This inspection was carried out on 24th August 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.
CARE HOMES FOR OLDER PEOPLE
Parr Nursing Home 42 Fleet Lane Parr St Helens Merseyside WA9 1SX Lead Inspector
Miss Diane Sharrock Unannounced Inspection 24th August 2005 10:00 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.V258528.R01.S.doc Version 5.0 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.V258528.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Parr Nursing Home Address 42 Fleet Lane Parr St Helens Merseyside WA9 1SX 01744 616339 01744 616339 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.V258528.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Service users to include up to 60 OP. Maximum no. registered - 60, of which up to a maximum of 55 N (nursing) and up to a maximum of 5 PC (personal care). 30/3/05 Date of last inspection 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. The Home is privately owned by 3 named individuals, and Mrs Latif is now the Registered Person for the company. The Home’s Matron is Mrs Colleen Blaney. Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place over 4.5 hours. It was an unannounced visit and was carried out as part of the regulatory requirement for care homes to be inspected at least twice a year. There has been no cause for any visits to the home since the last routine inspection in 30/03/05. A partial tour of the home was carried out. Care records and other care home records were inspected. Some Staff on duty were interviewed by the Inspector and general discussions took place with various Residents and a selection of comment cards were left and in total 10 have been received. During this unannounced inspection, feedback from everyone involved was very positive. It was evident that the Manager continues to implement all parts of the National Minimum Standards. All 10 comment cards indicated they were happy with the care. With some comments stating “The Staff have become my second family”, ”I love it here everyone is good”, ”We have a wonderful Matron very caring and helpful in every way.” What the service does well:
The home consistently meets all of the standards and offers a very good standard of care. 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. A lot of people commented on the Manager who offers an “open door policy” in which she is always available. There were lots of compliments about the Managers style of Management her “professionalism” and “respectfulness.” Some Residents described the home as the next best thing to their own home. Activities are always fully displayed and the home offer on a regular basis throughout the year organised trips to Blackpool with either overnight stays or organised events at a hotel. The health and personal care needs of residents are well met. Care staff are prompt to report any problems as they arise and contact the appropriate member of the multidisciplinary team as needed. There is a relaxed and friendly atmosphere in the home and staff provide the right level of support for residents needing assistance. The home also have a bedroom developed to provide palliative care offering fully trained staff and utilised by the Doctors for referrals from the local hospice. Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 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 the following standard(s): 1.3.5. The home provides a good standard of care and Staff carry out detailed assessments of each new Residents needs so that the appropriate care is provided at all times EVIDENCE: Relatives explained they can visit whenever they want and are always made to feel welcome. The care records for assessments for new Residents showed a detailed assessment carried out by Staff. Residents were very happy at the home. All comment cards received reflected theses views. Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 7.8.10. There continues to be progress made within care plans which include details for health, personal and social care needs of Residents which meets all parts of these standards. EVIDENCE: Residents and Relatives were happy with the care provided at the home, The care records seen had a lot of detailed information and Residents said they were happy with the care. The care records seen had a lot of detailed information to meet these standards .One comment made from a Relative during the inspection praised everything about the home including “the Staff, environment, nursing care, food, the bedrooms and the Manager and that the care is very genuine and full of love.” Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 12.13. Social activities are well managed and there are a variety of choices available for Residents. EVIDENCE: The Residents and Relatives are happy with the activities on offer and explained that they could just go to their bedroom if they didn’t t want to take part. Relatives explained that they are welcome to visit at any time of the day. The Staff explained that they try to organise an activity each day and try to do this between them. Since the home had their last inspection there have been 10 separate organised trips to Blackpool which provided a regular source of conversation for all Staff and Residents at the home. During the day of this unannounced visit the Staff were organising a Daniel O’Donnell video afternoon. It was noted that fresh supplies of cold drinks were openly available in the communal areas accessible to all Residents. There is also a large visual notice board in reception which keeps everyone informed of the events organised by the company and Staff also organise and print a monthly newsletter which is also delivered to every Residents bedroom. Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 16.18. The home has a complaints policy that Residents , Relatives and Staff know how to use. Staff are trained in “Abuse Awareness” and know about the policies that should be carried out. EVIDENCE: Staff described their policies and what they would do if there was a problem. The complaint record book was seen and gave details of any actions taken by the Manager following a complaint. One Relative explained that they discussed all issues with “Colleen the Matron who then sorts anything out.” The Staff described their recent training for making them aware of abuse and what steps to follow if they needed to carry out the policy. Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19.26. The environment is well managed and kept clean and tidy. Sufficient equipment is available for the Staff to use in ensuring that the good hygiene and cleanliness levels are maintained EVIDENCE: The home was very clean and tidy especially the sample of areas seen. The Domestic Staff say they have a good routine in which they work hard at achieving their work too a very good standard. The home had a maintenance and decorating plan which helped to show a planned approach to all parts of the home which would keep the Residents and Staff informed of changes to the home. Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 Residents and Relatives say they are very happy with the home and the care provided by Staff. EVIDENCE: Residents and Relatives say they are happy with the care and say the Staff are lovely. Everyone in the lounge was seen to be given a good level of care and respect, the atmosphere was very informal and happy were everyone was helped to feel comfortable. Most Staff had worked at the home for many years and offered a great stability to the workforce. Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31.32.33.35.38. The Manager runs a well managed Home. EVIDENCE: There were many complementary comments from both Service Users and Staff regarding Matron and her management abilities and style of management as also pointed out at previous inspections. The Manager and 2 other Staff have almost completed their NVQ level 4 in management. The Manager and her Staff have implemented all parts of the National Minimum Standards. The home had a relaxed and open, yet professional, atmosphere each time the Inspector has visited the home. It was acknowledged that the home have recently employed a new Finance Manager who has revised the whole process for managing finances at the home to ensure there are clear and accessible records are available to Matron at all time and meet all parts of the National Minimum Standards. The care home has comprehensive health and safety policies and procedures.
Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 15 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 3 X 3 X 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 X 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 x 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 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 3 X X X 3 Parr Nursing Home DS0000005466.V258528.R01.S.doc Version 5.0 Page 16 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. 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.V258528.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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