Care Home: North Park

Similar services:

• Middleton Hall Ltd
• Middlesbrough Intermediate Care Centre
• Turret Villa Retirement Home
• Mendip House
• Beaconsfield Court Care Home
• Little Sisters Of The Poor
• Manor House

What the care home does well People who live at the home expressed satisfaction with the care and support that they receive. People said staff are kind, polite and courteous. They conduct themselves in a considerate and respectful manner. The home is purpose built and provides a comfortable environment with attractive communal areas. People who spoke to the inspector told her they enjoyed the meals, which are of a good quality and variety. People are offered a good variety of activities that meet their needs. Comments received by the inspector included `the staff are super` `the staff are proactive, and `I like living here`. What has improved since the last inspection? The home has continued to offer a good standard of care and support for the people who live there. The manager and staff are continually working hard and looking to always improving the care and support they give to the people who live at the home. Some decoration has taken place including corridors and lounges. What the care home could do better: Work should continue to develop peoples records to reflect a more person centered approach to care. Hand written entries on MAR charts should include the signature of the person making the entry and the signature of a second person confirming the accuracy of details to promote the safety and wellbeing of service users. Consideration should be given to include bathrooms in the redecoration programme. Audits of care plans and medication records should be developed further to include details of specific records checked. Regulation 26 visit reports should be available for examination by CQC inspectors. Key inspection report Care homes for older people Name: Address: North Park I`Anson Street Darlington Co Durham DL3 0SW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Jane Bassett     Date: 0 8 0 6 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 25 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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: North Park I`Anson Street Darlington Co Durham DL3 0SW 01325356000 01325356002 sueraby@Barchecter.com www.barchester.com Barchester Healthcare Homes Ltd care home 60 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) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 60 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 of places 60 Dementia, Code DE, maximum number of places 26 Mental Disorder, excluding Learning Disability or Dementia, Code MD, maximum number of places 5 Physical Disability, Code PD, maximum number of places 5 Date of last inspection Brief description of the care home North Park Care Home is a sixty bedded home which provides care to older people. The home also provides care for service users with dementia on the top floor. The home is Care Homes for Older People Page 4 of 25 26 5 0 5 Over 65 0 0 60 0 Brief description of the care home split over three floors, the ground floor has eight beds and the first and second floors have twenty-six beds. There is lift and stair access to all floors. The home overlooks parkland and there is a small patio area to the rear of the home. The home is purpose built and is decorated to a high standard, all rooms are en-suite and specialist bathing equipment is available to support service users who are less mobile. The home is owned by Barchester Healthcare. 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: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection was a key inspection. As a key inspection, all of the key standards were looked at or discussed. This was to check that the home meets the standards that the Care Quality Commission say are the most important for the people who use services, and that it does what the Care Standards regulations say it must. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The inspection was carried out by one inspector. The inspection lasted a total of six and Care Homes for Older People Page 6 of 25 a half hours. During this time the inspector looked at a range of documentation including, service user and staff files. The inspector spoke to three people who live at the home, two relatives, four staff members, and the manager. The manager of the service completed an Annual Quality Assurance Assessment (AQAA). At the time of the inspection the home was providing services to 57 people. The inspector was told fees at the home range from 394 - 495 pounds per week. The previous key inspection took place on 27/06/07. 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 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 home has procedures that should ensure that prospective service users have their needs assessed. Evidence: During discussion with the manager she was able to describe the process that is followed to obtain information about a prospective service users needs including, an assessment from the care manager if that person is funded by a local authority. The manager told the inspector people are encouraged to visit the home where ever possible prior to admission. The inspector examined the file for a person due to be admitted to the home. This was found to contain information gathered by staff at the home and an assessment from the persons care manager. Care Homes for Older People Page 10 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. The health and personal care that people receive is based on their individual need. The principles of respect, dignity and privacy are put into practice. Evidence: During the visit the inspector examined the files of four people who live at the home. These were seen to be well organized. Each file contained records of assessments and reviews including activities of daily living, moving and handling, falls risk, and nutrition. Other information recorded included social and family history. Files were seen to contain plans of care in relation to health and social care needs. These contained information regarding the care needed. One of the files seen included detailed information in relation to the persons needs and how these are met. The other three files were not as detailed. Care plans were seen to be reviewed, however documents seen contained little recorded evaluation. One file seen contained evidence that persons family had been involved in reviews, however records seen contained little information in relation to the peoples views. Care Homes for Older People Page 11 of 25 Evidence: The manager told the inspector staff at the home are working toward a person centered approach to care planning. All files seen contained information that indicated service users have access to GPs and other health professionals as needed. Staff who spoke to the inspector were able to demonstrate a good knowledge of individuals needs and how these are met. Staff spoke of promoting individuals privacy, dignity and independence. People who spent time with the inspector confirmed they were happy with how the care is given. One person said staff are very good another said care staff are super. The relative of one person living at the home told the inspector the care was first class and said staff were proactive in their approach. The inspector observed good interactions between staff and people. Requests were seen to be dealt with in a friendly but respectful manner. Information in the AQAA returned to CQC indicated the home has a policy and procedure in relation to safe handling of medication. A sample audit of medication found no major concerns regarding the ordering, storage, administration, and disposal of medications. The inspector was told staff who administer medication have all completed safe handling of medication training. A sample audit of Medication Administration Records (MAR) were seen to be completed with no gaps in entries. However some hand written entries of details of medication and method of administration did not contain the signature of the person making the entry or the signature of a second person confirming the accuracy of detail. The inspector was told annual competency checks for staff who administer medication are to be introduced. Care Homes for Older People Page 12 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 food at the home is of a good quality, well presented and meets the dietary needs of the people who use the service. People who use the service are able to make choices about their lifestyles. Social, cultural and recreational activities meet individuals expectations. Evidence: People who spent time with the inspector all expressed satisfaction with the support they receive from the staff and their lifestyles within the home. People said they were given choice in daily activities and could spend their time how they wished. One person told the inspector its great here another said there is plenty to do if you want to join in. The home employs two part time activities co ordinators. Records seen indicated people are offered a variety of one to one and group activities. People spoke of dominoes, bingo, games, crafts, entertainers and quizzes. The home has purchased a computer games system for peoples use. A number of people spoke about a recent event, North Park has talent that was enjoyed by all. Staff at the home have produced a DVD of the event. People who live at the home and relatives who spent time with the inspector told her that visitors were always made welcome, staff are friendly and approachable. Care Homes for Older People Page 13 of 25 Evidence: All who spoke to the inspector said the meals were of a good standard and there was a good variety. One person said the food is good, another said the meals are very good I enjoy them. A relative who spoke to the inspector told her people always had access to drinks and fresh fruit. The inspector observed part of the lunchtime meal. The meal was well presented, served in pleasant surroundings and unrushed. Staff were observed to give assistance as required. Care Homes for Older People Page 14 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. People who use the service are able to express their concerns and have access to a complaints procedure, are protected from abuse and have their rights protected. Evidence: The home has a policy and procedure in relation to handling complaints. This was seen to be available. People who live at the home and relatives who spoke to the inspector confirmed they were aware of how to raise any issues. All who spent time with the inspector said they felt safe and comfortable and had no concerns. One person said we are listened to and things are acted upon. Information contained in the AQAA indicated the home has received 9 complaints in the previous 12 months. Records seen indicated complaints are investigated and recorded. Staff who spoke to the inspector confirmed they had received training in relation to protection of vulnerable adults. Staff were able to demonstrate through response to questions the action they would take if they became aware of a concern. All demonstrated a commitment to protecting service users from abuse. The home has a policy in relation to prevention of abuse. Care Homes for Older People Page 15 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 physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence. Evidence: The building is purpose built. It offers an open, bright and warm environment that promotes service user independence. There is a lift to all floors allowing those with disabilities access to all areas. Service users have access to lounge and dining rooms on each floor. Bedrooms have ensuite facilities. The home is neutrally and pleasantly decorated. The corridor to the first floor (Memory Lane) is decorated to look like a row of shops and has areas of interest. A decoration programme has commenced to paint doorways and corridors in such a way as to identify facilities and promote peoples independence. The lounge on the middle floor has recently been decorated. The manager told the inspector new furniture had been ordered. People are encouraged to personalize their own bedrooms. Bedroom doors have memory boxes containing pictures and information relevant to that person. Some bathrooms were seen to be clinical and impersonal, these would benefit from redecoration. The inspector noted external bolts to bathroom and toilet doors. These may be used to restrict peoples access and independence. A more appropriate door Care Homes for Older People Page 16 of 25 Evidence: lock should be considered. On the day of inspection the home was found to be clean and odour free. Care Homes for Older People Page 17 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. People are satisfied with the care they receive. The home has a recruitment procedure that promotes the safety and wellbeing of service users. Evidence: On the day of the inspection the home was accommodating 57 people. The inspector was informed that there are currently 9 care staff (including 2 senior care staff) during the day, 8 care staff (including 2 senior care staff) on an evening and 4 or 5 care staff (including a senior) overnight. People who spoke to the inspector told her there were sufficient staff on duty to meet their current care needs. People said they were satisfied with the care they receive. One person stated the staff are very good another stated the staff are super. One visitor who spoke to the inspector said staff are well trained and helpful. Staff who spoke to the inspector told her there were sufficient staff to meet peoples needs. The inspector examined the files for two staff members who were recently recruited. These were found to contain evidence of application, two written references and PoVA first /CRB (Criminal Record Bureau) check obtained prior to employment. The information in one application relating to the persons employment history listed years of employment only. The files seen by the inspector contained evidence that staff have received induction training. The company employs a clinical development nurse. Other staff files and records seen by the inspector indicated staff have received training in relation to first aid, moving & handling, safeguarding, infection control, food hygiene, fire safety, health & safety, Care Homes for Older People Page 18 of 25 Evidence: and focus on food. A number of staff have completed training in relation to palliative care, challenging behavior, nutrition and dementia awareness. The inspector was told a number of staff are taking part in six week distance learning in relation to dementia awareness. Information in the AQAA returned to CQC indicated 23 of the 35 care staff had successfully completed NVQ at level 2 or above. 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 management and administration of the home is based on openness and respect, has quality assurance systems that should promote the safety and well being of service users. Evidence: The manager is suitably qualified and experienced. Staff who spoke to the inspector told her communication is good and they have regular supervision. The manager carries out monthly audits of care plans, medications, nutrition, infection control and accidents, however these would benefit from further development to record which specific records were seen. The manager told the inspector Regulation 26 visits take place, however there were no reports available for the inspector to examine. People confirmed regular meetings take place for staff and people who live at the home. People are kept up to date with information and changes in their relatives care. The company carries out an annual satisfaction survey. People who live at the home and relatives who spoke to the inspector all said they Care Homes for Older People Page 20 of 25 Evidence: were satisfied with the care and support they receive. All said that the manager and staff were approachable and any issues raised are acted upon. People who spoke to the inspector said staff are proactive and the manager always listens and acts on things. Records seen indicated that accidents to people are recorded appropriately and analysis takes place. The manager told the inspector the home does not handle peoples personal monies. Expenditures are invoiced. Information contained in the AQAA returned to CQC indicated the home has a range of policies and procedures that should promote the safety and well being of service users. These were reviewed in September 2007. Other information indicates the home and equipment are maintained as required. Other records seen indicated fire tests and drills take place, hot water temperatures are checked and recorded. 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 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 Recommendations 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 1 7 Work should continue to develope plans of care and risk assessments to include more detail of the peoples abilities and preferences. Reviews should be developed further to include details of the evaluation and reflect peoples views and opinions. Hand written entries on MAR charts should include the signature of the person making the entry and the signature of a second person confirming the accuracy of details to promote the safety and wellbeing of service users. Work should continue to develop and implement annual competency checks in relation to the safe handling and administration of medication. Consideration should be given to the decoration of bathrooms. A more appropriate door lock should be considered for bathroom and communal toilet doors. A complete employment history including full dates of employment should be obtained prior to employment for all staff. Page 23 of 25 2 3 7 9 4 9 5 6 7 19 19 29 Care Homes for Older People Recommendations 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 8 9 38 38 Regulation 26 visits must take place and reports made available for inspection. Audits of care plans and medications would benefit from records of which specific documents were examined. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC 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!