Inspection on 16/06/05 for Parkwood House

This inspection was carried out on 16th June 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 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

Parkwood House 04/04/07

Parkwood House 02/08/06

Parkwood House 07/12/05

Parkwood House 17/01/05

Parkwood House 30/07/04

Parkwood House 11/02/04

Similar services:

Hunters Care Centre

Manor Lodge

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

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

CARE HOMES FOR OLDER PEOPLE Parkwood House 72/74 Exmouth Road Stoke Plymouth PL1 4QJ Lead Inspector Fiona Cartlidge Announced 16 June 2005 th 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 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. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parkwood House Address 72/74 Exmouth Road, Stoke, Plymouth, Devon, PL1 4QJ 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 560000 geoffreydcox@hotmail.com Southern Healthcare (Wessex) Ltd Mrs Belinda Victoria Woodward Care Home with Nursing 48 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (14), of places Physical disability (38), Physical disability over 65 years of age (38), Terminally ill (4 Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered as a Care Home with Nursing for a maximum of 48 Service Users in the categories of PD 38, PD(E) 38, OP 14, DE(E) 14, TI 4 2. For Mrs Belinda Woodward to attend training on Protection of Vulnerable Adults process/procedures by 01/08/05 Date of last inspection 17/01/05 Brief Description of the Service: Parkwood House is a 48 bedded care home situated in the Stoke area of Plymouth close to local amenities. The home is able to accommodate Service Users of either gender over the age of 50.The home is registered for a variety of categories including residential care for people with dementia and general nursing care. The home is arranged on 4 floors with 10 double rooms, 4 of which are ensuite and 26 single rooms 6 of which are en-suite. There is level access to all parts of the building via shaft lifts, stair-lifts and ramps There is a small garden to the rear. The manager is a registered general nurse who heads up a team of trained nurses and carers, there are appropriate ancillary staff to support the services provided. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 and a 1/4 hours and was announced. Information was received from the registered provider before the inspection as was written feedback from 5 residents and 5 visitors/relatives. A full tour of the home took place and personal records of 4 residents and 3 staff were inspected. The inspector spoke to 4 members of staff on duty and 20 of the residents, 3 visitors and the registered manager and administrator. What the service does well: What has improved since the last inspection? This was the inspector’s first visit to this home. The manager is now registered with the Commission and has attended training on the Protection of Vulnerable Adults (POVA) this will improve the level of protection for those living in the home. A residents/representatives meeting has been held to enable formal systems of communication to affect the way the service is delivered. The recent recruitment of new staff has added to the multi skilled work force. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 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. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 People are provided with sufficient information about the services and facilities to make an informed decision about their admission to this home. The admissions procedure enables the staff to make a professional judgement about how the needs of individuals will be met. EVIDENCE: The inspector examined the statement of purpose produced by the home, the document describes the facilities and services, staffing and management arrangements, range of needs the home is able to meet and key policies. The document is written in plain English and large print and is in sufficient detail for people to make an informed decision about admission to the home, a copy of this document was found in the private accommodation of every resident. The inspector examined the records held in the home on behalf of 4 residents and these provided evidence that the manager visits prospective residents to perform an assessment before a decision can be made about admission to the home. The pre admission assessment is based on behaviours, although there was evidence that in most cases a description of physical health care needs is made but this is not in a consistent format. A visiting community nurse specialist told the inspector that an assessment had recently been undertaken Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 9 out of normal hours in the community by the homes manager to enable a safe and appropriate emergency admission to take place. For planned admissions in addition to the homes pre-admission assessment the manager obtains information about the individual from the placing authority or hospital/current setting. The inspector looked at contracts (terms and conditions of residency) these included information about services and facilities included in the fee as well as extras to be paid for over and above the fee and periods of notice. The contracts where out of date quoting legislation, which has been superseded and does not provide a clear breakdown of who is responsible for which part of the fee e.g. resident, local or health authority, relative or another. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 The health care needs of residents are regularly reviewed and action is taken to meet those needs. EVIDENCE: The inspector examined a 10 sample of the personal records held on behalf of residents; all contained long term needs assessments and a plan of care based on their assessed needs. The plans had been reviewed regularly. The inspector found that a change of care identified in the daily record for one of the residents (some days previously) had not been identified as a new issue on the individuals plan of care. The records confirmed that all residents are registered with a GP and that visits to and from hospital and community health specialists are enabled. Multidisciplinary input was recorded from stoma nurses, physiotherapists, social workers and speech and language therapists. Where residents are assessed as being at high risk of falls they are referred to the reablement team. Where people have been assessed as being at high risk of pressure sores specialist equipment and plans of care where in place. The inspector also looked at manual handling and nutritional assessments. The home was found to have various aids to enable safe moving and handling. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 11 Referrals had been made to the community dietician and records of their attendance and advice are maintained. Written feedback was received from 5 residents all indicated that they feel well cared for and that there privacy is respected. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15 Social activities are organised and meet the needs of most residents. Meals are nutritious and balanced and offer a healthy and varied diet for residents. The visiting arrangements are flexible and meet the needs of residents and visitors alike. Residents are encouraged to make choices about how they live their lives within the community of this home. EVIDENCE: The inspector was shown the residents activities book which provided a record of who has attended the organised activities. The activities in June advertised on a notice board in the entrance hall included movement to music, a coach trip to Cornwall, movies, and manicures and on the day of inspection a musical entertainer played popular music and the residents were observed singing and dancing with the staff. Individual records included information about past life experiences as well as social interests and hobbies. Written feedback from 5 residents indicated that 3 of the residents think the home provides suitable activities the other 2 indicate that the activities are ‘sometimes’ suitable. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 13 The inspector spoke to 3 visitors and received written feedback from 5 relatives/visitors all indicate satisfaction with the visiting arrangements, feel welcomed into the home and are able to visit their relative/friend in private. When talking to residents about the food the inspector received the following comments ‘food is wonderful’, food is alright, ‘its good home cooking’ . Of the 5 residents who provided written feedback 3 indicated that they like the food and the other 2 said they sometimes like the food. People living in the home told the inspector they are able to chose how and where they spend their time, some residents were happy spending time in their own rooms others were socialising and enjoying entertainment in the lounge. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 People are safe living in this home and know who to speak to if they are dissatisfied. EVIDENCE: A copy of the complaints procedure was found displayed in the entrance hall, in each residents room as well as in the statement of purpose and policies folder. The procedure includes timescales and how to contact the Commission at any stage. All of the residents spoken to and those who provided written feedback said they feel safe living in this home and would know who to speak to if they were unhappy with their care. The feedback from 5 relatives/visitors indicates that they are all aware of the complaints procedure, 4 of the 5 indicate they have never had to make a complaint one visitor told the inspector that they felt able to discuss any care issues with the manager and that when they had done so action was taken immediately to rectify the problem. The manger has recently attended training on the protection of vulnerable adults and 3 staff are booked to attend the same external training. The home has a copy of the local authorities ‘alerters guidance’ but the homes own ‘in house’ policy on abuse did not match the advice given in the guidance. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,26 The providers maintain an attractively presented environment for residents and staff that is well maintained and safe. EVIDENCE: Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 16 A tour of the home confirmed that rooms have a wardrobe, bedside and overhead lighting, an appropriate bed, a set of drawers, seating, over-bed table and a wash hand basin and are pleasantly decorated in a ‘homely’ fashion. Limited storage areas are available for wheelchairs and other equipment. A nurse call bell system is in place throughout the home. Rooms within the home are individually and naturally ventilated. The home has central heating throughout; each radiator can be controlled separately. Not all of the radiators are covered or are guaranteed low surface temperature. Radiators in the higher risk areas were covered. Lighting in Service Users accommodation is suitable and the home has emergency lighting throughout. The home was clean and most areas were odour free at the time of the inspection. The en suite WC in the private accommodation of 1 resident lacked a door and a toilet seat. Some bathrooms contained soap bars and some shared accommodation was found to have 1 soap bar per shared basin. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 The procedures for the recruitment of staff are robust and offer protection to people living in the home. The number and skills of staff available in the home meets the needs of those living in the home. EVIDENCE: The residents told the inspector that there were enough staff on duty, they said they ‘are wonderful’ and were ‘very helpful, obliging and kind’. The staff spoken to also advised the inspector that they felt there was sufficient numbers of staff on duty and said they had access to training and development. The inspector examined the personnel files of 3 recently employed members of staff these provided evidence that the recruitment process is fair, equitable and safe. The inspector examined the training records provided with the pre-inspection questionnaire these indicate that most staff receive regular training/updates however the records did not provide duration of training sessions/courses and therefore the inspector was unable to ascertain that all staff receive at least 3 paid days training/year. Written feedback from 5 relatives/visitors was received all indicated that there is always sufficient numbers of staff on duty. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,38 The home is being managed properly, there is clear leadership, guidance and direction to staff to ensure residents receive consistent quality care. EVIDENCE: Residents, visitors and staff made positive comments about the manager in the home saying they felt comfortable approaching her with issues. Formal systems of communication are in place residents/representatives meetings are held 4 times/year. Questionnaires/surveys are performed and include residents, visitors and staff information from these is collated by the company’s head office, generally the feedback is positive but where issues are raised actions are taken to improve the service. The provider demonstrated a responsible attitude towards health and safety – notices were displayed throughout the home. Equipment is regularly maintained and staff are trained on health and safety matters during their induction and updated regularly. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 19 All of the records seen during the inspection were clear, well maintained and secure. The inspector examined the records of monies held in the home on behalf of its residents 2 actual balances were checked against records and found to be correct. Records are made of all transactions and receipts are usually maintained. Information given to the inspector by the provider before this inspection indicates that the homes central heating system, electrical wiring, lifts and hoists are checked/serviced by approved engineers on a regular basis and Written C.O.S.H.H assessments were updated in April 2005. The inspector found a fire door wedged open and removed the wedge at the time of the inspection and gave it to the manager with a requirement to ensure fire doors are not wedged open at any time. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 3 x 3 x 3 1 Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 21 no 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 2 Regulation 5b Requirement The contract (terms and conditions of residency) must be updated in accordance with the Care Standards Act 2005 and should clearly indicate the amount and whom is responsible for payment of each part or all of the fee. The registered provider must provide a door and toilet seat to the en-suite WC identified during the inspection. Fire doors must not be wedged open at any time. Timescale for action 01/09/05 2. 19 12(4)(a) 01/08/05 3. 38 13(4) with immediate effect. 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. 3. Refer to Standard 7 18 26 Good Practice Recommendations Changes in need should be reflected in the individuals care plan at the time the change is identified. The homes in house policy on dealing with allegations or incidence of abuse should be updated to reflect local authority guidance.. To minimise the risk of cross infection soap bars if used D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 22 Parkwood House 4. 30 should be used by one individual and not shared and therfore should be discarded when found in bathroomsliquid soap dispensers would negate this risk. Training records should provide detail about duration of training to evidence that all staff receive three days training/year. Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 23 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 Parkwood House D52-D04 44973 Parkwood House 222243 160605 Stage 4.doc Version 1.30 Page 24 - 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. 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