This inspection was carried out on 8th March 2006.
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 8th March 2006 1:00 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.V287798.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V287798.R01.S.doc Version 5.1 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.V287798.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. 4. 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). The service must employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The service is registered to have a temporary variation for one named Service User who is under 65 years of age. 24th August 2005 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.V287798.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This 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. A partial tour of the home was carried out. Care records and other care home records were inspected and general discussions took place with various residents, staff and relatives and a selection of comment cards were left. 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. What the service does well: What has improved since the last inspection?
The home has a very high ration of NVQ trained Staff and approximately 2 staff have yet to get their NVQ qualifications out of all staff at the home including domestic and kitchen staff.
Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 Page 6 The homes staff were in the process of their RDB quality assurance award and were hoping to eventually be awarded with 5 stars. At present the home is taking part in a pilot scheme with St. Helens PCT in regularly reviewing medications over a 6 month period. Staff feel it is beneficial to the home and value the involvement of this project. The home has its own holistic therapy room used regularly by various residents. 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.V287798.R01.S.doc Version 5.1 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.V287798.R01.S.doc Version 5.1 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): Not measured at this inspection. EVIDENCE: Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 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): 7/8/9 The care plans included details for health, personal and social care needs of residents which meets all parts of these standards. The Medication Administration and storage of medicines were noted to be organised and secure. 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. One comment made from a relative and resident during the inspection praised everything about the home including the staff and nursing care, and that without their help and support they felt they wouldn’t be as well as they were currently feeling. Staff explained they are taking part in a 6 month project with St. Helens PCT and that all medications were being reviewed each week. Staff felt the benefits of these reviews especially in how they manage and administer medications. All records kept for the management of medications showed details of a safe and well managed area. Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 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): 12/13/14/15 Social activities are well managed and there are a variety of choices available for residents. Relatives explain they are made to feel welcome whenever they visit. Residents gave examples of how they are supported to make choices about their daily life. Menus are detailed with various compliments made general about meals and also the food served during this visit. 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 want to take part. Relatives explained that they are welcome to visit at any time of the day. There is 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. One resident stated clearly how they are supported in choosing what they want and was very happy with their facilities and ability to enjoy them in their own room, and feeling confident in receiving the care as needed to a very high standard. There were various compliments about the food which looked appetizing and well presented with various home made cooking offered daily. Staff state they are in the process of redoing the menus based on further consultation with residents at the home.
Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 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): 17 The Manager organises access to voting each year for all Residents who want to participate. EVIDENCE: The manager stated she is responsible for organising either postal votes or trips to voting poll. There are also details advertised on the communal notice board about “Care Aware” which some families have used in the past. This organisation can assist with residents rights. There is also a homes policy on advocacy which is also advertised in the residents booklet so it is accessible to them at all times. A recent residents meeting took place in January 06 and all parties were encouraged to air their views. Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 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): Not measured. EVIDENCE: Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 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): 27/28/29 Residents and relatives say they are very happy with the home and the care provided by staff. There is a very high ratio of staff with NVQ training. Personnel files are stored appropriately with the necessary details. EVIDENCE: Residents and relatives 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. Most staff had worked at the home for many years and offered a great stability to the workforce. Staff rotas reflected the usual amount of staff on duty to give the care needed to all residents. The manager produced detailed records of recent training provided for all staff covering a wide range of topics from “podiatry” to “nutrition”. Some of the trained Nurses had attended a 4 day intensive course with the PCT covering “Care of the older person”. The manager stated they had a very high ratio of staff with NVQ qualifications and out of the whole staff team just 2 members have not yet obtained an NVQ qualification as yet. Personnel files are detailed and were seen to keep the necessary information to protect residents including updated CRB’s and Pova checks. Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 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 The manager runs a well managed home. EVIDENCE: There were many complementary comments from both Residents, Relatives and staff regarding Matron and her team as also pointed out at previous inspections. 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. Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 3 18 x x x x x x x x x STAFFING Standard No Score 27 3 28 4 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 x x x x x x Parr Nursing Home DS0000005466.V287798.R01.S.doc Version 5.1 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.V287798.R01.S.doc Version 5.1 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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