Inspection on 21/02/06 for Parklands

This inspection was carried out on 21st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 20/04/07

Parklands 27/06/06

Parklands 26/05/05

Parklands 21/01/05

Parklands 30/09/04

Parklands 22/10/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Parklands 21-27 Thundersley Park Road South Benfleet Essex SS7 1EG Lead Inspector Carolyn Delaney Unannounced Inspection 13:00 21 February 2006 st 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.V253876.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 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 (8) of places Parklands DS0000015555.V253876.R01.S.doc Version 5.0 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 eight. Nursing and personal care to be provided for up to a maximum of five service users who are over the age of fifty-five years who do not have a terminal illness. 26th May 2005 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 with a variety of illnesses. The home can admit up to eight people who have a terminal illness. The home also provides up accommodation for up to fourteen people who require a period of rehabilitation or respite care. Parklands is situated close to the local shops and amenities in South Benfleet. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine inspection carried out between 13.00 and 20.00 on 21st February 2006. Lead inspector Carolyn Delaney carried out the inspection. Records including assessments, care plans, daily care notes and risk assessment documents in respect of five people living at the home were examined. Five residents and one relative were spoken with during the inspection. The relatives of eight residents at the home were contacted by post so as to offer them the opportunity to make comments about the services provided by the home. At the time of completing the final version of this report two responses were received and a summary of these has been included. Four members of staff including the homes manager were spoken with and a number of records including duty rota’s and staff recruitment files were examined. A tour of the premises was carried out. Key standards as identified in the intended outcomes sections of this report are inspected at least once every twelve months. Where key standards have not been inspected on this occasion they will have been inspected at the previous inspection. Reports in respect of previous inspections may be accessed via the Commissions website www.csci.org.uk. What the service does well: Parklands provide a comfortable and homely environment. Residents have access to two lounge areas, a large dining room and a garden area. The home is well maintained and there is information posted in respect of activities and events at the home, which residents and visitors may access. Information about the nursing and care needs of the people living at the home is well recorded and kept up to date. The home has very detailed policies and procedures in place for the management of the home and staff receive training and information so that Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 6 they are prepared and supported in meeting the needs of the people who live at the home. Two people who responded to the questionnaire sent out by the Commission commented that they were happy with the services provided by the home. What has improved since the last inspection? What they could do better: While there have been some improvements in standards since the last inspection there a number of regulatory requirements outstanding from this time and standards have dropped in some areas. All residents must have their needs fully assessed by staff working at the home before they are offered a placement so as to ensure that the home has determined that they can meet each individuals needs. Staff must act in accordance with their training, the planned care, policies and procedures and other relevant legislation and good practice guidance so as to ensure that people living at the home are protected from unnecessary risks (such as pressure sores) and they receive medication and treatment at appropriate times. Staffing levels must be maintained so as to ensure that residents receive the care and treatment that they require and where staffing levels drop due to unforeseen and uncontrollable circumstances every effort must be made to replace absent staff and to minimise the impact of shortages on the care to the people living at the home. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 7 Staff must only be employed to work at the home once all of the required checks in relation to their suitability to work with older people have been carried out satisfactorily. More must be done to address the issues described within this report, which adversely affect the care, treatment and wellbeing of the people living at the home. 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. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 8 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.V253876.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 4 Up to date information is available about the home and the services provided for prospective residents and their relatives so that they can make an informed decision as to whether the home can meet their needs and expectations, however not all residents and their relatives have confidence that care and nursing needs are met. Pre-admission assessments are not consistently carried out so that the home can determine and evidence that they home can meet the needs of those people to be admitted to the home. EVIDENCE: Copies of information about the home and copies of the most recent reports in respect of regulatory inspections as carried out by the Commission for Social Care Inspection are made available to prospective residents and their relatives or representatives. Some but not all of the people living in the home whose records were examined had signed contracts of terms and conditions in relation to their Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 10 placement at the home and the obligations and expectations of both residents and the home. Preadmission assessments had not been carried out for the two people who had most recently moved into the home. There were detailed assessments of each residents care and nursing needs carried out upon their admission to the home and letters confirming that the home can meet the individuals’ needs are generally but not consistently sent to residents or their representatives where appropriate. One residents relative commented that she was unhappy with the level of care provided in relation to pain management and commented that if the home could not manage this need that they should consider whether to accept such admissions. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, & 9 Records in respect of residents care, nursing and safety needs are well recorded and reviewed on a regular basis so as to ensure that staff have sufficient information to assist them in meeting these needs. However staff have not consistently acted in accordance with planned care, particularly in the preventing pressure area damage. Nursing staff do not consistently ensure that residents receive medications as prescribed and that accurate records are maintained in respect of the medications administered to people living at the home. EVIDENCE: Care plans for those residents whose records were sampled were noted to be detailed with residents preferences for activities of daily living such as when they wished to get up and go to bed, food likes and dislikes and preferences for maintaining personal hygiene. Care plans were kept up to date and reviewed on a regular basis. There were detailed assessments in respect of the risks to residents of sustaining injuries from falls, developing pressure sores and risks associated Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 12 with the use of bedrails etc. However concerns have been raised by the Tissue Viability Nurse specialist about the incidence and management of pressure sores in the home. It was noted that one resident developed a pressure sore due to lack of staff intervention in accordance with the planned care and records to evidence when those residents who require assistance to change position when in bed or sitting in chairs so as to prevent damage from sustained pressure were not completed and maintained on a regular basis. One resident’s relative raised concerns about the management of the residents’ pain. The inspector was informed that on the morning of the inspection that this person had waited for a considerable length of time for staff to change his syringe driver which delivers a measured dose of analgesia over a twenty four hour period. It was also claimed that this resident had waited for over an hour when top up analgesia was requested on two separate occasions. On each of these occasions lack of staff available was reported as the reason for the delay in providing appropriate pain relief for this person. Records in respect of the receipt and administration of medicines were sampled. It was positive to note that where Medication Administration Records (MAR) were handwritten that measures were taken so as to minimise the risks of error by ensuring that entries were checked and countersigned by a second member of staff. However it was of grave concern that records in respect of Controlled Medication were not accurately maintained and that that records were unclear in relation to medicines, which had been administered. Records in relation to other medicines were also not maintained accurately and there were some omissions of nurse’s signatures on MAR sheets. An Immediate Requirement notice was issued in respect of the concerns raised regarding the practices for administering medicines to people living at the home. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 & 15 The home provides a varied range of activities and there are plans to improve this aspect of the services provided. Residents are not always assisted and supported in making decisions about how they receive care and carry out activities of daily living. Residents do not always receive meals, which meet their requirements, and choices and meals are not always presented in an appealing manner so as to encourage appetite. EVIDENCE: The home had recruited a new hobby therapist since the last inspection. This person was noted to be very enthusiastic about the provision of meaningful social and occupational activities for the people living at the home. The hobby therapist had only been employed for six weeks and had developed a plan for daily activities including a cinema club, current affairs discussions with newspapers and trips out to local shops for the more able and independent residents. There were no planned activities for weekends when the hobby therapist is not on duty and she was advised to plan activities, which could be Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 14 carried out by care staff for these periods. Residents wishes in respect of daily activities are routinely recorded in their care plans, however it was not clear that these wishes were always adhered to. A number of people were assisted to bed very shortly after the evening meal, which is served at approximately half past four in the afternoon. Staff did not ask residents if the wished to remain up or go to bed. One relative commented that residents were offered a bath on a weekly basis, however this was not always possible due to staff shortages at times. This relative also commented that expectations in relation to the provision of care, as described in the brochure provided by the home were not consistently met. Comments made by residents about the meals provided by the home were mixed. Some people said that they were happy with the food provided. Others commented that the quality of food varied from day to day at times and that it was not always good. The serving of the evening meal was observed where there was a choice of sliced ham with chips with bread and butter, or sandwiches. Soup and toast was also available if requested. It was noted that the portions of ham and chips was very small and did not look particularly appetising, and while the manager said that residents could have more if they chose to staff were noted not to offer any extra helpings to residents. Two residents commented that their food was cold. One resident who has diabetes commented that the evening meal was served too early and that there was a sixteen-hour gap between the evening meal and breakfast. This resident chose to have his evening meal later. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 The home is managed so as to ensure as far as it is possible that people living there are protected from harm or abuse. EVIDENCE: All staff receive training through an ongoing programme provided by the local Borough Council and information is provided in relation to the protection of vulnerable people from abuse and what to do in the event that they witness or suspect abuse of any residents living at the home. There has been one allegation of physical abuse by a member of staff since the last inspection. The homes manager acted promptly and informed the relevant authorities including the police and social services. The alleged perpetrator was dismissed following a disciplinary process. While standard 16 was not fully assessed the Commission received one complaint since the last inspection. This was referred to the home to investigate under their complaints policy and procedure. The complainant was referred to the homes insurers to make a claim for alleged losses. The complainant is unhappy with the outcome of the complaint and is pursuing this with the Commission at the time of writing this report. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26 While the home is generally well maintained and clean some odours are not dispelled with efficiently. EVIDENCE: The home is generally maintained to a high standard and dedicated domestic and cleaning staff are employed. However during the inspection odours were detected in areas on the first floor and one residents relative had complained to staff the previous week about the odour eliminating from the ensuite toilet. This room was noted to be very small with no natural ventilation, although when the light is switched on it triggers an extraction system. Odours were detected despite the use of air fresheners, however it was not possible to determine the cause. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Staff rotas are not always maintained clearly so as to evidence that staff are employed in sufficient numbers so as to meet the needs of the people living at the home. Staff are not recruited in a consistently robust manner so as to best protect the interests of the people living at the home. Staff receive mandatory and specialised training and are provided with information in respect of their roles and responsibilities and the needs of the people living at the home. However all staff do not carry out care in accordance with the homes training, policies and procedures. EVIDENCE: The current staffing levels at the home are two nurses and eight or nine care staff for morning duty, two nurses and six or seven care staff for the evening duty and one nurse with four care staff to cover the night duty. While it was noted that on some occasions staffing levels at the home exceeded these numbers it was also noted that on a number of occasions that staffing levels were not maintained at appropriate levels so as to meet the needs of the people living at the home. A number of residents commented that on numerous occasions that there were insufficient staff on duty and that care such as provision of bathing was not consistent. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 18 It was positive to note that a system for staff allocation for key times such as meal times had been introduced, however staff were still observed to be very busy at these times and some residents commented that their evening meal on the day of the inspection was served cold. It was also noted that on one night duty that there was only one member of care staff and one nurse on duty as two members of staff were absent due to sickness and another failed to turn up for their shift. While it was reported that a nurse from the day duty had come to the home to ‘sort things out’ it was not clear what measures had been taken so as to find cover for the night duty and what actions had been taken so as to minimise the impact of the staff shortages on the people living at the home. The duty rota clearly indicated the number of staff working at the home who had achieved National Vocational Qualification level 2 & 3 training and it was reported that a number of other care staff were also undertaking this training. The home offers a wide range of training and induction for all levels of care and nursing staff. Nurses are assessed according to a set range of clinical competencies. However a number of areas were noted where staff did not act in accordance with the expressed care instructions, the homes policies and procedures and current legislation and good practice guidelines particularly in relation to pressure area management and the administration of medicines. These actions had impacted negatively on the quality of care provided to some of the people living at the home. While there was some evidence of improvement in recruitment practices it was noted that staff were not recruited in a consistent and robust manner. References were often sought from candidate’s friends and not all references were checked so as to validate their authenticity. Detailed information in respect of each candidate’s work history and prior experience was not checked in a consistent manner and gaps were not fully explored. While there was evidence that each candidate attended an interview the records maintained in respect of these were not sufficiently detailed so as to evidence that the individuals were suitable for work in the home. Criminal Records Bureau (CRB) disclosures and POVA First checks are not always obtained prior to the individuals commencing work at the home. The manager had developed an assessment of potential risks to be carried out in the event of staff being employed without these checks, however these were not available for all of the newly recruited staff whose files were examined. Records in relation to the checks made in respect of, and the suitability of staff supplied by employment agencies were also not consistently maintained. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 19 The home employs in excess of 65 staff and there is a relatively high turnover of staff particularly newly employed care staff. This generates a substantial amount of paperwork. The homes administrative person had recently left the home and this has put pressure on the homes manager in respect of the administrative aspect of staff recruitment. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37 & 38 The home is not managed consistently so as to best meet the needs of the people living at the home. There are clear policies and procedures in place so as to provide safekeeping and storage of resident’s valuables. Records are not maintained in good order so as to facilitate ease of audit and inspection. The home is well maintained in relation to maintenance, repair and regulatory checks of premises and equipment. EVIDENCE: The registered manager is a competent and skilled nurse with a good background in home management and the home has policies and procedures in Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 21 place so as the home is managed well. However there were a number of areas identified during the inspection, which indicate that the home is not always run in the best interests of the people who live there. The home has in place policies and procedures for safeguarding valuables and monies handed in for safekeeping and there are locked storage facilities for those who choose to retain possession of their valuables and monies. Staff receive appropriate induction and there is a system in place for Supervising staff, however this is not carried out consistently but is being addressed by the home s manager. Records are not stored in an organised fashion and records in respect of maintenance, repair and checks for gas, electric, fire and mechanical equipment were very disorganised. All records as required by regulation and for inspection purposes should be maintained in an accessible and regular order. There is a dedicated maintenance person employed by the home and there were no safety issues in respect of the maintenance of the home. Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 22 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 2 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 1 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 2 15 1 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 2 STAFFING Standard No Score 27 1 28 3 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 2 3 Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 23 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 OP2 Regulation 5(1) (b) (c) Requirement The registered persons must ensure that all people who move into the home are provided with a copy of the contract of terms and conditions in respect of the placement and that this is agreed with the resident or their relative / representative (if applicable). The registered persons must ensure that a detailed assessment of each individuals nursing and general care needs is carried out for each person to be placed at the home prior to their placement so as to determine that the home can, taking into consideration the needs of the other people living at the home and the homes resources, effectively meet these needs. The registered persons must ensure that staff act in accordance with the homes policies and procedures, and the care planned for each individual so as to ensure that DS0000015555.V253876.R01.S.doc Timescale for action 30/03/06 2 OP3 14 & 4 28/02/06 3 OP8 13(4) 28/02/06 Parklands Version 5.0 Page 24 their health needs are met and risks to health and welfare are minimised. This with particular reference to the management of risks to residents of developing pressure sores and ulcers. The registered persons must ensure that all nursing staff act in accordance with the homes policies and procedures, the NMC Codes and relevant legislation in respect of the safe handling and administration of medicines and that residents receive the medicines for which they have been prescribed. An Immediate Requirement notice was issued in respect of the issues identified on the day of the inspection. The registered persons must ensure that so far as it is possible that people living at the home are supported and encouraged in making choices about how they would wish to receive care and assistance with carrying out activities of daily living so as to promote and maintain independence. The registered persons must ensure that residents receive in adequate amounts, suitable wholesome and nutritious foods. The registered persons must ensure that so far as it is possible the home is maintained free from unpleasant odours and appropriate action is taken promptly to dispel any odours. DS0000015555.V253876.R01.S.doc 4 OP9 13(2) 21/03/06 5 OP10OP14 12(2) & (3) 30/03/06 6 OP15 16(2) (i) 30/03/06 7 OP26 16(2) (k) 10/03/06 Parklands Version 5.0 Page 25 8 OP27 18(1)(a)(b) 37(1)(e) 9 OP29 19&sch 2&4 The registered persons must 28/02/06 ensure that appropriate numbers of suitably qualified and skilled staff are employed at the home so as to meet the needs of the people who live there and that where there are absences due to sickness or unauthorised absences that the Commission is notified and provided with details of what measures have been taken to cover duties and how the impact upon the provision of care to residents is to be minimised. The registered persons must 28/02/06 ensure that staff are only be employed at the home once all of the necessary checks have been carried out so as to protect the interests of residents living at the home. (Previous timescales of 25/5/05, 28/2/05 and three previous set datesnot met) This must be addressed with immediate effect. The registered persons must ensure that all staff carry out their duties in accordance with and comply with planned care, the homes policies and procedures and all other relevant legislation and good practice guidelines. 10 OP30 18 30/03/06 Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP12 Good Practice Recommendations The homes hobby therapist should plan activities which staff can implement and assist residents with at times when she is not working at the home, i.e. in the evenings and at weekends. Records as required by regulation in relation to the management, maintenance of the home would benefit from reorganisation. The management of the home would benefit from the input of suitably skilled administrative staff. 2 OP37 Parklands DS0000015555.V253876.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parklands DS0000015555.V253876.R01.S.doc Version 5.0 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!