Inspection on 12/01/06 for Regency Care Centre

This inspection was carried out on 12th 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.

Other inspections for this house

Regency Care Centre 10/07/07

Regency Care Centre 20/07/06

Regency Care Centre 07/06/05

Regency Care Centre 11/11/04

Regency Care Centre 14/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Regency Care Centre 140 Lilyhill Street Whitefield Manchester M45 7SG Lead Inspector Mike Murphy Unannounced Inspection 12th 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 Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Regency Care Centre Address 140 Lilyhill Street Whitefield Manchester M45 7SG 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) 0161 796 1811 0161 796 1819 Ashbourne Homes Limited Care Home 63 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (10), Old age, of places not falling within any other category (53), Physical disability (6), Terminally ill (2) Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 63 service users, to include up to 53 OP, up to 10 MD(E), up to 6 PD including 4 post cardiac (40 years and over) and up to 2 (TI). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 7th June 2005 2. Date of last inspection Brief Description of the Service: Parklands regency is a care home situated in the Whitefield area of Manchester and provides care and accommodation for service users who require personal or nursing care within the following categories - Mental Disorder, excluding learning disability or dementia - over 65 years of age , Old age, not falling within any other category , Physical disability , and palliative care.Of particular note is the 10 bedded unit at the home which provides care and accommodation for up to 10 older service users with mental health needs who require personal care. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the home’s second of two annual inspections of Parklands Regency for the inspection year 2005 to 2006. The inspection took place over five hours and was conducted by 1 inspector. The inspection included discussion with residents and their relatives, a tour of the premises, inspection of care and other records maintained at the home, and discussion with management and staff. What the service does well: What has improved since the last inspection? What they could do better: Long term care plans were seen to be in need of review, there were decorating and maintenance issues on the 10 bed unit, and it is advisable that stock levels of some medicines are more closely monitored. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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 Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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): 3. Standard 6 does not apply to this service. Prior to admission prospective residents’ needs are adequately assessed to ensure that their needs can be met within the home. EVIDENCE: Inspection of some care records revealed that prospective residents undergo a formal pre-admission assessment that is conducted by the home manager who is also a registered nurse. Records of assessment revealed that all the relevant activities of daily life were assessed appropriately and any areas of need in these areas identified. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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): 7,8,9,10, 11. The health and personal care needs of residents at the home were being met appropriately. The management of resident’s medicines was well organised and secure and staff interacted and assisted residents sensitively and appropriately during the inspection. Clearly these are all important factors in ensuring residents receive appropriate care and treatment. EVIDENCE: Although health and personal care needs of residents were being assessed and addressed appropriately inspection of 8 resident’s care records revealed that several care plans had been in place for a lengthy period and although they were being formally evaluated monthly it is recommended a more detailed review of such care plans is undertaken. Discussion with the new home manager indicated that this was an issue that she planned to address in the coming months and is to conduct a general audit of care records. Risk assessments, that seek to protect resident’s health and safety were also recorded in respect of residents skin integrity, mobility, and nutrition (including weight monitoring – although in some cases weight monitoring was erratic) and other relevant areas. The arrangements for resident’s medicines were secure and appropriately documented, although advice was given in respect of reducing stock levels of some medicines. These arrangements are operated by Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 10 the qualified nursing staff and in case of the small 10 bed unit by senior staff who have undergone appropriate training in the management and administration of medicines. Discussion with residents indicated that staff at the home treat them with respect and seek to maintain resident’s dignity and privacy particularly when personal care is being provided. Examples of such comments are ‘ the carers are treat me properly and are pleasant’, ‘they help me to do the things I can’t do for myself’, ‘my privacy is respected’ and ‘I am happy her’. Residents also indicated in their comments, and this was confirmed during discussion with staff and inspection of care records, that they were are able to appropriately access health care services appropriately, including access to opticians, dentists, and chiropodists. All residents were registered with a local GP. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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. Residents are actively encouraged to maintain contact with their family and friends as much as possible Resident’s views on the food provided were mixed. This should prompt management at the home to conduct a review of food provision and a more in depth survey of resident’s satisfaction in this important area. EVIDENCE: Residents and relatives spoken to indicated that there were no unreasonable restrictions on visiting at the home. Visitors felt they were welcomed at the home and that they were able to visit their relative in private – usually in the resident’s own room or a quieter lounge area in the home. Menus were balanced, varied and provided choice. However discussion with resident’s prompted a very mixed response in relation to the menus and food. Some comments were very positive. But there was a significant number of residents who expressed various degrees of dissatisfaction with the range of choices available, the size of portions provided, and the quality of some of the meals. The manager highlighted these concerns with the new manager who indicated that she will instigate a more detailed review of resident’s views in respect of food provision at the home. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Suitable procedures have been implemented to provide an environment where residents and their relatives feel comfortable with making a complaint if necessary, and to prevent residents becoming victims of abuse. These are important areas that are crucial to the protection of resident’s in a care home, many of whom are extremely vulnerable. EVIDENCE: Discussion with resident’s indicated that there was a general awareness and appropriate information provided that enabled people to make a complaint if they desired. Certainly residents and relatives spoken to expressed the view that they felt comfortable enough to raise concerns with the home’s management if they needed to and equally importantly were confident that any issues raised would be dealt with appropriately. Clearly such an approach by the home management means that the vast majority of concerns raised can be dealt with before they escalate into major issues – this can only be of benefit to residents at the home. A detailed and accessible complaints procedure was in place and prominently displayed in the home, which included details of how complainants could contact the CSCI if desired. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 13 Inspection of policies and procedures operated at the home and discussion with staff indicated that staff were aware of the importance of protecting resident’s from potential abuse and how to communicate any concerns they may have in this area. Staff training has been provided in respect of protection of vulnerable adults. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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): 19,20, 21,22,24,25,26. The home appeared to be structurally well maintained and to provide an appropriate environment for residents to receive nursing and personal care and accommodation. However some decorating and maintenance issues were identified during the inspection and are detailed below. EVIDENCE: Whilst it is acknowledged that an ongoing decorating and maintenance programme is in operation at the home it was noted that the corridor decoration on the small 10 bed unit on the first floor of the home has been extensively damaged in places. Discussion with the new home manager indicated that this issue was considered a priority and that it was planned to rectify the issue soon. All areas of the home designated for resident’s use were in the main accessible to them – including a substantial well maintained garden. However disabled Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 15 resident’s access to the veranda on the 1st floor 10 bed unit is in need of improving. Whilst it is acknowledged a temporary ramp has been put in place this has only been done on one side of the doorway. Clearly the disabled access arrangements to the veranda need to be more secure and complete. It was evident during the inspection that there had been recent problems with the heating system provided at the home. Engineers were on site attempting to remedy the problem. The inspector was informed that the affected rooms were unoccupied and would remain so until repairs were completed. Certainly occupied areas of the home were comfortable warm on the day of inspection. Adequate and suitable WC and bathing provision was accessible to residents. 8 resident’s bedrooms were inspected on this occasion – these were clean, appropriately/adequately furnished, benefited from en-suite facilities and very personalised. Communal lounges and dining areas were clean, appropriately decorated and furnished and provided a comfortable environment for residents. The home was very clean and free of odour at the time of this unannounced inspection. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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): 27,28,29,30. Staffing arrangements throughout the home were appropriately managed and suitable to meet the assessed needs of residents at the home. An appropriate recruitment procedure is being operated that seeks to protect residents. Staff are also receive appropriate induction and ongoing training following their appointment. EVIDENCE: Inspection of staffing rotas provided by the home indicated that staffing provision at the home complied with the current minimum requirements that apply to care homes for older people. Discussion with the new manager and qualified nursing staff indicated that they were of the view that staffing levels were appropriate to meet the dependency levels of resident’s. Inspection of 2 recently employed staff personnel files revealed that these contained an application form (including health declaration), 2 written references, a Criminal Records Bureau check (including a ‘POVA first’ check), proof of identity and evidence of induction training. Inspection of training records demonstrated that staff are provided with appropriate training – which is conducted in the main by the registered company’s training division - in care and related issues. Whilst only 2 of the existing 21 care staff have obtained a NVQ2 qualification or above the remaining staff are registered to pursue this qualification as soon as possible. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 17 This can only be of benefit to residents in relation to the quality of care they receive. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38. The home was being appropriately managed at the time of this unannounced inspection. This is important to residents who needed to have confidence in and access to a competent manager. EVIDENCE: The current home manager was appointed in January 2006 and is intending to apply to be registered with the CSCI the registered manager of the home as required by the Care Standards Act (2000). The home manager is a qualified nurse and is experienced in managing care homes for the elderly. The inspector was informed the manager intends to pursue an NVQ4 qualification in management later in the year. Residents and their relatives were very positive about the manager being accessible and approachable. They were of the view that their concerns were Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 19 addressed promptly and in a manner that made them comfortable in expressing their views and concerns. Records in respect of fire safety equipment, fire drills, electrical safety, gas safety, safety of lifting equipment, clinical waste (including waste medicines) removal, and the regulation of water temperatures were inspected. These were found to be satisfactory. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X X 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X 3 3 Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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 20 Regulation 23 Requirement Timescale for action 28/02/06 2. 15 16, 24 3 25 23 That an written action plan (including time scales) is submitted to the CSCI detailing how the decoration issues on the 10 bed unit and need to improve disabled access to the first floor veranda are to be met. That the views of residents are 28/02/06 canvassed in respect of meals provided at the home particularly in relation to the comments made by residents relating to food provision in the home and that are contained in the body of this report. That the CSCI is informed in 28/02/06 writing that the heating system is fully functional again. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 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. 1. 2. Refer to Standard 7 8 Good Practice Recommendations It is strongly recommended that a general review of care plans that have been in place for some time be undertaken. That all residents are weighed at least monthly and that a record of this is maintained in the care records. Regency Care Centre DS0000017328.V263889.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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. 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