Inspection on 10/10/08 for Parkside

This inspection was carried out on 10th October 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkside 20/05/08

Parkside 22/05/07

Parkside 27/07/06

Parkside 06/03/06

Parkside 05/09/05

Parkside 04/03/05

Parkside 10/01/05

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Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Parkside 5 Park View Crescent Roundhay Leeds West Yorkshire LS8 2ES     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paul Newman     Date: 1 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Parkside 5 Park View Crescent Roundhay Leeds West Yorkshire LS8 2ES 01132665584 01132663469 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Navtej Singh Lidhar Type of registration: Number of places registered: Parkside Residential Home Limited care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Parkside is a family run concern, providing twenty beds for older people. It is situated in North Leeds. It consists of two Edwardian houses joined together and it still retains many of the original features. Over the years, various alterations have been made to make the home more accessible. All bedrooms are located on the first and second floors, with the floors being accessed via a passenger shaft lift, chair lift or staircase. There are 16 single bedrooms, 13 with ensuite facilities and 2 shared rooms. People living in the home can bring furniture and electrical items, though appliances are inspected for safety before use. All meals are prepared and cooked on the premises. In each persons room a plug point is available for a television and individual telephone lines can be arranged on request. Support services are in place with a choice of General Practitioner, and visiting district nurses, chiropodist, dentist and optician. Care Homes for Older People Page 4 of 27 0 Over 65 20 Brief description of the care home Further information about the home and the services it provides can be found in the statement of purpose and service user guide. These documents are available at the home. Fees cover the costs of full accommodation, care and laundry facilities and range from 385 pounds to 500 pounds. These figures were given at the time of the inspection visit but are subject to review. They do not include chiropody, hairdressing, and personal copies of newspapers, escorts to hospital and other personal requirements. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means that the people who use the service experience adequate quality outcomes. The accumulated evidence in this report has included, the previous key inspection, information we have received from the provider since the last inspection in an improvement plan, what the service has told us about things that have happened in the service, these are called notifications and are a legal requirement, relevant information from other organisations and information from people living at the home, relatives, staff and other healthcare professionals. Care Homes for Older People Page 6 of 27 One inspector made an unannounced visit to the home that lasted six hours on 10 September 2008. This was an inspection visit specifically carried out to check that the home had made the improvements that were required and outlined in the last key inspection report. During the visit a number of documents were looked at and areas of the home used by people living there were inspected including some bedrooms. Apart from spending time with the manager and supervisor, a good proportion of time was spent speaking with staff, visitors including a community nurse and people living in the home. One telephone conversation was held with a relative. Time was spent in communal areas watching what was going on and checking how the staff cared for and supported people. Feedback was provided to the manager at the end of the inspection visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get Care Homes for Older People Page 8 of 27 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An assessemnt of each persons needs is made before they come to live at the home that they or people close to them are involved in. This tells the home about the person and the support they need so people should feel confident that the care home can meet their needs. Evidence: The care plan files have been reorganised. Following the last inspection an example was shown at the meeting in August with the Provider. This gave us confidence that the provider had taken note of the issues raised and was working to make sure that things were put right. The numbers of people living at the home has increased and the files of the last two people admitted were checked. These showed pre admission assessments had been carried out but they tend to be tick box answers and could carry more personalised information about the person. Nevertheless, from speaking with staff they have a good knowledge of the people they care for. The relative of the Care Homes for Older People Page 11 of 27 Evidence: person last admitted to the home was spoken with on two occasions and their account indicated that they had been involved and felt the right information had been asked for. They felt that the home had made her grandmother welcome and she had settled well. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People get the care they need and the care plans give sufficient guidance for staff to follow but these can be further improved by including more detail about peoples preferences and lifestyle choices. People are supported with their medication but staff must be properly trained and there must be tighter recording and checking systems to make sure omissions in the records are picked up straight away. People are treated and supported with respect and in a dignified way. Evidence: The two care plans checked showed better organisation. Although the home continues to use a dual system of computerised and handwritten recording, the duplication seen last time had been resolved and there was a much clearer and logical sequencing of the plans that made things easier to find and follow. The plans can now be further developed by detailing more personal information about peoples preferences and Care Homes for Older People Page 13 of 27 Evidence: lifestyle choices to fully evidence a person centered approach. There are some people with dementia and following the last inspection visit, all staff have been provided with basic training in dementia care and awareness and the manager said that he is considering mare advanced training. This is positive and we would encourage additional training. There was also evidence of involvement with a psychiatrist and where necessary the Community Psychiatric Nurse. The better organisation of the records makes it easier for staff to find the up to date position and guidance on the care of individuals. In conversation with a relative she described how the manager had explained about the care plan and invited her to see this at any time. She said that staff kept her informed of things and felt that from what she saw during her regular visits to the home, they were very good at checking that people were comfortable and happy. This was once again what was seen during the inspection visit. Relationships are good and there was a good atmosphere in the home. Staff know the people they care for very well. People looked well cared for and were encouraged to be independent. Medication systems and practices have improved. Controlled drugs were checked but the home had not at that stage, taken on the recommendation that for Temazepam, a register is used to record administration and the stocks held as a matter of good practice. This was discussed and at the time of writing this report the manager has confirmed that this is now in place and should make stock control and checks much easier. No significant errors in failing to record drugs that are administered were found, but where this does occur, the omission was not challenged or checked to establish if the person had received their medication or not. More robust systems of internal checks and auditing were discussed. All staff who are involved in the handling and administration of medication must now have training in safe practices as this level of training has not been provided to the current staff group. This should improve their level of understanding and responsibilities with regard to medication so that mistakes are not made. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person is treated as an individual and the care home supports people to follow interests and activities. They are part of and use the local community. People are provided with good wholesome food and eat healthily. Evidence: The range of activities has been extended since the last inspection visit. This has included a summer party and a Halloween party is planned. Funds raised from this will finance a Christmas party. People enjoy Mr Motivator who visits each week and also weekly baking with Bridgette the chef and Walking with Wendy for more able and independent people. Local school year 10 students have also begun to visit to get involved in activities. During the visit one resident was going out for lunch with her daughter to a local pub. This a regular feature of home life with others going out with their own relatives for lunch or walks to the local Park. One person continues to devote time in the garden maintaining flower beds and planters. Conversations with people during the day indicated that they enjoy their own routines Care Homes for Older People Page 15 of 27 Evidence: and make choices about how and where they spend their time. They enjoy good and friendly relationships with staff who are good at getting people to chat and take an interest in what is going on. People continue to enjoy the food that is provided. Menus are traditional and offer good wholesome food that people like but they can also make special requests that the chef accommodates. Relatives and staff agreed that the food is good. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home and their relatives know how to complain and feel confident that they will be listened to and any concerns acted upon. The care home has relevant policies and procedures and has trained the staff in safeguarding people from abuse. This makes it a safe place to live. Evidence: People and relatives spoken with all said that they felt comfortable about raising concerns and felt the manager and staff are approachable. One relative said that they felt staff were good at making sure people were at ease, comfortable and happy. Since the last inspection training has been delivered on adult protection so staff now have a clear understanding of indicators of abuse and what procedures to follow should abuse be suspected or seen. Improvements have been made to recruitment and the way peoples money is looked after. This should make people feel safe and confident that they will be protected. Care Homes for Older People Page 17 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, clean and comfortable environment that they consider to be homely. Evidence: As was the case at the last visit, the relatives and people spoken with said that they had chosen the home because of its homeliness. One relative of a person recently admitted to the home said that she was pleased with the way the manager had made sure that the room was redecorated and carpeted before her grandmother had arrived at the home. People said the home was kept clean and tidy. With regard to issues raised in the last inspection report, new lockable items of furniture are ordered and, over a phased renewal program, the first ten will be in the home by the end of October. The manager reported that the boiler was now working reliably following work by an engineer. Other parts of the home are now being redecorated and this will need to continue to maintain standards and will need to include the outside of the building. The tour of the premises found things clean and tidy, bedrooms were personalised and people were clearly free to spend time on their own or in communal areas. Care Homes for Older People Page 18 of 27 Evidence: Staff were seen to be wearing protective clothing to reduce the risks of cross infection. Care Homes for Older People Page 19 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported and cared for by staff who are properly recruited to make sure they are suitable for the job then given training to make them competent. The manager is reviewing the numbers of staff on duty in the evenings to make sure that people get the support and assistance when they need it. Evidence: There has been a good response to the requirements made in the last inspection report. The personnel files for the three most recently recruited staff were checked. These showed that all the necessary checks and vetting had been done. These include references and checks with the Criminal Records Bureau. All of the staff had completed application forms, had a contract, training record and there was evidence of supervision. Every member of staff has now completed a block of training that included moving and handling, health and safety including fire safety, infection control, dementia awareness and adult protection. They are booked for food hygiene and basic first aid and the manager is looking at more advanced training for dementia care in the future. Four staff have completed National Vocational Qualifications (NVQ) with the others either part way through or just enrolled. Care Homes for Older People Page 20 of 27 Evidence: The three care staff on duty during the visit were busy and effective in the care they delivered. They have a friendly and personable approach to people and relatives that creates a good atmosphere in the home. Conversations with staff and a relative indicated that during the evening there were just two carers on duty and this not sufficient. Some examples where people needed assistance of two staff were given and this left other people with nobody to support them if they needed it. This had been a topic of conversation in the recent staff meeting and the manager had given an undertaking to increase the evening numbers to three. This must be done to ensure that people get the support and assistance they need. Care Homes for Older People Page 21 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed effectively in an open way that makes staff and people living there, valued and respected. People at the home are safeguarded because records are kept appropriately and staff understand the way things should be done. Evidence: Following the last inspection report we met with the registered manager and he told us how he was going to make sure the home operated effectively. We were pleased with the response and it was clear he was serious about making improvements. Occupancy has increased since the last inspection visit and this has placed the home in a much healthier position to make improvements. Staff, relatives and people living at the home find the manager approachable, that he listens and they think he has the best interests of the people at heart. There was evidence through the checks made that the home is run much more effectively and there are now no significant breaches of regulations and this must be sustained. The Care Homes for Older People Page 22 of 27 Evidence: individual records for money kept for safe keeping were checked and are now properly recorded, individually kept, supported by receipts and available to people at all times. We are now being notified of significant events at the home and this helps us monitor situations that arise and check that the right actions are being taken. With the training that has been provided we are now confident that staff are aware of fire safety and actions they need to take and this makes it a safer place to be. Regular checks are made of equipment and facilities and the fire safety and accident records were seen to make sure these are up to date and recorded well. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 18 Staff who handle or administer medication must be provided with training in safe practices. This will assist in staff knowing the right way to do things and of their responsibilities. 19/12/2008 2 9 13 Robust systems of checking 19/12/2008 and auditing the drugs administration charts must be in place so that omissions are noted quickly and challenged. This will quickly identify if a person has received their prescribed medication or not. 3 19 23 The building interior and 30/09/2009 exterior must be subject to an ongoing redecoration and refurbishment program. Care Homes for Older People Page 25 of 27 This will keep the environment to acceptable standards for the people who live there. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 3 The manager or member of staff making the pre admission assessment should try to record more detailed personal infomation about a persons lifestyle preferences and choices. This will fully evidence a person centred in the homes approach to care and in trying to make sure that people are comfortable and happy with the way they supported. The care plans should now be further developed by detailing more personal information about peoples preferences and lifestyle choices to fully evidence a person centered approach. The manager should implement his undertaking to staff to increase numbers on duty in the evening as soon as possible to make sure people get the support and assistance when they need it. 2 7 3 27 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!