Inspection on 26/01/06 for Parklands Nursing Home

This inspection was carried out on 26th 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 10/07/07

Parklands Nursing Home 12/07/06

Parklands Nursing Home 16/12/04

Parklands Nursing Home 04/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Parklands Nursing Home 26 Ellison St Thorne Doncaster South Yorkshire DN8 5LD Lead Inspector Janet McBride Unannounced Inspection 26th January 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parklands Nursing Home DS0000048417.V268988.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. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parklands Nursing Home Address 26 Ellison St Thorne Doncaster South Yorkshire DN8 5LD 01405 812233 01405 812233 the.parklands@fshc.co.uk 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) Four Seasons Homes (No 6) Limited (A wholly owned subsidiary of Four Seasons Healthcare) Siegfred Laguio Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability over 65 years of age of places (24) Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2005 Brief Description of the Service: Parklands are a well-established care home offering nursing and personal care to older people. Four Seasons Healthcare is the Registered provider, a national company that owns a number of other homes locally within the Doncaster area. The home is situated in Thorne on the outskirts of Doncaster. Adjacent to the local park and within easy reach of a shopping centre the home is well placed for community facilities, including local primary health services. The building is a converted and extended property, with two units, one unit for nursing residents and the other for residential residents. High proportions of the bedrooms are single with en suite facilities. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this unannounced inspection at Parklands, on the 26th January 2006, commencing at 10:30and finished at 14:45. This was the home second Inspection since April 2005 plus one additional visit, any standards not covered in this inspection was covered in the unannounced inspections that was conducted early in the year. It may be the case that some standards will be covered twice in the inspection year 2005/2006, which is considered good practice, and consistent with a professional approach to regulation. During the Inspection a chosen number of documents, sampling of records were checked, tour of the premises and direct and indirect observation of staff interaction with residents, this Inspection also included individual and group discussions with residents, and feedback from any relatives or visitors on the day. Any issues or concerns that were raised were discussed with the manager and operations manager at the end of the Inspection. What the service does well: Atmosphere within the home appeared good and lots of verbal communication between staff, residents and visiting relatives. Observation during the Inspection saw examples of good, interaction between staff and resident’s. Staff was observed conversing with residents they seemed to be both attentive and responsive to their needs. A number of residents were able to comment about life within the home, and comments received included; staff, were always helpful and courteous, and a number of residents made very positive comments about food at the home, stating they had a good choice and plenty of food. The manager seeks feedback from residents, relatives and visitors to ensure that home are meeting peoples needs. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parklands Nursing Home DS0000048417.V268988.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 Parklands Nursing Home DS0000048417.V268988.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): 2 Current service users and prospective service users are issued with contracts/statement of terms and conditions and are fully aware of the services and facility provided. EVIDENCE: Current residents and prospective service users are provided with a contract or statement of terms, and are fully are aware of terms and conditions in respect of accommodation to be provided, including the amount and method of payment. Parklands Nursing Home DS0000048417.V268988.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): 10 Staff at the home promote and maintain residents health and ensure they are treated with respect and their privacy and dignity upheld. EVIDENCE: The homes manager and staff ensure that all residents receives health and personal care based on their individual needs, all those seen were appropriately dressed; with any aids they need for example glasses and teeth, this was confirmed when speaking to staff and relatives also examination of recent surveys sent out by the manager. During the Inspection staff were observed conversing with service users they seemed to be both attentive and responsive to their needs, new staff were interviewed confirmed that during induction they were instructed on how to ensure privacy and dignity is not comprised, e.g. ensure that personal care is given in private, always knock on doors and ensure that service users are appropriately dressed. Parklands Nursing Home DS0000048417.V268988.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): 12 13 15 Atmosphere within the home appeared good and lots of verbal communication between staff, residents and visiting relatives, and staff were aware of promoting the interests of residents needs. EVIDENCE: The routines within the home are flexible and varied; evidence was seen that when residents are admitted they record what hobbies and interests they had in their life. The home employ an activities organiser, and some of the residents went on a short break holiday last year. An activity schedule is displayed although the manager stated this is flexible, as often the current residents do not want to participate in-group activities preferring individual time with staff, for example visits to the local shops with staff on a one to one basis, and this was evident on the day. Residents can receive visitors at any reasonable time and choices of were they see their relative, for example in one of the homes lounges or the resident’s bedroom. Representative from one of the local churches visits on a regular basis and is happy to offer a monthly multi-faith service as required by residents. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 11 Observation at lunchtime, and mealtimes and menus were discussed with the cook and residents in the home. Some residents were still having breakfast when the Inspector arrived at the home, they had a choice at breakfast time could be either a light breakfast or a full cooked breakfast. A number of residents made very positive comments about food at the home. Lunch is the main meal of the day and this was observed on the day, staff were on hand to offer assistance where necessary. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 12 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 Residents and relatives are provided with information to enable them to raise concerns or complaints about the home and their care. EVIDENCE: The company do have a complaints procedure, which specifies how and who to contact when anyone wants to make a complaint, it also makes reference to the Commission for Social Care Inspection. The Inspector examined the homes complaints records and records show that one recent complaint had been investigated fully with feedback to the complainant. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 13 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): 24 25 26 A number bedroom are in need of refurbishing although this does not pose any risks to residents, it does not create a pleasing and pleasant environment to live in. Radiators that are not guarded or have low temperature surfaces can place vulnerable residents at potential risk of harm. EVIDENCE: Tour of bedrooms and random rooms selected, some were homely and well presented, but a number of bedrooms are in need of refurbishing as carpet are well worn or stained, furniture is old and worn and the bed are the old mental type that appear very worn. Lack of provision of double sockets within one bedroom was highlighted as it was clearly identified that this resident was using extension leads as they have numerous electrical appliances. A number of radiators within the home are not guarded nor have low temperature surfaces, this was agreed on the last Inspection that six would be fitted each month this clearly as not happened and raises concerns. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 14 When checked in various areas these were very hot to touch and although some residents have risk assessments in place, some residents remain very vulnerable has they are not aware of hot surfaces. Hygiene and control of infection was discussed with the manager who stated that they, policies and procedures in place and staff have received training in infection control that was evident in training records. Tour of the home found it to be clean and tidy with no unpleasant odours, since the last Inspection a new disinfector sluice as been fitted, and the home now have an on site laundry which was inspected and found to have appropriate facilities e.g. washing machines with sluicing facilities and colour coded skips in use. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 15 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 a very stable staff group, which ensures continuity of care by staff who know the residents within the home. On going development of staff was evident by some staff achieving NVQ qualifications. EVIDENCE: Staffing and skill mix was discussed with the manager, who stated that staffing is calculated dependent on residents care needs and dependence levels. Duty rota clearly identifies staff within the home and their role, including ancillary, domestic and kitchen staff, all staff that provide personal care are over eighteen years old. There are corporate policies and procedures in place regarding the recruitment and appointment of staff. A selection of new staff files were examined, which provided evidence that written references are obtained, Criminal Record Bureau checks had been received. All staff has terms and conditions of employment, but no evidence that staff had copies of the General Social Care Council code of conduct. New staff have induction followed by foundation training, which is stated to be in line with TOPSS education and training strategy A new member of staff was on duty and interviewed who confirmed she attended a full day TOPSS Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 16 induction and is currently working through the foundation pack, and confirmed that she was receiving support from the manager and her mentor. Staff can also access NVQ training and out of the homes 18 care staff 7 have completed NVQ courses and 6 other staff have enrolled on NVQ courses within the company. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 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 38 The homes manager provides leadership and management which promotes residents well being. Health and safety arrangements are satifactory, but issue raised regarding two of the homes hoists could place staff and residents at risk. EVIDENCE: The homes manager has various experiences and is currently completing the registered managers award, and undertaken some dementia training as part of his development. He continues to be supernummary, but there is no identified deputy manager, and the appointment of a deputy should be considered to support the manager in his managerial role and this would identify a responsible person to whom residents and visitors can relate to in the absence of the manager. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 18 Quality assurance was discussed with the manager and records checked. Regulation 26 visits are carried out on a regular basis with reports available. The manager completes various audits, for example care plans, and risk assessments and accident reports are all audited on a monthly basis with records available. Feedback is actively sought by the manager from residents, relatives and visitors; these questionnaires have been analysed by the manager and any issues raised will be addressed and feedback is to be given to resident and relatives at an arranged meeting which is later today. Health and safety was discussed with manager, staff and records checked. Moving and handling records show that all staff have received training and updates as required, evidence in records shows that servicing of essential equipment takes place within the required timescales, however one issues was raised on the last service 10/01/06 it was noted that two hoists are very worn and require re-placing as soon as possible, but this as not been addressed by the company on the date of Inspection. Maintenance of the fire systems was discussed with the manager who stated that they had a satisfactory visit from the fire officer since the last inspection, and records show that all fire safety is being checked and recorded. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 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 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X 2 2 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X X X X 2 Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 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 OP24 Regulation 23 Requirement The registered person must ensure that the Identified bedroom with numerous electrical appliances requires double electrical socket fitting. The registered person must ensure that the Identified bedroom carpet that is stained requires replacing. The registered person must provide a programme of maintenance and renewal plan for the home. Timescale for action 28/02/06 2 OP24 23 31/03/06 3 OP24 23 31/03/06 4 OP25 23 Radiators must be guarded 31/03/06 throughout the home including service users bedrooms, and the Registered person must ensure that each individual service users are assessed to ensure that any unnecessary risks to health and safety are identified, and so far as possible eliminated. (Timescale of 01/11/05 not met). Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 21 5 6 OP29 OP38 19 23(2)(c) All staff must be issued with copies of GSCC codes of practice. Safe Working Practice, hoist facilities within the home must be maintained in good working order or replaced. 31/03/06 28/02/06 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 2 Refer to Standard OP28 OP31 Good Practice Recommendations Ensure that a minimum ratio of 50 trained members of care staff (NVQ Level 2 or equivalent) is achieved. The registered manager achieves NVQ 4 in management. Parklands Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Nursing Home DS0000048417.V268988.R01.S.doc Version 5.1 Page 23 - 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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