Inspection on 06/03/06 for Parklands

This inspection was carried out on 6th March 2006.

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 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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Parklands Poynton Civic Centre, Park Lane Poynton Cheshire SK12 1RB Lead Inspector Mr Val Flannery Unannounced Inspection 6th March 2006 10:50 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 DS0000006679.V273072.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 DS0000006679.V273072.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parklands Address Poynton Civic Centre, Park Lane Poynton Cheshire SK12 1RB 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) 01625 879215 01625 850676 www.clsgroup.org.uk CLS Care Services Limited Mrs Zena Meyer Care Home 40 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Old age, of places not falling within any other category (40) Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 40 service users in the category OP (Old age, not falling within any other category) Within that number one (1) named service user in the category of Mental disorder, excluding learning disability or dementia (MD(E)) may be accommodated. When the home no longer cares for the service user in the category MD(E) the home reverts to forty (40) in the OP category. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commision for Social Care Inspection 28th June 2005 2. 3. Date of last inspection 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 the home. A passenger lift is provided to allow access between the ground and first floor of the two-storey building. All the bedrooms are single with hand-washing 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 available for residents with mobility problems. Staff are on duty twenty-four hours a day to deliver care to residents. Parklands DS0000006679.V273072.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 five hours on the 6th March 2006. Feedback following the inspection was given to the manager on that day. One hour was spent reading the previous inspection report and reviewing the service history of the home. During the inspection five residents, the home’s manager and four staff were spoken with. A number of records including three residents care files and three staff personnel files were seen. A partial tour of the building was carried out. What the service does well: Information is made available to prospective residents and their representatives on the service offered by the home. This is on display in the entrance area and includes statement of purpose/service user guide. Plans of care/assessments are in place that show the level of care residents require and how their needs are to be met. Care plans also include health care needs and the involvement of healthcare professionals. The home employs two part-time activities who arrange activities and social outings/events. Residents said the location of the home ensures it is accessible to visitors and is part of the local community. Residents are cared for in a safe, comfortable and clean environment. Residents said they ‘like having their own bedrooms as they can get away from others as they wish’ Residents said the staffing is better now that fewer agency staff are used. They also said staff are helpful and caring. There is a good system in place for ensuring the home is kept clean and safe for residents. The management of the home is keen to ensure the home is run in the best interests of residents. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 6 Six service users, four relatives/visitors and one health/social care comments cards were returned following the inspection. The residents were assisted to complete the comment cards by one of the activity co-ordinators. Comments taken from the cards included ‘ staff are wonderful- slight understaffing’. The returned cards showed an overall satisfaction with the service offered by the home. What has improved since the last inspection? 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 DS0000006679.V273072.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 DS0000006679.V273072.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): 1/2/3/5 Residents are given a copy of the terms and conditions of their residency in the home. Up to date information on the service offered by the home is on display. EVIDENCE: An up-to-date copy of the statement of purpose/service user guide is on display in the entrance area. Also on display was a copy of the last inspection report and feedback from a Customer Satisfaction Survey. The findings of the survey showed that the majority of residents and relatives were satisfied with the service offered. A copy of the contract that sets out the terms and conditions of residency is given to the residents and/or their relatives. Residents said they or their representative were able to visit the home prior to making a decision about moving in. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 9 Three residents’ files were seen, these contained pre-admission assessments carried out by the placing authority and senior staff from the home. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7/8/9/10/11 Care plans set out how residents are to be cared for and how their health care needs are to be met. The record of medication administered to residents is not always completed by staff. EVIDENCE: Three residents’ files were seen during the inspection. These contained background information, assessment of need, plans of care and other personal details. Photographs of residents were not available on every file. However, the manager said there are plans to have a photo on each file as soon as possible. Two residents said staff talk to them about their care needs and ask their opinions on how they wish to live their daily lives. Residents said they receive visits from doctors, nurses and other healthcare professionals like chiropodists. Letters and other correspondence seen on residents’ files show staff or relatives to attend hospital appointments support them. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 11 One of the senior staff was seen administering medication to residents. This was carried out in a satisfactory manner. A sample of the records of medication administered to residents was seen during the inspection. A number of records were not signed (See Requirement Number 1). Residents said staff ‘treat us well’ and that they ‘talk to them when they are caring for them’. Residents also said that although staff are ‘friendly and kind’ they work very hard and are kept very busy. CLS have provided a policy on caring for residents who are ill and a policy on the death of a resident. Copies of these are available to staff. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12/13/14 Risk assessments are carried out that help ensure residents are able to exercise choice and manage their daily lives in safety. EVIDENCE: Two of the residents spoken with said they have lived in the home for a number of years. They said that although ‘things have changed, particularly the staff group, they still like living in the home’. Positive comments were received about the two part time activities coordinators, a list of forthcoming activities was on display in the entrance area. Care plans show that residents’ wishes on how they want to live their daily lives has been discussed with them. Residents said relatives and friends are able to visit as they wish. They also said they are able to go out with their relatives to shops, pubs etc. Care plans contain details on relatives, friend and residents next of kin. Staff spoken with were aware of the needs of residents and how they wished to be cared for. During the inspection staff were seen talking to and caring for residents, for example using the bathroom and having their meal. This was carried out in a sensitive and caring manner. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Procedures are in place to ensure residents are able to raise issues of concern, also to ensure they are protected from abuse. EVIDENCE: 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 two complaints have been received by the home. CSCI were informed by the home of the complaints and the outcome of their investigations. CSCI have not received any complaints about the home. 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. Staff are aware of the complaints and adult protection procedures. It is the policy of CLS that residents and/or their relatives manage their legal affairs, including their finances wherever possible. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19/20/21/22/23/24/25/26 A safe and clean environment is provided for residents. Sufficient bathrooms, toilets and communal space are provided for residents. 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 Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 15 home. There are care call points located in bedrooms, bathroom/toilets and communal areas. 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 domestic supervisor said there is a procedure in place that ensures all parts of the home receives regular cleaning. The paintwork and surroundings on a number of doors on the ground floor are chipped and stained (See Recommendation Number 1) Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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): 27/28/29/30 Residents are cared for by staff who are aware of their care needs and how these are to be met. 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 on duty were three general assistants, cook, kitchen assistant, laundry staff and the home service manager. Residents said staff are ‘kind, caring and very willing to help’ and ‘you can have a laugh with them’ and they respond quickly to requests for help. They also said that staff are ‘rushed off their feet’ and often do not’ have time to sit and talk’. Staff have access to NVQ training in care and other courses such as handling/lifting, fire safety and first aid. Senior staff monitor their care practices. Staff also receive individual supervision and have regular staff meetings. The manager said the home does not have an internal assessor for NVQ training, this has meant a number staff are not able to complete their NVQ. She did say that they are hoping to find a solution as soon as possible. Information received from the home showed that four staff have achieved NVQ Level 2 and one staff has a GNVQ in Health and Social Care. Four staff are in the process of completing their NVQ Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 17 (See Recommendation Number 2) Three staff records were seen. The following information was not available: • One file did not have a recent photograph The manager said this would be addressed. Also the method for storing the information was different for individual files (See Recommendation Number 3) Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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): 31/32/33/36/37/38 The manager for the home is experienced in caring for older people; she is committed to ensuring the home is run in the best interests of residents. EVIDENCE: Since the last inspection the registered manager has transferred to another CLS home in the Macclesfield area. The new manager (who has applied to be the registered manager for the home) has worked for the organisation in a senior capacity for a number of years. She is in the process of completing her NVQ Level 4 and Registered Managers Award. The manager confirmed that she has attended training courses and regularly up dates her knowledge on managing a care home. During the inspection she was receiving training on improving her IT skills. Staff who have worked in the home for a number of years have worked with the new manager before. They said she will be good for the home’ because of Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 19 her experience in caring for older people’. Residents spoken with were aware of the change of manager; they said they had met the ‘new manager and that she was very nice’. The findings of a Customer Satisfaction Survey were seen. This showed that the majority of residents and their relatives were satisfied with the level of service offered. Staff spoken with said they receive individual supervision from senior staff in the home. They also said they attend regular staff meetings. A number of health and safety records seen including • Portable Appliance Test • Lift Service Record • Fire Safety • Three Year Fixed Wire Test • Hoists/Lifting Aid Service Record • Boiler Service Record These were satisfactory. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 3 3 3 Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 21 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(2) Requirement The record of medication administered to residents must be signed by staff Timescale for action 01/05/06 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. 2. 3 Refer to Standard OP19 OP30 OP29 Good Practice Recommendations That the damaged paintwork be repainted/repaired. That 50 of care staff achieve an NVQ Level 2 or equivalent. That the information in staff personnel records is systematically stored. Parklands DS0000006679.V273072.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office 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 DS0000006679.V273072.R01.S.doc Version 5.0 Page 23 - 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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