Inspection on 27/08/09 for Parklands

This inspection was carried out on 27th August 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parklands 12/09/07

Parklands 24/01/07

Parklands 06/03/06

Parklands 28/06/05

Parklands 20/10/04

Parklands 01/06/04

Parklands 24/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

Key inspection report Care homes for older people Name: Address: Parklands Poynton Civic Centre, Park Lane Poynton Cheshire SK12 1RB     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Val Flannery     Date: 2 7 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Parklands Poynton Civic Centre, Park Lane Poynton Cheshire SK12 1RB 01625879215 01625850676 jennifer.jones@clsgroup.org.uk www.clsgroup.org.uk CLS Care Services Limited Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 40. Date of last inspection Brief description of the care home Parklands is registered to provide personal care for forty older people. The home is in Poynton, next to the library and medical centre. A range of shops, pubs, a church and other facilities are within walking distance of the home. There is a passenger lift between the ground and first floor of the two-storey building. All the bedrooms are single rooms with hand-washing facilities. There are enough baths and toilets provided for the number of people who live in the home. There are several communal lounges in the home and there is a large dining room on the ground Care Homes for Older People Page 4 of 28 Over 65 40 0 Brief description of the care home floor. The inner courtyard, with its fishpond and bridge, can be used by the people who live in the home. They can also use the garden at the back of the home. A range of aids including bath hoists, wheelchairs, grab rails and other lifting equipment are available for people with mobility problems. Staff are on duty twenty-four hours a day to provide care for the people who live in the home. The fees for the home range from £430 to £450 per week. Further details on accommodation fees and other charges can be obtained by contacting the home. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The overall quality rating for the home is one star. This means that the people who use the service experience adequate quality outcomes. This visit took place on the 27 August 2009. It was carried out by one inspector and took a total of 7 hours. The report will say we when referring to what we did and what we found because it is written on behalf of the Care Quality Commission. During our visit we spoke with the people living in the home, the manager and staff. We looked around the premises and looked at various records held by the home. The visit was just one part of the inspection. The home manager had completed a questionnaire to provide up to date information about the home. CQC questionnaires were made available to the staff so they could tell us what they think about it. The last inspection of this home was carried out on 12 September 2007. Care Homes for Older People Page 6 of 28 Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The information available about them is to be updated so that it are done before they move into at the home do not have all the needs can be met at Parklands. Parklands to help people decide if it is suitable for is accurate. Assessments of peoples care needs that the home are not always completed properly so staff information necessary to make sure the persons Evidence: During our visit to the home we saw a copy of the Residents guide and Statement of Purpose that provides information about the home, including its aims. The new manager for Parklands, who had started in post only days before our visit, said the information about the changes to the home was available but had not yet being added to the statement of purpose. We saw copies of the statement of purpose in a number of bedrooms. We spoke with one of the people living in the home who told us that their family had visited the home to check it on their behalf. Care Homes for Older People Page 10 of 28 Evidence: We saw copies of the checks on the needs of two people living in the home. These assessments had been carried out by staff from the home before the person had moved in. One of the care folders also had assessment documentation which had been completed by the care manager from the local council. The assessment of need carried out by staff from the home for one person was not completed and did not show the support they required with their mobility and well being. One of the assessments of need had not being signed by the member of staff carrying out the assessment. Care Homes for Older People Page 11 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The plans of care we saw did not have all the information about peoples care needs and how these should be met. This means that staff are not always aware of how the needs of the people living at Parklands are to be met so they may not be able to ensure safe and appropriate care is provided to keep the person well and healthy. Evidence: The plans of care we saw for two of the people who live in the home showed how they were to be supported with some of their personal care needs and daily routines. The plans did not show how the person wished to be supported with all aspects of personal care, such as mobility and communication, and with their daily routines. The plans of care and the assessment of need record we saw for one of the people who lives in the home gave different information on the level of support required by the person with personal care such as using the bathroom. This could mean that the person was not receiving the support they needed in the way they preferred. The plans of care showed how the healthcare needs of the people were being monitored and the action taken by staff to address any concerns and worries. This Care Homes for Older People Page 12 of 28 Evidence: included a record showing the persons contact with doctors, nurses and other healthcare professionals. We saw copies of risk assessments for moving and handling and malnutrition. During our visit to the home we saw the continence advisor arrive to speak with a member of staff about the needs of the people who live in the home. We saw a sample of the records of medication administered by staff to the people who live in the home. These were signed and up to date. We were told that none of the people living in the home manage their own medication. We saw the room where the medication is stored. We were told that the room is also used as a treatment room where the people who live in the home can be seen by doctors and nurses. The care team leader told us that this room is kept locked when not in use. CLS, the organisation that runs the home, has provided policies and procedures on the administration of medication, a copy of which is kept in the home for staff to refer to when they need to. The staff training records seen during our visit showed that staff have received training on the administration of medication so they know how to do this safely, without making errors. During our visit we spoke with people who live in the home. They told us that staff are kept very busy and that some of the people who live in the home are very demanding. During our visit we saw that a number of the people who live at Parklands required a high level of staff support which affected the amount of time they could give to the other people who live there. The care needs of these people was also seen to upset some of the others who live in the home. During our visit we saw that the the way staff support people with personal care tasks such as using the bathroom is not always consistent. We saw in the care plans for one of the people that because they may have problems using the bathroom they should be put on the toileting list. Care Homes for Older People Page 13 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were not receiving the support they need from staff regarding their daily lifestyle so their expectations and preferences about their chosen lifestyle may not be met. Evidence: On the day of our visit we saw one of the people who lives in the home going out to the local village. We also saw another person going out with their family for lunch. Three of the people we spoke with during the inspection said their families and friends are able to visit the home as they wish. They also said they can receive visitors in the communal lounges and in the privacy of their bedrooms. The location of the home, in the centre of the village of Poynton, ensures it is easily accessible to the families and friends of the people who live there. We were told that the home has close links with the local community and that the home is seen as part of the the local community. We saw a list of activities for September on display in the entrance area. During our visit we saw a number of the people who live in the home play bingo that had been organised by the activities co-coordinator. CLS has developed a Marvellous Mealtime policy which sets out how mealtimes are to a relaxing and social occasion for the people who live in the home. However, the mealtime we saw during the visit was Care Homes for Older People Page 14 of 28 Evidence: rushed, people were given their desserts as soon as they had finished their main meals and before others on the table had finished their main meals. We saw staff offered drinks to the people who live in the home from two large jugs, one made of plastic and one made of metal. We saw staff support people with their meals by standing at the table and cutting up their food. Staff were required to offer additional support to one of the people who lives in the home as they were disturbing the others. One member of staff was required to spend time with a visitor to the home who arrived during lunchtime. Tables were being cleared before all the people at the table had finished their lunch. Following their mid day meal the people living in the home were told that a residents meeting was to be held in the communal lounge/dining area. However, it was not clear if they were given the choice on whether they wished to attend. Care Homes for Older People Page 15 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although there are policies and procedures on safeguarding adults staff have not received the training they need to make sure they know what to do to protect the people living in Parklands from harm and abuse. Evidence: We saw the Policy and Procedure feedback customer folder which includes the record of complaints received by the home. We saw a record of two complaints which were received by the home. The complaints recorded were about dirty crockery and the food offered. In the information we were sent about the home before our visit, which was completed by the previous manager for the home, we were told that the home had received four complaints in the last twelve months. The information we had received was that these complaints had been upheld following an investigation by the home. We were told that the statement of purpose and complaints procedure will be updated to show the new contact details for the Care Quality Commission. We saw a notice in the entrance area to the home informing people of the new contact details for the Care Quality Commission. CLS has provided policies and procedures on safeguarding vulnerable adults from abuse. This includes a copy of No Secrets, the guidance for keeping adults safe from abuse. The staff training records we saw showed that sixteen staff had not received training on safeguarding adults, three had received training in 2006 and one in 2005. We were told by the manager that she had identified that staff required training on Care Homes for Older People Page 16 of 28 Evidence: safeguarding and other areas. She also said that she would be meeting with her line manager to plan how these, and other issues, would be dealt with. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained which means that the people living there are living in comfortable and safe surroundings. Evidence: The home is in the centre of the village of Poynton and is close to shops, health centre and other local amenities. There is a private car park to the front of the home. There is also a large public car park to the front of the home. There is an enclosed garden at the back for the people living at Parklands to use. All the bedrooms are single rooms with hand washing facilities and there are sufficient shared toilets and bathing facilities to meet the needs of the people who live in the home. During our visit we saw one of the bedrooms being re-decorated and we saw the maintenance assistant repairing bedside lamps. There are hoists and lifting aids provided to help people with mobility problems move around as independently as possible. Other aids such as wheelchairs, grab rails and lifting equipment are also provided in the home. There are care call points in all bedrooms, bathrooms/ toilets and communal areas which people who live in the home can use to call for help. There is a passenger lift for access between the ground and first floors. During our visit we saw people moving freely between the communal areas and their bedrooms. There is an inner courtyard in the home which has a goldfish pond, bridge and sitting area for the people who live at Parklands to use. Care Homes for Older People Page 18 of 28 Evidence: We spoke with a number of the people who told us that the home is kept clean and tidy. They also told us that the bedrooms suits their needs and one person said it would be better if we had our own toilets. We were told that they are converting an unused bathroom into a storage room for wheelchairs and other equipment. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in the home are supported by staff who have not received up to date training on health and safety matters so they may not be able to provide the safe and appropriate care the people in the home need. Evidence: The staffing rota we saw during our visit showed that there is normally one care team leader and three care assistants on duty during the morning, afternoon and evening. There is usually one care team leader and one care assistant on waking night duty. In addition we saw domestic, kitchen and maintenance staff on duty during our visit. The rota showed that the some members of care staff can be on duty from 8am until 10pm. We looked at the personnel files of three staff. These showed that checks including criminal record checks and background checks are carried out on staff before they began working at the home. These checks are necessary to help to make sure that the staff are suitable to work with the people who live at Parklands. Information on staff qualifications was not included in the information we were sent before our visit to the home but we were given the record of staff training during our visit. This showed that staff training on safeguarding vulnerable adults from abuse, moving and handling and fire safety is not up to date. We were told by the new Care Homes for Older People Page 20 of 28 Evidence: manager that she had carried out an audit of staff training and identified that staff training and other issues required improvement. She said that she will be meeting with her line manager to plan how staff training will be updated as soon as possible. We spoke with staff who told us that the change of manager had happened very quickly. During our visit we saw that staff were very busy supporting the people who live in the home and did not always have time to sit and talk with people who were distressed. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management systems for the home need to be improved to make sure that staff are able to provide safe care and support for the people living at the home. Evidence: The manager for the home had been in post since 24 August 2009. She has worked for CLS since 1995 and has held senior posts which include managing other homes in the organisation. She has achieved an NVQ Level 4 and obtained the Registered Managers Award. She has also attended training to up date her knowledge and skills in caring for older people. We were told that she has carried out an audit of the home and has identified issues that need improving including up dating staff training. We were told that she would be meeting with her line manager shortly after our visit to plan how the issues are to be dealt with. During the inspection we were told that the home does not manage the finances of the people who live there. Staff may, for example, purchase toiletries, newspapers and other items for the people who live in the home and are then refunded by the person Care Homes for Older People Page 22 of 28 Evidence: or their families. We saw the fire safety record log book during our visit which showed that fire drills are carried out, that the fire alarm system is tested weekly and that the emergency lights are tested monthly. We also saw a copy of the fire risk assessment in the entrance hall. We saw a sample of service records which included portable appliance tests, lift service report and a hoist maintenance report which showed that these were inspected in 2009. These checks help to show that the home and the equipment in it are safe for the people who live and work there. Care Homes for Older People Page 23 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 30 18 Staff must receive up to date 30/10/2009 moving and handling training. This is to make sure they know up to date techniques so they can help who live in the home move around safely without risk of injury. 2 30 18 Staff must receive up to date 30/10/2009 fire safety training. This is to make sure they know what to do to protect people who live in the home and themselves if a fire were to break out. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 12 The daily routines within the 30/09/2009 home must be flexible and meet the needs of the people who live there. This is to ensure the people who live in the home have choices about how they wish to live their daily lives Care Homes for Older People Page 25 of 28 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 2 3 14 The assessment of the care needs of people who may wish to live in the home must be completed fully to show all their care needs. This is to show that the persons needs can be met at the home. 30/10/2009 3 7 15 The plans of care drawn up for the people who live in the home must be kept up to date to show how their changing care needs are to be met. This to make sure that as peoples needs change staff have up to date care plans on how these needs are to be met. 30/10/2009 4 7 15 The plans of care drawn up for people who live in the home must show how all their care needs are to be met This is to make sure that they receive safe and appropriate care that meets their needs in a way they prefer. 30/10/2009 5 18 13 Staff must receive up to date training on safeguarding adults from abuse. 30/10/2009 Care Homes for Older People Page 26 of 28 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action This is to make sure staff have up to date knowledge on how to recognise signs of abuse and what action they should take to make sure the people living in the home are protected from abuse. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 27 Staff who work fourteen hour shifts should be monitored to ensure they are not putting the health and well being of the people who live in the home at risk by working long hours. There should be sufficient trained staff on duty to meet the needs of the people living in the home. 2 27 Care Homes for Older People Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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