Inspection on 19/07/05 for Pearson Park Care Home

This inspection was carried out on 19th 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

Pearson Park Care Home 13/01/09

Pearson Park Care Home 19/03/08

Pearson Park Care Home 20/03/07

Pearson Park Care Home 24/01/06

Pearson Park Care Home 11/11/04

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

CARE HOMES FOR OLDER PEOPLE Pearson Park Care Home 1 - 2 Eldon Grove Beverley Road Kingston upon Hull HU5 2TJ Lead Inspector George Skinn Announced 19 July 2005 9:30 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. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Pearson Park Care Home Address 1 - 2 Eldon Grove Beverley Road Kingston upon Hull HU5 2TJ 01482 440666 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) Mrs Kim Crosskey Position Vacant Care Home 24 Category(ies) of DE(E) Dementia - over 65 (24) registration, with number of places Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. To admit one service user under pensionable age whose name is contained within the CSCI file. Date of last inspection 11/11/04 Brief Description of the Service: The Pearson Park Care Home is registered to provide personal care for older people and people with dementia up to a maximum of 24 places in total. It is located just off Beverley Road in Hull and within easy reach of a range of shops on the main road. A greater number of facilities and amenities are to be found in the city centre a short distance away. The Home is set back from the park from which it takes its name. Accommodation is provided in 10 single bedrooms and 7 shared rooms. Residents’ (service users) communal space and service areas are situated, along with some of the bedrooms, on the ground floor. The remaining bedrooms are on the first floor. Access to the first floor is via a passenger lift. There is a private, walled garden to the rear of the home and a separate car parking area. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which was conducted over 2 days. During the inspection documentation was inspected, as was the building. Residents were interviewed and some relatives were spoken with. 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. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 6 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 Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 7 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) 1, 2 & 3 Resident are provided with enough information about he home to help them decide where to live EVIDENCE: The homes Statement of Purpose and Service User clearly defines the aims and objectives of the home so enabling prospective residents to make an informed choice about moving into the home. The residents interviewed did not remember seeing a Statement of Purpose or a Service User Guide but did comment on the quality of care provided at the home; these comments were positive and included statements like “they (the staff) are very kind and caring” and “nothing is too much trouble” “I can choose how I live my life and I feel I fit in very well here”. One relative confirmed that they had seen a brochure but could not remember the content. The home has issued statements of terms and conditions these were seen to have been signed by either residents or relatives, again no residents could Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 8 remember signing these and no information was gained from relatives about signing as none were available for interview. Those residents’ files inspected contained updated copies of an assessment undertaken by the social services department. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 9 Residents’ care records ensure their personal care needs are well met by the staff group. Residents’ medication is handled safely. EVIDENCE: Each resident has a plan of care, which has been devised from the assessments; the resident or next of kin is involved in the formulation of these and subsequent reviews. Care plans set out in detail the action to be taken by staff; these are linked to individual risk assessments. Risk assessments relating to falling, moving and handling are available. Evidence was seen of residents agreeing risk assessments around smoking etc, there was no evidence however of residents or their representatives agreeing the overall plan of care. The homes procedures for handling the medication ensured that the welfare of the residents is safeguarded. Evidence indicated that the medication is checked into the building and any medication which is not taken is sent back to the Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 10 pharmacist. The medication is stored properly and staff have received in house training on the dispensing of medication. This training needs to be accredited. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 11 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) 12 Residents’ lifestyle and experiences within the home match their expectations and preferences; and satisfies their social, cultural, religious and recreational interests and needs. EVIDENCE: Evidence indicates that the home is flexible in its daily routines and activities in accordance with individuals needs and wishes. This aspect of care is now documented within the care plan of each individual. Discussion with staff and service users indicate that activities are now frequent and that the home now provide activities that they would choose to participate in. Discussion with the provider indicated has developed activities i.e. staff taking service users for a walk. Resident spoken with said that enjoyed these activities and were free to choose if they participated or not. One resident had been for a walk and commented that this was frequent activity, which she enjoyed. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 12 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) 18 Both relatives and resident knew whom to complaint to and had confidence that their complaints would be taken seriously. The residents are protected from abuse. EVIDENCE: There are policies for staff to follow regarding physical or verbal aggression by service users, and also regarding the use of restraint and whistle blowing. The registered provider is intending to include protection of vulnerable adults part of the mandatory training for staff Staff and residents were confident that then registered provider would take any allegation seriously and would take the appropriate steps to ensure the safety of the residents. When interviewed the residents were very clear about who they could complaint to and comments included “I feel safe here” I would complaint to ……. She is the boss” Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 13 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) 20, 22, 23, 24, 25 & 26 The residents live in surroundings that are maintained to a satisfactory standard and are provided with equipment to meet their needs. EVIDENCE: Resident commented on being comfortable at the home and being in rooms of their choosing. They also commented on being able to bring furniture with them one resident said “it makes it more like home”. All communal areas, all rooms on the ground floor and most rooms on the first floor are accessible to service users either by means of two staircases or via the passenger lift. Handrails are provided around the home. There was no evidence that a suitably qualified person has assessed the home. The registered provider has provided some signs around the home in line with service users’ assessed needs, however this needs to developed taking into account the needs of those with hearing impairment, visual impairment and dementia. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 14 Bedrooms contain service users’ own possessions in varying degrees and contained the furniture which they feel meet their needs. Doors to service users’ private accommodation are now fitted with locks and there is lockable space within service users’ rooms. There are two en suite facilities in the home. Inspection of the premises found it to be clean and tidy. Evidence was seen of the homes policy and procedure regarding infection control. Staff have Personal Protective Equipment, cleaning materials and policies and procedures to follow on hygiene for the kitchen and bathroom/toilet areas. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 15 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) 27 & 30 Staff in enough numbers to meet the needs of the residents; they are provided with routine training however this needs to be enhanced. EVIDENCE: It was found during the inspection that the rotas which are now in operation at the home ensure that there are enough staff on duty with the appropriate skillmix to met the needs of the residents. Training records examined indicate that staff are now receiving necessary basic training e.g. health and safety, first aid, basic food hygiene, fire safety and moving and handling. Training for staff does not currently meet the TOPSS standards for induction and foundation. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 16 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) 33, 35, 36, 37 & 38 Resident live in a home which is well managed and run in their best interests; however a more formal system of assessing this needs to be developed. EVIDENCE: Residents commented on being happy within the home and some said they had real feeling of belonging one resident said “I feel like part of the home” The home does not have a formal and documented quality assurance system. There is a policy and procedure in place for handling of service users money. Personal allowance of service users are held in one bank account, which accrues no interest Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 17 A selection of records were checked and appropriate records and receipts are kept. A sample of service users personal allowances held in the home was checked and found to balance with written records. There are secure facilities for the safekeeping of money and valuables. The registered visits the home on a daily basis and understands that a report must be compiled in accordance with regulation 26 of the Care Homes Regulations 2001 Health and safety policies were available for inspection. Inspections of the fire records indicate that drills and tests are carried out on a regular basis. Current maintenance records were available for the gas boiler and equipment, the bath and lifting hoists. Risk assessments had been carried out for all aspects of the home’s business: these covered service users and staff. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 18 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 3 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION x x x 2 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 2 x 3 2 3 3 Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 19 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 22 Regulation 23 Requirement The registered person must ensure that a suitably qualified person must carry out an assessment of the home. The registered person must ensure that the home’s training programme meets the requirements of the National Training Organisation. The registered person must develop a quality assurance system, the results of which must be published and circulated to relevant parties. A copy of the findings must be sent to the CSCI. That the registered provider prepares a written report following a visit carried out under Regulation 26, a copy of which is supplied to the Commission. Timescale for action jan 2006 2. 30 18 & 19 Jan 2006 3. 33 24 Jan 2006 4. 36 26 Jan 2006 5. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 20 No. 1. Refer to Standard Good Practice Recommendations Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Pearson Park Care Home J54_s61233_Pearson Park_v228756_190705_Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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