Inspection on 25/07/05 for Parkside Residential Home

This inspection was carried out on 25th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Parkside Residential Home 30/01/07

Parkside Residential Home 28/02/06

Parkside Residential Home 01/02/05

Parkside Residential Home 25/08/04

Parkside Residential Home 04/03/04

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

CARE HOMES FOR OLDER PEOPLE Parkside Residential Home Park Street Wombwell Barnsley S73 0HQ Lead Inspector Mike ONeil Unannounced 25 July 2005 09:30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parkside Residential Home Address Park Street Wombwell Barnsley S73 0HQ 01226 751745 01226 341994 Not known Mimosa Healthcare (No 4) Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Janet Hall PC Care Home Only 36 Category(ies) of DE(E) Dementia - over 65 - 36 registration, with number of places Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Two beds may be used for service users 55 years or over who have dementia. Date of last inspection 1 February 2005 Brief Description of the Service: Parkside is a home providing personal care for 36 service users with dementia. The home is situated in landscaped grounds shared with two other care homes belonging to Mimosa healthcare. Parkside is located within close walking distance of shops and other amenities of wombwell. Barnsley town centre is approximately 6 miles away. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 09:30 to 13:20. Janet Hall, manager was present during the inspection. Eight residents, two relatives, five staff and a visiting health professional were spoken with. A sample of records were examined and a partial inspection of the building was carried out. The inspector wishes to thank the staff, relatives and residents for their time, friendliness and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? What they could do better: Some care plans must be improved to ensure that staff are able to know what to do for each resident. The recording systems on medicine charts must be improved to make sure all residents are given the medicines they are prescribed in a safe way and at the times required. Some staff must receive additional fire safety training. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 6 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 J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and4. Standard 6 is not applicable to this home. Residents’ needs had been assessed. Staff were receiving specific training. Specialist medical and nursing staff were regularly consulting with the staff at the home and advising good practice. EVIDENCE: Two resident files were checked and each contained a copy of their full needs assessments. The information from the full needs assessment had been incorporated into the resident care plans. Details of medical/nurse specialists who had been consulted with regard to the residents care were recorded in the care plans. A health professional was visiting residents at the time of inspection. This will assist in ensuring residents needs are met. Staff said that they had undertaken training needed to assist them in caring for the client group resident at Parkside. This training will assist them to meet the needs of the residents at Parkside. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 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 standard(s) 7,8,9 and 10. The information in one care plan was inadequate to ensure that the resident’s health needs could be met. The other care plan checked was satisfactory. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents themselves said that the care they were receiving was very good and that the staff were friendly, helpful and polite. Relatives said that the care delivered by staff was excellent. Not all the current medication practices undertaken by staff were safe. EVIDENCE: One care plan set out in detail the residents needs and the action to be taken by the care staff of the home to ensure all these could be met. The staff had regularly reviewed the care plan. Residents or their relatives were involved in drawing up of the plan. One care plan however was not satisfactory because the resident had a pressure sore yet a care plan specific to the prevention and treatment of pressure sores had not been written by the staff. The care plan did not provide enough detail of the actual hygiene care needs of the resident. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 10 Neither care plan detailed the residents preferred bedtimes or the time they wished to rise in the morning. Medicines were securely stored around the home in locked cupboards within the treatment room. Staff said they were receiving very detailed training on the safe administration of medicines. Records of this training were seen. Medicine Administration Records (MAR) were not safe or adequate. Staff had consistently signed the MAR sheets to indicate that the residents’ drug had been administered, however staff had hand written a drug instruction on a MAR sheet. The instruction did not contain the prescriber’s signature. Staff were observed to be assisting residents in a positive and friendly manner, doors were closed where staff were helping with personal care. Residents and relatives said that staff were friendly, helpful and polite. A health care professional said that staff at the home where very enthusiastic, caring and provided a good standard of care. Residents said that they were happy and that the staff were very nice and “good people”. Relatives said that they thought the staff of the home were” wonderful” and that the care delivered by them was “excellent”. Residents were well dressed in clean clothes and had received a good standard of personal care. The health care professional said that they found the residents well dressed whenever they visited the home. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 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 standard(s) 12,13,14 and 15. The meals served at the home were of a good quality and offered choice. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. EVIDENCE: A friendly and welcoming feel was evident in Parkside. It was very noticeable to see many residents smiling and communicating with each other, the staff and their relatives. Some residents were participating in craft and musical activities. One resident was dancing, one playing a musical instrument and other residents were singing whilst a staff member was playing the organ. Residents and relatives spoke positively about the amount of activities within the home. Residents said they chose when they got up and went to bed. Breakfast was being served to residents at varying times in the morning and residents’ specific requests for breakfast were being catered for. Lunch was served in a pleasant relaxed manner. Residents said that they enjoyed their lunch. Residents said that they had a choice of food and that the food served was of a good quality. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. The homes complaints procedure was clear and accessible. Complaints made were listened to and action taken to deal with any issues promptly. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home. EVIDENCE: A complaints procedure was displayed in the home. Relatives said that if they had any concerns that they would feel comfortable in talking to the staff or the manager. Staff had received information on adult abuse. This will help to ensure that residents are protected from abuse. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,24,25 and 26. The environment within the home was generally well maintained and clean providing a comfortable and generally safe environment for residents. EVIDENCE: Four bedrooms were checked in detail and many others seen, all were comfortable and homely. Residents said their beds were comfortable. Bed linen checked was clean and in a good condition. The home was generally clean however a slightly unpleasant odour was noticeable in one bathroom checked. The odour seemed to eminate from a bin in the bathroom that was not fitted with a lid. The carpets in two lounges were slightly marked. The carpets may need replacing in the near future. Relatives and residents said that the home was always kept clean. Staff said that there were enough hoists available to ensure that residents could be safely moved. The home was appropriately warm in all areas. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 28. Staff were employed in sufficient numbers to meet the needs of residents in accordance with agreed staffing levels. EVIDENCE: The staff rota identified agreed staffing levels had been met. This will assist in making sure that service users needs are met. Staff said that staff numbers were adequate to meet the needs of residents. Residents said there was always a member of staff available when they needed them. The manager said that fifty per cent of care staff had not achieved their level 2/3 NVQ qualification although several staff were undertaking the course. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,36,37 and 38. There was a positive style of management in the home. Staff were appropriately supervised on a continuous basis. Further staff fire training is needed to protect the safety of the residents and staff. In the main however, the homes policies and procedures promoted the health, safety and welfare of residents and staff. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 16 EVIDENCE: The CSCI have not received notification to confirm that the manager has completed her level 4 NVQ management qualification. Relatives and staff spoke positively about the manager’s approachability and helpfulness. Staff said they were receiving supervision and management support on a regular basis. Records were securely stored around the home, which protected the residents’ best interests and confidentiality. Staff said they had received recent fire safety training .A sample of records showed that staff were receiving this and other statutory training. The safety of the residents and staff could not be fully maintained however because a member of staff had not participated in a practice fire drill over the past year. At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. The hot water temperature in one bathroom measured a safe temperature of 43 degrees centigrade. This will promote the safety and welfare of the residents. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x 3 3 2 STAFFING Standard No Score 27 3 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 3 x x x 3 3 2 Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 18 No Are there any outstanding requirements from the last inspection? 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. 2. Standard 7 7 Regulation 15 15 Requirement Action required to maintain residents skin integrity must be recorded in their care plans. Resident care plans must contain sufficient detail to ensure that the residents receive a consistant high standard of care. The Medication Administration sheets must contain General Practitioners or two members of staffs’ signatures alongside any directions regarding the dosage of the medication or the time the medication is to be dispensed. Bathrooms must be clean,well maintained and kept free from offensive odours. Staff must participate in fire drills at least twice a year. Timescale for action 01/09/05 01/09/05 3. 9 13 01/08/05 4. 5. 26 38 16,23 23 01/09/05 01/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 7 Good Practice Recommendations Residents and their relatives should be consulted regarding the preferred rising and retirement bedtimes of residents J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 19 Parkside Residential Home 2. 3. 4. 19 28 31 and this information should be recorded in the residents care plan. The inspector would recommend that the carpets in two lounges be replaced in the near future. Preparations should be made to ensure that 50 of staff are trained to NVQ level 2 or equivalent by 2005. Preparations should be made to ensure that the registered manager has a level 4 NVQ qualification in management or equivalent by 2005. Parkside Residential Home J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 J51 S18274 Parkside V236478 25.07.05 UI Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!