Inspection on 22/05/07 for Parkside

This inspection was carried out on 22nd May 2007.

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 10/10/08

Parkside 20/05/08

Parkside 27/07/06

Parkside 06/03/06

Parkside 05/09/05

Parkside 04/03/05

Parkside 10/01/05

Similar services:

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Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Parkside 5 Park View Crescent Roundhay Leeds West Yorkshire LS8 2ES Lead Inspector Hebrew Rawlins Key Unannounced Inspection 08:30 22nd May 2007 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 DS0000001490.V337874.R01.S.doc Version 5.2 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 DS0000001490.V337874.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkside Address 5 Park View Crescent Roundhay Leeds West Yorkshire LS8 2ES 0113 2665584 0113 2663469 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) Parkside Residential Home Limited Mr Navtej Singh Lidhar Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2006 Brief Description of the Service: Parkside is a family run concern, providing a 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 en-suite facilities and 2 shared rooms. Service users in the home may bring furniture and electrical items, though appliances are inspected for safety before use. All meals are prepared and cooked on the premises. In each service user’s 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 Practitioners, and visiting district nurses, chiropodist, dentist and optician. Fees cover the costs of full accommodation, care and laundry facilities and range from £355.00 to £400.00. It does not include chiropody, hairdressing, and personal copies of newspapers, escorts to hospital and other personal requirements. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group for example Choice of Home. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers outcomes to the people using the service. The judgements categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded within the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk This unannounced key inspection took place from 8.30am on the 22nd May 2007. The purpose of the visit was to monitor standards of care in the home. The home completed an Annual Quality Assurance Assessment. The information provided in this has been used in the preparation of this report. Information gained from home’s service history records were also used. Other methods used at this inspection included a looking round the building, looking at care records, observing working practices and talking with people living in the home, visitors and staff. Survey cards were sent out to visiting professionals to the home and left at the home for other visitors and relatives. Comments from the survey cards can be found throughout this report. Feedback at the end of this inspection was given to the manager. Thanks are extended to everyone who contributed to the inspection and for the hospitality during the visit. What the service does well: The home recognises the importance of welcoming visitors, and makes sure people feel comfortable. Relatives said they are satisfied with the service provided, one said “my mother loves it here”. Staff are good at encouraging family involvement and supporting people to keep in touch with family and friends. People who live in the home said staff treat people with respect and are caring and friendly. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 6 There is a good level of verbal interaction between staff and people living in the home. Staff said they enjoyed working in the home and found the manager very approachable. People are pleased with the meals; comments made during this visit included, “The meals are very good, every day there is something different.” “The meals are lovely.” What has improved since the last inspection? What they could do better: During the feedback session the manager was aware of some of the shortfalls and showed a commitment to addressing these quickly. He listened carefully to feedback and was eager to improve the home’s overall quality rating. To achieve this, improvements must be sustained and the following must be addressed. To make sure that staff have precise and up to date information on what care to give and how to give it, a care plan must be in place for all aspects of the resident’s health, personal and social care needs. A daily menu should be displayed so that residents know before the actual meal what is being served The home must make some changes to the way that it recruits staff to make sure that the right people are employed. Two written references must be obtained and interview notes/records kept. There should also be a photograph of the staff member on file. Although staff were aware of how to respond to adult abuse, a lack of training means that some areas of abuse may not be recognised. Several bedrooms in the home require door locks to enable choice and privacy. It is recommended that the home’s survey and analysis be extended to a wider audience such as visiting health care professionals. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 7 The home should have a system that identifies when mandatory training updates are due so as not to compromise the safety of both staff and people living at the home. One to one supervision for all staff should take place so that staff receive the support and supervision needed to carry out their job properly. When an accident is not witnessed by staff, it should be recorded when the person was last seen and by whom. Requirements and recommendations to address these issues can be found at the end of this report. 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. The summary of this inspection report can be made available in other formats on request. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 8 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 DS0000001490.V337874.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are able to visit the home and have access to written information so that they can make an informed choice about moving in. The home’s pre-admission assessment information does not as yet provide detailed information about the precise needs of the people, in all aspects of their care, which means that on admission some needs may be overlooked. EVIDENCE: During the visit someone who had recently moved into the home said she had looked at other homes before visiting Parkside. She said she was given written information about the home and the facilities provided. During the preadmission visit she found the staff very helpful and kind. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 10 People and/or their representatives are also very welcome to visit the home to help them make a decision about moving in. This was confirmed by a relative of a person living at the home during a conversation at the visit. Contracts stated the terms and conditions of occupancy and the weekly charges. People in the home or relatives on their behalf signed these. The home has made changes to its pre-admission assessment forms since the last inspection this is an improvement. However this did not provide sufficient information about the person’s needs and strengths in all aspects of their care, and there was not enough information to form the basis of a care plan. Recommendations have been made to address some of these issues. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s health care needs are met, and overall medication practices are safe. People’s privacy and dignity is respected. Staff are aware of specific needs of people but these are not always recorded. EVIDENCE: From discussions with staff it was clear they knew the precise needs of people in the home and provided care based on individual needs and preferences, but these were not always recorded within care plans. There were no care plans giving instructions for staff on how to manage people that have short-term memory loss. Weight monitoring forms were not always fully completed and risk assessment manual handling plans were not always dated. There were no specific care plans for pressure area care, particularly when pressure-relieving equipment was being used. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 12 There was evidence in records that people using the service have access to GPs (General Practitioner), chiropody, dental and optical services. One survey form returned from a GPs stated that the home manages peoples’ health care needs well. In returned survey forms from people using the service three people said that they always received medical support when needed. A member of staff administering the lunchtime medication was observed following safe and proper administration procedures. There were no handwritten entries on Medication Administration Records (MAR) and these records were completed properly. Staff described the different ways they protect people’s privacy and dignity, which was confirmed by people living at the home. In a returned survey one GP said that staff always take people to their own room for any private discussions or examinations. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People who live at the home are able to exercise choice in their daily routines but the level of activities provided does not always meet their expectations. A good and varied diet is provided for people living in the home. Visitors are made to feel welcome. EVIDENCE: The home provides activities such as quizzes, sing a long, clothes parties, trips to the seaside, parks and local amenities. Comments from some of the people living there indicated that these did not meet their needs. Comments included “not much on offer” “what activities? “I can’t do much” “I would like to be taken out”. One person said occasionally there is entertainment but not daily “things need to be happening more often”. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 14 Staff said that people are able to follow the religion of their choice and people living at the home confirmed this. Staff described the choices available to people and this was confirmed by people living at the home who said that they can go to bed and get up g at a time that suits them. During a conversation with a relative, of a person using the service, she said she is always made welcome and is offered refreshments. As part of the pre-inspection material requested of the home, a 3-week menu cycle was supplied. This showed there is choice and variety. A mealtime was observed this was relaxed, people were able to eat in comfortable surroundings and staff were supportive. Comments from all were that the food is very good, however they did not know what the meal of the day was until it arrived. A daily menu should be displayed so that residents know before the actual meal what is being served. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People using the service are not always assured that their complaints are dealt with properly. Although staff were aware of how to respond to adult abuse, lack of training means that some areas of abuse may not be recognised. EVIDENCE: There has been one main complaint during the last 12 months, this is being investigated by the Adult Protection Team. There is a system for recording complaints and any subsequent action as a result of the complaint. All the people living at the home spoken with, and who returned survey forms said that they knew how to make a complaint. The home has policies and procedures in place relating to adult abuse and adult protection. A care worker was very clear about how to respond to any suspicion or allegation of abuse but had not received any training. Similarly, another care worker was able to describe different types of abuse but she had not had any training on abuse and was unsure about the more subtle types of institutional abuse. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24 and 26. People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Overall, the environment meets the needs of the people using the service. EVIDENCE: Since the last inspection a number of bedrooms have been decorated and new carpets fitted. The main kitchen has been fully refurbished to meet the requirements of the last inspection report. Having new floor covering, new work surfaces and cupboards. Those bedrooms seen were personalised according to the taste of individual people living at the home. Deep cleaning has taken place in bedrooms identified as needing it at the last inspection. Toilet seats have been refitted in the bathroom and the electrical extra fans in the bathrooms and toilets are now regularly cleaned. There are still no locks on the door of several bedrooms in the home. The manager stated this is not required as none of the people living in the home Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 17 wander. It was pointed out that this is also is about choice and privacy. It was agreed that he will be look at providing a lockable piece of furniture so that people can lock some of their things away in a safe place. All returned survey forms completed by people living at the home said that the home is always clean. The manager described the rolling program for redecoration he has contracted out to maintain a good environment for people living at Parkside. People living in the home have easy access to the garden, which is well maintained by one of the people living in the home and the contracted gardener. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Staff have the necessary skills to assist and support people living at the home. However there is not a robust recruitment procedure and not enough evidence to show that all staff have the relevant training to do their job and protect people. EVIDENCE: During the inspection visit the interaction with staff and the people living in the home was good. Staff were seen to be helpful, sympathetic, caring and had time to chat with to people. The Self Assessment returned to the Commission for Social Care Inspection (CSCI) shows that 95 of the staff team have completed a National Vocational Qualification (NVQ) level 2 or above in care. Training in the last twelve months has included health and safety, moving and handling, bereavement and first aid. There is no annual training plan in place, and the home does not have a system that identifies when mandatory training updates are due. The recruitment files of two members of staff, appointed since the last inspection were sampled. It was found that in one case two references were not obtained. The knock on effects of this could leave people at risk and Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 19 unprotected. Interview notes/records were not kept and the home does not keep a photograph of the staff member on file. Criminal Record Bureau (CRB) clearance have been done for both appointee’s. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 36, 37 and 38. People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People living at the home are consulted and overall their health and safety is maintained. The fact the home does not have a system that identifies when mandatory training updates are due compromises the safety of both staff and people living at the home. EVIDENCE: The manager said that annual quality survey questionnaires are sent to people living at the home and their relatives. Information from the questionnaires is then collated and addressed with individual relatives. It is recommended that the survey and analysis be extended to a wider audience such as visiting health care professionals. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 21 As stated in this and previous inspections one to one supervision for all staff does not take place. Which means that staff do not receive the support and supervision needed to carry out their job properly. As identified earlier in this report records such as care plans for people living in the home could be improved as they do not give staff clear instructions on the care and support that people need. The home maintains accidents records as necessary, but where a person living at the home has an accident that is not witnessed by staff, there is not always a record kept of when the person was last seen and by whom. Individual training records in staff files showed that mandatory training updates such as food hygiene, moving and handling and health and safety do not always take place as required. The home does not have a system that identifies when mandatory training updates are due which can compromise the safety of both staff and people living at the home. Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 22 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 3 3 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X X 3 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X 2 2 3 Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 23 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 OP3 Regulation 14 Requirement More detailed information must be recorded about people’s specific needs. The outcome of the assessment must be recorded along with justification of how the home is able to meet assessed needs (Previous timescale 29/05/06 not fully met). The care plans must set out in detail how the personal, health and social care needs of people will be met (Previous timescale 29/05/06 not fully met). Social, cultural and recreational activities must meet people’s expectations. All staff must receive adult protection training, to ensure people in the home are not at risk of abuse. All staff must have formal one to one supervision. (raised at previous DS0000001490.V337874.R01.S.doc Timescale for action 01/08/07 2. OP7 15 01/08/07 3. OP12 16 01/08/07 4. OP18 13 01/08/07 5 OP36 18 01/08/07 Parkside Version 5.2 Page 24 inspection) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP29 OP15 OP29 Good Practice Recommendations Wherever possible, a minimum of two people should carry out the recruitment and selection interview. Staff should make sure residents are aware of the meals of the day. Staff files should contain all documentation of the recruitment procedure e.g. there were no interview notes and files did not have a photograph of the staff member. It is recommended that the survey and analysis be extended to a wider audience such as visiting health care professionals. The home should have a system that identifies when mandatory training updates are due as not to compromise the safety of both staff and people living at the home. Accident that are not witnessed by staff, it should be recorded when the person was last seen and by whom. 4 OP37 5 6 OP30 OP38 Parkside DS0000001490.V337874.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 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 © 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 DS0000001490.V337874.R01.S.doc Version 5.2 Page 26 - 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!