Inspection on 03/10/05 for Parkstone Lane

This inspection was carried out on 3rd October 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkstone Lane 06/03/08

Parkstone Lane 15/11/06

Parkstone Lane 06/02/06

Parkstone Lane 16/02/05

Parkstone Lane 04/08/04

Parkstone Lane 24/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Parkstone Lane 31 Parkstone Lane Plympton Plymouth PL7 4DX Lead Inspector Tina Maddison Unannounced 3 October 2005 rd 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parkstone Lane Address 31 Parkstone Lane, Plympton, Plymouth, Devon, PL7 4DX 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) 01752 344144 01752 344144 The Durnford Society Limited Miss Tara Lesley Lawrence Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Learning disabled adults some of whom may have a physical disability Age 18-65yrs Date of last inspection 16th February 2005 Brief Description of the Service: Parkstone Lane provides care for four people who have profound learning disabilites and may have physical disabilities. The house is owned by The Health Authority and managed by The Durnford Society that is a registered charity. The property consists of a large detatched house that stands in its own grounds and has large gardens. All service users are accommodated in single rooms. The home is situated near the town of Plympton and has the use of its own transport. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A pre inspection questionnaire was completed by the Registered Manager prior to the inspection. Comment cards from relatives and carers of the service users were received. The inspection commenced at 1000. A tour of the building was undertaken, and the senior member of staff that was present was Leanne Baker who is the Deputy Manager. Discussions were held with Ms Baker and two members of staff. Records and documents were examined in a number of areas, and a lunchtime meal was observed. The service users present were not able to offer verbal opinions regarding the care in the home, but appeared settled, relaxed and happy. What the service does well: What has improved since the last inspection? The Registered Manager and staff at Parkstone Lane have worked hard to meet many of the requirements from the last inspection. The statement of purpose has been reviewed and is now clear about what the home can offer to service users. The Durnford Society has submitted planning permission to extend the house to include a downstairs bathroom and toilet to facilitate disabled access. The paving in the garden has been levelled and is now safe. All radiators in the home are now covered and hot water outlets are regulated to ensure residents safety. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 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. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5. Prospective service users are able to use a comprehensive service users guide and statement of purpose to help to enable them to be sure that Parkstone Lane will be able to meet their care needs if they decide to reside at the home. EVIDENCE: The home has a statement of purpose in place and is working towards producing this document in a format that is accessible to its service users. Before a service user is admitted to the home, a full assessment is undertaken and information is gathered from a number of sources, including health and social care professionals, the family of the service user, and of course the service user themselves if they are able to communicate the information. All service users at the home have a contract and statement of terms and conditions on file. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,8,9,10. Service users can be assured that staff will enable them to be as independent as possible and be encouraged to safely participate in all aspects of life in the home. EVIDENCE: Each service user has a comprehensive care plan that covers all areas of health and welfare and files contained risk assessments and guidelines for managing individual needs and a clear review process is in place. A key worker system is in place at the home to ensure continuity of care as some of the service users currently resident at the home are not able to communicate their needs verbally. Discussion with the Registered Manager and staff, and from information read in service users individual plans indicated that the service users were enabled to take responsible risks that had been assessed, and risk management strategies were in place. The home has a missing person procedure, and a confidentiality policy. Service user file were seen to be securely stored and locked away, and staff have received confidentiality training during the induction process. Service users participate in the day to day routines in the home according to their individual abilities. During the inspection a service user was observed and it was seen that they were offered Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 10 choices regarding activities, food and drinks. Service user meetings are regularly held. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,17 Service users at Parkstone Lane can enjoy a range of social activities. Personal development is encouraged enabling service users to maintain their independent living skills. Meals provided at Parkstone Lane are nutritious and varied. EVIDENCE: It was seen from service users files that personal developmental opportunities are encouraged and are available to the residents at Parkstone Lane. Independent living skills are encouraged by staff. At the time of the inspection, one service user was on holiday in Spain with members of staff, and two were on an outing of their choice. Links with families and friends are encouraged, by means of visits, telephone and post. Three of the service users have family contacts, and a supporter is being accessed from an advocacy service by one service user. The home has the user of a minibus to facilitate trips out of the home. Mealtimes are flexible, and dietry preferences, special diets and nutritional needs are noted on care plans. Snacks and hot meals are available throughout the day. It is recommended that individual choices of meals are recorded. Menus were seen, and found to offer a variety of wholesome and nutritious meals made with good quality ingredients. A lunchtime meal was Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 12 observed during the inspection and was found to be well presented and nutritious, and the mealtime was a relaxed and unhurried occasion. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Service users can be assured that staff at Parkstone Lane will treat them with respect, and their care needs will be given in the way they prefer, and individual health care needs will be met. EVIDENCE: All of the four service users in the home require assistance with personal care. Staff are sensitive to service users needs, and it was observed during the inspection that service users privacy and dignity is respected. Records evidenced that specialist services such as physiotherapy and challenging behaviour services are accessed when required. Staff are skilled in understanding the service users behaviour, and in picking up indicators to needs when the service users are unable to express themselves verbally. One service user has a physical disability and is deteriorating which require them to make increasing use of a wheelchair. An assessment has shown that improvements must be made to the environment if his needs are continued to be met at Parkstone Lane. None of the current service users are able to administer their own medication. The home has a clear policy and procedure for the receipt, storage and handling of medicines. It was found on the day of the inspection that not all medicines that had been administered had been signed for at the point of dispensing. The home has recently had a visit from the Pharmacist who had no recommendations. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 14 Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Service users can be confident that their concerns will be listened to, taken seriously and acted upon. The homes vulnerable adult procedure is robust which will ensure the protection of service users. EVIDENCE: One complaint has been received by CSCI since the last inspection and this complaint was investigated by the Durnford Society and was concluded as not upheld. All complaints are recorded. A relative feedback card commented that a relative had a complaint but the complaint was dealt with very efficiently and resolved by The Durnford Society. The home has a vulnerable adults policy and staff receive adult protection training and are made aware as part of the staff induction procedure of the whistle blowing policy that is in operation in the home. There are procedures in place regarding the handling of service users finances and valuables. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,30 Parkstone Lane offers a clean, comfortable and homely environment for service users that is well maintained. The property will benefit from the proposed construction of a downstairs bathroom. EVIDENCE: Parkstone Lane is a large detached property that stands in its own grounds. Consequently there is plenty of space and a large enclosed rear garden. There is a rolling programme of redecoration and renewal. Planning permission has been submitted to the appropriate authority for the construction of a downstairs bathroom and extension to the conservatory. All service users have single rooms, and radiators are guarded, and water outlets have temperature regulators fitted. Service users rooms are individually furnished to a high standard and on the day of this unannounced inspection, the home was clean and warm throughout. The bedroom doors have locking devices appropriate to the service users abilities. There is lockable storage space for valuables. There are adequate numbers of toilet and bathroom facilities. The ground floor toilet does not provide sufficient space for intimate care tasks to be completed for the physically disabled service user. As previously mentioned, plans are in place for a bathroom extension to the property. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 17 Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 On the day of the inspection staff numbers and skills were in place to meet the needs of the service users present. EVIDENCE: The registered Manager was away on a holiday with a resident at the time of this unannounced inspection, and the Deputy Manager did not have the keys to access the locked staff filing cabinet, so staff files will be examined at the next inspection. Rotas and staff on duty at the time of the inspection were adequate to meet the service users assessed care needs. Staff spoken to confirmed that staff meetings were regularly held, and they received regular supervision and training. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,39,42 There is a clear management structure operating in the home that is clearly effective. Health and safety issues are well managed. The quality assurance process should be developed and implemented. EVIDENCE: Staff commented that they believed that the home is well run, and has an open and positive atmosphere. Service users and staff are encouraged to voice their opinions. A quality assurance process should be implanted in the home to aid a cycle of self monitoring, review and development. Records where seen by the Inspector were well kept and easily located. These records are held securely in the office. All staff receive training in health and safety topics such as first aid and food handling and records evidenced that there is regular fire prevention training. The home recently had a visit from the Environmental Health Inspector who had no recommendations. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 2 3 Standard No 11 12 13 14 15 16 17 3 x 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parkstone Lane Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 2 x x 3 x D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 21 yes 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 YA20 YA29 Regulation 13 23 Requirement Timescale for action 30/11/05 Medication must be signed for at the point of dispensing. The home must improve its 30/1/06 facilites to meet the needs of service users who have a physical disability by providing bathroom facilities on the ground floor. 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 YA17 YA39 Good Practice Recommendations Meals taken should be recorded. The homes quality assurance system should be implemented. Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Parkstone Lane D52-D04 S3561 Parkstone Lane V237936 031005 Stage 4.doc Version 1.40 Page 23 - 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!