Inspection on 18/08/05 for Parklands Care Home

This inspection was carried out on 18th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Home 01/02/07

Parklands Care Home 06/12/05

Parklands Care Home 11/03/05

Parklands Care Home 22/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Parklands Care Home Station Road Seaham Durham SR7 OAD Lead Inspector Sue Lowthwer Announced Inspection 18 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People and Care Homes for Adults 18 – 65*. 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 Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parklands Care Home Address Station Road, Seaham, Durham, SR7 OAD 0191 5130150 0191 5130626 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Searchplace Limited Mr James Cockburn Care Home 71 Category(ies) of Dementia (18), registration, with number Dementia - over 65 years of age (18), of places Old age, not falling within any other category (24), Physical disability (29), Terminally ill over 65 years of age (3) Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Convalescence: Persons over the age of 55 requiring convalescent care may be accommodated commensurate with the homes statement of purpose and function. 2. Physical Disability: Up to 29 persons with a physical disability over the age of 55 may be accommodated commensurate with the homes statement of purpose and function. 3. Day care: up to 2 day care attendees may be accommodated commensurate with the homes statement and purpose of function. 4. Up to 29 younger physically disabled adults (18-54) may be accommodated in the YPD Unit commensurate with the homes statement of purpose and function. 5. Up to 18 persons in the category DE and DE(E) may be accommodated in the Mental Health Unit commensurate with the homes statement of purpose and function. 6. Terminal Illness: (Up to 3) Persons with a terminal illness (Palliative Care) (over the age of 65) may be accommodated commensurate with the homes statement of purpose and where qualified and conmpetent staff are provided. Date of last inspection 11 March 2005 Brief Description of the Service: Parklands is a 71-bedded single storey home. Accommodation is provided for people requiring nursing or residential on a permanent or respite basis. It is situated in its own grounds close to Seaham town centre. Parklands comprises of 3 self contained units, West Park Court accommodating young physically disabled service users, East Park Court accommodating elderly service users who require nursing or residential care and Penshaw Court for elderly service users who have mental health problems. The home is surrounded by well-maintained gardens and has ample car parking space available for visitors. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI has a statutory duty to inspect all care homes at least twice a year. This announced inspection was carried out in accordance with this duty. The inspection took place on the 18th August 2005. Records were examined and a tour of the building took place. Time was spent talking to 10 service users and 4 staff and 1 relative. In line with current CSCI policy on Proportionality, the inspection focused upon a number of key standard outcomes for service users. The key standard outcomes not inspected on this occasion will be raised during the next inspection of the home. What the service does well: What has improved since the last inspection? Whilst there has been some improvement with regard to care planning, further development is still required. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 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. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) OP3&YA2 Appropriate assessment procedures are in place but these needs to include more information about peoples mental health, psychological and physical needs to ensure that the home can meet the needs of service users. EVIDENCE: Discussion with the manager indicated that all service users will be assessed before admission, to ensure that Parklands Care home is able to meet their needs and that relatives and people who may wish to move into the home can visit prior to making that decision. 2 relatives and 1 service user who had visited the home before deciding to live there confirmed this. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 9 Individual records are kept for each service user and those inspected contained care management assessment. These must also include the assessment carried out by the home. Parklands Care Home does not provide intermediate care, therefore the assessment of Standard 6 is not necessary. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) OP7,8,YA6,9,16 &19 The home has skilled staff to ensure that service users health needs are met. EVIDENCE: The home is staffed with qualified nurses some in the field of general and others in mental health nursing. This ensures that a wide variety of expertise can be accessed 24 hours per day. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 11 Six care plans were audited. Although it was noted that some improvements had been made since the last inspection, evaluation of these was inconsistent as to when this was undertaken and where this had been done the information was sometimes very limited. In particular the information with regard to the recording of pressure sores requires further development. This was discussed with the registered manager during the course of the inspection process. Further development is also required to demonstrate that service users and their relatives have been consulted with regard to the plan of care and that they understand and agree to it, and are also advised of any changes. The plans contained written evidence of input from other professionals and each service user is registered with a local General Practitioner. Service users spoken to confirmed that staff treat them with dignity and respect and always knock before entering their rooms. This was observed during the inspection process. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards/outcomes area were not assessed during the course of this inspection. They will be examined at the next inspection The registered manager advised that the activities organiser is now in place and is consulting service users with regard to their preferences. EVIDENCE: Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) OP16&18, YA22 &23 The home has a satisfactory complaints system in place with some evidence that relatives are aware of the process. EVIDENCE: A complaints policy and procedure is in place. There had been one complaint recorded since the last inspection. This was mainly about clinical and care practice. The manager had investigated the complaint and consulted specialist professionals with regard to their opinion. He confirmed that as a result of his findings, staff skills will be reviewed and training implemented in particular with regard to the recording of pressure sores. Staff were confident in demonstrating an awareness of POVA (protection of vulnerable adults) to ensure the protection of service users living in the home. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards/outcomes area were not assessed during the course of this inspection. They will be examined at the next inspection The registered person has confirmed that he is aware of the environmental standards with regard to West Park Court, which accommodates Younger Adults. These are applicable from 2007. EVIDENCE: Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards/outcomes area were not assessed during the course of this inspection. They will be examined at the next inspection The registered manger has confirmed that the previous requirement with regard to staff training in aggression has been met. EVIDENCE: Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) OP 31,33,34,&36, YA,36,37,39&43 The home has a Registered manager in place who is positive towards the provision of a good standard of care delivery to service users. The home is adequately maintained to ensure the safety and welfare of service users, staff and visitor’s. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 17 EVIDENCE: Feedback from service users, staff and relatives confirmed that the manager is approachable and friendly. He has confirmed that he has commenced an appropriate management course and anticipates that this will be completed within the required timescale. There was evidence that some informal quality assurance systems are in place, however these are required to be more formal and monthly visits by the Registered provider must be introduced. Evidence was seen in staff files that monthly supervision has commenced, but not all staff have received this as yet. There is currently no arrangement in place to ensure that the manager receives appropriate supervision. Maintenance records seen confirmed that as far as practicable the safety and welfare of service users and staff are promoted and protected, with appropriate training in place. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 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 x 2 x 3 2 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score x x x x x x x x Score Standard No 7 8 9 10 11 Score 2 3 x x x Standard No 27 28 29 30 x x x x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 x 33 2 34 2 35 x 36 2 37 x 38 x Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 19 YES 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 OP3, YA2 Regulation 14,15 & Schedule 3 15(1) & (2) 15(1) & (2) Requirement The service user documentation must contain written evidence of the pre admission assessment. (Previous timescale of 30/04/05 not met) Care plans must contain more in depth information with regard to pressure sore assessment. Wherever possible care plans should be agreed and signed by the service user and / or their representative.(Previous timescale of 31/05/05 not met. The manager must complete a management qualification equivalent to NVQ 4 within the appropriate timescale. Regulation 26 visits must take place on a monthly basis. (Previous timescale of 31/05/05 not met) The Registered Person must inform the CSCI in writing that a business and financial plan is available. Previous timescale of 30/04/05. Implementation of a formal system for staff supervision is required.(Previous timescale of 30/06/05 not met) Timescale for action 30/11/05 2. 3. OP7,YA6 OP7, YA6 30/11/05 30/11/05 4. OP31, YA 37 OP33, YA 39 OP34, YA 43 9 31/12/05 5. 26 30/11/05 6. 25(2) 30/11/05 7. OP 36 18 30/11/05 Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 20 8. OP36 18 The Registered Person must make suitable arrangements to ensure that the manager receives appropriate supervision. 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection No.1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI. Parklands Care Home B54 S0736 Parklands V234345 180805 Stage 4.doc Version 1.40 Page 22 - 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. 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