able to raise concerns and are protected from abuse. EVIDENCE: A copy of the complaints/compliments procedure is on display in the entrance area of the home. Details on how to contact the Commission for Social Care Inspection were also on display. The record of complaints/compliments was seen during the visit. The manager said no complaints have been received the last visit. The people who live in the home and a relative spoken with said they know to whom, and how, to raise issues of concern. CLS Care Services has an adult protection policy and procedure, which includes the government guidelines ‘No Secrets’. A copy is available in the home. Since the last visit in January 2007 one allegation was referred to Social Services. Following investigation, no further action was considered to be necessary. Staff spoken with said they would refer any complaints or adult protection issues they receive to senior staff in the home or the on-call manager. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides warm, safe and comfortable surroundings for the people that live there. This helps ensure they can move about the home and maintain their independence. EVIDENCE: All the bedrooms are single rooms and have hand-washing basins. The bedrooms seen during the visit contained personal possessions such as furniture, photographs and ornaments. The people spoken with said the bedrooms suit their needs and that they are offered keys to their rooms. A lockable storage space is also provided in each bedroom. There are enough toilets and bathrooms located around the home to meet the needs of the people who live there. All have locks on the doors for privacy but staff can open them in an emergency. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 16 Hoists and lifting aids are provided to help people with mobility problems. Other aids such as wheelchairs, grab rails and lifting equipment are also provided in the home. There are care call points in all bedrooms, bathroom/ toilets and communal areas. There is a passenger lift between the ground and first floor. There are lounges on the ground and first floors. The large communal area on the ground floor and the lounge on the first floor are also used as dining areas. During the visit the bedroom doors and other doors were being re-decorated. The downstairs communal lounge has also been re-decorated. There is an inner courtyard, with a goldfish pond, bridge and sitting area, and an enclosed garden area to the rear of the home for residents to use. The people spoken with during the visit said the home is ‘always clean and comfortable’ and that their bedrooms meet their needs. There is not enough space in the home to store wheelchairs, lifting aids and other equipment. On the day of the visit the equipment was being stored in corridors, bathrooms and under stairwells. The area outside the entrance to the home was untidy and required attention. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The involvement of people that live in the home in the recruitment process ensures they have a say in appointment of staff who are be employed to care for them. EVIDENCE: Staffing rotas showed that there is normally one care team leader and three care assistants on duty during the day, afternoon and evening. There is normally one care team leader and one care assistant on duty during the night. Support staff on duty included general assistants, cook, kitchen assistant, laundry staff and the home service manager. A number of comments were received about there not being enough staff on duty during the busy times of the day. Records seen showed that a number of staff have achieved an NVQ Level 2 or above in care. Other staff have started or are about to begin their NVQ training. The records also showed that staff have attended training including fire safety training, manual handling, first aid, protection of vulnerable adults training and supervisory skills. Staff spoken with said they receive support and individual supervision from senior staff in the home. A number of staff also commented that ‘it’s much better now that fewer agency staff are needed’. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 18 During the visit the personnel files for two staff were checked. These contained a completed application form, two written references, an employment history and a record of induction training. Risk assessments are carried out on staff as necessary. The manager said that Criminal Record Bureau checks are carried out on all staff. A number of people that live in the home were spoken with during the visit. They said that, on the whole, staff are ‘kind and caring’. Other comments were made about ‘some staff being better then others’. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is keen to ensure the home is run well and improvements in staff practices will ensure that it is run in the best interests of the residents. EVIDENCE: The registered manager for the home has worked for CLS in a senior capacity for a number of years. She has obtained the Registered Managers award and NVQ Level 4 in Health and Social Care. She has also attended training that will help her in the day-to-day running of the home. The people that live in the home, a relative and staff spoken with said they are generally satisfied with the way the home is run. Staff also said the manager is supportive and will offer advice and guidance. Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 20 During the visit, satisfactory service records were seen to show that equipment in the home is safe. Also seen were records to show that a fire risk assessment was in place and that evacuation drills and fire safety training are carried out. In September 2006 a satisfaction survey to find out the views of the people who live in the home, relatives and other professionals on the service offered was carried out. A copy of the findings of the report is kept in the home. This showed an overall satisfaction with the service offered but areas for improvement were also identified. The home has a variety of methods to seek the views of the people that use the service. This includes questionnaires, reviews and meetings. This means everybody living at the home has the opportunity to give their view or opinion on the service provided The information provided by the home service manager identified that: ‘families organise their savings and personal allowance and leave an amount for the service users in the safe at Parklands. People have savings accounts with CLS for personal allowances’. Parklands DS0000006679.V345106.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 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X X X 3 Parklands DS0000006679.V345106.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 OP12 Good Practice Recommendations The ‘My Lifestyle’ profile should be fully completed for all the people that live in the home so that staff can gain an understanding of people’s lives before they moved into the home The area outside the front entrance to the home should be tidied to make it more attractive for the people who live at the home and their visitors. The staffing levels, particularly at busy times, should be reviewed to make sure there are enough staff available to meet the needs of the people who live at the home. 2 3 OP19 OP27 Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Parklands DS0000006679.V345106.R01.S.doc Version 5.2 Page 24 - 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. 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