Inspection on 01/11/05 for Parkside Lodge

This inspection was carried out on 1st November 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 Lodge 04/08/08

Parkside Lodge 08/08/06

Parkside Lodge 09/05/05

Parkside Lodge 13/09/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Parkside Lodge 28 Wykeham Road Worthing West SUssex BN11 4JF Lead Inspector Ms B Tye Announced Tuesday 1 November 2005, V245683 st 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 Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parkside Lodge Address 28 Wykeham Road, Worthing, West SUssex, BN11 4JF 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) 01903 235393 Mr Salim Nanji & Mrs Zeenat Nanji Mrs Ann J Smith Care Home (CRH) 20 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 20 of places Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2005 Brief Description of the Service: Parkside Lodge is a residential establishment providing accomodation and personal care for older people over the age of 65. The home is a large detached house in the centre of Worthing, close to Victoria Park and approximately one mile from the town centre. The building comprises of three storeys set in its own grounds, with an enclosed garden and car parking spaces for visitors. It has nineteen bedrooms, three of which can be used as doubles, providing the overall number of residents does not exceed twenty. There are two lounges and a dining area for communal use. A passenger lift facilitates access to all floors. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place over a period of five hours. Prior to the inspection the inspector examined information on the current file spanning the last six months. A pre-inspection questionnaire was completed by the manager in advance, detailing all recent changes within the service. Six residents, one relative and the visiting chiropodist, were spoken to at length by the inspector. Care plans, staff files and health and safety records were examined and a tour of the premises was undertaken. The manager of the home was available throughout the inspection and all documentation and information required was provided by her on request. The commission received thirteen comment cards from visitors and relatives. All comments were positive and overall gave good feedback about the service provided at the home. THIS REPORT SHOULD BE READ IN CONJUCTION WITH THE INSPECTION REPORT DATED 9th MAY 2005. BOTH REPORTS COVER ALL STANDARDS IN FULL. What the service does well: The home is well decorated and homely with an attractive garden available for the use of residents. From information gained at the inspection it is evident the manager and staff treat residents with respect and dignity. Residents are well cared for and their health and social needs are met. All residents spoken to praised the staff and were complimentary about the service they received. Residents are encouraged to pursue activities of interest both in the home and wider community. The Annual Quality Assurance review includes feedback from family members and involved professionals. This was positive about all aspects of care provided at the home. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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 Lodge H60 H11 S14659 Parkside Lodge V245683 011105 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 Lodge H60 H11 S14659 Parkside Lodge V245683 011105 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, 4 and 6 Prospective residents and their families are able to visit the home before moving in, to assess the environment and quality of care provided. A full assessment is carried out prior to admission by the manager or her deputy, to ensure residents needs can be met appropriately by the home. EVIDENCE: The home has up to date Service Users Guide and Statement of Purpose which details all aspects of care provision at the home. Residents spoken to confirmed they had received this information prior to admission and were fully aware of what was on offer at the home before they moved in. The inspector examined the pre-admission assessments for residents. These are completed by the manager and identify areas of need including; diet, communication, health, social and cultural needs. Additional information and correspondence by community based professionals was seen in care files. Risk assessments are in place for each of the residents and contain information relating to their specific needs and assessed areas of risk. This promotes independence for residents in all aspects of daily living. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 9 The residents and the relative spoken to confirmed they visited the home prior to admission, all were given a choice of rooms and information about the home. This enabled them to make an informed decision about moving to the home and what to expect. Parkside offers respite to a few residents as part of a long-standing arrangement when their families go on holiday. The home does not offer intermediate care. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 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 standard(s) 8 and 11 Following examination of the care records, observations and discussion with the residents the inspector concluded that the residents health care needs were fully met by the home. Policies, procedures and staff training ensure residents and their families are cared for appropriately at their time of death. EVIDENCE: Residents health records were examined and found to contain detailed information relating to health and personal care needs of residents. Staff handovers at each shift change during the day ensure each staff member is fully aware of the immediate needs of the residents. In addition to monthly reviews, records showed they are update as changes occur. Any information is transferred to care-plans, following discussion and agreement with residents and/or their relatives. Specialist health needs are referred to community-based professionals via the GP’s. Correspondence held in individual files supported this. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 11 Records at the home showed a Chiropodist visits once every six weeks and GP’s are seen as needed. Community physciatric nurses attend the home to offer advice and support in relation to depression and dementia. Since the last inspection the home has also provided staff with training in the areas of Dementia and Diabetes. This ensures staff can respond appropriately to the specialist health care needs of the residents. A previous requirement in this area has now been met. The inspector viewed the homes policy on Death and Dying, which provides detailed guidance to staff on appropriate practice and responses. Specific wishes of residents in relation to illness and death are detailed on individual care plans. Senior staff have completed relevant bereavement training. Residents spoken to stated they felt the standard of care in respect of health and personal care was ‘excellent’ and that ‘staff were very caring’. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 12 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) 14 and 15 The inspector concluded residents are able to exercise choice and control over their lives whilst living at the home. The menu at the home provides a variety of wholesome, balanced food which is freshly prepared on the premises. Therefore the outcome for residents was good. EVIDENCE: Risk assessments are included in the plans to support residents’ independence whilst identifying and reducing risk. Residents regularly meet with carers to discuss all aspects of their care and make changes where needed. Senior staff within the home monitor all work practices and oversee changes as they occur. Residents attend meetings as a resident group. This gives residents the opportunity to voice any concerns and contribute to the decision making and running of the home. A daily activities log records all social activities undertaken by the residents and the staff encourage individuals to peruse area of interests. Staff will escort residents to community events when needed. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 13 The inspector spent some time with the homes chef. Menus were examined and residents were asked their opinion of the meals provided. All residents spoken to stated they enjoyed the food and it was of a high standard. The chef speaks with each resident on a daily basis to offer a choice to the set menu and gain feedback about the meals. This practice promotes choice and provides residents with the opportunity to eat what they prefer. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 14 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) 17 and 18 The home has provided residents with information and staff training in respect of complaints. Timescales for action are now included in the complaints information provided. Residents spoken to were aware of their rights and how to complain within the home. Since the last inspection staff have received further training on Adult Abuse. This ensures staff are clear what action to take should an incident occur. Previous requirements made in these areas have now been met in full. EVIDENCE: The home has an up to date policy and procedure for complaints and details are outlined in the service user guide. This ensures residents know how to complain and who to. A timescale to inform residents about the timeframe a complaint will be responded to is now included in all relevant literature. County procedures for the Protection of Vulnerable Adults and relevant policies and procedures relating to abuse and protection are available in the managers office. Staff receive Adult Protection training as part of their induction. Refresher training in the area of abuse and protection has been provided since the last inspection to ensure staff now have clarity about how to act should an incident occur. This recommendation has now been met in full, therefore providing better protection of residents living at the home. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 15 The residents legal rights are protected by the homes policies and procedures. All details relating to Power of Attorney are recorded on residents files. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20 and 25 The communal areas of the home and residents bedrooms were clean, light, airy and homely providing the residents with a pleasant living environment. Access to a well maintained garden gives residents the option to sit outside in warmer weather. Practices in relation to infection control are adhered to, promoting a clean, hygenic living enviroment. The inspector concluded the home offers a clean and pleasant environment and the outcome for residents is good. EVIDENCE: Following a tour of the premises and examination of maintenance records it is evident the home provides a homely, well maintained and safe environment. There is a passenger lift for residents with limited mobility to access all floors of the house. Radiators throughout the home have been covered to reduce the risk of injury. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 17 Provision of a bath-slide, grab rails and raised seating in toilets provide individuals with limited mobility more independence. A call bell is provided in every room so staff can attend an emergency situation should it arise. Bedrooms were furnished with personal possessions and the option is given to bring furniture from home, giving each resident a sense of ownership in their private space. A cleaner is employed to ensure the premises is kept clean. All areas of the home were found to be very clean and tidy, providing the residents with a pleasant environment. Since the last inspection the manager has attended Infection Control training. She has used this knowledge to improve standards and procedures in the home, promoting good practice in the area of hygiene and reducing the risk of infection spreading within the home. A previous requirement in this area has now been met. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28, 29 and 30 The home employs staff who are committed, trained and competent to do their jobs. Feedback from the resident and relatives highlighted that the staff demonstrate good working practices and are valued within the home. EVIDENCE: The inspector viewed training records and concluded the home has provided specialist training in addition to mandatory requirements. This equips staff with the skills and knowledge to deal with individual specialist care needs of residents. 50 of the staff team are now qualified in the National Vocational Qualification Level 2 or above which meets the required standard. The inspector viewed staff records and all relevant documentation was seen on each file. References for staff members are now up to date. All staff have undergone CRB and POVA checks prior to employment to ensure residents are protected within the home. The homes recruitment policy is in place and up to date. Previous requirements made for these standards have now been met. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 19 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, 36 and 37 The residents live in a home where their health, safety and welfare are promoted by good working practices. The manager is competent and of good character, able to provide a good standard of leadership to the staff. The previous requirement made in relation to staff supervision has been met in full. All health and safety checks were in good order and up to date, providing residents with a safe living environment. The inspector found the outcomes for residents in all these areas was good. EVIDENCE: The inspector examined record keeping for all aspects of health and safety, risk assessments and policies. These were in good order and up to date. This practice ensures the occupants of the home are safeguarded and protected. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 20 The homes insurance policy was on display and up to date. Regular monthly Regulation 26 visits and notification of incidents are recorded and copies are forwarded to the commission on a monthly basis. Financial interests of residents are protected by up to date policies and procedures. Any monies handled by the home in respect of residents is recorded and monitored by the management. Information relating to finances are detailed on individual care plans. Each staff member has a supervision contract on file. Supervision occurs every two months within the home. The manager has attended a supervision workshop to promote her knowledge base and practice in this area. The manager and her deputy, monitor all care practices undertaken in the home to ensure issues arising are addressed at the earliest opportunity. The Quality Assurance report is published and available to visitors of the home. It was evident the management style at the home suits the residents and staff team, enabling them to live and work positively within the environment. Residents were seen to be confident in expressing their views and staff responded with consideration and respect, reflecting a positive ethos within the home. All previous requirements have now been met. Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 21 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 x x 3 x 3 HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION x 3 x x 3 x 3 x STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 3 3 x x 3 3 3 3 x Parkside Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? NO 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 Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Lodge H60 H11 S14659 Parkside Lodge V245683 011105 Stage 4.doc Version 1.40 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. 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!