Inspection on 26/05/05 for Parklands

This inspection was carried out on 26th May 2005.

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 20/04/07

Parklands 27/06/06

Parklands 21/02/06

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 Un-announced 26th May 2005 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 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 I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 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 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 CRH 54 Category(ies) of Older People (OP) 54, Terminally Ill (TI) 8 registration, with number of places Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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 and who do not have a terminal illness. Date of last inspection 21st January 2005 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. The home can admit up to eight people who have a terminal illness. Parklands is situsted 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. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 26th May 2005 between 12.30 and 19.30. The homes registered manager; Mrs. Tina Covely was present during the inspection. A tour of the premises was carried out with emphasis on the newly opened unit to provide rehabilitative and/ or respite care. Dining, lounge toilets and bathrooms and residents bedrooms were clean and nicely decorated. The new unit provides well-planned single bedrooms with ensuite shower facilities. The communal areas were comfortable looking and well maintained. Records in respect of residents nursing and care needs were examined. Assessment records, care plans and assessments of potential risks to residents living in the home, for example the risks of developing pressure sores or of injuries from falls etc were well written and kept up to date in line with any changes in residents general condition. Staff who were spoken with during the inspection were aware of the needs of residents living in the home. Residents and their relatives who were spoken with said that they were ‘happy’ with the care provided and that staff were ‘kind’ and ‘caring’. Staff records were examined. Staff working at the home receive a wide variety of training so as to assist them meet the needs of residents. Records of the checks, which must be made before employing people to work at the home in order to protect residents, were not in place for new staff whose files were checked. The homes manager discussed the problems of recruiting staff and some advise was given about how some checks could be carried out more quickly. The findings of this inspection were discussed with the manager during and at the end of the inspection. The manager, staff residents and their relatives were very helpful and their cooperation is much appreciated. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection the home has opened a new fourteen-bed unit, which provides rehabilitative and respite care for people on a short tem basis. Staff and management have worked very hard to make this unit a success. Care plans and other documentation, which were well written at the last inspection had been improved with the inclusion of resident’s preferences and wishes about how they wish to spend their days. It was positive to note that removing carpets and replacing these with a soft washable alternative floor covering had dealt with the problem of unpleasant odours in some resident’s bedrooms, which had been identified at previous inspections. At the last inspection it was recommended that if residents were able to and wished to that they could keep and administer their own medicines. It was positive to note that this had been implemented and where residents did not wish to or were not capable of doing so that this is recorded in residents care notes. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 7 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. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 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 standard(s) 3,4&6 Staff and management at Parklands ensure that residents are provided with appropriate information about the home and detailed assessments are carried out so as to ensure that the home can meet resident’s needs. EVIDENCE: Staff working at Parklands receive suitable training in order to assist them in meeting the needs of residents who live at the home. Wherever it is possible, residents are visited by a qualified nurse in their own home, hospital etc to assess their nursing and general care needs and where possible residents and /or their relatives are encouraged to visit Parklands before they make a decision about moving into the home. Assessment documents, which were sampled during this inspection, were detailed in respect of residents needs. Since the previous inspection the home has opened a new rehabilitative wing. Residents who are admitted to Parklands for rehabilitation are well supported by staff working at the home and other professionals such as occupational therapists and physiotherapists. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 & 11 In general staff working at the home ensure that residents nursing, healthcare and safety needs are met and that residents are treated with respect and dignity. EVIDENCE: Care plans for residents nursing, general and safety needs which were sampled during this inspection were well written with details of residents preferences and wishes in respect of daily activities of living such as washing and dressing, eating and drinking etc. Staff were aware of the needs of residents living at the home. Staff working at Parklands assess risks to residents in respect of injuries, falls, developing pressure sores and / or ulcers and risks associated with the outbreak of fire at the home. Each assessment is recorded and reviewed on a regular basis. At the time of this inspection a total of eight of the forty-nine residents living at the home had pressure sores, six of which had been admitted to the home from hospital with sores. There were detailed care plans in respect of managing these sores and advise is regularly sought from tissue viability specialists so as to ensure best practice. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 11 Residents and their relatives said that staff were very ‘caring’, ‘kind’ and ‘helpful’. During this inspection one resident became very upset and was crying because she was sitting uncomfortably and was told by staff that she would have to wait as they were too busy to assist her. This was discussed with the manager who agreed that this was unacceptable and said that she would address this with the member of staff involved. Parklands provides care for up to eight people who have a terminal illness. Care plans in respect of residents (and their relatives) needs as they approach death were very well written. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 15 The provision of social, leisure and occupational activities at the home does not always meet resident’s needs. Residents are provided with a good choice of meals and their nutritional needs are met. EVIDENCE: Parklands employ a Hobby Therapist between Monday and Friday to provide group and one –to –one social and leisure activities for up to fifty-four residents. The hobby therapist was noted to interact well with residents during this inspection. A number of residents said that there were not enough activities provided in the afternoon and this was discussed with the manager. Some residents said that they were assisted to go to the local shops but not on a regular basis. The number of staff hours allocated for the provision of meaningful activities fifty-four residents is not sufficient. Resident’s families and friends are encouraged to visit. Meals were not observed during this inspection. Residents said that the food was very good. There is a good choice of meals and where residents have favourite foods they said that these are offered on a regular basis. Residents in the rehabilitation unit have the opportunity to participate in a ‘breakfast club’ as part of their occupational rehabilitation. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16 & 18 Staff working at Parklands deal with residents and their relatives complaints in an appropriate manner. Staff are trained in order to protect residents living at the home from abuse. EVIDENCE: Residents and their relatives said that if they had any issues or complaints that they would feel confident that the homes manager would address these. Information in respect of how to make a complaint is readily available for residents and visitors to the home. Records in respect of complaints made since the previous inspection were well maintained and showed that complaints had been dealt with appropriately. Staff receive training for the Protection of Vulnerable Adults and were aware of what action to take if they suspected or witnessed any abuse of residents living at the home. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19,20,22,23,24& 26 Parklands provide residents with a comfortable and homely environment, which is maintained clean and safe and equipped to meet the general and specific needs of residents who live there. EVIDENCE: Parklands provide residents with comfortable and homely accommodation. Residents have a choice of communal spaces to choose from providing areas for socialising with other residents or quiet areas. Resident’s bedrooms are provided with locked storage facilities, are nicely decorated and have specialist beds and other equipment as required by individual residents. A new fourteen-bed wing to provide rehabilative care had been opened since the previous inspection. This provides an up to date nurse call system, television, telephone and Internet connection points in each resident’s bedroom. The unit also has kitchen facilities so that residents can undertake occupational therapy assessments and maintain independence during their stay at the home. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 15 The home was well maintained and clean and there was dedicated domestic and maintenance staff employed. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 & 30 The deployment of staff and routines within the home are not always made in a way maximises staffing resources to ensure that resident’s needs are met. Staff recruitment procedures are not robust and appropriate checks are not carried out. Staff working at the home receive appropriate training for the roles they are to perform and the needs of residents living at the home. EVIDENCE: Staff duty rotas evidence that staffing levels are in line with those as previously agreed. The rota did not evidence how staff were to be deployed and what numbers of staff were to be allocated to each unit of the home. The manager said that there were not dedicated staff to work in the rehabilitation unit as all staff were being trained to meet the needs of these residents. Where agency staff were employed at the home their full names were not recorded on the rota. During the inspection one resident became upset when staff did not attend to her needs. Staff told the inspector that they did were shorthanded as some staff members were attending a training session. The manager confirmed this, and those staff attending training returned to the home shortly after this. Staff also said that they could not attend to this resident until they had carried out their checks and change of position for those residents who were nursed in bed. This was discussed with the manager and a possible review of routines advised. (For example not all residents who are nursed in bed will require attention at the same time.) Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 17 Staff files did not include evidence that the appropriate checks had been carried out for staff, such as Criminal Records Bureau disclosures, satisfactory references and eligibility of the individuals to live and work in the United Kingdom as appropriate prior to their commencing employment at the home. Files did not include sufficient details of staff previous employment history and gaps were not explored. This practice is unacceptable and places residents at the home at potential risk. Staff receive induction and mandatory training prior to commencing employment and there is a period of supervised practice for all new staff. The induction is not tailored to meet the needs of staff who have not previously worked in providing care to older people. Staff working at the home receive appropriate in house and external mandatory and specialist training which is regularly updated. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,37&38 Parklands is managed by a dedicated and well-trained and skilled registered manager. EVIDENCE: The homes manager, Mrs. Covely is a registered nurse who keeps her skills and knowledge updated. At the time of this inspection the manager was recovering from a leg fracture, which restricted some aspects of the ‘hands on’ management of the home, however she was still actively overseeing the dayto-day running of the home. Residents and relatives said that they felt that the home was managed well and that the manager and staff were ‘approachable’. With the exception of the issues raised in respect of the recruitment and deployment of staff, records, policies and procedures were suitable for meeting the needs and protecting the interests of residents living at the home. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 19 There were systems in place to assess risks to residents, staff, and visitors to the home plans to minimise these risks. The manager is responsible for developing and implementing policies and procedures, staff recruitment and training and overseeing the management of the home as well as keeping recording and paperwork up to date. It was discussed that the management of the home may benefit from some administrative input. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 2 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 x 3 STAFFING Standard No Score 27 2 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 x 3 x x x 3 3 Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 21 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 12 & 27 Regulation 16(2)(m) Requirement The registered persons must ensure that the provision of activities must meet the needs of residents living at the home. This with reference to providing sufficent hours allocated for activities at the home The registered persons must ensure that the duty rota accurately reflects the names and numbers of staff working at the home. Timescale for action 31/7/05 2. 27 18 & Schedule 4 (7) Immediate & ongoing 3. 27 18(1)(a) This with reference to ensuring that the full names of agency staff is included on the duty rota. The registered persons must 30/06/05 ensure that staffing levels are sufficent to meet the needs of residents living at the home. This with reference to arrangements to cover when staff attend training etc. The registered persons must 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 4. 29 7,9,19 & Schedule 2 Immediate & ongoing Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 22 at the home. (Previous timescales of 28/2/05 and three previous set datesnot 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 27 30 36 Good Practice Recommendations It is recommended that the daily routines and care practices at the home be reviewed so as to maximise staffing resources. It is recommended that the staff induction programme for new staff be tailored to meet the needs of staff who have not worked caring for older people. It is recommended that consideration be given to providing administrative support to the manager, so as to utilise her time more effectively. Parklands I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 23 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 I56-I06 S15555 Parklands V228654 260505 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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