Inspection on 08/07/05 for Parkside

This inspection was carried out on 8th 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 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 23/05/07

Parkside 16/01/06

Parkside 03/02/05

Parkside 26/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Dystlegh Grange

Thornton Lodge

Belvidere Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Parkside Netherhall Road Maryport Cumbria CA15 6NT Lead Inspector Margaret Drury Unannounced 08 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 F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parkside Address Netherhall Road Maryport Cumbria CA15 6NT 01900 812723 01900 815067 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) Cumbria Care Linda Donoghue Care Home 32 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia over 65 of places Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. The home is registered for a maximum of 32 service users to include: up to 32 service users in the category of OP (Older people not falling within any other category) up to 23 service users in the category of DE/E (Dementia over 65 years of age). The home may also from time to time admit persons between the ages of 60 and 65 years of age in this category. 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. 4. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. 5. Two service users may share a bedroom of at least 16 sqm usable floor space only if they have made a positive choice to do so, and when one of the shared spaces becomes vacant the remaining service user has the opportunity to choose not to share, by moving to a different room if necessary. Date of last inspection 03 February 2005 Brief Description of the Service: Parkside is a care home owned by Cumbria Care an internal business unit of Cumbria County Council and registered to care for up to 32 older people, 23 of whom may have varying forms of dementia. The home is operated on a day-to day basis my Mrs Linda Donoghue. Parkside is situated in a residential area of Maryport and is close to all local amenties, shops and bus routes. It is purpose built and situated over two floors, the upper floor being serviced by a passenger lift. The home provides lounge and dining facilies and a larger lounge that can be used for group activities, visiting entertainers or parties. There is a small room on the ground floor for any residents wishing to smoke. Some of the bedrooms are a little small but all have wash handbasins and there are some with en-suite toilet facilities.The toilets and bathrooms are equipped to assist people with disability. There are well kept gardens around the building and car parking facilities are provided. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, and took place over one day. During the inspection, time was spent talking with the manager, care staff on duty and the cook. Records to do with the day-to-day running of the home and the care of residents were examined. Time was spent with of the residents individually and much of the home was looked at during the visit. What the service does well: What has improved since the last inspection? Changes to staff routines on the dementia care wing have improved the level of care and the ability of staff to delive it. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.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 F58 F10 s35252 parkside v233068 080705 ui stage 4.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 F58 F10 s35252 parkside v233068 080705 ui stage 4.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 & 4 Residents and their families benefit from the information provided prior to admission. This ensures all parties can make an informed choice about moving into the home. EVIDENCE: The home’s statement of purpose and other information outlining the facilities on offer at the home is made available to all prospective residents and their families. There are also copies on display in the hall. All residents have a formal contract/terms and conditions. The home has a full admission procedure, which means all residents have an in-depth assessment prior to admission, to ensure all the needs can be met and the correct level of care delivered. Family members and/or friends are invited to meet the staff and look around the home before any resident is admitted. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.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 The home has an excellent, clear and consistent care planning system, which ensures residents’ health, and social care needs are met in a way that promotes their privacy and dignity. EVIDENCE: The home has a very detailed care planning system that was examined during the inspection. The care plans contained information about residents care needs, including moving and handling assessments. They are regularly reviewed and updated with the resident, even those with a higher degree of dependency, being consulted. The plans provide the care staff with the information needed to deliver the level of care required to meet the assessed needs. Details of healthcare needs and professional visits are recorded on the daily record sheets and in the diary and residents said that they only have to request a G.P. visit and the appointment is made. The care staff speak to the residents in a courteous and polite manner and always knock before entering bedrooms. Residents said that the staff always give personal care in a way that preserves their privacy and dignity whilst encouraging independence. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 10 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 Social activities and meals are varied and provide residents with a range of choices and opportunities on a daily basis. Residents benefit from being able to follow their religious beliefs. EVIDENCE: Activities are available for those wishing to join in although the residents did say that the choice whether or not to participate is entirely theirs. The manager encourages visitors from the community and members of the local rotary club visit each month. Residents go to church and for those unable to do so, Communion is provided monthly. There is very little restriction on visiting and families and friends are welcome anytime. This was evidenced by the visitors’ book in the hall. There is a four-weekly menu and discussions with he cook showed how much she cared about providing an attractive and wholesome diet. Diabetic meals are available where necessary. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 11 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 Residents benefit from a full complaints procedure with evidence that they know any issues raised will be dealt with. Staff have an excellent knowledge and understanding of Adult Protection issues, which protects the residents from abuse. EVIDENCE: Residents are given information about how to complain when moving into the home, and said that if they raised any issues they are dealt with promptly. Information about making a complaint is displayed in the entrance area of the home. The home has a full abuse policy in place and staff have access to Cumbria’s policy for “Protection of Vulnerable Adults”. Discussions with staff evidenced their knowledge of adult protection and their appreciation of the support they would receive if they had an abuse issue to raise. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 12 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, 21, 25 &26 The standard of the environment in the home is very good, providing the residents with an attractive and homely place to live. EVIDENCE: The re-decoration programme for this financial year has been agreed and the manager will work with the estates manager to ensure the required work is carried out. There is ample communal space in each wing for residents to use and a larger lounge that can be used for activities, entertainment or parties. There are well kept gardens round the building. There are sufficient bathrooms and toilets all of which are suitable for older people and those with a disability. Domestic arrangements in the home ensure the surroundings are clean, pleasant and hygienic. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 13 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, 29 & 30 Staff morale is high resulting in a workforce that works with the residents to improve their whole quality of life. EVIDENCE: The manager uses her allocation of staff hours extremely well, the result being a staff team that work well together for the benefit of the residents. There are two members of staff on each of the dementia care units and one on the physically frail unit. Extra staff are brought to work with the seniors when giving out the medication. This system is working very well in this particular home. The home uses the organisational recruitment policy and the manager ensures all the required checks are completed prior to employment starting. There is a good training programme with each member of staff being responsible for their own continuous professional development. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 14 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) 31, 32, 34, 36, 37 &38 The manager is supported well by the senior team in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities. Residents benefit from experienced and trained staff and health and safety policies that promote their health and welfare. EVIDENCE: The registered manager has a great deal of experience in the care of older people. She is motivated and encourages the staff to give a high level of care. She is qualified to NVQ level 4 in management and has just completed the Registered Manager Award in 2 months time. She ensures all the policies and procedures are implemented in order to safeguard the residents. Residents said that the atmosphere in the home is warm and friendly and they felt completely at home. Staff are supervised on a regular basis and all training is up to date. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 15 The records in the home are kept securely in locked cabinets. Annual health and safety audits take place to ensure the safety of the residents and staff. Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 16 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x 3 x 3 3 3 Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 17 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Parkside F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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 F58 F10 s35252 parkside v233068 080705 ui stage 4.doc Version 1.40 Page 19 - 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!