Inspection on 25/04/05 for Parry House

This inspection was carried out on 25th April 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 12/09/05

Parry House 13/09/04

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Dalewood Respite Care

Orchard,The

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Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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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 Hazel Road Purley on Thames RG8 8BU Lead Inspector Susan Cledwyn-Davies Unannounced inspection 25th April 2005 11.15am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Parry House Address 15 Huckleberry Close, Purley on Thames, Berks, RG8 8EH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0118 942 7608 Purley Park Trust Ms Alison Parfitt Care Home 8 Category(ies) of Learning Disability (LD) registration, with number of places Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: One service user may be over 65 years of age. Date of last inspection 13.9.04 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 to residents with learning diabilities both men and women. Each resident has their own personalised bedroom with en-suite shower rooms and toilets, with sanitary and bathing equipment adapted to their individual needs. 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 h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place between 11.15am and 4.40pm. Included in the inspection was a tour of the home, discussion with residents and 3 staff and examination of records. There are 7 residents in the home, with one vacancy. A meeting was held prior to this visit to ask people living in this home the preferred title between service users, resident and client. The name resident was chosen and this term is therefore used throughout the 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 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 standard(s) NIL EVIDENCE: No standards were covered in this section. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 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 standard(s) 6, 7, 8 and 9 Residents’ needs are assessed and an individual plan prepared. Residents make decisions about their lives and participate in all aspects of the home. Residents are supported to take risks by staff but records do not reflect this consideration. EVIDENCE: Three care plans were inspected. All residents have a key worker and individual residents know this person. Care plans are actively reviewed and an annual cycle is in place to ensure that the annual review takes place. At 6 monthly intervals there is an internal review of which relatives/involved people are informed. The care plans include an assessment of need and residents’ views are central to the process. Risk assessments seen were in place but not all reviewed at a minimum annually. One resident who was admitted to the home last year in August is still using the risk assessments from the previous home. There is a weekly meeting of all residents to discuss activities and the running of the home. Residents spoke of taking part in the home and finding staff supportive and helpful of their ideas. The inspector observed that staff were proactive in encouraging residents to be involved in their home. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 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 standard(s) 12, 13, 15, 16 and 17. Residents take part in a variety of activities both on and off the site. Personal and family relationships are encouraged and supported. Individual rights and responsibilities are recognised. Residents are offered and enjoy healthy meals. EVIDENCE: At the time of the visit 2 residents were out shopping with staff. Residents have a variety of activities available. On site the clubhouse has various groups arranged e.g. art group, women’s group, plus a horticulture centre. There are 3 activities organisers on the site and they also arrange trips and activities away from the site. Local colleges and day centres are included. Key workers have an important role in accessing the right activities/courses for individuals. Transport is arranged to the local church for Services. There are a number of cars and buses on site but in discussion with the staff there are trying to obtain more transport. The residents are now much more Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 10 used to going out and using community resources and enjoy this. An expectation of quality of life is being established and staff are advising the senior management of the shortage of transport. They have been advised that this is being investigated. It is to the credit of the staff that have actively encouraged residents to be more adventurous that this shortage is now appearing. All residents except one have a holiday arranged. The remaining resident prefers shorter trips away. Residents’ discussions, staff discussions and observation during the day confirmed that residents’ daily routines are flexible and respect individuals’ choice. Residents and records confirmed that there is contact with relatives both with them visiting the house and residents Residents prepare a discussed Residents enjoyed the meals, some helping with preparation. Residents helped new monthly menu including individuals’ likes and dislikes. It was with staff to work towards weekly menu planning with residents. spoke well of the meals, enjoying them. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 11 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 standard(s) 18,19, 20 and 21. Residents personal support is given individually and health care needs are met. Medication practice is safe and secure. A recent death of a resident was managed with respect. EVIDENCE: Personal support is provided to residents individually. Residents’ bedrooms are the main area for care support. Staff encourage residents to make individual choices; choosing their own clothes in the shops and choosing the clothes to wear each day. Residents confirmed that their choice is respected. Health care needs are met by a local GP surgery; annual medical checks take place. Records confirmed this. Medication storage and recording were safe, secure and orderly. Recently 2 members of staff, one acting as a witness, now administer all medication. There is now a record of initial medication training including observation. Recently one resident has died. This was following a long period of illness and admission to hospital. Residents and staff maintained contact with this resident until the end. Staff attended the funeral; residents by their own choice did not. The Care manager told all residents about the death individually. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 12 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 standard(s) 22 and 23 Residents are listened to and views are acted upon. Residents are protected from abuse and neglect. EVIDENCE: All residents are aware of the complaints procedure. Key workers have explained this individually. There is a comprehensive complaints procedure within the home. Staff have attended Protection of vulnerable adults training and are clear that their role is to protect residents, advising management if there is a concern. Residents spoke well of the care provided and support given. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 13 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 standard(s) 24 and 30 The home provides a comfortable and safe environment for residents. The house is well decorated and maintained. The house is clean and hygienic. EVIDENCE: The house is now looking well established. Individual bedrooms reflect personal tastes and interests. Residents were happy to show me their rooms and demonstrated their liking for possessions in them. The house was clean and fresh smelling. There is a concern that one en suite shower is overflowing onto the carpet. Staff clean this as well as possible. The builders of the home are still completing post completion work and this is being looked into. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 and 36 The staff team is adequate to support the residents. Staff are appropriately trained and supervised. EVIDENCE: The staff rota demonstrated that satisfactory staff were on duty. Since the last inspection the minimum staffing has increased from one to two carers on duty during the waking day. At night there is one sleep-in member of staff plus the awake night carer calls in to the house. The staff team is now complete. All staff confirmed that supervision took place regularly and was found helpful. Records were not seen. Training records have improved; a new computerised system is being brought into use fro the whole site. NVQ training has been encouraged and most staff are now starting or have completed this training. There have been a number of short courses this year already updating the mandatory training. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39 and 42 The home is well run; residents’ views are actively sought and followed. The health and welfare of residents is promoted. EVIDENCE: The manager also acts as Training manager for the site. An experienced team leader supports her in the home. The role as Training officer is important so a Manager is now being appointed for the home to release the existing Manager to be full time in the Training role. The quality assurance programme is being developed. Development plans for the home have recently been started. These are clear straightforward plans fro the next year including main items of work and future planning. All staff have access this and are able to add to it. Quality assurance questionnaires have been developed for residents, relatives and other involved people. These will be used in the near future. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 16 Health and safety is well supported. Records were seen of water temperature checks, fire safety checks, food consumed and menus, plus fridge and freezer temperatures. Staff manage well a variety of different behaviours and care needs. No formal training on the management of challenging behaviour has been given. It is required that this be put in place to protect both residents and staff. Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parry House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 2 x h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 18 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. 2. Standard 9 42 Regulation 13 18 Requirement That risk assessments are prepared and reviewed for all residents. That all staff have training on the management of challenging behaviour. Timescale for action 1.6.05 1.11.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Parry House h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection 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 h52-H01-S57633-15 Hucklebury Close Parry House-V212662-250405-Stage 4.doc Version 1.20 Page 20 - 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. 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