CARE HOMES FOR OLDER PEOPLE
Parklands 21-27 Thundersley Park Road South Benfleet Essex SS7 1EG Lead Inspector
Carolyn Delaney Unannounced Inspection 11:00 20th April 2007 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 DS0000015555.V329492.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 DS0000015555.V329492.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Parklands Address 21-27 Thundersley Park Road South Benfleet Essex SS7 1EG 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) 01268 882700 01268 882749 Canaryford Limited Mrs Tina Ann Coveley Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (54), Terminally ill (12) of places Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. Nursing and personal care to be provided for up to 54 Older People. Nursing and personal care for service users who have a terminal illness and are over the age of fifty-five years not to exceed twelve. Nursing and personal care to be provided for up to a maximum of eight residents who are over the age of forty-five years and under 65 and do not have a Terminal Illness. Date of last inspection Brief Description of the Service: Parklands Nursing Home is a purpose built establishment, which provides nursing and personal care for up to fifty-four older people. Parklands is situated close to the local shops and amenities in South Benfleet. The home has been recently extended to provide a fourteen-bed unit for people who require a period of rehabilitation or respite care. The range of fees for accommodation and / or nursing care at the home ranges from £338 - £ 650 per week. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was a routine unannounced Key inspection carried out on 20th April 2007. As part of the inspection process a number of residents and their relatives were contacted by post and given the opportunity to make comment about the home. In total nineteen residents and thirteen relatives completed surveys. The comments and views of residents and those people who responded to questionnaires have been used in conjunction with the findings of the inspection visit so as to make a judgement about the level of services provided by the home and have been included throughout the report. Records including assessments, care plans, daily care notes, and medication records and risk assessment documents in respect of a number of people living at the home were examined. Members of staff and the homes registered manager and owner were spoken with and a number of records including duty rotas and staff recruitment files were examined. A tour of the premises was carried out and the serving of lunchtime and evening meals were observed. Key standards as identified in the intended outcomes sections of this report are inspected at each key inspection. Key standards are identified for each section of the report. Where other standards have not been assessed these will have been assessed at previous inspections. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk. Below is a brief summary of the findings of the inspection. More detail is contained within the main body of the report. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection?
Since the last inspection the registered manager and registered provider have met with the Commission to discuss the issues as identified at previous inspections and following on from this meeting the manager and provider have developed and implemented an action plan so as to address these issues. At
Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 7 the time of this inspection there was clear evidence that measures were being taken so as to improve the level of services provided at the home. There have been improvements made in most of the outcome areas as identified within this report. The way in which staff record information about residents nursing and care needs has been much improved. The issues identified in respect of the safe administration of medicines have been addressed and residents receive the medicines, which have been prescribed for them as part of their treatment and care. The way in which meals are served to residents had improved and the home has employed the services of a catering company to purchase and prepared meals for residents. There have been some improvements made to the homes environment and a number of bedrooms have been provided with cable / digital television. There have been problems in the past regarding the management of unpleasant odours in the home however at this inspection the home was noted to be clean and free from unpleasant odours and all residents who were spoken with / who completed surveys said that they home is always clean and fresh. What they could do better:
Where the needs of residents change due to deterioration or in some cases improvement of health the information about the person must be reviewed and updated. More could be done to minimise risks to residents such as risks of falls. Some residents said that they would like to have more showers/ baths and some resident’s relatives also made similar comments. A number of residents relatives do not feel that the staff working at the home communicate with them and keep them informed of important matters such as hospital appointments, changes to medical treatment or medicines. The home has not employed a ‘hobby therapist’ for some time and a number of residents, their relatives who were spoken with during the inspection and who completed surveys commented that there were not enough activities at the home. Some residents said that they would like to go out more and have more to do. The way in which staff and management deal with complaints and concerns and how people who complain are treated must be improved. A number of people who have made complaints in the past have been very unhappy with the outcomes and the manner in which staff and management have acted and reacted.
Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 8 More could be done so as ensure that they equipment and furniture etc needed for residents is available and is suited for the needs of people living at the home and that assessments are carried out as necessary. There is still some improvements needed in the way in which staff are recruited to work at the home and staffing levels and skill mix should be reviewed regularly to ensure that residents needs are met. 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 DS0000015555.V329492.R01.S.doc Version 5.2 Page 9 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 DS0000015555.V329492.R01.S.doc Version 5.2 Page 10 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): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Parklands has a robust and consistent process for assessing the needs of people before they are offered a place at the home. People are provided with sufficient information about the home and are offered the opportunity to visit so as to determine if the home will be suitable. EVIDENCE: The pre- admission assessments for two people who had recently moved into the home were examined. These assessments had been carried out by the homes manager and were very detailed in respect of the persons nursing and general care needs. There was evidence in both assessments that the residents families had been consulted as part of the assessment process and that they were happy for the their relative to move into the home.
Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 11 Each of the two residents had been provided with a contract in respect of their placement at the home. Thirteen of the nineteen residents who completed ‘Have your say about..’ surveys said that they had received a contract. The majority of residents said that they had received enough information about the home before they moved in so that they could make a decision as to whether the home would be suitable. During the day of the inspection the relatives of two people who had moved into the home recently were spoken with. Both said that they had visited the home prior to the admission and both were very satisfied with the care provided by the home. One person said that staff working had been very supportive when their relative had been admitted to the home, which was a stressful time for the person. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 12 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 & 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The majority of people living at the home receive a good standard of care and support. However information about a persons needs must be reviewed and amended according to the individuals needs and more could be done minimise risks to the health and safety of residents. EVIDENCE: The way in which staff record information about residents needs has improved since the last inspection. The home uses generic care plans, which are amended, and information is added to the care plan in accordance with the needs of the individual. A number of care plans were assessed on the day of the inspection. Although well written many care plans had not been revised where there had been significant changes to the persons condition. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 13 The home has a robust system for assessing and managing risks to a person’s health, safety and welfare. However these are not always revised when the level of risk changes. Ten residents who completed ‘Have your say about..’ surveys said that they always receive the care and support they need. One person said that the care provided is ‘exemplary’. The remaining nine people said that they usually receive the care and support they need. One commented that they often had to ‘wait’ when they needed to use the commode. Another person commented that there are often ‘staff shortages..’ One relative commented that staff could provide more support to residents who have visual impairment and one person said that some staff do not handle residents who have paralysis in an appropriate manner. Seven residents relatives who completed surveys said that they sometimes receive enough information about their relative to assist them in making decisions. A small number of people said that they never get enough information. Some relatives commented that they were not always informed of important events such as hospital appointments or changes to a person’s medical treatment. The issues identified at the home at previous inspections in respect of the safe administration of medicines had been addressed and Medication Administration Records (MAR) were well maintained and there was evidence that residents receive the medicines, which have been prescribed for them as part of their treatment. Sixteen of the nineteen residents who completed surveys said that they always receive the medical support they need. The remaining three said that they usually do. Where residents choose to provide information, their wishes for how they would like to be cared for should they become unwell / as they reach the end of their lives is recorded so that staff can care for them in a way which meets their needs and wishes. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. More could be done so as to provide a range of activities and opportunities for stimulation and recreation for residents, and to provide opportunities for daily activities of living, which matches their expectations and suits their capabilities. EVIDENCE: At the time of this inspection there was no activities coordinator employed at the home. There has not been an activities coordinator employed for some considerable length of time and residents and their relatives commented about the lack of activities during this visit and at the last key inspection. A hairdresser visits the home three days per week and whenever they can staff working at the home initiate activities such as painting nails and games etc. However there is no formalised plan for activities and there was no evidence that people living at the home had been consulted as to how they would wish to spend their time and what type of leisure pursuits they would wish to participate in. A number of residents and their relatives who were spoken with
Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 15 on the day of the inspection commented that there was very little for residents to do during the day. Some of the more independent and mobile residents were observed to access the homes garden area on the day of the inspection. However the more dependent residents were seen to be left without any stimulation or opportunities for socialising throughout the day of the inspection. The majority of residents said there were usually activities, which they could participate in. Some said that they were limited to what activities they could take part in due to their ill health, reduced mobility etc. However a number of people also said that there were not enough activities and that ‘hobby therapists never stay at the home..’ Some residents said that they would like to ‘go out more..’ One resident’s relative said that they did not expect to have to report to staff that the resident needed their hair washed. A number of people commented that there could be more opportunities for showers/ baths. Seventeen of the nineteen residents who completed surveys said that staff listen to them and act upon what they say. One person commented that despite their clothing being labelled that items went missing and that they have on occasions had to wear other residents clothing. Since the last key inspection the home has employed the services of a catering company to provide meals at the home. Most of the residents who were spoken with during the inspection commented that the food provided by the home was good. It was positive to note that on the day of the inspection that the practice of serving residents their meals in an alphabetical order had been stopped and that residents were served in groups according to where they sat so that they could enjoy their meal in a more normal and congenial setting. On the day of the inspection it was noted that the dining room tables were nicely laid and menus were available for the days meals. Residents were offered soup, a choice of fish and chips or a salad. Condiments and sauces were available to compliment the meal. There was a choice of dessert. Residents are also offered a choice of a hot meal or sandwiches for their evening meal. During the lunchtime meal staff were seen to offer support to those residents who required assistance while encouraging residents to remain as independent as their health and general condition would allow. Seven of the nineteen residents who completed surveys said that they always enjoyed the meals provided by the home. The majority of the remaining residents said that they usually enjoyed the meals. Some people commented that they would like ‘more green veg..’ One person said that meals were ‘adequate but there was room for improvement..’ Another person commented that the meals were not as good at weekends when the home employed a ‘relief cook’. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 16 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 adequate. This judgement has been made using available evidence including a visit to this service. Complaints and concerns are not always dealt with in a manner, which inspires confidence in residents or their relatives that concerns are taken seriously. EVIDENCE: Parklands has a complaints procedure the details of which are available for residents and their relatives. The majority of residents who completed surveys indicated that they knew who to speak with if they were unhappy or if they needed to make a complaint. While residents relatives indicated that they were aware of how to complain a significant number of people said that staff did not always act appropriately when complaints or concerns are raised. One person said that ‘staff do not seem to be bothered..’ Another person said that when they make complaints that ‘nothing changes..’ and more worryingly another person said that they did not raise complaints for fear of ‘causing problems for the resident with staff..’ From the records maintained in respect of complaints made since the last key inspection it was noted that five complaints had been made. Two of the complainants had contacted the Commission, as they were not satisfied with the way in which their complaints had been dealt with by the homes manager and owner. These complainants said that they had found both the homes
Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 17 manager and owner to be ‘unapproachable’, ‘defensive’ and ‘dismissive’ of their concerns. One complainant said that following them raising concerns that staff ‘did not speak to them’ when they visited the home. Some records pertaining to the complaints including a response to one complainant were examined as part of the inspection process and it was noted that the response did not fully answer the concerns raised or acknowledge where the home had failed to meet the expectations and needs of residents / relatives. It is noted that people who have made complaints about the home have made similar comments in the past. This is an area where the home must improve. The home has a whistle blowing policy which is in line with the Department of Health’s ‘No Secrets’ document and staff are provided with training in respect of the protection of people who may be vulnerable from abuse, harm or neglect. At the time of this inspection there had been no allegations or alerts raised about the home or staff who work there. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 18 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, 22 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Parklands generally provides a safe, clean and comfortable environment for residents, however more could be done to ensure that equipment and furniture provided is suited to the needs of the people living at the home. EVIDENCE: Parklands is a purpose built care home providing accommodation for up to fifty- four people who require nursing care. Residents have access to a two lounge areas, a separate dining area and a secure courtyard style garden area. There is a plan for ongoing maintenance and improvement of the facilities within the home. One complaint received by the Commission in respect of the home was in relation to the failure of staff working at the home to provide bedrails where
Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 19 the risk assessment had identified a risk of falling from bed and indicated the use of bedrails as a measure to minimise this risk. Another complaint received was in respect of the failure of the home to provide suitable seating for a resident. During the inspection it was noted that the resident did not appear comfortable in their chair and that no assessment had been carried out as to the suitability of the seating provided for this person. Staff are employed to clean and maintain the home. During the inspection visit the home was noted to be clean and free from unpleasant odours And all of the residents who completed surveys said that the home is always clean and fresh. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There have been improvements in the way that staff are recruited and deployed in numbers to work at the home, however there are some areas, which need improvement. The home has a robust and consistent programme for training and development of staff. EVIDENCE: The home provides accommodation and nursing care for up to a maximum of fifty- four people. The staffing levels for the home are two nurses supported by eight or nine care staff during the morning, two nurses and six care staff in the afternoon and one nurse and four care staff during the night. Wherever it is necessary temporary bank or agency staff are employed to cover staff shortages due to illness etc. Eight of the nineteen residents said that there are always staff available when needed. The majority of these people said that staff work ‘very hard..’ and are ‘helpful..’ Of the remaining eleven residents, ten said that staff were usually available and one said that staff sometimes were available. In addition a number of residents relatives commented that staff were not always available to meet the
Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 21 needs of residents or to answer any questions they had about the care and treatment of residents. There have been improvements made in the way in which staff are recruited to work in the care home. The staff files for three people who had been recruited to work at the home since the last key inspection were examined. It was positive to note that each of the three people had been interviewed by the homes manager as part of the recruitment process and that in some cases that a detailed exploration of previous employment histories had been carried out. However for one person there was no evidence as to the persons eligibility to work in the United Kingdom, for another there were no references in respect of a previous employer and for the remaining person there was evidence that the person may have worked at a local care home where a Criminal Records Bureau (CRB) disclosure had been carried out by this home. However the person had not indicated in their application that they had worked for this home and this had not been explored. PoVA First and CRB disclosures had been carried out for each of the three persons and there was evidence that each of the three had completed a detailed induction. The home has an ongoing programme for staff training and care staff are encouraged and supported to undertake National Vocational Qualification (NVQ) level 2/3 training in care. Twelve of the thirty-seven care staff (32 ) have undertaken National Vocational Training (NVQ) level 2/3 in care. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 22 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, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Parklands is generally well managed and there have been improvements made since the last key inspection. EVIDENCE: Since the last inspection the homes registered manager and the registered provider (owner) have implemented a detailed improvement plan so as to address the areas of concern, which had been identified at previous inspections. The majority of people who spoke with the inspector or who completed surveys indicated that they were satisfied with the way in which the home is managed
Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 23 and a number of people made very positive comments about the home, staff who work there and about the improvements which have been made. However there are a number of areas, which require improvement, in particular the way in which complaints and concerns are received and dealt with by staff and management. Since the last inspection residents and their families have been contacted by the homes owner and offered the opportunity to comment about the home and the services provided. At the time of this inspection this information had been collated and the manager and proprietor were in the process of developing and implementing an action plan to address the areas where people said that improvements could be made. There are robust measures in place for safeguarding residents monies, which are given to the home for safekeeping and residents, are provided with a locked cupboard in their bedrooms should they wish to keep items of value or money. Staff are provided with regular supervision including clinical supervision where clinical practices and hands on skills are assessed and monitored. Dedicated maintenance staff are employed at the home to regularly assess, monitor, repair and replace furniture, equipment etc within the home. The home is well maintained and there are detailed records maintained in respect of the maintenance for gas, electric, fire safety and other systems and equipment in the home. Some of the records could be better maintained however there were safety issues identified during the inspection. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 24 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 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 2 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 2 3 X X 1 X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 X 3 3 3 Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? yes 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 OP7 Regulation 15(2) (b) Requirement Timescale for action 30/08/07 2. OP8 13(4) Care plans must be revised at any time where there are changes to the condition, care or treatment of residents living at the home. Risks to residents health and 30/08/07 safety must be assessed, kept under review and action taken so as to minimise these risks. This requirement is outstanding from the last inspection and the previous timescales of 28/02/06 & 30/09/06 have not been met. Residents must be consulted about their interests and activities provided which meets their needs and interests. Complaints must be dealt with in accordance with the homes policy and in a manner, which is appropriate and ensures that people will be confident that complaints and concerns are taken seriously. Equipment and furniture must be provided which is suited to the needs of the people living at the home.
DS0000015555.V329492.R01.S.doc 3 OP12 16(2) (m) (n) 22(3) (4) 30/08/07 4. OP16 30/08/07 5. OP22 23(2) (n) 30/09/07 Parklands Version 5.2 Page 26 6. OP29 19&sch 2&4 People must only be employed at 10/07/07 the home once all of the checks as required by regulation have been carried out and are satisfactory. (Previous timescales of 25/5/05, 28/2/05 & 10/09/06 have not met) 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. 2. 3. Refer to Standard OP13 OP27 OP37 Good Practice Recommendations More could be done so as to ensure that residents relatives are kept up to date with important information about residents. Staff numbers / skill mix should be reviewed regularly and increased as needed to ensure that residents needs are met. Records in respect of maintenance could be better organised. Parklands DS0000015555.V329492.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 DS0000015555.V329492.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
