Inspection on 12/09/05 for Parry House

This inspection was carried out on 12th September 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

Parry House 25/04/05

Parry House 13/09/04

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Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Parry House 15 Huckleberry Close Purley on Thames Berkshire RG8 8EH Lead Inspector Susan Cledwyn-Davies Unannounced Inspection 12th September 2005 10:10 Parry House DS0000057633.V249349.R01.S.doc Version 5.0 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 Parry House DS0000057633.V249349.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 Adults 18-65. 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. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parry House Address 15 Huckleberry Close Purley on Thames Berkshire RG8 8EH 0118 942 7608 0118 942 6671 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) Purley Park Trust Limited Miss Alison Claire Parfitt Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8), Physical disability (2) of places Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents with the PD category only to be accommodated in ground floor bedrooms. 25th April 2005 Date of last inspection Brief Description of the Service: Parry House is a two storey eight-bedded unit providing residential and day care support to adults with learning disabilities. The house provides care support to residents with learning disabilities both men and women. Each resident has their own personalised bedroom with en-suite shower rooms and toilets. There is an assisted bath that is available to all residents. Parry House is part of Purley Park Trust. Purley Park Trust has eight registered Homes, comprising of a variety of accommodation and support facilities. All of these homes are situated in Purley Park. All residents will have access to the grounds and other services provided by the Trust including, horticultural therapy, day services, social, recreational and leisure pursuits and the on site club house. Local facilities accessed include shoopping facilities and the local village including Church. Parry House DS0000057633.V249349.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 between 10.10am and 2.30pm. Included in the inspection was a partial tour of the home, conversation with residents, discussion with staff and examination of records. A meeting has previously been held to ask the people living in this home the preferred title between service users, residents and clients. The name resident was chosen and is the term used in this report. What the service does well: 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. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4and 5. Prospective service users have the information they need about the home. Their individual needs and aspirations are assessed and prospective service users know the home can meet their needs. There are opportunities to visit the home and an individual written contract given. EVIDENCE: The statement of purpose and service user guide have been updated and given to all residents. Each resident has a written contract. There has been one resident admitted to the home since the last inspection. There are comprehensive notes demonstrating that a lot of contact and discussion before admission. He had visited prior to coming in to the home. The resident has settled in well and is happy in the home. The review following admission had taken place and the resident’s aims had been supported and were happening e.g. to visit his father weekly. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10. Residents’ needs are assessed and personal goals encouraged. Residents are given assistance to manage their finances. Risk taking is assessed and supported. Information is kept securely. EVIDENCE: One care plan was inspected in detail. Reviews took place including the resident and all involved people. There are clear aims and objectives that the home is working towards. In discussion with the resident these some of the aims are being achieved already. Records are kept of residents finance held by the manager and staff. These include credits and debits plus receipts. Risk assessments are completed and reviewed as necessary. These assessments are used to support residents increasing their independence. Confidential information and money is kept in a locking cabinet. The key was not working properly during the visit. Staff advised that the lock was repaired by the end of the day so the key could be kept in the key safe. All residents have seen their own care plans. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 and 15 Residents are encouraged to be part of the local community. Residents take part in appropriate and varied activities. Residents have appropriate personal, family and sexual relationships. EVIDENCE: Residents take part in a variety of activities. These include practical activities on the site such as gardening, art and craft. Training in household skills including budgets also takes place. Parties are held in the house plus people are invited to visit. In the clubroom there are large parties arranged plus showings of films and sports. On a Monday night there is a club night and all residents on the site are invited. Residents also attend local colleges for courses and activities. Local sessions of bowling are popular. Contact with families is encouraged, either by telephoning or visiting. Residents are enabled to vote in local and national elections. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents receive personal support in the way they prefer. EVIDENCE: Residents’ preferences are respected. Residents choose their own clothes when shopping and when dressing daily. Staff support these decisions and ensure that clothes are clean and in good condition. Personal support is given in private. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents feel their views are listened to and acted on. EVIDENCE: There have been no complaints. There is a clear and comprehensive complaints procedure. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home is comfortable, well decorated and furnished. The home is clean and hygienic. EVIDENCE: The house continues to look good and be a comfortable home for residents. Changes are made, furniture moved etc. as residents needs and use of the home change. Individual residents bedrooms reflect their interests. The home is clean and tidy. Since the last inspection a housekeeper has started cleaning the bathrooms and corridors to assist staff. Staff confirmed that this was very helpful and appreciated. In discussion with staff the COSHH guidelines detailing action to take if there is an accident with cleaning fluids were not available. A requirement is made for them to be in place. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34 and 35 There is an effective staff team. Recruitment practice is safe and staff receive appropriate training. EVIDENCE: The staff rota showed that there were mostly three carers in the morning and two carers in the afternoon. At night one member of staff slept in and there was a visit by the waking night staff during the night to one resident. This staffing level provides satisfactory care for the group of residents who all have different needs. Staff recruitment files were seen. The records seen included all the necessary checks including application forms, references, CRB checks, contract information and other relevant letters. Recruitment files are kept centrally in the main office. The staff team works well together. Communication is good; there is an established system of staff meetings weekly. Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 The home is well run. EVIDENCE: A new manager has been appointed and has applied for registration. The new manager is well qualified and experienced for the role. Staff spoke well of the management style. Parry House DS0000057633.V249349.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parry House Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000057633.V249349.R01.S.doc Version 5.0 Page 16 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 30 Regulation 13 Requirement That COSHH guidelines for cleaning products are available in the home. Timescale for action 01/10/05 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 Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Parry House DS0000057633.V249349.R01.S.doc Version 5.0 Page 18 - 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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