Care Home: Park House

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What the care home does well Park House is a small friendly home. The people who live and work in this home know each other well. Staff spend time chatting to people. Visitors feel welcome. One family member wrote on a survey: ` Since my relative has been in care I cannot be more satisfied. She is happy, well-cared for in pleasant surroundings.` Another relative said: `The staff are absolutely brilliant.` A resident said `The staff are kind.` People like and respect the manager. A visitor said `The manager is marvellous. We couldn`t ask for anything better.` Staff feel that they get enough training and most people said that they know all they need to do their jobs well. The home is clean and comfortable. It has plenty of space inside and a nice sheltered garden. People`s bedrooms are how they like them, with their own things in them. What has improved since the last inspection? People`s care plans have more information and tell staff how to care for each person and to keep people safe. Staff talk to people about how they want their care to be given. The home has improved the way that it looks after people`s medication. The home keeps better records that show that it regularly checks to make sure everything in the home is safe, like the hot water temperature. It also keeps better records of any accidents, so that they can be read by other people and the manager can look at ways of stopping them happening again. The home asks people for their views on the service and plans changes to provide the things that people say they want. What the care home could do better: The home should continue to improve the way it checks that it is providing a good service and finds out what will make it better. It should ask professionals, like nurses and social workers who visit for their views. The home should provide information about its services and how people can make complaints in other ways, as well as written English. This is to help people who do not read English, for example because they are blind or read another language more easily. All staff should have more training about the differences between people and what they can do to treat people fairly. This is so that everyone can feel welcome to the home and so that the home can meet each person`s individual needs. CARE HOMES FOR OLDER PEOPLE Park House 2 Richmond Road Stockton-on-Tees TS18 4DS Lead Inspector Michaela Griffin Key Unannounced Inspection 3rd June 2008 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park House DS0000000023.V366060.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. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park House Address 2 Richmond Road Stockton-on-Tees TS18 4DS 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) 01642 674703 dash377@ntlworld.com Mr Jack Elliott Mrs Geraldine Elliott Mrs Margaret Lavinia Horner Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Park House DS0000000023.V366060.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 category: Old age, not falling within any other category - Code OP, maximum number of places: 18 The maximum number of service users who can be accommodated is: 18 4th June 2007 2. Date of last inspection Brief Description of the Service: Park house is registered as a care home for 18 older people. It is in a quiet residential road in Stockton, but close to bus routes and there is on street free parking close by. The home has attractive and well-kept gardens and a private paved area to the rear of the building. It is a short bus ride from the town centre and a few minutes walk from Ropner Park. Accommodation is provided in sixteen single bedrooms, nine of them have en-suite facilities. There is one double bedroom. There are communal rooms that all the people who live in the home can use, they are a dining room and two lounges, one of which has been designated a smoking lounge. Recent improvements to the home include extra stair lifts, so that people who have mobility problems can move between the rooms more easily. The charge is £370 weekly. Park House DS0000000023.V366060.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 took place on one day. Before the inspection, surveys were sent out to people who live in the home, their relatives and staff. Ten people who live in the home, four relatives and seven staff all returned surveys. The inspector visited the home and met the home’s owner, the manager and four staff. She also looked around the home and met six service users. She watched staff while they were helping people and playing games with them. One person who lives in the home and one relative who was visiting another resident told her what they think about the service. The inspector also checked paperwork and files. What the service does well: What has improved since the last inspection? People’s care plans have more information and tell staff how to care for each person and to keep people safe. Staff talk to people about how they want their care to be given. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 6 The home has improved the way that it looks after people’s medication. The home keeps better records that show that it regularly checks to make sure everything in the home is safe, like the hot water temperature. It also keeps better records of any accidents, so that they can be read by other people and the manager can look at ways of stopping them happening again. The home asks people for their views on the service and plans changes to provide the things that people say they want. What they could do better: 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. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 3 and 6. People who use the 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 makes sure it will be able to meet peoples needs before they move in. People who need short term care and are helped to regain their independence and return home. EVIDENCE: The home provides people who want to move in with information about the service and accommodation it offers. Every resident has a guide that explains what they can expect. This information is clear. The home should develop a picture-based version and an audio recording for people who cannot or can no longer read English. The relative of a resident who has moved in to the home this year described how the home was careful to be sure that it could meet her relative’s needs before offering her a place. The family were invited to look around the home and the lady herself came to stay, to see if she liked the home, before she moved in. Then she stayed for a trial period before deciding to stay as a permanent resident. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 9 The files examined show that the manager obtains all the assessment information she can from other agencies and professionals and then carries out her own assessment. The home also provides care on a short-term basis, for example people who are recovering from illness. Three people have stayed in the home temporarily in the last year and it has helped them to regain their independence and return home. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 10 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): Standards 7, 8,9 and 10. People who use the 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’s health and social care needs are explained in care plans and individuals have a say in how their care is provided. People are protected by the home’s procedures for managing medication. People are treated with respect. EVIDENCE: The home develops a care plan for each individual resident that explains the care they need and the way they prefer it to be given. The individual files checked and interviews with one resident and the relative of another confirmed that they are fully involved in discussions about their care. Care plans are also reviewed regularly and relatives and service users’ representatives are invited to take part in reviews. Two relatives wrote in a letter to the Commission for Social Care Inspection that in their experience Park House was ‘an establishment managed and staffed by people who cared for each resident according to their needs and conducted themselves in a professional manner.’ Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 11 The home works closely with health care professionals to ensure that each person’s health care needs are also met. A family member commented on how much her relative’s health has improved since she moved into this home after a period of illness: ‘She is a different person completely, much better. Her chest has cleared up; she has gained weight. You can see the difference.’ The home has improved the way that it looks after people’s medication, since the last inspection. The guidance for staff is clearer and tells them how they can make sure that the right people get the right dose of medication at the right time. The way staff record what medication has been given out has also improved. Every person’s photograph is now kept on their own medication administration chart, to help any new staff ensure that they always give the medication to the right person. The home now has a special storage area for medication, creams and dressings and these are better organised. The Primary Health Care Trust recently audited the home’s arrangements for storing and managing medication and made only minor recommendations for improvements. These have already been introduced. People who are able to manage their own medication are encouraged to do so by the home’s policies and guidelines. At the time of the inspection two people were keeping their own inhalers. One person described how she knows when to use this. Staff interviewed described how they take care to respect the dignity of people who live in the home. They said that because this is a small home they have time to spend with each person and to get to know and understand them, even when they are not able to express their wishes easily. A resident said that the carers are good to her and that she would not want to leave the home. A visitor said that the staff are very patient and understanding with her relative. Other relatives wrote that the home has: ‘A truly family atmosphere where residents’ wishes were respected and caring is provided with dignity.’ Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 14 and 15. People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence including a visit to this service. People encouraged to make choices about how they spend their time from the range of activities available. Families and visitors are made welcome. The people who currently live in the home enjoy the meal choices offered and eat them when and where they like. EVIDENCE: The home organises activities inside and outside the home, for individuals and groups and many of the people who live there seem to enjoy taking part. A relative said ‘My mother takes an interest now. She has played darts and bingo. She has opened up now. She is not quiet. She is always cheerful now.’ On the day of the inspection some people who live in the home were playing table skittles in one lounge, others watched the television in another, while some preferred to be in their own rooms. A carer describes how one lady who is blind prefers to stay in her own room and that staff go in and sit and talk to her. They understand that it is important to always introduce themselves and to explain what they are doing. Another lady explained that she never goes out because she prefers to stay in the home with the staff, but her family visit her regularly. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 13 The home has introduced ‘arts and crafts’ sessions since the last inspection, which some people enjoy. Care staff described how they take people to the local park regularly and occasionally into town to go shopping. Two people stated in the survey that the home should arrange more outings. The home is currently planning a bus trip to Seaton Carew, based on consultation. However, staff said that a similar trip planned last year to Redcar did not take place. The home should ensure that it responds to reasonable requests from people who live in the home for outings or explains to them why their requests cannot be met and offers an alternative. This is so that people know that their views are listened to and are encouraged to participate in decision-making in the home. The home makes visitors welcome and they are invited to social events in the home. One relative described how she attended a clothes party at the home. The manager is organising a garden party for the summer and intends to open it to members of the local community. Many people look forward to these social events. The people who currently live in the home seem to be happy with the lifestyle the home offers, but they are all from the White British majority community. The manager feels that because it is a small home it can tailor the lifestyle and routines it offers, to the needs and preference of individuals. Staff are given training to help them understand the communication needs of different people. The manager explained that if someone from a minority ethnic community expressed an interest in moving into the home, she would carry out research to ensure that the home would understand and satisfy the individual’s dietary, cultural and religious needs. The home should consider how it can show that it would welcome people from minority communities. All staff should have training on equality and diversity issues, so that they recognise and respect the differences between people, including those related to sexual orientation, identity and lifestyle choice, ethnicity and culture, as well as disability, illness and impairment. Then the provider, manager and staff can feel sure that they are not unintentionally or indirectly excluding any individual or community, from applying for a place or a job in the home. The home provides a varied diet that is changed regularly and is based on what people say they would like. Since the last inspection the cook plus two other staff have completed courses on nutrition and diet and meal choices have been extended. On the day of the inspection most people ate together in the very pleasant, comfortable dining room, but one lady chose to eat her meal while watching television in the cosy, small lounge and others had their meals served in their rooms. People can have drinks and snacks whenever they ask for them and they are offered regularly through out the day. Fresh fruit is also available. The home should check that it can provide for the dietary needs for individuals from minority communities, whether people who use this service or staff, for example by providing separate food storage facilities and preparation areas, if required. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 14 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): Standards 16 and 18. People who use the 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 this service and relatives know that their complaints will be taken seriously. The home protects people from abuse. EVIDENCE: The home has a clear complaints procedure and all the service users who returned surveys said that they would know how to make a complaint and that staff listen to their views. But no complaints have been received in the last year, so there were no records to examine during the inspection to check that procedures are followed. This probably means that people are satisfied with the service and have no complaints. But it could mean that the people who did not return surveys are people who do not or cannot read written English (for example the resident who is blind). The home should introduce a picture based version of the complaints procedure and an audio recording, and keep records to show that a relative, advocate or a member of staff has gone through these more accessible versions of the complaints policy and procedure with the people who live in the home. So people will know that the home welcomes complaints as a way of sorting out problems and improving the service. The home has appropriate policies and procedures that safeguard people from harm through abuse and neglect. They give the manager and staff guidance on what to do if they suspect or are told that abuse or neglect has occurred. Records show that staff have had training in how to recognise the signs and Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 15 symptoms of abuse and how to follow the procedures. And staff demonstrated in interview that they would not hesitate to act to protect people. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 16 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): Standards 19 and 26. People who use the 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 live in a clean comfortable and safe environment, adapted to help them to move about freely. EVIDENCE: The home is clean, well furnished and decorated. It is large enough to meet people’s needs for adapted bathrooms and communal and private space. And it is small enough to provide a comfortable, homely environment. A relative said ‘It is a friendly, down to earth, home from home.’ Several improvements have been made to the home since the last inspection. There are now stair lifts between rooms that are on different levels, making it easier and safer for people to use all the communal space. There is new furniture in the lounges and new modern commodes have been provided in the rooms that do not have en-suite toilets. Records checked during the inspection showed that maintenance and health and safety work is carried out and that the temperature of the water is now monitored and recorded. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 17 Individuals have their own bedrooms, which are a good size and well equipped. There is a double room available for two people who would like to share. People are encouraged to personalise the rooms to suit themselves, with photos, ornaments, televisions etc. There is a pleasant sheltered garden outside, where people who live in the home can sit. The home intends to organise a garden party and invite people from the local community this summer. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 18 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): Standards 27, 28, 29,30. People who use the 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’s needs are currently met by the staff, who have the skills and attitude required. They are protected by the way the home recruits staff. EVIDENCE: Relatives wrote in a letter to the Commission for Social Care Inspection before the inspection: ‘There is no doubt that the management and staff of Park House are second to none and the owners should be very proud of them’ There are usually enough staff on duty to meet the needs of the people they currently care for. However if the needs of any of the people who currently live in the home increased or if the home is full, more staff may be needed to help at key times and to enable people to have one to one attention occasionally to join in activities and to go out. There are two waking staff on duty at night and during the day there are two or three carers on duty, as well as the manager who works directly with the people who live in the home and so knows them all well. All the staff have the National Vocational Qualification in Care (NVQ) at level 2 or above, including two new staff who have achieved this nationally recognised award since starting. The manager also a qualified assessor for NVQs, which means she is on hand to help staff complete the work they need to do to achieve these qualifications. She is very keen to encourage her staff to undertake training to develop their skills and knowledge and meet people’s Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 19 needs competently and with confidence. The care staff interviewed said that they feel they get enough training and the manager is quick to act if they identify that they need to know more about something that will help them care for people’s’ particular needs (for example training on dementia, epilepsy or diabetes). However, one relative commented on the survey that staff should have more training. The home already has an equality and diversity policy. It should make sure that it is put into practice. All the care staff who were interviewed talked about the importance of respecting individuals and enabling them to make choices and to live as they want to. They are particularly sensitive to the individual needs of people with dementia and sensory impairments and are keen to learn as much as they can to give the best service possible to each person. However, some had limited awareness of wider equality and diversity issues, for example about the minority ethnic communities who may also benefit from this service but do not currently use it. All staff should have training on equality and diversity issues, to help them to understand all the differences between people and how this affects the way they should provide care and support. Care staff and managers should also have training on equality and diversity issues to ensure that they treat each other fairly and anyone who would make a good carer knows that the home can offer a welcoming environment. Staff with children commented on how the home has been supportive and enabled them to return to work, by organising their hours to suit their caring responsibilities. For example one person said: ‘They are good about my hours and letting me swap if I have child care issues. They were very good about maternity leave, they let me go when I felt ready.’ This means that people’s skills and experience can continue to be used for the benefit of people who live in the home, although the balance of how they spend their time, between work and family life, may change during the period they have caring responsibilities. Staff have regular one to one meetings with the manager, to discuss how they do their jobs and any training needs or personal issues they may have. One person said ‘We have one to one meetings with the manager, we can go to her with any problems. She is very helpful.’ They also meet together as a staff group. The manager should use these individual and group meetings to discuss equality and diversity issues and how they can make sure that everyone who lives in the home is encouraged to express themselves and their lifestyle choices. The home’s policy and guidelines for the recruitment of staff meet the Commission for Social Care Inspection’s recommended standards and requirements and the recruitment records of new members of staff showed that they are followed. The home carries out the background checks required Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 20 to ensure that it does not employ anyone who has something in their background that would make him or her unsuitable to work in a care setting. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 21 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): Standards 31, 33, 35 and 38. People who use the 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 well managed and run in the best interests of service users. People are safeguarded by the home’s policies and procedures. EVIDENCE: The manager is suitably qualified and experienced. She is very involved in the direct care provided. She knows each resident and their family well. People who live in the home,, staff and relatives all had only good things to say about the manager and they gave her credit for the warm and caring atmosphere of the home. The owners of the home also take a personal interest in the daily running of the home and support the manager in her work. A family member commented on a survey: ‘The home is well-managed, which reflects the high standard of care my relative gets.’ Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 22 The home has implemented the requirements and recommendations made at the last inspection, which shows the provider and manager are committed to try to continually improve the service. The home has improved its system for getting service users’ views about decisions made in the home. As well as asking them to complete surveys and consulting each person individually, through the key worker system, the manager now holds residents’ meetings and the minutes of the last one were examined during the inspection. The manager provided the Commission for Social Care Inspection with a report on the changes and developments made in the last year and the plans for further improvements. She intends to formalise the quality assurance system further by producing an annual report summarising people’s views and the action taken and to seek and record the views expressed by relatives and professionals. This report will be made available to people who live in the home,, staff and visitors. The manager still has an ‘open door policy’ and lets people who live in the home and staff know that she wants to hear their views at any time. She talks to relatives and professionals when they visit. The manager regularly reviews the home’s policies and procedures and those checked during the inspection were clear and up to date. People who live in the home are encouraged to look after their own money and valuables and are provided with a lockable box for security. The records showed that the home has met the health and safety requirements and that equipment is regularly checked and maintained by qualified contractors. The home has improved the way it keeps records of accidents and monitors the temperature that hot water is stored at, to reduce the risk of Legionella. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 23 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 x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 2 x 3 x x 3 Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 home should provide information about its services and how people can make complaints in other ways, as well as written English. This is so that people who do not read English, for example because they are blind or read another language more easily. The home should ensure that it responds to reasonable requests from people who live in the home for outings or explains to them why their requests cannot be met and offers an alternative. All staff should have training on equality and diversity issues. This is to help them to understand all the differences between people and how this affects the way they should provide care and support. It is also to make sure that they know how to treat each other fairly and to make sure that no-one feels excluded irrespective of background, personal identity and lifestyle choices. These issues should be raised in staff meetings and in DS0000000023.V366060.R01.S.doc Version 5.2 Page 25 2. OP12 3. OP30 Park House 4. OP33 individual supervision. This is so that people can discuss how to put these important principles into practice in the work setting and share concerns and ideas. The home should continue to improve the way it checks that it is providing a good service and finds out what will make it better. It should ask professionals, as well as relatives and service users for their views. These views should be included in the annual quality report and plans to develop the service. Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Park House DS0000000023.V366060.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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