CARE HOME ADULTS 18-65
Parkside 18 Outwood Road Burnley Lancashire BB11 3EH Lead Inspector
Mrs Marie Dickinson Unannounced Inspection 24th February 2006 02:00 Parkside DS0000009532.V272474.R01.S.doc Version 5.0 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 DS0000009532.V272474.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 Adults 18-65. 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 DS0000009532.V272474.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Parkside Address 18 Outwood Road Burnley Lancashire BB11 3EH 01282 838601 01282 414979 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) Mr Joseph Serge Zephir Mrs Linda Joyce Zephir Mrs Sarah Casey Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The care home 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 to accommodate 5 adults with a learning disability. 19th September 2005 2. Date of last inspection Brief Description of the Service: Parkside is a terraced property located near to Burnley town centre. It is owned by Mr and Mrs Zephir and managed by Sarah Casey the registered manager. Five service users live at the home. They have their own bedroom and share a lounge/dining room, bathroom, toilets, dining/kitchen and laundry. The service users manage the home with the help of trained staff. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 22nd February & 1st March 2006. It is the second statutory inspection carried out this year. During the inspection, time was spent talking to the people who live at the home and one staff on duty. Information from discussions with the manager and written records was used for the inspection. This information included staff records, care records and policies and procedures relating to the entire scheme. The home was assessed against the National Minimum Standards for Younger Adults. Not all standards were assessed and this report should be read with the inspection report dated 19th October 2005 for the reader to have a complete overview of the home. What the service does well:
Service users benefited from excellent care planning. Care planning helped service users to live a life that matched their expectations, hopes and wishes. They enjoyed various activities personal to them and lived their lives to the full. Although staff helped them, they had control over the management of their care and their home. Staff were trained to assess how much supervision people needed in any given situation. Service users views on daily living discussed at staff training were ‘everyone can make a choice, people who are disabled will show their choice’. Service users said staff helped them and took into account their wishes such as when to go to bed and getting up. They learned new skills. The home is ideal for the service users as it provides a comfortable easy to manage living environment. Service users said ‘they liked living there’ and ‘felt safe’. Relatives were ‘very happy’ and kept informed of progress service users made. They were invited to take part in care reviews if service users wished. Relatives said they were made very welcome and kept in touch with what was going on. They were also invited to social events at the home. Service users enjoyed going out socially and going on holidays. They chose where they went. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 6 The high standard of residents healthcare plan enabled them to receive the correct support from medical professionals. Care staff had clear guidance in what each person needed. Service users had good information given to them on how to protect themselves. This was excellent. Service users took part in recruiting staff. Sufficient staff were employed who were supervised in their work. Service users said the carers treated them well. Staff were trained in caring for people with a learning disability, and given other training as part of their professional development. This included important topics such as abuse of vulnerable adults, health and safety and principles of care and care planning. Service users also helped to train staff. This training for staff was excellent and managed well. It covered all aspects of care needs from service users view, such as ‘the right to shop for their own food, the right to pay for their care, the right to clean their own bedroom’ and the important principle of ‘staff are not in charge, we are working together. ’ Relatives comments included ‘everyone is friendly’, ‘the care is excellent The manager received supervision from the owners who also sent a regular report of their visit to the home to the Commission. The homes in the scheme were very well managed and run in the interests of the service users. They had their say in how the home was managed. What they said mattered. The views of relatives and other visitors to the home were sought. The results of all surveys carried out were made public to interested people. The home was very nicely decorated. Furniture provided for service users was of a good quality. Service users liked their home and considered it to be nicely decorated and furnished to how they wanted. Furniture provided for them was of a good quality. They were consulted about any changes being made to further improve the home. Service users benefited from having their own policies and procedures. They also had information on their rights. They received guidance in how to keep safe and had their own house rules to follow. Regular safety checks were carried out. What has improved since the last inspection?
There were no standards identified in the previous inspection as not met. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 7 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 DS0000009532.V272474.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed during this inspection. EVIDENCE: There had been no admissions to the home since the last inspection. All standards were assessed as being met at the last inspection. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Service users benefited from good assessments that looked at all their needs. Being involved in writing their own care plans meant they could have personal aims that staff knew about and helped them achieve safely. Service users policies and procedures and their attendance at staff and management meetings, helped them be involved in aspects of life in the home. Confidentiality policy informed them of how their records were always kept private. EVIDENCE: Service users discussed their care plans. They said how they wanted staff to help them. The level of recording in care records was very good, and included an up to date assessment of needs. There were clear directions for staff as to the type and amount of support each service user needed. Specialist help required for service users was recorded and the support provided. Information was recorded to keep people safe. Staff had clear guidance on how to manage risk taking by service users.
Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 11 Service users benefited from being involved in writing their own care plans. They had meetings with staff to discuss what they would like to achieve and set goals to reach. One service user was having her ‘meeting’ later in the day. All the service users in the home could communicate easily with staff. They said staff listened to them. Service users had a member of staff referred to as a key worker to help them with special activities such as keeping in contact with their family and personal care. This was extra to staff helping everyone each day. Service users in the home knew which carer was their key worker. They said they ‘liked their carer’. They confirmed their carer took them to hospital appointments, holidays and shopping. The service users said they looked after their own money. Staff helped them manage this. Care plans were reviewed regularly and showed progress made and changes needed in either meeting needs or achieving goals. Service users had discussions about their care with their carer and other people who would help them, and had a copy of their care plan to follow. The service user having her care meeting was deciding what she wanted to discuss and if she wanted any of the other service users to join the meeting. Care plans were written for service users understanding. They showed who had a particular responsibility to help reach the desired outcome. Being illustrated helped people follow ‘to do’ lists that had been agreed Staff induction training given by service users included ‘new people should ask the person themselves or people who know them well and not just guess what is right.’ Service users said that they were involved in staff and management meetings. They took turns on behalf of everyone to say what they wanted. They also had their own policies and procedures and ‘house rules’ they had agreed on. They said they hadn’t changed any since the last inspection. Information and records relating to service users were kept secure. Confidentiality was included in training given to staff and written in the staff handbook. Service users understood what keeping records private meant. They were confident that information about them was handled correctly. To help them understand this they had information on confidentiality given to them in their own policy book. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Service users living in the home were given opportunities to live a fulfilling and valued lifestyle at the home and in the wider community. This included social activities and learning new skills for personal development. Service users were helped to keep in touch with their families and friends. Relatives and friends who visited were made welcome Service users were provided with a nutritious and varied diet. EVIDENCE: Four service users were at home during the inspection. They discussed what they usually did every day. They had weekly planners they used to help them remember what to do and where to go. For example when they cooked a meal, cleaned their bedroom, had a bath and what day they went to College. Staff helped them where needed and the planner they used was easy to follow. Induction training of new staff by service users included basic principles of care. Service users providing the training tell staff for example ‘I choose to go to town, my own friends, my clothes, my food’. Staff also follow working
Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 13 guidance to support service users in any situation such as when shopping and in personal routines. Personal development was shown in records for each service user. Service users views about their opportunities to take part in activities were positive. They said they pleased themselves what activity they joined in. Some service users went to College. They learned different skills such as writing, numbers and computer skills. They had records of achievement awarded by the College. Discussion with service users showed how they made full use of community facilities. They went to town regularly. Photographs taken at social occasions showed how service users enjoyed themselves throughout the year. They had enjoyed Christmas and had outings, holidays and went to concerts. Service users discussed a holiday they were planning. They had chosen where they were going. Some were going abroad, but not everyone wanted to and they chose a different holiday. Staff were going with them Visitors to the home were made welcome. The visiting policy enabled service users to have visitors at any time and allowed for service users to refuse to see visitors if they wished. Photographs of service users family were placed about the home. Service users relationship with their families was detailed in their plan of care and regular contact was encouraged. Service users were able to invite their relatives to social events at the home. During the course of the inspection, the staff member on duty treated service users with respect was polite and attentive. Service users can comment about how staff treats them when they complete a questionnaire for the management. Service users said they kept their rooms locked and kept their door keys. They said they sometimes spent time in their bedroom and had agreed flexible times for going to bed. They had their own house rules they also agreed on. These had not been changed since the last inspection. Service users said the food was good. They planned their own menus, went shopping, and took turns to cook. Staff helped them. They enjoyed their meal during inspection. Everyone takes responsibility to keep the house tidy and all had jobs to do such as setting the table and washing up. They also took turns to go grocery shopping. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Recording individual preferred routines likes and dislikes, allowed service users to be cared for in a way that suited them. Service users personal care was given in a manner that respected their privacy and dignity. The healthcare of service users was monitored. Medication was managed correctly. EVIDENCE: Service users said they all had a carer and were happy with how they helped them with personal care. This was recorded in care plans and given in private Records showed service users needs and the help they required. This was sufficiently detailed for staff to follow. Staff had good guidelines to follow when giving this support. This covered every occasion including supporting them to access services such as optician, dentist and dietician and to purchase any aid needed. Routine health care was evidenced in records. Service users said they kept all medical appointments such as going to the dentist. Staff went with them sometimes. The healthcare plan was written for the service user to understand. All service users were registered with a General Practitioner. Records also included information about service users medication.
Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 15 Medication was managed properly. Service users signed to confirm they had received their medication. Policies and procedures were available for staff to use. Records were up to date and staff had training. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 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 Service users felt their interests were protected. They were confident complaints would be dealt with properly. By alerting service users of what abuse can include, they were able to speak up if they were in a difficult situation. Good practice in employment, safe guarded resident’s financial interests. EVIDENCE: Service users in the home were aware they had the right to make a complaint should the need occur. They discussed this and commented they ‘knew who to speak to if they were unhappy about their care’. The procedure they had made it easy for them to follow, and it was written and illustrated in a way to show them their complaints would be taken seriously. Service users said they were confidant people would listen to them. Written comments included, ‘I am able to discuss anything with the carers and management, and ‘I am aware of the complaints procedure’. Abuse procedures had been discussed with staff and were part of their training. Service users were given written and illustrated information to help protect themselves from abuse. Staff had also signed a declaration as a condition of their employment excluding them from any financial gain from residents. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 17 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Service users lived in a comfortable homely environment, which they said they liked. The home was furnished and decorated to a high standard. Maintenance was very good and the standards of hygiene were high. EVIDENCE: Parkside is a large spacious house situated near to the town centre of Burnley. There are garden areas to the front and side. The home accommodates five people in single rooms. Rooms had locks on the doors and service users held their own keys. There was a bathroom, toilets, and lounge/dining room, dining kitchen and laundry room. The home was decorated to a very good standard and furnishings and fittings were ‘homelike’ in style and a good quality. Service users said they liked their home. They chose new furniture and were involved in choosing wallpaper for decoration. The service users did their own laundry with staff helping as part of practising life skills. The washing machines had the correct programmes to make sure
Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 18 laundry was washed to a proper hygienic standard. The overall standard of hygiene in the home was very high. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 19 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,34,35,36 The level of staffing was good. Good staff recruitment procedures were followed Service users had confidence in the staff working at the home and benefited from staff they helped to recruit and liked. Training provided and attended by staff was good which helped them to develop proper skills in caring. Service users were involved in staff training. Staff received regular supervision. EVIDENCE: The number of staff employed was linked to the needs of the service users currently living at the home. The service users were very happy with the staff in the home. They took turns to be part of the interview panel to help choose new staff. They knew what questions to ask people. They were also consulted on the decision to employ someone, by filling in a questionnaire after the interview. All the service users were introduced to new staff before they started work. There had been no new staff recruited since the last inspection. Staff files for staff currently working in the scheme showed recruitment checks to be complete. Satisfactory references and Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) register check had been applied for, prior to employment.
Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 20 Staff had a job description to work to that outlined their responsibilities of care duties. They were also given a contract of employment. All staff had attended basic training. The percentage of staff having completed a national vocational qualification in care level 2 and above was 50 . The staff member on duty said she enjoyed training. The manager was supportive and she received supervision regularly. Comments about staff were very good. They were described as ‘friendly’. One written comment from a relative stated ‘ I have seen a few different staff and they are all friendly’. Service users said there was always enough staff on duty’. Staff interviewed had good knowledge of their role and responsibility as carer. . All staff had attended basic training. A record of this training was kept and staff were helped to develop their career in care. They received supervision regularly. Service users helped to train new staff. The planning and methods used for this purpose was excellent. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 Service users, relatives and staff were happy with the way the home was managed. The running of the home was well organised, and everyone had an opportunity to say what they wanted to improve services. Guidance and support was given to staff, which helped towards service users quality of life experience in the home being good. The health, safety and welfare of service users were considered daily with good practice in keeping safe. EVIDENCE: Mr and Mrs Zephir own the home, and take an active role in day-to-day management. The manager Sarah Casey is experienced and holds relevant qualifications for this position. Service users and staff had confidence in her management skills. Service users are given opportunities to tell the manager and staff how they would like the home to run, the care they receive and facilities they enjoy. They are consulted regularly about their care, the staff and the facilities they are provided with. They are involved in staff and management meetings. A
Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 22 representative from the service users attend meetings to put forward ideas and views of how the home should be run. To do this staff and service users put their ideas for better care and working practice on the agenda and put them forward during meetings. These ideas are discussed to see how they can work to the benefit of everyone. Service users said their views were listened to. Another method used was with anonymous questionnaires. These were given to service users and other people such as relatives. The views of those who completed these regarding the care and facilities are published and made available for people to look at. Professional people describe the team at Park Houses as ‘professional and caring’, and ‘the service promotes independence’ Staff also had the opportunity to discuss work issues with the owners and manager on a day-to-day basis and in supervision. Service users take part in staff supervision. What they say is also considered very important to help staff to work as professionals. This was recorded in easy to use picture illustrated forms, designed for everyone to understand. Staff said they had support with training. Confidential records were locked away. Service users had the benefit of up to date relevant policies and procedure. These included their ‘house rules’, which they discussed. The health, safety and welfare of service users were considered. They were involved in keeping safe. This included knowing what to do when someone called at the house, regular fire drills and who to contact in an emergency. They could contact the manager on the telephone that was linked to the office. A member of staff sleeps at the home every night. Records showed the manager and staff did regular safety checks around the home. Training in health and safety is also provided for staff to help them at work. All senior carers were qualified in first aid. Parkside DS0000009532.V272474.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X
X Standard No 22 23 Score 3 4 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 4 4 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 x 4 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Parkside Score 4 3 3 X Standard No 37 38 39 40 41 42 43 Score 4 4 4 X X 3 X DS0000009532.V272474.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? 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 DS0000009532.V272474.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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