Inspection on 20/10/06 for Parklands

This inspection was carried out on 20th October 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parklands 30/09/08

Parklands 10/01/06

Parklands 08/09/05

Parklands 21/03/05

Parklands 24/06/04

Parklands 01/03/04

Similar services:

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Snydale Care Home

Hawkhills

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The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Parklands Station Road Rawcliffe Goole East Yorkshire DN14 8QP Lead Inspector Rob Padwick Unannounced Inspection 20th October 2006 12:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parklands DS0000019705.V308260.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 DS0000019705.V308260.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Address Station Road Rawcliffe Goole East Yorkshire DN14 8QP 01405 839226 01405 839699 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) Humberside Independent Care Association Limited Mrs Caron Lesley Rogers Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30) of places Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: Parklands is situated in the rural village of Rawcliffe near to the port of Goole in East Yorkshire. The home is owned and operated by Humberside Independent Care Association Ltd. (HICA) which is a not for profit organisation. The home provides personal care and accommodation for up to 30 older people, some of whom may have a dementia care need. Accommodation is provided on two levels with a passenger lift allowing access to the first floor. All rooms are for single occupancy with four of the rooms having a private sitting area. Two of the rooms are en suite. Service users have ample communal including a conservatory in which they can relax. Air conditioning is provided for service users’ comfort. The standard fees charged by the home range from £ 395 to £440 with additional charges made for hairdressing, chiropody, toiletries etc. Parklands provides information about the home to service users in its Statement of Purpose and Service User Guide. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A Pre Inspection Questionnaire asking for information about home was sent out before this visit and information from this was included as part of the inspection process of this service. Other information that was used included reports from monthly visits carried by a senior manager from the parent company and notifications sent to the Commission for Social Care Inspection about serious incidents that had taken place in the home. Questionnaires were sent out to relatives and Health and Social Services professionals associated with the home. Five responses were received from the group of relatives who were contacted and five from the professionals involved. All were positive about the home, although one commented on a shortage of staff at times. This unannounced visit lasted for 6 hours and during this time a tour of the building was carried out and time spent talking with service users and seeing how they lived. Other time was spent checking the outstanding requirements from previous inspections and reading the residents’ files and talking to staff. What the service does well: What has improved since the last inspection? Updated information about the home had been issued to residents, in order to ensure that they were kept informed about changes to the service affecting them. Systems for managing the residents’ personal money had been strengthened, in order to ensure that their financial interests were safeguarded and care plans had been developed, to include more information about the residents’ needs and wishes. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 6 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 DS0000019705.V308260.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 DS0000019705.V308260.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): 3 and 6 Quality in this outcome area is good. Residents had been satisfactorily assessed, in order to ensure that the service could meet their needs and they had been issued with information about the home, in order that they could make an informed choice about moving into it. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents indicated that they had been involved in decisions about moving into the home. Case files contained copies of the assessments of the individual residents, which had been carried out, in order to ensure that the home could meet their needs satisfactorily. The four files inspected, contained copies of recent information that had been issued to residents, in order to ensure that they and their representatives were kept informed about changes to the home that affected them and they could make an informed choice about moving into the home. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 9 Parklands does not admit residents for intermediate care. Parklands DS0000019705.V308260.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 and 11 Quality in this outcome area is good. The health and personal care needs of the residents were by staff in a caring and sensitive manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The four resident files inspected contained copies of personal support plans that had been developed, in order to guide staff in meeting the care needs of individuals concerned. Daily recordings about these were contained within the files inspected, together with assessments of resident’s known areas of risk and monthly summaries of the support plans. However, the summaries of the support plans had not always been regularly completed or dated, and a recommendation is made in these matters. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 11 Copies of annual reviews of the care needs for the individual residents were contained within the files examined, and these had been completed in partnership with the funding local authorities as required. Residents confirmed that their health and personal care needs were being met. Case files contained evidence of monitoring of the residents various health conditions together with liaison with medical professionals as appropriate. Residents confirmed that they were supported to attend medical appointments as needed and positive comments were received from a Community Psychiatric Nurse about the service. Inspection of the home’s accident book and reports submitted to the Commission indicated that staff were following relevant procedures to ensure that the health needs of the residents were met. The home had policies and procedures, in order to safeguard the residents in respect of medication. Information submitted by the manager indicated that staff responsible for the administration of medicines had received training in this aspect of practice, and this was confirmed in discussion with them. Observation of a medication round and inspection of the home’s medication systems and records was satisfactory. Residents confirmed that staff treated them with dignity and respect. Staff demonstrated a caring and sensitive approach to working with residents and a visiting relative stated that the care delivered to her mother was “individual and personal” to her needs. Case files contained information about the wishes of individual residents and their families, following the event of a death, as had been previously recommended. Parklands DS0000019705.V308260.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, and 15 Quality in this outcome area is good. The residents were being treated with dignity and respect, but their social needs would be better met by more activities being available. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents stated that their were social activities for them to take part in, but discussion with visiting relatives indicated that the amount of these had declined over the past 2 years. A hairdresser and a local church minister visit the home on a regular basis and residents spoke cheerfully about parties that had been organised recently, to celebrate two resident’s 100th birthdays. Trips out and regular three monthly dinner dances continue to be a popular activity for the residents. However, due to the numbers of staff employed and the increased level of the residents’ needs experienced in the home, the majority of staff time was observed to be spent in the delivery of care. A dedicated activities coordinator, had been employed to develop the social activities for the residents since the last inspection, as previously recommended, but unfortunately had stayed for only a few weeks. Requirements and recommendations are made in these matters. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 13 Residents confirmed that the food was good, and discussion with the cook indicated that a variety of choices were always available for the residents, should they not like the main meal on offer. The home has achieved a “heartbeat” award for the provision of healthy meals and inspection of the menus confirmed that they were of a nutritious and balanced nature. Case files contained evidence of the residents’ weight being appropriately monitored with nutritional assessments of their needs having been completed. Observation of the meals confirmed that meals were attractively presented and served in a relaxed and unhurried manner. Parklands DS0000019705.V308260.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 and 18 Quality in this outcome area is good. The residents were being safeguarded from abuse and their concerns and complaints were being taken seriously. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had an appropriate complaints policy and procedure and residents and relatives spoken to indicated they were confident that any concerns or complaints they had, would be listened to and taken seriously. The complaints log was inspected and this indicated that appropriate action had been taken to resolve any issues that had been raised. Policies and procedures were available in order to safeguard the residents from abuse. Staff indicated that they were aware of these and discussion with them indicated that they would act appropriately should this be required. Training records confirmed that staff had covered issues relating to the protection of vulnerable adults as part of their induction to the home. A random check was made of the residents’ money and the records of these were satisfactory. Parklands DS0000019705.V308260.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 and 26 Quality in this outcome area is good. The residents’ environment was safe and well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was bright, airy and comfortable and had a relaxed and contented atmosphere. Aids and adaptations had been provided to assist the residents and staff and up to date certificates of a random selection of health and safety issues, confirmed that this aspect of practice was being effectively carried out. Staff were observed cleaning various parts of the home and the home’s laundry was neat and tidy. The home’s training programme indicated that infection control training was covered as part of the induction process for staff. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 16 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 and 30 Quality in this outcome area is adequate. The residents were being safeguarded by the home’s recruitment process, but their needs would be improved by more staff and improved staff training. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents and visiting relatives confirmed that staff were meeting their needs, but that due to an increase in the levels of the need experienced by the residents living in the home, the amount of time that staff could spent with them was sometimes affected. Staff were observed to be caring for the residents in a sensitive and friendly manner, but their were times when residents appeared to have little to do. Requirements and recommendations are made in these matters. Staff confirmed that they had received training in a variety of topics to help them do their jobs and inspection of staff records confirmed this. The provider organisation has an extensive training programme and induction process that staff must complete, before they are allowed to undertake further training. The organisation compiles a list of training that they consider to be mandatory, but from inspection of a sample of staff records, this needed to be developed to ensure that additional specialist training in dementia and infection control is provided to staff that are employed in the home. Information submitted by Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 17 the manager as part of the inspection process indicated that sadly as a result of staffing departures, the amount of care staff that had obtained a qualification at NVQ level 2 or above, had dropped from a figure of 61.5 at the last inspection to a current figure of 31.5 . Recommendations are made in these matters. A recruitment policy and procedure was in place to ensue that staff are safe to care for the residents. Staff records inspected indicated that this was being followed appropriately with copies of Criminal Records Bureau checks and two written references being taken before staff could start work. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 18 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 and 38 Quality in this outcome area is good. The management of the home was safeguarding the residents’ health and welfare needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents and feedback received from relatives and professionals indicated that the home was being well run. The manager has obtained her Registered Managers Award and has substantial experience of working with the service user group accommodated. A visiting relative indicated that the manager takes a “hands on” approach to working with the residents and discussion with staff confirmed that she was open in her approach to managing the home. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 19 Inspection of the home indicated that it was being run in the interests of the residents. Residents and visiting relatives confirmed that their views were taken seriously and staff showed consideration to the individual needs of the residents living in the home. Positive comments were received from a relative about this aspect of practice. Regular reviews of various elements of the service were included within the home’s quality assurance systems to demonstrate that the manager was checking the progress of the home against its stated aims. Information submitted as part of the inspection process indicated that a high number of the residents were subject to Power of Attorney and discussion with the manager indicated that relatives mostly took responsibility for the financial affairs of the residents. The Provider organisation has a computerised system for the management of individual resident’s personal allowances and a random check of the records for these indicated that the residents’ finances were being satisfactorily safeguarded. Inspection of the home’s records and discussion with staff indicated that the health, safety and welfare of service users and staff were being promoted and protected. Maintenance records were up to date and in good order and the home’s training plan indicated that staff had covered a variety of health and safety issues as part of their induction process or that these been identified a future development need. Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 21 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 OP27 Regulation 18(1(a)) Requirement The registered person must ensure that there are sufficient numbers of staff on duty in the home to meet the needs of the service users at all times. Timescale for action 25/11/06 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 OP7OP7 OP12OP12 Good Practice Recommendations The registered person should ensure that staff review the residents care plans on a monthly basis to ensure that they are kept up to date. The registered person should recruit an activities organiser and ensure that appropriate are consistently available for all residents living in the home. The registered person should ensure that additional specialist training in dementia and infection control is provided to staff and that 50 of the staff have obtained an NVQ level 2 qualification in care. OP28OP28 Parklands DS0000019705.V308260.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. 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