Inspection on 04/08/08 for Parkside Lodge

This inspection was carried out on 4th August 2008.

CSCI found this care home to be providing an Good service.

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 08/08/06

Parkside Lodge 01/11/05

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 23/11/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Parkside Lodge 28 Wykeham Road Worthing West Sussex BN11 4JF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Annie Taggart     Date: 0 4 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Parkside Lodge 28 Wykeham Road Worthing West Sussex BN11 4JF 01903235393 Telephone number: Fax number: Email address: Provider web address: parksidelodge@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Ann J Smith Type of registration: Number of places registered: Zeenat Nanji,Salim Nanji care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Parkside Lodge is a residential establishment providing accommodation 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. 0 Over 65 20 Care Homes for Older People Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: In order to plan for this unannounced visit, an Annual Quality Assurance Assessment (AQAA) was sent to the manager for completion and satisfaction surveys were sent to service users, staff and other professionals involved with the home. The AQAA was returned when it was due and contained good information about the home. Fifteen service user, four staff and two professionals surveys were returned all making very positive comments about the service being provided in the home. Comments from surveys have been used in this report. The unannounced inspection was carried out at 9.30 am on 4th September 2008 and the visit lasted for five hours. Care Homes for Older People Page 5 of 25 During the visit we spent time talking to service users in communal areas and in their private bedrooms and we also spoke with the staff on duty and observed their working practices. We were also able to speak with three visitors to the home. We tracked the care plans and all supporting documentation such as daily records for four service users and we spoke to the staff on duty about how they were made aware of the needs of the people they are supporting. We also saw lunch, the main meal of the day being prepared and served. We looked at four recruitment files, staff training files and we asked staff about the training and support they receive. Records for the running of the business were seen and these included complaints and comments, incident and accident recording, fire records, health and safety records and the homes insurance and registration certificates. The Registered Manager, Mrs Smith was present and received feedback following the visit. Current fees in the home are from four hundred and ten pounds to four hundred and seventy pounds per week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective service users and their families are given good information about the home. People have their needs and wishes assessed and recorded and contracts of terms and conditions of residency are agreed. Evidence: The home provides a Statement of Purpose and Service User Guide that give good information about the services on offer. We saw the pre-admission documents for three service users and this showed us that people have their needs and wishes assessed and recorded to ensure that the home can meet their needs and people told us they were able to visit the home before making a decision to move in. In a returned survey a service user told us, The home has made me very welcome and I visited in the daytime prior to moving in on a permanent basis, which gave me the chance to meet other residents. Care Homes for Older People Page 9 of 25 Evidence: Contracts of terms and conditions of residence are agreed and a service user told us I have a contract in place that shows me what services I can expect, I have signed it and a copy is with my solicitor. Parkside Lodge does not provide intermediate care Care Homes for Older People Page 10 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home have their needs and wishes recorded in a plan of care, they have access to good health care support and their medication is well managed. Evidence: For each person living in the home there is a plan of care in place that gives the staff team clear information about peoples individual needs and preferences. The care plans contain information regarding background history, how people like their personal care to be provided, personal preferences in daily routines and risk assessments both personal and environmental are also in place. Care plans are regularly reviewed and updated and saw that there are shortened versions of the plans in place that are in use every day by staff to identify and inform of any changes to the support needed and are also used to induct new staff members. There is evidence both in records and from returned surveys that the home works well with other professionals and people have access to local doctors, district nurses, Care Homes for Older People Page 11 of 25 Evidence: physiotherapists and the local palliative care team. Service users told us that they are very happy with the care being provided, one person said, I just would not want to be anywhere else, the care here is wonderful and the staff make sure I get exactly what I want. In a survey from a healthcare professional we were told, I have always been impressed by the healthcare support given to the people living at Parkside Lodge, the manager, deputy manager and the staff team are kind and caring and they always respond to peoples needs with speed and efficiency. We looked at the system for the management and administration of medication and saw that this was well managed. records were current and in good order, the staff administering medication had received training and there were regular monitoring systems in place. For people who wish to manage their own medication their are agreed plans and risk assessments in place. Care Homes for Older People Page 12 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are a range of activities to provide interest and stimulation for the people living in the home, visitors are made welcome and people are offered a range of fresh, home cooked meals. Evidence: The people living in the home tell us that they are supported in their chosen lifestyle and that they are encouraged to be as independent as possible. There are a range of activities on offer that include, art classes, gentle exercise, quizzes, craft work and we saw that several people have made mosaic craft work that is on sale in the home. One person makes a range of greetings cards for sale and another person goes to a local club and an art class. There are games and books around the home and people who have sight difficulties showed us that they had talking books and cassettes. Some people said that they chose not to join in any activities but said that the staff team were very kind and made time to come and chat with them. There is a monthly non-denominational service held in the home and people can have Care Homes for Older People Page 13 of 25 Evidence: communion brought into the home or attend local churches if they wish to do so. A service user told us, there is always something to do here, I keep quite busy and I am never bored, the people living here and the staff are all very friendly and the atmosphere is calm and homely. Menus and food records showed us that people are offered a range of fresh home cooked meals and people were very complimentary about the choice they were given, comments included, The food is excellent, better than I used to cook myself and I can always have what I want and I am very fussy about my food and have quite specific needs but they are always met and the food is exceptionally good, well prepared and attractively served. We saw that there are nutritional risk assessments in place and specialist diets are catered for. Care Homes for Older People Page 14 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home can be confident that their complaints and concerns will be recorded and acted upon and the homes policies, procedures and working practices are designed to protect people from risk of abuse or harm. Evidence: There a complaints procedure in place that is displayed in a prominent position in the home and also forms part of the Service User Guide We saw the complaints book and this showed us that there are processes in place to record and investigate complaints and also to feed back outcomes to service users and their families. The people living in the home and two visitors told us that they felt very confident about speaking to the manager or deputy about any concerns they might have and they told us that all concerns are taken seriously and acted upon straight away. The records for two recent complaints showed us that they had been dealt with by the manager in a timely manner and that the outcomes had been fed back to complainants. There are policies and procedures in place for the protection of vulnerable people from harm or abuse and training records showed us that the staff had attended Care Homes for Older People Page 15 of 25 Evidence: Safeguarding training. The people on duty showed an understanding of protection issues and told us that they would report any suspected abuse straight away to the manager or senior staff member. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Parkside Lodge provides a homely and comfortable environment for the people who live there but could be improved by some updating and redecoration. Evidence: Parkside Lodge provides and attractive and homely environment for the people who live there. Communal areas such as the lounges, which are situated on the ground and first floor are comfortably furnished and there is an attractive light and airy dining area. There are adequate bathing facilities in place, a call bell system and there are aids and adaptations where required The home overlooks a park, which gives some of the rooms a very open aspect and there is also a well maintained garden area. Service users private bedrooms have been personalised with their own furniture and belongings and people told us they were very happy with the facilities on offer. Although the home is comfortable and homely, there are some areas such as some bedrooms and some carpets that are in need of updating as some of the decor and furniture is looking tired and dated. We discussed this with the manager Mrs. Smith who showed us a recent environmental audit that she had completed that identifies areas needing attention and she told us that these would be addressed. Care Homes for Older People Page 17 of 25 Evidence: There is a programme of work in place for replacing old windows with double glazed units and some communal areas have recently been redecorated and new carpets purchased. We saw that although there are regular water temperature tests undertaken and recorded, water outlets in service users bedrooms are not fitted with temperature regulating valves. We discussed the risks this could pose to service users should the system break down and Mrs.Smith said that this would be addressed. We will be also assessing this at the next visit. The baths in the home are fitted with temperature regulating valves. We saw that there was protective clothing in use by the staff on duty, the staff team attend infection control training and the home was clean and hygienic throughout. A service user told us, this is such a homely, friendly place and it always kept lovely and clean, the cleaners are very helpful indeed and my room is cleaned every day. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are being supported by a competent, caring and well trained staff team and in order to protect people there is a robust staff recruitment process in place. Evidence: From looking at staffing rotas and talking to service users we saw that there are sufficient staff on duty to meet the need of the people currently living in the home. There are three carers and the deputy manager on the early shifts, plus two cleaners and a cook. The records showed us that an extra person is also available at busy times of the day such as to help with bathing and at supper times. The managers hours are in addition to the rota. To ensure the safety of the people living in the home there is a robust recruitment process in place. We saw the recruitment files for four members of staff and all contained the required documentation such as application forms, a current Criminal Bureau Check (CRB) and two references. Service users and families visiting the home were very complimentary about the staff team and told us that many had worked in the home for a number of years. Comments included, the staff here are excellent, very kind and caring and they keep to a routine Care Homes for Older People Page 19 of 25 Evidence: you can rely on so we always know what is happening, and the manager and staff here are very good indeed, everything is taken care of and all our needs are met. We saw evidence that new staff receive an in-house induction and we also saw work books that were being completed for the Skills for Care formal induction process. training records showed us that as well as mandatory training staff also attend courses in areas such as dementia care, managing diabetes, visual impairment awareness and nutrition and diet. In the AQAA we were told that 50 of the staff team hold NVQ 2 or above and others are working toward the award. The staff on duty told us that they were well supported and records showed us that they receive supervision and good support and direction from the manager and deputy. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is being run in the best interests of service users by a competent and caring manager, there is a quality assurance process in place to elicit the views of service users and health and safety procedures are well managed. Evidence: The manager of the home, who has been in post for a number of years is a registered nurse and has the qualifications and experience to manage Parkside Lodge. There is also an experienced deputy manager in place and the staff on duty told us that they were very well supported by the homes management team. Service users, families and other professionals told us that the manager was very committed to the needs and wishes of the people living in the home and one person told us, this home is very well managed, the manager spends time with everyone and ensures that we get everything we need. Care Homes for Older People Page 21 of 25 Evidence: There is a quality assurance process in place to elicit the views of service users and this includes regular residents meeting, a newsletter and annual surveys. We saw the outcomes from the last surveys and they were very positive about the service being provided in the home. Mrs Smith told us that in the next round of surveys she would also include families and other professionals. Regulation 26, providers visit are also carried out and records of the visits are kept on file in the home. There are processes in place for the management of service users monies and we saw that records are kept of any transactions and receipts are given to families or legal representatives Accidents and incidents in the home are recorded and are regularly monitored by the manager. We saw the fire book and this showed us that regular fire checks are recorded and that staff fire training is up to date. Mrs Smith told us that requirements made by the fire officer have now been met. Records for the running of the business such as maintenance records, hot water checks, and health and safety checks were seen and these were current and in good order. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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