Inspection on 15/01/08 for Stanley Park Care Centre

This inspection was carried out on 15th January 2008.

CSCI found this care home to be providing an Good 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

Stanley Park Care Centre 26/05/10

Stanley Park Care Centre 05/03/10

Stanley Park Care Centre 24/03/09

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Stanley Park Care Centre Wear Road Stanley Co. Durham DH9 6AH Lead Inspector Jean Pegg Key Unannounced Inspection 15th & 29th January 2008 10:45 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 Stanley Park Care Centre DS0000070550.V356869.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. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanley Park Care Centre Address Wear Road Stanley Co. Durham DH9 6AH 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) 01207 290 800 01207 290 803 Southern Cross OPCO Ltd Care Home 71 Category(ies) of Dementia (37), Old age, not falling within any registration, with number other category (61), Physical disability (15) of places Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP, maximum number 61 Dementia, Code DE, maximum number 37 2. Physical Disability, Code PD, maximum number of places 15 The maximum number of service users who can be accommodated is: 71 First inspection of a newly registered service. Date of last inspection Brief Description of the Service: Stanley Park Care Centre is a purpose built home that provides accommodation for 71 people. The home consists of three units. Each unit is designed to meet the needs of a particular group of people. For example older people with dementia, people with general residential care needs and younger adults with a physical disability. The home is situated in Stanley and can be reached via public and private transport. The home has a large private car park for visitors. The grounds are well kept and laid out for people to enjoy. The home is built on two levels. The physical disability unit has it’s own entrance. All of the units provide en-suite accommodation, communal lounge and dining areas and communal bathrooms. The bedrooms in the physical disability unit also have en-suite showers. At the time of this inspection the accommodation fees each week for this home were: General residential care unit £411 Dementia care unit £431 Physical disability unit £500 Additional services and personal items that need to be paid for are listed in the service users’ guide. Current fee levels should always be checked with the manager. Stanley Park Care Centre DS0000070550.V356869.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 2 stars. This means the people who use this service experience good quality outcomes. The inspection visits to this home took place on 15th and 29th January 2008. The information used in this report was taken from a number of different sources including the Annual Quality Assurance Assessment document (AQAA). This document has to be completed each year and returned to the Commission for Social Care Inspection. A range of other documents were looked at when we visited the home. We also sent out a lot of surveys to people who live, work or who have relatives at the home. We received 6 out of 15 surveys back from relatives, 9 out of 47 surveys back from staff and 1 out of 26 surveys sent to the people who live at the home. We also spent time watching and talking to the people who live, work or visited the home during our visit. We were helped to carry out this inspection by an expert by experience. An expert by experience is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. For this visit we asked the expert to concentrate on the Younger Persons Disability Unit and find out how suitable the environment was for wheelchair users and how well it supported independent living skills. They were also asked to find out if the rules and routine of the unit affected peoples’ freedom, dignity and choice and ability to participate in and to live as independent a life as possible. Finally they were asked to find out if the staff working in the unit had a good level of knowledge and understanding of the different conditions that affected the people who stay in the unit. The expert’s findings will be included in this report. What the service does well: The home has information available that would help people to decide if the home was right for them. This information is also available in audiocassette form. People are given contracts that identify their terms and conditions of residency. Pre admission assessments are carried out before people are admitted to the home. These assessments help to make sure that the home is able to meet the needs of the person being assessed. People have written care plans that described how their care needs would be met. The health needs of the people who live at the home are generally met by visiting health professionals such as GPs, nurses and dentists etc. One relative told us “I have seen the care plan. I was involved and can look at it if I want. I know my relative is well looked after and their health needs are met.” Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 6 Generally people living at the home are offered quite a good life style. They are offered a range of different activities and are encouraged to make choices and decisions in their lives. People living at the home told us that the food was good. “Lovely Yorkshire puddings and good sweets.” People told us that their complaints have been responded to. “Both matrons and on one occasion the deputy responded to my complaints, promptly.” Staff have shown that they know how to refer concerns about the protection of vulnerable adults to the proper authorities. The home is very well looked after both inside and out. The staffing arrangements for the general residential unit and the disability unit were satisfactory. The home carries out proper recruitment checks before people are allowed to work at the home. Training is organized to help staff do their jobs. The management arrangements for this home are generally good. What has improved since the last inspection? What they could do better: The information available for people who might want to live at the home could be made available in different formats to suit different needs. For example easy read, pictures, Braille or DVD format. Staff would benefit from more information and training to help them to meet the individual needs of the people who live at the home. One relative told us “Lack of communication means things are not always carried out when needed and/or forgotten about.” Training should include knowledge of disability and equality issues to make sure that individual differences are recognized and responded to appropriately. Some care plans need to be updated and evaluated on a regular basis to make sure that information is always up to date. The way that medication is managed needs to improve to make sure that staff are complying with procedures. Individual privacy and dignity is not always maintained very well in some parts of the home. Staff should be reminded about how to promote individual people’s privacy and dignity. There are some areas where staff practices need to improve to make sure that people living at the home are always treated with respect and are given the opportunity to make choices in their lives particularly in the dementia care unit. Some improvements could be made to the specialist disability unit to make sure that everyone who stays there can live as independent a life as possible. The unpleasant smell in the upstairs lounge needs to be got rid of. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 7 The number of or organisation of staff working in the dementia care unit could be improved to make sure that people living there have their physical, emotional and social needs met. There are some gaps in the quality assurance processes being followed and these should be addressed for example regular quality audits should be completed and stakeholder surveys should be completed and analyzed so that the results can be used to help make improvements in the home. 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. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 8 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 Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3 and 4. People who use the service experience good quality outcomes in this area. The home provides information about the home in a standard format. People are provided with contracts that identify their terms and conditions of residency. Pre admission assessments are carried out before people are admitted to the home. Staff would benefit from more information and training to enable them to fully meet the needs of the people who live at the home. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: During our first visit we noticed that the Service Users’ Guide and Statement of Purpose were out of date. This information was updated by the time of our second visit to the home. The information states that the Service Users’ Guide is also available on audiocassette if needed. We discussed with the manager the usefulness of other formats of this information being available if needed. The relatives who responded to our survey indicated that they either usually or always got information to help them make decisions about choosing the home. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 10 The person who lived at the home said that they had been given enough information about the home before they moved in. The manager confirmed that everyone living at the home had been sent out an up to date contract along with a letter detailing the new fee rates. A relative we spoke to confirmed that they had received a contract. We looked at three care files in detail and others in less detail. In all cases pre admission assessments had been completed for the people who had been admitted to the home. In our survey we asked relatives “Do the care staff have the right skills and experience to look after people properly?” Four responded “always”, one “usually” and one “sometimes.” Comments included “They don’t always have the equipment they need to look after people properly and again a lack of communication” and “I question if some have enough knowledge and training in dementia. I have addressed this with the present matron.” We asked staff if they felt they had the right support, experience and knowledge to meet the different needs of people who use services. Three said “always” four said “usually” and one said “sometimes.” We were told “Some information does not come into the home from social workers which in some cases is relevant to the type of care clients require such as background information and past history.” “Find we do not get enough information on residents when they come in to the care home” and “I feel we need more support for residents and staff with residents that are wrongly assessed for the home.” The expert by experience asked about any Disability training that had been provided. They were told that this had been done at Southern Cross headquarters in Darlington. Staff had been given information on various conditions and disabilities for example Parkinson’s disease. The person the expert spoke to could not confirm if staff had received Disability Equality Training. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 11 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 and 10. People who use the service experience good quality outcomes in this area. People have written care plans and health needs are generally met. The management of medication needs some improvement to ensure compliance with procedures. The way individual privacy and dignity is managed varies and needs to have a consistent approach adopted by everyone. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The way that care plans are recorded is being changed. The files that we looked at were a combination of the old and new way of writing care plans. The care plans we looked at that were written in the old style had not been evaluated since September or October 2007. This meant that some care plan evaluations were nearly three months out of date. The quality of the written care plans varied, some were very detailed others were not. We discussed our concerns with the manager who said that care plan training had been planned Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 12 for staff and that she would be completing a monthly manager audit on care plans. We asked relatives if the care home gave the support or care to their relative that they expected or agreed. Three said “always” two said “usually” and one said “sometimes.” Comments included “I have addressed concerns with the present matron. E.g. my relative sitting not dressed properly or adequately.” “I have advised them in the past that my relative requires prompting now with dressing- this appears to have been unheard.” “Lack of communication means things are not always carried out when needed and/or forgotten about.” Our staff survey showed that staff thought that they were usually or sometimes given up to date information about the needs of the people they cared for.” One person staying at the home told us “Couldnt have done more for me excellent.” When we checked the care plans we saw evidence of health needs being met for example weights being monitored regularly, GP and District Nurses visits. The dental technician visited the home while we were there to fit new dentures for people. We asked relatives “ Does the care service meet the different needs of people.” Three said “always” two said “usually” and one said “sometimes.” One person commented, “Some people are in a state of health beyond what this care service can cater for and as a result are not getting full use of the service as it is unable to provide for those particular people.” Another relative told us “I have seen the care plan. I was involved and can look at it if I want. I know my relative is well looked after and their health needs are met.” We checked the records held for peoples’ medication. We found evidence of some poor recording techniques and some tablets could not be properly accounted for. Fridge temperatures were not being properly recorded which means that if there was a problem some medication could become ineffective due to poor storage. When we told the manager of our concerns, she said that the problems would be addressed through training and closer monitoring of staff practice. The concern was also brought to the attention of the senior staff on duty whilst we were there. When we walked around the building we noticed some examples of poor practice relating to peoples privacy and dignity. For example we saw people left in wheelchairs outside of the hairdressing salon. Files were left unattended in a public area. Some staff walked past people without acknowledging them. People were having protective aprons placed on them during meal times without any permission being sought. The expert by experience also noticed that the way some staff spoke about the people who live at the home could be seen as patronising for example using phrases like “Bless them.” We also saw some examples of good practice being demonstrated in the way that people spoke to one another and we were told good things about the staff. For example staff were described, as “Lovely they understand my needs and Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 13 condition Very polite and respectful” and another person told us that staff “treated them with respect and respected their wishes and protected their privacy.” Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 14 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 and 15. People who use the service experience good quality outcomes in this area. Generally people living at the home experience a good quality of life, however, there are some areas where staff practices need to improve to make sure that the principles of equality, dignity respect and autonomy are consistently applied. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: During our visit we saw a game of bingo taking place in the general residential unit. The Sound of Music DVD was being played upstairs in the dementia care unit and one person who lives at the home was playing the piano in the main entrance area. By looking in the daily records and by talking to people we were able to find out that a number of different activities both group and individual do take place. These activities tend to be more focussed on the general residential and physical disabled units. We discussed our observations with the manager who said that she had already discussed some ideas with the activities coordinator to improve the range of activities available for people on the dementia care unit. When we asked about routines one person told us “ I Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 15 was made to feel very welcome. Someone went through everything with me. It is not regimented, not at all.” We noticed that people living in the home received visits from family and friends. The home had been loaned a mini bus the second day that we visited and some people had gone out for the day. The manager told us that they did not know when they were getting the minibus; this means that it would be difficult to forward plan activities. People who live at the home take part in the local community and visit the local college, betting shops, general shops and some do charity work. The manager told us that church visits take place and a relative confirmed this by saying “A church service is provided monthly. I know the visiting vicar who does the service is very kind, and good, with the elderly. My relative was a churchgoer. So this is great for them and gives them comfort.” The expert also identified that some activities were restricted by staff availability. One relative commented, “The activity co-ordinators are lovely people. I feel sorry they do not seem to have enough resources to fund activities. Especially when dementia patients need stimulation.” We received positive responses from relatives about being kept informed about their relatives’ progress. “Staff are always polite when I have phoned and give a good report about my relative. The administrator has always been very helpful” We were given conflicting examples of practices within the home concerning choice. For example one person told us that “I have been told to get my relative up (they like to sleep late)” and another person told us that they were “able to get up and go to bed as they wanted.” And that “staff knocked before they entered a room.” The rooms that we saw showed that people were generally encouraged to bring their own possessions in with them and this was stated in the information leaflets that were available in the home. We observed a mealtime taking place in the dementia care unit. The chef served the meals out from a hot trolley. There were four choices offered for the lunchtime meal. The staff we spoke to confirmed that this was usual. We received some good feedback about the quality of the meals. For example “Just like my mum used to make (perfect)” and “Lovely Yorkshire puddings and good sweets.” We noticed that people were offered help during meal times when they needed it. However, we also noticed some practices that were not very good such as not asking people about choices or preferences to do with seating arrangements and wearing protective aprons. We spoke to people who live in the other two units and they told us that they were able to choose what they wanted to eat and that snacks between meals were also available. The staff confirmed that the Chef was made aware of specific dietary requirements. Many of the people we spoke to knew the Chef by name. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 16 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 and 18. People who use the service experience good quality outcomes in this area. Complaints are responded to and staff know how to make appropriate adult protection referrals to the relevant authorities. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The manager started working at the home on 7 January 2008. She told us that she plans to re issue an up to date copy of the complaints procedure to people at the home. The manager showed us information relating to complaints she has dealt with since starting work at the home. This information showed that she had followed procedures correctly. We asked relatives “Do you know how to make a complaint about the care provided by the home? Five said “yes.” One relative explained “Both matrons and on one occasion the deputy responded to my complaints, promptly.” We also asked “Has the care service responded appropriately if you or the person using the service has raised concerns about their care?” Five said “ always” and one said “usually”. The following comment was added, “Some cases are not looked into unless the appropriate people are reminded on several occasions.” The staff we spoke to and those who completed questionnaires indicated that they knew how to respond to complaints. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 17 The home has the correct contact numbers to use should they suspect abuse is occurring in the home. The home has demonstrated that it can make appropriate adult protection referrals to the correct agencies. Following a recent referral the home has been asked to improve the quality of the recording of incidents. The home has accepted the criticism. The staff we spoke to confirmed that they had received training in the protection of vulnerable adults. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 18 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 and 26. People who use the service experience excellent quality outcomes in this area. The home is generally very well maintained both inside and out. Some improvements could be made to the specialist disability unit to facilitate increased independent living skills for some people. And some odour problems need to be addressed in specific areas. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: We looked around the main part of the building and the expert by experience carried out a detailed tour of the physical disability unit. We found that the main part of the home was generally well maintained clean and tidy. Our only criticisms were to do with tidiness of the upstairs bathrooms and the odour that was present in the upstairs lounge. The odour was present throughout the day indicating that it was not a one off incident. The manager was aware of Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 19 the problem and had started to take action to tackle the issue. The standard of décor and furnishings is good and there has been some investment in adapting the dementia care unit environment to reflect research based best practice. For example using colour on doors and handrails to aid recognition, memory boxes, street names etc. All bedrooms are en-suite and quite spacious. Externally the grounds are excellent. For example raised flowerbeds, a variety of plants and seating areas, flat surfaces etc. The expert by experience compiled a detailed report, which was very balanced identifying both positive and negative features of the physical disability unit. Some of the positives included excellent hoisting facilities, access to both bathing and showering facilities, finger print locks as well as conventional locks on bedroom doors, plenty of storage in bedrooms, internet and phone access etc. The expert also identified quite a few problems concerning accessibility for those in wheelchairs, which could impact on independent living skills. These concerns were fed back to the manager during the inspection visit and included such things as the heaviness of doors when trying to move independently from room to room. The doors from individual bedrooms to the garden areas having a lip on the frame of the door, which meant that wheelchair users would not be able to get back in without assistance. The length of the curtains trailing near the floor, which could cause a health and safety issue by easily getting trapped in a wheelchair’s wheels. The expert suggested that using tiebacks could easily rectify this problem. The kitchen units were not at an accessible height, which means that if people wanted to make a hot drink they would have to ask for assistance. There was a laundry room to do personal washing but the room was so small, a wheelchair user would have problems using it. The expert acknowledged that although they had identified problems with the environment the people they spoke to felt that everywhere was easily accessible as there were wide doors. We also spoke to people in this unit who said that they were not experiencing any problems with the environment. The home has a laundry that is fully equipped with industrial type machines and dryers. The laundry operates a dirty to clean system. Staff were seen using plastic aprons and gloves to help minimise the spread of infection. As already stated there was an odour, which was present in the upstairs lounge area. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 20 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 and 30. People who use the service experience good quality outcomes in this area. With the exception of the dementia care unit, staffing arrangements within the home are generally satisfactory. The recruitment and training processes used are good. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The staffing levels within the home vary on each unit. The disability unit is not fully occupied and has one sometimes two members of staff on duty for two people. Downstairs in the general residential care unit the home has two carers and one senior carer on duty for twenty-four people. Upstairs in the dementia care unit there are three carers and one senior carer on duty for twenty-four people. From both written and oral comments we have received from relatives and staff (past and present) working at the home, the indications are that staffing has been a problem in the home for some time. One relative told us “My relative has been in the home a year. I have noticed in the past six month’s a great change in staff- a lot leaving.” Another person told us “Need more staff as residents do not get one to one and staff at the moment do not have time to interact with residents.” One person who lives at the home described the staff as “a lovely bubbly bunch.” When they were asked the question “is there enough staff on duty?” They replied, “I don’t think so to be honest with you”. We noticed that in the dementia unit Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 21 that staff seemed to be mainly occupied with completing tasks like putting laundry away. There seemed to be little time to spend talking to the people who live there or providing them with some form of social stimulation or emotional support. At times it was difficult to make visual contact with a member of staff, which meant that people were not always being observed in this unit. The manager confirmed that recruitment was ongoing and that staffing levels would be looked at. Twenty-nine of the thirty-six staff employed at the home have completed a National Vocational Qualification (NVQ) in Care at level two or three. The remaining seven staff are working towards achieving their qualification. There is a systematic recruitment process in place. We checked recruitment records and found that they were satisfactory. Interview notes were kept along with references and criminal record checks. During our first visit it was noted that training was generally out of date for mandatory topics. On our second visit the manager told us that training needs had been audited and that all training needs been submitted to the central training department to organise. Fire safety and Food Hygiene training had taken place. The Community Psychiatric Nurse had agreed to provide staff with training in the Management of Challenging Behaviour and Dementia awareness. The manager was fairly clear about how training was to be taken forward in the home. The staff we spoke to and those who returned surveys were fairly positive about the training they were offered. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 22 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 and 38. People who use the service experience good quality outcomes in this area. The management arrangements for this home are generally good. There are some gaps in the quality assurance processes being followed and these should be addressed. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: A new manager commenced working at this home 7 January 2008. The manager has previous managerial experience in the care home sector and has the Registered Managers’ Award. The home has a management structure in place including a deputy manager and senior carers. The senior carer handover meeting was observed during our visit. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 23 Resident satisfaction and family surveys were completed in August 2007 but the results have yet to be analysed. We were shown an audit file that showed that copies of weekly drug audits and the latest home audit completed by the operations manager. The majority of audits were completed during May 2007 with very little taking place until the latest operations manager audit in December 2007. The manager said that she planned to recommence regular audits within the home. We checked the procedures and practices used to safeguard service user finances. These were found to be satisfactory. Those people who chose to look after their own money were able to do so. We were shown evidence that the Environmental Health Officer had visited the home in September 2007 and that a Fire Safety Audit had been completed in January 2007. Equipment around the home had evidence of regular maintenance checks being carried out and the records held by the handyman showed that safety checks had been completed. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 24 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 3 3 3 2 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 x X 3 Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 OP26 Regulation 16 (2) (k) Requirement The registered manager must ensure that the care home is free from offensive odours. The odour in the upstairs lounge must be eliminated. Timescale for action 31/03/08 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 OP1 Good Practice Recommendations The Service Users’ Guide should be made available in other formats that would meet the needs of different people who might want to live at the care home. For example easy reading, pictures, Braille or DVD format. The registered manager should be able to demonstrate that staff have received appropriate specialist information and training to develop their skills and experience. This is needed to ensure that specialist care needs can be met. In particular staff should receive Disability Equality training. The registered manager should undertake regular audits of the practices used to manage medication safely in the home and take actions to ensure compliance. The registered manager should ensure that staff know DS0000070550.V356869.R01.S.doc Version 5.2 Page 26 2 OP4 3 4 OP9 OP10 Stanley Park Care Centre 5 6 7 OP12 OP14 OP15 8 OP19 9 OP27 10 OP33 what behaviours are required to demonstrate good practice when promoting peoples’ individual privacy and dignity. This should be applied consistently throughout the home. The registered manager should ensure that a variety of different activities are offered to people who live in the dementia care unit. The preferred rising and bedtimes of people should be stated in their care plans to avoid inconsistencies in the care provided. Staff should remember to check individual preferences and gain consent about where people like to sit at meal times and whether or not people are happy to use protective aprons at meal times. The registered manager should consider ways to improve the environment in the specialist disability unit, which would enable better opportunities for independent living for some wheelchair users. Staffing levels should be constantly monitored to ensure that the physical, social and emotional needs of people living at the home are met. In particular those living in the dementia care unit. The registered manager should make sure that effective quality assurance processes are implemented in the home. Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stanley Park Care Centre DS0000070550.V356869.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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