CARE HOMES FOR OLDER PEOPLE
Parkside Netherhall Road Maryport Cumbria CA15 6NT Lead Inspector
Mrs Margaret Drury Unannounced Inspection 16th January 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parkside DS0000035252.V271317.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 DS0000035252.V271317.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Parkside Address Netherhall Road Maryport Cumbria CA15 6NT 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) 01900 812723 01900 815067 parkside@cumbriacc.gov.uk www.cumbriacare.org.uk Cumbria Care Mrs Linda Donoghue Care Home 32 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (32) of places Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home is registered for a maximum of 32 service users to include: up to 32 service users in the category of OP (Older people not falling within any other category) up to 23 service users in the category of DE/E (Dementia over 65 years of age). The home may also from time to time admit persons between the ages of 60 and 65 years of age in this category. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Two service users may share a bedroom of at least 16 sqm usable floor space only if they have made a positive choice to do so, and when one of the shared spaces becomes vacant the remaining service user has the opportunity to choose not to share, by moving to a different room if necessary. 8th July 2005 3. 4. 5. Date of last inspection Brief Description of the Service: Parkside is a care home owned by Cumbria Care, an internal business unit of Cumbria County Council and registered to provide accommodation for up to 32 older people, 23 of whom may have varying forms of dementia. The home is operated on a day-to day basis my Mrs Linda Donoghue. Parkside is situated in a residential area of Maryport and is close to all local amenities, shops and bus routes. It is purpose built and situated over two floors, the upper floor being serviced by a passenger lift. The home, which is divided into three units, provides lounge and dining faculties in each and a larger communal lounge that can be used for group activities, visiting entertainers or parties. There is a small room on the ground floor for any residents wishing to smoke. Some of the bedrooms are a little small but all have wash hand basins and there are some with en-suite toilet facilities. The toilets and bathrooms are equipped to assist people with disability. There are well kept gardens around the building and car parking facilities are provided.
Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home that took place over the morning of the 16 January. It was the second inspection of the year and the standards not assessed on this occasion were inspected and met during the previous visit that took place in July 2005. During the inspection, time was spent speaking with the manager, staff and residents. Care plans and other documentation relating to care of the residents was examined and some parts of the home were looked at. What the service does well: What has improved since the last inspection?
One of the kitchens on the first floor has been refurbished and two residents’ rooms have been redecorated. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 6 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 DS0000035252.V271317.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 DS0000035252.V271317.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): 5 Prospective residents and their families are made welcome when they visit to assess the suitability of the home. EVIDENCE: Prospective residents and their families are invited and encouraged to visit the home prior to admission. This gives them the opportunity to talk to the staff, look around the home and meet the other people living in the home. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 & 11 Medication and records are well maintained to ensure the protection of residents. EVIDENCE: Discussions with the manager evidenced that the staff in the home have a good working relationship with their local chemist who is usually available for help and advice. Medication records, including those relating to controlled drugs were inspected and found to be neatly and correctly completed. Those residents who spoke with the inspector said they were given their medication on time and in a polite manner. The home has a medication policy and those members of staff responsible for giving out the medication have all received the appropriate training. The policy dealing with the death of a resident is straightforward and easily understood with the residents’ wishes documented in the care plan and on a record card. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 10 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 There is a warm, relaxed atmosphere in the home and residents are able to choose how they wish to spend their time. EVIDENCE: The inspector was able to speak with several residents and observe others during the visit. Those who were interviewed said, “We can spend our time just the way we want to”, and, “we can please ourselves where we sit”. All residents are free to move around the different units and lots of friendships have been made. There are some organised activities but many residents have expressed a wish to spend some afternoons in their own rooms, watching television, reading or resting. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Residents’ legal rights are protected by the use of an advocacy service where required and the opportunity to exercise their right to vote. EVIDENCE: All those currently living in the home have family members or a solicitor to assist them with their personal and/or financial affairs. There are, however, notices on display in the home advertising an advocacy service should this be required. All those residents who wished to vote did so, via the postal voting system. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 12 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): 22, 23 & 24 The home offers comfortable and safe accommodation and most areas are well maintained. This contributes to a good quality of life for the residents. EVIDENCE: The home provides hoists and other specialist equipment in order that the independence of the residents can be maintained as long as possible. All the bathing and toilet facilities are suitable for those who may have a physical disability and there are handrails on the corridors to assist with movement around the home. All the rooms are for single occupation and although some are a little on the small side they do suit residents’ needs. All those inspected were nicely decorated, clean and, on the whole, bright. Residents have “ made them their own” with small items of furniture, pictures and ornaments. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 Staff have completed the required training and provide a skilled and experienced workforce. EVIDENCE: There is an ongoing training programme in place covering all statutory training required, plus other courses, such as medication and behavioural problems. Staff interviewed said how much they appreciated the training available to them and the support they received to undertake the courses. The home has just over 50 of the care staff qualified to NVQ level 2 All staff have received the required three days training, which has ensured there is a skilled staff team able to meet the assessed needs and keep the residents safe. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 14 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): 33 & 35 Regular monitoring by the registered manager ensures the home is run in the best interests of the residents. Financial procedures are in place to protect the residents from any financial abuse. EVIDENCE: Residents spoke highly of the manager saying she was approachable and positive. Staff were complementary about her support and “hands on approach” when this was necessary. She has just completed the Registered manager award and NVQ level 4 in management and is working towards her NVQ 4 in care. She was delighted to advise the inspector that the home had been nominated for 2 excellence awards given by Cumbria County Council and that one of the residents was going with the staff to the awards ceremony when they will be told whether or not they have won. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 15 The records concerning residents’ personal finances were examined and found to be up to date and in order. All transactions are dealt with and signed by two members of staff. Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 16 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 x X X X 3 3 3 X x STAFFING Standard No Score 27 X 28 3 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X x Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 17 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 Parkside DS0000035252.V271317.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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