Inspection on 12/01/06 for Parkside

This inspection was carried out on 12th January 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parkside 04/09/07

Parkside 10/08/06

Parkside 11/07/05

Parkside 26/01/05

Parkside 20/05/04

Parkside 13/01/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Parkside 65 Main Road Gidea Park Romford Essex RM2 5EH Lead Inspector Ms Rhona Crosse Unannounced Inspection 12th January 2006 11.15 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 Parkside DS0000027871.V277421.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. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parkside Address 65 Main Road Gidea Park Romford Essex RM2 5EH 01708 743110 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) Romford Baptist Church Housing Association Limited Miss Christine Brown Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 Brief Description of the Service: Parkside is a large house in Main Road Romford that has over time been converted and extended to provide accommodation for 32 older people. The home is a care home and provides 24 hour care. The home does not provide any nursing care. The home has a mature garden and there is ample parking space for visitors. The home is in easy walking distance of local amenities and transport links. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced therefore the home did not know the inspector was coming. The inspector arrived at approximately 11.15am. The inspector looked at medication records, staff employment records, money held in safekeeping, complaints, the staff rota and skill mix of staff, the minutes of service users meetings. A discussion took place with service users. As the premises were thoroughly inspected at the last inspection the inspector only checked that the requirement made at the last inspection that the sluice sink be moved from the bathroom had been dealt with. A new sluice room had been created the work had been carried out to a high standard. A new ‘pantry’ had also been created for service users in another part of the home. There is an ongoing plan of refurbishment for the home and the dining room was in the process of being decorated at the time of the unannounced inspection. Plans to completely refurbish the home’s main kitchen were discussed. This is a task that is being planned for in the near future. The registered manager of the home is retiring at the end of January 2006 and a new acting manager has commenced working at the home to ensure there is an appropriate handover time. The new manager has a wealth of nursing experience over many years. The new manager must put forward an application to register with the Commission. There are some staff vacancies that are being advertised. Vacant shifts are covered by staff doing overtime, or by the use of agency staff in an emergency. A new deputy has been appointed and she is to work opposite shifts to the manager to ensue there is always a senior person for service users, relatives and staff to refer to. What the service does well: From discussion with service users it appears that the home meets their needs very well. Service users said that they had no complaints about the service as the home was well run and that any concerns that they had were dealt with when raised, so they felt that there was no room for any improvements to be made. The food was said to be of an excellent standard, nicely cooked and well presented. Staff were praised for their attention to detail and the way they treated service users, always with respect and always cheerfully. It was said that: ‘nothing is too much trouble you just have to ask and it’s done’. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkside DS0000027871.V277421.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 Parkside DS0000027871.V277421.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): None of the core standards in this section were inspected as these were covered in the last inspection report and were deemed to be met at that time. EVIDENCE: Parkside DS0000027871.V277421.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 Closer monitoring of the medication recording of the administration of medication is required to ensure the welfare of service users. EVIDENCE: Medication was inspected again at this inspection as requirements were made at the last inspection. It was observed that medication that needed to be carried forward onto the next month’s medication administration sheet was not always being carried forward. Whilst there was evidence that some staff recorded this, others did not. The home must make a record of all medication carried forward and identify on the new medication administration sheet the quantity of medication carried forward. The home has to be able to show a clear audit trail of the medication coming into the home and how it is administered. There were also gaps on the medication administration records. Medication had not been signed as being administered on several occasions for different service users. When the monitored dosage system was checked it was observed that the medication had been administered but not signed as such. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 10 All medication administration records must be signed at the point of administration. Although there is a system for checking that medication is administered and recorded appropriately, this is not working. The manager must monitor these records to ensure they are appropriately completed. Parkside DS0000027871.V277421.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): 14 and 15 These standards were well managed with service users confirming that they are given a choice and control over their lives. EVIDENCE: Service users confirmed that they are given a choice about how they spend their time and that they have control over their daily lives. In discussion with service users it was stated that: ‘we get up when we like and go to bed when we like’, ‘I like to go up to my room straight after tea, I come down again if there is a service or an meeting I want to go to. ‘There’s a meeting tonight so after tea we will come back into this lounge for the meeting’. ‘We can choose what we do, no one forces us to do anything we don’t want to do’. ‘Meals are good and we get more than enough to eat, we get a choice if there’s something we don’t want, they will provide an alternative.’ ‘Some people stay in their rooms all of the time, you can choose what you do, we all come down for meals, that’s when we all get together’. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 12 ‘If we wanted a drink during the night I dare say they would get us one, although I have never asked’. I am fine after my night time drink we get that about 8 o’clock and I settle down then for the night’. ‘The staff keep an eye on us during the night, we are well cared for here’. ‘Sometimes you hear the bell at night, some people need help but we don’t we’re alright, it’s nice to know the staff are there if we did need them.’ There is a monthly menu and this is displayed as ‘daily’ menu’s in the dining room. The meals are varied and were said by service users to meet their needs. Any changes to the menu can be requested (this was a topic discussed at one of the service users meetings and was recorded in the minutes). Parkside DS0000027871.V277421.R01.S.doc Version 5.1 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 and 18 These standards are well managed. Showing that the home takes any complaints seriously and is run in the best interests of service users. EVIDENCE: The home has a policy and procedure for dealing with complaints. A record of any complaints is kept along with the action taken to investigate and resolve the complaint. There have been no complaints since the last inspection. Staff have undertaken training in the protection of vulnerable adults and it was stated that any new staff will be put forward for this training as part of their training and development needs. There were no relatives visiting that the inspector was able to speak with at the time of the inspection. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 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 The home is well maintained with an ongoing programme of refurbishment. This benefits the service users as they are able to live in pleasant, comfortable surroundings. EVIDENCE: The home is well maintained and any work is carried out to a very high standard. The dining room was in the process of being decorated at the time of the inspection. Care was being taken to carry the work out in a safe manner. Since the last inspection a new sluice room has been created. This sluice was in a bathroom and had to be removed as no sluice facilities should be housed in bathrooms. A new ‘pantry’ in another part of the building has been provided for service users. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 15 The main kitchen of the home is to be completely refurbished, this will take a lot of organisation and is being planned for the near future. New furniture on order at the time of the last inspection is now in place in the newly decorated lounges and new curtains have also been provided. Bedrooms have been decorated as they become vacant and carpets replaced. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 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 and 29 The staffing levels of the home meet the needs of the current service users accommodated. Employment practice needs to be tightened to ensure the protection of vulnerable adults. EVIDENCE: Staffing levels at the unannounced inspection were appropriate for the needs of the current service users accommodated. The rota was inspected and was found to identify sickness, annual leave and training. Staff covering extra shifts were identified on the rota. There is a good skill mix within the staff group. Some of the staff hold nursing qualifications, others have attended training that is relevant to the needs and the care required by service users. Training was discussed in the last inspection report. Staff employment records were inspected. It was observed that one staff member had all the employment checks as required by the regulations. However for the other two staff employed at the same time, both staff no CRB disclosure form had been sent off for verification. The home stated that both staff do not provide any personal care to service users and are always supervised in the work that they do. The issue of all areas of employment checks not being taken up, has been raised with the person who undertakes the employment checks in the past. Any further failure to ensure that appropriate checks are taken up may result Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 17 in formal action being taken against the home as they are not protecting vulnerable service users when checks are incomplete. The manager must monitor employment checks (carried out by another staff member) as she is ultimately responsible for the operation of the home. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 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 and 35 The registered manager is retiring from her post at the end of January 2006. A new acting manager has been employed. The ‘handover’ period appears to be working well. Service users stated there were no improvements that could be made to make the home better. Therefore they are confirming that the home is run in their best interests. EVIDENCE: Due to the retirement of the registered manager. A new acting manager has been employed and must put forward an application to register with the Commission. The registration process was discussed with the new acting manager at the time of the inspection. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 19 The acting manager was at the home and dealt with the unannounced inspection in a professional manner. The home’s administrator assisted her with the inspection process. The registered manager has been taking a ‘backseat’ and allowing the new acting manager to become conversant with the running of the home prior to her retirement, offering support until she leaves. The acting manager has been forwarding information relating to any significant events under Regulation 37 as required by the regulations. Service users meetings are taking place and a record of the minutes are kept. These are available to service users should they wish to see what was discussed if they have not attended the meeting. The last meeting took place on 22/8/05. In discussion with service users they stated ‘ we are kept informed about meetings that we do not attend’. ‘If we have any concerns to raise these are discussed and dealt with, they do listen to us here.’ ‘Everything here is very good, the food, the staff, you could not ask for a better home.’ ‘We are very lucky there is nothing to complain about’, my clothes are nicely ironed and the staff would not let us sit in stained clothes, they would point out to us very quietly if we had spilt anything and help us to change it’. ‘They are very kind and considerate to us all, there is always someone to speak to if you have a concern but these are few, we are well looked after here’. The home holds some money in safekeeping for service users. Records are kept of all expenditure and receipts are also kept. Money held in safekeeping was inspected and all money corresponded with the records held. There is a check made of all records and money held to ensure that entries are correct at all times. This is seen as good practice. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x x Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement The signing of medication administered must be monitored more closely. All medication that is prescribed part way through the month must be carried forward onto the new medication administration sheet. CRB disclosures should be received prior to staff commencing duties. Timescale for action 28/02/06 2. OP29 19 schedule 2, 1-8 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP9 OP29 Good Practice Recommendations The acting manager must monitor the recording of the administration of medication more closely. As part of the management duties (as another staff member deals with employment issues) the manager should monitor the employment documentation to ensure all checks are undertaken prior to new staff commencing duties. Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Parkside DS0000027871.V277421.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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