CARE HOMES FOR OLDER PEOPLE
Parr Nursing Home 42 Fleet Lane Parr St Helens Merseyside WA9 1SX Lead Inspector
Miss Diane Sharrock Key Unannounced Inspection 24th April 2007 11:00 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 Parr Nursing Home DS0000005466.V331715.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. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Parr Nursing Home Address 42 Fleet Lane Parr St Helens Merseyside WA9 1SX 01744 616339 01744 752880 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered Manager (if applicable) Type of registration No. of places registered (if applicable) Mrs C Latif Mr S Nawaz Mrs Colleen Blaney Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users to include up to 60 OP. N Date of last inspection 8th March 2006 Brief Description of the Service: The Parr Care Home is a purpose built building over 2 storeys situated in a Residential area of Parr. There are 59 single rooms and 1 room has facilities to be a double bedroom. 24 of the single rooms have en-suite facilities. The Home is registered to provide nursing care for 55 elderly persons over 65 and for 5 Residential Service Users. 3 named individuals privately own the Home, and Mrs Latif is now the Registered Person for the company. The Home’s Manager is Mrs Colleen Blaney. The Manager has provided the minimum and maximum levels of fees for the home in the Pre inspection questionnaire, stating £360-£365 per week. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of two days. Inspections involve measuring a number of standards considered as important by the Commission. During the inspection discussions took place with 7 Staff and the Inspector met with approximately 8 Residents that were in the lounge areas. A Selections of Comment cards were also left in the home to offer people further opportunity to give their opinions however various questionnaires were seen during this visit as Residents and visiting professionals had participated in the homes recent quality assurance reviews. The homes records were looked at and a tour of the building made. Feedback was given to the Manager at the end of this site visit. During this visit, feedback from everyone involved was very positive. It was evident that the Manager continues to implement and exceed in parts of the National Minimum Standards. What the service does well:
The home consistently meets all of the standards and offers a very good standard of care. There were many examples as to how the Staff have worked hard in exceeding some of the standards. The home has a group of Staff and Manager who have worked at the home a long time offering a great stability to the home and to its Residents. Activities are fully displayed at the home offering events on a regular basis throughout the year. A recent audit covered entertainment with lots of positive comments received about the events organised. The home has its own holistic therapy room used regularly by various Residents. A total of 3 Staff are qualified to offer a variety of holistic therapies, e.g. aromatherapy, Reiki and massage. The health and personal care needs of Residents are well met. There is a relaxed and friendly atmosphere in the home and Staff provide the right level of support for Residents needing assistance. In discussion with Residents there were many examples of very good nursing care that was evidence based. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 6 The majority of the comment from Residents and Staff were very positive and offered complimentary comments about the care and the management of the home. Some comments made are listed below. “Its very good here you couldn’t get better.” “The food here is very good.” “I’m a bit sore but if I ask for tablets I only have to say and the girls will get me something for the pain.” “We’ve been playing dominos today and had some drinks from the Staff, you can have what you want.” “Have you seen our garden it’s beautiful” Staff stated they had all worked at the home for many years and discussed how they felt about the home. They were very happy and settled and felt very proud of what they had achieved. They were happy with their training and felt they had benefited from all their courses. Staff explained they felt so proud of what they can do for Residents when they come to their home, especially their families, they always try to look after their families as well and try to care for Residents the same as they would for their own family. Staff were very enthusiastic and observed to have a good rapport with Residents and Relatives and noted to be very respectful and caring. What has improved since the last inspection?
The home has a very high ratio of NVQ trained Staff which exceeds the national minimum standards. The ongoing training for 6 carers doing their care award will eventually give 100 of the care Staff this qualification in care. The Manager has a visual training plan situated in her office which is very organised and has details for various training that has been booked, including dates for Staff for abuse awareness, dementia, clinical courses for 2007 including catheterization, rectal examinations, accountability and ethics, oral health care, pain management, mental health capacity act. Four of the Nursing Staff have their advanced certificate in palliative care. The investment in training for Staff has continued to help provide a welltrained and competent team able to achieve very good standards of care. The home have developed 5 palliative care bedrooms which have been furnished to a very high standard, with ensuite toilets and tea making facilities for relatives, air flow mattress’s and syringe drivers. All of the beds are up and down hydraulic style beds for easy movement of Residents. This has resulted in the home offering a highly maintained facility and service to the community to enable them to give very good palliative care. The Manager had produced development plan for the home, which gave good details about what was happening and what was planned for the home.
Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 7 This included the development of the palliative care beds, the purchase of a new computer, a purchase of a 4th Jacuzzi bath, the development of the gardens including raised beds and putting vanity units in the bedrooms accessible to people in wheelchairs. This helps show what investment and plans are taking place to constantly develop and improve on the previous facilities enhancing the overall environment for everyone at the home. The Manager has various quality assurance systems in place, and results of recent questionnaires were seen. For example, 8 from local Doctor’s from Aug 06 to Feb 07 all comments being very positive. Staff and the privacy given to Residents during their visits. 5 questionnaires seen from Feb 07 from the optician, the local Primary Care Trust and Physiotherapists all gave good comments about the home. Resident questionnaires seen dated from 8/9/06, these covered various topics including menus, with no actions needed, as all comments were positive, one was carried out 22/2/07 covering entertainment which resulted in positive comments from Residents. A Staff questionnaire was also positive with lots of good things about their work and being employed the home. These company audits help to show how the home is being managed to make sure the home offers a good service and takes peoples opinions into account to help improve the home and meet the standards. The homes Staff were in the process of their (RDB) external quality assurance award and were hoping to continue with their award of 5 stars. This is the highest score that this audit company awards to homes. What they could do better: Please contact the provider for advice of actions taken in response to this inspection.
Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 8 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. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 9 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 Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 10 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): 3 / Number 6 is not applicable Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s needs are assessed before moving to the home in order to ensure their needs can be met prior to moving in. EVIDENCE: In discussions with residents they advised they were happy at the home. Residents explained their Relatives and Visitors can visit whenever they want and are always made to feel welcome and were positive about the Staff at the home. 5 Care plans were looked at during this inspection and one included a recently admitted Resident to the home. The plans had pre-assessments in their file, which showed senior Staff including the Manager had assessed their needs prior to moving in. A Social Workers assessment and information gained from the Relative was also provided with the homes own assessment to show they could meet the Residents needs. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 11 The Manager carry’s out regular audits on Residents files and looks at any actions that may need to be taken to make sure the Resident has a good detailed care plan and assessment so that Staff can always show they can give the care and support that the Residents need. Discussion took place around the terms and conditions for some Residents. Some had the details of fees included and fees were also enclosed in the home statement of purpose. Some were still blank and the Manager explained that due to the process of assessing fees being complicated they always made a point of describing the process of fees including the nursing assessment carried out by the local primary care trust. The terms and condition would benefit from further details and description of the fees so that the complication can be clarified and made clear to all parties and should include all contributions that make up the fees to the home including payments for Nursing contributions. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 12 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): 7/8/9/10 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home demonstrated they were managing Residents health, personal and social care needs. EVIDENCE: Five care plans were reviewed as part of case tracking Residents care. Individual plans of care are available and identify relevant aspects of health, social and personal care. The care plans seen had good detailed index’s making the information clear and easy to find. There are also various assessment tools and risk assessments for assisting with the monitoring of each Residents care i.e. osteoporosis checks, moving and handling, a pressure sore risk assessment, a nutritional score, blood pressure charts, Continence assessment. The Manager has also included records for family contact and also medical sheets to record visits from professionals i.e. doctors. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 13 All care plan seen were detailed and gave a good account of the Residents needs and were able to demonstrate they can meet the diverse needs of Residents at the home including how the Residents social needs and choices could be met. The care plans had monthly reviews and 3 monthly reviews, which the Manager arranges. Residents and their families are invited to the 3 monthly reviews so they are included in their care review and are kept up to date with their care plan. Residents were very happy with the home, they all made various comments and all said they had no problems, comments made included, “Its very good here you couldn’t get better.” “I’m a bit sore but if I ask for tablets I only have to say and the girls will get me something for the pain.” During interviews with Staff they were able to discuss the personal, nursing and social care needs and individual routines of Residents and explained how they gave that care and support, especially with palliative care. Various positive interactions were observed with Staff supporting Residents throughout the day. The Manager explained that they now provide 5 beds on a regular contract with the local primary care trust. These beds are to provide palliative care for Residents admitted to the home. Various training and developments of the bedrooms, facilities and equipment have been put in place to offer a very good standard of palliative care. T he Manager explained they now have 5 syringe drivers (machines to help give medications), for each of the palliative care bedrooms, which helps give the right care for Residents with special care needs. The local Primary Care Trust had funded 2 of these drivers and the home purchased the rest. The Manager explained they now have 10 airflow mattresses which helps give the best care for Residents who need pressure care to help keep them comfortable and free from pressure sores. Consent forms were seen for some Residents who agreed to have their picture taken, this showed that Residents were involved in their care and their permission was sought before a picture was taken. A sample of Medications, records and storage were viewed on the ground floor. These are stored within a separate locked room and minimal stock was kept. All cupboards viewed appeared tidy and organised showing a well-managed area. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 14 The home now has medication audits, which show regular checks on each floor and action plans are produced for any identified improvements needed to help to provide ongoing safe practices at the home. All records kept for the management of medications showed details of a safe and well-managed area. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 15 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): 12/13/14/15 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Social activities are well managed and there are a variety of choices available for Residents. Menus are detailed with various compliments made about meals. EVIDENCE: Activities are organised by the Manager and 1 Senior Carer who has some hours allocated each month for organising events. A full plan of activities is always displayed on the notice boards throughout the home and also in the homes monthly newsletters. These records kept everyone at the home and Visitors up to date on what was happening or being planned. The following events are organised and offered to all Residents including, barge trips for the summer and overnight holidays to Blackpool. The Staff also organise weekly entertainers and cooking sessions. Pictures were seen in the homes corridors showing the recent Easter festivities and Residents and Staff cooking Easter cakes. One Resident talked of their recent holiday to Blackpool and how she looks forward to this every year. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 16 The gardener also participates in organising gardening as an activity for some Residents. The Residents on the first floor have large pots with potatoes growing and recently they had been supported to grow strawberries, so that Residents could get involved. The Manager explained that they also had plans to develop the garden areas to provide raised beds that Residents could easily access. The home has its own holistic therapy room used regularly by various Residents. A total of 3 Staff are qualified to offer a variety of holistic therapies, e.g. aromatherapy, Reiki and massage therapies. The Manager had organised various quality assurance systems including a recent questionnaire for entertainment dated 22/2/07, which resulted in lots of positive comments from Residents about the events on offer. The above examples explain how the Manager and her staff have developed activities at the home to help offer as much choice as possible and to try and meet all of the Residents needs. This has helped to fulfil a lot of the Residents social needs and help support a better quality of life. The dining room was noted to have been recently decorated. The tables were nicely laid with condiments and flowers on each table offering a good standard of presentation. The menu was displayed in large letters on a chalkboard so that it was visible and able to inform every one of the meals offered. The tables also had smaller menus accessible to each table and Resident, which gave a list of choices for the meals throughout the day. Resident questionnaires were seen dated from 8/9/06, which covered various topics including menus. No actions were needed, as all comments were positive about the meals. These audits showed good evidence of Residents being consulted on what is important to them and helped give them as much choice as possible. The kitchen area was clean and tidy, well organised and well stocked with food, especially large stocks of dry foods. Parr Nursing Home DS0000005466.V331715.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): 16/18Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place for dealing with complaints and Residents know how to make a complaint. Systems are in place to protect Residents. EVIDENCE: The home has a complaints procedure, which is time scaled appropriately and includes contact details for the Commission. A copy of the complaints procedure is available to all of the Residents in the guide kept in Residents bedrooms. The pre inspection questionnaire gave details of complaints over the past 12 months and the homes complaints records was seen during this inspection. They showed that the companies’ complaints policy is well-managed and carried out to try to address a persons concerns. During Staff interviews they explained they had attended mandatory training and were happy with the training on offer. They had received Abuse awareness training and had access to the homes policies. Staff are fully trained and experienced to support and protect Residents. The Visitors comment book is kept in reception and showed records of various compliments from Relatives and Visitors to the home. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 18 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): 19/26 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The environment is well managed and provides a pleasant, safe and comfortable environment for Residents to live in. EVIDENCE: The home was noted to offer a friendly environment with all Staff seen to be very welcoming and also very proud of their home and all of the redecoration and maintenance. Samples of areas throughout the home were seen during this visit. All corridors have been redecorated, and new carpets replaced on the ground floor, which made theses areas very attractive and pleasant. Samples of bedrooms seen were noted to be very attractive and highly maintained with matching bedding and curtains. New furniture had been upgraded and replaced in some rooms. The Manager explained that they are in
Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 19 the process of installing open vanity units in each bedroom so Residents can easily access them in their wheelchair. The housekeeping of the home was noted to be well managed and offered a very clean and tidy environment with no nasty smells. The home have now developed 5 palliative care bedrooms which have been furnished to a very high standard offering ensuite toilets and tea making facilities for Relatives. These rooms have been installed with all of the latest equipment necessary to help give the best of care for Residents needing palliative care. The laundry area was clean and tidy and well organised, Staff had gone home by the time the Inspector entered this area however all the laundry had been completed and the laundry left clear. Large print signs were seen signing the toilet areas, which offered an easy and discreet way of helping, and prompting Residents find facilities in the home. The decoration programme has a 4 yearly cycle for redecoration and refurbishment and showed evidence of continual investment in providing a highly maintained and attractive place to live. The homes pre inspection questionnaire gave details of all maintenance checks in the home. A sample of these were seen during this visit and appeared to be up to date and showed that the home is safely maintained. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 20 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): 27/28/29/30/ Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents are supported by appropriately qualified and competent Staff and protected with detailed policies for recruitment of Staff. EVIDENCE: There is a large Staff team who were observed to have a genuinely caring attitude towards Residents. Residents say they are happy with the care and say the Staff are lovely. The atmosphere was very informal and happy were everyone was helped to feel comfortable. Individual Staff training records had updated records of courses recently attended. The training development plans for the home showed that training had taken place and included a wide range of courses to help Staff support Residents diverse needs. Staff stated they had all worked at the home for many years and discussed how they felt about the home. They were very happy and settled and felt very proud of what they had achieved. They were happy with their training and felt they had benefited from all their courses. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 21 A sample of courses seen included abuse awareness, dementia, catheterization, rectal examinations, accountability and ethics, oral health care, pain management the mental health capacity Act. Four of the Nursing Staff have already obtained their qualification in palliative care, which helps the Staff team provide the most updated care for Residents needing palliative care The Manager stated they had a very high ratio of Staff with a national care qualification. Currently 24 Staff have already obtained it and 6 are in the process of obtaining this certificate in care. This shows that the home have managed to exceed the national minimum standards of having at least 50 of Staff with a care qualification and are on track to eventually have 100 of care Staff with a national care qualification. The investment in training for Staff has continued to help provide a welltrained and competent team able to achieve very good standards of care and meet all of the diverse needs of Residents. Case tracking of 5 Staff files took place and these files showed good recruitment procedures, which helps to safeguard Residents at the home and shows good practice in supporting and training Staff. Personnel files are detailed and were seen to keep the necessary information to protect Residents. The Manager had also completed an employment audit check; one was for Jan/Feb 07, which gave a check on the personnel records of Staff to show that safe checks are carried out before Staff are taken on. The Manager described a recent recruitment and interview session were one of the Residents was involved with the interview with one new member of Staff. The Manager felt it was a successful exercise and showed how they could get the Residents involved in recruiting Staff they felt were right for the home. The person being interviewed felt it was a really good thing and that she had never been involved with something like that before. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 22 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): 31/33/35/38 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The Manager runs a well managed home. The health, welfare and safety of Residents and Staff is promoted and protected. EVIDENCE: There were many complementary comments from both Residents and Staff regarding the Manager and her team as also pointed out at previous inspections. Staff have continued to implement all parts of the National Minimum Standards and the Manager has worked hard to show how she has exceeded in the standards. The Manager had organised various quality assurance systems in place covering various topics such as medications, health and safety, risk
Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 23 assessments, accidents, employment checks and questionnaires for menus, entertainment. These tools helped to show how well managed the home was and what checks were in place to maintain the standards already achieved. The Manager had produced a development plan for the home which gave good details about what was happening and what was planned for the home including the development of the palliative care beds, the purchase of equipment i.e. a new computer, a purchase of a 4th Jacuzzi bath, the development of the gardens including raised garden beds, and continual redecoration and maintenance of the environment. These management tools helped to keep everyone involve in the development in their home and show how there opinions could be included in future plans. The Staff felt they worked really well as a team and didn’t really have much movement, they said they really try to look after each other, they felt they have a good Manager who works hard to make the home nice. Everyone was pleased with the redecoration including the palliative care bedrooms. The home continues to offer a relaxed and open, yet professional, atmosphere observed each time the Inspector has visited the home. Residents finances that were case tracked showed good details of all transaction of monies managed by the home on behalf of Residents. The finance officer described the improvements made to records showing clear simple methods to audit trail each Resident’s finances that provided accurate accounts. The Manager had organised regular Staff meetings. This makes sure that Staff members have a regular forum to discuss issues that may affect the service provided to Residents and the implementation of polices, procedures and practices within the home. The minutes of these meeting dated 15/1/07 and 16/3/07 showed good details around all topics at the home including, activities, audits, and health and safety issues. The Manager had developed and organised a visual training plan situated in her office, which is very organised and has details for various training that has been booked. This helped to show how Staff are developed and kept up to date with training organised by the home. The Manager has been able to show good investment in providing both mandatory and development training for all of her Staff including management training for one senior carer. The Manager and Deputy have already achieved their higher qualification in management at level 4. Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 24 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 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 x X 3 X x 4 Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NONE 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parr Nursing Home DS0000005466.V331715.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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
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