Inspection on 12/05/06 for Parkside Care Home

This inspection was carried out on 12th May 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 Care Home 03/07/07

Parkside Care Home 16/01/06

Parkside Care Home 11/11/05

Parkside Care Home 08/02/05

Parkside Care Home 24/01/04

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 Care Home Parkside Care Home 280 Prescot Road St Helens Merseyside WA10 3AB Lead Inspector Daniel Hamilton Unannounced Inspection 12th May 2006 09:00 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 Care Home DS0000046213.V292597.R01.S.doc Version 5.2 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 Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkside Care Home Address Parkside Care Home 280 Prescot Road St Helens Merseyside WA10 3AB 01744 22821 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 (St Helens) Ltd Mrs Glenda Gould Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 30 OP The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 16th January 2006 Date of last inspection Brief Description of the Service: Parkside is a large detached Victorian House that has been converted into a Care Home and is registered to provide personal care and support for up to 30 older people. The home is located in St. Helens, Merseyside and is situated on a main road location in a residential area close to local amenities and has good links to public transport and shops. The property enjoys a pleasant view of the park and Grange Park Golf Course to the rear. The home offers three lounges with televisions, a sitting room, small library and a dining room. The premises has 22 single bedrooms and four double rooms. Toilet and bathing facilities are located throughout. The first floor rooms are accessible via a passenger or stair lift and a call bell system is in place. There are two large, well-maintained and accessible gardens to the rear of the building and car parking is available to the front and side of the premises. The Care Home Fee is set at £353.00 per week. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day and lasted a total of 10 hours. Twenty-five residents were being accommodated at the time of the visit. A partial tour of the premises took place and observations were made. A selection of care, staff and service records were also viewed. The Registered Provider (Owner), Manager, Quality Manager, three staff members, two health care professionals, one relative and seven residents were also spoken to during the visit. Furthermore, satisfaction survey forms “Have Your Say About….” were distributed to a number of residents and / or their relatives prior to the inspection, to obtain additional views / feedback about the home. All the core standards were reviewed and previous requirements and recommendations from the last inspection in January 2006 were discussed. What the service does well: Parkside presented as a warm caring environment. The home had a pleasant atmosphere and residents appeared relaxed, well cared for and comfortable. Staff were observed to be attentive to the needs of the people living in the home and residents spoke highly of the care provided and the lifestyle experienced in the home. One resident reported; “The care staff are very good. They are respectful and caring in their approach.” Likewise, another resident stated; “I do as I wish here. It’s a smashing place to live.” Residents and relatives spoken with during the inspection confirmed that visitors were welcome at any reasonable time. The home had produced a range of information to enable prospective residents to make an informed decision on where to live. Care files viewed evidenced good links with health care professionals and community nursing staff were observed to visit residents on the day of the inspection. A health care professional reported; ““Staff are providing quality holistic care. They respect the people living in the home and treat them with dignity”. Likewise, a resident stated; “They [Staff] look after our health care very well.” A range of activities was provided for residents during each month and overall, residents were satisfied with the activities available. Feedback from two residents included; “There are plenty of activities to participate in if you wish. We have films, exercises and various games” and “I enjoy the activities on offer. There is a good range to choose from.” Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 6 Meals were well managed and provided in comfort, to ensure residents received an appealing and nutritious diet. A resident stated; “The meals are first class. Preferences and choices are catered for.” The home had a satisfactory complaints procedure and safeguards were in place to protect vulnerable people from abuse. Residents spoken with had no complaints and were confident that their views would be listened to. For example, a resident said; “I would speak to Glenda [Manager] if I had a complaint, but I don’t have any.” Likewise, a relative stated; “My mum is safe here. I visit everyday and I have no concerns about the standard of care in the home.” What has improved since the last inspection? What they could do better: The home should ensure that information on daily living and social activities is obtained as part of the assessment process. It would be good practice to condense the information held in care plans to make it easier to find information and minimise duplication of records. Additionally, arrangements should be made to ensure residents or their representatives sign care plans, to confirm they are in agreement with the plan of care. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 7 At the time of the visit, one resident did not have a plan of care in place and another resident was self-administering medication without the home completing a risk assessment. Likewise, a risk assessment had not been completed for a resident with mobility difficulties as required at the last inspection. These matters must be addressed, to safeguard the health and welfare of the individual residents. Although monthly audit records were available to confirm that the temperature of hot water outlets in residents rooms were checked each month, records could not be located for a bath in a communal bathroom. Records should be established and / or available to confirm that all hot water temperature outlets are checked each month and regulated to 43°C. Training records showed that no additional staff had received training in infection control as required at the last visit and examination of the home’s training matrix identified that some staff were in need of refresher training for some safe working practice topics. These matters must be addressed to ensure staff are appropriately trained. Recruitment and induction records could not be checked for new employees, as the records had temporarily been removed from the home by the manager. These records must at all times be available for inspection in the care home in accordance with the Care Home Regulations 2001. The home must ensure residents’ safety by carrying out regular fire drills and ensure an in date electrical wiring check is obtained and a copy forwarded to the Commission. 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 Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents had access to key information on the home including the terms and conditions of residency. This enabled prospective residents to make an informed decision about whether to move into the home. Assessments of need were undertaken prior to admission, to ensure the needs of prospective residents were identified however a risk assessment had not been completed for a service user, to assess risks when mobilising. EVIDENCE: The home displayed a range of information for residents in the reception area. The documents included; a copy of the Statement of Purpose, Service User Guide, previous inspection reports, satisfaction survey questionnaires and information on comments, compliments and complaints. The ‘Quality Manager’ reported that Contracts had been issued to residents and once signed had been passed to the home’s accountant for safekeeping. Files contained a ‘Service User Admission Checklist’, which residents had signed to confirm they were aware of where to find a copy of the documents and had been provided with and returned a copy of the terms and conditions of residency. Likewise, residents confirmed via discussion and Care Home Survey Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 10 forms that they had received a Contract and enough information on the home to make an informed decision about whether to move in. Records showed that the home had policies and procedures in place for referral and admission. Three files were viewed for residents who had moved into the home since the last key inspection. Each file contained a ‘Daily Living and Needs Assessment’, which had been completed by a member of the management team prior to the admission of individual residents. The assessments viewed contained key information on each resident’s needs however there was no information on daily living and social activities. Copies of social work assessments were also on individual files. The Quality Manager confirmed that the information collated during the assessment process was used to develop a care plan for each resident. Despite a requirement at the last inspection, a risk assessment had not yet been completed for a resident who was unable to tolerate footrests. An extension to the existing timescale was agreed with the owner. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Care Plans were not available for all residents and safeguards were not in place for residents responsible for their own medication. These shortfalls have the potential to place the health and welfare of residents at risk. Care was provided in accordance with the needs, expectations and rights of the people living in the home. EVIDENCE: Three ‘Service User Care Files’ were examined. Only two of the three files contained a Care Plan. Care plans viewed identified the health, personal and social care needs of residents and the action required by staff to ensure needs were met. Records had been kept under monthly review however the plans had not been signed by residents or their representatives and residents spoken with were not aware of their care plans. A range of supporting documentation was also on files. This included: personal profiles; daily report sheets with three entries per day; person-centred risk assessments; records of health care appointments and accident / incident records. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 12 Due to the large amount of information on file, some care plans were difficult to follow and there appeared to be duplication of assessment records as noted at the last inspection. Discussion with residents and examination of health care records confirmed that residents had access to health care professionals as required. Records indicated that residents had received visits from their Doctors and District Nurse staff were observed to be visiting residents during the inspection. A health care professional reported; “Staff are providing quality holistic care. They respect the people living in the home and treat them with dignity”. Comments from two residents included; “If you are poorly the staff don’t hesitate in calling out the doctor.” Likewise, another resident said; “They look after our health care very well.” The home had a Medication Policy and Procedure in place, which included procedures for residents who wished to self-administer their medication. A copy of the Royal Pharmaceutical Guidelines was also available for staff to reference. At the time of the visit only one resident was self-administering medication and a risk assessment had not been completed. The home used a blister pack system and medication was appropriately stored. Since the last visit, the home had purchased a metal cabinet to store controlled medication. A resident identification system and specimen signatures of staff authorised to administer medication were in place. Overall, Medication in the home was generally well managed and dispensed by senior staff who had completed appropriate external medication training. Staff spoken with during the visit demonstrated an in-depth awareness of the home’s medication procedures and their role and responsibilities. Medication Administration Records (MAR) viewed had been correctly completed and systems were in place for the ordering and return of medication. Records showed that the home had a policy on Values and staff spoken to demonstrated a sound awareness of how to safeguard and promote the rights of the people living in the home. Staff were seen to offer support and assistance to residents throughout the day and were observed to be discreet and respectful towards the needs of residents. All the residents interviewed during the visit complimented the care provided in the home and confirmed their privacy was respected and that they were treated with privacy and dignity. Feedback from three residents included; “The care staff are very good. They are respectful and caring in their approach”; “The staff employed here know what they are doing. The quality of care is very good” and “The staff respect Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 13 my privacy and feelings. They always knock and ask to enter my room and are always courteous.” Likewise, a relative said; “I think it’s a brilliant home. The residents appear well cared for.” Since the last inspection, the quality manager reported that staff had received instruction on how to improve and record information in care plans. Furthermore, a screen had been fitted in a double room to ensure the privacy of residents was safeguarded. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Daily life and activities within the home was flexible and varied to meet the expectations, preferred routines and needs of residents. Residents had control of their own lives and were encouraged to maintain their independence and chosen lifestyle. Meals were well managed and provided in comfort, to ensure residents received an appealing and nutritious diet. EVIDENCE: A monthly programme of activities had been developed, which detailed a daily activity. A copy of the programme was displayed in the reception area of the home. The programme identified that a range of therapeutic activities was provided for residents during the month. These included: Sing-a-long sessions, hairdressing, Thai Chi, keep fit, current affairs, Roman Catholic and Church of England religious services, bingo, quiz and films etc. A diary was maintained to record activities provided, participants and staff responsible for coordinating the event. The quality manager reported that activities were based around the needs and preferences of the people living in the home and that the choice of activities was kept under review in consultation with residents. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 15 Feedback from residents via survey forms and discussion during the inspection confirmed that residents had access to a good range of activities. Residents expressed different views about their interests in activities. For example, comments from three residents included; “There are plenty of activities to participate in if you wish. We have films, exercises and various games”; “I enjoy the activities on offer. There is a good range to choose from” and; “The home puts an activity on for us most days.” Conversely, one resident said; “I prefer not to participate in activities these days” and another stated: “I choose not to join in activities.” The home’s Statement of Purpose and Service User Guide indicated that visitors were welcome at any reasonable time. This was confirmed by residents and a relative during the inspection. Feedback from three residents included; “You can have as many visitors as you want”; “Visitors can come at any time” and “My sister visited earlier. She is always made to feel welcome whenever she visits.” One relative was using the home’s quiet lounge to meet with a resident in private during the visit. Some residents preferred to meet the relatives and friends in their rooms. The routines in the home were observed as being based around the needs and preferences of the residents and this was confirmed in discussion with residents. The views of three residents included; “I do as I wish here. It’s a smashing place to live”; “The home is flexible and there are no routines imposed on you” and “I really like it here. The staff understand me and respect my wishes.” Residents were able to bring personal possessions into the home and rooms viewed had been personalised with pictures and personal possessions.. Files viewed were secured in a lockable cabinet and access to files declaration forms had been completed. Meals were served in the home’s dining room. One resident chose to eat meals in private. The dining room was pleasantly furnished and tables were equipped with tablecloths, condiments and tablemats. Although meals were served at set times, the quality manager reported that arrangements were flexible to suit individual needs. The home had a rolling four-week menu which offered a range of nutritious meals. Alternative choices were recorded on a ‘Meal Time Alternatives’ form. Special diets were provided for five residents. Residents complimented the food provided. Comments included; “The food is very nice indeed. You get a choice”; “The meals are first class. Preferences and choices are catered for” and “You can’t beat the food here.” Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 16 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home had a complaint procedure and complaints received had been handled promptly and efficiently. Residents were confident that their concerns would be listened to and acted upon and safeguards were in place to protect residents from abuse. EVIDENCE: The home had a Complaints procedure in place, a copy of which was available in the reception area of the home and on the home’s notice board. The policy provided information on the process to follow and the timescales involved. The complaints record showed that one complaint had been received since the last inspection. Due to the nature of the complaint, the matter had been referred to and investigated by the local authority social service services department. Records had been maintained regarding the outcome of the complaint. Residents and relatives spoken with during the visit all spoke highly about the home and the care provided. None of the residents or their representatives reported any concerns or complaints about Parkside. Furthermore, feedback from residents via Care Home Survey forms confirmed that residents were aware of how to make a complaint. Comments from residents included; “I really like it here but if I had a problem I could approach Glenda [Manager]”; “I’ve got no complaints. I can’t find fault with this place. I’m glad I came here” and “I would speak to Glenda [Manager] if I had a complaint, but I don’t have any.” Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 17 The home had adult protection and whistle blowing policies and procedures in place, which included a copy of the Local Authority procedures. Records showed that the majority of staff in the home had completed training in the protection of vulnerable Adults and staff spoken with understood the different types of abuse and their duty of care to safeguard the welfare of the people living in the home. A relative reported; “My mum is safe here. I visit everyday and I have no concerns about the standard of care in the home.” Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 18 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, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Overall, the environment was well maintained and this provided residents with a comfortable and homely place to live. Some hot water temperature check records were not available, to confirm the regulation of water temperature at all hot water outlets. The home appeared clean and hygienic however some staff still required training in infection control, to minimise the outbreak of infection in the home. EVIDENCE: The quality manager reported that the home employed a handyman who was responsible for the maintenance of the home and the grounds. A maintenance file was in place to record jobs requiring attention. The manager / owner also maintained a quality audit file which included a monthly check of all rooms. Examination of records and discussion with the owner confirmed that the home received ongoing maintenance and investment as required. Records showed that since the last inspection a new washing machine, dishwasher and fridge and freezers had been purchased for the home. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 19 Furthermore, communal toilets had been fitted with new floorings and some en-suites had been fitted with new vanity units. Overall, areas viewed appeared to be in good order and well maintained. One carpet was frayed near a gripper and this was brought to the attention of the quality manager to avoid a potential trip hazard. Furthermore, although water temperature checks were completed as part of the monthly room audits, the temperature of the hot water outlet for the bath in bathroom 44 was very hot to touch and no records of temperature checks for the bathroom could be located. On the day of the visit, some wheelchairs had not been appropriately stored and were found to be blocking the fire escape to the small garden. This matter was addressed during the visit. All areas viewed during the inspection were clean and hygienic and a domestic was observed to be on duty. The laundry was equipped with individual laundry baskets, two washers (one of which had a sluice facility), two driers and hand washing facilities. Infection control policies and procedures and Control of Substances Hazardous to Health (COSHH) data sheets were in place. Since the last inspection, closed containers had been purchased for the storage of ‘soiled’ laundry however records showed that no further staff had received training in infection control as required at the last inspection. At the time of the visit, training records showed that 13 of the 19 staff had completed infection control training. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Sufficient numbers and an appropriate skill mix of staff were deployed to meet the needs of residents. Some recruitment and induction records were not available for inspection, to confirm that staff had been appropriately recruited and inducted into their roles. Furthermore, some staff had not completed all safe working practice training. EVIDENCE: Direct observation, discussion with staff and inspection of rotas confirmed that three care staff and a senior member of staff were on duty through the day with two waking night staff on duty during the night. On the day of the visit the Owner and Manager were also on site to support staff and assist with the inspection process. Residents spoken with were satisfied with the staffing arrangements in the home and feedback from survey forms confirmed that staff were available when needed. Comments from residents included; “The staff are always available to provide a helping hand” and “They [Staff] are down to earth in the way they work with you and are very reliable and supportive.” The home had a recruitment and an equal opportunities policy in place. Records showed that two staff had commenced employment as Care Assistants since the last inspection. At the time of the visit, the recruitment records could not be checked as the files were not on the premises. The owner reported that the manager had taken the records home in order to update the files and respond to a personnel matter. The owner was able to provide a copy of a Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 21 Protection of Vulnerable Adult (POVA) check for one staff member and a Criminal Record Bureau (CRB) check for the other. The previous inspection highlighted no concerns regarding recruitment practice. Induction records for the two staff employed since the last inspection could also not be checked as the files were not on the premises. The manager reported that inductions had been completed for both staff and was able to provide examples of induction paperwork used as part of the process. Staff interviewed during the inspection confirmed they had received induction training from the manager, which was in accordance with National Training Organisation specification. The home’s training matrix was viewed because some staff did not have an upto-date record of induction and training completed. This showed that staff had access to a broad range of training however a number of staff required refresher training in some safe working practice topics including fire and moving and handling training. The quality manager reported that the home employed 17 care staff. Records showed that eight staff (47 ) had a National Vocational Qualification (NVQ) at level 2 or above in care. The quality manager reported that a further four staff (23 ) had completed a NVQ at level 2 or above in Care and were awaiting a certificate. Once certificates have been received, this will bring the total number of qualified staff to 12 (70 ). One member of staff was working towards the qualification. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Systems for consultation with residents and their relatives and the management of personal finances had been established, to demonstrate that the home was run in the best interests of the people using the service. Some staff had not completed all the necessary refresher training, to safeguard health and safety. EVIDENCE: The home’s manager and owner (Mrs Glenda Gould) was registered with the Commission for Social Care Inspection. The manager reported that she had completed the Registered Managers Award in June 2005 however a certificate had not been received to date. A letter was viewed from the Care Sector Trust dated 27/01/06 advising that the external verifier was due to view the completed file. At the time of the visit, the manager did not have a qualification equivalent to a National Vocational Qualification (NVQ) level 4 in Care. Advice was given to obtain the award. Staff and residents spoken with reported that the manager Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 23 was approachable and supportive. It was not possible to assess or verify the full range of training completed, as the manager’s training records were not available to view. No recent Regulation 26 reports had been completed due to the owner being in day-to-day charge as the registered manager. Records showed that the last residents’ meeting was coordinated on 23/03/06 and the next was scheduled for 31st May 2006. The home commissioned an external quality assurance assessment and operated its own internal quality assurance system. This involved circulating questionnaires to residents and their relatives each year. Information on the outcome of the quality assurance process for December 2005 was available in the reception area of the home. Feedback received from residents and relatives during the inspection confirmed that they felt listened to and consulted. Records showed that the manager did not act as an appointee for any of the residents. The home’s accountant was responsible for the management of fees / invoices. The manager reported that a standing order system had been established for this purpose. Only one resident managed their finances independently. All the other residents received assistance from family members or solicitors. The home provided safe storage for small amounts of residents’ monies. At the time of the visit, the home looked after the personal allowances of 23 residents. Receipts were used to record any money received and individual records were maintained of financial transactions. Records and amounts of monies were checked and correct. The pre-inspection records indicated that equipment within the home received regular maintenance. Fire records were inspected. Records showed that the system was tested each week and the emergency lighting and fire extinguishers were inspected every month. The fire drills sheet showed that night staff had not received any fire practice instruction training since 10/02/05. This was also noted at the last inspection. A new fire risk assessment was in place and the extinguishers and fire alarm system had been serviced. Since the last inspection, the home had arranged for a new gas safety check to be completed on 28/04/06. A new electrical wiring certificate could not be located however an invoice dated 29/12/05 was on file. Some staff had not completed all safe working practice refresher training as identified in Standard 30. Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 24 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 3 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 3 17 X 18 3 3 X X X X X 2 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 25 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 OP4 Regulation 13 (4) (c) Requirement The manager must carry out a risk assessment for a resident who is unable to tolerate footrests on her wheelchair. [Previous timescale of 1/03/06 not met]. Each resident must have a plan of care that identifies their individual needs (as detailed in the assessment) and the action required by care staff to ensure that identified needs are met. Risk assessments must be completed before residents are supported to self-administer medication. The home must provide training in infection control for all appropriate staff. [Previous timescale of 30/04/06 not met]. All records in relation to the employment of staff must be maintained in the Care Home. Safe practice training must be completed by all staff and refresher training must be completed periodically. All staff must have an up-to-date record of induction and training DS0000046213.V292597.R01.S.doc Timescale for action 30/06/06 2. OP7 15 30/06/06 3. OP9 13(2) 30/06/06 4. OP26 13(3) 31/08/06 5 6. OP29 OP30 17 (2) schedule 4 18 30/06/06 31/08/06 7. OP30 19 schedule 31/08/06 Parkside Care Home Version 5.2 Page 26 2 8. OP38 23(4)(c) 9. OP38 23(4)(e) completed, which must be available for inspection. The home must forward a copy of an in date satisfactory electric certificate to the CSCI. [Previous timescale of 15/03/06 not met] The home must ensure staff participate in fire drills at regular intervals. [Previous timescale of 15/03/06 not met]. 30/06/06 30/06/06 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 2 3 4 Refer to Standard OP3 OP7 OP7 OP19 Good Practice Recommendations Information on daily living and social activities should be obtained as part of the assessment process. ‘Service user care files’ should be condensed to minimise duplication of records and to ensure information can be accessed quickly and accurately. Residents or their representatives should sign care plans to confirm agreement with the content of the plan. Records should be maintained and available for inspection to confirm the regulation of water temperature at all hot water outlets (including bathroom 44) is regulated close to 43°C. The Registered Manager should complete an award equivalent to the NVQ level 4 in Care. 5 OP31 Parkside Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Care Home DS0000046213.V292597.R01.S.doc Version 5.2 Page 28 - 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. 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