Inspection on 05/09/05 for Parkside

This inspection was carried out on 5th September 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Parkside 10/10/08

Parkside 20/05/08

Parkside 22/05/07

Parkside 27/07/06

Parkside 06/03/06

Parkside 04/03/05

Parkside 10/01/05

Similar services:

Abbey The

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 LS8 2ES Lead Inspector Hebrew Rawlins Unannounced 5 September 2005 th 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 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 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parkside Address 5 Park View Crescent Roundhay Leeds LS8 2ES Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0113 266 5584 0113 2663469 Parkside Residential Home Ltd Mr Navtej Singh Lidhar Care Home with Nursing 20 Category(ies) of Ols Age (20) registration, with number of places Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 04/03/05 Brief Description of the Service: Parkside is a family run concern, providing a twenty bedded home for elderly 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.Fees cover the costs of full accommodation, care and laundry facilities. It does not include chiropody, hairdressing, and personal copies of newspapers, escorts to hospital, incontinence aids, and other personal requirements.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. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on the 5th September 2005 by one inspector. The purpose of the inspection was to ensure the home continues to provide a good standard of care for its residents. The Registered Manager was not on duty so the inspection was carried the senior carer who made her self-available throughout the inspection. Service users and staff present at the visit were made aware of the inspection through discussion with the inspector. They were invited to give their views on the care and services provided. Records were inspected and these included resident’s care plans and policy documents. What the service does well: What has improved since the last inspection? There is an ongoing programme of redecoration, although this is not formally recorded. At the time of the inspection external building was been painted. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,5. The admission’s process is effective, and residents and their families receive relevant information and support. Assessments information was fairly basic and did not identify the resources the home provide. EVIDENCE: Files looked at shows assessments carried out by the home, had been done before admission. However, the information was fairly basic and did not identify the resources the home provide to show they could meet each persons range of human needs and made no mention of the outcome of any pre admission visit, which was part of the admission process. Each service user has a written contract/ statement of terms and conditions with the home. A family were visiting the home on behalf of a relative at the time of the inspection. A member of staff spent time with them. The overall impression was favourable and described, as ‘it appear to be a good home unlike the other homes visited’. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10,11. Further developments are still needed, to ensure consistency and continuity of information in care plans so that resident’s needs are not overlooked. Personal files has not been updated to include spiritual needs and death wishes. Once again the manager must remind staff the importance of signing the medication sheets. Accidents should be recorded in a way, which allows for ease of monitoring. EVIDENCE: The care plans were variable and did not include the details of the residents’ personal preferences such as appearance, getting up and going to bed times, favourite types of music. There was no specific guidance for staff on how to approach a person exhibiting challenging behaviour. They were written from the perspective of what the person could not do, rather than what they could still do and how staff might continue to help them to maintain skills. Looking at the medication sheet it was noticed the administration procedure policy is still not been followed. It was pleasing to note that care staff write in the daily logs but in order to improve the quality and relevance of the information recorded this should be monitored as part of the process of staff supervision. Daily records made Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 10 generalised repetitive comments which did not make reference to the care plan therefore it was not clear how key-workers gathered the information to write a progress diary. One for example described a person becoming more unsettled with more incidents but this was not followed by an action plan. A copy of any accident should be held on file with the date and number of the form written on the stubs in the book. It was noted from reading the daily log that not all accidents were recorded in resident files. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15. Residents are encouraged to participate in social and leisure activities, to maintain links with their friends and family. However it was not clear from the case files how activities were related to personal interests. Staff were pleasant and interacted well with residents to create a relaxed and friendly atmosphere. EVIDENCE: It was good to note that all staff in the home responded to the residents and were seen to offer reassurances and assistance. The limited background history in some files must make it difficult for staff to initiate conversation. It was not clear from the care files how activities were related to personal interests. The menu showed the choice of meals for the day. Staff were reminding people what they had chosen. The staff were pleasant and encouraging and assisted those people who needed feeding in an appropriate manner. Staff and most residents participated in verbal banter and the social atmosphere was good throughout the day. Visitors to the home said they were made welcome and were kept up to date with any changes in their relative’s wellbeing. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 12 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 standard(s) 16,18. The home provides clear information on how to make a complaint about the service. It includes reference to the Commission for Social Care Inspection if people want to take a complaint outside the home. Visitors were confident that any concerns would be dealt with fairly. Staff had an understanding of adult protection but all staff must have adult protection training if they and residents are not to be at risk. EVIDENCE: Talking to staff, they are all clear on their responsibility about reporting any allegations of abuse. However there are some staff that have not yet had adult protection training. Visitors spoken with were confident that any concerns/ complaint would be dealt with fairly. There has not been any complaint since the last inspection. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 13 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 standard(s) 19,23,24,26. Some work on the environment has taken place, but further work (some minor) is required if odour is to be kept under control, the risk of cross infection reduced and satisfactory standards maintained. EVIDENCE: A tour of the building took place; at the time of the visit the outside was been decorated. Some bedrooms had been decorated and old carpets replaced. Resident’s bedrooms looked at met their own needs, with all showing signs of personal belongings. Cleanliness could be improved as of the bedrooms are cleaned once a fortnight and its mainly surface cleaning. The odour was noted in some toilets and bedrooms. This could be because several extract fans in residents unsuite were not working. In one resident bedroom the ceiling was water damaged and the carpet badly stained, curtains need to be replaced. The light in one resident un-suite was not working and the toilet seat was broken. The kitchen is in need of deep cleaning, the walls tiles are damaged, the extract fan needs cleaning, waste bin missing lid need replacing and fire Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 14 extinguishers checks are a few days out of date. Radiators in communal/ public places should not be used to hang resident’s personal clothing. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,30. The staff team have worked hard to ensure residents are happy with the service on offer. They have a good understanding of ‘good care practice’. EVIDENCE: The care staff on duty were all very pleasant and appeared to be communicating well. It was good to note that all staff on duty responded to the residents and were seen to offer reassurances and assistance. A care worker confirmed she had done training in manual handling. Seven staff have completed NVQ level 2 and two are pending. Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not looked at during this inspection. EVIDENCE: Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 2 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x 3 2 x 2 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x x x x x x x Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 18 no 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. 1. 2. Standard 3 7 Regulation 14 15 Requirement Assessments information was fairly basic and did not identify the resources the home provide. Further developments are still needed, to ensure consistency and continuity of information in care plans so that resident’s needs are not overlooked. Once again the manager must remind staff the importance of signing the medication sheets. Accidents should be recorded in a way, which allows for ease of monitoring. Personal files has not been updated to include spiritual needs and death wishes. However it was not clear from the case files how activities were related to personal interests. All staff must have adult protection training if they and residents are not to be at risk. Deep cleaning and the control of odour is required in several residents bedroom. The carpet and curtains in one resident room requires attention. Toilet seat and light in resident unsuite require attention. The kitchen is in need of deep 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Timescale for action 10/11/05 10/11/05 3. 8 13 immediatel y 4. 5. 6. 7. 8. 9. 10. Parkside 11 12 18 19 19 19 26 12 15 13 23 23 23 23 10/11/05 10/11/05 1/1/06 immediatel y immediatel y immediatel y immediatel Page 19 Version 1.40 cleaning, the walls tiles are damaged, the extract fan needs cleaning, waste bin missing lid need replacing y 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. Refer to Standard Good Practice Recommendations Parkside 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 20050905 Parkside UN Stage 4 S1490 V245193 J52.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!