CARE HOMES FOR OLDER PEOPLE
Parkside Residential Home Park Street Wombwell Barnsley South Yorkshire S73 0HQ Lead Inspector
Jacinta Lockwood Unannounced Inspection 09:00 28 February 2006
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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 DS0000018274.V276056.R01.S.doc Version 5.1 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 DS0000018274.V276056.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Parkside Residential Home Address Park Street Wombwell Barnsley South Yorkshire S73 0HQ 01226 751 745 01226 341 994 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) Mimosa Healthcare (No4) Limited Mrs Janet Hall Care Home 36 Category(ies) of Dementia - over 65 years of age (36) registration, with number of places Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Two beds may be used for service users 55 years or over who have dementia. 25th July 2005 Date of last inspection 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 DS0000018274.V276056.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. One inspector carried out an unannounced inspection of Parkside Residential Home on 28.02.06. The inspection started at 10:05 and ended at 14:50. The focus of the inspection was to follow up previous requirements and recommendations and to assess four core standards. The following inspection methods were used: observation, inspection of a sample of records including residents’ care plans, medication, monies, staff recruitment records, staff training record. Seven residents, one relative and six staff were spoken with. Janet Hall, the registered manager, assisted throughout the inspection. A partial tour of the building was also made. The inspector would like to thank residents, a relative, staff and management for their time and hospitality throughout the inspection process. What the service does well: What has improved since the last inspection?
Some requirements and recommendations from the previous inspection have been addressed. For example, the lounge carpet, which has been deep cleaned, is to be replaced in the next financial year. Consultation has taken place with residents and their relatives regarding the plan of care so that staff are informed of residents’ preferred time of rising and retiring also staff have received fire safety training, so that they know what to do in the event of a fire. Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 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 Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 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 DS0000018274.V276056.R01.S.doc Version 5.1 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): Standards not assessed on this occasion. EVIDENCE: Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 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, 9. Residents have individual plans of care, which are kept under review. Residents’ medication is generally well managed at the home. EVIDENCE: The care plans of two residents were inspected. Care plans, which are evaluated monthly and updated as necessary, identified residents’ needs and provided instruction to staff delivering the care. Risk assessments, including pressure area care, were available, and records show that healthcare professionals are involved as necessary. There were some gaps in recording a resident’s monthly weight and a recommendation is made. Previous requirements and recommendations regarding care planning have been addressed. There was evidence that residents’ next of kin are involved in care planning and a visiting relative confirmed this. Staff were observed to support a resident in line with the care plan. And staff responded appropriately to a request for assistance with personal care from a resident. Residents, who looked well groomed and cared for, spoke positively about the staff and the care provided at the home, as did a relative.
Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 Page 10 Medication is stored securely. All relevant staff has received medicines training. The medication of two residents was checked and reconciled with records held. Staff explained that some medicines are difficult to obtain in liquid form, so some residents have their medication crushed for ease of swallowing. However, the pharmacist should be contacted for advice and alternatives regarding this. A recommendation is made in this matter. Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 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): Standards not assessed on this occasion. EVIDENCE: Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 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 the following standard(s): Standards not assessed on this occasion. EVIDENCE: Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 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 the following standard(s): 19, 26. The home, which is generally well maintained, provides a clean and safe environment for residents. EVIDENCE: These standards were assessed to follow up a previous requirement and recommendation. The manager explained that the lounge carpet has been deep cleaned and is to be replaced in the next financial year. The previous recommendation regarding replacement of carpets is carried forward. The home was clean and odour free on the day of the inspection. However, one bathroom, which is sited above the staff room, had an odour of smoke. Pipe-work extending from the staff room into the bathroom was thought to be the probable source of the smoke odour. The maintenance person said he was to box-in the pipe-work in the bathroom, in an attempt to rectify this. A recommendation is made. Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 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 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): 28, 29, 30. Relevant training is provided at the home to ensure that staff are trained and competent to do their jobs. The home’s recruitment process ensures that only people who are suitable to work with vulnerable adults are employed. EVIDENCE: Standard 28 was assessed to follow up progress with NVQ training at the home, which is moving forward at a steady pace. Thirty-nine per cent of staff have achieved the award with a further 32 working towards the award or registered. However, the previous recommendation for 50 of staff to be trained to NVQ level 2 or equivalent is carried forward. The home has a staff-training programme in place, which covers a wide range of relevant training. New staff complete an induction programme and records were available. Staff were observed to demonstrate some of the skills necessary when providing care to residents. Good movement and handling practices were also seen. Staff spoken with made positive comments about the training and support provided and confirmed that they had completed or were working towards an NVQ award. A relative made positive comments about staff at the home. Two staff records were checked. It was evident from records and discussion with staff that required employment checks are carried out to ensure that new staff are suitable to work with vulnerable people. However, one file did not
Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 Page 15 contain a photograph of a member of staff. The manager explained that the member of staff was to supply this. A recommendation is made in this matter. Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 Page 16 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, 35, 38. The manager is experienced in the care of people with dementia and is currently working towards the NVQ level 4 award. Quality audits are carried out to ensure that the home is run in the best interests of residents. Good systems are in place to manage residents’ monies. Staff receive fire safety training to ensure that the health and safety of residents is promoted and maintained. EVIDENCE: Standard 31 was assessed to follow up a previous recommendation regarding management training. Janet Hall, the manager, explained that she is working towards the NVQ level 4 award and that units related to the Registered Managers Award had gone to the assessor. Mrs Hall spoke positively about her learning and how this has helped her to support the home’s staff with their
Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 Page 17 NVQ training. Positive comments were received from staff and a relative about the management of the home. Three monthly quality audits are carried out covering areas such as health and safety, residents’ care and medication. Records were available which shows that action is taken to address identified shortfalls. Anonymous questionnaires are also sent to residents’ relatives and friends. Mrs Hall explained that relatives receive verbal feedback on these. The company should publish the results of surveys and make them available to interested parties, including the Commission for Social Care Inspection, as required under The Care Homes Regulations 2001. There were lots of cards to staff at the home, from relatives, thanking them for the care they’ve provided. The home has facilities to manage the monies on behalf of residents should this be required. Two samples of residents’ monies were checked and easily reconciled with records held. Standard 38 was assessed to follow up a previous requirement regarding staff fire safety training, which has been addressed. Staff also confirmed that fire safety training takes place. Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 Page 18 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 2 STAFFING Standard No Score 27 X 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 Page 19 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. 1. 2. 3. 4. 5. 6. 7. Refer to Standard OP7 OP9 OP19 OP26 OP28 OP29 OP31 Good Practice Recommendations There should be no gaps in the monthly recording of residents’ weight. If it is not possible for the resident to be weighed, the reason for this should be recorded. Where residents’ medication is crushed to allow for ease of swallowing, the pharmacist should be contacted for advice and alternatives. The inspector would recommend that the carpets in two lounges be replaced in the near future. Recommendation carried forward. The smoke odour in the identified bathroom should be eliminated. Preparations should be made to ensure that 50 of staff are trained to NVQ level 2 or equivalent. Recommendation carried forward. The registered person should ensure that the identified member of staff supplies a recent photograph. Preparations should be made to ensure that the registered
DS0000018274.V276056.R01.S.doc Version 5.1 Page 20 Parkside Residential Home 8. OP33 manager has a level 4 NVQ qualification in management or equivalent. Recommendation carried forward. The results of quality surveys should be published and made available to interested parties. A copy of any report should also be supplied to the Commission for Social Care Inspection. Parkside Residential Home DS0000018274.V276056.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Sheffield Area Office 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
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