Inspection on 24/03/09 for Stanley Park Care Centre

This inspection was carried out on 24th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stanley Park Care Centre 26/05/10

Stanley Park Care Centre 05/03/10

Stanley Park Care Centre 15/01/08

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

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Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 07/08/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stanley Park Care Centre Wear Road Stanley Co. Durham DH9 6AH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tom Moody     Date: 2 5 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Stanley Park Care Centre Wear Road Stanley Co. Durham DH9 6AH 01207290800 01207290803 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 71 Number of places (if applicable): Under 65 Over 65 0 61 0 dementia old age, not falling within any other category physical disability Additional conditions: 37 0 15 The maximum number of service users who can be accommodated is: 71 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the folloi=wing 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 Dementia - Code DE Physical Disability - Code PD Date of last inspection Brief description of the care home 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, although there are plans to change this units function. The home is situated in Stanley and can be reached via public and private transport. The grounds are well kept and laid out for Care Homes for Older People Page 4 of 25 Brief description of the care home people to enjoy.The home has a large private car park for visitors. At the time of this inspection the accommodation fees range from £434 to £603.98 Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection visit took place on the 24 and 25March 2009, over a period of approximately 9 hours. The inspection included: discussion with staff, a tour of the premises, examination of relevant documents, reading survey forms from staff, service users and visiting professionals such as doctors and social workers. The inspector met with the people who lived in the home and talked to their relatives and other visitors. The Manager was present throughout most of the inspection and showed a good understanding of the care needs of the people who live at Stanley Park. The service provides a safe and comfortable home, staffed by people that the residents who live there have confidence in. Care Homes for Older People Page 6 of 25 Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users needs are accurately assessed and the home can meet those needs Service users have information they need to make choices and a service users guide is available containing all the necessary information. Service users can make a trial visit and are able to make an informed choice about coming into the home. Evidence: There is a good assessment of service users physical, mental, spiritual and social needs in their care plans but some aspects of the assessment need greater consideration. For example, people with hearing loss need to have hearing tests or other outcomes recorded. Care plans should also consider sensory loss, such as deafness, and the effects it may have on service users behaviour. This contains information from care specialists from many different disciplines. Service users and their relatives are able to help with this and care plans have examples of Care Homes for Older People Page 10 of 25 Evidence: information from both. Records in the care plan indicate service users have access to health services such as hospital specialists, doctors, dentists and other practitioners. Staff who were spoken to know about the service users history and condition and they confirmed they had had training and induction. The home has a good service users guide that contains all of the necessary information. It contains information about staff and key workers. Service users have contracts from the authorities responsible for arranging their placement in the home. Service users and relatives confirm trial visits are available. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person has a detailed plan, which explains how their care they will be given and peoples health care needs are met. The homes policies and procedures for dealing with medication protect service users. Service users feel that they are treated with respect by the staff and their dignity is preserved. Evidence: There is a good assessment of service users physical, mental, spiritual and social needs in their care plans. Records in the care plan indicate service users have access to health services such as hospital specialists, doctors, dentists and other practitioners. Service users and their relatives are able to help with this and care plans have examples of information that has from both. Clear medication records are kept. This includes controlled drug recording. Staff were seen giving out medicines and this was done correctly and safely. Staff who do this have been given the appropriate training. Medicines are stored safely in appropriate cabinets. A drug fridge is available in the Care Homes for Older People Page 12 of 25 Evidence: clinical areas. Staff know about peoples medical history and conditions, and they confirmed they had had training and induction. It was evident from looking at staff care practice, and how they dealt with service users, that they knew about preserving their dignity and privacy. For example, staff used the service users preferred name, they spoke to service users respectfully, staff allowed service users time to make choices, all of which enhanced the dignity of service users. Staff always knocked before entering bedroom doors to preserve the privacy of service users. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes provision matches service users recreational, social and cultural needs, and helps them maintain contact with the surrounding community. They are able to exercise choice and control over most aspects of their lives and they enjoy nutritious and appetizing food. Evidence: Visitors were seen coming into the home throughout the day and visiting times are not restricted. A number of visitors came into the home during the time of the site visit. All who were spoken to commented positively on the home and one said that, I couldnt fault the place. The staff are nice, the home is nice, it is clean, the entertainments great. There is a large range of activities and entertainment listed on the notice boards and the home employs an activities co-ordinator. Staff were engaged in small scale activities with service users. People were making Easter cards and the staff showed they had background knowledge to enable them to help the service users to do this more effectively. Service users rooms reflect their choices, lifestyles and interest. One person with a sight problem had a talking book and clock. Care Homes for Older People Page 14 of 25 Evidence: Menus show that service users have a choice of hot meals. Staff confirm this and were seen to be offering menu shoices during the day. The cook is exerience and the kitchen is well equipped. It is stocked with a good variety of foodstuffs and ingredients. The meal that was seen was appetising and of a traditional type, appropriate to the age and experience of the service users. Service users were supported by staff when they needed help to eat. They were asked if they had enough to eat and staff talked, and encouraged them while they were helping them eat. Service users told me they enjoyed the food and that the portions were ample. One person said, I always have to leave some. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users and relatives know how to raise issues and they are confident staff and managers will act on their concerns. Training and procedures ensure service users are protected and that their rights are upheld. Evidence: Relatives and service users said they would be happy to approach the manager or staff if they had any concerns. One service user said, of the Manager, She keeps her door open, she is approachable. Complaints are recorded but there are few of these. The manager holds regular meetings with service users and relatives and she says this tends to explore problems before they reach the stage of complaints. Staff said they had recieved training in Protecting Vulnerable Adults (POVA) and they had a good awareness of these issues. This was confirmed by training records. Guidelines were available from the local authority and CSCI. Recruitment records indicate all pre employment checks are carried out including Criminal Records Bureau, POVA list and previous employers references. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a largely safe and comfortable environment with good access to all areas. The home is very well equipped in most respects, and well furnished. It is spacious, clean and meets most of the service users needs Evidence: The home is well designed and has pleasantly landscaped surroundings. There is a secure and sheltered patio and the home has two balcony areas that service users enjoy in fine weather. There is ample parking space and views of the surrounding town. The home has very generous communal space with wide corridors and ample lounge space. There is also a variety of environments including a quiet lounge The home has generous communal and circulatory space. Unfortunately some of the corridors had low light levels and do not meet the national minimum standards in this respect. The home has been designed to enhance the experience of the service users and to make operation easier for the staff. There is a generous amount of storage space in the home. The decor is modern but the effect is to produce a traditional appearance and homely feel. The home is well ventilated and warm. There was no excessive noise and the Care Homes for Older People Page 17 of 25 Evidence: atmosphere was calm. Showers toilets and bathrooms are of appropriate size and fitted with rails and hoists. Thermostatic mixer valves are fitted to bath and shower outlets and water temperatures are recorded. There is a good standard of equipment such as mobile and fixed hoists, and specialist beds. A suitable call system has been installed. As noted in an earlier section one service users with sight problems had suitable aids and adaptations in his room. However, the home does not have a loop induction system installed for hearing aid users. The bedrooms are of generous proportions, well above the minimum size, and they are well decorated and furnished. Almost every room has interesting views of the surrounding area. The home has a laundry and suitable hand washing facilities for service users and staff. There were no bad odours apparent during the time of the site visit and the home was clean and tidy in all areas. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing of the home meets service users needs. They are supported in a safe manner, by staff who are properly recruited, and have the appropriate training. Evidence: Staff rotas were seen and there were a suitable amount of staff on duty at the time of the site visit. Service users needs were met, call buzzers were answered within a reasonable time and care was given in an unhurried manner. Almost all staff who were spoken to confirmed they held NVQ qualifications. Staff also said they received an induction, and training, and records confirmed this. Staff records indicate all pre employment checks are carried out including Criminal Records Bureau, Protection Of Vulnerable Adults list and previous employer references. Records also show that staff are interviewed and they receive terms and conditions. Care Homes for Older People Page 19 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by an experienced, and qualified person who has service users interests at heart. The home is run in the best interests of service users. They are kept safe and their welfare and rights are protected by good record keeping and the promotion of good care practice Evidence: The Registered Manager is an experienced nurse and is suitably qualified. She is ably supported by an experienced Deputy. Discussions with them reveal they are knowledgeable about the client group and well motivated. Staff felt well supported. One staff members said of the manager and deputy, If you have a problem you can go to both of them. Relatives were equaly positive and said they would be happy to approach the manager if they had problems. Staff and relatives are also aware that the manager has an open door policy. There are monthly audits on every aspect of the running of the home which are easily Care Homes for Older People Page 20 of 25 Evidence: accessible. These are validated by the Operations Manager. Staff and residents or relatives meetings are held regularly and minutes are available. The home use quality assurance questionaires and the comments from relatives are all very positive. There is a full time administrator and the Manager says she feels she is supported by the company. Service users personal allowance is kept on an appropriate system. The money is kept in one account but interest is distributed in preportion to each service users balance. Record keeping is good with computer records and paper copies of each persons details. Receipts are kept and the system is audited by the company on a regular basis. The home has proper insurance and the certificate is displayed. Records of maintenance were available as was the fire log. Safety posters and MDA alerts are displayed in areas used by the staff. Staff have a good awareness of heath and safety and service user records contain good risk assessments, including falls. The Manager said that supervision takes place for all staff, and records confirmed this. Care Homes for Older People Page 21 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 22 23 A loop induction system should be available to help hearing-aid users. Suitable adaptations and support should be provided for people with sensory loss to ensure their continued well being 06/06/2009 2 25 23 Adequate light levels must be maintained in all areas used by service users. Light levels in corridors must meet minimum standards to ensure the safety and well being of service users. 06/06/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 4 15 Service users care plan should consider all aspects of care including sensory deficits Care plans should be comprehensive to ensure planned care meets service users needs. 22/05/2009 Recommendations Care Homes for Older People Page 23 of 25 These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!