Inspection on 09/09/08 for Parklands

This inspection was carried out on 9th September 2008.

CSCI found this care home to be providing an Good service.

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 06/09/06

Parklands 27/02/06

Parklands 18/10/05

Parklands 19/10/04

Parklands 27/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/11/2008.

CARE HOMES FOR OLDER PEOPLE Parklands Highfields New Road Crook Durham DL15 8PU Lead Inspector Andrea Goodall Key Unannounced Inspection 9th September 2008 09:30a X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Address Highfields New Road Crook Durham DL15 8PU 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) 01388 762925 P/F 01388 762925 Mr Tarsem Lal Chopra Lisa Zoe Foster Care Home 36 Category(ies) of Dementia (12), Learning disability (3), Old age, registration, with number not falling within any other category (32) of places Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Named Individual: The home may accommodate a named individual as set our in a letter to the registered person dated 1 February 2006 which establishes the basis on which the individual’s needs will be met by the home. Where necessary the home’s Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else, other than the named individual, who falls outside the registered category. 6th September 2006 Date of last inspection Brief Description of the Service: Parklands Residential Care Home provides residential care services for up to thirty six older people who require personal care. It does not provide nursing care. Parklands is a grand, part-Georgian building set in its own grounds. It is just off a main road in a quiet part of Crook, and is close to all local amenities. The home is a two-storey building that is serviced by a passenger lift. There is ample car parking space located at the front of the home. Currently the scale of fees charged at the home is £390.50 for people funded by the local authority, and £405.50 for people who are privately funded. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2**. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • information we have received since the last visit on 6th September 2006 and from the annual service review we carried out on 31st March 2008 • how the service has dealt with any complaints since the last visit • any changes to how the home is run • the provider’s view of how well they care for people The Visit: An unannounced visit was made on 9th September 2008. During the visit we: • talked with people who use the service, relatives, staff, the manager & visitors • joined residents for a meal and looked at how staff support the people who live here • looked at information about the people who use the service & how well their needs are met • looked at other records which must be kept • checked that staff had the knowledge, skills & training to meet the needs of the people they care for • looked around parts of the building to make sure it was clean, safe & comfortable • checked what improvements had been made since the last visit We told the manager what we found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? An activities staff has been appointed to start work soon so that there will more social events for residents to choose from. Several bedrooms have been redecorated since the last inspection. New bedrooms furniture has been provided which has brightened the rooms. More catering staff have been employed to help the cooks provide the excellent catering service here. More staff have completed a professional care qualification. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Parklands DS0000007496.V371389.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 5. (NMS 6 does not apply to this service.) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Prospective residents can be assured that their needs are appropriately assessed prior to admission to the home and that they can make an informed choice before moving into the home. EVIDENCE: Parklands care home has been open for around 20 years and is a well-known resource in this tight-knit community. People who come to stay here are given an information pack, called a Service Users’ Guide, which includes useful information about what they can expect from the service. At this time some of the information is now out of date so it is ready for review. Most of the people who live here are from the local area and chose the home because they were familiar with it. Some people already knew a few of the Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 10 staff, and they felt that this made it easier for them to settle in. Some people had already stayed at the home for short-breaks. One person said, “I looked around a couple of other places, but I chose Parklands because from the minute I came to look around I was made to feel so welcome.” There are records to show that the needs of prospective residents are assessed before they move in so that the home knows whether those needs can be met here. Care managers of the Social Services Department carry out most assessments and these are provided to the home. The manager or deputy manager also carries out an assessment of prospective new residents, to make sure that the home can meet their individual needs. At this time Parklands is registered to provide up to 12 places for people with dementia care needs. As peoples’ needs have changed, and new people have moved in, the manager felt that there are now around 18 people with some dementia care needs. CSCI will need to review the home’s registration to make sure it is still applicable to the service the home provides. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Overall, good staff practices and access to heath care means that residents have good support with their personal and health care needs. EVIDENCE: Care plans are records that are used by all care services to show what sort of help each person needs and how staff will provide that care. Parklands has a care plan system that is easy to follow and is kept up-to date by staff to show any changes to each person’s well being every month. At this time the care plan records do not include a specific care plan about peoples’ dementia care needs. For example, how staff should support someone with their behaviour and/or memory loss. In this way staff may not be responding in the same consistent way to someone’s dementia care needs. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 12 Care records do show that the home makes sure that people have good access to health care professionals whenever they need this. For example some people have input from dietician, psychiatric and district nursing services. Discussions with relatives showed that the staff keep them informed of any change in health needs. A visiting health care professional said, “We have good relations with the staff here. They are very familiar with residents’ needs and always make appropriate referrals to us.” The home would support people to manage their own medication if they were assessed as capable and wanted to do so. There are small lockable facilities in bedrooms for this, but these are awkwardly placed and are not easily accessible by the people who live here. At this time no-one looks after their own medication so the senior staff are responsible for this. They have had suitable training in ‘safe handling of medication’. The home receives people’s medication from a local pharmacist in easy to use blister packs. Medication is stored securely and administered in the correct way. During discussions, staff talked about residents in a respectful way. Throughout the inspection visits there were many instances of good practice where staff supported residents in a sensitive and encouraging way. For example, sitting with individual residents to provide support at mealtimes, and helping people with their mobility at the resident’s own pace. There are clearly very good relationships between residents and staff. One resident said of staff, “They are all lovely. They are like family to me.” Residents are supported with their personal grooming and appearance. A weekly hairdressing service is available at the home, which several residents use. Residents can use their own bedrooms for privacy whenever they wish. There are easy-to-use locks on the inside of bedroom doors if residents do not wish to be disturbed. One resident said, “We’re all very well-looked after.” Another person said, “I’m well-looked after – in fact they spoil me! They do everything they can for me. They’re all smashing lasses.” Parklands DS0000007496.V371389.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Residents have good opportunities to make choices about their own daily routines so that they lead a lifestyle that matches their individual preferences. EVIDENCE: People are encouraged and supported to choose their own daily routines. For example, at the time of this visit some people were enjoying a lie-in or late breakfast. Residents described how they lead their own lifestyle, such as going to bed when they want, choosing where to dine, and spending time in the privacy of their own rooms. The manager said, “It’s their home. They choose how to spend their day and what they do.” At this time the home does not have an activities co-ordinator but one has recently been appointed, and staff were very positive about how this will improve the range of activities on offer to the people who live here. In the meantime the care staff have provided activities wherever time allows. Residents described occasional walks to a local shop or around the surrounding Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 14 parks, manicure sessions, entertainers and bingo. The manager is also clear that the new activities co-ordinator will also develop engaging activities to support those residents with dementia care needs. Residents do have some contact with the local community either through religious services that visit the home, or going out with relatives. One person goes to a local bingo club, and another person goes to the local library. The manager felt that this is an area for development with the new activities coordinator. Relatives who were visiting on this day of this visit had many positive comments to make about the service at Parklands. One person said, “We looked at a few before choosing this home – it’s got such a lovely atmosphere. It’s always so welcoming and friendly.” Residents can make choices about their everyday lifestyle including menus. There are printed menus for the week on each dining table to support residents to make an informed choice about each meal. Residents are also asked what they would like from the two main choices a couple of hours before each meal so that they can discuss their choice with staff. The dining room is bright and cheerful, and tables were well presented with tablecloths, napkins, condiments milk and sugar. Residents described the quality of catering here as “it’s very good”; “we always have lovely meals”; “it’s always very tasty”. Residents are very proud that all their meals are “home-baked” by the cook, who has worked here for 20 years and clearly know people’s individual tastes and preferences. It is very good practice that after staff have supported those resident who need assistance with their meals, they then join residents at the dining tables for the meal. This makes the mealtime a very sociable time for residents and staff to share a meal together and talk about local and current events. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Residents have clear information so they would know how to make a complaint. The staff team have had suitable training so they know how to protect residents from abuse. EVIDENCE: All residents (or their relatives) are given a copy of the complaint procedure, which is in the Service Users Guide information pack, and it is also referred to in the contract. All residents and their relatives who took part in discussions said that they would feel very comfortable about talking to the manager if they had any “grumbles” or concerns about the service. People felt that the manager is very approachable and were confident that she would deal with any matters they raised. For example, one relative said, “Nowhere is absolutely perfect but this is a very good home. I know if there was anything wrong I could tell the manager and she would sort it out.” There have been no complaints received by the home or by CSCI for well over a year. The home has a complaints record which shows good details of how previous complaints were looked into, and the actions taken to resolve them. (At this time the records are kept in a hard backed book which might make it difficult to ensure the confidentiality of future records.) Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 16 The home endorses the local authority Safeguarding Adults protocols. Staff also have access to the home’s own brief but practical policy about how to report any suspected abuse or poor practice. The majority of staff have had very recent training in Protection of Vulnerable Adults and the remainder are to receive this in the near future. There have been no safeguarding adults concerns at this service. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22, 24 and 26. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is clean, warm and comfortable but some communal areas are worn so residents do not live in a well-maintained environment. EVIDENCE: Overall the home remains warm, comfortable, safe and clean. There have been some areas of redecoration since the last inspection, particularly to bedrooms and also the provision of new bedroom furniture. In this way most bedroom are reasonably decorated, comfortable and cosy. Many residents enjoy spending time in their rooms and many bedrooms have been highly personalised by the residents. At this time people are not Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 18 automatically given a key to their bedroom on admission unless they request one, and the manager acknowledged that everyone could be offered a key. However communal areas such as hallways, corridors, some parts of lounges and bathrooms are still showing signs of wear and tear which detracts from the otherwise good service for the people who live here. These include scuffed paintwork, torn wallpaper, and shabby carpets. Visitors also described the standard of décor as “worn and torn” and “looking old”. The manager stated that the owner’s proposals to refurbish these areas are still in place, but was unable to comment on timescales. (After the inspection the owner stated that a planning application has been submitted to the local council, and he is awaiting the decision. If it is accepted then a programme of redecoration will commence.) There are currently around 18 people living here with some degree of dementia care needs. Although there are some written signs to help people find toilets and bathrooms, the rest of the home is quite confusing for people with dementia. For example all doors are painted the same beige colour whether they are bedrooms, dining room, lounges, cupboards, storage or service areas. Discussions were held with the manager about including better orientation for people with dementia into any future proposals to refurbish the home. There is a good range of communal toilets and bathrooms around the home, although some have an old fashioned, clinical appearance. However the Inspector was concerned that all the toilet doors and many of the bathrooms doors have had the locks removed at some time in the past, and there are holes in the doors where these used to be. This means that residents and visitors cannot lock these doors and so cannot be assured of privacy and dignity when using these rooms. The manager did not know when or why the locks had been removed. (In response to this inspection the owner stated that locks have been ordered and will be fitted when they arrive.) The housekeeping staff clearly work very hard to keep this large, old building clean. Relatives and other visitors commented “it’s always very clean”, and “the staff are always cleaning”. The home has a very small, though wellequipped laundry. The laundry staff also has to work hard to ensure the control of infection in the limited space they have to manoeuvre dirty laundry and clean clothes. At this time it was evident that light pull cords to toilets and bathrooms have not been included on the cleaning schedule, so they are now very grubby and this could present a risk of cross-infection. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home provides competent, well-trained, suitable staff to ensure that the people who live here are protected and that their needs are met. EVIDENCE: The staff team comprises the manager, deputy manager, 18 care staff, 3 catering staff, 3 housekeeping staff, a maintenance staff and an administrator. At the time of this visit there were 27 people living here. The staff rota allows for up to 5 care staff throughout the day and 2 staff at night. The manager feels that these are satisfactory levels to meet the number and needs of the current residents. She confirmed that if the numbers or dependency of residents changed then additional staff would be provided. Some visitors, including a health care professional felt that staff did a good job but that there were not enough of them around this large home. At the time of this inspection there was good staff presence in the main lounges and good staff support for residents at mealtimes. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 20 Following a recommendation made at the last inspection the home now employs more catering staff. There are now satisfactory levels of catering and domestic staff. This is evident from the good standard of catering and housekeeping services that residents receive. A small number of staff have left over the past year, mainly due to personal reasons. These posts have now been filled. The recruitment and selection process used by the home continues to ensure that only suitable people are employed. No new staff can start work here until satisfactory references, checks and police clearance (called a CRB disclosure) have been received by the home. It was clear from discussions with staff that many have worked here for several years, and this provides good continuity of care for the people who live here. One visiting relative said, “The care is excellent. It’s always the same familiar staff, and they always know how my relative has been.” It was evident from training records that all staff have good opportunities to attend training to develop their skills. Around 88 of care staff have now achieved a national care qualification (called NVQ in care). All staff have had training in moving & assisting and fire safety. All catering staff have training in food safety, and so do several care staff as they often handle food. It is good practice that around 10 care staff have had certificated training in Positive Dementia Care through a local college. The home has plans for more staff to do this course due to the increasing number of people with dementia care needs who live here. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well-managed so it is run in a way that upholds the best interests of the people who live here. EVIDENCE: The registered manager has been in post for around 4 years. She has worked at Parklands for 20 years and it was clear that she is very committed to the service provided here. She has attained NVQ level 4 and the Registered Managers’ Award, which are suitable professional qualifications for a manager of a care service. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 22 She is assisted in her role by a deputy manager and a team of senior care staff, who deputise in her absence. The manager also commented that she feels very supported by the Provider who has owned the care home for many years. It was clear from discussions with the manager and senior staff that the Provider operates this home in the best interests of the people who live here. Residents have opportunities to comments on the service, either individually or at Residents’ Meetings. It was clear that residents and relatives find the manager very approachable. She has an open office door, and during this visit several residents and relatives joined her in the office for a chat. Residents’ Meetings are held every few months where residents can make suggestions about the home. The minutes of the most recent meetings showed that residents continue to make positive comments about the social events and menus in the home. The manager has used questionnaires to gain the views of healthcare professionals and staff at the home as part of the quality review of the service. The Provider carries out weekly visits to the home. He records the outcomes of his visits on a monthly basis (this is called a regulation 26 report) but the past few monthly reports were missing at the time of this inspection. The home will support people to safely store small amounts of personal monies, if they request, and the home’s administrator takes responsibility for this. Records of this were clear, up to date and in good order. Peoples’ monies are kept in individual wallets in a secure place, and any transactions are clearly recorded and signed by two staff. In this way, residents’ monies are safely managed on their behalf All staff have statutory training in health & safety matters, including moving & assisting and fire safety. There are sufficient staff trained in first aid to ensure that there is always a first aider on duty in the home. Accidents reports are correctly completed. There have been few accidents or incidents in the home over the past year. All staff have had certificated fire safety training. They also receive in-house instruction (although the records showed that there were occasional gaps in recording this instruction.) The maintenance staff carries out routine health & safety checks in the building, and overall the building was safe. A couple of extractor fans in toilets were becoming furred which can eventually cause a fire hazard. Also, a couple of fire doors were sticking so would not have closed completely in the event of a fire. The manager confirmed that these matters would be addressed immediately by the maintenance staff. Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 23 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 2 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 2 X 2 X 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 3 X X 2 Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 OP7 Regulation 15(1) Requirement Care plans must set out the specific dementia care needs of those residents with such needs, and include detailed guidance for staff in how to support those needs. This is to guide staff in how to support people with their dementia care needs in a consistent, planned way. A programme of redecoration to remaining communal areas must be planned, and a copy of that schedule with timescales be sent to CSCI. This is to ensure that all parts of the home are reasonably decorated for the people who live here. There must be locks fitted to all toilet and bathroom doors. This is to protect the privacy and dignity of people when using these facilities. Timescale for action 01/12/08 2. OP19 23(2)(d) 01/01/09 3. OP21 12(4)(a) 01/11/08 Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 25 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. 4. Refer to Standard OP1 OP7 OP16 OP21 Good Practice Recommendations The Service Users’ Guide should be updated and would be easier to read if it was re-printed in larger print. It would be better if each care need was set out on a separate care plan sheet, so that each specific need could be individually monitored for changes and progress. It would be better if complaints records were kept individually to ensure their confidentiality in the future. Boxes of latex protective gloves should be stored discreetly in toilets and bathrooms to protect the dignity of the people who live here and to support control of infection. Consideration should be given to how the design of the environment can be improved to support people with dementia care needs to find their way around the home. This could be included in the future plans for refurbishment of the house Consideration should be given to replacing the small, awkwardly placed lockable facilities with a lock to bedroom drawers that people could use. Everyone should be offered a key to their bedroom on admission, unless a risk assessment determines otherwise. The cleaning schedule should include all light pull cords to all communal toilets and bathrooms, and where necessary these should be replaced and/or covered. Extractor fans should be regularly cleaned as part of the routine health & safety checks within the house. In-house fire instruction records should be kept up to date to show that staff do receive instruction at the right intervals. 5. OP22 6. 7. 8. 9. 10. OP24 OP24 OP26 OP38 OP38 Parklands DS0000007496.V371389.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000007496.V371389.R01.S.doc Version 5.2 Page 27 - 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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