Inspection on 18/06/08 for Parklands Care Centre

This inspection was carried out on 18th June 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 Care Centre 12/07/07

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 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Parklands Care Centre 67 Broom Lane Salford Manchester M7 4FF Lead Inspector Elizabeth Holt Unannounced Inspection 18th June 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parklands Care Centre DS0000006718.V365498.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.V365498.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 parklandsnh@schealthcare.co.uk The.willows@ashbourne.co.uk Exceler Healthcare Services Limited Manager post vacant 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.V365498.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 12th July 2007 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 £712 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.V365498.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 star. This means the people who use this service experience good quality outcomes. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social care Inspection in relation to this home prior to the site visit. Prior to the inspection the provider completed an Annual Quality Assurance Assessment (AQAA). This self-assessment and a dataset that is filled in once a year is one of the main ways that the CSCI obtains information from providers about how they are meeting outcomes for people using their service. The AQAA also provides the CSCI with statistical information about the individual service and trends and patterns in social care. Service user, staff and relatives surveys were provided for distribution before the inspection and 2 were returned from service users/relatives and none from members of the staff team. Comments from these surveys have been included in this report where possible. The visit was unannounced and took place over the course of 7.5 hours on Wednesday 18th June 2008. During the course of the visit time was spent sitting and chatting with people who use the service, some of the staff and visitors to the home. Records were looked at in relation to the running of the home and health and safety and a partial tour of the premises was made. Since the last inspection there has been one safeguarding allegation, which was investigated under Salford Council’s adult safeguarding procedures. The outcome of this investigation was for the home to review their recruitment policy, provide further training and support to assist overseas staff with written and spoken English language, to provide staff with adult protection training and challenging behaviour training, to review care plans and risk assessments, which they have told the Commission they have followed. What the service does well: The staff encourages prospective people to look around and ask questions to make sure they are making the right choice of care home before agreeing to accept a place at the home. People living at the home and their relatives knew how to make a complaint and who to speak to if they are not happy. The two surveys from people living at the home showed that the staff acted and listened to what they said. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 6 The service is able to meet the needs of people of the Jewish faith, and residents are happy with the food and the with the religious celebrations. Residents like the staff, describing them as “kind” and “caring”. The home is generally clean and well kept, and residents can personalise their rooms. Residents feel that the staff listen to their views. 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. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 7 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.V365498.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 Care Centre DS0000006718.V365498.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents admitted to the home and their representatives can be confident they will have their needs assessed as part of the admissions procedure. EVIDENCE: Pre admission assessments were looked at for three residents who had recently been admitted to the home. There was a pre admission assessment recorded for a resident who was recently transferred from another home, this included detailed information about the personal and health care needs of the person. Copies of care management assessments and information from other members of the multi disciplinary team were included as part of the pre admission assessment for another resident. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 10 In the absence of a registered manager, the deputy manager had carried out the recent pre admission assessments, which provided staff with sufficient information to start the care plans to ensure the individual needs of the residents can be met at Parklands. Parklands does not offer an intermediate care service. Parklands Care Centre DS0000006718.V365498.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans and risk assessments in place are detailed to provide staff with the information they need to meet people’s health, personal and social care needs. The procedures for dealing with medication protected the people living at the home. 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 enabling staff to monitor the residents’ progress and condition. Risk assessments relating to nutrition, falls and pressure areas formed part of the care plan and were generally reviewed each month to show the changing needs of the residents. Three residents were case tracked and the following issues were identified: Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 12 For one resident the falls risk assessment was not completed even though the assessment on admission stated the resident had a history of falls. For this resident there was a care plan in place for staff to monitor the potential of the person falling but shortfalls in the completion of risk assessments may lead to the persons needs not being met in full. For another resident the record of professional visits was not updated even though the daily statement showed their General Practitioner had seen the resident. A care plan had not been written in relation to the problem of leg swelling and the resident’s legs were not suitably elevated during the visit. For one of the residents case tracked the need for support and encouragement with personal hygiene was highlighted as a concern in the assessment stage but there was no care plan in relation to hygiene needs of this individual and the strategies the staff needed to use to support this resident. Care plans and risk assessments were not always dated or included the name of the person for whom they were so it was not always possible to tell how up to date these records were. There were some examples of good practice including the following; a communication sheet in one of the care plans showed the need for the General Practitioner to be contacted and there was a note made of this having been discussed with the resident before the doctor was contacted. For another resident the nurse in charge had worked with the doctor and the resident’s next of kin to provide sub-cutaneous fluids in order to reduce the risk of the resident becoming dehydrated and needing admission to hospital. The records for this were clear and were up to date. Residents consulted were satisfied with the ways in which the service met their care needs and cultural requirements. One resident who had lived at Parklands for approximately nine months said, “The staff try very hard they are very polite and very kind. They are very nice to me and they give me what I like to eat. Every now and then they ask me about my likes and dislikes. I live on my memories but I like the people here”. The care plans for people with dementia contained additional information about the residents’ personalities and preferences. Information about the person’s life history, which staff said helped them to understand each resident’s background was included as part of the care plan. One relative said, “The staff here are very kind and understanding and do get to know each person’s funny little ways”. Observations throughout the inspection showed that the there was attention to personal grooming. One resident was having assistance to have their nails cleaned and residents looked clean and their hair looked combed or brushed. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 13 Residents were treated with respect and dignity and their right to privacy was maintained during the visit. Staff were seen to knock on residents’ bedroom doors before entering their rooms and staff clearly had a good rapport with the residents and they were spoken to in a respectful way. Residents who could express a view said they could get up in the morning when they wanted to and could have a lie in if they felt like it. A sample of medication records was looked at and the blistered medication showed that most medication was given as prescribed. Medicines were signed in as received and there was a system in place for the disposal of medication and samples of staff specimen signatures. The following shortfalls were identified: The codes were not always used correctly if a tablet had not been administered. For one resident staff had used a line rather than the appropriate code and on two of the medication administration charts the staff member had not signed the tablets as given even though they had been. The photographs of the residents had become unclear and a recommendation was made for these to be redone. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 14 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social, cultural religious and recreational activities generally meet the expectations of people living at the home. EVIDENCE: An activities organiser is employed at the home although during this visit a programme of activities was not available due to the activities organiser being absent from the home. Residents have some opportunities to be involved in the activities offered, however residents were seen to be sitting in the lounge areas with little to do besides watching the television for periods of time. During the afternoon some school children paid a visit to talk with some of the residents which one resident said they had found enjoyable. Although on the day of the visit there was heavy rain, two residents said, “We often like to sit out on the patio and enjoy the fresh air”. The meal served at lunchtime was liver, sausages, mashed potato, sprouts and carrots followed by chocolate sponge and custard. The meal was sampled and residents spoken to said it was very tasty. The staff were seen to support and encourage residents to eat their meal in a kind and friendly way in the dining Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 15 room, while some residents were supported with their meal in the comfort of their chairs in the lounge area. One resident said, “The food is delicious, the food is lovely. The home made cooking is very pleasant.” The dining tables were pleasantly laid at lunchtime and although residents were not aware of the menu on the day of the visit they were offered a choice of meal and the menu was displayed on each table. Since the last inspection the company has started to introduce the “Nutmeg” programme which helps to ensure that every meal is tasty and nutritionally balanced. Residents were encouraged to maintain contact with family and friends; visitors were seen throughout the day, sometimes meeting privately with residents. Two visitors who the inspector spoke to said they were always made to feel welcome at the home and felt the atmosphere in the home was “friendly and good”. 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. There are also Christian residents at the home and their needs are met through the provision of services from their chosen denomination. 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 and one said she enjoyed having a meal with her sister when she visited and always felt comfortable and cared for by the staff. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff practices in place allow people to raise concerns and try to make sure people were protected from harm. EVIDENCE: The complaints procedure is included the service user guide and is 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 formal complaints about the home received by the Commission for Social Care Inspection since that last inspection. There was one written example of a concern raised in relation to a misunderstanding in communication with a relative where an apology was made. Since the last inspection sixteen of the staff have received training in the protection of vulnerable adults, and staff spoken to were familiar with the procedures regarding the protection of residents. The local multi-agency procedures are available for reference. Two residents returned surveys and both of these said they knew whom they would speak to if they had any concerns and they knew how to make a complaint. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 17 At the time of writing this report an allegation in relation to care practice is being investigated by other agencies. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 18 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 and 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: A partial tour of the home was carried out. Most of the home was found to be generally clean and tidy, although the following areas needed addressing, the dining chair arms felt sticky to touch, the panel was off the side of the bath in bedroom 25, and the floor of the lift was unclean. One resident who returned a survey showed some dissatisfaction with the cleanliness of her bathroom saying, “My bathroom and toilet could be kept cleaner”. Other residents who expressed a view were satisfied with the environment in which they live, describing their surroundings as “quite homely, clean and comfortable to live in”. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 19 The dementia care unit on the first floor provided an environment that 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 however there was no liquid soap in the bathroom and the waste bin in this room did not have a foot pedal. This was discussed during the visit and action was taken to address these shortfalls. A number of staff had received training in infection control since the last inspection. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 20 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 good. This judgement has been made using available evidence including a visit to this service. The arrangements in place for employing and training staff ensure the needs of residents are met. EVIDENCE: Staffing levels appeared sufficient to meet the care needs of the twenty-three residents living in the home on the day of this visit, although comments from the staff show they are missing some guidance and leadership from a manager. Some staff members have worked at the home for a long time and no staff have left the service since the last inspection, this provides good continuity of care for residents. A qualified nurse is on duty at all times. The staff members spoken to had a very good knowledge of the individual needs of the residents and of their care plans. The staff are well supported by an administrator, catering, housekeeping, and maintenance personnel. The staff working with residents on the dementia care unit were experienced and demonstrated sensitivity in their interactions with the residents accommodated. The duty rotas showed that any sickness during June and July 2008 was covered by permanent or bank staff to ensure where possible there is no use of agency staff so the residents receive continuity of care. The files of three recently recruited staff showed that the necessary range of background checks had been carried out. Each file included a copy of the Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 21 application form, confirmation of Criminal Record Bureau checks, two references and proof of identification. Since the last inspection the records showed that most of the staff had received training in fire safety, moving and handling, food hygiene, COSHH and infection control. The training matrix showed that out of fourteen care staff employed, four had completed NVQ level 2 or above and a further three care staff were currently undertaking this. It was recommended that the other staff are encouraged to undertake this training. A requirement was made for staff to receive training in dementia care and challenging behaviour after an investigation into a safeguarding allegation, which involved two residents. This should be addressed to ensure the safety of the residents and the staff. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 22 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards and practices in the home promote and safeguard the health, safety and welfare of the people living there. EVIDENCE: Since the last inspection the manager has left the service and the company are actively recruiting to appoint a person for this position. The deputy manager who is supported by a project manager is currently managing the home. There is some evidence to suggest that although the staff are meeting the needs of the residents accommodated, they require some clear guidance and direction to assist them to carry out their duties fully. The home will benefit from the support and leadership of a registered manager. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 23 There was evidence the deputy manager had been undertaking an audit of the accident records however from the records held it was not possible to tell if any practices had been improved as a result and a recommendation was made for these to be signed to show they had been reviewed. Following the shortfalls noted in the medication administration charts it was evident the shortfalls are not being picked up in a timely manner. Staff need to know who has the responsibility for addressing any shortfalls so the practices can be improved as a result. A quality assurance system is in place to get the views of relatives, residents and staff. There was evidence to show a quality assurance questionnaire was sent out in November 2007, however an action plan to show the outcomes was not available at the time of this visit to show any areas for development. Residents’ personal allowances are well managed, with accurate records of transactions maintained. A sample of three of these were looked at and found to be satisfactory. Records of maintenance of the fire doors and the fire systems are kept updated. Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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.V365498.R01.S.doc Version 5.2 Page 25 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 OP30 Regulation 18 Requirement Evidence must be provided to show that staff have undertaken the necessary training to ensure it provides suitably qualified and competent staff to ensure the health and welfare needs of the residents are met, this must include dementia care and training in challenging behaviour. Effective arrangements must be put in place to ensure that all medication administration records are completed to accurately record medication administered to service users. Timescale for action 01/09/08 2. OP9 13(2) 20/07/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000006718.V365498.R01.S.doc Version 5.2 Page 26 Parklands Care Centre 1. 2. 3. Standard OP7 OP7 OP9 Care plans should be reviewed and agreed with the involvement of the resident or representative. The records of professional visits should be kept updated to keep an up to date record of health support provided. A recommendation was made for the photographs of the residents to be redone because these had become unclear on the medication administration charts and some care plans were without photographs, which assist staff in identifying the residents. In order to ensure the environment is kept clean for the residents it is recommended this is monitored to ensure an acceptable standard of cleanliness is maintained. 4. OP26 Parklands Care Centre DS0000006718.V365498.R01.S.doc Version 5.2 Page 27 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.V365498.R01.S.doc Version 5.2 Page 28 - 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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