Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Parkside Residential Home 74-76 Village Road Enfield Middlesex EN1 2EU The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: David Hastings Date: 2 8 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Parkside Residential Home 74-76 Village Road Enfield Middlesex EN1 2EU 02083601519 02083661889 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Teen Fook Chon,Mrs J S Y Chon care home 24 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 24 Conditions of registration: Date of last inspection Brief description of the care home 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. The registered manager has recently retired and the deputy manager is now the acting manager of the home. 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 Care Homes for Older People Page 2 of 9 accessible to all residents. The staffing structure consists of an acting 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 aim of the home is, To help residents lead a comfortable life and maintain their independence in a homely and friendly atmosphere. The current scale of charges is three hundred and ninety nine pounds to four hundred and fifty pounds per week. Copies of this report are available from the home or from the CSCI website. Care Homes for Older People Page 3 of 9 What we found:
We carried out this announced inspection of Parkside on Wednesday 28th January 2009. The reason for this inspection was to discuss issues raised by a recent coroners inquest into the death of a resident. Although the outcome of this inquest was recorded as an accidental death, it was felt that lessons could be learnt about the recording of accidents at the home and the procedures for calling out the doctor or calling an ambulance. We spoke with the registered provider and the acting manager of the service. We spoke with three care staff, three residents and one visitor during the inspection. We also examined various care records and a number of policies and procedures. What the care home does well: What they could do better:
We examined the procedures and documents regarding staff reporting accidents and incidents at the home. Looking at the records, it appears that there is some confusion about what is an incident and what is an accident. The acting manager and registered provider told us that staff are expected to fill out an incident form if something happens in the home which is not directly linked to actual harm of a resident. For example if the lift is broken or there is an altercation between residents. Staff are expected to fill out an accident form if a resident comes to actual harm. For example if a resident has a fall. It was clear from the records that staff were filling out the incident forms if a resident had fallen. This made the monitoring of falls at the home difficult and did not give a clear picture of accidents in the home. The acting manager and registered provider must ensure that staff are properly recording accidents at the home. The procedure for reporting and recording accidents and incidents must be reviewed to provide staff with clear guidelines for reporting accidents. The registered provider told us that all staff have been told that if a resident has an accident that involves them hitting their head the staff must always call an ambulance or a doctor out to see the resident. We also discussed the use of a falls analysis tool in the home. This entails recording and monitoring all accidents and falls on a monthly basis so that the registered provider and acting manager can look for possible patterns and take steps to prevent Care Homes for Older People
Page 4 of 9 further falls occurring. The provider and acting manager agreed to start monitoring accidents and falls on a more methodical basis. A requirement relating to monitoring falls and accidents has been issued in this report. The registered provider told us that all except four new staff have attended first aid training and safeguarding training. The four new staff have been booked to attend this training as soon as it is available. We spoke to three care staff during the inspection. Two of the three staff have attended first aid and safeguarding training. All three staff we interviewed were clear about their responsibilities to always report and take action if a resident has a fall or accident at the home. The registered provider and acting manager acknowledged that they had not been consistently providing the Commission with information about the welfare of residents at the home. In this case the home had not notified us that a resident had died in hospital. Registered services must provide the Commission with reports about all accidents, deaths or other issues that affect the well being of residents at the home. This information is required by the Care Home regulations 2001. A requirement has been issued relating to this in the relevant section of this report. We examined the homes policy and procedure in relation to safeguarding people at the home. In light of the confusion about reporting accidents and incidents at the home, we have made a requirement that the registered person review their safeguarding procedures to ensure that the appropriate authorities are notified if any accident or incident leads to police involvement. It was acknowledged that the police had not fully adhered to the reporting of this particular safeguarding issue, however the home is responsible to report potential safeguarding matters to the appropriate authorities. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 18 13 The registered person must 04/03/2009 ensure that the procedures for safeguarding residents at the home are reviewed and include the need to notify the appropriate authorities if any accident or incident leads to police involvement. This is to ensure that all the appropriate authorities are made aware of any potential safeguarding issue. 2 38 13 The registered person must ensure that a falls and accident analysis is carried out monthly on all residents that have had a fall or accident. This is to ensure that the home can look for possible patterns and take steps to reduce identified risks. 04/03/2009 3 38 13 The registered person must 04/03/2009 ensure that the procedure for reporting accidents and incidents at the home is reviewed. This is to ensure that if a Care Homes for Older People Page 7 of 9 residenty has a fall or accident at the home staff have a record of this which includes what action has been taken as a result. 4 38 37 The registered person must ensure that the Commission is notified of any event that affects the well being of residents at the home This is to ensure that the Commission is kept up to date with how residents are doing at the home and take further action if needed. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 04/03/2009 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
