Inspection on 03/08/06 for Parkside

This inspection was carried out on 3rd August 2006.

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

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

Other inspections for this house

Parkside 22/08/07

Parkside 17/11/05

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 Unannounced Inspection 3rd August 2006 10:15a 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.V291068.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 DS0000060150.V291068.R01.S.doc Version 5.1 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) 0161 624 6113 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.V291068.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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 17th November 2005 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 a lawn and flowerbed areas 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. The home charges £313.18 each week. The previous Commission for Social Care Inspection (CSCI) Inspection report was readily available at the entrance of the home. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included an unannounced site visit to the home. The inspection took place on one day over a period of 7 hours 30 minutes. The inspection was carried out through examination of files, records and correspondence concerned with the care of service users, the running of the home and the management of staff. Interviews with service users, their representatives and staff were also conducted. Observation of the interactions between service users, the staff and others also took place. The inspector looked around the garden and all areas inside the home. What the service does well: The manager makes sure that service users and their relatives are given enough information about the home to help them make an informed choice about moving in. Comment made included, ‘We were shown the kitchen, the lounges and bedrooms, we were also introduced to the staff on duty.’ The assessments made before someone comes to live at the home are detailed. This allows staff to know what a person’s needs are before they come to live at the home. Service users and relatives see the care staff as kind and helpful. The home provides a satisfactory level of health and personal care, and service users and their relatives feel that health care in the home is good. Service users think staff have a caring attitude and do their best to keep service users content and happy. Comments included, ‘Staff are very caring.’ And ‘Staff are very good’. And ‘They stayed with me in hospital when I wasn’t well.’ The routines in the home are flexible and service users are able to make choices about all aspects of the care and support they receive in the home and there are a variety of trips are provided. The home is welcoming and has an ‘open-door’ policy, making service users and their relatives feel welcome and confident that the home operates in an open manner. Comment, ‘I have peace of mind with her being in here-if friends visit Mum they are welcomed and made tea and biscuits, they (staff) are very pleasant.’ Service users are provided with a good quantity of food and drink that they enjoy, in pleasant and clean surroundings. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 6 Service users and their relatives feel confident that if they had a complaint it would be dealt with fairly and they would be listened to. The adult projection policy and training received by staff reduces the risk of adult abuse in the home. Parkside is a clean home. What has improved since the last inspection? What they could do better: The home needs to introduce care plans and assessment that relate to specialist health care needs such as pressure area care, communication, falls or psychological care. The home needs to make sure that all services users can be accurately weighed. The home needs to ensure that an accurate record of when medication is given is kept. The home needs to provide more regular, varied and interesting activities. In order to assess the success and popularity of these activities record should also be kept for those taking part in activities. The home must also help staff to develop skills concerning activities and also help them to improve communication skills with service users. The home must ensure that they undertake police checks on all new staff. This will help them in making sure that the staff they employ are suitable to work with older people. The registered manager needs to work a minimum of 35 hours each week. If the present registered manager cannot do this, the provider needs to make a decision about how this can be resolved. The home must make sure that action is taken to assess and prevent accidents in the home. Please contact the provider for advice of actions taken in response to this Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 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 DS0000060150.V291068.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. Service users and their representatives are provided with enough information to help them to make an informed choice about moving into the home. The home gathers sufficient information about all service users to help decide whether they can meet their needs. EVIDENCE: Each care file examined contained assessments of the health and social needs of service users. These were the home’s own assessments and it was clear that information from social work assessments had been transferred to ensure that all information was available in one document. This information included the interests of service users, their general and specialist health needs and whether the person wanted to keep control of their medication. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 10 Service users stated that they had been able to visit the home before moving in and one person commented , ‘ ..(the manager) visited me before I moved in here.’ Relatives were keen to confirm that the home had provided information about the facilities and this included a brochure and service users guide. Relatives also stated that they had been accommodated and encouraged to visit before making a decision. One person said ‘They were really good we just turned up on ‘spec’ and they showed us around and gave us a choice of bedroom.’ Parkside DS0000060150.V291068.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The information about service users is sufficient for staff to know what actions they need to take in order to meet the health and social needs of service users. The homes policy and procedures for dealing with the administration, recording and storage of medication is not accurate and so fails to promote the safety of service users. The wellbeing of service users is promoted at all times because staff uphold their privacy, dignity, and preference whenever possible. EVIDENCE: Five service user files were examined. All contained care plans and these had been reviewed monthly. The care plans identified the support needed for bathing, mobility, dressing, communication and other aspects of care. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 12 The care plans stated the number of staff or type of equipment needed to assist with mobility, and staff were observed supporting services users accordingly. The manner in which daily records were written demonstrated that staff worked towards meeting the needs of service users in a respectful manner and were mindful that each person was an individual. Records, reports and correspondence also verified that services users had timely and appropriate access to district nurses, general practitioners, podiatry, dental care, eye-care and other peripatetic health services. The service users were clean and well groomed. The inspector also observed the care plan for one service user. The care was provided with compassion and patience, the service user was given the opportunity to make choices about the care she received according to her ability. Records also demonstrated, however, that improvements were necessary in the monitoring that took place in some areas. For example, assessments for services users who are at risk of developing pressure sores are needed. There should also be a more detailed record using, preferably using a diagram, when abrasions, bruises or other skin damage is discovered. This will increase the chance of early intervention and treatment for service users. The home also needs to demonstrate that they can weigh service users accurately, this is important for all service users but especially for those who are frail or who have poor appetites. These shortcomings were discussed with the registered provider. Care plans and daily reports also identified that staff need additional information, guidance and support for working service users who have emotional needs. An area of concern related to the management of falls in the home. It was noted that, despite there being a significant number of falls recorded, the manager had not completed updated risk assessments. Neither had the falls prevention team been approached for advice or assistance. The home’s medication policy provides clear information to staff, and certificates confirmed that staff responsible for administering medication had received training. Furthermore observation indicated medication is stored safely. However, examination of a random selection of medication administration record (MAR) sheets identified that none of the dates were correct and it was not possible to tell on what date any medication had been given. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 13 The manager must ensure that date and time medication is administered is recorded accurately, this was reiterated to the manager at the time of inspection. Service users and their relatives felt that care and health needs were met by the actions taken by the home. Comments included: ’The staff are good.’ And ‘They are extremely caring and the owner went with her to hospital when she was poorly.’ Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 14 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 Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Service users at Parkside experience a satisfactory standard of living and they are happy with the food, facilities and routines of the home, although a more structured activity programme would further improve their level of satisfaction. EVIDENCE: The manager, staff and service users stated that there had been a number of activities this year, including a trip to Knowsley’s Safari Park, Blackpool and a barbeque in the grounds of the home. At the entrance pictures of recent activities including the barbeque were on display. The hairdresser also visits the home once a week. The home has not developed a day-to-day activities calendar and this would be of benefit because service users felt that there was not enough going on in the home. One comment included ‘There seems to be less to do, it seems to have fallen by.’ Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 15 This must be balanced by the fact that in every other aspect of living in the home the service users said they were satisfied and comments included: ‘I go to bed when I’m ready and I have visitors when I like’ ‘and ‘No faults at all.’ In spite of this it is important that service users are frequently offered a chance to participate in meaningful activities that will cater for their range of interests and abilities. The home must be able to demonstrate that they provide activities that develop and maintain skills such as thinking and communication skills, promote independence, be stimulating, help to develop positive relationships and prevent boredom. They must also be able to show that all service users are encouraged and enable to participate in such activities either individually or in groups according to their needs and preference. The home has a very calm and sedate atmosphere that clearly suits many services users, however, verbal and social interaction between staff and many service users was inadequate, and although staff were very pleasant there was very little casual interaction and ‘chit-chat’ with service users. Observation of the activities that took place during the inspection further demonstrated this. A group of service users were asked if they wanted to play a game but staff did not join in so the activity soon dwindled because, for various reasons, service users could not keep the momentum needed to complete the game. When interviewed, staff said that they talked to service users when all the jobs in the home were completed, however the inspector observed that there were missed opportunities for communication and reassurance in that staff did speak to service users at the onset of any activity but this soon reduced to silence. In the inspectors opinion this situation is due to a lack of training and confidence of staff, as those interviewed came across as, caring and interested in providing a good standard of physical care. They were however uncertain about how to communicate with less able service users and about the range of activities that could be provided. The home provides plentiful food that is enjoyed by the service users and meets their needs. The cook is qualified and has participated in the Environmental health initiative ‘Safer Food better business.’ Conversation with service users confirmed that they were pleased with the food offered and the person needing a special diet was very satisfied. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 16 Daily food records indicated that service users were offered a choice of breakfast including cooked breakfast, or cereals, a cooked meal at lunchtime, including casseroles, roasts, fish dishes, tarts and pies and salads, and sandwiches, cold meats, sausages, homemade soups and salads and baked potatoes was offered at tea-time. Records also indicated that suppertime snacks included malted loaf, cheese on toast, and other quick snacks as well as biscuits and tea coffee, Horlicks and fruit juice. The choice for lunch on the day of inspection was home made cheese and onion pie and vegetables and potatoes or savoury mince, mash potatoes and vegetables. Service users were observed been offered a choice in the morning. The meals were prepared using fresh ingredients. The meal at lunchtime was nicely presented and served in comfortable and clean environment. Service users were given support to eat with discretion and care. Comments included ’The food is very good’ and ‘The cook is very very good and goes out of his way if you have a special diet, he is very caring.’ And ‘If I don’t like the food they take it away and I’m offered something else.’ And ‘there’s plenty to eat-sometimes too much.’ Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 17 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 and 18 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. The home’s complaint procedure makes sure that they take full account of complaints and service users feel their concerns would be treated seriously. The home provides robust adult protection policy that is understood by staff and provides protection to service users. EVIDENCE: The home’s complaint procedure is readily available at the entrance to the home 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. Comments included: ‘If I had any issues I would talk to Nav or Joan and I feel they would listen.’ And ‘No problems at all-If I didn’t agree I think he (the owner) would listen.’ And ‘If any complaint I would talk to Joan- but Nav is always around.’ And ‘No faults at all, no complaints at all.’ The owner stated that he had not received any complaints since the last inspection and those spoken to confirmed that, they had not made any complaints or negative comments about the home. The home operates a robust adult protection policy and staff are trained by the home in adult protection, in addition, unacceptable behaviours are discussed during service user meetings. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 18 Staff stated that they are instructed during staff meetings and in-house training about adult protection. And those who were interviewed were clear about the action they would take if they suspected abuse had occurred. Those interviewed said that they felt safe living in the home and comments included: ‘I’ve never seen anything to cause me concern over the handling of residents.’ Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 19 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 Quality in the outcome area is good. This judgment has been made using available evidence including a visit to this service. In general terms the home provides a comfortable and safe place for services users to live. Parkside is clean and free from unpleasant odours and so provides service users with a pleasant place to live. EVIDENCE: During a tour of the building all areas were clean and free from unpleasant odours. The hallway and main lounge had been repainted and new carpet fitted in some areas. All the bedrooms, including those occupied on a short stay basis, contained some personal items belonging to service users. Shared rooms contained privacy screens. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 20 Comments about the bedrooms included ‘I have a lovely big double room full of reminders from the flat.’, and ‘’the bedding is always clean.’ Service users were observed mobilising around the home independently or assistance including walking frames and sticks or a wheelchair, as stipulated in the care plans. Handrails, hoists and other equipment and adaptations were seen throughout the home. It was noted during the tour of the building that all areas were clean and had a pleasant smell. Staff wore protective clothing and the home provides handwashing and drying facilities. When asked whether the home was clean one person exclaimed ‘Oh yes!’ and a relative commented that ‘The home is lovely and clean.’ Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 21 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 Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. Staff are employed in sufficient numbers and experience to meet the needs of service users. Additional training is required to ensure that staff are fully competent and able to meet all the needs of the service users. The home’s recruitment process does not fully protect service users. EVIDENCE: On the day of inspection 16 service users were being supported by the proprietor and two carers, in addition there were three other staff including the cook. According to the roster this was one care staff less than usual due to sickness. The duty roster showed that throughout the day and early evening there were ordinarily three care staff on duty as well as the owner. Service users and their relatives assessed that there were sufficient staff on duty and comments about staffing included: ‘There are lots of staff and Mum is always clean.’; ‘Staff are very good’; ‘On the whole always plenty of girls on and they are excellent.’ Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 22 The owner stated that over 50 of the workforce has achieved NXQ level 2 in care. Certificates confirmed that there are four members of staff with accredited first aid training but the need to make sure that an accredited first aider was on duty for all shifts was discussed with the owner. The home has not developed a training calendar for staff but certificates confirmed that care staff had received Glucometer Training, Infection control and moving and handling training from outside training agencies. Records also demonstrated that newly employed staff completed an induction programme under the guidance of the manager or senior care assistants. Service users would benefit if staff completed training concerning dementia care and a course aimed at improving the communication skills and activities that occur in the home. The majority of staff files examined continued completed application forms and two references. It was noted that not all Criminal Record Bureaux (CRB) checks had been completed by the home, instead they had relied on CRB’s carried out by previous employers. This was discussed with the owner and it was made plain that CRB checks are not portable and the dangers of this practice were pointed out. The owner must apply for new CRB disclosures for all staff employed in the home after the 26th June 2005. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 23 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 Quality in the outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The registered manager is an experienced manager, and supported in this role by the provider. However, lack of up to date training potentially leaves the service at risk of being underdeveloped. The quality assurance system needs be further developed to allow everyone involved to comment on the quality of the service so that improvement and changes can be made that will be of benefit to the service users. The financial arrangements in the home do not fully safeguard the interests of services users. The health and safety of service users are not fully promoted by the policies, procedures and actions taken by the home in relation to accidents. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 24 EVIDENCE: The home does not currently have a full time manager the registered manager now works part-time and the registered provider plays a supportive role on a full-time basis. There is little evidence that the manager or provider have attended training courses that will improve and update their managerial skills. The owner stated that he has advertised for a new registered manager in the local papers and in the Job Centre without success. The home continues to formalise its quality assurance monitoring which currently consist of service users meetings and a comment box. Additional ideas for finding out the opinion of others who are involved in the home were discussed. The owner is available to staff, service users and relatives for five days each 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 supported this assertion. The findings from looking at the financial records for five service users demonstrated that, service users were not provided with receipts for all financial transactions and the amount in their moneybags did not tally with the written record. This was discussed with the owner who agreed to introduce a method of monitoring finances more tightly. 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. Furthermore staff were observed adhering to basic rules concerned with moving and handling and infection control. The fire safety logbook confirmed that fire drills had taken place and receipts provided evidence that fire safety equipment had been maintained. The main oversight in health and safety concerned the lack of risk assessments and action to reduce the number of falls in the home. The accident record showed a significant number of falls in nearly all areas of the home and affecting a range of service users, however no steps had been taken to seek advice and get help in this area. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 25 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 2 9 2 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 1 X X 2 Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 26 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 The registered person must ensure that medication administration records are completed accurately. The registered person must ensure that care plans and risk assessments are developed to meet all the needs of the service user including the prevention of falls and pressure area care. The registered person must ensure that receipts are provided to service users for all financial transactions undertaken on their behalf and that records are accurate. Timescale 01/12/05 not met. The registered person must ensure that action is taken to investigate and deal with the incidence of falls in the home. The registered person must ensure that staff are only employed in the home when a current CRB check or POVA first check has been completed by the home. Timescale for action 01/12/06 2. OP7 13(b) 01/12/06 3. OP35 17(2)Sch 4Para 9 01/12/06 4. OP38 13(4) 01/12/06 5. OP29 19 (5) 01/12/06 Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP12 OP33 Good Practice Recommendations The registered person should explore how to frequently provide a good range of home and local based activities for service users. The registered person should further develop the quality monitoring system so that it allows all involved to comment on how the home is run. Parkside DS0000060150.V291068.R01.S.doc Version 5.1 Page 28 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.V291068.R01.S.doc Version 5.1 Page 29 - 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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