Inspection on 12/01/06 for Parklands Nursing Home

This inspection was carried out on 12th January 2006.

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 Nursing Home 21/11/07

Parklands Nursing Home 17/10/06

Parklands Nursing Home 25/01/05

Parklands Nursing Home 19/07/04

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

CARE HOMES FOR OLDER PEOPLE Parklands Nursing Home Park Street Wombwell Barnsley South Yorkshire S73 0HQ Lead Inspector Michael O’Neil Unannounced Inspection 10th January 2006 09:00 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 DS0000006488.V274749.R01.S.doc Version 5.1 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. DS0000006488.V274749.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parklands Nursing Home Address Park Street Wombwell Barnsley South Yorkshire S73 0HQ 01226 751 745 01226 341 130 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) None Mimosa Healthcare (No4) Limited Post Vacant Care Home 52 Category(ies) of Dementia (52), Mental disorder, excluding registration, with number learning disability or dementia (52) of places DS0000006488.V274749.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons accommodated shall be aged 55 years and above Two clients under the age of 55 years may be accommodated at the home (one named on the variation application dated 18th January 2005). 12th September 2005 Date of last inspection Brief Description of the Service: Parklands is a care home, which provides nursing care for 52 service users with dementia. The home is situated in landscaped grounds shared with two other homes belonging to Mimosa healthcare. Parklands is located within close walking distance of shops and the other amenities of Wombwell. Barnsley town centre is approximately 6 miles away. DS0000006488.V274749.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by Michael O’Neil, regulation inspector. Matthew Sharpe , manager, awaiting registration with the CSCI, was present during the inspection. Opportunity was taken to make a partial tour of the premises, inspect a sample of records and policies and talk to 6 staff, 2 visiting relatives and 6 residents. The inspector wishes to thank the staff, relatives and residents for their time, friendliness and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? There had been a general improvement in staff recruitment records. The cleanliness of the bathrooms had improved. There had been an improvement in the recording systems of the fire drill records. Staff were receiving fire safety training on a more frequent basis. The hot water temperature in a bathroom was safe. DS0000006488.V274749.R01.S.doc Version 5.1 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. DS0000006488.V274749.R01.S.doc Version 5.1 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 DS0000006488.V274749.R01.S.doc Version 5.1 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): None of these standards were checked as the key standards were checked and met at the last inspection. EVIDENCE: DS0000006488.V274749.R01.S.doc Version 5.1 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): Standards 8 and 10. Residents themselves said that the care they were receiving was good and that the staff were very nice. Relatives said that the care delivered by staff was “excellent” and that the staff showed “love and care” to the residents. Residents’ privacy and dignity was maintained. EVIDENCE: Residents were well dressed in clean clothes and had received a good standard of personal care. Staff were observed to be assisting residents in a positive and friendly manner, doors were closed where staff were helping with personal care. Residents themselves said that the care they were receiving was good and that the staff were very nice. Relatives said that the care delivered by staff was “excellent” and that the staff showed “love and care” to the residents. DS0000006488.V274749.R01.S.doc Version 5.1 Page 10 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): Standards 12,13 and 15. On the whole residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. The meals served at the home were of a good quality and offered choice. EVIDENCE: Residents said that they were able to maintain contact with their family and friends. Relatives said they were always made to feel welcome when they visited. A friendly and very welcoming feel was evident in Parklands. Residents said they chose when they got up and went to bed and had a choice of food at mealtimes. There was still a lack of stimulation for several residents who were sat in the lounge upstairs. Staff were sitting with the residents in the lounge but not interacting with them. The inspector felt that some staff were unsure how they could lead or introduce activities and would recommend that staff undertake further training. Residents said that they had a choice of food and that the quality of food served was good. Lunch was served in a pleasant relaxed manner and the residents said that they enjoyed their lunch. DS0000006488.V274749.R01.S.doc Version 5.1 Page 11 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): None of these standards were checked as the key standards were checked and met at the last inspection. EVIDENCE: DS0000006488.V274749.R01.S.doc Version 5.1 Page 12 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): Standards 19,21,24,25 and 26. The environment within the home was not maintained to an adequate enough standard to provide a comfortable home for residents. EVIDENCE: Some corridors and communal areas in the home are in need of decoration, as the décor is looking rather tired, although one corridor was being redecorated at the time of the inspection. The carpets in the ground floor lounges were stained in several areas. These carpets must be either thoroughly cleaned or replaced. The hot water taps in two bedrooms en suite rooms were not working. The manager said that the fault had been reported and an engineer was due to visit the home in the near future. Although one bathroom had been recently painted, the bathrooms checked still felt quite stark and clinical and were poorly decorated and furnished. The bathrooms checked were clean. (Previous requirement met) DS0000006488.V274749.R01.S.doc Version 5.1 Page 13 The home was clean, with no unpleasant odours noticeable. Residents said that their rooms were always kept clean. Three bedrooms were checked and were comfortable and homely. Bed linen checked was clean and in a good condition. Window restrictors were fitted to all windows checked. This will assist in maintaining resident safety. DS0000006488.V274749.R01.S.doc Version 5.1 Page 14 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): Standards 27,28 and 29. Staff were employed in sufficient numbers. Detail held and recorded in staff recruitment files, although improved since the last inspection, did not protect residents who lived at the home. EVIDENCE: The manager stated that agreed staffing levels were being maintained. The staff rota identified agreed staffing levels had been met. This will assist in making sure that residents’ needs are met. Staff and relatives said staffing levels were adequate. Fifty per cent of care staff had not achieved their level 2/3 NVQ qualification. There had been a general improvement in staff recruitment records, however the recruitment information obtained for new staff was still insufficient to adequately protect the welfare of residents who lived at the home. The manager said that a Criminal Records Bureau enhanced check had been applied for on all staff at the home but not all had been returned yet. Records were held at the home of all CRB checks that had been carried out. However, the records did not identify whether the checks were at an enhanced level and included a Protection of Vulnerable Adults (POVA) check. DS0000006488.V274749.R01.S.doc Version 5.1 Page 15 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): Standards 31,33,35,37 and 38. In the main the homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: At the time of the inspection the CSCI area office had not received the application to register the manager. Relatives interviewed said they could meet the manager on an individual basis however, the relatives said that as far as they knew there were no “relatives meetings” arranged. They felt such meetings could be used to air views on the running of the home and to organise activities for the residents. At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. The hot water temperature in one bathroom measured a safe temperature of 42 degrees centigrade. DS0000006488.V274749.R01.S.doc Version 5.1 Page 16 The resident personal money accounts were examined by the inspector and were found to be up to date. The inspector saw a receipting system and statement sheets for each resident. Fire records were up to date and stated that weekly testing of the fire alarm system and fire drills had occurred. A sample of records showed that staff were receiving fire safety and other statutory training. This will promote the safety and welfare of the service users. DS0000006488.V274749.R01.S.doc Version 5.1 Page 17 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 X X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X 2 X X 3 X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X 3 3 DS0000006488.V274749.R01.S.doc Version 5.1 Page 18 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 OP12 Regulation 16 Requirement All residents must be given opportunities for stimulation through leisure and recreational activities. (Previous timescale of 01/11/05 not met) All areas of the home used by residents must be well maintained. (Previous timescale of 01/02/06 not yet passed) The carpets in the ground floor lounges must be either thoroughly cleaned or replaced. All areas of the home used by residents (bathrooms) must be well maintained. (Previous timescale of 01/12/05 not met) Hot water must be supplied at all sink outlets. (Previous timescale of 01/11/05 not met) 50 of care staff must be trained to NVQ level 2 or equivalent. Full and satisfactory information must be obtained via a Criminal Records Bureau and a Protection DS0000006488.V274749.R01.S.doc Timescale for action 01/03/06 2. OP19 23 01/06/06 3. 4. OP19 OP21 23 23 01/05/06 01/06/06 5. OP26 23 01/03/06 6. 7. OP28 OP29 18 19 01/06/06 01/03/06 Version 5.1 Page 19 8. OP29 19 9. OP31 8,9 10. OP33 24 of Vulnerable Adults (POVA) check for all existing staff at the home and before new employees commence work (Previous timescale of 01/11/05 not met) CRB records held must identify whether the checks were at an enhanced level and included a POVA check. The manager must forward an application to the CSCI to enable the registration of manager process to commence. Consultation with relatives of residents must be increased to ensure effective quality monitoring systems are in place, which comply with the standards and regulations. 01/03/05 01/03/06 01/06/06 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 OP12 Good Practice Recommendations Increased training opportunities should be provided for staff surrounding the benefits of activities for service users. DS0000006488.V274749.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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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