CARE HOMES FOR OLDER PEOPLE
Parklands Parklands Highfields New Road Crook Durham DL15 8PU Lead Inspector
Bridgit Stockton Unannounced Inspection 27th February 2006 09:30 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 DS0000007496.V287583.R01.S.doc Version 5.1 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 DS0000007496.V287583.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Parklands Address Parklands Highfields New Road Crook Durham DL15 8PU 01388 762925 01388 762925 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) Mr Tarsem Lal Chopra Lisa Zoe Foster Care Home 36 Category(ies) of Dementia (1), Learning disability (3), Old age, registration, with number not falling within any other category (32) of places Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Named Individual: The home may accommodate a named individual as set our in a letter to the registered person dated 1 February 2006 which establishes the basis on which the individual’s needs will be met by the home. Where necessary the home’s Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else, other than the named individual, who falls outside the registered category. 18th October 2005 Date of last inspection Brief Description of the Service: Parklands Residential Care Home provides residential care services For up to thirty six older people who require personal care. The home is situated in a quiet part of Crook and is conveniently located for access to all local amenities. The home is a two-storey building that is serviced by a passenger lift. There is ample car parking space located at the front of the home and the gardens are safe and well kept. Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 4 hours on 27th February 2006. The plan for the inspection was to check whether the home had met previous requirements and recommendations; to talk with service users about living in the home; to meet with care and kitchen staff and the home’s management team; and to look at records. What the service does well: What has improved since the last inspection?
The manager has reviewed service users care plans, to ensure that all the needs of the service users are clearly documented. This helps staff make sure that each resident gets the support and assistance that is needed for them to live safely and comfortably. A program of redecoration has commenced; the large communal lounge was being redecorated during the inspection. Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these outcomes where assessed on this occasion EVIDENCE: Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 9 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&9 Whilst service users can be confident that their care needs will be met by effective care planning, some practices associated with how medication is stored and administered could potentially put service users at risk. EVIDENCE: Since the last inspection service users care plans have been reviewed and updated to include all aspects of service users care. All of the care plans looked at contained a considerable amount of information and staff were recording and evaluating the plans on a regular basis. Service users and staff confirmed that the care that was written in the plan was actually the care they were receiving. One service user said ‘ I am not sure if its written down how I am looked after, all that I know is, I could not be looked after any better anywhere else’ The medication at the home was inspected. The home operates a monitored dose system. All of the medication was signed for on the medication administration record. Some of the tablets that were not in the monitored dose system and still in the original containers were counted and correct.
Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 10 An area of concern was the way in which service users medication was stored. The home does not have a drugs trolley. This means that the tablets are taken from the cupboard in which they are stored and carried around the home by the member of staff who is administering the medication. Should the member of staff be called away urgently, they would not be able to lock the medication away quickly. In addition the drugs fridge that is currently being used is not suitable to store medication. The fridge must be lockable and the temperature of the fridge must be recorded daily, to ensure the medication is stored at the correct temperature. Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 11 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): Service users can be confident that they receive well-balanced, nutritious and appetising meals. EVIDENCE: Without exception, service users said that the food was good. One service users said ‘the food is lovely, always nice and hot’. Another service users said ‘There is always a choice, if you don’t like what’s on offer you can always have something else.’ Observation of the lunchtime meal provided evidence that service users were able to make choices about the meals they wished to eat. There was evidence of home cooking such as homemade cakes and pies. A recent environmental health inspection had raised some areas that needed attending to in the kitchen, and these where being done. Currently the home does not have a kitchen assistant, the cook does all the cooking and cleaning of the kitchen. The manager should review this arrangement. The cook said it was difficult to ensure that proper cleaning schedules go ahead as she does not have enough time to do everything that is expected of her. Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 12 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): None of these outcomes were inspected on this occasion EVIDENCE: Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 13 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): Whilst the home was clean and comfortable some of the communal areas are in need of attention EVIDENCE: The communal areas of the home were clean and residents confirmed that their bedrooms were also cleaned to a good standard. Currently the decorators were at the home redecorating the large downstairs communal lounge, this was identified as in need of redecorating at the last inspection. The paintwork in the entrance hall is still in need of attention and the light coloured carpet is showing signs of wear particularly at the front door and near to the entrance of the downstairs toilets. Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 14 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): None of these outcomes were assessed on this occasion EVIDENCE: Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 15 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): None of these outcomes were assessed on this occasion EVIDENCE: Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 17 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 OP9 Regulation 13 Requirement All medication that requires cold storage must be stored in a lockable drugs fridge. To avoid risk to service users, medication should be stored in a lockable drugs trolley. When this trolley is not in use it must be chained to the wall Timescale for action 27/04/06 2 OP9 13 27/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP19 Good Practice Recommendations It is recommended that a program be compiled with timescales for the redecoration/refurbishment of the communal areas in the home, and this be copied to the commission. It is recommended that the manager review the staffing levels in the kitchen to ensure that cleaning tasks can be completed properly. 2. OP15 Parklands DS0000007496.V287583.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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