Inspection on 28/06/05 for Parklands

This inspection was carried out on 28th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Parklands 27/08/09

Parklands 12/09/07

Parklands 24/01/07

Parklands 06/03/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Parklands Poynton Civic Centre Park Lane Poynton SK12 1RB Lead Inspector Val Flannery Unannounced 28 June 2005 10.10 am th 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 F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parklands Address Poynton Civic Centre Park Lane Poynton Cheshire SK12 1RB 01625 879215 01625 850676 www.clsgroup.org.uk CLS Care Services Limited/Mr Nick Dykes 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) Mrs Zena Meyer Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number 40 of places Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th October 2004 Brief Description of the Service: Parklands is a care home only and provides care for forty older people. Located in the town of Poynton the home is adjacent to the library and medical centre. A range of shops, pubs, a church and other facilities are within walking distance of home. A passenger lift is provided to allow acess between the ground and first floor of the two storey building. All the bedrooms are single with handwashing facilities. Sufficient bathing and toilet facilities are provided for the residents. A number of communal lounges are located around the home. A large dining room is located on the ground floor. The inner courtyard area has been developed to provide a fish pond and bridge and is accessible to residents. Residents also have access to a garden area to the rear of the home. A range of aids including bath hoists, wheelchairs, grab rails and other lifting equipment are availabe for residents with mobility problems. Staff are on duty twenty four hours a day to deliver care to residents. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over seven hours on the 28th June 2005. Feedback following the inspection was given to the registered manager on the 30th June 2005. One hour was spent reading the previous inspection report and reviewing the service history of the home. During the inspection eight residents, five relatives, two social workers and five staff were spoken with. A number of records including six residents care files were seen. A partial tour of the building was carried out. What the service does well: A copy of the statement of purpose and service user guide was available in residents’ bedrooms. This allows residents the opportunity to read the document in their own time. Residents, relatives and the social workers spoken with said, on the whole, they are satisfied with the service offered. They also said they were able to visit the home and experience the ‘atmosphere’ before making a decision about moving in. Plans of care are discussed and agreed with residents and their relatives, (where appropriate). The healthcare needs of residents are identified and recorded. On the day of the inspection two district nurses were seen visiting a number of residents. Residents are encouraged and supported to choose how they live their daily lives including where they socialise, when they go to bed and get up and which visitors they receive. They also said the food was ‘good’ and that they are offered a choice of menus each day. Residents and relatives said the part-time activities co-ordinator organises events for groups of, and individual, residents. Residents, relatives and others are made aware of the complaints procedure. They said the manager listens to them and will take their complaints/worries seriously. Residents are able to choose the décor and furnishings for their bedrooms. The home was clean, safe and did not have unpleasant smells. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 6 Residents and relatives said the staff are kind and caring, particularly the permanent staff and some agency staff. Staff were aware of the care needs of residents and how these are to be met. Residents, relatives and staff were positive in their comments about the manager. They said she listens to them and will take action to sort out their worries and problems. What has improved since the last inspection? What they could do better: The copy of the statement of purpose and service user guide on display in the entrance hall is not up to date. An up to date copy should be made available. The damage to doors and door jambs, caused by wheelchairs, would benefit from maintenance work and would improve the appearance of the home. An issue was identified during the inspection whereby a resident admitted to the home was assessed, by Social Services, as suffering from ‘ Mental disorder, other then dementia’. Parklands is registered to care for residents in the category of’ old age, not falling with any other category’. The manager and senior staff who carry out the pre-admission assessments must ensure only residents who fit the homes’ registration category are offered a place. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 7 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 F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 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 F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 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) 1/3/4/5 The admission procedure includes a pre-admission assessment of residents care needs. This will ensure the home can meet those needs. Information on the service offered by the home is given to residents EVIDENCE: Residents and relatives spoken with said they had received information about the home before making a decision about moving in. On the day of the inspection a copy of the statement and purpose and service user guide was available in residents’ bedrooms. A copy of the previous inspection report was on display in the entrance hall. The copy of the statement of purpose and service user guide on display in the entrance hall was not up to date and did not contain all the information about the service offered by the home (See Recommendation Number1) A copy of the pre-admission assessment, carried out by senior staff from the home, was seen on the six care files inspected. Also available was a copy of the standard assessment documentation provided by the funding authority. A number of residents said staff from the home have visited them before they moved into the home and talked about their care needs. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 10 The home also admits residents as part of a Rapid Response Scheme. In partnership with the local hospital and social services, residents who require minimal support are able to stay in the home for a short period of time before they return home. During their stay in the home these residents receive regular monitoring visits from the medical staff and social services. Five residents said they were unable to visit the home before moving in because of their personal circumstances. The relatives spoken with said they had visited the home on behalf of the resident. During the inspection a relative was seen visiting the home on behalf of his mother. The residents and relatives said the home was, on the whole, providing the level of care they were expecting. A number did comment that staffing levels and the use of agency staff did affect the quality of care offered. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 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 standard(s) 7/8/9/10 Residents’ health and personal care needs are set out in their plans of care. These needs are met by the home. Residents are, in the main, treated with respect by staff. EVIDENCE: Residents spoken with said they are visited by doctors and district nurses. During the inspection two district nurses were seen visiting residents. Six residents’ plans of care were seen, these included details of residents’ health and personal care needs. Also included were records of visits by doctors and other healthcare professions and the reason/outcome of these visits. A number of residents said staff talk to them about their care plans; also they are able to read the plans if they wish. One of the relatives said she had seen and signed the care plans on behalf of her mother. The level of help required by residents with personal care, for example, bathing, eating and dressing are included in the plans of care. A sample of the record of medication administered to residents was seen. The records were signed by staff and showed that residents are given their prescribed medication. Satisfactory arrangements were seen on the administration of Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 12 medication to residents by staff. Staff spoken with were aware of the organisation’s policies on the administration of medication. Residents said they are, on the whole, treated well by staff and that their privacy is respected. However, a number of residents and relatives said some of the agency staff used by the home ‘are not very good’. They said it’s better when ‘the regular staff are on duty’. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 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 standard(s) 12/13/14/15 Residents are encouraged and supported to exercise choice over their daily lives. They are also able to maintain contact with friends and relatives. EVIDENCE: Residents and relatives spoken with said staff encourage them to exercise choice over their daily lives. This includes when they go to bed, when they get up, who they mix with socially and where they eat their meals. Care plans also showed that residents, and relatives where appropriate, are consulted about activities and the level of support they need to take part. The home has a part time activities co-ordinator who, according to residents, is ‘very good’. Records seen showed that activities are arranged for individual and groups of residents. Residents and relatives said visitors are welcome in the home and that they are able to see residents in private. Information on maintaining contact with residents is included in the statement of purpose. Residents said the menus have improved since the appointment of a new cook. The menus seen showed that residents are offered at least three choices for their main meals. During the inspection the mid-day meal was seen been served to residents. This was well presented and appealing. In discussion with the cook he confirmed that special dietary needs are catered for. He also Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 14 said he checks with residents on a regular basis that they are satisfied with the meals offered. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 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 standard(s) 16/17 Procedures are in place to respond to complaints and adult protection issues. The procedures enable residents, relatives and others to raise concerns and know they will be taken seriously. EVIDENCE: Residents, relatives and social workers spoken with said they are aware of the complaints procedure and whom to raise worries with. They also said their complaints are taken seriously and acted upon by the manager. The complaints procedure on display in the entrance hall included details on how to contact the Commission for Social Care Inspection. Since the last inspection four complaints have been received about agency staff. These were investigated by the home in liaison with the staffing agency and CLS staffing bank. CSCI were informed by the home of the complaints received. CLS have provided an adult protection procedure a copy of which is kept in the home. A copy of the government guidance document ‘No Secrets’ was also available in the home. Two adult protection issues are currently under investigation by Cheshire Social Services. Staff spoken with are aware of the complaints and adult protection procedures. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 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 standard(s) 19/20/21/2/23/24/25/26 A safe and clean environment is provided for residents. Sufficient bathrooms and toilets are available to meet residents’ needs. EVIDENCE: All the bedrooms are single and provide hand-washing facilities. The bedrooms seen during the inspection contained residents’ personal possessions such as furniture, photographs and ornaments. Residents said the bedrooms suit their needs and that they are offered keys to their rooms. A lockable storage space is also provided in the bedrooms. Thirteen toilets and five bathrooms are located around the home for use by the residents. These areas have locking mechanisms on these doors that ensure the privacy and safety of residents. Hoists and lifting aids are provided in these areas to assist residents with mobility problems. Other aids such as wheelchairs, grab rails and lifting equipment are also provided about the home. There are care call points located in bedrooms, bathroom/toilets and communal areas. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 17 Sufficient communal lounges and a dining area are provided by the home. An inner courtyard with goldfish pond, bridge and sitting area is accessible to residents. There is an enclosed garden area to the rear of the home. On the day of the inspection the home was clean and free from unpleasant smells. The maintenance assistant said that bedrooms are redecorated when they become vacant. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 18 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) 27/28/30 Staff are aware of their responsibilities with regard to caring for residents. They receive training and supervision to ensure they continue to develop their caring skills. EVIDENCE: Staffing rotas showed that there is normally one care team leader and three care assistants on duty during the day, afternoon and evening. There is normally one care team leader and one care assistant on duty during the night. Support staff employed by the home include domestic, kitchen and laundry staff and a maintenance assistant. The rota showed that one care assistant is to work four x fourteen hour shifts for the week ending the 2nd July 2005. Also shown was that she and other care staff regularly work fourteen hour shifts. Working such long shifts may affect staff ability to meet the assessed care needs of the residents (See Recommendation Number 2) Residents and relatives said staff are ‘kind, caring and very willing to help’. They also said that staff are ‘rushed off their feet’ and often do not’ have time to sit and talk’. Residents and relatives said there has being an improvement in the overall staffing since the home stopped using so many agency staff to cover shifts and appointed additional permanent staff. Agency staff, according to residents and relatives, ‘do not know the home or residents’. Staff have access to NVQ training in care and other course such as handling/lifting, fire safety and first aid. Their care practices are also Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 19 monitored by senior staff and any issues addressed, for example, during individual supervision and staff meetings. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 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 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) 31/32/33/36/38 The home is run by a manager who has extensive experience in caring for older people. The health and safety of residents, staff and other visitors to the home is promoted. EVIDENCE: The registered manager has worked for the organisation in a senior capacity for a number of years. She has obtained qualifications and attended training required for the day-to-day running of the home. Residents and relatives said the manager will listen to them and take action to address their concerns and worries. Staff said the manager offers support and guidance on the delivery of care to residents. They also said they are made aware of the policies and procedures of the organisation. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 21 During the inspection the care team leader said the registered manager will be transferring to another CLS home for a period of seven weeks. The manager confirmed, during feedback, that details of the proposed transfer have yet to be finalised. The assessment documentation provided by the funding authority showed one of the residents care needs as ‘Mental Health, other then dementia’. Parklands is registered to care for forty adults in the category ‘Old age, not falling within any other category’. An application to vary the conditions of registration for the home has not being received by CSCI. Staff spoken with said they were concerned that they ‘are not meeting the residents’ needs’; also that the ‘resident is very demanding’. During the feedback to the manager she said her pre-admission assessment showed that the residents care needs were no greater then a number of current residents. She also said it was not her intention to breach her category of registration and that she forgot to submit a variation request before the resident was admitted. (See Requirement Number 1) Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 x 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 2 3 3 x x 3 x 3 Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 23 No 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 31 Regulation Requirement Variation requests to admit residents who fall outside the homes registration category must be made to CSCI before they are offered a place. Timescale for action 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. Refer to Standard 1 27 Good Practice Recommendations Provide an up to date copy of the statement of purpose and service user for the entrance hall Seek advice and guidance from the organisations human resource department to ensure the long hours/number of shifts worked by some staff are acceptable. Also that they met with current employment law/practices. Parklands F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 F51 F01 S6679 Parklands V235020 280605 Stage 4.doc Version 1.40 Page 25 - 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. 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