Inspection on 09/02/06 for Queens Park Nursing Home

This inspection was carried out on 9th February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Queens Park Nursing Home 17/09/07

Queens Park Nursing Home 30/04/07

Queens Park Nursing Home 18/09/06

Queens Park Nursing Home 23/05/05

Queens Park Nursing Home 02/11/04

Queens Park Nursing Home 10/05/04

Queens Park Nursing Home 09/02/04

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

CARE HOMES FOR OLDER PEOPLE Queens Park Nursing Home 37 Queen`s Park Parade Kingsthorpe Northampton Northants NN2 6LP Lead Inspector Linda Clarke Unannounced Inspection 9th February 2006 10:30 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 Queens Park Nursing Home DS0000012635.V282158.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. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Queens Park Nursing Home Address 37 Queen`s Park Parade Kingsthorpe Northampton Northants NN2 6LP 01604 719982 01604 718696 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) Dr Ramalingam Mudaliar Mr Daljit Singh Poone Nigel McGill Care Home 26 Category(ies) of Dementia - over 65 years of age (26), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (26), Terminally ill over 65 years of age (26) Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd May 2005 Brief Description of the Service: Queens Park is a home registered to provide care for people over 65 years of age, with a diagnosis of Dementia or Mental Disorder. The home has accommodation for up to 26 Service Users, mostly being provided in shared rooms. The accomodation is located over three floors which are accessible by a passenger lift. The home has a large sitting room and a dining room, however there is no quiet area for residents to receive their visitors in private. The home is close to local amenities such as shops and bus stops. Queens Park Nursing Home DS0000012635.V282158.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 that took place between 10.30am and 2.30pm. When undertaking Inspections, the Commission for Social Care Inspection focuses on the outcomes of individuals staying in the home. To support this, three service users were ‘case tracked’. This means that the care records and care plans of these service users were checked. What the service does well: What has improved since the last inspection? What they could do better: The privacy and welfare of residents could be improved, if the lounge area was to be extended, by the relocation of the office and medical room. This will provide greater space for residents, and afford residents greater privacy. The lounge could be improved not only in size but also through the provision of points of interest, which offer stimulation for residents. Currently these are very limited, points of interest for residents, being limited views through windows and the provision of one television, which cannot be seen by all residents. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 Page 6 Care plans could further be developed to contain greater detail as to residents’ mental health needs and how this impacts on their daily lives, including the role of care staff in offering support. Care plans could also further be improved by incorporating social interest, hobbies and recreational pursuits of clients. Staff recruitment policies and procedures need to be applied consistently to ensure that the protection of residents. 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. Queens Park Nursing Home DS0000012635.V282158.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 Queens Park Nursing Home DS0000012635.V282158.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: Standards within this section were not inspected on this occasion. Queens Park Nursing Home DS0000012635.V282158.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): 7, 8, 9 and 10. Residents are looked after well in respect of their health and personal care needs, improvements to care plans and risk assessments would further promote resident care. EVIDENCE: Care plans of three residents’ were viewed, which contain an outline of resident needs. Care plans could be further developed to encompass a comprehensive record of resident needs, with consideration being given to mental health and socialisation including hobbies and interests, and the role of staff in offering support and guidance, thus providing a holistic approach to care. Risk assessments are in place, however these do not provide any guidance as to how the risk is to be managed. Individual plans of care evidenced access to General Practitioners, Community Nurses, Dental, and Chiropody and Pharmacy Services. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 Page 10 Communal areas within the home are limited placing restrictions on the privacy of residents, there is no quiet area where residents might receive visitors in private, and during the inspection it was noted that whilst residents were moved by use of a hoist, privacy once again compromised. Staff assisted residents with aspects of personal care, however staff did not engage with residents, often observing but not interacting. It was discussed with the Registered Manager that staff could use their time to engage residents socially. Medication and medication records of three residents were viewed and found to be in good order, a Controlled Drug Register could not be located, and a new Register was purchased during the course of the inspection. The Registered Manager confirmed that requirements made at the last inspection with regards to care plan development are ongoing. Queens Park Nursing Home DS0000012635.V282158.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): 12 and 13. Residents are able to participate in recreational and social activities; these could be increased by the involvement of care staff. EVIDENCE: Three residents’ records were viewed with regard to activities and socialisation. The Activity Organiser has undertaken an assessment of all residents, detailing their preferences for both group and individual activities. Activities include bingo, quizzes, flower arranging and music. External activities include shopping, visiting local cafeterias and organised events. On the day of the inspection a group of service users accessed a day centre, whilst other planned activities for the future include attending Wellingborough Castle for a production laid on by the Operatic Society and a visit to a local school play. The Activity Organiser also organises internal events to celebrate specific events during the year, which include Valentines Day, a Saint Patrick’s Day party in March, and an Easter Bonnet party in April. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 Page 12 It was noted that staff stood around observing residents, interacting when the delivery of care was required, it was discussed with the Registered Manager that their time could be used constructively to engage residents in activities. Care plans should detail the social aspect of resident lives. Queens Park Nursing Home DS0000012635.V282158.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): EVIDENCE: Standards within this section were not inspected on this occasion. Queens Park Nursing Home DS0000012635.V282158.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 and 26. The layout of the building restricts resident’s privacy. EVIDENCE: Queens Park Nursing Home has one lounge area, which effectively is a corridor as the dining room, and kitchen area, along with the office and medical room, and bedroom space leads directly off the lounge area. Residents therefore experience a busy environment, which does not promote relaxation and privacy. It was observed that the office area provides much of the reason for staff and visitors to walk through the communal areas. It was also noted that residents requiring assistance from the hoist have their dignity compromised, and this in turn creates additional health and safety concerns, due to the limited space and the need to move furniture. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 Page 15 The communal lounge does not provide a stimulating environment, as there is only one patio door which looks out onto an outside courtyard, two windows look directly onto a brick wall, and one internal window looks into the kitchen. The office looks out into the communal area thus impacting on resident privacy. It is recommended that the removal of the office and medical room to an alternative site within the home would provide additional space which could be used to provide an area of privacy for residents and further promote the health and safety of residents. The environment needs to be stimulating only some residents can view the one television; other factors need to be introduced to stimulate resident’s interest. Areas within the home are in the process of redecoration, and the home appeared clean and well managed. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 and 30. Recruitment procedures are in place, which need to be consistently applied. Staff receive training relevant to residents health and safety. EVIDENCE: The records of five staff promoted since the last inspection were viewed, of which one file did not contain two written references. Staff records contained a contract of employment, identification verification, a police clearance from the individuals country of origin or a Criminal Record Bureau check and where applicable a Home Office work permit. Queens Park Nursing Home employs, seven Nurses, who are supported by eleven care staff. Of the eleven care staff four have a National Vocational Qualification in Care. Staff are currently receiving training in abuse, fire, wound care, moving and handling and dementia. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Resident’s finances are managed consistent with the homes policies and procedures. EVIDENCE: Resident’s finances in relation to fees for care provision are managed either by Social Services or a representative of the resident. Personal expenditure is provided again by a representative of the resident, in a majority of cases this is a relative. Resident’s monies for personal expenditure are kept within the safe in the office, a record of monies in and out are available for individual residents, the records of three residents were viewed by the Inspector and were found to be in good order. Two individuals sign financial records, and monies are audited weekly. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 1 2 X X X X X X STAFFING Standard No Score 27 X 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X X Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 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 OP7 Regulation 13(4) Requirement Timescale for action 31/03/06 2 OP29 19 Care plan must be reviewed to ensure all residents are assessed for the risk of falls, which detail how the risk is to be managed. The Registered Person to ensure 31/03/06 that staff recruitment and records reflect all the information required as detailed in Schedule 2. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations It is recommended that care plans contain additional information, evidencing an holistic approach to care. 1. Mental Health and its affects on the individual to be more detailed. 2. Recreational and activities form part of the care plan. 3. Daily records contain more detailed information, indicative of their care plan. It is recommended that staff are encouraged to use their time effectively with residents providing activities and DS0000012635.V282158.R01.S.doc Version 5.1 Page 20 2 OP12 Queens Park Nursing Home 3 4 OP12 OP19 stimulation. It is recommended that the communal area contain additional features, which provide residents with stimulation and points of interest. It is recommended that the communal area of the home be increased, resulting in the promotion of residents privacy and dignity. Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Queens Park Nursing Home DS0000012635.V282158.R01.S.doc Version 5.1 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. 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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