Inspection on 08/08/06 for Parkside Lodge

This inspection was carried out on 8th August 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 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 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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Parkside Lodge 28 Wykeham Road Worthing West Sussex BN11 4JF Lead Inspector Ms B Tye Unannounced Inspection 8th August 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 Lodge DS0000014659.V306987.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 Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkside Lodge Address 28 Wykeham Road Worthing West Sussex BN11 4JF 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) 01903 235393 Mr Salim Nanji Mrs Zeenat Nanji Mrs Ann J Smith Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: 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. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection all relevant information and correspondence relating to the home was examined. During the course of the inspection the inspector spoke to some of the people living in the home, interviewed staff and spoke at length to the deputy manager. A tour of the premises was undertaken. The inspector observed lunch being served and staff interaction with residents. Four care plans and three staff files were examined and the inspector saw other records including, staff training, maintenance, incident and accident reports and all those relating to health and safety. This is the first inspection of 2006/2007. This is called a key inspection and will determine the frequency of visits/inspections hereafter. What the service does well: What has improved since the last inspection? Since the last inspection, Parkside Lodge has undergone some external maintenance. All the windows at the front of the premises have been replaced and made good. This is part of an on-going maintenance programme within the home. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 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 Lodge DS0000014659.V306987.R01.S.doc Version 5.2 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 Lodge DS0000014659.V306987.R01.S.doc Version 5.2 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): 1&6 To ensure residents needs can be met appropriately by the home, the manager carries out a full assessment prior to admission. Each resident is provided with a written contract of terms and conditions, which is signed by all involved parties, so residents are clear about their rights within the home. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: Since the last inspection there have been four new admissions to Parkside Lodge. Each resident had undergone a pre-admission assessment and all relevant correspondence from involved professionals was held on file. New residents spoken to during the inspection confirmed they had received all relevant information prior to admission. This enabled them to make an informed decision about what the home has to offer them. Pre-admission assessments are completed by the manager or care manager prior to admission. This outlines relevant areas of need including; diet, Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 9 communication, health, social and cultural needs. Additional information and correspondence by community based professionals is collated to form the basis of an on going care plan. This information is kept in resident’s files in a locked cabinet only accessible by care staff to ensure confidentiality. Risk assessments were in place for specific residents. They contain information relating to their specific needs and identified areas of risk. This promotes independence for residents in all aspects of daily living. All residents spoken to said they had received a copy of their Terms and Conditions for the home, which they had signed following admission. Copies of these are held on their files. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 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 9 & 10 All residents have a comprehensive care plan in place, which is reviewed and updated on a regular basis. Medication procedures are in place and staff receive medication training. This promotes good practice when dealing with medication. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: Four care plans were case tracked and all contained detailed information relating to health and personal care needs of residents. Staff stated this information informed them of individual needs and how to respond to them appropriately. Reviews of care plans occur on a monthly basis, or more frequently according to residents changing needs. Review dates and changes are documented on resident’s files as they occur. In relation to health and personal care needs, observation and feedback from residents reflected that they are treated with respect by staff, and their privacy Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 11 and dignity is upheld. Any specialist health needs are referred to communitybased professionals via the GP’s. Correspondence held in individual files supported this. A Chiropodist visits the home on a six weekly basis. Staff handover at each of the shift changes during the day ensures each staff member is fully aware of the immediate needs of each resident. This information is transferred to daily records in the care plans. Information is colour coded for easier access by staff. All care records seen were all up to date and in good order. All residents spoken to stated they felt the standard of care at Parkside Lodge, in respect of health and personal care was ‘really good’ and that ‘staff provided what was needed without always being asked’ and were ‘very caring’. Staff receive regular medication training from a local chemist, who audits the homes medicines on a regular basis. The home has an up to date policy, procedure and code of practice relating to dispensing medication. Medication charts and storage of medicines within the home was examined. These were all in very good order, demonstrating the staff adhered to the procedures within the home. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 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 the following standard(s): 12 - 15 Residents are supported to make choices where possible. Residents said their families/visitors were made to feel welcome. The mealtimes are well managed. Meals are nutritionally balanced and varied according to dietary requirements and preference. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: Resident’s visitors are welcomed to the home and feedback from residents confirmed that contact with family and friends is encouraged. Activities are organised at the home on a regular basis, offering stimulation to those residents who are less able to explore interests outside the home. Forthcoming activities and events are displayed on the community pin boards in the home. The activities log details, which residents participate in which activities, on a daily basis. Staff escort residents to community events and appointments as required. Residents stated they are supported to actively pursue areas of interests in the wider community. Some residents at the home lead independent lives and still have established links in the wider community. One resident attends a weekly Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 13 art class which she said ‘she was passionate about’. A Fete was recently organised by the home, which raised £1000 for Motor Neurone Disease. Residents were active in organising and running this event. Staff were observed chatting with some of the residents and the interaction between them was relaxed and respectful. Residents attend regular residents meetings where they have the opportunity to feedback issues and make suggestions about issues as they arise. One resident stated she found this ‘very useful’ The menu offered at Parkside Lodge offers a wide range of balanced, home cooked food. Residents spoken to stated the food is of a good standard and the menu offers an ‘excellent’ choice. People are able to eat either with other residents or in their own room, should they prefer. The chef speaks with the residents on a daily basis to offer a choice from the set menu and gain feedback about the meals provided. This promotes choice for the residents and provides an opportunity for them to eat what they prefer. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 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 the following standard(s): 16 - 18 Residents spoken to were aware of their rights and how to complain. Staff have received abuse training, and those spoken to were clear about appropriate action if they suspected abuse within the home. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: Information about complaints is provided as part of the Service Users Guide. This information is supported by policies and procedures at the home, and distributed to residents prior to admission. Residents spoken to said they felt confident their complaints would be listened to and the management and staff ‘were very approachable’ The Commission has received no complaints since the previous inspection. The home holds a complaints log and no entries had been made since the last inspection. All staff have undertaken a full induction and Adult Protection training to ensure they respond appropriately to suspected abuse in the home. A copy of the West Sussex County Council Multi Disciplinary Adult protection Policy is kept in the office for reference. Staff members have completed or are participating in training leading to a National Vocational Qualification Level 2. This promotes awareness of what constitutes bad practice. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 15 The procedures for the recruitment of staff are robust and provide the necessary safeguards to offer protection to the residents living in the home. All care staff have undertaken a Criminal Records Bureau enhanced check to ensure they are suitable to work with vulnerable people. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 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): 19 - 26 The communal areas of the home and residents bedrooms were clean and homely providing the residents with a pleasant and hygienic living environment. Specialist equipment is provided to maximise the independence of residents. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: Following a tour of the premises and examination of the homes records it is evident the home provides a homely, well-maintained and safe environment. Records showed all fire, health and safety checks are regularly undertaken and up to date. All equipment is regularly serviced and certificates held on file. Staff and residents were spoken to, to gain an insight into what it was like to live in the home. It was evident that residents felt the position of the home added to their quality of life as they were close to amenities and local contacts. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 17 The deputy manager confirmed that the home meets the requirements of the local Fire Service and Environmental Health Officer department. Standards of hygiene and cleanliness are very good throughout the home. Several rooms were visited by the Inspector to ensure that the environment was safe and comfortable for residents, and all stated how pleased they were with their bedrooms. Residents’ rooms were attractively presented, with resident’s own furniture, pictures and personal possessions, giving each resident a sense of ownership in their private space. There is a passenger lift for residents with limited mobility to access all floors of the house. Provision of a bath grab rails and raised seating in toilets provide individuals with limited mobility more independence. A call bell is provided in every room so staff are aware and can attend an emergency situation should it arise. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 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 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 - 30 The staff numbers are sufficient to meet the assessed needs of residents. An induction and training programme for staff is provided, to ensure resident’s needs are met in full. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: It was concluded from examining the duty rotas, speaking to staff and residents and information accessed in individual files, that staffing levels are sufficient to meet assessed needs of residents. Records showed that staff complete an induction workbook prior to working with the residents, then go on to undertake a training programme specific to the needs of residents. The required ratio for 50 of staff to complete NVQ Level 2/3 or equivalent by 2005 has been met. Both the Manager and Deputy manager are qualified NVQ assessors and able to support and assess staff through their NVQ training Staff members spoken to demonstrated commitment and a clear understanding of the resident’s needs. Records showed that staff meetings occur on a regular basis to ensure staff have a clear understanding of their role and responsibilities. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 19 The manager is on duty most days, in her absence her deputy takes charge of the day to day running of the home. Recruitment policies and procedures are in place, to ensure staff employed by the home have the necessary skills and experience to fulfil their roles. CRB checks, terms and conditions and references were seen on file for staff members. This ensures that residents are protected in the home. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 20 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 - 38 Residents and staff benefit from the leadership and management approach within the home. Overall the resident’s welfare is a priority within the home, and this is supported by efficient administration systems. Quality assurance and monitoring systems are in place to measure stated aims and objectives of the service. The quality of this outcome area is good. This judgement was made from available evidence including a visit to the service. EVIDENCE: Staff feedback reflected that the manager provides a clear sense of leadership and direction. Staff spoken to stated she was ‘supportive and easy to get along with’, enabling them to seek guidance as it was needed to ensure residents needs were met appropriately. Policies and procedures are in place and kept up to date in line with changing legislation. Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 21 Resident’s finances are protected by policies, procedures and record keeping. Residents have their own bank accounts and all financial transactions are recorded and signed for. All monies handled by the home in respect of the residents is monitored by the manager. An annual quality assurance report is published, which includes contributions from residents, their families and interested parties. Feedback from residents and their families was complimentary and praised the quality of service provided. Regular staff and resident meetings allow participants of the home to be kept up to date with changes and able to give their views about how the home is run. Staff spoken to stated they received regular supervision and support from the manager and her deputy. Records were evidenced on staff files supporting this. All new staff had undergone a probation period and long standing staff had received an annual appraisal. The provider of the home undertakes a monthly Regulation 26 audit and notifications of incidents and deaths are copied and forwarded to the Commission. 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 DS0000014659.V306987.R01.S.doc Version 5.2 Page 22 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 X X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 23 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. 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. Refer to Standard Good Practice Recommendations Parkside Lodge DS0000014659.V306987.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 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. 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