Inspection on 08/06/05 for Parklands

This inspection was carried out on 8th 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 30/03/09

Parklands 27/03/08

Parklands 08/11/06

Parklands 29/11/05

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 4ND Lead Inspector Sue Dewis Announced 8 June 2005 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 D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parklands Address Kensham Avenue Bradninch Exeter EX5 4RD 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) 01392 881375 01392 881375 Mr Roy Baker Care Home 27 Category(ies) of DE(E) Demntia - over 65 (27) registration, with number OP Old age (27) of places Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22 December 2004` 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.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 D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over one day in early June 2005. A pre-inspection questionnaire, 10 residents’ comment cards and six visitor cards were received. The inspector spoke with the management team, three staff and four residents. Three residents care plans and all staff records were inspected. What the service does well: What has improved since the last inspection? What they could do better: Preadmission assessments must be completed before residents are admitted to the home to ensure the home can meet their needs. Care planning should be improved so that staff know what to do for each resident. Daily recordings should be made more useful so that it is possible to ‘track’ when concerns have been raised through to when they have been dealt with. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 6 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 D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 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 standard(s) 2, 3, 4 and 5 There is no proper assessment prior to people moving into the home. Without this there is no assurance that care needs will be met. EVIDENCE: Three files were looked at, and none of them contained a pre-admission assessment. Though the home always visits prospective residents, there is no evidence that they have been thoroughly assessed either by the home or the placing authority. The home does have a pre-admission assessment form but it has not been used. Two recently admitted residents were spoken with, one said that they had had a visit from someone from the home and had visited the home before moving in. The other had visited the home for day care for several years prior to admission and said she knew the home well. All three files contained a signed copy of the home’s statement of terms and conditions. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 10 There is no clear or consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet the needs of the residents EVIDENCE: Three care plans were inspected and all had been regularly reviewed. All contained risk assessments for mobility, together with a manual handling plan. There were no other assessments and therefore it was difficult to see how needs had been identified. There were some directions to staff on how to care for residents, but they were rather vague and did not contain specific detail on what help residents need. Daily recordings were very sparse and did not provide clear evidence of care that had been provided. Some information was duplicated and the care plans could benefit from being simplified. However, staff were aware of the needs of the residents and how these should be met, they were also seen to offer personal care in a discreet manner. Care plans showed evidence of visits from other healthcare professionals, that show that health care needs are being well met. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 10 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 and 15 Social activities that are offered provide stimulation and interest for residents. Residents are able to maintain contact with family and friends. Meals are nutritious and offer a healthy and varied diet for residents. Residents views are sought from time to time and they feel that they can affect the way the home is run. EVIDENCE: There are a variety of activities on offer, including armchair exercises, reading and jigsaws. Staff said that they have time to sit and chat to residents, and residents confirmed this and two said that the staff treated them ‘very well and nothing was too much trouble’. Residents go out regularly with their families and friends, and one resident was on holiday at the time of the inspection. There is a sign near the front door saying that all visitors are welcome, but are asked to avoid meal times. Residents said that their visitors are always made to feel very welcome and visit often. The local vicar will visit if requested, but does not visit on a regular basis. Residents are asked about likes and dislikes and what they want to do on a variety of occasions, including an ad hoc questionnaire. Staff said that residents will talk about things and make requests to them, especially when they are ‘doing their nails’. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 11 Lunch was taken with residents and it was well presented and nutritious. All residents enjoyed their meal and particularly the sweet, which is a speciality of Mr Baker. One resident said ‘they do feed us well, you know’. Other residents commented that they always enjoyed their food, though didn’t always know what they were having, so it was difficult to know if they would like it. Residents said that they would like to know what was on the menu and Mrs Baker and Linda Hall are arranging for a daily menu to be displayed in the hall. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 Residents are confident that their concerns will be listened to, taken seriously and acted upon. Staff training ensures residents are protected from abuse. EVIDENCE: There is a simple complaints procedure contained in the resident’s ‘Terms and Conditions’. Residents were aware of who they should raise concerns with, and felt confident that if they had any concerns they would be dealt with immediately. A complaint log is maintained, but showed no complaints. No complaints have been received by CSCI, since the last inspection. Staff have received training in recognising and dealing with abuse and were able to tell the inspector how they felt they had benefited from this training and what they would do if abuse was suspected. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 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 standard(s) 19, 23, 24, 25 and 26 The standard of the environment within the home is good, providing residents with a safe, attractive and homely place to live. EVIDENCE: The home was clean, comfortable and well maintained. New rooms all have ensuite facilities and are decorated and furnished in a homely manner. Two residents who have moved over to the new rooms said that they were very happy with their rooms. The home continues to improve the environment throughout, and a new bathroom is being installed upstairs. There were no unpleasant odours around the home and staff said that have recently received more training in hygiene around the home. Three resident’ rooms were looked at and they each had personal possessions displayed and reflected the personalities of the occupant. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 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 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, 29 and 30 The deployment and numbers of staff available throughout the day are sufficient to meet the needs of the residents. Residents needs are met by well motivated and trained staff. EVIDENCE: There were two care staff and one cook on duty as well as the owner and care manager. Team assistants are also employed to take round drinks and help with domestic tasks. The care staff said that they did not feel rushed at any time and had time to spend chatting to residents. They felt that should resident numbers or dependency levels increase that more staff would be available. The staff said that they had recently started NVQ 2 and were really enjoying it and finding it very useful. They have also completed courses in Health and Safety, Moving and Handling, dealing with challenging behaviour and First Aid. Staff records were complete and showed evidence of regular supervision and appraisals, which staff also confirmed they received. No staff have been employed since the last inspection. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 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 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, 36 and 38 The home is well managed and this results in practices that promote and safeguard the health, safety and welfare of the residents. EVIDENCE: The owners have run the home for many years and Mr Baker is currently working for the Registered Managers Award. Moving and handling assessments have been completed for residents, and all radiators are now covered. The Fire Log book was well maintained and staff confirmed that they receive regular training in fire precautions as well as Health and Safety. Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 1 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 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 3 x x x x 3 x 3 Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 17 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 3 Regulation 14(1) Requirement You are required to obtain an assessment prior to any person being admitted to the home Timescale for action 02/08/05 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 7 Good Practice Recommendations You are recommended to simplify care plans, and to ensure all daily recordings are useful and allow events to be tracked. The plans should also show more details as to how staff are to meet the needs of the residents Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Suite 1, 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. Extracts may not be used or reproduced without the express permission of CSCI Parklands D54-D06 S22003 Parklands V222706 080605 Stage 4.doc Version 1.30 Page 19 - 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. 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