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Inspection on 24/01/06 for Pearson Park Care Home

Also see our care home review for Pearson Park Care Home for more information

This inspection was carried out on 24th January 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service have complied with the majority of the requirement from the previous inspection resulting in only 1 requirement and 2 recommendation as a result of this inspection. Those residents spoken with during the course of the inspection were very positive about the service offered at the home. They commented on the relaxed atmosphere and how they were able to come and go as they pleased. They commented on the quality of the care staff and said things like "they are very kind and caring" "you feel very safe here" and "they`re all good lasses". Observation made indicated that there were very good relationships between the residents and staff, and they interacted in friendly and informal way.

What has improved since the last inspection?

The home has made major improvements in all areas of the functioning of the home this can be accredited to the owner/manager being there on a full time basis and demonstrating to the staff good practise; she displays good leadership qualities which motivated the staff. The staff commented on really enjoying their job and how well they got on with both the manager and the residents. Some major improvements have been made to the general environment and areas are looking much improved as a result of this.

What the care home could do better:

The home has made so many improvement since the last inspection "what they could do better" is very little; the only area is 2 recommendations that staff should have more access to outside training and that 50% of care staff be trained to NVQ level 2, equipping them to better care for the residents.

CARE HOMES FOR OLDER PEOPLE Pearson Park Care Home 1-2 Eldon Grove Beverley Road Hull East Yorkshire HU5 2TJ Lead Inspector George Skinn Unannounced Inspection 24th January 2006 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.V262165.R01.S.doc Version 5.1 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.V262165.R01.S.doc Version 5.1 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.V262165.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Staffing must meet the levels set by the residential forum. To admit one resident under pensionable age whose name is contained within the CSCI file. The Home may provide care for a maximum of 5 residents who are between the ages of 60 to 65 and who have an illness which presents to that of old. 19th July 2005 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. Residents 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.V262165.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which was undertaken over 7 hours. The majority of residents were spoken with, the environment was inspected and some documents were looked at. What the service does well: What has improved since the last inspection? What they could do better: The home has made so many improvement since the last inspection “what they could do better” is very little; the only area is 2 recommendations that staff should have more access to outside training and that 50 of care staff be trained to NVQ level 2, equipping them to better care for the residents. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 Page 6 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 DS0000061233.V262165.R01.S.doc Version 5.1 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 Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 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): EVIDENCE: These standards were assessed during the last inspection and were fully met, therefore they have not been re-assessed Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 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 the following standard(s): 8 & 10 Residents’ health care needs are met. Resident privacy and dignity are respected at all times EVIDENCE: The residents’ have a comprehensive plan of care which is devised from assessments which have been undertaken by both the home and care management. These detail the residents’ needs and instruct the staff how to meet these, the plans also detail what level of heath care the residents need; this ranges from being very dependent to medium support from the home. Those residents who are dependent on the home have their health monitored closely and advice and support is sought from health care professionals such as district nurse community psychiatric nurse and GP’s, and action taken under guidance of those professionals. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 Page 10 Those residents spoken with confirmed that they could see the GP whenever they wished and no problems were experienced accessing any other health care professionals. All residents are registered with a GP. There is a policy on privacy, dignity and confidentiality and all staff receive information and instruction on how to behave, within induction training and through their copy of the home’s code of conduct. Staff were observed to be very caring, discreet and understanding and yet made the routines of the day lively and eventful. Conversation between residents and staff was friendly but professional. Practice was observed to be good in maintaining privacy and dignity for residents and records show how issues are handled. Residents were addressed differently, some formally, others casually, therefore implying they are addressed according to their choice. Visitors are seen in private, for health, legal, financial or social reasons, but can also be seen in the lounge. Diary notes and plans of care show evidence of the frequency of visitors and of the practice of maintaining dignity and privacy for residents. Some double rooms have privacy screens for use by residents. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 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 the following standard(s): 13, 14 & 15 Resident are part of the local community and can exercise choice. Residents’ meals are wholesome varied and balanced and choice is maintained. EVIDENCE: the home still encourage an open door visiting policy and this is discussed in the statement of purpose. This also states that residents are able to refuse visitors. Residents 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. Residents commented on being able to do 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, one saying she had said as much in her review with the local authority. Residents 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. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 Page 12 There are some residents unable to make fully informed choices, but staff are sensitive to their needs and try to meet them respectfully. Most residents handle their own finances, or family members do, and bedrooms are personalised with possessions, which are listed in case files. There are no residents 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 residents and relatives/representatives. Residents spoken with were satisfied with the meals provided comments included “the food is just like home cooking nothing fancy which suits me”. 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 residents and take into consideration their likes and dislikes; menus are displayed, or explained to residents these are changed according to requests or the seasons. Mealtimes are set, but in reality become flexible due to residents individual needs. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 Page 13 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 Residents know who to complain to and are confident that these will be taken seriously. 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. Residents were very clear about who should be seen if they had a complaint. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 Page 14 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 Resident live in a safe well maintained environment. EVIDENCE: The home is situated within Pearson Park in the centre of Hull and has good access to all local community facilities. When the current owners took over the home there was much to be done with the environment, this they are addressing and steady progress has been made concerning the refurbishment program. The home continues to be well maintained with equipment and services routinely serviced and with set time scales. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 & 30 Residents are protected by the homes recruitment procedures and the staff are trained to do their jobs. EVIDENCE: The staff have adequate training to enable them to do their jobs, the manager is very much hands on and has had a lot of experience caring for older people some with quite complex needs. She has instructed the staff on how to deal with those resident who have some type of dementia and observation during the inspection indicated that this training was being put into practise as staff responded to the residents most appropriately. The home still need to have 50 of the care staff trained to NVQ level 2, and it is also recommended that the manager accesses some outside training for the staff to broaden their experiences. The home recruitment practises gave no cause for concern all the appropriate checks are undertaken prior to staff commencing employment at the home. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 & 33 Residents live in home which is run and managed by someone who is fit to be in charge. The quality assurance system in place needs further development. 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. Whilst at the home she has achieved a great deal with the residents and has improved the quality of life of some by encouraging them to join in social activities and social interaction so alleviating their isolation. The home needs to develop further the quality assurance system so it fully demonstrates that full consultation has been undertaken with all stakeholders in the service. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 Page 17 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 x 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 2 x x x x x Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 Page 18 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 OP33 Regulation 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. Timescale for action 30/06/06 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 Refer to Standard OP28 OP30 Good Practice Recommendations 50 of the care staff should be trained to NVQ level 2 More outside training should be sought for the staff. Pearson Park Care Home DS0000061233.V262165.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hessle Area Office First Floor, 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 DS0000061233.V262165.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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