Inspection on 20/03/07 for Pearson Park Care Home

This inspection was carried out on 20th March 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Pearson Park Care Home 13/01/09

Pearson Park Care Home 19/03/08

Pearson Park Care Home 24/01/06

Pearson Park Care Home 19/07/05

Pearson Park Care Home 11/11/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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 Hull East Yorkshire HU5 2TJ Lead Inspector George Skinn Key Unannounced Inspection 20th March 09:30 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 Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 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. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pearson Park Care Home Address 1-2 Eldon Grove Beverley Road Hull East Yorkshire HU5 2TJ 01482 440666 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) Mrs Kim Crosskey Mrs Kim Crosskey Care Home 24 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (24), Old age, not falling within any other of places category (24) Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To admit one service user under pensionable age whose name is contained within the CSCI file. The Home may provide care for a maximum of 5 service users who are between the ages of 60 to 65 and who have an illness which presents to that of old. 24th January 2006 Date of last inspection 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. 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 DS0000061233.V334282.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which was undertaken over 2 days. The majority of those people who live at the home were spoken with, the environment was inspected and some documents were looked at. Prior to the inspection questionnaires/surveys were sent to staff and the people who live at the home to gain their views; these helped to make judgments about the quality of the service. 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. The summary of this inspection report can be made available in other formats on request. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed prior to them moving into the home. EVIDENCE: Those service users’ files case tracked contained evidence of assessments being undertaken prior to them moving into the home. The home undertake thorough assessment to ensure the home can meet the service users needs. From these assessments a plan of care is devised with the input of all those who have an interest in the wellbeing of the service user. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs were recorded and comprehensive care plans are devised. Service users health care needs are met. Service user are protected by the homes procedure for handling medication Service users are treated with respect. EVIDENCE: Each service user has a plan of care, which has been devised from the assessments; the service user 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 service users agreeing risk assessments around smoking etc. the health care needs of the services users is ensured and they have access to all medical services and consultation is undertaken with relevant health care professionals when needed. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 9 The homes procedures for handling the medication ensured that the welfare of the service users is safeguarded. Evidence indicated that the medication is checked into the building and any medication which is not administered is sent back to the pharmacist. The medication is stored properly and staff have received in house training on the dispensing of medication. The home have enrolled staff on training which is accredited. Questionnaires received as part of the pre-inspection confirmed that the service users feel they are treated with dignity and their rights are respected; observation made during the inspection indicated that the staff are respectful towards the service users and all interaction was undertaken with sensitivity. The PIQ returned from the registered provider indicated that the home had no service users who were of high need. Observation made during the inspection indicated that many service user were dependent on the staff to meet their needs, a discussion was undertaken with the owners husband, who was at the inspection as her representative, and it was agreed that the homes method of ascertaining the dependency levels of the service users should be reviewed. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users lifestyle and experiences within the home match their expectations and preferences; and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family and friends and the local community as they wish. Service users are helped to exercise choice in their daily lives. Service user receive a well-balanced diet, meal times are flexible to meet their needs. EVIDENCE: The home still encourage an open door visiting policy and this is discussed in the statement of purpose. This also states that service users are able to refuse visitors. Service users commented on going out to the local shops and visiting the Park on a regular basis. Flexibility is available and exercised, but some routines ensure the smooth running of the day’s activities. Service users commented on being able to do Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 11 as they choose, and those asked said they do please themselves as much as possible, regarding such as going to bed, rising, etc. They were also eager to say that they feel they are well cared for in the home. Service users are encouraged to make choices on a daily basis regarding the care they need and some were observed instructing staff in care tasks, to ensure their comfort and wishes. There are some service users unable to make fully informed choices, but staff are sensitive to their needs and try to meet them respectfully. Bedrooms are personalised with possessions, which are listed in case files. There are no service users who make regular requests to view their records or files, but one or two were aware of the review process and that documents are kept and can be viewed if wished. Staff offer information as necessary to service users and relatives/representatives. Service users spoken with were satisfied with the meals provided. Observation during the inspection indicated that the service users are offered a choice at meal times and diets are provided to meet individual needs. At least three full meals a day are offered, one is always a hot cooked meal, and snacks are also available. Any religious or cultural diets would be and are catered for, as are medical diets. Menus are produced after consultation with service users and take into consideration their likes and dislikes; menus are displayed, or explained to service users these are changed according to requests or the seasons. Mealtimes are set, but in reality become flexible due to service users individual needs. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Both relatives and service user knew whom to complaint to and had confidence that their complaints would be taken seriously. The service users are protected from abuse. EVIDENCE: There is a clear complaint procedure with information on how to contact the Commission for Social Care Inspection (CSCI) if the home cannot satisfactorily address the complaint. The procedure is posted in the home for all to see and is also printed in the statement of purpose. Thorough records are kept of all complaints along with details of the investigations and outcomes. There have been no complaints since the last inspection. Service users were very clear about who should be seen if they had a complaint. Those staff interviewed as part of the inspection process confirmed that they would know who to go to if they had any concerns about the practise at the home. They had a good understanding of what action to take if they suspected any abuse at the home. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 24, & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service user live in safe environment but are restricted when out doors due to the unsafe state of the garden. Service user live in clean environment but some areas are need of redecoration. EVIDENCE: The home was well maintained and all areas were clean and tidy; the home is implementing a refurbishment program but comments were made from relatives that this slow. One visiting relative said that their relative had been waiting quite along time to move into a refurbished bedroom. Some of the bedrooms are need of redecoration as are some of the communal areas. One relative indicated in the pre-inspection questionnaire that the garden remained in poor state and had the potential to be a safety hazard for the Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 14 service users. Observation made during the inspection confirmed that the garden was in poor state and was indeed a potential hazard for the service users. Discussion with the owners husband indicated the plans for the garden had been disrupted and the work had been held up. This needs to be addressed as a matter of urgency as it does pose a hazard to the safety of the service users and restricts their freedom of choice in using the outside space. During the inspection the fire officer was requested to visit as the method of locking the front door was unsafe and put the service users at risk. The home complied with his recommendation and safer method was put into place during the inspection. The home are to explore alternatives to the current method of locking the front door in line with the fire officers recommendations. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are not protected by the home recruitment procedures and practises. Staff are trained appropriately to meet the needs of the service users. EVIDENCE: Inspection of staff files indicated that some staff had commenced employment prior to the appropriate CRB/POVA checks being obtained. Other information was available on staff files. The registered provider has sought outside training for staff and staff confirmed that they had attended training outside of the home. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a home which managed by some one who is qualified and fit to be in charge. The home is run in the best interests of the service users further development is needed to the QA system. Service users finances are safeguarded. The health safety and wellbeing of the staff and the service users is promoted and protected. EVIDENCE: The home is managed by the owner who has a very hands on approach to caring; she is a qualified mental health nurse and more than fully understands the needs of older people with a dementia. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 17 Whilst at the home she has achieved a great deal with the service users and has improved the quality of life of some by encouraging them to join in social activities and social interaction so alleviating their isolation. Service users commented on being happy within the home and some said they had real feeling of belonging. 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 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 person 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 DS0000061233.V334282.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP33 Regulation 4, 5, 6, 14, 15, 17, 21, 22 & 24 Requirement 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. Previous time scale not met The registered person must ensure that the garden does not pose a hazard and is accessible to service users and their choice is not inhibited. The registered person must ensure that a CRB check is obtained prior to the commencement of employment of any new staff. Timescale for action 30/07/07 2 OP20 23 30/07/07 3 OP29 18 & 19 30/07/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 20 1. 2 OP28 OP7 50 of the care staff should be trained to NVQ level 2 The homes method of assessing the dependency levels of the service users should be reviewed so a more realistic evaluation can be made. Pearson Park Care Home DS0000061233.V334282.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000061233.V334282.R01.S.doc Version 5.2 Page 22 - 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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