Inspection on 26/06/06 for Parkmanor Residential Home

This inspection was carried out on 26th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

Other inspections for this house

Parkmanor Residential Home 14/12/05

Parkmanor Residential Home 05/07/05

Parkmanor Residential Home 19/10/04

Parkmanor Residential Home 29/06/04

Parkmanor Residential Home 26/02/04

Similar services:

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Annesley Lodge Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

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

CARE HOMES FOR OLDER PEOPLE Parkmanor Residential Home Albert Road Coalville Leicestershire LE67 2AA Lead Inspector Mrs C A Burgess Unannounced Inspection 26th June 2006 09:30 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 Parkmanor Residential Home DS0000001654.V294007.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. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkmanor Residential Home Address Albert Road Coalville Leicestershire LE67 2AA 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) 01530 817443 01530 817443 Rushcliffe Care Limited Ms Lorna Thompson Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (40), Physical disability of places over 65 years of age (40) Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No-one under the age of 55 years may be admitted into the home in category PD. 14th December 2005 Date of last inspection Brief Description of the Service: Parkmanor is a residential care home for 40 older persons and older persons with a physical disability. The home is managed by Rushcliffe Care Limited, Epinal Way Care Centre, Loughborough. The home is purpose built on two floors, the first floor being accessible via a passenger lift. There are sitting rooms and a dining room on each floor and a family room for private meetings. All rooms are single with en-suite facilities. A number of the rooms enjoy views over the bowling green or garden. The courtyard garden is laid to lawn with a paved area, potted shrubs and flowers, and is suitable for wheelchair users. The home is clean, well maintained and attractively decorated throughout. Facilities in Coalville town centre include the usual shops and market, churches, library, hotels, restaurants and pubs. Close by is the attractions of Snibston Discovery Park. The home is within a ten-minute walk of the town centre. The towns of Loughborough and Ashby-de-la-Zouch are within a twenty-minute drive. The home is close to public transport and there is ample parking for visitors. The Statement of Purpose, Service Users’ Guide & Inpection Report are available on request. The Statement of Purpose, Service Users’ Guide are provided for all new residents. At the time of the site visit the Registered Manager stated that weekly fees were: £286 - £480. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day. An opportunity was taken to look around the home, view records, policies and care plans and to talk to staff, residents and their relatives and visitors. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through a review of their records, discussion with relatives, the care staff and visitors to the home, and observation of care practices. Many of the residents were seen during the inspection. Three residents and two of the residents’ relatives spoken with, gave the Inspector their impressions of the home. What the service does well: Parkmanor, Rushcliffe Care Limited provides a high standard of care for the residents. The home is well run by a knowledgeable and experienced Registered Manager and has a warm, friendly and welcoming atmosphere. It is well decorated and maintained with an attractive garden, and provides a safe and homely environment for the residents. Staff are caring and supportive towards the residents and their relatives. Residents’ care plans are detailed to ensure that each resident’s individual and specific needs are met. Residents are provided with a range of daily activities, and contact with the local community and church is maintained. Meals are cooked on site and are nutritious and well presented. The home has a highly motivated and pro-active activities organiser. Staff are well trained and able to meet the residents’ needs. The home’s real strength is in the sound relationships between staff, residents and their relatives/visitors and the Registered Manager’s proactive approach to working with other healthcare professionals to ensure that the residents receive optimum care on all levels. Comments from residents and their relatives, during the inspection, were very positive and demonstrated that they were very satisfied with the standard of care provided. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 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. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 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 Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 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): 3 & 6. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The admission process is well managed and residents receive a comprehensive assessment, thereby ensuring that their health and welfare needs are being met. EVIDENCE: The pre-assessment process, completed by either the Registered Manager or a Senior Manager, is detailed and robust and reflective of the health, welfare and social needs of the residents. The home does not provide intermediate care. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 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): 7, 8, 9 & 10. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are well looked after in respect of their health and personal care. EVIDENCE: Care plans are detailed and reflect residents’ specific and individual needs. Contact with other healthcare professional is well documented in the ‘interagency’ notes. The quality of record keeping is reflective of the high standard of care observed during the inspection and ensures that the needs of the residents are met. Residents and their relatives said that they were consulted about the care provided. One visitor said that the staff were very responsive to her relative’s needs and that they only had to ask and ‘it would be provided straight the way’. Medication administration is managed effectively within the home’s robust medication policy and procedural guidelines to ensure the safe and timely Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 10 delivery of residents’ prescribed medicines. Residents may receive ‘homely’ remedies, such as cough linctus, under the guidance and approval of the GP. Observation during the inspection showed that staff have a good awareness of how to protect residents privacy and dignity. They were seen to be kind and patient and treated the residents in a respectful, friendly and supportive way. A personal preference for female carers, for a specific resident, was discussed with the Registered Manager, who stated that this would be accommodated and monitored. Residents and their relatives said that staff are respectful and very caring and were very complimentary about the care provided. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 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): 12, 13, 14 & 15. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff work very hard to ensure that residents experience a safe, homely life style. EVIDENCE: Visitors came and went throughout the day and called into the Registered Managers office to chat about their relatives and any concerns they had in an open and friendly manner. The home has contact with external community groups and various churches whose representatives regularly visit the home and a monthly Christian Service is held in the home. There is an activities organiser who provides daily activities such as bingo, in the afternoons. In addition to organising activities for the residents she Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 12 operates the laundry, and assists with breakfast and lunches. The residents also have access to the bowling club and restaurant next to the home. One relative said that the activities officer worked very hard and was enthusiastic, and encouraged the residents to participate and enjoy the communal activities, but that the wishes of residents who did not want to participate were respected. The home has recently had a summer fête and celebrates residents’ birthdays and festive days throughout the year. Menus are balanced and appealing, and are flexible enough to accommodate individual preferences and healthcare needs. They are freshly prepared and are of a good standard and the residents said that they enjoyed their meals. One resident told her relatives that she would like a curry. The Registered Manager immediately spoke with the cook and arranged for it to be provided and for additional portions to frozen for future use should the resident request them. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 13 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 & 18. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Arrangements for receiving and responding to complaints are sound resulting in satisfactory protection of residents’ rights. EVIDENCE: The home’s complaints process reflects the government’s adult protection guidelines, set out in the local Multi Agency Policy & Procedure For The Protection of Vulnerable Adults from Abuse, No Secrets’ publication, 2004. Staff are aware of these procedures and receive relevant training. Complaints and concerns made to the home are dealt with appropriately. Neither the home nor the CSCI have received any complaints since the last inspection in December 2005. There are regular staff and residents meetings to ensure good communication is maintained at all levels. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 14 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 & 26. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. A comfortable, clean and safe standard of accommodation is provided for the residents. EVIDENCE: The home is safe and well maintained with many adaptations to suit residents’ specific needs. It is decorated and furnished to a high standard that creates a comfortable and homely environment, and there is a system of maintenance and refurbishment. There is a safe garden area with terrace and seating; colourful potted shrubs and flowers, which are fully accessible to all residents. Ground floor rooms have French doors opening onto the attractive and well maintained garden. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 15 Residents’ rooms were very clean and well decorated. Residents are able to bring items of their own furniture and possessions with them to personalise their rooms. All room have en-suite facilities, with a toilet and hand basin, and there are additional toilet, bathing and assisted bathing facilities. All areas of the home were clean and maintained to a high standard and one resident specifically mentioned the domestic staff, who she said, worked very hard to keep the home clean and tidy. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 16 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. Quality of this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff at the home are sufficient in numbers to meet the residents’ needs. EVIDENCE: Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 17 Staffing levels, at the point of inspection were satisfactory and in line with the Department of Health Residential Forum Guidelines and were sufficient to meet the residents’ needs. The Registered Manager maintains overall responsibility for the home and is supernumerary and has the support of a senior manager. There are four care staff on duty throughout the day and two on duty during the night. There are also cooks, domestic and maintenance staff. The Registered Manager stated that senior management was supportive and responsive to need if additional staff were required. One resident and two relatives said that there were, occasionally, times when staffing appeared ‘thin’. One resident said that, sometimes, she had to wait to use the hoist, but this was not often. Generally, relatives and residents said that there were sufficient staff on duty to meet the needs of the residents. Training for staff is well planned and supports staff in providing for the varied needs of the residents. New staff are provided with a comprehensive induction package. Extensive ‘in house’ training supports staff in meeting the residents’ health and welfare needs. Rushcliffe Care Limited, Epinal Way Care Centre undertakes the recruitment process centrally. This has been inspected during this inspection year and was found to be satisfactory. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 18 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, 35 & 38. Quality of this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Registered Manager is knowledgeable, experienced and professional, and effectively supervises staff and manages the home to protect the rights and needs of the residents. EVIDENCE: The Registered Manager has many years of experience in care and is currently undertaking the Registered Managers Award, which she will complete by the end of the year. She has a proactive and open style of management, which ensures good working relationships with staff and quality care for residents and support for their families. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 19 There is an ethos of openness in the home; staff are friendly and helpful towards the residents, their relatives and each other. Staff support the residents to make decisions in their everyday life, which promotes independence. Residents’ personal allowances are kept safe and are appropriately managed. The Registered Manager is currently trying to attend to a concern for some privately funded residents who do not have regular access to their personal monies, held on their behalf by relatives. Advice has been sought through Age Concern Advocacy and there are to be further discussions at the relatives meeting to ensure that these residents do have access to a regular personal allowance for any additional items which they may wish to purchase and to ensure that they can continue to maintain their dignity and independence. The Registered Manager is commended for taking a proactive approach to this issue on behalf of the residents. The Registered Manager undertakes yearly staff appraisals and supervision (a regular review of staff performance and training needs) to ensure that staff maintain the standards of care expected throughout Rushcliffe Care Limited. Health and Safety Policy and Procedures, such as regular recorded fire drills and fire alarm tests are completed, to ensure the health and safety of the residents and staff. Hot water temperatures are checked to ensure they comply with Health and Safety legislation and were satisfactory when checked during the inspection. Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 20 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 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 4 Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 21 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. Refer to Standard Good Practice Recommendations Parkmanor Residential Home DS0000001654.V294007.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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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