Inspection on 05/12/05 for Parton House

This inspection was carried out on 5th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 12/07/05

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 Glos GL3 2JE Lead Inspector Ms Gill Goldfinch Unannounced Inspection 5th December 2005 2.00 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 Parton House DS0000016532.V271343.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. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parton House Address Parton Road Churchdown Gloucester Glos GL3 2JE 01452 856779 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) CTCH Ltd Mrs Margaret Littler Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 Brief Description of the Service: Parton House is registered to provide personal care for 36 older people over the age of 65 years. The home is situated in a semi-rural location in the village of Churchdown, 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. An additional extension to the property has recently been completed. This provides additional communal space and an additional 13 bedrooms, a hairdressing salon, an activities room, a new kitchen, additional assisted bathing facilities, a sluice room, and improved laundry and staff facilities. Service users bedrooms are situated on two floors, which are accessible via shaft lift or staircase. All bedrooms have en-suite facilities, and there are separate assisted bathing facilities available. Parton House DS0000016532.V271343.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 four hours from mid afternoon to early evening. The inspection was carried out as part of the regular planned program of inspections and was unannounced. Assessment records were inspected along with the medication system, staff recruitment files and the complaints procedure. Some areas of the new extension were seen: these included the lounge and dining room. Some aspects of health and safety were inspected. The registered manager and eight of the service users were spoken to during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Review the arrangements for the storage of stock medication and dispose of medicines no longer in use in the home. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 6 For the safety of service users arrange for fire safety signs explaining what to do in the event of a fire to be posted around the new extension. Revise the existing fire safety risk assessment to include the new extension. Risk assess the log burner and take necessary action to minimise any identified risks to ensure the continued health and safety of service users. 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 DS0000016532.V271343.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 Parton House DS0000016532.V271343.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): 1,2 and 3 Information about the home was provided to prospective service users and their representatives. There was an explicit terms and conditions of residence provided for each service user at the time of admission. Arrangements were in place for assessment of service users needs prior to admission to ensure the home is suitable for them and can meet their care needs. EVIDENCE: The home has a Statement of Purpose and Service User Guide. The Statement of Purpose and brochure are given to all prospective service users and their representatives at the point of enquiry. The Service User Guide is given when the individual has accepted a place. These documents are kept by each service user. The registered manager requests that service users read the documents, and sign to say they have received and read them. These documents should be updated to reflect the recent changes to the premises. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 9 There was an explicit terms and conditions of residence provided for each service user at the time of admission. Service users spoken to were able to remember receiving this document. Assessments were available on the files of two recently admitted service users. The assessment tool used was comprehensive and the assessments seen contained good basic information about the needs of the two individuals. These were to be used to form the basis of the care plans. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 10 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): 9 and 11 There were policies and procedures in place for the safe administration of medication. The privacy and dignity of the service user who is dying is maintained at all times. EVIDENCE: Clear guidance was provided for staff through policy, procedure and training on receipt, recording, storage, handling, administration and disposal of medicines. The home uses the blister pack system provided by the pharmacist. The registered manager stated the pharmacist provided good support to the home. All staff responsible for the administration of medication had undertaken training in the safe administration of medicines. Medication used on a daily basis was being appropriately stored. Medications in need of refrigeration were suitable stored. Fridge temperatures were being monitored and recorded. Controlled drugs were appropriately stored and the controlled drugs register showed they were being administered appropriately. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 11 Records of the administration of medication were checked and found to be in order. Service users are able to take control of their own medication if they wish, within a risk management framework. There were records kept of use of homely remedies. There was a protocol in place for the use of medication prescribed on an ‘as and when required’ basis. There was a metal cupboard in the home, being used as a store cupboard for stock medication. This cupboard was found to contain out of date medication and medication which was no longer being used by the individual for whom it was prescribed. A review of the medication contained in this store cupboard must take place as soon as possible. All unused or outdated medication must be returned to the pharmacy. It is good practice to keep only minimal amounts of stock medication in the home at any one time. The new format for care planning included a section for the documentation of service users wishes concerning arrangements after death. Discussion with the registered manager indicated that the terminal phase and death of a service user is handled with sensitivity and due care. Most staff had received training in bereavement through NVQ training. The local funeral director has also provided training in relation to loss and grief. Recommendation made at the last inspection for staff to record care plan reviews in greater detail was being met. Two care plans were examined and contained care reviews, details of what was reviewed, outcomes and amendment to the care plan where necessary. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 12 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 and 13 Service users were able to choose their daily routine and there were activities available for them to join in if they wished to do so. The home maintains links with the local community and service users are encouraged to maintain existing links and develop new ones as they wish. Visitors were welcome in the home. EVIDENCE: Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 13 There was evidence that leisure and recreational activities were focussed on an individual basis to suit individual preferences and needs. One service user regularly attends the Blind College, another the Women’s Institute and another a luncheon club in the community. One service user explained how he felt supported by staff to pursue his passion for music. Two of the service users spoken to said they would like to see more activities taking place in the home and more trips out. The registered manager holds bi-monthly meetings for service users during which preferences for activities and recreation are discussed. Minutes are kept of the meetings and each service user is provided with a copy. A copy is also displayed on the service users notice board. A record of activities provided in the home is maintained. Recorded in this were regular music and movement classes providing opportunity for physical exercise. Visits to the home by the PAT dog service. Religious services. The new extension to the home includes a cinema room with a big screen. The room was waiting delivery of chairs before it could be used. Residents spoken to were looking forward to the film shows. The home has access to use of a minibus, which is shared with other homes within the organisation. Visitors were welcomed into the home at any reasonable time, service users spoken to were able to confirm this. One service user stated, “My family visit often and are always welcomed by staff ”. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 14 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 The home has a satisfactory complaints system, with evidence that service users feel that any concerns they may have are listened to and acted upon. EVIDENCE: A complaints procedure was available in the home and the service users who were spoken to felt confident the registered manager would listen to them. A copy of the complaints procedure is provided to each service user and their representatives at the time of admission. A record of complaints was being kept. There was documentary evidence that a complaint received on 9/9/05 concerning staff attitude had been fully investigated and concluded. The registered manager stated that a complaint received by the home via the Commission for Social Care Inspection concerning the room temperature in one of the lounges had been fully investigated and was concluded. There was no documentary evidence about the complaint or the investigation, as is required. This was discussed with the registered manager. On the day of inspection the temperature in the home was warm. Service users spoken to stated the home was appropriately heated. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 15 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 and 25 There is evidence of improvement within the environment to provide the service users with a comfortable home. Heating arrangements in the new lounge require risk assessment and action to be taken to ensure the continued safety of service users. EVIDENCE: Major building work has been completed since the last inspection. The new extension is built to a very high standard offering all single en suite accommodation, a large lounge and dining room, more assisted toilets and bathrooms, a kitchen, hair salon, home cinema, and outside terraces. Service users spoken to were delighted with the new accommodation. In the new lounge a fireplace has been built and fitted with a log burner. The log burner had not been fitted with a fireguard. When in use the surface of the log burner will become hot, potentially placing the safety of service users at Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 16 risk, were they to touch or fall against it. This was discussed with the registered manager who confirmed that the situation would be risk assessed and any necessary action taken to minimise identified risk and safeguard the service users. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 17 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 and 29 There were sufficient staff on duty to meet the assessed needs of the service users. Staff were provided with appropriate training and had the skills necessary to undertake their duties. Recruitment policies and practices ensure staff are thoroughly checked prior to employment, providing good protection to service users. EVIDENCE: There were three carers and one manager on duty. The registered manager stated new staff were in the process of being recruited in line with the expected increase in service users. Staffing numbers will increase as new service users are admitted to the home. The registered manager had a strategy in place for the effective management of this situation. Training records showed that regular opportunities are provided for staff to receive a range of mandatory and optional training to gain the skills necessary to do their job. A selection of staff recruitment files were inspected and found to contain the required information. All the required checks were in place. This ensures the safety of service users. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 18 All service users spoken to expressed their satisfaction with the care they received, and all spoke highly of the staff. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 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 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): 35 and 38 Systems were in place to safeguard service users finances. Staff were trained in health and safety. Safe working practices were in place but not being fully implemented in respect of fire safety. EVIDENCE: Service users were encouraged to manage their own financial affairs for as long as possible. The registered manager does not act as appointee in respect of service users. The General Manager at the head office of Cedar Trust Care Homes currently acts as appointee for three of the service users. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 20 The registered manager handles some personal allowances on behalf of service users. Appropriate records and receipts were being kept. It was recommended that two people sign financial records relating to the withdrawing of service users finances. Some records seen contained only one signature. Facility is made available for the safe storage of valuables. Records and receipts were kept for possessions handed over for safekeeping. Service users spoken to were happy with the arrangements made for dealing with finances. Fire safety records were inspected and showed fire safety checks to be carried out appropriately. There was a fire safety risk assessment for the home. dated to include the new building. This needs to be up- Safety procedures explaining what to do in the event of a fire were not posted in the new building. This was discussed with the registered manager who confirmed the matter would be addressed urgently. Records inspected showed health and safety training to be provided for staff at induction and ongoing as part of a rolling programme of training. Requirement made under Standard 25 of this report about risk assessment of the log burner is also applicable to this Standard. The accident records were inspected and contained the required information. The records were audited each month. Parton House DS0000016532.V271343.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X 3 X X X X X 2 X STAFFING Standard No Score 27 3 28 X 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X x x x 3 X X 2 Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 22 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 OP9 Regulation 13(2) Timescale for action The registered person shall make 31/01/06 arrangements for the safe storage of stock medication ensuring only appropriate stock is kept. The registered person shall keep 31/01/06 a record of all complaints made by the service users or representatives or relatives of service users or by persons working at the care home about the operation of the care home, and actions taken by the registered person in respect of any such complaint. The registered person shall 31/12/05 ensure that the log burner in the lounge is risk assessed and made safe in respect of any hazards it may present to the safety of service users. The registered person shall 31/01/06 revise the fire safety risk assessment to include the recently built extension to the home. The registered person shall 31/12/05 ensure that fire safety procedures are posted in the DS0000016532.V271343.R01.S.doc Version 5.0 Page 23 Requirement 2 OP16 17(2) 3 OP25 13(4)(a) 4 OP38 13 5 OP38 13 (6) Parton House new extension. 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 OP1 Good Practice Recommendations The information provided for service users and their representatives about the services offered by the home should be updated to include the recent changes to the premises. Whenever transactions are made relating to service users finances two people should be involved and both should sign the record. 2 OP35 Parton House DS0000016532.V271343.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Gloucester Office 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 DS0000016532.V271343.R01.S.doc Version 5.0 Page 25 - 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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