Inspection on 12/08/08 for Parkville Care Home

This inspection was carried out on 12th August 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 13/11/2008.

CARE HOMES FOR OLDER PEOPLE Parkville Care Home Parkville Care Home Walpole Street Middlesbrough Cleveland TS1 4HA Lead Inspector Katherine Acheson Key Unannounced Inspection 09:30 12th and 20th August 2008 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 Parkville Care Home DS0000071017.V369642.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. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkville Care Home Address Parkville Care Home Walpole Street Middlesbrough Cleveland TS1 4HA 01642 223334 01642 223336 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) Southern Cross OPCO Ltd Mrs Karen Cousins Care Home 94 Category(ies) of Dementia (53), Old age, not falling within any registration, with number other category (41) of places Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 41 2. Dementia - Code DE, maximum number of places 53 The maximum number of service users who can be accommodated is: 94 Date of last inspection Brief Description of the Service: Parkville is registered to provide personal care to forty-one older people and fifty-three older people with dementia. Parkville comprises of two purpose-built two-storey buildings. Each building is divided into two separate units; the ground floor of each building providing residential care for older people, and the two first floor units accommodation for older people with dementia. The home is registered for a total of 94 persons. The home occupies a large site in the Newport area of Middlesbrough. All bedrooms have an en-suite facility which have a hand wash basin and toilet, 24 hour call system, TV and telephone points. Communal accommodation in each of the four units comprises: two lounges; dining room; assisted bathrooms and toilets. In addition there is a large conservatory leading from one of the ground floor lounges. Externally there are patio areas and a large enclosed garden. On the date of this inspection the cost of care at Parkville ranged from £405 to £415 per week. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means that people who use this service experience good quality outcomes. This key inspection of the service was carried out on 12th and 20th August 2008. The inspection visit on the 12th August 2008 was unannounced and carried out by two Inspectors. The manager of the home was aware of the inspection visit to the home on the 20th August 2008 that was carried out by one Inspector. The manager completed and returned an Annual Quality Assurance Assessment, (AQAA). The AQAA is the services self-assessment of how they think they are meeting national minimum standards. This information was received before the inspection and was used as part of the inspection process. The reason for the inspection was to see how good a job the home does in meeting the National Minimum Standards set by the government for care homes. Numerous records including care plans, complaints and staff recruitment and training records were examined. An Inspector spoke to six people that use the service, two relatives, three care staff, two deputy managers and the manager of the home. A brief chat also took place with the homes newly appointed activity co-ordinator. The Inspector walked around the home with the manager. Before the inspection twenty-five surveys for people who use the service were sent to the home for the manager to distribute accordingly. Surveys requested feedback on the service and staff provided. Also sent to the home were fifteen surveys for staff. Surveys requested feedback on care given and the way the home is run. We received six surveys from people who use the service, and two surveys from staff. Surveys for relatives to complete were given out during the first inspection visit to the home. We received one completed relative survey. Comments received can be read within the report. The details of any issues identified at this inspection requiring action are to be found at the back of this report. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Care staff who are responsible for the administration of medication need to follow correct procedure when administering controlled drugs to help to ensure that safe practice is followed. The home has a policy in relation to restraint. This details methods of restraint including the use of, bedrails, lap straps, locked doors and many others, Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 7 however this policy does not detail acceptable and non acceptable methods of restraint which can or cant be used to help to ensure the safety of people that use the service. Fire drills, which include the evacuation of people using the service, must be carried out on a regular basis to help to ensure that staff would know what to do in the event of fire. Money belonging to people that use the service and is looked after by the home should be kept/banked individually and not pooled into one account. Water temperatures of baths, and showers should be taken on a weekly basis as recommended by the Health and Safety Executive. Competency checks should be carried out on a regular basis for those staff who are responsible for the administration of medication. A multidisciplinary team should sign risk assessments for those people who use bedrails. 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. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 8 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 Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 9 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): Standards assessed 3 and 6 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments of people who are to use the service are carried out to ensure that the home can meet their needs. EVIDENCE: The manager said that before going into the home people who are to use the service are assessed by a social worker. The social worker forwards a copy of the assessment to the manager of the home to look at before the person is admitted. The manager said that she then looks at the assessment of the person to make sure that needs can be met at Parkville. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 10 After the social worker assessment has been reviewed the manager or one of the deputy’s at the home carry out their own pre admission assessment this can be done by either visiting the person at home or in hospital. The manager said that on occasions it is necessary for other professionals to carry out assessments on a person before they come into the home. The manager said that before coming into the home all those people identified as needing bed rails to ensure safety have an assessment that is carried out by an occupational assessment. If people are self-funding then an assessment is usually only carried out by experienced staff working at the home. Reviews are carried out six weeks after admission to ensure that the person using the service is happy and that care needs are being met. Further reviews of care take place on a yearly basis or more often if needed. Pre admission assessments of people using the service were available on the files examined during the inspection. Surveys received from people that use the service and relatives felt that they received enough information about the home to decide if it was the right place to come into. The home does not provide intermediate care and as such standard 6 does not apply. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 11 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 assessed 7, 8, 9 and 10 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a good standard of care, people using the service are happy and care received is based on their individual needs. In general good systems are in place for the management of medication, however steps need to be taken to ensure that correct procedures are followed in respect of administration of controlled drugs. EVIDENCE: Six plans of care were looked at during this visit all of which contained detailed information about the person using the service and the help they needed. Some care plans contained a profile of the person. This profile detailed place of birth, working years, life history, family and friends. This information is particularly important when caring for a person with dementia. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 12 Care plans detailed likes and dislikes an example being how one person liked to wear a woolly jumper because they felt the cold. One plan of care for the mobility of a person using the service detailed very carefully how to ensure the safety when transferring but also how to ensure comfort. Once admitted to the home staff carry out other assessments on people using the service. Assessments carried out include, dependency, moving and handling, nutritional, and an assessment to see if people are at risk of falling or developing pressure sores. These assessments are updated on a monthly basis or more often if required. Five out of six of the care plans contained evidence to confirm that assessments had been reviewed and updated monthly, however one did not. This was pointed out to the manager at the time of the visit who said that she would take immediate action to bring the care plan up to date. The manager said that any person who uses the service and is thought to need bed rails to ensure safety has an assessment that is carried out an occupational therapist. The use of bed rails is also discussed with the person using the service, staff working at the home and relatives. The manager said that all bed rails are fitted by the occupational therapist to ensure that they are put onto the bed correctly and safely. Staff at the home then complete a risk assessment in relation to the person using the service and bed rails. Care plans examined during the visit did contain risk assessments for those people who have bed rails, however the risk assessment was only signed by staff working at the home. Risk assessments should be signed by the person using the service, family and multidisciplinary team who make the decision that bed rails should be fitted to help to ensure the safety of the person using the service. The home has a policy in relation to restraint. This details methods of restraint including the use of, bedrails, lap straps, locked doors and many others, however this policy does not detail acceptable and non acceptable methods of restraint which can or cant be used to help to ensure the safety of people that use the service. Staff spoken to during the inspection demonstrated an in depth knowledge of the people they were caring for. Staff spoke about promoting the independence of the person using the service whilst ensuring that care needs were met. Staff were particularly knowledgeable about health and safety and maintaining a safe environment for the people that they were caring for. Records examined during the inspection confirmed that people that use the service have access to external health care services. GPs and community nurses were regularly consulted/visited for advice and treatment. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 13 People who use the service, relatives spoken to during the inspection by the Inspector, and surveys received said, “My mother has improved a lot since she came into the home” “The care is generally good” “I like it here the girls are lovely” “The staff are very good they will do anything for you” “They look after you well” People who use the service confirmed that their dignity and privacy was respected. Each unit has a room in which to store medication. During the inspection arrangements for receiving, storing, administering, recording and disposing of medication on one of the dementia units were observed and examined. The manager said that it is the responsibility of senior care staff to give out medication to people that use the service. Before senior care staff give out medication they do medication training and have their competency checked to make sure that they are following safe practice. The manager said that competency checks were carried out on a regular basis after staff have received training, however since the change in ownership have not been. During the visit a discussion took place with the senior care staff member on one of the dementia units who was responsible for administering medication that day. The senior care staff member confirmed that she had received medication training and been supervised before giving out any medication. She also advised of refresher training that was planned for early September. During the visit a medication audit of a person that uses the service was carried out. Medication administration charts had been completed correctly and the stock balance of medication belonging to the residents was correct, matching up with medication ordered, received, administered and remaining in the home. The manager said that she carries out a monthly audit of medication. At inspection it was observed that staff at the home were not following correct procedure for administration of controlled drugs. This was pointed out to the senior care staff member at manager who said that they would ensure that correct practice was followed with immediate effect. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 14 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 assessed 12, 13, 14 and 15 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate and enjoyable activities do take place at the home and people who use the service are able to exercise choice and control. Visitors are encouraged and made to feel welcome at anytime. Food provided is enjoyed and provides residents with a wholesome balanced diet. EVIDENCE: The manager said that the home have just appointed an activity co-ordinator who is to plan, arrange and take part in activities and outings for people living at the home. During the inspection a brief discussion took place with the activity co-ordinator who talked about her plans for improving the activities provided. The Inspector was shown some lovely glass paintings that had been done by people living at the home, which had then been transferred onto the conservatory windows. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 15 Up until recently the manager said that care staff have been relied upon to carry out such activities. Activities taking place on a daily basis include, dominoes, knitting, bingo and sing-a-longs. A company called Motivation and Co visit once a month to carry out reminiscence games and activities with people who use the service. On a Tuesday morning there is a keep fit session and the mobile library visits on a regular basis offering a large variety of books for loan. The home has hosted a recent pie and pea afternoon and cream tea. The manager advised that Street Wardens of Middlesbrough have arranged a scheme in which community wardens visit the home once or twice weekly and spend time with people using the service. On a Friday People who use the service and the street wardens have an afternoon in which they play bowling and other activities on a games console. Recent entertainment has included a singer and a lady who plays the organ. A country and western night and barbeque has been arranged for 29th August 2008. The manager chatted about planning for Christmas and said that Irish dancers had already been booked. Comments made in respect of activities and outings from people using the service included, “I like to play bingo and I like to join in the keep fit” I like to keep busy. The hairdresser comes in once a week and I join in all that goes on” “There is a lack of activities and especially outings from the home” People who use the service are encouraged and supported to practice their religion. Ministers from the local Church of England and Methodist church visit regularly as does a representative from the local Roman Catholic Church. One person spoken to during the visit said, “I receive communion every Monday” Visits from relatives and friends are welcome at any time. Relatives are able to spend time and enjoy a meal at the home. At lunchtime one Inspector observed the lunchtime of people who reside on one of the dementia units at the home whilst the other Inspector observed the lunchtime of people who reside on one of the older persons units. The lunchtime menu of the day was, smoked fish or quiche with chips and peas. Desert was jam coconut sponge with custard. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 16 People who use the service are offered a choice in a morning of what they would like for lunch. Lunchtime was relaxed with people enjoying the food provided. Tables were nicely set with a cold drink being offered to accompany the meal. Those people that needed help were given assistance. One person that uses the service was heard saying to a staff member, “That was nice thank you, can I have another glass of water”. Food that is for those people that use the service and who reside on the first floors of the home have their food plated up and transported from the kitchen via a dumb waiter. A dumb waiter is a service lift, which is used for the transporting of food. It was noted that kitchen staff sent main course and desert at the same time and as such the desert was left in a small kitchen area until people had finished their main course. By the time staff served desert it had cooled down quite considerably. This was pointed out to the manager on the first day of the inspection. On the second inspection visit to the home the manager advised that the main course of people using the service was now sent up separately and when people were ready staff would advise the kitchen to send up the desert. Other comments made in relation to food provided from people that use the service and surveys received included, “There is always a choice at meal times, staff come round and ask you before what you want. The food is mostly hot and I particularly like the Yorkshire puddings” “On a morning I like to have weetabix and sometimes I like to have a fried egg” “I would like to see the home give out trays of fruit during the morning and afternoon and fruit juices instead of tea and biscuits all of the time” “I help to set the tables for tea it keeps me out of mischief. The food is very good” The manager advised that new menus are soon to be introduced. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 17 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 assessed 16 and 18 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were confident their complaints would be listened to, taken seriously and acted upon. Adult protection procedures are in place, which helps to protect people that use the service from abuse. EVIDENCE: The home has a complaint procedure, which informs people who use the service and relatives of their right to complain, timescales for action and who to contact. The home keeps a record of complaints. There have been eight complaints made in the last twelve months, four of which have been since when there was a change in ownership. People who use the service who were spoken to during the inspection said that they could approach staff and the manager in relation to any concerns that they may have. The home has an adult protection policy that details action that staff should take if abuse is suspected. The Manager said that staff receive adult protection training on induction and on a regular basis thereafter. The deputy Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 18 managers and care staff spoken to during the visit were able to inform the Inspector of procedures that should be followed if abuse is suspected. There has been one adult protection referral within the last twelve months. This was dealt with appropriately by the home. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 19 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 assessed 19 and 26 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The standard of the environment within this home is good providing the people who live there with and attractive, homely and comfortable place to live. EVIDENCE: Parkville comprises of two purpose-built two-storey buildings. Each building is divided into two separate units; the ground floor of each building providing residential care for older people, and the two first floor units accommodation for older people with dementia. The home is registered for a total of 94 persons. The units within the home have been named. Within one building there is Diamond unit, which is on the ground floor of the home and can accommodate Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 20 older people. Ruby unit is on the first floor of the building and accommodates older people with dementia. In the second building there is Emerald unit on the ground floor of the home that accommodate older people and Garnett unit on the first floor that accommodates older people with dementia. All bedrooms have an en-suite facility which have a hand wash basin and toilet, 24 hour call system, TV and telephone points. Communal accommodation in each of the four units comprises: two lounges; dining room; assisted bathrooms and toilets. In addition there is a large conservatory on Diamond unit leading from the ground floor lounge. Ruby and Diamond unit also have a conservatory to the front. Externally there are patio areas and a large enclosed garden. The Inspector walked around the home with the manager. The home in general is well maintained. Lounge areas are pleasant and homely and furniture provided is of a good standard. People using the service are encouraged to personalise their rooms. One person spoken to during the visit said, “ I like my room. I brought all of my own bedding, pictures and ornaments”. The manager informed of changes that are to be made to the environment of the dementia units in the home, some of which have already started. Pictures and memorabilia have been put on some of the bedroom doors of people using the service. This is to help people to identify their own bedroom. The home is also in the process of putting letterboxes and doorknockers on bedroom doors as well as painting them the colour of what their own front door at home was. The home has a policy in respect of control of infection. Staff spoken to during the inspection said that there was always a plentiful supply of protective clothing. On the day of the inspection the home was clean and odour free. Appropriate laundry facilities are in place Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 21 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 assessed 27, 28, 29 and 30 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes recruitment procedure is robust which helps to ensure that people are protected. Staff are trained, skilled and in sufficient numbers to meet the needs of people living at the home EVIDENCE: At the time of the inspection there were eighty one people living at the home, twenty nine on Ruby unit, eighteen on Diamond unit, fourteen on Emerald unit and twenty on Garnett unit. The manager of the home is supernumerary and works full time. Each unit has deputy manager. The homes duty rota showed that on Ruby unit, which accommodates older people with dementia that there were four care staff on duty on a morning until 2pm. This reduces to three care staff from 2pm until 3pm and back again to four care staff from 3pm until 10pm. One of the care staff is either a senior care assistant or the deputy. On night duty there are two care staff on duty one of who is a senior care assistant. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 22 The homes duty rota showed that on Diamond unit, which accommodates older people that there were three care staff on duty from 8am until 10pm one of which is a senior care assistant or deputy. There are two care staff on duty during the night. The homes duty rota showed that on Emerald unit, which accommodates older people there were three care staff on duty from 8am until 10pm one of which is a senior care assistant or deputy. There are two care staff on duty during the night. The homes duty rota showed that on Garnett unit, which accommodates older people with dementia that there were three care staff on duty from 8am until 10pm one of which is a senior care assistant or deputy. There are two care staff on duty during the night. Staff spoken to during the inspection felt that there were sufficient staff on duty to meet the needs of people living at the home. The manager advised that 77 of care staff working at the home have achieved a minimum qualification of NVQ level 2 in care. The homes recruitment procedure is robust. The files of four newly appointed staff were looked at during the visit. Evidence was available to confirm that appropriate Criminal Record Bureau checks are carried out before staff start working at the home. Files examined contained all of the required information including, proof of identity, photograph and two references. Records were available to confirm that new staff receive induction training that meets with the required standard. Records were available to confirm that staff receive mandatory training on a regular basis and other training specific to the job that they do. Staff spoken to during the inspection and surveys received from staff stated that, “Parkville is a good place to work” another said, “I have attended lots of training over the last twelve months this has included fire, basic food hygiene adult protection and prevention of abuse and moving and handling”. The manager said that Southern Cross employ two trainers to deliver fire training to staff internally. Two staff employed at Parkville have attended a three-day training programme in moving and handling which they are to deliver to other staff working at the home. First aid training is provided by an external training company and is planned to take place in the near future. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 23 The training and development manager for Southern Cross has carried out an audit on all staff working at the home to identify training undertaken and training that is due. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 24 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 assessed 31, 33, 35 and 38 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home in general is well run. Health and safety is promoted, weekly testing of water temperatures in the home and fire drills that include the evacuation of people that use the service would further enhance this. Quality assurance systems are in place to ensure that the home is run in the best interest of people who use the service. EVIDENCE: The manager is a State Enrolled Nurse who has a management qualification. The manager has worked in the social care environment for many years. Staff and people who use the service spoke highly of the manager comments made Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 25 included, “The manager is good and very approachable” and, “The manageress is very helpful” and, “If we are short staffed management will always muck in”. The manager of the home, handyman and cook carry out numerous audits on a monthly basis to help to ensure satisfaction of people using the service, safe practice and compliance. Regular staff meetings and meetings with people who use the service and their relatives take place. The manager advised that quality assurance monitoring systems are in place. Surveys are to be sent out to people who use the service and their relatives on a yearly basis to determine if people are happy with the service and care provided. The home looks after small amounts of money belonging to some people who use the service. Appropriate records of transactions are kept. Although individual records are kept of money being held for each person, money is pooled into one account. Money should be kept/banked individually. Individual records of accidents are kept and analysed by the manager on a monthly basis. A sample of health and safety records were examined and were found to be in order. Records were examined to confirm that the fire extinguishers, gas boilers and portable appliances had been serviced within the last year. Records were available to confirm that water temperatures are taken on average monthly. A discussion took place with the manager in respect of the Health and Safety Guidance to monitor water temperatures weekly. On average weekly checks of the fire alarm system are carried out. The fire safety inspection of the service was last carried out in June 2008. This inspection identified that fire drills were not being carried out which included the evacuation of people using the service. The manager said that drills have taken place but she has not recorded them. The manager, deputy’s and care staff spoken to during the visit said they had received recent training in health and safety which included the use of bed rails, restraint and ensuring a safe environment for both people using the service and staff. Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 26 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 2 8 2 9 2 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 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 X 3 X 3 X X 2 Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 27 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 Standard OP7 Regulation 15(2)(b) Requirement Timescale for action 20/08/08 2 OP8 OP38 13(4)(c) 3 OP9 13(2) 4 OP38 23 The Registered Person must update/review care plans and assessments of people using the service on a monthly basis to help to ensure that care needs are met The Registered Person should 30/10/08 ensure that the homes policy in relation to restraint identifies acceptable forms of restraint and unacceptable forms of restraint. This will help to ensure safety of people using the service The Registered Person must 20/08/08 ensure that care staff who are responsible for the administration of medication follow correct procedure when administering controlled drugs to help to ensure that safe practice is followed The Registered Person must 30/10/08 carry out and document fire drills that include the evacuation of people using the service to help to ensure that staff would know what to do in the event of fire Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 28 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 OP8 OP9 Good Practice Recommendations The Registered Person should ensure that risk assessments for those people who have bed rails are signed by a multidisciplinary team. The Registered Person should ensure that care staff who are responsible for the administration of medication have there competency checked on a regular basis to help to ensure that safe practice is followed The registered person should ensure that money belonging to people that use the service is kept individually The Registered Person should give consideration to the Health and Safety Executive Guidelines to monitor bath and shower water temperatures weekly 3 4 OP35 OP38 Parkville Care Home DS0000071017.V369642.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. 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