Inspection on 17/10/06 for Parklands Nursing Home

This inspection was carried out on 17th October 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 12/01/06

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 Sue Stephens Key Unannounced Inspection 17th October 2006 11:55a 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 Nursing Home DS0000006488.V317994.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 Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 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 parklands@mimosahealthcare.com None Mimosa Healthcare (No4) Limited 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) Post Vacant Care Home 52 Category(ies) of Dementia (52), Mental disorder, excluding registration, with number learning disability or dementia (52) of places Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 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 January 2006 Date of last inspection Brief Description of the Service: Parklands is a care home that provides nursing care for 52 people who have dementia. The home is in landscaped grounds shared with two other homes belonging to Mimosa healthcare. There are shops and community facilities in Wombwell, which is a short walk from the home. Barnsley town centre is about 6 miles away. The home has on two floors, and it has a passenger lift. All bedrooms, apart from one are single, and each has an en-suite with sink and toilet. There are a selection of lounges, a spacious conservatory and 3 dining areas. The rooms and corridors are suitable for people who use wheelchairs, and there are handrails throughout the corridors. Parklands has at least one qualified nurse on duty at all times. The manager gave the Commission for Social Care Inspection information about the home’s fees and charges on 26th July 2006. The fees range from £356 to £561 per week. Their charges include hairdressing, chiropodist, toiletries and transport. These charges are variable; the manager can provide more information about this. People who are interested in Parklands nursing home can get information by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. The home has a website with more information on it. The address is: www.Parklands.com. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced; it took place between 11:55am and 17:30pm. The inspector sought the views of three residents, one relative, staff nurse and senior support worker. The manager assisted with the inspection. During the visit the inspector looked at the environment, and made observations on the staffs’ manner and attitude towards the residents. The inspector checked samples of documents that related to the resident’s care and safety. These included three assessments and care plans, three medication records, and three staff recruitment files. The inspector looked at other information before visiting the home. This included the pre-inspection questionnaire, which the Commission for Social Care Inspection (CSCI) had requested. Because of the residents’ needs it was not appropriate to ask them to complete survey. This was a key inspection and the inspector checked all the key standards. The inspector would like to thank the residents, relative, and staff for their welcome, help and contribution to this inspection. What the service does well: Parklands have a new manager who is committed to making improvements at the home. Residents and the relative said the home was “good”. People can get information about Parklands that will help them decide if the home is right for them. And they will get an assessment before the home agrees that they can care for them. Each resident has a care plan, the care plans tells staff about the residents health and social care needs, and how to look after them. The care plans look at what risks there might be for the residents, for example if they are prone to falls. Residents could spend the day the way they preferred, for example having a lie in or joining in with activities. An activities co-ordinator helped residents with leisure and social activities. The residents, relative and staff said they the home had some great events. These included a rock and roll night, a country and western night and a trip to Cleethorpes. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 6 Residents had nice meals, they were nutritious and there was plenty. Staff offered the residents choice, and people who needed help got good support from staff. A resident and relative said they felt comfortable they could tell the staff or manager if they were concerned about anything. One resident said the staff were “very good”. The manager took quick action to make sure people were safe when someone raised a concern about a resident’s welfare. He followed adult protection procedures and improved the homes practices to make sure residents continued to be safe. The home had decorated the downstairs corridor, lounge and some residents’ bedrooms. This made the rooms look fresh, clean and spacious. Parklands had enough staff to make sure the residents could be well cared for. They had arranged a training program to bring all staff up to date with good care and safety practices. And fifty percent of the care staff team had a National Vocational Qualification in care. What has improved since the last inspection? What they could do better: Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 7 The residents need a photo in their care plans and medication records. This will help new staff to identify them. The medication systems need to be safer and nurses must follow good practice guidelines. This will help safeguard the residents’ health and welfare. Some residents clothing looked over washed, baggy or crumpled. The home needs to take more care with resident’s clothes. This will promote the residents’ dignity and respect. Some staff need to interact more with residents, and the residents would benefit if the home refurbished the hairdressing salon. The homes environment has improved, however this must continue to make sure the residents live in a safe and comfortable home. The home needs to replace worn, stained or damaged items as they occur. For example the damaged cupboards, stained water jugs and worn linen. This will promote the residents’ dignity, comfort and safety. It is important that all staff understand adult protection procedures, this is necessary for the safety and welfare of the residents. And staff need to update their training. This will make sure they are up to date in their care practices and give the residents safe and consistent care. Parklands need to consult with relatives so that the home understands the relatives’ views, this is important because some residents cannot express their own views. The home needs to keep storage areas clean and tidy. This will help keep the home safe from fire and hygiene hazards. The home had not met some of the previous requirements for example there was no adequate hot water in some bedrooms and they did not keep all areas of the home maintained well. This can have an effect on the residents comfort and safety. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Parklands Nursing Home DS0000006488.V317994.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 Nursing Home DS0000006488.V317994.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): 1 and 3. Parklands did not have any residents on intermediate care. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Parklands give future residents (and their representatives) the information they need to decide if the home can meet their needs. The residents have their needs assessed and they have a contract which tells them about the service they will receive. EVIDENCE: The relative said the home had given him good information about their services this helped him to decide that Parklands was the right place for his family member. He also said the manager and staff “explained a lot” about the home. Parklands gave residents a contract, which told them about their terms and conditions. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 10 The residents each had an assessment; the information was in their care plans and gave staff good advice about people’s individual health and social needs. Each person had an assessment carried out before they came to live at the home. After this, Parklands continued to assess and review people’s needs. The organisation (Mimosa healthcare) had improved the assessment tool so the home could get better information about new residents. Parklands Nursing Home DS0000006488.V317994.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. The quality in this outcome area is adequate. This is because the manager has recognised that the home needs to improve and is working towards this. This judgement has been made using available evidence including a visit to this service. The residents’ health and personal care was based on their individual needs. However, nursing staff did not always follow safe medication practices. And some care practices did not promote the residents’ dignity and respect. EVIDENCE: Each resident had a care plan; this gave staff information about how to care for them. The care plans gave the staff, social, health care and nursing instructions. The care plans were very good at looking at people’s risks. For example they checked if people were prone to falls and pressure sores. There was information in the care plans about health care advice from outside professionals; for example doctors and dieticians. The residents’ records did not have a photo of the resident. This is needed to make sure staff can identify the residents. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 12 The organisation (Mimosa Care) had improved the care plans so that they gave staff better information about the residents. Not all residents had the improved version, but the manager was introducing these, and making sure all new residents had the improved care plans. The relative said he was impressed with the care of his family member. He said the staff “understand” his family member and most were “attentive” and “bring you up to date on everything”. The manager said he had concentrated on improving the homes care practices. The staff interviewed knew a lot about the residents’ needs, and he understood what was in their care plans. Some of Parklands’ medication practices did not follow good practice guidelines. Nurses had not signed for the receipt of medication and they had not witnessed and countersigned hand written instructions. (This happens when a nurse must copy the prescription on to the medication sheet because it is not already printed). The home used the same pestle and mortar to crush different residents tablets. This meant that there would be residue from the previous crushed tablets. This was not safe practice. The home did not have a written agreement from the pharmacist about which tablets were safe to crush. This meant the home could not be sure the practice was safe to do. The clinic room was not clean; it had a sticky floor and a stained cupboard and work surfaces. Many of the residents’ medication files and dividers were worn, stained or dirty. This did not promote good hygiene or prevent the spread of infection. The home did not keep the medication disposal containers in a locked cupboard. The home had a policy that at least one member of staff was around for the residents at all times when they sit in the lounges. Some staff were very attentive doing this; and this was good practice. However other staff stood or sat around without interacting with the residents. This was disappointing because the residents benefit from people chatting and interacting with them. One resident, in close proximity to staff, became uncomfortable, the resident expressed this through body language, staff did not take action until someone brought it to their attention. These two incidents did not promote the residents’ dignity, comfort and wellbeing. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 13 Most residents looked clean and comfortable in their clothes. However, some resident’s clothes looked over washed and baggy. The manager and staff agreed that keeping peoples clothes well laundered was a problem. There was a central laundry that catered for three homes. The laundry department ironed the residents’ clothes; the manager explained that by the time the clothes arrive back, the ironed effect was lost. The resident’s whites were also discoloured. This did not promote the residents’ dignity and respect. Someone had piled a resident’s clothes in a heap at the bottom of their wardrobe. This gave the clothes a dishevelled look, and denied the resident respect and dignity about their appearance and possessions. In some bedrooms people had put notes on the residents wardrobes and drawers asking staff to take care with the clothes and put them away tidy. This showed that people did care about the resident’s appearance but they did experience problems with keeping clothes neat and tidy. Most of the bedroom doors looked the same; this made it difficult to tell one from the other. Some doors had names on but these were high up and above the height of most of the residents. This made it difficult for people to recognise their own rooms. Parklands Nursing Home DS0000006488.V317994.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. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are able to choose their own routines and they can keep in contact with family and friends. The home offers social, cultural and recreational activities. The residents have a healthy and varied diet. The home meets the residents diversity needs. EVIDENCE: The home respected peoples preferred routines, for example staff left people, who preferred, to lie in until late morning, or longer if they wished. The staff interviewed knew individuals routines well, and expressed how important it was to follow them. Staff respected the residents diversity needs, for example their religious or spiritual activities, and residents could attend church if they wished. The home employed an activities co-ordinator and the relative and some residents said they had enjoyed some recent events. These included a day trip to Cleethorpes, a party, a country and western night, and a rock and roll night. They said these had been “good fun”. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 15 Residents had not been able to use the hairdressing salon. The home had used the room for another purpose and the hairdressing facilities were out of order. Some residents would benefit from the hairdressing salon, where they could enjoy one-to-one attention and pamper sessions. Teatime was relaxed and organised. One resident said they always enjoyed their meals. She said the sandwiches were “lovely, and they always are”. Staff treated people, who needed support to eat, with dignity. The meal was unrushed and staff offered people alternatives and choices. People were able to come to the dining area and leave as they wished. The relative said he visited often and noticed the meals “look nice”. He said his family member had a good appetite and enjoyed the meals at the home. The home catered for people who had special diets, for example, soft diets and diabetics. Parklands Nursing Home DS0000006488.V317994.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 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents and their representatives can raise concerns and complaints and the home will listened to them. The resident’s protection from abuse could be at risk because staff do not have the information they need. EVIDENCE: The home had a complaints procedure to follow. The relative said he felt he would be able to tell staff or the manager any concerns and they would listen. One resident said she would tell staff if she was not happy and said, “they are very good”. The manager had followed up a complaint. Social services received the information and followed adult protection procedures. The manager took prompt action; he worked with social services and investigated the complaint. This made sure the residents were safe. The adult protection procedures found that there was no evidence that anyone was at risk of harm. However the home had to improve it’s communication with relatives and make better records about the residents. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 17 Staff now made better records about the residents care in the care plans. The manager said he had informed the staff team about the importance of good communication. Staff did not have access to the local authority adult protection procedures. One staff said he would report any concerns to senior staff but he said he was “not sure” of the procedures. Parklands Nursing Home DS0000006488.V317994.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 poor. This judgement has been made using available evidence including a visit to this service. Parklands have improved some areas of the environment. For people to live in a safe, clean, and comfortable home, Parklands must continue to make improvements. EVIDENCE: Parklands had re-decorated areas of the home, this included the downstairs corridor, conservatory areas and some bedrooms. The home had also put new carpets in these areas. The new decorated areas looked fresh and clean. They were bright and free from clutter, this helped people with sight and mobility difficulties. Residents had personalised their own rooms, and the relative said the bright open lounge was good for the residents to sit in. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 19 Other areas of the home, for example upstairs, needed decorating. The manager said Mimosa healthcare planned to redecorated most of the home. However the manager did not have a maintenance plan or timescales. This is necessary to make sure the home always puts the safety and comfort of the residents first. Some residents’ sat in worn, damaged or split chairs. This caused a significant risk to them because it increased their risk of skin tears and injury. Some dining chairs had scratched and worn varnish that exposed the wood. This made the chairs unsightly for the residents; staff could not clean the chairs properly. Most of the residents had thin duvets; and the duvets felt hard. The sheets and towels were worn and thin. The residents could not enjoy comfort from the linen in this condition. The manager said he had ordered new sheets. In the bathrooms there was a broken toilet seat; which could cause injury to a resident. There was a broken cupboard door, worn and discoloured bath tray and water jugs, and unidentified shoes stored in a corner on the floor. These made it unsightly and untidy for the residents. Throughout the home many of the light and alarm call pull cords were dirty, discoloured or tangled. This meant that the cords could cause cross infection for residents, or the tangle meant the residents could not use them. The condition of the cords was unsightly for the residents. Staff used a trolley to clean beds and change linen. This was stored in the bathroom and staff used residents’ towels to soak up spills on the trolley, and they had left the wet towel on the trolley. The trolley was not clean. This was poor practice; it did not promote good hygiene or respect the residents’ linen. The residents’ towels were worn and discoloured. The home has two previous timescales to fit hot water to sink outlets. This is because some bedrooms have small immersion heaters over the sink, and they give variable temperatures, some do not work. The home has not done this. This means that some residents do not have an adequate supply of hot water in their rooms for washing. Parklands Nursing Home DS0000006488.V317994.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 home employs sufficient staff to meet the needs of the residents and their recruitment procedures help to protect the residents. Staff need to attend the organisations planned training days to make sure they are up to date with good practices. EVIDENCE: The relative said, “Some of the staff are brilliant”. He said he felt staff looked after his family member well. A resident said she was fond of the staff and said they were “very good”. There was enough staff available to meet people’s needs; this included enough staff for residents who needed two carers. Fifty percent of the care staff had a National Vocational Qualification in care at level 2 or above. This meant the staff had good knowledge about the principles of care. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 21 In the main the home had followed good employment procedures, these included equal opportunities and vetting staff for their suitability. The manager had information to confirm that staff had a criminal record bureau check. The records did not say if the checks were enhanced. This is necessary to make sure care workers are suitable for the job. The manager made it a priority to get staff recruitment records and recruitment procedures in good order. He had achieved this to a good standard. Staff said that they received some training, for example dementia care. However staff training was not up to date; Mimosa health care had set up a years training programme for all staff. Staff had not yet started the training but it was ready to start in the next month. The training included care of the older person. Parklands Nursing Home DS0000006488.V317994.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 adequate. This judgement has been made using available evidence including a visit to this service. There are quality check systems at the home; however Parklands need to take better action to make sure the home meets the outstanding requirements. The staff need training in safe working practices so that the residents can be protected from harm and accidents. EVIDENCE: The manager had applied to the Commission for Social Care Inspection for his registration. The Commission for Social Care Inspection will measure this standard after the manager is registered. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 23 The provider carried out a regular check on the home. This showed that the provider checked to see how the home performs. Since the manager started at Parklands six months ago he had made some good improvements. The manager did quality audits for example he checked the care plans and medication systems. The manager could not show how the home had increased its consultation with relatives; this is necessary because some residents cannot express their own opinion, and the home needs to understand the residents and relatives views. The organisation had not taken enough action to meet the outstanding requirements. It is important the home meets the requirements for the health, welfare and dignity of the residents. The new training programme included updating staff on safe working practices. Some staff were not up to date with their training. (See standard 30 for requirement). The staff understood how to carry out fire drills and the home carried out safety maintenance checks. Two walk-in storage cupboards were untidy and had litter and empty boxes left in them. The state of the cupboards made it unsafe for staff to enter and it was a fire risk to the home. One cupboard was dirty which meant there was a risk of cross infection onto sheets, linen and equipment. The home has a condition, which says no more that two residents under the age of 55 years can live at the home. The home met this condition. Parklands Nursing Home DS0000006488.V317994.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 2 Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15 Schedule 3 Requirement Each resident must have a photograph with his or her records. There should be one in the care plan and one on the medication records. The home must do the following to improve the medication practices: • Follow Nursing Midwifery Council and Royal Society of Pharmaceutical guidelines. Record the receipt of all medication. Witness and sign hand written medication instructions on MAR (medicine administration records) sheets. Only crush tablets if advised and agreed by the pharmacist. The agreement must be recorded for each medication item. Timescale for action 31/01/07 2 OP9 13 30/11/06 • • • • Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 26 3 OP10 12 The process to crush tablets (if agreed by the pharmacist) must be safe and avoid cross contamination with other tablets. • Replace the medication files and dividers that are stained, worn or dirty. • Store the medication disposal storage bin in a safe and locked place. • Keep the medication storage cupboard and clinical room clean at all times. The home must make sure that staff are aware of the importance of interaction with residents. The home must make sure staff respond to residents if the residents look uncomfortable or unsettled. The home must make sure the staff and laundry systems respect the residents’ clothes and keep them in good condition. • 31/01/07 4 OP18 13 and 18 The home must have the local authority’s adult protection policy and procedures available. All staff must be made aware of the local authority’s and the home’s adult protection procedures. 30/11/06 5 OP19 16 and 23 All areas of the home used by residents must be well maintained. (Previous timescale of 01/02/06 and 01/06/06 not met) The home must produce a DS0000006488.V317994.R01.S.doc 31/01/07 6 OP19 16, 31/12/06 Version 5.2 Page 27 Parklands Nursing Home 17,and 23. maintenance and refurbishment plan that includes an audit of the home, prioritised areas, and timescales for each area. They must submit this to the commission by the timescale date. 7 OP19 13 The home must replace the following: • The thin and hard duvets with duvets that provide the residents with comfort and warmth. All thin worn bed sheets and towels. The broken toilet seat. The broken cupboard door in the bathroom. All discoloured and damaged water jugs. All discoloured and stained bath trays. All pull cords that are dirty, discoloured and tangled. Worn, split and damaged upholstery. 31/01/07 • • • • • • • The home must stop the following practices: • Storing unidentified shoes or clothing from bathrooms. • Using residents’ towels to soak up cleaning spills. The home must: • Make sure the bathroom Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 28 • trolleys are regularly cleaned, including the wheels and legs Repair or replace the dining chairs that damaged. 31/12/07 8 OP26 23 Hot water must be supplied at all sink outlets. (Previous timescale of 01/11/05 and 01/03/06 not met) Staff records must identify whether the criminal record bureau checks are at an enhanced level and included a POVA check. (Previous timescale of 01/03/05 not met) All staff must access the proposed training programmes. Consultation with relatives of residents must increase to ensure effective quality monitoring systems are in place, which complies with the standards and regulations. (Previous timescale of 01/06/06 not met) 9 OP29 19 30/11/06 10 11 OP30 OP33 18 24 30/11/06 30/11/06 12 OP38 13 All storage areas must be kept clean and tidy to prevent cross contamination and fire hazards. 30/11/06 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 OP9 Good Practice Recommendations The manager, following his medication audit, should identify and then follow up staff members responsible for DS0000006488.V317994.R01.S.doc Version 5.2 Page 29 Parklands Nursing Home 2 OP10 3 4 OP12 OP30 inaccuracies or inappropriate storage. The home should consider ways of personalising bedroom doors to help people identify their rooms easier. This should be at a height the person can see and not too high up the door. The home should refurbish the hairdressing salon and provide one-to-one and pamper sessions for residents who would benefit from this. All staff including qualified nursing staff should complete regular training in the conditions associated with the people living at the home. Parklands Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Nursing Home DS0000006488.V317994.R01.S.doc Version 5.2 Page 31 - 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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