Inspection on 06/07/05 for Parkside

This inspection was carried out on 6th July 2005.

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

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

Other inspections for this house

Parkside 22/08/07

Parkside 03/08/06

Parkside 17/11/05

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 6/8 Edward Street Oldham OL9 7QW Lead Inspector Michelle Haller Unannounced 6th July 2005 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 F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parkside Address 6/8 Edward Street Oldham OL9 7QW 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) 0161 624 6113 Pridellcare Ltd Ms Joan Aspin Care Home 24 Category(ies) of OP Old age - 24 registration, with number DE(E) Dementia over 65 - 6 of places PD(E) Physical Disability over 65 - 5 DE Dementia 57 Years - 65 Years - 1 Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Service users to include up to 24 OP, up to 1 DE, up to 6 DE (E), and up to 5 PD (E) 2 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. 3 Date of last inspection 09/01/05 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 pleasent garden, lawn and flowerbeds area at the back of the home. The front of the home is a stone, fronted bay window, Victorian property with a modern extension attached at the rear. 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. 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. In addition all bedrooms contain a washbasin. On the ground floor, there is a choice of two lounges, a small conservatory used as the smoking area, and a large nicely furnished dining room. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Parkside residential home took place over the course of six hours. During this time interviews were undertaken with four service users, one care staff, one relative, the manager and the proprietor. In addition observation of the interactions in the home was undertaken over lunchtime and throughout the day. On arrival the home was peaceful and calm. The service users had been supported in achieving a high standard of personal care and sufficient staff where available to meet the needs of the service users. Six case files where examined as where other documents such as the accident book, menus and other records concerning the service users. A tour of the communal and private areas in the home was completed. Since the last inspection windows have been replaced with double glazing, new comfortable furniture has been bought for the lounge areas and these rooms redecorated, radiator covers have been fitted throughout the home and new carpeting has been fitted to some hallways. Service users commented that there had been an increase in activities undertaken within the home and interesting outings had been arranged. The management of staff has also improved and staff routines changed to better meet the needs of the service users. Verbal feedback was given throughout the day and the end of the visit to Parkside. What the service does well: The meals at Parkside are plentiful, nutritious, tasty, well presented and contribute to maintaining the health of the service users. The home completes a comprehensive assessment identifying the physical and emotional health needs and the social needs of service users. Activities on offer to service users are varied. Service users are offered regular activities outside of the home as well as entertainers, games, arts and crafts and film nights within the home. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 6 The home listens to and responds well to suggestions and ideas of the service users. The ethos of the management team is to ensure that service users feel at home, and those interviewed stated that they felt safe and respected. Staff work well with health care professionals ensuring that health needs are monitored and appropriate care provided quickly. Staff are attentive and quick to respond to call bells and other signs that service users may need help. The home provides good quality physical care, service users clothes are well laundered and service users are supported in being fully and comfortably dressed. Staff support service users in maintaining their independence in all aspects of life for as long as possible. Service users comments included: ‘staff are nice’; ‘I’m quite happy here’ and ‘Meals are good-I’ve no complaints.’ The communal sitting areas are comfortable and conducive to developing relationships between those accommodated in the home. What has improved since the last inspection? Since the last inspection the smoking area has had doors fitted to prevent smoke entering the dining room. This conservatory has also been redecorated and the leak in the roof mended. The lounge areas have also been redecorated and new furniture purchased. The home has introduced a programme of activities that include regular excursions away from the home. The ethos of the home has improved and it is now more evident that it is run for the best interests of the service users. Report writing and record keeping has improved since the previous inspection making it possible to check life experiences for service users on a day-to-day basis. The home is generally cleaner and more welcoming than on previous inspections. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4 and 5 The home provides enough information in the home to allow prospective service users to make an informed choice before they enter the home. All service users are provided with a contract of residence. Comprehensive needs assessments are completed for service users living in the home. Service users and their representatives are able to visit the home prior to admission. EVIDENCE: Examination of the service user guide showed that there was detailed information was available about the experience of care staff, the philosophy of the home, the facilities and the possible choices that service users could make. Contracts where available for examination and this stated that initially admission is on a trial basis of a month. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 10 Six service user files where examined and each contained completed assessments that provided ample information about the health and social needs of these service users. The assessments included details about the past and current interests of service users, including their likes and dislikes. Service users stated that prior to admission they or their representatives had visited the home. The relative who was interviewed also confirmed that an opportunity to visit the home was taken prior to admission. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 standard(s) 7, 8 and 10 Although comprehensive care plans are completed for all service users the expected outcome for the support or intervention does not directly relate to the identified need of service users. Parkside ensures that the health needs of service users are met. Service users at Parkside are treated with consideration and respect. EVIDENCE: Six service users files were examined. The files contained care plans, charts, letters and reports that confirmed the involvement of a wide range of health care provision. There was evidence of routine examinations such as dental care and chiropody and the involvement of diabetic nurses and support to assist with the prevention and treatment of pressure sores. In addition the optician visited the home to complete routine examinations on a number of the service users on the day of this unannounced inspection. The expected outcomes of each intervention and support as written in the care plans did not actually relate to the need been met, but was very general and vague. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 12 Staff where observed speaking to and supporting service users with respect and in a dignified manner. Personal care was carried out in private and discussion with service users and relatives confirmed that this positive attitude is routine. Staff were observed spending time talking to service users offering reassurance. Care staff were also observed successfully defusing a difficult situation with a service user. The care staff on the day of inspection treated the service users with quiet patience and respect. All call bells where answered quickly. Staff and service users stated that visitors to the home where encouraged and welcomed. All the service users spoke highly of the registered person. It was also clear from the comments made during interview, that the registered person is keen to provide a quality service at Parkside and is keen to ensure that service users have a good quality of life and are treated with dignity and respect at all times, by all who work in or visit the home. During the tour of the building and rooms it was possible to confirm that rooms with two beds also contained privacy screens. Signatures in the Visitor Book also helped to demonstrate the diversity of people who visited the service users, and it was pleasing to note that a Church Minister regularly visited one lady. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 The home aims to ensure that the lifestyle experienced in the home matches the expectations and satisfies the needs of service users. Service users at Parkside are supported in maintaining contact with family and friends, in developing new friendships from within the home and remaining in contact with the local community. There is an exemplary selection of activities and outings organised by the registered provider. Service users are encouraged and enabled to make choices and keep control over their lives. Service users are provided with wholesome tasty meals and snacks in a pleasant environment. EVIDENCE: Six care files and other documents where examined. The reports demonstrated that the service at Parkside is flexible and responsive to the needs of service users. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 14 Records confirmed that service users chose, for example, when to get up, or go to bed, and whether to join in with outings and other activities; where to sit at meal times and when and where to receive guests. Service users stated that there were opportunities to participate in activities such as domino, sing-a-longs, themed nights and celebrations in the home. Service users also stated that they had enjoyed regular entertainers, recently gone on a trip to Lake Windermere. Other activities that had been booked included a dinner and show and a trip to Knowsley safari park. The manager is also planning a jumble sale and a family barbecue over the summer months. The registered provider was also making requesting places at luncheon clubs so that those at Parkside have the chance to attend. The care plans for all service users informed care staff of areas in which service users where able to make clear choices. All reports where written in positive and respectful language and identified differences of opinion and compromises where they occurred. The menu at Parkside is varied, with a choice of a full cooked or cereal or fruit each day, a choice of cooked lunch and a choice at tea time. The home has employed a professional cook and meals look appetising and are nutritionally balanced. On the day of inspection the choice was poached chicken, peas, potatoes, cabbage and gravy or sausage and mash with peas, cabbage and onion gravy. Dessert was home-made sponge and custard or yoghurt or fruit. The chef was able to provide a record of all the meals served in the home for the past month and the manager provided records of what each service user had actually consumed. Notes from the service users meetings showed that service users also had a say in the meals being offered. Staff where observed sitting with service users who needed encouragement to take meals and drink. This support was provided in dignified manner and at a pace set by the service user. Hot and cold drinks where served throughout the day. It was noted that service users were supported in making themselves clean and tidy following meals. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The complaints procedure is robust and service users and relatives are confident that they will be listened to. Parkside ensures that action is taken to protect service users from abuse. EVIDENCE: The home’s complaint procedure is clear and readily available. Service users stated that they could discuss any concerns with the manager and the registered provider. Service users particularly like the new owner, stating the he was caring and interested in their point of view and how staff behaved towards them. The notes from staff meetings indicated that the effects of abuse and how to recognise abuse was highlighted, and also the importance of whistleblowing and reporting abusive behaviour was discussed. The home has also taken action to terminate the employment of staff following a repeated complaint from a service user. Discussion regarding informing CSCI and referral to POVA took place with the registered provider. Further clarification was required. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 20, 22, 23, 24 and 26 The home provides access to safe and comfortable communal areas. The home ensures suitable and specialist equipment is available to maintain the independence of service users. The bedrooms are adaptable and can meet the needs of the service users, enabling the residence to furnish their rooms exactly to their own preference. On the day of inspection the home was clean, tidy and pleasant throughout. EVIDENCE: The front and back garden of Parskdie was clean and tidy on the day of inspection. Since the last inspection double glazed windows have been installed and this has improved the appearance of the building. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 17 There are three seating areas at Parkside, all were clean and comfortable furnished and decorated. The smoking lounge now has a door that separates it from the dining area. This area has also been decorated and was clean and comfortable to sit in. The main lounge has a large screen television, which was popular with all the service users. Throughout the day service users where observed walking between the communal areas, returning to their bedrooms or attending to toiletry needs, either independently, using walking sticks or grab rails or with staff assistance. During inspection all the bedrooms where visited and found to be clean and free from unpleasant odours as where the en-suite bathrooms. Service users stated that they liked their rooms, and it was observed that they were able to bring their own belongings including televisions, fridges and any other items required. Service users where supported in displaying pictures of their family and arranging favourite ornaments in their rooms. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 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, 28, 29 and 30 Staff are employed in sufficient numbers and skill mix to meet the needs of the service users. Some staff have sufficient training to ensure that they are competent to safely do their jobs, however ongoing staff needs are not yet adequately catered for or identified. The recruitment and selection process takes into account the majority of safeguards required, however, there is some confusion in respect of actions required under POVA legislation. Individual staff supervision and appraisals needs to be established. EVIDENCE: On the day of inspection there where two care staff, a full time cook, the laundry assistant, one domestic staff, the manager and the owner attending to the needs of 17 service users. The cook has a professional qualification and both the care staff on duty had NVQ level 2 in care. The staff interviewed stated that since commencing work at Parkside she had received training in infection control. She had however completed the majority of her training at her previous employment. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 19 Examination of the complaints records indicated that disciplinary action had been taken against staff when necessary however the procedure needs to be updated to include all requirements of the POVA guidelines. A training calendar or plan has been not been developed. The manager stated that she was discussing training needs in the home with a contact at a college of further education. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 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) 32, 36, 37 and 38 The ethos of the home is beneficial to service users. The priority of Parksides owner is to meet the needs and serve the interests of the service users. Individual supervision needs to be formalised for all staff. All records relating to the safety of service users are readily available for examination. Action is taken to promote the health, safety and welfare of staff and service users. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 21 EVIDENCE: Staff and service users interviewed stated that the proprietor and the registered manager where clear about the ethos of the care to be provided in the home. Supervision and staff appraisal has not been fully established within the home. This is ongoing. Many positive changes have been made to ensure that the service users benefit from living at Parkside. These changes include staff taking their breaks separately, steps taken to reduce the noise level in the home and the use of staff meetings as a forum to reiterate the conduct expected of staff. There is a suggestion box in the home for comments to be made anonymously. Notes from the residents meetings and recorded outcomes, demonstrated that whenever practical the proprietor will try to follow any recommendations. The accident book, records of complaints and other documents demonstrated that reports where kept and action taken to safeguard the health and safety of the service users and staff. The home has policies and procedures relating to fire safety, infection control, moving and handling and other aspects of maintaining a safe environment. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 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 Standard No 16 17 18 Score 3 x 2 x 3 x x x x 3 3 Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 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 18, 29 Regulation 18 Requirement The registered person must gain a working knowledge of issues relating to CRB checks and referal to the POVA register. The registered person must ensure that staff receive appropriate supervision. Timescale for action 30/09/05 2. 30 18 31/01/06 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 7 Good Practice Recommendations The registered person should imake sure that the expected outcome stated on service users care plans relates directly to the need being met. Parkside F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne OL7 OQD 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 F54-F04 s60150 Parkside un v222352 060705 Stage 4.doc Version 1.30 Page 25 - 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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