CARE HOMES FOR OLDER PEOPLE
Parkmanor Residential Home Parkmanor Residential Home Albert Road Coalville, Leicestershire LE67 2AA Lead Inspector
Mrs Carole Burgess Unannounced 05 July 2005 09:30am 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 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 v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Parkmanor Residential Home Address Albert Road Coalville Leicesteshire LE67 2AA 01530 817443 01530 817443 surjit@rushcliffecare.co.uk. Rushcliffe Care Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Lorna Thompson Care Home (CRH) 40 Category(ies) of Old age, not falling within any other category registration, with number (OP) 40 both, Physical disability (PD) 40 both, of places Physical disability over 65 years of age (PD(E)) 40 both. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: No-one under the age of 55 years may be admitted to the home in catagory PD Date of last inspection 29th June 2004 Brief Description of the Service: Parmanor 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 with 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 coutyard garden is laid to lawn with a paved area suitable and potted shrubs and flowers, has an attractive fountain and is suitable for wheelchair users. Facilities in Coalville town centre include the usual shops and market, churchs, library, hotels, restraunts 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. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 four residents and tracking the care they receive through a review of their records, discussion with them, the care staff and observation of care practices. Many of the residents were seen during the inspection. Four of the residents, five relatives, and the District Nurse spoken with gave the Inspector their impressions of the home. What the service does well:
Park Manor, Rushcliffe Care Limited provides a high standard of care for the residents. The home is well run by a knowledgeably and experienced Registered Manager. 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. 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 satisfied with the standard of care provided.
Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 standard(s) 1, 3, 4, 5 & 6. The admission process is well managed and residents and their relatives/representatives are given clear and detailed information regarding the service; thereby ensuring that the residents’ health and welfare needs are being met. EVIDENCE: There is a comprehensive Statement of Purpose & Service Users’ Guide. All residents are provided with a Contract of Residency. The pre-assessment process, completed by either the Registered Manager or a Senior Manager, is detailed and robust and reflective of the health and welfare needs of the residents. A visitor said that he had considered many homes in the local area, including Park Manor, before making a decision on behalf of his relatives. Residents are able to undertake a trial period prior to taking up permanent residency at the home. The home does not provide intermediate care.
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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 standard(s) 7, 8, 9 & 10. Residents are looked after well in respect of their health and personal care needs. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 Page 10 EVIDENCE: Care plans are detailed and reflect residents’ specific and individual needs. Contact with other healthcare professional is well documented. 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. Medication administration is managed effectively within the home’s robust medication policy and procedural guidelines to ensure the safe and timely delivery of residents’ prescribed medicines. Residents are able to self-medicate following a recorded assessment to ensure that the resident is safe to do so. On the day of inspection there were a few gaps on the medication sheets where staff had forgotten to sign that medication had been given. This may result in residents missing their medication or being given more than the prescribed dose, particularly where the closed blister pack system is not used i.e. for liquid medication. 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. Residents and their relatives said that staff are respectful and very caring. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 standard(s) 12,13, 14 &15. Residents experience a stimulating and varied life at the home with visitors encouraged and a variety of activities made available. Meals are well presented and nutritious and staff are caring and supportive of residents and their relatives. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 Page 12 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, and to bring treats for the home’s pets – a dog called Stumpy, a cat and three budgerigars. The home has contact with external community groups and various churches whose representatives regularly visit the home. There is a part-time activities officer who provides daily activities and residents have access to the bowling club next to the home. Residents spoken with said that staff are respectful and very caring and both residents and relatives said that the staff are excellent and provided a very high standard of care. 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 said that she would like specific fruit with her main meal and both the Registered Manager and the cook said that this could be arranged. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 standard(s) 16, 17 & 18. Arrangements for receiving and responding to complaints are sound, resulting in satisfactory protection of residents’ rights. EVIDENCE: Residents and staff comments demonstrate that people feel at ease discussing any concerns with the Registered Manager and the staff. The CSCI has not received any complaints about the home and the home’s complaints process reflects the government’s adult protection guidelines, set out in the No Secrets’ publication. However, it requires updating to reflect current good practice. Complaints and concerns made to the home are dealt with correctly. One resident said that she had been spoken to ‘sharply’ by two carers and the Registered Manager said that she would discuss this with the resident and ensure that carers are mindful to be respectful at all times towards the residents. Nevertheless, other residents and their relatives, spoken with during the inspection, said that they had no concerns about the home and that they had every confidence in the Registered Manager and the care staff who were respectful and kind towards them. There are regular staff and residents meetings to ensure good communication is maintained at all levels. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23, 24, 25 & 26. A comfortable, homely and safe standard of accommodation is provided for the residents. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 Page 15 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 safe garden area with terrace and seating; colourful potted shrubs and flowers and an attractive raised fountain are fully accessible to all residents. Ground floor room have French doors opening onto the garden. Residents’ rooms are 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 and there are additional toilet, bathing and assisted bathing facilities. Hot water temperatures are checked to ensure they comply with Health and Safety legislation and were satisfactory when checked during the inspection. All areas of the home were clean and maintained to a high standard. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 17, 28 & 30. Staff at the home are well trained and supported, and employed in sufficient numbers to meet the residents needs. EVIDENCE: 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 usually supernumerary. She works alternate weekends and some night duties. This allows her to monitor care and provide support for staff. Relatives and residents said that the staff were capable and caring, and that there was 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. The Registered Manager stated that approximately fifteen of the care staff hold National Vocational Qualification (NVQ) in Care, Level 2 or above. 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.
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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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37 & 38. The Registered Manager, who is knowledgeable and open to ideas, effectively supervises staff and proactively manages the home to protect the rights and needs of the residents. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 Page 18 EVIDENCE: The Registered Manager has many years of experience in care and is currently undertaking the Registered Managers Award, NVQ in Care Level 4 and the NVQ assessors’ course. She has a proactive and open style of management, which ensures good working relationships with staff and quality care for residents and their families. 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 appropriately managed. 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. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3
COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 3 4 3 3 3 3 3 Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 Page 20 NO Are there any outstanding requirements from the last inspection? 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 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. 2. 3. Refer to Standard 9 10 18 Good Practice Recommendations The Registered Persons are recommended to ensure that staff are meticulous in their signing for medication given to the residents. The Registered Persons are recommended to ensure that staff treat residents with respect at all times. The Registered Persons are recommended to update homes copy of No Secrets. Parkmanor Residential Home v218977 c51 c01 s1654 parkmanor residential home v218977 050705 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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