Inspection on 12/07/05 for Parton House

This inspection was carried out on 12th July 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

Parton House 27/10/08

Parton House 10/12/07

Parton House 20/11/06

Parton House 05/12/05

Parton House 05/01/05

Parton House 03/08/04

Parton House 08/03/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Parton House Parton Road Churchdown Gloucester GL3 2JE Lead Inspector Ruth Wilcox Unannounced 12 July 2005, 09:00 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 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. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parton House Address Parton Road Churchdown Gloucester GL3 2JE 01452 856779 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) CTCH Ltd Mrs Margaret Littler Care Home 23 Category(ies) of OP old age (23) registration, with number of places Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5/1/05 Brief Description of the Service: Parton House is a care home currently providing personal care for 23 older people over the age of 65 years. Nursing care can be accessed from community resources if needed. The home is situated in a semi-rural location in the village of Churchdown, which is between Cheltenham and Gloucester. It is owned and managed by CTCH Ltd. The home is an older style property, which has been adapted and extended for its current purpose, and is set in large grounds. Service users’ bedrooms are situated on two floors, which are accessible with a shaft lift or staircase. All bedrooms have en-suite facilities, and there are separate assisted bathing facilities available. Extensive construction work is progressing well to build a new extension to the property. The communal space and numbers of residents’ rooms will be increased, and there will be an addition of a hairdressing salon, an activities room, a new kitchen, additional assisted bathing facilities, sluice room, and improved laundry and staff facilities. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced inspection over four hours on one day in July. The Registered Manager was present throughout the inspection, providing assistance where required. The Proprietor was also present at the home, whilst overseeing the extensive construction work being carried out to increase and further enhance services at Parton House. The home appeared organised, was very welcoming, relaxed and homely. Care records, the standard of meals, and the opportunities for residents to pursue independence and choices were inspected, as were the training opportunities for staff, the policies and procedures for protecting the rights of vulnerable residents, and the quality monitoring systems. A tour of the premises took place, which included the new build, and staff were observed going about their duties whilst interacting with the residents. The care of three residents in particular was closely looked at. Ten residents were spoken to directly to obtain their view of the care and services they receive in the home. There was direct contact with five staff, all of whom were very welcoming and helpful, and were open to the inspection process. It is to the home’s credit that no requirements have been issued following this inspection. What the service does well: Prospective residents and their families are welcome to view the home before choosing it, with their particular needs fully understood before admission. The home has a relaxed and inclusive atmosphere, and provides a homely environment for those living there. Residents are very appreciative of the full respect that is shown by the staff towards their personal choices and independence; staff should be commended for the manner in which support is given to the residents in this regard. Access to health care services in the community is ensured, with records of residents’ health and personal needs documented in a personal plan of care. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 6 A good standard and choice of food is provided, with residents’ satisfaction levels high. The staff team have good opportunities for enhancing their skills and knowledge through professional training, and all have undergone specific training for the protection of vulnerable older adults. The construction work currently being carried out to the rear of the home is designed to increase the size and improve the facilities at Parton House for existing and future residents. What has improved since the last inspection? What they could do better: Although residents’ care plans are regularly reviewed, the results of reviews could be written in more detail, giving a better indication of progress and changes for the resident concerned; staff should be mindful of this when undertaking this task. Some parts of the home’s décor and carpeting appear worn, but this is all due for refurbishment as part of the overall project to enlarge and improve the home, and will be addressed in the fullness of time. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 7 The systems for monitoring quality of services and residents’ satisfaction levels could be improved by the re-introduction of the Resident Satisfaction surveys, which have been used in the home in the past; this would enable residents to have more of ‘a voice’ in how their home is run. 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. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 8 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 Standards Statutory Requirements Identified During the Inspection Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 9 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 standard(s) 3, 5 & 6. The home’s admission procedure ensures that all residents, or their representative, can view the home before choosing to live there, and are admitted on the basis of a full assessment of their needs, ensuring that they can receive the care that they require. EVIDENCE: Residents are admitted to the home on the basis of a fully documented assessment of their personal needs, which can be performed in hospital or in the person’s own home, as appropriate; the assessment tool used for the two most recent admissions was seen to be comprehensive. The most recently admitted resident said she had not actually viewed the home herself before coming in, but that her daughter had visited it to see what it was like before choosing it. Service users can stay in the home on a trial basis, the length of which can be determined and made flexible according to the individual’s needs and wishes. Inspection of records confirmed that other helpful information is obtained prior to residents’ admission, such as the Social Services care plan, where applicable. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 10 Parton House does not provide intermediate care. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 11 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 standard(s) 7, 8 & 10. There is a consistent care planning system in place, which adequately provides staff with the information they need to satisfactorily meet service users’ health and personal needs. Care and support is offered in such a way as to promote the privacy and dignity of the individual. EVIDENCE: Residents have a documented plan of care, which is based directly on an assessment of their personal and health needs. Care plans are written in consultation with the resident concerned, and are regularly reviewed; three were chosen as part of a case tracking exercise. Care plans documented actions for staff to follow, and a variety of appropriate health care professional interventions were also recorded where appropriate. One resident was receiving regular Community Nurse visits for wound management, and on this day said that she was going out to the hospital clinic for review. General Practitioner visits were recorded in all records. Risk assessments, with associated care planning and provision of necessary equipment were seen. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 12 Reviews of care plans, though regular, were not recorded in much detail, and should be more informative and meaningful. Care plans are written in a sensitive way, and show due regard for the privacy and dignity of the individual. Residents spoken to were very satisfied with the care they receive, confirming that staff are respectful of their needs and choices. One person said that ‘they were wonderfully kind’. Others said that ‘the staff were jolly and helpful’, and that they were ‘very respectful regarding their privacy’. Staff were seen to be attentive and respectful during their contact with the service residents. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 13 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 standard(s) 14 & 15. The consideration and respect that is shown by staff towards residents ensures that residents are able to exercise control and choice in their daily lives. Dietary needs of residents are well catered for, with a balanced and varied selection of food available that meets their tastes and choices. EVIDENCE: Residents were choosing how and where to spend their time, and confirmed that staff are fully respectful of this. Several spoke about the ‘freedom of choice’ that they enjoy, with two people saying that they are ‘so glad of the opportunity to do as we please’. Another said that ‘staff know our likes and dislikes well, and do not interfere with what we want to do’. Residents are able to source community services, such as their own dentist and optician if they do not wish to use services sourced by the home. One resident was managing his own affairs with the support of an advocate, whilst some have the support of their family; advocacy and support agencies information is made available to residents and their families, which may be of interest to some. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 14 Menus show a range of varied and nutritious meals available for residents, and observation of the lunch confirmed that they are also offered choice with their meals. A list of individuals’ choices is devised daily, and the Cook was preparing meals on this basis; diabetic alternatives were also prepared. The meal looked wholesome and appetising, and residents confirmed their enjoyment of it; residents, without exception spoke positively about the quality and quantity of food provided for them; comments included ‘it’s good, plain cooking’, ‘I always look forward to my meals’, and ‘there is too much good food!’. Staff were attentive and were offering assistance where necessary. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 15 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 standard(s) 16 & 18. The home has a satisfactory complaints system, with evidence that residents feel that any concerns they may have are listened to and acted upon. The home’s Adult Protection policies and staff’s knowledge and awareness of them helps to provide a safe environment, with the rights of those living in the home upheld. EVIDENCE: Information on how to make a complaint is included in the Service User’s Guide, with a copy of the complaints procedure displayed on the public notice board; it was recommended that this notice be displayed in a more prominent position on the board, to increase its accessibility. Residents confirmed that staff were always most attentive to them, and are eager to help them in any way. There were no formal complaints recorded in the register to inspect. The home has written policies and procedures for the protection of vulnerable adults, and has copies of other relevant documents and information available. Staff receive mandatory training in abuse at induction and during the NVQ programme; all staff spoken to confirmed their training, and were aware of the Whistleblowing procedures to follow if they had any concerns. One resident is receiving confidential advice and support from his solicitor to manage his affairs, and the home has also sourced an advocate to assist him. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 16 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 standard(s) 19 & 25. Major investment in the home will greatly enhance the accommodation and services for existing and future residents, and recent work has improved the safety of the environment for those living there now. EVIDENCE: The home is currently undergoing major construction work to enlarge it, and to increase facilities and services. The Proprietor was able to provide a tour of the extension work, and evidently good progress has been made. The building will provide an additional 13 en-suite bedrooms, a large lounge and dining room, more assisted toilets and bathrooms, a kitchen, hair salon, and home cinema, and outside terraces. Landscaping has begun to the front gardens. In the meantime, the existing part of the home continues to have maintenance support, with records of all maintenance and repairs kept. Certain areas of the existing home are to be refurbished and re-carpeted when the work is completed. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 17 Since the last inspection there has been a major undertaking to make hot radiators safe with the provision of attractive and functional guards. The Proprietor has confirmed that hot water is stored at appropriate temperatures to prevent the colonisation of Legionella, and that major works are being carried out to the water system as a whole, as part of the building works. Records show that random monitoring of water temperatures is carried out. Upper level windows have a restricted opening as a safety measure. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 & 30. The arrangements for induction and continued professional development of staff are good, enabling them to have a good understanding of their roles. EVIDENCE: New staff receive a structured induction training within the first six weeks of employment with an external training provider, plus additional in-house training, and access and support with the NVQ programme. Training records show that there are regular opportunities for staff to have a range of mandatory and optional training, in order that they have the necessary skills for their work. There is also an evidently strong commitment to the NVQ programme, with six staff qualified to level 2 as a minimum, and three others currently working towards level 2. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 & 34. The introduction of a self-audit tool for the home to monitor levels of service for the residents could be further improved by increasing the frequency with which the views of residents and relatives are formally sought. The overall management, including the business management, has ensured safeguards for those living in the home. EVIDENCE: The Manager is registered with the CSCI, has achieved the Registered Manager’s award, and has recently completed the NVQ level 4 in care. She maintains her continued professional development by sourcing further training, and has recently done a ‘Positive Dementia Care’ distance learning course. It has been reported that CTCH Ltd is introducing a series of self-audit assessment tools into the home as part of a quality assurance monitoring system. The Manager will assess the home’s performance in nine separate areas, which relate to the National Minimum Standards. The results will then Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 20 be followed up by the Group Care Manager, discussed with the Manager and an action plan drawn up to address any areas of concern. Resident satisfaction questionnaires have previously been given to residents to complete, in order to measure levels of satisfaction with the services and care offered at the home, however this has not been done for some significant time now. Residents themselves said that the Manager and staff are very helpful, and will do all they can to address any comments or concerns they may have. Recorded minutes of residents’ meetings show that their views and opinions about services in the home are sought. Robust financial and business management systems are in place, with the centre for business activity being focused in the head office at Cedar Lodge. The Proprietor and General Manager do the financial planning for Parton House, with only limited budgetary responsibility devolved to the home Manager; she is consulted about her ideas and requests for additional anticipated expenditure for each forthcoming year. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 4 15 3 COMPLAINTS AND PROTECTION 3 x x x x x 3 x STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 3 x x x x Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 22 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 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. 1. 2. 3. Refer to Standard 7 16 33 Good Practice Recommendations Staff should record care plan reviews in greater detail, making them more meaningful and informative. The homes written complaints procedure should be displayed in a more prominent position to make it more accessible. The home should re-introduce the Resident Satisfaction survey as part of the quality assurance monitoring programme. Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester GL3 4AB 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 Parton House D51_D03_s16532_Parton House_V233625_120705_stage 4.doc Version 1.30 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!