Inspection on 08/01/08 for Pink Panther Care Home

This inspection was carried out on 8th January 2008.

CSCI found this care home to be providing an Adequate service.

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

Pink Panther Care Home 05/11/08

Pink Panther Care Home 30/08/06

Similar services:

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Hawkhills

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Pink Panther Care Home 443 Holderness Road Hull East Yorkshire HU8 8JP Lead Inspector George Skinn Unannounced Inspection 8th January 2008 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 DS0000067248.V357278.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. DS0000067248.V357278.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pink Panther Care Home Address 443 Holderness Road Hull East Yorkshire HU8 8JP 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) 01482 702077 01482 702077 S & M Care Homes Limited Valerie Ann Neal Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (21) of places DS0000067248.V357278.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2006 Brief Description of the Service: Pink Panther Resource Centre is located on the East side of Kingston upon Hull. It is on the main road, which gives access to public transport for all parts of the city and outlying areas. The home provides care for 21 older people. There are bedrooms on the ground floor, first and second floor with a passenger lift for the less mobile. The home has three lounges and a dining room all located on the ground floor. There are five double bedrooms; one is en-suite and 11 single rooms, four, which are en-suite. To the rear of the premises is a car parking area and sitting area for service users and a garden to the front of the home. The current scale of charges are £334.50 per week, no additional top charge is made. Additional charges include chiropody and hairdressing. DS0000067248.V357278.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means that the people who use this service experience adequate quality outcomes. This key inspection has used information from different sources to provide evidence. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered provider on an Annual Quality Assurance Assessment (AQAA). Comment cards returned from service users, relatives and staff. A visit to the home carried out by one inspector. A site visit was carried out which lasted 6 hours. Service users, relatives and staff were spoken with. Records relating to service users, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. The manager was available to assist throughout the day. What the service does well: What has improved since the last inspection? DS0000067248.V357278.R01.S.doc Version 5.2 Page 6 The home has improved the way that medication is administered; this now helps the staff identify when medication has been given to the service users. The home has improved the way staff are recruited and makes sure that all of the proper checks are completed before some starts working at the home. The home now makes sure that the CSCI is informed of all events within the home which have an adverse effect on the service users. This makes sure that every one knows that the home are dealing properly with anything which effects the service users 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. DS0000067248.V357278.R01.S.doc Version 5.2 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 DS0000067248.V357278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use this service experience good quality outcomes in this area. Service users’ needs are assessed prior to moving in to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home undertakes a thorough pre-admission assessment of service users’ needs. The assessments are linked clearly to the care plans of the service users. The home ensures that it is able to meet the needs of service users prior to them moving into the home. Service users, their representatives and health professionals have contributed to the formation of the assessment. The home does not offer intermediate care. DS0000067248.V357278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use this service experience good quality outcomes in this area. All service users have a plan of care which clearly sets out their needs. Service users health needs are met. Service users are protected by the home handling of medication. Service users are treated with respect and their dignity is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of service users’ records were looked during the site visit. These contained written evidence of thorough assessments being undertaken by both the home’s manager and the placing authority; from these assessments detailed care plans are devised. The care plans identified areas of strength and areas which the service users needed help. Detailed recording of what action is to be taken and how to enable the service users to lead an independent life style was provided for staff to follow. DS0000067248.V357278.R01.S.doc Version 5.2 Page 10 Risk assessments are undertaken around areas of falls, tissue viability, nutrition and daily living. The risk assessments were updated every month and changes made where appropriate. Risk assessments are undertaken for the use of bed rails, these are in line with Department of Health Guidelines. Care plans are reviewed monthly by the home and formally by the placing authority annually. There was no written evidence within the service users’ records which indicated that they, or their representative, had agreed the care plans and that all interested parties are involved with reviews. The information which the staff complete on a daily basis about the service users wellbeing did not demonstrate if the service users needs had been met. The information was very sparse and the majority of entries were “appears fine”. Service users’ health care needs are being well met by the staff in the home. Service users confirmed that they could see a GP of their choice when they request. Good records are kept of all health appointments and the home ensures that appointments are kept. Service users’ medication continues to be stored appropriately. The records of the administration of medication indicated that it is administered appropriately. The records indicate that the amounts of tablets held in the home are correctly accounted for. At the last inspection it was noted that the new system had caused some confusion about how staff record the distinction between refused medication and medication that is not required for other reasons. This has now been addressed and all medication was accounted for, the medication administration recording (MAR) sheet indicated clearly what had happened to the medication. A record is kept of the disposal of medication and controlled drugs are safely kept. All staff who administer medication have received the appropriate training to ensure the safety of the service users. Service users spoken with say that staff treat them with respect and are polite; comments included “the girls are very good” “ they cant do enough for you” “my key worker looks after me”. Positive relationships were observed between staff and service users. A number of service users say that they enjoy the time they spend with the staff. Service users say that staff call them by their preferred name. On the day of the site visit staff were observed to talk to service users appropriately. In discussion with staff about respecting people’s privacy, staff were able to demonstrate that they understand the need for sensitivity when carrying out personal care tasks. DS0000067248.V357278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good quality outcomes in this area Service Service Service Service users life style matches their expectations. users are enabled to maintain contact with friends and relatives users can exercise choice in their daily lives user receive a well balanced wholesome diet This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users’ care plans record which activities the service user has participated in on a daily basis, this is also identifies any one to one time spent with their key worker. The service users’ choice in daily activities is also recorded, for example what time they like to get up and go to bed. A range of activities is on offer including, bingo, skittles, quizzes, beauty treatments and reminiscence games. Service users say that they feel comfortable and at ease in their surroundings and able to voice their opinions freely. Staff and service users were observed to be enjoying the morning’s activities. Relatives spoken with during the site visit commented on how well the service users are stimulated and how well the home involves all service users in activities. DS0000067248.V357278.R01.S.doc Version 5.2 Page 12 At the last inspection it was noted that the home had not ensured that all service users religious needs had been met, this now constitutes part of the homes overall assessment and is recorded in the service users’ care plans. Contact with family and friends continues to be promoted by the home. Visitors to the home say that they are made to feel comfortable and that the atmosphere is welcoming and how the home always offer them refreshments when they visit. Independence is promoted by the way in which staff work with service users on a daily basis and a range of advocacy services are made available. The home has developed a resource for service users and their families to access when they require a range of information. Observation made during the site and comments received from service users indicate that the home continues to provide healthy and well-balanced meals. Service users said “the meals are varied and there is always a choice”, “lunch times are very nice and the food is always good”. Service users are given choice about where to have their meals. Staff ask service users daily what they would like for tea. Service users are given a choice at the lunchtime meal also. Alternative dishes are always offered if service users do not like the main menu item. DS0000067248.V357278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience adequate quality outcomes in this area. Service users are confident that any concerns will be taken seriously and acted upon. Service users are not protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A clear complaints policy and procedure is displayed around the home. The manager has had training for the protection of vulnerable adults and information has been cascaded to members of staff. Staff interviewed stated that they had not had any formal training concerning safeguarding adults. Their knowledge about what action should be taken if they witnessed or suspected any forms of abuse were occurring in the home was variable; some were very clear about what should happen other were not as clear. All sated that they had full confidence in the manager and that she would take effective action. Service users spoken with knew they could approach the manager if they had any concerns and that these would be taken seriously, one said he would “see the manager and she would sort it” if she had any concerns. DS0000067248.V357278.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use this service experience good quality outcomes in this area. Service users live in a well maintained and comfortable environment Service users live in a home which is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The building was looked at it was found to be safe, well maintained and hygienic. Both communal and private areas appeared comfortable and welcoming. The home is well decorated throughout and a plan for the redecoration of the home is in place. Some carpets have been replaced and some bedrooms have been redecorated since the last inspection. The requirements of the fire and environmental health departments are being met by the home. Specialist equipment and training are in place for the moving and handling of service users. Service users say that they feel safe when being assisted by DS0000067248.V357278.R01.S.doc Version 5.2 Page 15 staff. At the last inspection it was noted that some staff had expressed concerns about the hoists. This has been addressed and a new electric hoist has been purchased. Policies for the control of infection are in place and followed in practice. Staff are clear about how best to prevent the spread of infection. Staff were seen to be using protective clothing and the appropriate storage of clinical waste was available. The home has a laundry, which is suitable to meet the needs of service users and complies with the relevant legislation. Service users are satisfied with the laundry service that the home provides. DS0000067248.V357278.R01.S.doc Version 5.2 Page 16 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 People who use this service experience good quality outcomes in this area Service users needs are met by the number and skills mix of the staff on duty. Service users are in safe hands. Service users are protected by the homes recruitment and selection procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is staffed appropriately. Three staff are on duty throughout the day, which includes a senior member of staff at all times. The home employs a domestic and two cooks. Two staff are on duty at night. The manager and deputy manager are supernumerary to the rota. Staff are positive about the levels of staffing in the home and feel that numbers are appropriate to meet the needs of service users. More than 50 of the staff are trained to NVQ level 2. At the last inspection it was noted that recruitment practice was not adequate to ensure that service users are protected. This has now been addressed and two references are obtained for all members of staff employed. Those staff files looked at contained application forms which were fully completed and gaps in employment explored. Protection of Vulnerable Adults (POVA) First DS0000067248.V357278.R01.S.doc Version 5.2 Page 17 checks are in place prior to staff starting work and all staff have a Criminal Records Bureau (CRB) check in place. Staff spoken to feel supported well by colleagues and senior members of staff. They spoke of a good atmosphere and say that they enjoy coming to work. The atmosphere in the home is relaxed and welcoming. A record of training received by staff in the home was available for inspection and appropriate for the work that staff undertake. Training in working with people with dementia is provided and ongoing for all staff. Staff receive a good induction to the home that covers all aspects of the care task. The service users spoke positively about the competence of the staff and felt they were well trained to meet their needs. Relatives spoken with also commented positively on the competency of the staff. DS0000067248.V357278.R01.S.doc Version 5.2 Page 18 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): 31, 33, 35 & 38 People who use this service experience good quality outcomes in this area. Service users live in a home which is run in their best interests, the manager is well qualified, experienced and competent to undertake the role. Service users are protected by the homes financial procedures. The health and safety of the service users is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has a long experience of managing care homes and has achieved The Registered Manager’s Award. The style of management continues to be inclusive and encouraging. Service users and staff say that the manager is approachable and they feel able to contribute to the running of the home. At the last inspection it was noted that one accident involving a service DS0000067248.V357278.R01.S.doc Version 5.2 Page 19 user that required urgent medical attention was not reported to the CSCI. The home has amended their accident reporting procedure this now reminds staff to notify the CSCI. At the last inspection the home were required to provide the CSCI with information about the new Quality Assurance (QA) system which was being implemented. This was done and it meets the requirements of the related National Minimum Standards and the Care Home regulations 2001. The QA system seeks the views of service users, relatives and all other stakeholders. Service users continue to be protected by the homes financial procedure. The home operates in the best interests of the health and safety of residents and staff. All of the required health and safety checks are carried out within timescale, which means that the home is a safe place for service users to live and staff to work. Staff receive health and safety training. DS0000067248.V357278.R01.S.doc Version 5.2 Page 20 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000067248.V357278.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 15 Requirement The registered person must ensure that all of the service user or representatives have agreed their care plans. This will ensure that the service user receive care of their choosing. The registered person must ensure that the daily record of care provided reflects way home has met the service users needs. This will ensure that the home demonstrates that the service user needs are appropriately met. The registered person must ensure that all of the staff are clear about their roles a responsibility with regard to Safeguarding Adults procedures. This will ensure that the service user are safe from harm. Timescale for action 30/06/08 2 OP7 15 30/04/08 3 OP18 22 30/04/08 DS0000067248.V357278.R01.S.doc Version 5.2 Page 22 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 DS0000067248.V357278.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 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. 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