Inspection on 12/07/07 for Parklands Care Centre

This inspection was carried out on 12th July 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parklands Care Centre 18/06/08

Parklands Care Centre 23/11/06

Parklands Care Centre 02/03/06

Parklands Care Centre 22/11/05

Parklands Care Centre 25/01/05

Parklands Care Centre 04/08/04

Parklands Care Centre 15/01/04

Parklands Care Centre 25/06/03

Parklands Care Centre 03/12/02

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

CARE HOMES FOR OLDER PEOPLE Parklands Care Centre 67 Broom Lane Salford Manchester M7 4FF Lead Inspector Rukhsana Yates Unannounced Inspection 12th July 2007 10:00 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 Care Centre DS0000006718.V335749.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 Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parklands Care Centre Address 67 Broom Lane Salford Manchester M7 4FF 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) 0161 792 2020 0161 792 8778 the.willows@ashbourne.co.uk Exceler Healthcare Services Limited vacant post Care Home 36 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Old age, not falling within any other of places category (21) Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 36 residents may be accommodated aged 65 years or over. A maximum of 21 residents may be accommodated who require care by reason of old age (OP). A maximum of 15 service users aged 50 years or over with dementia (DE), (DE(E) ) may be accommodated within the overall numbers 23 November 2006 Date of last inspection Brief Description of the Service: Parklands Care Centre is a care home providing nursing and personal care for 40 residents. There are 36 single bedrooms and 2 twin bedded rooms situated on three floors. The residents accommodated at the home are mainly of the Jewish faith and all Jewish traditions are observed. A Shomer is employed as part of the staff team to offer guidance and support to the other members regarding religious practices and cultural observations. A full Kosher menu is provided. The home is located off a main road in a quiet residential area of Salford with car parking located at the front of the building. There is a small garden area to the front and a terraced patio area to the rear of the home. The weekly fees range from £480 to £500 per week. Additional charges are made for hairdressing and newspapers. The home has a statement of purpose and service user guide, available on request. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In order to find out about the experiences of people living at the home, a visit was carried out without letting anyone know beforehand, with a total of 7 hours spent at the home. The time was spent talking with people about their daily life in the home, watching the ways in which staff supported them, talking with the manager and staff, and looking at paperwork relating to care and safety. The findings of the inspection take account of comments made by people living and working there, and also written information received from the manager and from those living at Parklands. The service was inspected against key standards for homes for older people to see how well it was meeting a range of needs. These standards cover moving in, the care provided, daily routines and lifestyle, complaints, safety, comfort and cleanliness, how staff are employed and trained, and how the service is managed and developed. The term preferred by the people consulted during the visit was “residents”. This term is, therefore, used throughout the report when referring to those living at the home. What the service does well: What has improved since the last inspection? A Rabbi has given training to staff so that they understand the Jewish faith and are better able to understand residents’ wishes. Redecoration continues to improve the living environment for residents. The unit for people with dementia is being managed by someone with a very good knowledge of dementia care needs, ensuring that that a high standard of care is provided. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 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 Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 & 3:Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Each person considering moving to Parklands is given information about the home, has their needs assessed, and is assured that the service is suitable. EVIDENCE: Prospective residents or their families are given a statement of purpose and service user guide describing the home and the facilities provided. Information about the service is available in different formats, including audio CD, ensuring that it is accessible to the people for whom it is intended. Prior to admission, prospective residents have their needs assessed by the manager. The file of a person admitted recently showed that a pre-admission assessment had been carried out, and included information about personal and health care needs. The person’s relative described the staff as “very caring” and said that the family chose this home because “it can meet the needs of Jewish people”. The assessment, pre-admission draft care plan and admission checklist were not fully completed however, and there was no evidence of the resident’s perception of their needs or family involvement in the assessment process. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10: Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans identify residents’ needs and provide adequate information to ensure health and personal care needs are met. EVIDENCE: Residents’ care plans included information about a range of personal and health care needs, and staff members were aware of each person’s changing needs. Risk assessments relating to nutrition, falls and pressure areas formed part of the care plan and were reviewed each month. Intake charts were in place for those at risk of poor nutrition, although a missing day’s chart in one instance had the potential to make the monitoring ineffective. The individual plans seen did not indicate residents’ or relatives’ involvement in care planning and review. Residents consulted were satisfied with the ways in which the service met their care needs and cultural requirements. One confirmed that, “Everything is Kosher” and said “They know me and what I like”. The care plans for people with dementia contained additional information about residents’ personalities and preferences, with life history details assisting staff to better understand each resident’s background. One relative said, “They treat people really well here. Their physical health is well looked after and I can’t Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 10 find fault”. Family members visiting those in the dementia care unit felt involved and well informed about the care of their relative. The majority of the residents at Parklands are Jewish, and the service has the facilities, trained staff and approach to service delivery to ensure that their particular needs and wishes are fully respected. Medication storage and administration arrangements were safe, and managed by suitably trained staff. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15; Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ enjoy routines, activities and meals that meet their expectations and preferences. EVIDENCE: The service employs an activities coordinator for 30 hours per week. Residents and visitors spoke highly of her enthusiasm, energy and input into ensuring that an enjoyable programme of activities is in place. One said “There is always something going on if you want to join in”, and a relative said “She is fantastic. She goes to all sorts of lengths to get people involved in activities”. The programme is displayed in each unit in the home and includes entertainers, trips out, manicures and reminiscence. The coordinator maintains individualised records, including memory diaries, that help to identify each person’s preferences so that activities can be adapted to meet them. The religious and cultural needs of people of the Jewish faith are met. Festivals are celebrated, a room has been converted into a shul, a shomer is employed to oversee the kitchen and Kosher food preparation, and the local rabbi visits the home regularly during the day. There are also Christian residents at the home and their needs are met through the provision of services from their chosen denomination. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 12 Residents said they enjoy the meals. In response to feedback received from a relative, a hot trolley has been ordered to ensure that meals are not cold when they reach the dementia care unit. The organisation is planning to further improve meal provision through the introduction of the “Nutmeg” programme which helps to ensure that every meal is tasty and nutritionally balanced. There are open visiting arrangements at the home and residents are able to receive visitors in private. Two visitors spoken with said that they are always made to feel welcome. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and visitors are confident that any issue they raise will be addressed, and they are safeguarded by the staff knowledge of adult protection procedures. EVIDENCE: The complaints procedure is included the service user guide given to residents, or their families. Residents and relatives said they knew how to make a complaint and felt confident their complaint would be dealt with appropriately. There have been no complaints received by the Commission for Social Care Inspection since that last inspection. The home has a new manager who intends to introduce herself to residents and their families, and consult them to obtain their views about improvements they would like to see. The staff have received training, and are familiar with the procedures regarding the protection of residents. The local multi-agency procedures are available for reference. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26; Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and comfortable environment that meets their needs. EVIDENCE: Residents were satisfied with the environment in which they live, describing their surroundings as “clean and comfortable”. Since the last inspection, a dementia unit has opened on the first floor. The living environment in the unit was clean, fresh and comfortably furnished. There was evidence of the provision of sensory stimulation through colour and touch, and orientation aids, such as large clocks. There is a continuing programme of redecoration. Maintenance and domestic staff ensure that the environment is safe and hygienic. Infection control measures are in place. Fire safety equipment records show that regular checks are carried out, and the environmental risk assessment ensures that any fire safety risks are identified and promptly addressed. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 15 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: Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Sufficient staff numbers provide residents with a responsive service but staff training needs in some areas have not been met. EVIDENCE: Staffing levels appeared sufficient to meet the care needs of residents. Some staff members have worked at the home for a long time and this provides good continuity of care for residents. A qualified nurse is on duty at all times. The staff members consulted had a very good knowledge of the individual needs of residents and of their care plans. The staff working with residents with dementia were experienced and demonstrated sensitivity in their interactions with residents. The files of recently recruited staff showed that the necessary range of background checks had been carried out. All new staff have induction training, but one file showed that several topics had been covered in one day. Although the staff member concerned was an experienced care worker, the manager was advised to ensure that a comprehensive induction is undertaken with new staff so that they develop a good understanding of the home’s policies and procedures. The manager also acknowledged that some staff have not received up to date training in mandatory topics such as Health and Safety, fire safety, moving and handling and infection control. Residents made positive comments about the staff, such as “They’re good” and “caring, very kind”. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 16 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, 33, 35 & 38: Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service is managed in residents’ best interests. EVIDENCE: The manager is new to the home and is currently in the process of getting to know the residents and staff. The manager is a qualified nurse and is to undertake the Registered Manager’s Award. She has management experience and has worked in a Jewish home, and is therefore familiar with the religious and cultural needs of the residents. The manager is being supported by an operational manager within the organisation to ensure that a consistent service is being provided. There is a quality assurance system in place that seeks and acts upon the views of residents and relatives. Outcomes of quality monitoring exercises are published and made available to interested parties. The manager also holds a Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 17 ‘surgery’ every two weeks, providing an opportunity for residents and relatives to raise any issues or make suggestions for improvements. Residents’ personal allowances are well managed, with accurate records of transactions maintained. Inspection certificates relating to environmental health and safety matters were satisfactory. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 18 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 X 2 X X X 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP3 Regulation 14 (1) Requirement Prospective residents must have a full assessment of their needs carried out to ensure that the service is able to meet them. Previous timescale of 12/02/07 not met. Arrangements must be made to ensure that all staff receive mandatory training so that the health and safety of residents is assured at all times. Timescale for action 20/08/07 2. OP30 OP30 18(1) 20/08/07 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 OP7 Good Practice Recommendations Care plans should be reviewed and agreed with the involvement of the resident or representative. Parklands Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Care Centre DS0000006718.V335749.R01.S.doc Version 5.2 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!