Inspection on 11/07/06 for Parkside Residential Home

This inspection was carried out on 11th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parkside Residential Home 28/01/09

Parkside Residential Home 20/08/07

Parkside Residential Home 22/12/05

Parkside Residential Home 08/09/04

Parkside Residential Home 26/05/04

Similar services:

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Henry Nihill House

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

CARE HOMES FOR OLDER PEOPLE Parkside Residential Home 74-76 Village Road Enfield Middlesex EN1 2EU Lead Inspector Mr David Hastings Key Unannounced Inspection 11th July 2006 09:30 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 Residential Home DS0000010677.V301090.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 Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkside Residential Home Address 74-76 Village Road Enfield Middlesex EN1 2EU 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) 020 8360 1519 020 8366 1889 Mr Teen Fook Chon Mrs J S Y Chon Mrs Eileen Morris Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd December 2005 Brief Description of the Service: Parkside is a home registered to provide personal care for 24 older people. The home is located near to Bush Hill Park. The home is owned by Mr & Mrs Teen Fook Chon. There is a registered manager, Eileen Morris who has worked at the home for a number of years. The older people in the service have a wide range of care needs. Some are very alert, many are physically frail and others have developed dementia since moving to the home. The home consists of two houses that have been joined together. The building is on three storeys and has a lift. There are two double rooms and the other bedrooms are all single. Nine of the bedrooms have en-suite facilities. There are bathrooms and shower rooms designed for disabled access on the ground and first floor. On the ground floor there is a large lounge and dining area and a second smaller lounge. The house has a lovely large garden to the rear and this is accessed by the residents. The staffing structure consists of a manager, six senior care assistants and team of carers. The home also employs a cook, kitchen assistant and cleaners/ laundry assistants. During the morning there are four staff on duty, in the afternoon there are three and at night there are two waking night staff. The staff aim to offer a range of gentle activities for the residents including music, games and quizzes. The current scale of charges is £430 to £450 per week. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Tuesday 11th July 2006 and lasted five hours. Nine residents three visitors and four care staff were spoken to and care notes were examined. A partial tour of the premises took place. The inspector was assisted by the senior carer on duty who was professional, open and helpful throughout the inspection. The inspector spoke with the registered manager over the phone and returned to the home on Thursday 13th July to complete the inspection. What the service does well: What has improved since the last inspection? What they could do better: Three requirements have been restated from the last inspection. These relate to the financial viability of the home, the regular servicing of the fire alarm and outstanding CRB disclosures that are needed for two staff. Unmet requirements impact upon the welfare and safety of service users. Failure to comply by the revised timescales will lead to the Commission for Social Care Inspection considering enforcement action to secure compliance. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 6 Three new requirements have been issued as a result of this inspection. The manager and staff at the home must take a more holistic approach to care planning for residents. It is important that residents’ social, emotional and recreational needs are taken into account as well as their personal and health care needs. All medication administration records must have a picture of each individual resident attached to it so that staff can better identify the resident receiving the medication. Although some quality monitoring exists at the home, a more robust system must be developed. This must meet all the requirements of Standard 33 of the National Minimum Standards for Older People and the results must be made available to both existing residents and potential residents to the home. It is both the responsibility of the registered providers and the registered manager to ensure that all these requirements are met within the timescale set for compliance. 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 Residential Home DS0000010677.V301090.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 Residential Home DS0000010677.V301090.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): 3 (6 not applicable). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential residents have their needs assessed before they move into the home. The home makes sure that they can meet the potential resident’s assessed needs before they are offered a place at the home. EVIDENCE: The case notes of the two new residents admitted to the home since the last inspection, were inspected. These contained assessments prepared by an appropriate care professional or assessments completed by the home. These also indicated that the residents had care needs that were appropriate to be met by the home. The two residents confirmed that, so far, the home was able to meet their needs and were satisfied with the care provided by the staff at the home. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are being met be an experienced and supportive staff team. Staff need to be more holistic in their approach to care planning. Residents receive the right medication at the right times by suitably trained staff. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Six care plans were examined during the inspection. These all recorded the care and support that each resident was receiving. These recorded that the care plan was being reviewed by the residents’ key-worker every month and there was a record of where changes were needed. Each resident had a moving and handling risk assessment and other assessments including a nutritional assessment and an assessment of their risk of developing a pressure sore. They had a record of their weight being checked each month. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 10 Care plans did not always detail resident’s individual social, recreational and emotional care needs. A more holistic approach to care planning is needed. A requirement relating to this has been issued in the relevant section of this report. There was evidence that residents were receiving appropriate support from health care professionals such as doctors and district nurses. Residents spoken to confirmed that the saw the doctor, chiropodist and dentist when they needed to. The inspector met with a district nurse who was attending to a resident on the day of the inspection. Care staff had a very good understanding of the needs of individual residents and the inspector was impressed by the commitment of the senior carer and staff towards residents in their care. Records in relation to the receipt, administration and disposal of medication were examined. All these records were in order and staff who administer medication have received relevant training. It was noted that MAR charts did not have a photograph of the individual resident attached to it. A requirement has been issued in the relevant section of this report. A requirement was issued at the last inspection that the phone line must be altered so the home can contact the pharmacy (who is out of the London area) directly. The senior carer informed the inspector that the phone has now been adapted. The requirement has now been complied with. Staff interviewed were able to describe how they maintained the privacy and dignity of residents at the home. Staff were observed treating residents in a respectful way and residents confirmed that they felt the staff were polite and that their privacy was upheld. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 11 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can choose from a range of activities and staff understand the importance and benefits of interacting with residents. Residents are encouraged to maintain contact with their families and friends and visitors to the home are welcomed. Residents are enable to exercise choice and control over their lives. The standard of food provided by the home has improved since the last inspection and residents receive a wholesome, appealing balanced diet. EVIDENCE: The record of activities was inspected and the residents also spoke to the inspector about the activities. Several of the residents said they chose not to participate in the activities and preferred to read the newspapers, watch TV and chat. Others said they chose when they wanted to participate in an activity. The activity record included music and movement, games and quizzes. During the inspection staff were observed sitting and chatting with residents, which made a friendly and relaxed atmosphere. It was clear that the residents and staff were enjoying each other’s company. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 12 Visitors that the inspector met were very positive about the staff team and confirmed that staff were friendly and welcoming. Records indicated that residents could have visitors at any reasonable time. Residents also told the inspector that they enjoyed going out of the home with staff to local fetes and on shopping trips. Residents that the inspector spoke with said they were able to make choices about what they did at the home. One resident said that he “could do anything within reason”. Staff were aware of ways to enable residents to exercise choice and control over their lives at the home. Two requirements were issued at the last inspection regarding the quality of food provided by the home and the need to involve residents in the choosing of menus. The majority of residents that the inspector spoke with said the food had improved. One resident said the food was, “like home cooking”. The senior carer informed the inspector that residents’ meeting now take place every month and menus are discussed. She added that these meetings have had a positive effect and often turned into very social occasions. Both these requirements have now been complied with. Two requirements that meals provided to residents with swallowing problems are pureed separately and paper serviettes are to be provided at meal times have both now been complied with. On the day of the inspection the kitchen was clean. The senior carer informed the inspector that the maintenance assistant is now regularly cleaning the kitchen. This was a requirement from the last inspection that has now been complied with. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The systems for investigating complaints and protecting residents from the risk of harm or abuse are operating appropriately to meet the standards. EVIDENCE: The residents that the inspector spoke with said they had no complaints and were happy with the staff and the way they were supported at the home. However residents were clear about how to complain and who to complain to if they did have concerns. Several residents said that if they have any concerns the staff always respond quickly. There were no recorded complaints since the last inspection. The senior care confirmed that all staff have received training in adult protection awareness. The senior care was also aware of the procedures for reporting any allegations of abuse and what action to take. Staff interviewed had a good understanding about the forms abuse could take and how to report any concerns if they had any. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 14 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and well-maintained environment. EVIDENCE: The inspector toured the property. The home appeared safe and reasonably maintained. There are three assisted bathrooms available. The home has a lift, a call system and handrails as appropriate. All the rooms contain a lockable box for valuables. The laundry was operating appropriately and the home was clean and free from any offensive odours. Two domestic staff were on duty during the inspection. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff team is very cohesive and they are enthusiastic about working positively with the residents to give them a good quality of life. Staff training opportunities are satisfactory. The manager is working towards ensuring that all staff checks are being carried out. EVIDENCE: The home has an appropriate number of staff to meet the needs of the service users including ancillary staff. The staff team is stable and has a number of staff who have worked at the home for a number of years. Names of staff working in the home matched the rota on the day of the inspection. Residents that the inspector spoke with were very positive regarding the care and support they received form staff. One resident commented, “The staff work very hard here”. A requirement was issued at the last inspection that CRB’s must be obtained for eight longstanding members of staff. The manager spoke with the inspector over the phone and explained that six CRB’s had been received and now only two were outstanding. The requirement has been restated. Six staff files were examined. With the exception of the two staff without CRB disclosures all files were satisfactory. Staff spoken to were positive about the training they are offered at the home. A requirement was issued at the last inspection that all staff receive continence Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 16 management training. Records indicated that this requirement has now been complied with. Six of the thirteen care staff have completed their NVQ level 2 training and some are now undertaking NVQ level 3. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manger of the home carries out her duties and responsibilities in a professional manner. Better quality assurance systems must be developed. The registered provider must provide evidence to the CSCI that the home is financially viable. Residents’ financial interests are safeguarded. Health and safety is generally satisfactory however the fire alarm system must be regularly checked and maintained. EVIDENCE: The registered manager was not present on the day of the inspection however the inspector has had a number of contacts with her over the past twelve months. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 18 The manager informed the inspector that she would be completing her Registered Managers Award very soon. Both staff and residents that the inspector spoke with were positive about the manager. One staff member said the manager was “very approachable”. One resident said the manager has recently taken her out to a local fete, which she really enjoyed. The inspector saw evidence that some quality assurance in taking place at the home. The registered provider is now producing monthly reports to the CSCI including input from staff and residents. Questionnaires are sent out to residents and their relatives. However the information is not being collated or being made available to both residents, relatives and other interested parties such as potential residents to the home. A requirement has been issued that the registered manager and registered provider develop a more robust quality assurance system in line with the requirements of Standard 33 of the National Minimum Standards for Older People. A requirement was restated at the last inspection regarding the financial viability of the home. This has still not been complied with and has been restated in the relevant section of this report. This issue has been discussed with the registered provider and has remained outstanding for over a year now. The home does not keep money on behalf of residents and invoices are sent to residents or their representatives as required. One resident deals with their own finances and have a lockable metal cupboard in their rooms. Most residents’ finances are looked after by their relatives. The home has a policy for the management of residents’ money, valuables and financial affairs. A requirement was restated at the last inspection that the annual gas landlord safety check and servicing of the fire alarm must take place. A satisfactory certificate was seen for the gas safety. The registered manager informed the inspector that a fire maintenance check had taken place on 5th May 2005 however it was later found that the fire alarm system was not part of this maintenance check. The manager informed the inspector that this issue would be dealt with as a matter of urgency. The requirement has been amended and is restated. Another requirement was issued at the last inspection that night staff undertake fire drills every three months. Record seen indicated that this requirement has now been complied with. The maintenance certificates were checked for the water system, nurse call, lift, hoist, electrical systems and fire appliances and these were all in place. Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 19 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 2 3 X X 2 Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19 Requirement The Criminal Record Bureau checks for the 2 longstanding members of staff must be chased and copies sent to the CSCI when received. (Timescale of 01/03/06 not met) This requirement has been amended and is restated. 2. OP34 25 The registered provider must ensure that the CSCI receives written confirmation from the home’s accountant regarding the financial viability of the business. (Timescale of 01/03/06 not met) This requirement is restated. 3. OP38 13 The registered provider must ensure that written evidence is sent to the CSCI that the servicing of the fire alarm has taken place. (Timescale of 01/03/06 not met) This requirement has been amended and is restated. 01/09/06 01/09/06 Timescale for action 01/09/06 Parkside Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 21 4. OP7 15(1) 5. OP9 13(2) 6. OP33 24(1) The registered manager must 01/10/06 ensure that each individual resident’s care plan includes how his or her emotional, recreational and social needs are to be met by the home. The registered manager must 01/09/06 ensure that MAR charts have a photograph of the individual resident attached in order that staff can identify the resident receiving the medication. The registered manager must 01/11/06 ensure that an effective quality monitoring system is developed which meets all of the requirements of Standard 33 of the National Minimum Standards for Older People. 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 Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Residential Home DS0000010677.V301090.R01.S.doc Version 5.2 Page 23 - 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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