Inspection on 29/11/05 for Parklands

This inspection was carried out on 29th November 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 30/03/09

Parklands 27/03/08

Parklands 08/11/06

Parklands 08/06/05

Parklands 22/12/04

Parklands 22/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Parklands Kensham Avenue Bradninch Exeter Devon EX5 4RD Lead Inspector Sue Dewis Unannounced Inspection 29 November 2005 10:30 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 DS0000022003.V264090.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parklands DS0000022003.V264090.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parklands Address Kensham Avenue Bradninch Exeter Devon EX5 4RD 01392 881375 01392 881375 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 Roy Baker Mrs Heather Baker Care Home 27 Category(ies) of Dementia - over 65 years of age (27), Old age, registration, with number not falling within any other category (27) of places Parklands DS0000022003.V264090.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2005 Brief Description of the Service: Parklands is a large detached, adapted home, that is former Duchy property. It stands in beautiful grounds with lovely views over the surrounding countryside. The home is registered to provide accommodation and personal care for up to 27 older people who may also have dementia. There are ten rooms within the home that are registered for double occupancy. However, all bedrooms are currently used for single occupancy only. Eleven bedrooms have ensuite facilities. There is a passenger lift to the first floor and ramps fitted around the home to give easy access for wheelchair users. An extension has been built to the side of the home and contains 7 bedrooms and a shower room. All new bedrooms are over 12 sqm and ensuite. Parklands DS0000022003.V264090.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over approximately four hours one day late in November 2005. The inspector spoke with six residents and two staff as well as the management team. The inspector took lunch with residents and did a partial tour of the building. What the service does well: What has improved since the last inspection? All prospective residents are now fully assessed prior to their admission to the home. Care plans have been simplified and staff are much more involved in drawing them up and recording on them. Parklands DS0000022003.V264090.R01.S.doc Version 5.0 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 DS0000022003.V264090.R01.S.doc Version 5.0 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 DS0000022003.V264090.R01.S.doc Version 5.0 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): 3 Prospective residents are assured that their care needs can be met. EVIDENCE: A new pre-admission assessment form was seen on the files of two of the most recently admitted residents. One of the new residents was spoken with and they told the inspector that they had visited the home before their admission and felt that the home was fully aware of their care needs. Parklands DS0000022003.V264090.R01.S.doc Version 5.0 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 and 10 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet the needs of the residents. Personal support is offered in such a way as to promote and protect residents’ privacy dignity and independence. The systems for the administration of medication are good, with clear and comprehensive arrangements in place to ensure residents’ medication needs are met. EVIDENCE: New format care plans have been introduced and staff reported that they are now much more useful. Three care plans were inspected in detail and several others were briefly looked at. Each care plan set out in detail how the staff are to meet the day to day needs of the resident, and had been reviewed on a regular basis. The plans contained details of specific medical needs and those who had diabetes had a ‘diabetic care plan’ that is to be reviewed by District Nurses in Parklands DS0000022003.V264090.R01.S.doc Version 5.0 Page 10 the New Year. Records were maintained showing visits by District Nurses and GP’s. Daily records are now made by all staff. There was a discussion between the inspector and the management team regarding good recording practices. It was decided that staff should be encouraged to become confident in writing general information before being asked to be more specific and relevant. Staff were seen giving residents’ their lunch time medication, and all correct procedures were followed. There is now a separate medicine room, where all medicines are securely stored. Two systems are in operation, one where medicines come from Boots and one from the local dispensing doctor. The home continues to follow the procedures for both systems that were recommended by the pharmacist inspector from CSCI at his visit on 16 July 2004. The inspector spent time in the main lounge observing the interactions between staff and residents. The majority of residents did not want to speak with the inspector on this occasion as they were chatting between themselves and with staff. There was much friendly and appropriate chat about activities and Christmas plans. One resident told the inspector that the staff were ‘really helpful’ and gave her very good care, always respecting her privacy and dignity. Parklands DS0000022003.V264090.R01.S.doc Version 5.0 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): None of these standards were inspected on this occasion. For more information please see the report of the inspection carried out on 8 June 2005. EVIDENCE: Parklands DS0000022003.V264090.R01.S.doc Version 5.0 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 standards were inspected on this occasion. For more information please see the report of the inspection carried out on 8 June 2005. EVIDENCE: Parklands DS0000022003.V264090.R01.S.doc Version 5.0 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): 19 and 26 The standard of the environment within the home is good, providing residents with a clean, safe, comfortable and homely place to live. EVIDENCE: The inspector looked at the communal areas of the home, but not individual residents’ bedrooms. The communal areas are comfortable and homely. There were no unpleasant smells around the home. On the day of inspection there were workmen in the home putting up the Christmas decorations. Residents were chatting about the decorations and wondering what they would be like this year, as every year great effort is put into making the decorations very special. Residents very proudly told the inspector that people come a long way just to see their Christmas decorations. Parklands DS0000022003.V264090.R01.S.doc Version 5.0 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): 27 and 28 Staffing levels are sufficient to meet the needs of the residents. Residents’ needs are met by well motivated and trained staff. EVIDENCE: There is Manual Handling training planned for later this week, and successful completion of this will mean that most of the staff will have finished their NVQ2. One member of staff told the inspector that the NVQ had been ‘very good and interesting’. They said that though they did not want to do NVQ3 they would like to continue to do various short courses. The other member of staff spoken with has not had any NVQ training as they are leaving to start a nursing course. Staff were aware of the individual care needs of the residents and spoke with enthusiasm about their work. On the day of inspection there were two care staff, one senior carer and a cook on duty. Residents told the inspector that the staff were always there if they wanted anything, and that they did not have to wait for help. They also said that they did not want staff around them all the time, as they wanted some independence. Staff told the inspector that they have time to spend chatting with residents, and that they have recently been making Christmas collages and will be making Christmas cards next week. Parklands DS0000022003.V264090.R01.S.doc Version 5.0 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): 33 and 35 The home is well managed resulting in practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: The management team decided that in order to gain more detailed information they will target specific areas in the next questionnaires, such as food or the environment. The team told the inspector that they were always chatting to residents to find out what they wanted, and residents had recently said that they would occasionally like some music in the lounge. CD’s have been obtained and residents have music when they wish. While residents were doing a jigsaw in Parklands DS0000022003.V264090.R01.S.doc Version 5.0 Page 16 the lounge they told the inspector that they now enjoyed listening to the music that they had asked for and was now playing. The home does not manage any money on behalf of residents. Parklands DS0000022003.V264090.R01.S.doc Version 5.0 Page 17 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 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X 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 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Parklands DS0000022003.V264090.R01.S.doc Version 5.0 Page 18 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. Standard Regulation Requirement 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. Refer to Standard Good Practice Recommendations Parklands DS0000022003.V264090.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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. 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