Inspection on 16/04/09 for Parklands

This inspection was carried out on 16th April 2009.

CQC found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

Fernhaven

Thames House

Creative Support

Extracts from inspection reports are licensed from CQC, this page was updated on 15/11/2009.

Key inspection report CARE HOME ADULTS 18-65 Parklands 87-89 Falinge Road Rochdale Lancashire OL12 6LB Lead Inspector Bernard Tracey Unannounced Inspection 16th April 2009 08:30 Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Address 87-89 Falinge Road Rochdale Lancashire OL12 6LB 01706 713420 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) Eldercare (Halifax) Ltd Mrs Sally Smedley Care Home 57 Category(ies) of Dementia (57), Mental disorder, excluding registration, with number learning disability or dementia (57) of places Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care home with nursing- Code N To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia- Code DE Mental disorder, excluding learning disability or dementia- Code MD The maximum number of people who can be accommodated is: 57 Date of last inspection New Service Brief Description of the Service: Parklands House is a converted building consisting of a large pair of semidetached houses that have been linked by a walkway. It is situated on the outskirts of Rochdale Town Centre, on a main bus route, overlooking Falinge Park. It is quite close to the local shops and the motorway network. There is a car parking area to the front and side of the home. The home has two lounges and a large dining room downstairs and a lounge upstairs that can be accessed by a passenger lift. There is a smoking room on the first floor. Personal accommodation is provided in single rooms. Appropriately qualified nurses, supported by care assistants, provide 24-hour nursing care. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £10.00 Hairdressing £6.00 to £12:00 Magazines and Newspapers as charged Fees charged by the home provided in April 2009 are as follows: Nursing in the range of £375.77 to £412.81 per week. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience Good quality outcomes. We (the Commission of Social Care Inspection) undertook a key inspection, which included an unannounced visit to the home. The staff at the home did not know the visit was going to take place. The manager was asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. Comment cards were received from four residents and four staff who work at the home. We spent seven and a half hours at the home over one day. During this time, we looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to five residents, as well as speaking to four staff, the manager and the Regional Manager. We have received two complaints about the service, one of which was substantiated. What the service does well: Parklands House presents as a warm, caring and friendly care home and residents appeared relaxed and comfortable with the staff. It was evident through interviews, general observations and discussions that staff had a good knowledge of the residents individual care needs and the level of support required. During our visit staff were observed spending time with residents, either on an individual basis or within a group. Care was given in a discrete, sensitive manner and staff were patient and gentle in their approach. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 6 Feedback from residents was very good; comments regarding the service included: Staff are excellent with us and care for us particularly if I am upset and The care is really good. Prior to admission the manager assesses residents health and social needs. Information collected is then used to form the basis for the plan of care. Assessment documentation seen had been completed to a good standard and included key areas regarding the residents health and general well being. Lots of different types of activities were arranged, both in the home and out in the community. The home has an experienced and enthusiastic team of staff who work well together and enjoy taking part in training and development sessions. The staff are motivated and keen to ensure that residents receive high standards of care. The manager was experienced and ran the home well. She made sure she checked out staff before they started working at the home and gave them training and support to make sure they did the job to the best of their ability. The manager communicates a clear sense of direction, is able to evidence a sound understanding and application of good practice, particularly in relation to continuous improvement, staff training, resident satisfaction and quality assurance. What has improved since the last inspection? What they could do better: In their AQAA the manager recognised that they have improvements to make in several areas and have provided us with details on how they want to improve the home, particularly in relation to improving the bathroom areas and upgrading the personal accommodation of the residents in the home. We discussed with the manager and the owner our findings in relation to poor practice in relation to the administration and recording of medicines in the home. Following our visit we wrote to them describing our serious concerns and requested that they investigate these concerns and write back to us detailing what actions they were taking to make sure that medicines in the home were being given safely. We told them that medicines must be given to people as prescribed because receiving medicines at the wrong time, wrong dose or not at all can seriously affect a persons health and wellbeing. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 7 Records of medicines received into the home, given to people and disposed of must be clear, accurate and complete so that all medicines can be fully accounted for. The medicines must be taken in day and time order from the pre filled packs provided by the chemist and not dispensed ad hoc from the containers. We checked how controlled drugs (medicines that can be misused) were handled. We were informed that no residents had been prescribed these types of drugs but this was found not to be the case. A suitable cupboard was used for storage to help make sure they were safely kept. A special register was used for record keeping but we found that the entries we checked were not witnessed, accurate and complete. Witnessed records and secure storage of controlled drugs help prevent mishandling and misuse. Staff competency in giving and recording medicines should be regularly assessed to help make sure staff have the necessary skills. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 People using the service experience good quality outcomes in this area. Admissions are not made to the home until a full needs assessment has been undertaken; thereby ensuring that assessed needs of the individual can be met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Potential residents and their relatives were given a copy of the Service User Guide either when they visited the home or during their assessment visit. Feedback from discussion with residents and the returned surveys indicated that they felt they had been given sufficient information about the home prior to moving in. Before any resident is admitted to the home, the manager and a senior member of the nursing staff from the home undertake an assessment of their needs. The information in the Annual Quality Assurance document (AQAA), which is a self-assessment document completed by the manager of the home prior to the inspection, provides evidence that the manager and staff spend time in the assessment process. The manager stated that visits are made to Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 10 all prospective residents prior to admission, and that prospective residents were encouraged to visit the home prior to making a decision about their future care and support arrangements. The assessments were detailed and gave a clear indication of the residents’ needs and their capabilities. The assessments looked at the physical, mental and social care needs of the residents, as well as the involvement, if any, of their relatives. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 People using the service experience good quality outcomes in this area. People living at the home are provided with information enabling them to make decisions about activities of daily living. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The care plans are extremely informative to enable staff to identify residents’ specific care needs, together with their preferences, likes dislikes. All health, social and emotional care needs are identified individual care plans are prepared for each of the identified need. The plans are signed to confirm agreement with them. with and and care Risk assessments are undertaken on all residents in relation to daily living and appropriate measures are put in place to reduce or remove any potential risk. These are recorded in the care files and the agreement of family members is obtained, where possible. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 12 All care plans and risk assessments are reviewed on a regular basis, or as changes in care needs are identified, and these are updated as appropriate. Staff actively promote the residents’ right of access to the health and remedial services that they need, both within the home and in the community. Any potential restrictions on choice, freedom, services or facilities that become part of the resident’s daily life, had been discussed and agreed with the resident during assessment and recorded in the care plan. One resident spoken with confirmed that she had been given “good information about how the home is run before coming here.” Regular appointments are seen as important and there are systems in place to make sure appointments are not missed. Records show that the home arranges for health professionals to visit frail residents in the home and provides facilities to carry out treatment. Records held in the home provide evidence of the input by other healthcare professionals and advice is sought from the Dietitian and the Tissue Viability Specialist Nurse as necessary. Residents have choice over their personal care and are encouraged to be independent and are responsible for their own personal care where possible. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16 & 17 People using the service experience good quality outcomes in this area. Residents are able to enjoy a stimulating lifestyle with a variety of opportunities to choose from. Staff are skilled at promoting choice and control in residents’ lives We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The range of leisure activities available in the home was varied, reflecting the diversity of residents and their social, intellectual and physical capacities. The home has a dedicated team of activity co-ordinators who organise events and activities within the home, as well as trips out to various places of interest. The staff have sought the views of residents and considered their varied interests and abilities when planning the routines of daily living and arranging activities. Routines are very flexible and residents can make choices in major areas of their life. The routines, activities and plans are resident focussed, Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 14 regularly reviewed and can be quickly changed to meet individual residents’ needs. Links with the community were good and the home valued the role which relatives and friends continued to play in the lives of residents. Residents benefited from being able to exercise choice and control over their lives. One resident was pleased to show his walking and running medals and trophies that he had collected over many years. The manager and staff are aware of promoting equality and diversity and residents having a lifestyle and interests that are individual to them reflect this. Some residents choose to take part in group activities, such as going for bar meals, walks, going to church, or choose to go on holiday with other residents within the home, while others have chosen to go on holiday with other friends. Staff spend time with individuals helping them to make these choices, and to have goals and aspirations for future personal development. Overall, residents considered they were encouraged to do what they could for themselves and make appropriate choices through the day. Information about advocacy services was available at the home. Staff support residents to understand the importance of having fruit and vegetables and a variation in their weekly meals to ensure a well-balanced and healthy diet. Residents can choose alternatives to the set meal of the day. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 & 20 People using the service experience good quality outcomes in this area. Care plans are in place, and these provide staff with the information they need to support residents appropriately. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Four care plan files were examined in detail during our visit. We found them to be well organised and written in a clear way, so that staff had the information that was needed to help them to provide care and support to residents. There was evidence that the care plans are reviewed at regular intervals. Care plans include risk assessments to ensure that any hazards are identified and strategies and interventions are put into place to minimise any risks. Risk assessments are included in all the care plans and assessments. Any potential restrictions on choice, freedom, services or facilities that become part of the resident’s daily life, had been discussed and agreed with the resident during assessment and recorded in the care plan. Two residents Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 16 spoken with confirmed that they had been given “all the information about how the home is run before coming in the place Information in respect of residents is shared within the home team and visiting professionals in the interests of the resident. In this respect, it also necessary for the home to share personal identification and some medical detail with the local police when concern surrounds an individual who is absent from the home without prior arrangement and the home feels that the person may be at risk. Procedures for responding to unexplained absences and who should be notified are confirmed in a written policy. There was documentary evidence that residents had appropriate access to the full range of medical services available in the community. Residents spoken to said that they only had to ask for a doctor if it was felt one was needed and one of the staff would arrange this. The home uses a pre-dispensed monitored dosage system. Observations were made of medication being administered. From the onset of this observation, it was apparent that the nurse who was administering medication was not following policies and procedures that have been put into place to protect the safety and well being of residents living in the home. Medication records were not signed immediately after the medication was administered. Past records showed that MAR sheets had not been signed for medication that had been administered. One person had not received their medication for pain control at the correct time. We discussed the shortfalls with the manager and Operational Director during our visit and have written to them asking for a report on the errors we found. We checked how controlled drugs (medicines that can be misused) were handled. We were informed that no residents had been prescribed these types of drugs but this was found not to be the case. A suitable cupboard was used for storage to help make sure they were safely kept. A special register was used for record keeping but we found that the entries we checked were not witnessed, accurate and complete. Witnessed records and secure storage of controlled drugs help prevent mishandling and misuse. Observations made during the inspection indicated that staff had developed a good rapport with residents Relationships between staff and residents appeared warm, friendly, caring and respectful and there were several examples of spontaneous and humorous interactions between residents and staff. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People using the service experience good quality outcomes in this area. Residents are confident that complaints would be listened to, taken seriously and acted upon. Appropriate systems were in place to protect residents from abuse. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: A clear detailed complaints procedure was in place and is supported by the home’s open culture where residents were encouraged to express their views whenever a situation arises or at the residents meetings. Residents spoken with felt that staff listened to them and they were clear who to speak to if they were unhappy or worried about anything. Staff we spoke to had a good understanding of the importance of listening to residents concerns and how to respond to any issues raised. There are a low number of referrals made as a result of lack of incidents, rather than a lack of understanding when incidents should be reported. The outcomes from any referral are managed well and issues being resolved to the satisfaction of all involved. Staff training records examined indicate that they have received adult protection training. In discussion they are able to demonstrate an Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 18 awareness of the content of the policy and know the immediate action to take, and who to refer to. Feedback from the residents and others associated with the home state that they are very satisfied with the service provision, and are confident that residents are safe and well supported by the home, which has their protection and safety as a priority. There are written policies on Adult Protection and Whistle blowing, which staff were aware of and a copy of the Local Authorities Vulnerable Adults Procedure was in place. The home holds small amounts of cash on behalf of residents. Clear records are kept regarding any transactions made. The records of four residents were checked and found to be correct Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 &30 People using the service experience good quality outcomes in this area. There is an ongoing maintenance and refurbishment programme in place making sure that the home continues to meet the needs of the people living there. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: A tour of the home confirmed that the home was well maintained, clean and free from any offensive odours. Ramped access was provided to the front door and level access throughout each of the two floors. A passenger lift was provided and handrails fitted to corridors throughout. Everyone spoken with thought the home was a safe place to live and work. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 20 There was evidence that bedrooms had been personalised with personal effects and furnishings. All residents spoken to were highly complimentary of the standards in the home. Communal rooms were well decorated and furnished. The manager provided documentation confirming that all health and safety checks had been carried out in the environment and on equipment as required. The manager had identified several areas in the home as requiring refurbishment; a programme of the planned refurbishment of the home was provided to us at our visit. Residents said staff kept the building clean and odour free; inspection of the premises supported this view. Discussion with two domestics verified that sufficient staff and equipment were provided to ensure the home was maintained in a clean and hygienic condition. An infection control policy was in place and training was provided in this area. Staff spoken with described safe infection control practice. Disposable gloves and colour-coded aprons were provided for staff use and liquid soap was available throughout. Satisfactory practice was in place with regard to disposal of clinical waste. The laundry was sited away from the food preparation area and was seen to be clean and orderly. Sufficient and suitable equipment was provided and laundry was attended to efficiently. Four residents said that they were satisfied with the laundry system at the home and that there was a quick turnaround on the clothes sent for cleaning. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 &35 People using the service experience good quality outcomes in this area. Residents are supported by a well-trained staff team, and are protected by robust recruitment procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staffing levels within the home were seen to meet the needs of residents. Care staff undertook their duties in a friendly and caring manner, promptly supported residents’ needs. Residents confirmed that staff were always respectful and met their needs competently. In the main, residents were satisfied with the support they were given and described staff as “ really kind and helpful – we enjoy going on holiday with them too” Sufficient ancillary staff were employed, e.g., domestics, laundry and kitchen assistants, cook and an administrator. At the time of our visit preparations were being made to interview and appoint a replacement handyman. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 22 Staff were, in the main, knowledgeable about the needs of residents and demonstrated that they understood their own role. The three staff files we examined confirmed that a robust recruitment process is in place, with all appropriate checks being undertaken. These include references, Criminal Record Bureau disclosures and, for nursing staff, registration with the Nursing and Midwifery Council. New staff undertake a full induction programme that is followed by further inhouse training. Several staff are presently undertaking National Vocational Qualifications in care at Level 2. The home has an ongoing training programme that staff can apply for. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 & 42 People using the service experience good quality outcomes in this area. The home was well managed and run in the best interests of the residents. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The manager has the required qualifications and experience, and is competent to run the home. There is a strong emphasis of being open and transparent in all areas of running of the home. The manager and staff work hard to maintain a culture, where everyone feels they are included in decision-making and feel valued as an individual. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 24 The home has good systems in place to gather staff and residents views as part of the monitoring of quality. Staff spoken to had a clear understanding of their role and what was expected of them. Documentation was examined that confirmed that staff received regular supervision and annual appraisal. Residents and staff spoke well of the management team and the care and support that they give. We were able to witness their approach to the residents and staff and confirm the comments made. Information provided by the manager in the AQAA and examination of the records, confirmed that all safety equipment is regularly serviced. 3The policies and procedures in the home ensure that the health, safety and welfare of the residents and staff are promoted and protected. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Version 5.2 Page 26 Parklands DS0000072418.V374908.R01.S.doc New Service 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 YA20 Regulation 13 Requirement Records of medicines received into the home, given to people and disposed of must be clear, accurate and complete. This will make sure all medicines can be fully accounted for. Medicines must be given to people as prescribed. This is important because receiving medicines at the wrong time, wrong dose or not at all can seriously affect a persons health and wellbeing. Staff competency in giving and recording medicines should be regularly assessed. This will help make sure that medicines are handled safely Timescale for action 08/06/09 2. YA20 13 08/06/09 3. YA20 18 08/06/09 Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 27 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 YA24 Good Practice Recommendations The owner should continue with the panned improvements to the environment so that the residents can benefit from a comfortable home in which to live. Parklands DS0000072418.V374908.R01.S.doc Version 5.2 Page 28 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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