Inspection on 22/11/05 for Parklands Care Centre

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 12/07/07

Parklands Care Centre 23/11/06

Parklands Care Centre 02/03/06

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 Richard Dankwa Unannounced Inspection 10:30a 22 November 2005 nd 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.V257308.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 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 Exceler Healthcare Group PLC Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. A maximum of 40 service users who are over 65 years of age and who require either nursing care or personal care only can be accomodated. Minimum nursing staffing levels as specified in the Notice issued in accordance with Section 25(3) of the Registered Homes Act 1984 on 11 February 2002 shall be maintained. Minimum staffing as specified in the Residential Care Forum guidance for older people must be maintained for service users who require personal care only. The needs of service users must be continually assessed and staffing levels adjusted to ensure their needs are met. The home should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 25th January 2005 Date of last inspection Brief Description of the Service: Parklands Care Centre is a care home providing nursing and personal care for 40 residents. Up to 11 residents must require personal care only and shall be accommodated in a designated area on the first floor. There are 36 single bedrooms and 2 twin bedded rooms situated within three floors. The residents that were accommodated at the home were mainly of Jewish faith. All Jewish traditions were observed. A Shomer was employed as part of the staff team and he offered guidance and support to the other members regarding religious practices and cultural observations. A full Kosher menu was 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. The grounds were well maintained with a small garden area to the front and a terraced patio area to the rear, which was accessible from the dinning room. Both areas were well equipped with garden furniture. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and it took place on 22 November 2005 from 10:30 to 16:00. Throughout the inspection the opportunity was taken to speak to the residents and some of their relatives, the operations manager of the home, the manager, and the staff that were present at the time of the inspection visit. Staff members were directly observed as to how they supported the residents. A sample of the residents’ care plans and individual staff files were examined. Other records that are kept at the home were also looked at. The majority of the improvements identified as needed at the last inspection had been carried out. Other areas for improvements were identified during this inspection. The Commission for Social Care Inspection did not look at all the standards during this inspection. Previous reports should be read to gain a full insight into the care being provided to the residents at Parklands Care Centre. What the service does well: What has improved since the last inspection? The care plans had been updated and they were clear and relevant to the needs of the residents. The residents were involved in the planning of leisure activities. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 6 The complaints record had been updated and was being maintained. All the bedrooms were being redecorated. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6. Prospective residents are assessed before an offer of a place is confirmed. Residents were given the necessary information about the home to help them make a decision whether to use the services of Parklands Care Centre. EVIDENCE: There was an up to date Service User Guide and a Statement of Purpose in place. Initial assessments of prospective residents were found in residents’ files indicating that they were assessed before an offer of a place was confirmed. The manager said that the prospective residents will normally ‘test drive’ the home for a week to help them decide whether to use their service. The home does not provide intermediate care. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. The care needs of the residents were documented allowing staff to meet the assessed needs of the residents. The medication procedures were appropriate to meet the needs of the residents. However, an up to date procedure for the disposal of medicines was required. The residents were treated with respect. EVIDENCE: The care plans examined were detailed and were being updated regularly. The residents’ care plans were put in place with the support of their relatives. One relative spoken to said, “The care is good and I will like to live here when I am old”. She added that the manager addressed any issues she had quickly. She continued and said, “I am going to book a room here”. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 10 There were policies and procedures in place for handling and administering of medicines. However, the home had not implemented the new guidelines for the disposal of medicines. A copy of the Safe Disposal of Waste Medicines from Care Homes must be obtained. None of the residents managed their medication. The staff addressed and spoke to the residents respectfully. One relative said that the residents are treated with respect. He said, “The home now provides the residents with proper glass cups to use and not plastic cups”. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The home continues to support the residents to maintain contacts with their relatives and friends. The residents are assisted to pursue social and leisure activities. The home provides good quality wholesome meals. EVIDENCE: The home employs an activity organiser. There was a planned programme of leisure activities. The residents were involved in the planning of social and leisure pursuits. The residents were playing bingo on the day of the inspection. One of the relatives visited to call the bingo on a regular basis. Some of the residents had visited Blackpool and some were visiting the Jewish museum at the end of the week. One resident likes participating in flower arrangements and another visits the local shops on a regular basis to buy videos. Jewish singers visited the home from time to time to entertain the residents. Some residents enjoy having their nails painted on a weekly basis. The residents also enjoy board games such as draughts. One resident said, “I will play draughts with you the next time you visit and I will beat you”. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 12 The activity organiser with the support of the residents and their relatives had created Memory Diaries for some of the residents. These included photos and cuttings of their past and their life at present. There was an activity daily report in place that detailed the activities each individual resident had participated in. A conversation was had with the Shomer. The Shomer ensured that all the Jewish traditions were observed. This included religious practices, significant days, and kosher meals. The Shomer said that the home had improved significantly since the present manager took over. He added that the manager really works hard to ensure that all items required for the Jewish traditions were provided. There was a menu in place and the residents are involved in doing so. The home continues to provide kosher meals for the residents. The Shomer added that he ensures that the residents have kosher meals each day. The opportunity was taken to taste the lunch served at the day of the inspection. The meal was a kosher meal and it was wholesome, balanced, appealing and appetising. There was a folder that contained comments and suggestions made by the residents regarding the menus and meals. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. The residents and their representatives are aware of the complaints procedure. However, the procedure needs updating. The home had policies and procedures to deal with abuse. EVIDENCE: There was a procedure in place to deal with complaints but it needed updating to include significant telephone numbers. The complaints procedure was displayed in a prominent place. One relative said that the manager listened to them whenever they had a query. He added that he knows how to make a complaint and he has done so on many occasions before the current manager took her post. He said that other relatives he had spoken to are happy with the service being provided. He added that he nearly moved his relative from the home because of the issues he had but he is now happy with the service being provided. The home had policies and procedures on the Protection of Vulnerable Adults. There was a Whistle Blowing policy in place. Training is offered to staff regarding the protection of residents. Staff spoken to were aware of how to deal with an allegation of abuse. . Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. The residents live in a safe and well-maintained home. The home was clean and pleasantly decorated. However, some areas of the home had an offensive odour. EVIDENCE: The residents enjoyed a well maintained home. The lounges were nicely decorated. The bedrooms were pleasantly decorated and personalised. The grounds were kept clean, safe, and well maintained. There was an easy access to the garden. There was a fire logbook in place and records indicated that weekly fire and health and safety checks were carried out. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 15 The home was generally very clean however the hallway and some bedrooms had an offensive odour. The manager and staff explained that the hallway is shampooed everyday to eliminate the odour. The manager must put further measures in place to eliminate the smell of urine from all areas of the home. The Commission of Social Care Inspection had received a complaint regarding this. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. The home has recruitment policies and procedures to protect the residents. However, they were not being used properly. EVIDENCE: The numbers and skill mix of the staff appeared sufficient to meet the care needs of the residents. The staff files examined contained all the required information. Criminal Records Bureau checks (CRB) and the Protection of Vulnerable Adults checks (POVA) were carried out. However, one staff member had started employment and was on duty at the time of the inspection visit and they did not have a CRB or a POVA check. An immediate requirement was made regarding this. All prospective staff must have as a minimum, a POVA check before they start employment. If they are employed before the full CRB is obtained, they must be supervised. One carer had completed NVQ Level 2 and there were 5 staff working towards it. Staff files examined indicated that the home provides training to the staff to enable them to perform their duties fully and appropriately. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38. Health and safety policies and procedures were in place to ensure that the well being of both staff and residents are promoted and protected. EVIDENCE: All the relatives and residents spoken to during the inspection said that the manager was hard working and approachable. One relative said that the manager had “created a better atmosphere”. The manager organises regular meetings for the residents and their relatives. The manager recently bought some books about the Jewish faith and also some Jewish music. One relative said, “The improvement is 95 percent”. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 18 There was no evidence of surveys being carried out to find out whether the home was providing a good quality care. This must be addressed. The home’s policies and procedures safeguarded the financial interest of the residents. The administrator manages the residents’ personal funds. Records indicated good accounting practices. There was no evidence of supervisions being carried out. The manager must ensure that the staff receive regular supervisions to enable them support the residents and to perform their duties appropriately. There was an accident book in place and accidents were audited regularly. The certificate from the Environmental Health Services wrote in their last report that the kitchen was “Excellent”. The kitchen was clean and hygienic at the time of the inspection. Policies and procedures required to promote and protect the health, safety and welfare of residents and staff were in place. Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 19 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 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 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 3 Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 20 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 OP9 Regulation 13 Requirement New guidelines for the disposal of medicines must be adhered to. The registered person must make available a copy of the Safe Disposal of Waste Medicines from Care Homes issued by CSCI. The registered person must ensure that contact details including telephone numbers of relevant agencies are available to complainants. The registered person must keep the home free from offensive odours. The registered person must not employ staff without satisfactory CRB and POVA checks (previous requirement, 22.02.05). The registered person must establish and maintain a system for reviewing and improving the quality of care being provided. Residents and their representatives must be consulted. The registered person must ensure that staff receive regular supervisions. Timescale for action 20/12/05 2 OP16 22 20/12/05 3 4 OP26 OP29 16 19 01/01/06 22/11/05 5 OP33 24 01/01/06 6 OP36 18 01/01/06 Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 21 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 Standard Good Practice Recommendations Parklands Care Centre DS0000006718.V257308.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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