Inspection on 30/01/07 for Parkside Residential Home

This inspection was carried out on 30th January 2007.

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 28/02/06

Parkside Residential Home 25/07/05

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 South Yorkshire S73 0HQ Lead Inspector Mr Michael O’Neil Key Unannounced Inspection 30th January 2007 08:55 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 DS0000018274.V325292.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 DS0000018274.V325292.R01.S.doc Version 5.2 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 none None Mimosa Healthcare (No4) Limited 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) 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.V325292.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two beds may be used for service users 55 years or over who have dementia. 28th February 2006 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. The manager confirmed that the monthly fees from 30th January 2007 were £356.50 per week. Additional charges included hairdressing and private chiropody. A copy of the previous inspection report was displayed and available in the foyer of the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection carried out by Mike O’Neil, regulation inspector. This visit took place between the hours of 08:55 am and 3:25 pm. Janet Hall, registered manager, was present during the visit. The manager submitted a pre inspection questionnaire to the CSCI prior to the actual visit to the home. Some information from the questionnaire is included in the main body of the report. Opportunity was taken to make a partial tour of the premises, inspect a sample of care records, check records relating to the running of the home, check the homes policies and procedures and talk to 6 staff, 3 relatives and 8 residents. The inspectors wish to thank the staff, relatives and residents for their time, friendliness and co-operation throughout the inspection process. A copy of the previous inspection report was displayed and available in the foyer of the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. What the service does well: Residents said that the care they were receiving was good. Residents consistently added comments such as” staff are lovely ”and one resident said that the “staff are attentive and listen to me” and another resident said “it’s brilliant here”. Relatives made comments such as “the staff are caring” and “the care at Parkside is excellent “. A friendly, lively and welcoming feel was evident in Parkside. Some residents were sat in groups sharing stories with each other and their visitors and the sound of laughter was nice to hear. Some activities were occurring during the inspection. Staff were sat individually with some residents talking to them or involving them in craft activities or housekeeping tasks. Residents said they enjoyed the crafts and other activities they were they participating in. Staff were making an effort to provide a stimulating environment for the residents. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 6 The home was clean and tidy. Lounge and dining areas were domestically furnished to a good standard and felt “homely”. No unpleasant odours were noticeable in the home. Relatives and residents said that the home was always kept clean. Staff said they were encouraged to attend training on various care topics and that there were good training opportunities available to them. Residents, staff and relatives said that they met regularly with the manager of the home and spoke positively about her approachability and helpfulness. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Parkside Residential Home DS0000018274.V325292.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 DS0000018274.V325292.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3. Standard 6 is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ assessments prior to admission took place. These enabled staff to be aware of residents needs to ensure that they could be met. This home does not provide intermediate care services. EVIDENCE: Two care plans were checked and these contained assessments of the service users’ needs. The assessments were formulated into a plan of care for each person. Parkside Residential Home DS0000018274.V325292.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. The residents’ health, social and personal care needs were well documented in the care plans meaning that the resident’s needs could be met. 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 good and added other positive comments. Three relatives interviewed confirmed that they felt the needs of their relative were being met. Medication storage and other procedures protected the residents’ health and welfare. Residents’ privacy and dignity was maintained. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 10 EVIDENCE: Two resident care plans were checked. A previous requirement made had been met. The residents’ health, social and personal needs were well recorded and there was evidence that the residents or their relatives were involved in drawing up or the evaluating of the care plans. The care plans identified that a range of health professionals visited the home to assist in maintaining the residents health care needs. Staff interviewed showed a good knowledge of the residents diagnosis and their health and social needs. Residents said that the care they were receiving was good. Residents consistently added comments such as” staff are lovely ”and one resident said that the “staff are attentive and listen to me” and another resident said, “it’s brilliant here”. Relatives made comments such as “the staff are caring” and “the care at Parkside is excellent “. One relative said that they thought their relatives health and mental alertness had improved since their admission to Parkside and said that their relatives “face lit up” when they saw the staff of the home. Some residents were not able to say whether they felt that they were being well cared for; these residents were well dressed in clean, age appropriate clothing and attention had been paid to hair and nail care. Medicines were securely stored around the home in locked cupboards. The inspector observed a staff member dispense medication to residents in a safe and hygienic way. Medicine Administration Records (MAR) were adequate. Medicine Administration Records (MAR) checked were completed with staffs’ signatures. Staff said they had received medication training. The inspector saw certificates of this training. The manager and senior staff confirmed to the inspector that no residents would have their medication crushed for ease of swallowing. Staff said that they had discussed this issue with the homes pharmacist and the following had been agreed • A G.P would sign the residents’ individual MAR sheet instructing staff that it was safe to crush a tablet. (Previous recommendation met) Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 11 All the residents and relatives spoken with said that the staff were respectful and friendly. They commented on the hardworking and kind nature of the staff team. The inspector saw staff consistently treating residents in respectful and friendly way. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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 were able to make choices about daily living and some choices about social activities. To improve choices and maintain interests, for some residents more planning is required so that activities are more individualised to their preferences. The home had an open visiting policy, which assisted in maintaining good relationships with residents’ representatives. Meals served at the home were of a good quality and offered choice although for some residents the meal served was not at times convenient to them. EVIDENCE: Residents said they were able to get up and go to bed when they chose, and were seen to walk freely around the home, if able. Relatives spoken to said they were able to visit at any time and were made to feel very welcome. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 13 A friendly, lively and welcoming feel was evident in Parkside. Some residents were sat in groups sharing stories with each other and their visitors and the sound of laughter was nice to hear. Some activities were occurring during the inspection. Staff were sat individually with some residents talking to them or involving them in craft activities or housekeeping tasks. Residents said they enjoyed the crafts and other activities they were they participating in. Staff were making an effort to provide a stimulating environment for the residents. Despite these efforts a more individualised and person centred activity programme is needed which should encompass the likes and dislikes of the residents. This would enable residents’ opportunity to exercise their choice in relation to social and leisure activities. Residents said that they had a choice of food and that the quality of food served was good. Residents said that staff provided them with drinks frequently throughout the day. The inspector observed that prior to lunch being served the residents in one dining room were sat for periods of up to thirty minutes at dining tables, which were not set with cloths or cutlery, these were set 5 minutes before lunch was served. The residents were sat staring at each other without any stimulation waiting for their lunch to be served. In the other dining room the inspector viewed the lunchtime experience for the residents as a very positive and pleasant event. Lunch was served in a pleasant relaxed manner and residents were sat at tables, which had been nicely set. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints procedures are in place to enable residents and relatives to feel confident that any concerns they voice will be listened to. Staff had an understanding of the procedures to be followed should they suspect any abuse at the home, so helping to ensure residents are protected from abuse. EVIDENCE: Complaints procedures were displayed in the home. Residents and relatives said that if they had any concerns that they would feel comfortable in talking to the manager and they knew that the problems would be dealt with immediately. Staff interviewed had received training on adult protection and were aware that there were procedures in place to report any concerns. There was regular staff training on adult protection. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,21,24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment within the home was generally well maintained and clean providing a comfortable, safe environment for residents. EVIDENCE: The home was clean and tidy. Lounge and dining areas were domestically furnished to a good standard and felt “homely”. Since the last inspection a refurbishment of the home has continued and two lounge carpets have been replaced. (Previous recommendation met) One bathroom on the ground floor, although clean, was bare and felt very clinical. The bathroom needs refurbishing. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 16 Bedrooms checked were comfortable and homely. Residents said their beds were comfortable. Bed linen checked was clean and in a good condition. No unpleasant odours were noticeable in the home. Relatives and residents said that the home was always kept clean. Window restrictors were fitted to all windows checked. The hot water temperature in one bathroom checked measured a safe temperature below 45 degrees centigrade. This will assist in maintaining resident safety. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were employed in sufficient numbers to meet the residents needs. Recruitment procedures promoted the protection of residents. Staff have completed training that ensures these staff have the competences to meet the residents needs. Staff undertook induction training to ensure they had the skills needed to carry out their duties. EVIDENCE: The manager stated that agreed staffing levels were being maintained and the staff rota identified agreed staffing levels had been met. Staff said staffing levels were adequate. Residents said there was always a member of staff available when they needed them. Relatives said that staff were very visible around the home when they visited. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 18 The required 50 of care staff had not achieved their level 2/3 NVQ qualifications, although the manager said a number of staff had enrolled or were undertaking their NVQ training. The recruitment records of 2 recently employed staff members were checked. The staff had provided employment histories and the home had obtained two written references for each of them. These were satisfactory. Protection Of Vulnerable Adults (POVA) checks had been made. Enhanced Criminal Record Bureau (CRB) checks had been obtained for the staff members. There was a training and development plan for the staff. Staff said they were encouraged to attend training on various care topics and that there were good training opportunities available to them. One member of staff did say that they would like more training on topics that are specific to the resident group at Parkside. Staff interviewed said that when they started work they received induction training in the first two months of their employment. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,32,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a positive style of management in the home. This would have a positive affect on the quality of the service the residents receive. Some of the homes financial procedures did not fully promote the welfare of the residents. The homes other policies and procedures promoted the health, safety and welfare of residents and staff. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 20 EVIDENCE: The manager is experienced in the care of people with dementia and has achieved her NVQ level 4 award. The manager was very positive about the inspection process and was committed to improve the service of Parkside and meet the National Minimum Standards and Care Home Regulations. Residents, staff and relatives said that they met regularly with the manager of the home and spoke positively about her approachability and helpfulness. The home had an active quality assurance system. There was evidence of internal auditing of the homes environment, services and records. Staff meetings were held and minutes of these meetings were seen. The responsible individual visited the home on a regular basis, a report was written following the visits. A copy of the responsible individuals monthly report has always been sent to the local office of the CSCI. Relatives and residents said that they did meet regularly with the manager and were able to air their views about the service of Parkside. The manager said that resident and relative meetings had not been held. The inspector and manager discussed how these meetings, if commenced, might benefit the running of the home and planning of activities and social events for the residents. The home handles money on behalf of some residents. Account sheets were kept, receipts were seen for all transactions and a second individual witnessed all transactions. However, residents’ financial interests were not fully safeguarded because, although interest payments had been regularly added to residents’ personal money accounts, the payments had not been apportioned to the actual money each resident held in the account. Staff said they had received recent fire safety and other health and safety training .A sample of records showed that staff were receiving this statutory training. Fire records stated that weekly testing of the fire alarm system had occurred. A sample of records showed servicing of the homes utility systems had occurred. 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. This will promote the safety and welfare of the residents. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 21 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 2 X X 3 Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 22 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. 1. 2. Standard OP15 OP21 Regulation 16 23 Requirement Meals must be served at times convenient to residents. Bathrooms should be redecorated and touches added to make them more domestic in style and so less clinical. Residents’ financial interests must be safeguarded by interest being paid apportionately on any savings held on their behalf. Timescale for action 01/04/07 10/03/07 3. OP35 13,16,17 01/03/07 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. Refer to Standard OP12 OP28 Good Practice Recommendations Further planning and discussions should take place to ensure all residents have the opportunity to exercise their choice in relation to social and leisure activities. 50 of care staff must be trained to NVQ level 2 or equivalent. Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 23 3. 4. OP30 OP33 More training should be provided for staff on training topics such as Dementia Care. A system should be implemented and maintained to review and improve the quality of care and services at the home. (Relative and resident meetings) Parkside Residential Home DS0000018274.V325292.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 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 © 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 DS0000018274.V325292.R01.S.doc Version 5.2 Page 25 - 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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