Inspection on 06/02/06 for Parkstone Lane

This inspection was carried out on 6th February 2006.

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 1 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 03/10/05

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 Devon PL7 4DX Lead Inspector Tina Maddison Unannounced Inspection 6th February 2006 13:00 Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 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 Parkstone Lane DS0000003561.V274526.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 Adults 18-65. 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. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parkstone Lane Address 31 Parkstone Lane Plympton Plymouth Devon PL7 4DX 01752 344144 01752 344144 tara@lawrence3263.freeserve.co.uk 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) 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 DS0000003561.V274526.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning disabled adults some of whom may have a physical disability Age 18-65yrs Date of last inspection 3rd October 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 detached 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 DS0000003561.V274526.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 1300. Three service users were present during the inspection and although unable to articulate their views appeared happy, settled and relaxed. A tour of the building was undertaken, and the senior member of staff on duty was Ms Leanne Baker, who is the Deputy Manager and current acting Manager. Records and documents covering a variety of topics included the accident records, fire records, risk assessments, health and safety documents, individual service user care plans and staff records. What the service does well: What has improved since the last inspection? The medication procedures and administration has been reviewed, and records inspected at this inspection were found to be accurate. Interviews have taken place for a Registered Manager, and a person has been appointed who will start at the home as soon as possible. Meals that are taken by the service users are now recorded. Parkstone Lane DS0000003561.V274526.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. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 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 the following standard(s): 1 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: There has been no change of residents at Parkstone Lane since the previous inspection. The statement of purpose remains current with no change or alteration. The Management continue to work towards producing this document in a format that is fully accessible to the residents who have a learning disability. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 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 the following standard(s): 6,7,8. 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 at the home. EVIDENCE: Each service user has a comprehensive care plan in place that covers all areas of health and welfare, and service user files that were seen during the inspection contained guidelines for managing individual care needs and risk assessments. One service users care needs have increased considerably recently, and evidence was seen in the care plan of how these increased needs have been managed effectively. These documents included a statement of nursing needs, a full health assessment, and how these needs will be met, including a request to the funding authority for additional staffing. The acting Manager is undertaking a review of all care plans. A key worker system is in place at the home, and this helps to ensure continuity of care, as some of the service users are not able to communicate their needs verbally. Staff could be observed communicating effectively with residents by observing body language and the individuals own methods of communication. Care plans evidenced that the service users are able to take responsible risks that had been assessed, and risk management strategies were in place. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 10 Service users are encouraged to be as independent as possible, and examples of how they are encouraged to participate in the daily life of the home are that they are able to help choose the menus, shop, help with daily household tasks and are able to state their opinions with assistance at the service users meetings. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 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 the following standard(s): 15,16,17 Appropriate family and personal relationships are encouraged at Parkstone Lane, and Service users rights and responsibilities are respected. Meals provided at the home are varied and nutritious. EVIDENCE: Family relationships are enabled by the staff. Visits by and to families are encouraged and the home has the use of a new people carrier vehicle. A more equitable method of funding transport at the home is currently being devised by the Durnford Society. Service users are enabled to contact their families using the telephone and post. Visitors are welcome at the home and always offered refreshments. Menus were seen and evidenced a variety of nutritious and wholesome meals. Mealtimes are flexible, and food choices are recorded. Dietry preferences, special diets and nutritional needs are noted on individual care plans. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 19,20,21 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. The standard is exceeded due to the exceptional way in which an individual service users increasing health care needs are being met at the home. EVIDENCE: All the four residents in the home require assistance with personal care. Their care needs are documented in care plans, and staff are clear about how these care needs will be met sensitively and in the way the resident prefers. It was observed during the inspection that individuals privacy and dignity was respected. Records evidenced that specialist health services are accessed when required. Staff are experienced and skilled in understanding the non verbal communication of the service users. Staff have recently received training on the management of pressure areas. A pressure care bed has been obtained for one service user. None of the service users are able to self medicate. At the previous inspection it was noted that medication records were not being maintained accurately. This issue was also the subject of a complaint that was received by the Commission for Social Care Inspection. Since then, Medication procedures have been assessed and improved. The Responsible Individual has been checking records, and training for staff is ongoing, and a formal training course Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 13 is booked for all staff in March. At this unannounced inspection, records were found to be accurate and well maintained. The home has a policy and procedure in the instance of a service user being seriously ill or dying. The home can evidence that for a service user who has been resident in the home for a number of years, and whose condition is deteriorating, that every effort has been made by the Manager and staff to meet his changing needs. Disability Aids have been obtained, and staffing levels have been increased in order to meet their care needs. A bathroom extension to enable the staff to meet the residents personal care needs is being built. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 22,23. Complaints are dealt with and resolved in a timely and effective manner. Service users can be confident that their views will be listened to, taken seriously and acted upon. EVIDENCE: One complaint had been received by the Commission for Social Care inspection since the last inspection. This complaint was partially upheld. This complaint was dealt with in a timely and appropriate manner by the Durnford Society. The home has a vulnerable adults policy and staff receive adult protection training and are made aware during their induction period of the homes whistle blowing policy and procedure. Staff are aware of these policies, and felt able to use them if necessary. There are regular service users meetings held at the home and the service users that are not able to verbalise their views are consulted. Families and professionals views are sought using questionnaires. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 15 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 the following standard(s): 24,25,26,27,28,29,30. Parkstone Lane offers a clean, comfortable and homely environment for service users that is well maintained. 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. The construction of a downstairs bathroom that will adjoin the bedroom of and meet the care needs of a physically disabled service user is underway. All service users have single bedrooms that are attractively decorated and personalised. On the day of this unannounced inspection the home was found to be very clean, and although it was a very cold day, was warm. The bedroom doors are fitted with appropriate locks. All radiators are covered, and hot water outlets are fitted with temperature control thermostats. There is lockable storage space in bedrooms for valuables. The bathrooms and toilets are sufficient in number. The downstairs toilet is not adequate to meet the care needs of one service user, but this will be remedied by the construction of the new bathroom. All bathrooms were found to be equipped with soap and towels to aid infection control. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 16 Service users have the specialist equipment they need to maximise their independence, and these include a pressure prevention bed, and appropriate hoists. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 17 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36. Service users are supported by an effective and well trained staff team. Parkstone Lane has sufficient staff numbers and staff skills in place to meet the needs of the service users currently residing at the home. EVIDENCE: There has been an unsettled period for staff following the departure of the previous Registered Manager. The Deputy Manager, who has been undertaking the role of Manager until the appointment of a Registered Manager has done a good job in re-establishing the staff team, and clarifying staff roles and responsibilities. Three staff files were seen and these evidenced that recruitment procedures are robust, and all contained the necessary documents, including 2 references, CRB checks and proof of identity. Staff rotas were seen and evidenced adequate numbers of staff on duty. The Durnford Society has temporarily recruited extra night care staff in order to meet the increased needs of a service user. The Durnford Society are funding these staff until the issue of is resolved. The home has a training plan, and staff receive on going training, in a variety of relevant topics that is organised by the Head office. Supervision is currently regularly given to staff by the Deputy Manager. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 18 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,39,42. The health, safety and welfare of service users is promoted and protected at Parkstone Lane. EVIDENCE: The Registered Manager has now left the home, and the Deputy Manager has been Managing the home. The Durnford Society has recently appointed a new Manager, who will be starting at the home as soon as possible. Following an unsettling period for staff, the Deputy Manager has done a good job running the home, implementing the policies and procedures and reviewing the care plans. A quality assurance process should be implemented in the home. This process is in the early stages of development and questionnaires have been sent to service users, their families and involved health and social care professionals. Portable Appliance testing took place in September 2005. Records also evidenced that gas and electrical systems are regularly maintained. The accident book has been appropriately completed. Fire prevention records were up to date, and comprehensive fire prevention training is planned for all staff Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 19 in the near future. Whilst building work is being undertaken at the home, risk assessments are in place to help to keep the service users safe. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 2 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 4 x 3 2 x x 3 x Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 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. Standard YA29 Regulation 23 Requirement The home must improve its facilities to meet the needs of service users who have a physical disability by providing bathroom facilities on the ground floor. Timescale for action 30/04/06 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 YA39 Good Practice Recommendations A quality assurance system should be implemented at the home. Parkstone Lane DS0000003561.V274526.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Ashburton Office 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 DS0000003561.V274526.R01.S.doc Version 5.1 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!