Inspection on 06/03/06 for Parkside

This inspection was carried out on 6th March 2006.

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

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

Other inspections for this house

Parkside 10/10/08

Parkside 20/05/08

Parkside 22/05/07

Parkside 27/07/06

Parkside 05/09/05

Parkside 04/03/05

Parkside 10/01/05

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

CARE HOMES FOR OLDER PEOPLE Parkside 5 Park View Crescent Roundhay Leeds West Yorkshire LS8 2ES Lead Inspector Hebrew Rawlins Unannounced Inspection 09:30 6 March 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Parkside DS0000001490.V263607.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkside Address 5 Park View Crescent Roundhay Leeds West Yorkshire LS8 2ES 0113 266 5584 0113 2663469 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Parkside Residential Home Limited Mr Navtej Singh Lidhar Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Parkside DS0000001490.V263607.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2005 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 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 DS0000001490.V263607.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was announced and took place on the 5th September 2005. There have been no further visits until this inspection, which was unannounced. The purpose of this inspection was to monitor progress in meeting the requirements made at the last inspection and to look at the standard of care for people living in the home. One inspector between 9.30am – 4.00pm on the 6th March 2006, carried out this inspection. During the inspection, I looked at records, I saw staff carrying out their work and spoke with residents, visitors and staff. Comment cards/questionnaires are left for residents, visitors and other professionals at each inspection. These provide an opportunity for people to share their views of the home with the Commission for Social Care Inspection (CSCI). Comments received in this way are shared with the manager, without revealing the identity of those completing them. What the service does well: What has improved since the last inspection? There has been improvement to the level of detail recorded in care plans. Medication records are well maintained and the privacy and dignity of residents is respected. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 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 DS0000001490.V263607.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Parkside DS0000001490.V263607.R01.S.doc Version 5.0 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 the following standard(s): 1, 3, and 5. More information is needed on the pre admission assessment of residents to give assurance that their needs will be met. EVIDENCE: The pre admission assessments were inspected for a resident recently admitted to the home. Before admission the home had received a copy of an assessment by a Social Worker. This gave the home very little information about the personality and strengths of resident and was limited to ‘needs care’. The assessment carried out by the home before admission gave a brief overview of physical care needs and included some poorly photocopied medication sheets. There was nothing to conclude how the home could meet identified needs and help the person in their transition from one home to another. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9 and 10. There has been improvement to the level of detail recorded in care plans, but these must be developed further so that care staff have detailed guidance to provide consistency in the way that care is delivered. Medication records are well maintained and the privacy and dignity of residents is respected. EVIDENCE: Care plans for three residents were looked at in depth, the findings confirmed by discussion with those individuals about their care, or with staff delivering the care. One resident, admitted into the home late December 2005, had no assessment information on file, there was no photograph of the resident and daily records were not kept up to date. Some of the care plans were not being reviewed as often as is ideal to meet the standards. Where a need has been identified, for example weight loss a risk assessment must be done and carried through to the care plan. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 Page 10 Throughout the day, it could be seen that care staff were respectful of privacy, always knocking before entering bedrooms. Residents were satisfied with the arrangements for GP visits, dentists, opticians and chiropody. The medication system was examined; the senior carer outlined the procedure in place. The home uses a pre-dispensed blister pack system provided by the local pharmacist each month. Storage facilities are secure and the accompanying record sheets appeared to have been accurately completed. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15. The home encourages visitors, which also enhance residents’ social opportunities. The atmosphere in the home encourages residents to make their own choices about daily life, where to spend the day, whether to join in with activities, where to eat, etc. The quality of the meals at the home appears good and residents enjoy the food. EVIDENCE: Residents spoke about daily life in the home. It was apparent that activities take place and they could take part if they wish. Those who prefer a more private social life said they did not feel under pressure to “join in” if they did not want to. Two residents spoke about what their daily life is like, they both expressed satisfaction with the home, particularly the “home from home” atmosphere. It was evident that they all enjoyed passing the time in different ways and were still able to do this. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 Page 12 There were very good comments about the food and it was clear that the home cooking was appreciated. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 Page 13 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): These standards were not looked at during this inspection. EVIDENCE: Parkside DS0000001490.V263607.R01.S.doc Version 5.0 Page 14 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, 23, 24, 25 and 26. In general the premises are clean, hygienic and free from offensive odours throughout. However minor requirement needs addressing to maintain the standards of the environment. EVIDENCE: The owner/manager has a rolling programme of refurbishment, which takes account of those areas that are showing signs of wear and tear. However several things were pointed out to the manager/owner, such as light in one resident’s toilet was not working, a coffee table in a resident bedroom looked as if it had not been cleaned for some time, the electrical extra fans in the toilets are in need of deep cleaning and curtains in three residents need rehanging. In general the premises are clean, hygienic and free from offensive odours throughout and systems are in place to control the spread of infection, in accordance with relevant legislation and published professional guidance. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 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 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): 29. Gaps in the home’s recruitment procedures must be addressed to ensure residents are protected from any risk of abuse. EVIDENCE: The recruitment and selection of three members of staff was sampled. On the whole the required checks had taken place, but one person was appointed before two written references were returned. A minimum of two people do not always carry out the recruitment and selection interview. A full employment record was not seen on all of the application forms. The term and conditions of employment do not state that any new convictions (including motoring offences) must be reported to the manager. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 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 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): These standards were not looked at during this inspection. EVIDENCE: Parkside DS0000001490.V263607.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 2 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 2 x x x 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x Parkside DS0000001490.V263607.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14 Requirement More detailed information should be recorded about the person’s specific needs. The outcome of the assessment should be recorded along with justification of how the home is able to meet assessed needs. Several light bulbs needs replacing and electrical extra fans in the toilets are in need of deep cleaning. Curtains in three resident’s rooms need rehanging This is outstanding from the last inspection. Personal files must be updated to include spiritual needs and death wishes This is outstanding from the last inspection. The home should make sure that a full employment history is obtained from leaving school to present time. Further developments are still needed, to ensure consistency and continuity of information in DS0000001490.V263607.R01.S.doc Timescale for action 29/05/06 2 OP19 23 29/05/06 3 OP11 15 29/05/06 4 OP29 18 29/05/06 5 OP7 15 29/05/06 Parkside Version 5.0 Page 19 care plans so that resident’s needs are not overlooked (raised at last inspection). RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP29 Good Practice Recommendations Wherever possible, a minimum of two people should carry out the recruitment and selection interview. Parkside DS0000001490.V263607.R01.S.doc Version 5.0 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 DS0000001490.V263607.R01.S.doc Version 5.0 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. 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