Inspection on 16/01/06 for Parkside Care Home

This inspection was carried out on 16th January 2006.

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

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

Other inspections for this house

Parkside Care Home 03/07/07

Parkside Care Home 12/05/06

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 Ms Lorraine Farrar Unannounced Inspection 16th January 2006 10:45 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.V277366.R01.S.doc Version 5.1 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.V277366.R01.S.doc Version 5.1 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 Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 30 OP The service should, at all times, employ a suitably qualified and experienced manager who is registered with the CSCI An application for a manager should be submitted to the CSCI by the 20th May 2004 11th November 2006 Date of last inspection Brief Description of the Service: Parkside Care Home is registered to provide care for 30 individuals of the category old age. 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. The premises presents as a large detached property with bedroom accommodation being provided on the ground and upper floor. The home offers spacious communal rooms for residents and pleasant garden areas. Car parking is available to the front of the premises. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by two Inspectors, Lorraine Farrar and Trish Thomas. Information was gathered in a number of ways, this included discussion with residents and staff, reading files, records and documents and a partial tour of the building. What the service does well: What has improved since the last inspection? Since the last inspection the home have applied to the CSCI to register a manager to operate the home. The home now carries out a full assessment of the persons needs prior to offering them a place, this helps to ensure that the home is suitable and can meet their needs. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 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 Care Home DS0000046213.V277366.R01.S.doc Version 5.1 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 Care Home DS0000046213.V277366.R01.S.doc Version 5.1 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): 3&4 New residents are admitted only on the basis of a full assessment carried out by people trained to do so. The home has an ongoing training programme, which is in accordance with the home’s aims and objectives. The mobility needs of one resident had not been met regarding equipment and assessment of risk when mobilizing. EVIDENCE: Four care files were read and these contained records of social work assessments, which had been carried out for individual residents as they were referred to the home. Needs which were assessed include personal care and physical well being, sight, hearing and communication, mobility/history of falls, continence and medication, mental state and cognition. There is also reference to each individual’s social interests and religious/cultural needs. Assessment is ongoing after admission, by staff who use a standard assessment form to record the resident’s level of dependency and establish a care plan which addresses identified needs. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 9 Four care plans were read, three were satisfactory with regards to care giving and access to health services. In relation to one resident, her mobility needs had not been met regarding provision of specialist/raised seating and was no risk assessment evident on her care plan, for not using footrests on her wheelchair. Incident reports were read in relation to the presenting behaviour of one resident. Staff training records, which were read, did not record them as having received training in managing challenging behaviour. It is advised that this training be provided to ensure that appropriate strategies are in place to manage incidents and ensure the resident’s rights are respected. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 10 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): 7,8,10 There are care plans in place for each resident, which cover a broad range of personal care needs, in addition to health care and cultural/social preferences. Shortfalls were noted regarding frequency of reviews and management of information. Residents are registered with a G.P. and have access to health and paramedical services in accordance with assessed needs. However the home are not always following the care plan they have provided for residents. Medication in the home is generally well managed and dispensed by staff who have received training and have a good understanding of the effects of medication. The home need to provide storage for controlled medication that is in line with legislation In general, residents’ privacy and dignity were respected. There were two shortfalls noted during the inspection regarding respect for privacy and dignity. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 11 EVIDENCE: There is a care planning process in place, which includes procedures for ongoing assessment and review of needs. The frequency of reviews varied between the care plans, which were read. For example, the last recorded monthly care plan review for one care plan was October 2005 (three month’s out of date) another plan had been reviewed in January 06. Due to the large amount of information on file, the care plans were difficult to follow. Daily report sheets in some instances, had been filed out of date sequence and there appeared to be duplication of assessment records. This makes it difficult to access information quickly and accurately. In one instance, the language used in the care plan was inappropriate. There was evidence in care plans that residents are registered with a G.P. and have access to health and paramedical services, as recorded on their medical record sheets. A member of staff said that the home receives good support from district nurses who visit routinely twice a week to advise/support. One care plan stated that staff must ‘ensure she is eating well and weighed regularly’ however her weight chart recorded ‘cannot weight bare’ from February – November 05. The home must make sure that all parts of the care they have identified as needed are carried out, this will ensure that the person gets the care needed to meet their needs. The home keep a care diary and this contained good evidence that staff observe residents health and support them to make appointments with relevant professionals. Medication in the home is stored in a locked room and dispensed by staff who have had training in dealing with medication. The homes diary evidenced that staff are aware of the need to observe residents for side effects of medication and act quickly in contacting the GP for advice if needed. Records and stocks of controlled medication were checked, these were accurately recorded and stock matched the amounts recorded. In order to comply with legislation the home need to provide a locked metal cabinet to store controlled medication in. Medication administration sheets had a picture of the person for identification and those checked were completed correctly, good practice was noted in that staff record the exact amounts of medication such as inhalers that are given. Discussion took place with the Senior on duty who had an in-depth knowledge of residents’ medications and possible side effects. The home are advised to obtain an up to date copy of a medication book, this will ensure that they have access to current information about medication used. There is a quiet lounge where residents may speak with visitors in private, in addition to the main lounges and dining room. The majority of bedrooms are single. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 12 One double bedroom was visited and this room did not have a screen or curtain to give privacy when residents are washing, dressing and using the commode. The room was very clean with fresh bedding, cupboard space and personal possessions and occasional furniture adequate to the needs of both occupants. In reading care plans, instructions were read, which were a guide to staff to address the behaviour of one resident. The language and strategy advocated in the care plan were not in keeping with staff’s responsibility to respect this resident’s right to dignity. The hairdresser was visiting, and residents looked well groomed and well cared for. Support for mobility, and assistance to the dining room for frail residents who have poor mobility, was provided by staff, in a discreet and respectful manner. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15 There are a number of in house activities on offer. There is scope for development regarding the social needs of one resident. Visitors to the home are made welcome and their privacy is respected. The home supports residents to make choices and retain some control over their everyday lives. The home provides balanced and appetising meals, which are served in pleasing surroundings and at times which are convenient to residents. EVIDENCE: The quality manager said that a number of therapeutic exercises are regularly provided in the home and the taking-part has increased the mobility and dexterity of some residents. There is a broad range of opinion amongst residents in the home regarding social activities. One resident said, “I’m not bothered about doing activities. I like watching TV. I’m not one for making friends and I don’t really have many visitors.” Others said they like to be involved. Residents said they like having their hair done. A lady said she was religious and was happy that the priest from the local church visits the home. Her care plan was read and needs and preferences, as stated in the care plan, were being met. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 14 Another lady said, “We have an entertainer, sing song and quiz sometimes. I like reading and having communion, I have always been a church goer.” One resident was visited in the bedroom and was keen to talk of a lifetime of experiences. There was a TV. and reading material in the bedroom. This resident goes to the dining room for meals but spends much of the time alone in the bedroom. In order to ensure that residents’ social preferences and needs are regularly reviewed, a recommendation is given that consultation with residents on social preferences is ongoing. Residents confirmed that their visitors are made welcome. No visitors were available to make comment at the time of inspection. One resident said that a relative manages her personal allowance. Others said that their families visit regularly and they use the quiet lounge or their bedrooms for entertaining visitors. Residents’ care plans contained contact details of family and friends. The home do not act as appointee for any residents monies. Residents either manager their own or have support from their families and the home then provide a regular invoice for fees. Residents bedrooms visited contain some personal items that the person had been able to bring from home. Resident’s files contain information advising them on the homes access to files policy. Eight residents who commented said that the food is very good. One lady’s comments were typical of the opinions expressed on meals. “The food is fine and you can have something else if you don’t want what is on the menu. We don’t go short and they are always bringing drinks round.” There was evidence on care plans that residents are consulted as to their food preferences and these are recorded. Food is served to the dining room through a hatch from the kitchen. The majority of residents were frail, but were maintaining independence by going to the dining room for their meal, for many, this was a slow process. Staff were in attendance to give support and serve the meal when all the residents were seated. Bowls of fresh fruit were observed in communal areas of the home. The kitchen was visited and sufficient supplies of tinned, frozen and fresh food was available. The home operates a set menu however this also says that alternatives are available by request. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 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 the following standard(s): 16 & 18 The home has clear complaints and adult protection polices in place and staff have a good understanding of these. Information about how to make a complaint is made available to residents and relatives. EVIDENCE: The home has a complaints policy in place, which, advises complainants of the process to follow, and the time this will take, this information is available to residents and relatives via the homes notice board. The home has adult protection and whistle blowing policies in place and also has a copy of the policy for St Helens council. Records showed that some staff have had training in adult protection and further training was planned via Age Concern for 19th January. The home manages small amounts of money for residents in their safe, records and amounts were checked for three of these and were correct. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 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 the following standard(s): 26 The home is clean and generally hygienically maintained. Practices in the laundry room need to be improved to prevent a spread of infection and training for all appropriate staff in infection control is needed. EVIDENCE: The home has a policy in place for control of infection and supplies of disposable gloves and aprons were observed. The laundry contained “Soiled” laundry containers, which were not covered. This was discussed with a member of staff working in the laundry who did not know the home’s laundry procedure and had no infection control training. The home must provide closed containers for storing ‘soiled’ laundry and training in infection control for all relevant members of staff, this will help to prevent an outbreak of infection in the home. All other parts of the home visited were clean and hygienically maintained. Environmental Health visited the home in June 2005 and were satisfied with standards as a result of which the home received a Food Hygiene Award. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 17 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, 30 The home operates a through recruitment process to ensure staff are suitable to work with vulnerable people. Staff receive training in a variety of subjects related to meeting residents needs. EVIDENCE: Three staff files were looked at, all contained evidenced the home had obtained a Criminal Records Bureau (CRB) check, references and proof of identification for staff. They had also supplied copies of the home terms and conditions and a declaration of health from the person. Two members of staff said that they considered the training provided in the home to be sufficient to meet their job specification and the needs of residents. The training certificates of four members of staff were inspected and showed that updates in mandatory training are ongoing. Staff received induction training and training certification for 2005 included those for Moving and Handling, Risk Assessment, Infection Control, Medication, Basic Food Hygiene, control of substances hazardous to health (COSHH), First Aid, and Protection of Vulnerable Adults. Both staff files inspected contained evidence of induction training and NVQ certification. Three residents who commented said that they thought staff were good at the job. One lady said that they are “very kind and thoughtful.” A member of staff said she loves working in the home and there is a good team. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 18 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): 33,35,38 The home has a clear quality assurance system in place, which involves obtaining residents views Polices and practise for managing residents monies are clear and well managed by the home. The home carry out some of the required health and safety checks but are not carrying out all checks and services at timescales that will ensure residents safety. EVIDENCE: The home has had a quality audit carried out by an external company, following which they were awarded a 4 star rating for the service provided. Part of this involved surveying residents for their views and further evidence of this was available on care plans, which contained a recent survey of residents’ views on meals in the home. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 19 Residents and staff were given time and privacy to talk with inspectors and offer their views. The home provides safe storage for small amounts of residents monies but do not act as appointee for anyone’s benefits. Records and amounts of monies held were checked and were correct. The homes fire book showed that weekly tests of the fire alarm take place, however the last equipment check took place in October 2005 and emergency light test in September 2005. The home must ensure these are tested at regular intervals to ensure they are working correctly The last fire drill recorded took place in February 2005, although the homes Quality Manager advised that a drill had taken place the previous week, records could not be located. The home must make sure all staff participate in regular fire drills so that they are aware of the action to take in the event the fire alarm sounds. The home did have a fire risk assessment in place, however this was written in October 2004 and should be reviewed to make sure it is still applicable. All fire routes in the home were followed, these were clearly signed and could be followed in case of fire. The fire procedure was posted in the hallway near the entrance. All fire doors were kept closed with some having automatic closers fitted. The home had satisfactory records for servicing of the boiler, lift and specialist baths and testing of small appliances. The certificate for the main electrics was dated 23/11/99 and lasted 5 years, the owner advised that the new testing had taken place and they were waiting for the certificate. A copy of this must be forwarded to the CSCI. The home did not have a landlords Gas Safety certificate available. This safety check must be carried out each year to ensure the gas supply in the home is safe. Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 20 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 X X 3 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 2 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 2 Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 21 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 OP4 Regulation 13 (5) Requirement The manager must make arrangements for assessment regarding provision of specialist/raised seating for one resident who has difficulty rising from the chair. The manager must carry out a risk assessment for a resident who is unable to tolerate footrests on her wheelchair. The manager must ensure that residents care plans are reviewed at least monthly. The home must provide storage that is in line with legislation for controlled medication. The home must ensure that all care identified in a care plan is carried out. The manager must provide screening in the double bedroom. The manger must provide instruction to staff as to the terms used in the care plan when referring to a resident who, at times, presents challenging behaviour. DS0000046213.V277366.R01.S.doc Timescale for action 15/03/06 2 OP4 13 (4) (c) 01/03/06 3 4 OP7 OP9 15(2)(b) 13(2) 15/03/06 12/04/06 5 6 7 OP7 OP10 OP10 12(1) 12 (4) 12 (4) 15/03/06 01/03/06 15/03/06 Parkside Care Home Version 5.1 Page 22 8 9 10 11 12 13 OP26 OP26 OP38 OP38 OP38 OP38 13(3) 13(3) 13(4)(c) 23(4)(c) 23(4)(e) 23(c) (iv) The home must provide closed containers for storage of ‘soiled’ washing. The home must provide training in infection control for all appropriate staff. The home must obtain a satisfactory gas certificate. The home must forward a copy of an in date satisfactory electric certificate to the CSCI. The home must ensure staff participate in fire drills at regular intervals. The home must ensure emergency lights and fire equipment are checked at regular intervals. 15/03/06 30/04/06 15/03/06 15/03/06 15/03/06 15/03/06 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 OP12 Good Practice Recommendations It is recommended that consultation is ongoing with residents and their representatives regarding the provision of social activity, which meets residents individually assessed needs and preferences. The manager should make arrangements for staff training in managing challenging behaviour. The home should provide an up to date medication book The home should review their fire risk assessment. 2 3 4 OP4 OP9 OP38 Parkside Care Home DS0000046213.V277366.R01.S.doc Version 5.1 Page 23 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.V277366.R01.S.doc Version 5.1 Page 24 - 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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