Inspection on 22/12/05 for Parkside Residential Home

This inspection was carried out on 22nd December 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 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 11/07/06

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 Unannounced Inspection 09:30 22 December 2005 nd 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.V265672.R01.S.doc Version 5.0 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.V265672.R01.S.doc Version 5.0 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.V265672.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th April 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. On the top floor is a small flat occupied at present by a married couple. 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. Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Thursday 22nd December 2005 and lasted four hours. Nine residents 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. What the service does well: What has improved since the last inspection? What they could do better: Five requirements have been restated from the last inspection relating to contacting the pharmacy, giving residents proper serviettes at mealtimes, carrying out police checks on staff, providing evidence that the home is financially viable and checking gas and fire safety at the home. It is of concern that these requirements have been restated as further non-compliance could lead to enforcement action being taken by the CSCI. The inspector was disappointed that so many residents commented on the poor quality of the food provided, as it was clear that the residents were happy with most other aspects of the home. This issue must be addressed by the registered provider as a matter of urgency. Four requirements relating to meals and mealtimes have been issued as a result of this inspection. One other Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 Page 6 requirement has been issued relating to night staff undertaking fire drills every three months. 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.V265672.R01.S.doc Version 5.0 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.V265672.R01.S.doc Version 5.0 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 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 and these contained assessments prepared by an appropriate care professional and assessments completed by the home. These also indicated that the residents had care needs that were appropriate to be met by the home. Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 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 and 9 Residents’ health, personal and social care needs are being met be an experienced and supportive staff team. Residents receive the right medication at the right times by suitably trained staff. 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. 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. A requirement that daily monitoring of fluid intake for those residents who are at risk from developing pressure sores has been complied with. Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 Page 10 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. 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. At present the staff must phone another home owned by the registered provider to contact the pharmacy. The senior carer informed the inspector that the phone has not yet been adapted. The requirement has been restated. Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 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 and 15 Residents can choose from a range of activities and staff understand the importance and benefits of interacting with residents. The quality of food provided by the home is poor and must improve. 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 doing gentle exercises with residents or just sitting and chatting which made a friendly and relaxed atmosphere. It was clear that the residents and staff were enjoying each other’s company. A requirement was issued at the last inspection that the range of activities available to residents should be expanded. The senior carer informed the inspector that the staff were looking at different ideas such as exercise and jigsaws for residents. The inspector is confident that staff will be able to Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 Page 12 provide stimulating and interesting activities for residents. This requirement has been complied with. The inspector spoke with a number of residents about the food provided by the home. The majority of residents said the food was not very good and of poor quality. Comments ranged from “The meat is very tough” and “second rate” and “the food is getting worse”. One resident thought the home should change their butcher. Other residents felt the variety of food on offer was not good. The residents felt that the cook in the home tried very hard but did not have quality food to start with. This is unacceptable as food is very important for residents, as there are few opportunities to eat elsewhere. A requirement has been issued in this report that the registered provider, who supplies the food for the home must ensure that better quality food is purchased for the home. A requirement has also been issued that the manager review the menus with residents to ensure a better variety of meals are provided for residents. It was noted that food was not being pureed separately for residents with swallowing problems. It is required that food is pureed separately so residents can taste the different parts of the meal. A requirement was issued at the last inspection that paper serviettes must be provided at meal times. The inspector was very disappointed to see that green paper hand towels were still being given to residents instead of serviettes. This requirement has been restated. The kitchen was seen during the inspection. There were areas around the work surfaces and units, which were dirty. The senior carer informed the inspector that the kitchen should be cleaned by the night staff as part of their duties. This is not acceptable, as night staff may not have the time to clean the kitchen to the required standard. A requirement has been issued that the registered provider ensures that the kitchen is thoroughly cleaned on a regular basis. Fridge and freezer temperature checks were being satisfactorily recorded and the cook had undertaken the required training. Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 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 The systems for investigating complaints and protecting residents from the risk of harm or abuse are operating appropriately to meet the standards. EVIDENCE: Apart from the issue of poor quality food, 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. One resident commented, “They look after me very well”. 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. Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 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 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. One of the double bedrooms is being used by a married couple and the other is vacant. 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.V265672.R01.S.doc Version 5.0 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, 29 and 30 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 have improved since the last inspection. 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. The inspector looked at the rota and staff register and saw there had been no staff changes since the previous 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 senior carer explained that most of these had been returned and that a “Pova First” had been received for all these staff. The inspector acknowledges the work undertaken to comply with this requirement. However the requirement has been restated until all CRB’s have been received for the staff in question. 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 Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 Page 16 appropriate training. Most of this requirement has been complied with and staff confirmed that they had attended training in dementia care, abuse awareness and pressure care. However the requirement has been amended and restated that staff receive training in promoting continence. Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 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): 34, 35, 36 and 38. The registered provider must provide evidence to the CSCI that the home is financially viable. Residents’ financial interests are safeguarded. Staff are being appropriately supervised and supported by the manager. In general there are good policies and procedures to monitor health and safety compliance at the home. EVIDENCE: 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 amended and restated in the relevant section of this report. This issue has been discussed with the registered provider prior to this inspection and the inspector hopes that this issue will be addressed as a matter of urgency. All rooms have a lockable safe for residents to keep valuables secure. The home does not keep money on behalf of residents and invoices are sent to residents or their representatives as required. During the inspection the senior Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 Page 18 carer brought in some shopping for some residents and receipts were handed over to the residents with the shopping. There was evidence that staff receive annual appraisals and staff confirmed that these took place. This was a requirement from the last inspection that has now been complied with. A requirement was issued at the last inspection that the annual gas landlord safety check and servicing of the fire alarm must take place. The senior carer confirmed that this had happened however records were not available and the requirement has been restated. The records of weekly fire alarm checks and fire drills were inspected and these have taken place as required. However night staff need to undertake fire drills on a three monthly basis. A requirement relating to this has been issued at this inspection. 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.V265672.R01.S.doc Version 5.0 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 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 1 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 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 2 3 3 X 2 Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 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 OP9 Regulation 13 Requirement The phone line must be altered to ensure that the home can directly contact the pharmacy. (Timescale of 30/04/05 not met) This requirement is restated. Disposable serviettes must be provided at all mealtimes. (Timescale of 30/04/05 not met) This requirement is restated. The Criminal Record Bureau checks for the 8 longstanding members of staff must be chased and copies sent to the CSCI when received. (Timescale of 15/05/05 not met) This requirement is restated. All staff must receive training on promoting continence. (Timescale of 15/05/05 not met) This requirement has been amended and is restated. 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 31/05/05 not met) This requirement has been amended and is restated. DS0000010677.V265672.R01.S.doc Timescale for action 01/03/06 2. OP15 16 01/02/06 3. OP29 19 01/03/06 4. OP30 18 01/03/06 5. OP34 25 01/03/06 Parkside Residential Home Version 5.0 Page 21 6. OP38 13 7. OP15 16(2) i 8. OP15 16(2) i 9. 10. OP15 OP15 16(2) j 16(2) i 11. OP38 23(4) The registered provider must ensure that written evidence is sent to the CSCI that the annual gas safety check and the servicing of the fire alarm have taken place. (Timescale of 31/04/05 not met) This requirement has been amended and is restated. The registered provider must ensure that the quality of food provided to residents improves. This issue must be seen as a priority and copies of the residents’ meeting minutes must be sent to the CSCI to evidence that this issue is being monitored closely. The registered manager must ensure that menus are reviewed with residents on a regular basis. This issue must be seen as a priority and copies of the residents’ meeting minutes must be sent to the CSCI to evidence that this issue is being monitored closely. The registered provider must ensure that the kitchen is cleaned on a regular basis. The registered manager must ensure that all meals provided to residents with swallowing problems are pureed separately. The registered manager must ensure that night staff undertake fire drills every three months. 01/02/06 01/02/06 01/03/06 01/02/06 01/02/06 01/02/06 Parkside Residential Home DS0000010677.V265672.R01.S.doc Version 5.0 Page 22 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.V265672.R01.S.doc Version 5.0 Page 23 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. 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