Care Home: Park House Care Home

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What the care home does well Given the limited focus of this visit, it is not possible to comment on the general performance of the service. It is noted that when instructed, the service has started the complaints procedure in order to deal with the initial concerns. What the care home could do better: Reasons for non administration of medication must be included on medication records so that the health of individuals is promoted. Random inspection report Care homes for older people Name: Address: Park House Care Home 93 Park Road South Claughton Birkenhead Wirral CH43 4UU two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Paul Kenyon Date: 2 7 0 1 2 0 1 0 Information about the care home Name of care home: Address: Park House Care Home 93 Park Road South Claughton Birkenhead Wirral CH43 4UU 01516521021 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) : Four Seasons (Emmanuel Christian Care Home) Ltd care home 111 Number of places (if applicable): Under 65 Over 65 0 111 dementia old age, not falling within any other category Conditions of registration: 111 0 The registered person may provide the following category of service only: Care home with Nursing - Code N 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 Dementia - Code DE The maximum number of service users who can be accommodated is: 111 Date of last inspection Brief description of the care home Emmanuel Christian Care Home - Park House, is located in a quiet residential area of Birkenhead. The home is owned by Four Seasons Health Care Limited. The home is registered to provide general nursing care to forty elderly persons on the second floor, general nursing care to thirty elderly persons on the ground floor and dementia Care Homes for Older People Page 2 of 8 Brief description of the care home nursing care to forty one elderly persons on the first floor. Personal care may be given to eight service users within the total of 111 persons. The home provides single ensuite accommodation to all service users and has several lounges on each floor. There are adequate numbers of toilets and bathrooms. Access to the upper floors is via the two passenger lifts and several stairways. The home is accessible by public transport and there are a variety of local shops nearby. The home employs qualified nurses and care staff to provide care to the service users. There are separate domestic, laundry, catering and maintenance staff. The fees range from GBP560 to GBP585 per week, plus the nursing element, dependent on the level of care required. Care Homes for Older People Page 3 of 8 What we found: We visited Park House in response to concerns received by us made by a relative about their relations stay at the service during a period of respite care. The concerns centred on the alleged condition in which the person arrived home after this respite stay as well as concerns about the administration of medication while this person was there. The visit was unannounced and was took place on over two occasions. On the first occasion the Registered Manager was not available but on the second day we were able to meet with the Registered Manager and this visit included the viewing of records relating to the persons stay as well as the viewing of medication records. While the service were aware of the concerns made in relation to the persons discharge from Park House, the service had not viewed this as a formal complaint given that the family had not indicated that this was their wish. Given the issues in relation to the concerns about the persons discharge, the service must deal with the concerns using the services complaints procedure. The second day of our visit noted that the Registered Manager had contacted the family by letter starting this process. We looked at medication records. Concerns had been raised to suggest that all the medication provided for this person (a weeks supply) had not be given and that an inhaler which was reported to be full was empty on the persons return. The inhaler was reported to provide fifty doses which was not as prescribed for the person during a week. There is not enough evidence to make a judgement on this concern. The other part of the medication concern outlined that not all medication had been used during the week and that three days worth of medication had been omitted. Records suggested that there were three occasions during the week when medication had not been given but this did not amount to three days worth of medication. In two instances, reasons for non administration had been given as refused and this had been correctly recorded on the medication records. There was another instance of non administration and although a code had been used to indicate this, no reasons for the non administration had been given. This is raised as a requirement in this report. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 4 of 8 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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, 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 9 13 Reasons for non 17/02/2010 administration of medication must be included on medication records so that the health of individuals is promoted. 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 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. 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