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Inspection on 14/02/06 for Parklands Residential Home

Also see our care home review for Parklands Residential Home for more information

This inspection was carried out on 14th February 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is small and homely and the staff and manager operate as a team with good communication. Service users expressed their satisfaction with the care and services provided and the friendliness of the staff. Staff encourage service users to socialise and get out in the local community as much as possible by accompanying them whenever possible. Training is given high priority and the registered manager is very responsive to changing needs and seeks out training that will be useful to the staff in their care of service users. 3 out of 7 care staff have achieved a qualification at NVQ level 2.

What has improved since the last inspection?

The home no longer allows smoking for either service users or staff. Various parts of the home have been decorated and refurbished including a corridor and certain bedrooms; maintenance is ongoing. Senior staff are receiving in-depth training in the provision of medication and all staff are completing training in Adult Literacy to assist them with report writing. Medication is now stored within a robust cabinet that is secured to the wall and appropriate facilities are provided for the storage of any controlled drugs and any medicine that requires refrigeration.

What the care home could do better:

Training is a high priority and staff should continue to be encouraged to attend NVQ training.

CARE HOMES FOR OLDER PEOPLE Parklands Residential Home 516 New Hall Lane Preston Lancashire PR1 4TD Lead Inspector Ms Susan Dale Unannounced Inspection 14th February 2006 02:00 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 Parklands Residential Home DS0000009847.V256011.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 Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parklands Residential Home Address 516 New Hall Lane Preston Lancashire PR1 4TD 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) 01772 795675 Mr Chattargoon Seetal Mrs Narainee Seetal Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 Brief Description of the Service: Parklands Residential Home is a two storey detached building located on one of the main thoroughfares of Preston. The home is close to local amenities and has a garden area to one side and parking to the rear. Parklands are registered to provide personal care to fourteen older persons of both sexes. There is a clear commitment to provide a high quality of individualised care and promote the independence of service users, within a homely atmosphere. Social activities both within and outside the home are arranged in consultation with service users and visitors are made welcome. Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and concentrated on the standards not assessed at the last inspection. As well as the registered manager, staff and service users were spoken with and a tour of the premises took place. What the service does well: What has improved since the last inspection? What they could do better: Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 6 Training is a high priority and staff should continue to be encouraged to attend NVQ training. 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 Residential Home DS0000009847.V256011.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 Residential Home DS0000009847.V256011.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): 1&2 Written information is available about the services provided by the home and each service user has a written contract that details the terms and conditions of residency. EVIDENCE: A Statement of Purpose and Service User Guide is available and is due to be reviewed and up-dated with regard to the staff and their qualifications and other changes that have taken place within the home. The service user documentation seen includes a statement of Terms and Conditions/contract for all service users. The documentation was signed by the service user or their representative and they are provided with a copy. Parklands Residential Home DS0000009847.V256011.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): 9 & 11 Appropriate medication policies and procedures are in place to ensure the protection of the service users. Procedures are in place with regard to the death of a service user. EVIDENCE: There are appropriate medication policies and procedures and the medication is now in a secure cabinet with a facility to store any controlled drugs; currently there are no service users who require a controlled drug. A lockable box is now available within the fridge for any medicine that requires to be refrigerated. Three senior staff are completing certificated medication training, ‘Managing and Safe Handling of Medicines level 2’; the registered manager has already completed the training and is now helping the staff. Each service user now has an individual medication file that includes a photo and has proved useful for visiting health professionals. The manager regularly checks the record of medication provided for accuracy. Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 10 The home has a policy and procedure in place with regard to the death of a service user and staff have access to this and understand its principles. Friends and relatives are supported and can offer comfort according to the needs and wishes of the service user. At the initial assessment important details are recorded about individual service users; there is a space on the form for the wishes of service users with regard to their death. Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 A varied menu is planned and provided that provides service users with nourishing meals according to their wishes. EVIDENCE: Meals are served in an attractive and well-appointed dining room overlooking the garden area. Discussion with individual service users indicated that meals are varied and appealing, and the menus show that a nutritious and balanced diet is provided. Service users confirmed that mealtimes are flexible and unhurried and are offered individual choices aside from the main menu. The home employs the services of a full time cook and one of the carers covers for her at other times. A Dietician has been contacted over to support one of the service users who currently have a poor appetite and there is also liaison with General Practitioners where necessary. All service users are weighed once a month or more frequently if there are any concerns. Parklands Residential Home DS0000009847.V256011.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): 17 The legal rights of service users are respected. EVIDENCE: Information about the advocacy service is promoted and service users are able to participate in the political process by either taken to vote or by postal vote. Parklands Residential Home DS0000009847.V256011.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): 19, 20, 21, 22, 23, 24, 25 & 26 The home provides a comfortable safe environment that meets the needs of the service users. EVIDENCE: The home is well maintained and meets service users’ needs in a comfortable and homely way. A programme of maintenance and renewal is ongoing. The parking and garden areas are kept safe and tidy with service users having full access to these external areas. The internal environment is attractive and domestic in character. Since the last inspection one of the corridor walls has been painted and certain bedrooms have been decorated with new carpets and curtains and one of the bedrooms has a new wardrobe. The home has ample communal space for the number of service users. The lounge areas are furnished in a homely style and provide facilities for a range of social activities. The dining room is bright and spacious with service users accessing this area other than at meal times e.g. for board games and Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 14 dominoes. A conservatory has been built off the dining room and provides access to the garden. The home now only accommodates non-smokers. There are sufficient toilet, washing and bathing facilities for the number of service users. One of the single bedrooms and one double bedroom has ensuite facilities; there are hand basins in each of the bedrooms. The home has a variety of aids and equipment to meet the needs of service users. A lift provides access to the first floor and ramps ensure that service user have access to the outside areas. Specialist assessments and the provision of further aids would be instigated in response to specific individual needs as required. The home has grab rails in key locations and storage areas for equipment. The bedrooms are furnished to a comfortable standard and meet the needs of the individual service users, who are also able to bring their own furniture into the home and personalise their rooms according to the space available. All the bedrooms have locks on the doors and lockable drawers for the storage of medication or valuables within the room. Thermostatic devices are fitted to all hot water outlets in service user accommodation to control the temperature of the hot water delivered. Emergency lighting is in place and all equipment within the home is routinely maintained. All the radiators and pipe work have now been guarded to provide safe surface temperatures. The home has appropriate policies in place regarding hygiene and control of infection. Guidance on hand washing is displayed in the laundry and a copy of the policy on infection control is also sited there. Laundry facilities are appropriately sited and equipped and easily cleanable. Parklands Residential Home DS0000009847.V256011.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): 28 Training continues to be a high priority for staff. EVIDENCE: All staff are encouraged to attend training as well as medication training, since the last inspection, all staff have been provided with training in the ‘Protection of Vulnerable Adults’. Other training has included Moving and Handling, First Aid, Fire Safety and Health and Safety. All staff are completing training in Adult Literacy to assist them with report writing. There are currently 7 care staff and 3 staff have achieved NVQ level 2. Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 16 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): There were no standards assessed at this inspection. EVIDENCE: Parklands Residential Home DS0000009847.V256011.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 3 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action 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 OP28 Good Practice Recommendations The training of staff to NVQ level 2 should continue Parklands Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Residential Home DS0000009847.V256011.R01.S.doc Version 5.1 Page 20 - 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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