Inspection on 17/11/05 for Parkside

This inspection was carried out on 17th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 22/08/07

Parkside 03/08/06

Parkside 06/07/05

Parkside 24/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Parkside Parkside 6/8 Edward Street Oldham OL9 7QW Lead Inspector Michelle Haller Announced Inspection 17th November 2005 09:00 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 DS0000060150.V258418.R01.S.doc Version 5.0 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 DS0000060150.V258418.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkside Address Parkside 6/8 Edward Street Oldham OL9 7QW 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) 0121 554 6524 0161 624 6113 Pridellcare Ltd Ms Joan Aspin Care Home 24 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (6), Old age, not falling within any other of places category (24), Physical disability over 65 years of age (5) Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 24 OP, up to 1 DE, up to 6 DE (E), and up to 5 PD (E) The service must at all times employ a suitably qualified and experienced manager who is registered or has an application for registration pending with the Commission for Social Care Inspection. 1 named service user may be admitted into the home aged between 57 years and 65 years of age in the category DE 6th July 2005 3. Date of last inspection Brief Description of the Service: Parkside residential home provides 24-hour personal care and accommodation to 24 service users over the age of 65 years. The front of the home has small landscaped gardens and some seating for the use of service users. A small car park is available to the rear of home. There is another pleasant garden, lawn and flowerbeds area at the back of the home. Bedroom accommodation is available both on the ground and first floors. There are 13 single rooms, seven with en-suite or shared en-suite toilet. There are also five shared rooms, two of which have access to en-suite toilets. In addition all bedrooms contain a washbasin. A passenger lift is available for the use of service users and accessible toilets are available for service users who do not require the support of a hoist. Bathing facilities include one assisted bath on the ground floor, one shower and one unassisted bathroom. On the ground floor, there is a choice of two lounges, a small conservatory used as the smoking area, and a large dining room. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken over a period totalling 6 hours. The inspection process involved interviews with three service users and one relative. One member of staff was also interviewed and in depth discussions with the manager and responsible individual also took place. Five care files and other records and reports pertaining to these service users where inspected. Other documents concerning the running of the home was also examined. A tour of the private and communal areas of the home was also undertaken and during the course of the inspection the interactions between staff and service users was observed. Two general practitioner, four service user representative, and five service users comment cards had been returned and the contents used to inform this report. During the inspection the home was welcoming, clean and warm. Service users appeared well groomed and comfortable. Staff, service users and visitors to the home appeared at ease. Comments included ‘The home is always warm and comfortable and everyone is treated in a friendly manner’. What the service does well: The meals at Parkside are plentiful, nutritious, tasty, well presented and contribute to maintaining the health of the service users. The home completes a comprehensive assessment identifying the physical and emotional health needs and the social needs of service users. Service users are offered regular activities such as games, arts and crafts and film nights within the home. The home listens and responds well to suggestions and ideas of the service users and the management team ensure that service users feel at home. Staff continue to work well with health care professionals ensuring that health needs are monitored and appropriate care provided promptly. Staff are attentive and quick to respond to call bells and other signs that service users may need help. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 6 Staff support service users in maintaining their independence in all aspects of life for as long as possible. The communal sitting areas are comfortable and conducive to developing relationships between those accommodated in the home. 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 DS0000060150.V258418.R01.S.doc Version 5.0 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 DS0000060150.V258418.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Comprehensive needs assessments are completed for service users living in the home. EVIDENCE: The care files of five service users were examined during this inspection. Each file contained a comprehensive assessment of needs completed by social workers or the manager of the home. Specialist assessments concerning the reduction of risk and delivery of health care were also in place. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, 10 and 11. Care plans are comprehensive and the expected outcomes relate to the identified needs of service users. The home ensures that the health needs of service users are respected and their needs are fully met. The home does not always administer and store medicines safely. EVIDENCE: Five service user files were examined and each contained documents and correspondence, including referrals to a wide range of health professions, that confirmed the home’s ability to meet the health needs of all service users. One member of staff was interviewed and the routines she described demonstrated that she was aware of the correct manner in which to approach service users. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 10 It was also evident from this interview that service users are cared for with care and compassion at the end of their lives. Staff described that the relatives were frequently contacted and offered the opportunity to come and stay with the person who was dying. Service users and their relatives are given the opportunity to discuss their ‘final arrangements’ on admission to the home. General practitioners who deal with the home returned two comment cards and both were satisfied with the health care provided to their patients living in Parkside. Four relatives returned comments cards and all were satisfied over all with the quality of care provided in the home. On this occasion the medication policies, procedures and practice was inspected and a number of failings were identified. It was noted that at 11.00am medication had been signed for that was not due to be given until 12.30. The recording of the temperature of the medication fridge identified that the temperature was frequently at 1 degree Celsius, which is below the minimum temperature for the medication being stored. Service users who administered their own insulin were not being reviewed in accordance with the homes policy for service users who self medicated. In addition, it was not possible to cross reference signatures with the initials to identify which staff were administering medication in the home. These failings were discussed with the registered person and agreed that action would be implemented immediately. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 The home ensures that for the most part the lifestyle experienced by service users match their expectations and ensure they are able to maintain control over their lives. Service users at Parkside are supported in maintaining contact with family and friends. There is a good selection of activities organised by the registered provider. Service users are satisfied with the meals and snacks provided by the home. EVIDENCE: Five care files were examined and reports demonstrated that care staff were responsive to the needs of service users. Three service users were interviewed and each confirmed that staff were pleasant and always looked after their needs. The manner in which reports were written further demonstrated that care staff respected the dignity and rights of service users. A tour of the private and communal areas of the home was undertaken and all rooms were comfortable and personalised according to the wishes of service users. The service users who were interviewed were also complementary about the facilities provided by the home. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 12 The menus and record of food provided demonstrated that service users are given a choice of hot meal at mid-day and late afternoon. The menu continues to offer a choice of traditional foods. On the day of inspection the choice was cauliflower cheese or lamb-chops and fresh vegetables. It was noted that service users enjoyed mealtime and those interviewed stated that the food in the home was good. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 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 The home takes full account of complaints and service users feel that concerns are treated seriously. The home ensures that action is taken to protect service users from abuse. EVIDENCE: The home’s complaint procedure is readily available and service users stated that they had no problems living in the home and would not hesitate to make a complaint to the manager or owner. The majority of relatives who returned comment forms confirmed that they were aware of the homes complaints procedure and one had made a complaint. Although the complaint was not fully resolved, the relative was happy with the over all care provided at Parkside. Furthermore the issue was not a problem for the service user who stated that they were very happy living at Parkside. The home operates a robust adult protection policy and staff are trained in adult protection and unacceptable behaviours are discussed during service user meetings. The service users who returned comment cards indicated that they felt safe living in the home and those interviewed confirmed this during the inspection. Staff stated that they continue to be instructed in issues concerning adult protect such as Whistleblowing. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 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 and 26 The home provides access to safe and comfortable private and communal areas. Parkside is clean, pleasant and free from unpleasant odours. EVIDENCE: During the inspection a tour of the entire building was undertaken. All areas were clean, neat and free from unpleasant odours. The fixtures and fittings in the lounge areas were clean and comfortably furnished. Service users were observed accessing different areas of the home safely. Service users stated that their rooms were regularly cleaned and their bed linen changed. Not all aspects of the environment of the home were inspected on this occasion, however at the previous unannounced inspection this area was fully inspected and assessed as being at a good standard and improving. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Staff are employed in sufficient numbers and experience to meet the health needs of service users. The majority of care staff has sufficient training to meet the needs of the service users. The home takes the necessary steps to protect service users when recruiting new staff. EVIDENCE: In the pre inspection report returned by the manager it was stated that 80 of care staff at Parkside had achieved the National Vocation Qualification (NVQ) in care level 2. At the time of the inspection a training calendar was still been developed, however, staff stated that they had received a range of training. Documents confirmed that specialist training such as, an introduction to diabetes from the diabetic nurse, Dementia Care, infection control and accredited medication training had also been provided. Through discussion with the owner it was now evident that there is a clearer understanding of the POVA requirements, and staff only commence working in the home following a completed POVA first disclosure while waiting for completion of a Criminal Record Bureau (CRB) check. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Parkside is run and managed by people who are fit to be in charge. The home continues to develop a quality assurance monitoring system. The finances of service users could be better safeguarded. Staff receive regular supervision. The health, safety and welfare of service users are protected by the procedures and guidelines that operates in the Parkside. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 17 EVIDENCE: The current manager has been in post for a number of years. The home continues to formalise its quality assurance monitoring. The owner is available to staff, service users and relatives for the majority of the week and is keen to improve the service. Service users and staff who were interviewed confirmed that he readily considers ideas that could have a positive outcome for service users. The minutes of service user meetings were also scrutinised and confirmed the assertions of staff and service users. The findings from the examination of the financial records for three service users chosen at random demonstrated that, service users were not provided with receipts for all financial transactions. Further more the use of the amenities fund was not clearly defined. This was discussed with the manager and owner who agreed to put in place more stringent guidelines and monitoring concerning receipts and use of the amenities fund. Records demonstrated that supervision and appraisals sessions for staff have been introduced. The home has policies and procedures relating to fire safety, infection control, moving and handling and other aspects of maintaining a safe environment and certificates confirmed that staff receive appropriate training in these areas. Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 18 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Parkside DS0000060150.V258418.R01.S.doc Version 5.0 Page 19 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 Requirement Timescale for action 01/12/05 2. OP35 17(2) Sch 4 Para 9 The registered person must ensure that medication is stored at a safe temperature. They must also ensure that medication administration records are completed accurately. The registered person must 01/12/05 ensure that receipts are provided to service users for all financial transactions undertaken on their behalf. 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 DS0000060150.V258418.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 DS0000060150.V258418.R01.S.doc Version 5.0 Page 21 - 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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