Care Home: Park House Residential Care Ltd

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What the care home does well Well trained staff provide care for people in an individual way which is agreed with the service user. Staff enable access to the full range of medical services available in the community and medication is given correctly.People feel able to raise any concerns they have and are confident any complaints will be addressed by the staff team. Service users are protected from abuse or exploitation by the consistent application of the home`s policies and procedures. What the care home could do better: If any `tool` or proforma is used as part of an assessment of need, the outcome of that process should be clearly documented. Advice should be sought regarding the storage of controlled drugs to ensure the storage meets the current legal requirement. A central record of all `complaints`, including informal ones, should be kept so that any developing patterns can be identified and addressed. Random inspection report Care homes for older people Name: Address: Park House Residential Care Ltd 77 Queens Road Oldham OL8 2BA three star excellent 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: Steve Chick Date: 1 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Park House Residential Care Ltd 77 Queens Road Oldham OL8 2BA 01616260802 01616208144 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Barbara Connolly Type of registration: Number of places registered: Conditions of registration: Category(ies) : Park House Residential Care Limited care home 27 Number of places (if applicable): Under 65 Over 65 0 27 dementia old age, not falling within any other category Conditions of registration: 27 0 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. Dementia - Code DE. The maximum number of service users who can be accommodated is: 27. Date of last inspection Brief description of the care home Park House is a detached property, situated 1 mile from Oldham town centre. The home is close to local bus routes and amenities. Accommodation for people is provided in 27 single rooms, 21 of which have ensuite facilities. Other toilets are situated close Care Homes for Older People Page 2 of 9 Brief description of the care home to peoples rooms and lounges. Three large lounges and the dining room/conservatory provide adequate seating and a choice of dining areas. Outside of the property is a large landscaped garden overlooking a local park, which people can access unaided. Both inside and outside of the property are well maintained to a good domestic and homely standard. Park House has two assisted bathrooms. Aids and adaptations are provided for people in communal facilities and exclusively for individuals. Information about the service can be obtained from the service user guide, which is a booklet that provides information about what people can expect from the service. Information can also be obtained from the manager, either in person or by telephone. Care Homes for Older People Page 3 of 9 What we found: We conducted a random inspection of Park House on 18th May 2010 as part of our regulatory responsibility. We did this to see if there had been any significant changes in the delivery of the services provided and if any of those changes impacted negatively on the service users or affected the quality rating given at the last Key inspection in 2007. At the last key inspection the quality rating given to the service was 3 star. This means the people who use this service were experiencing excellent quality outcomes. Since that time we have asked the registered provider to complete an Annual Quality Assurance Audit (AQAA) each year . The AQAA is a self-assessment document that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information. We have undertaken an Annual Service Review (ASR) each year since the last key inspection. An ASR does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review. This random inspection was unannounced and focused mainly on outcomes for service users in connection with their health and personal care, and the way in which the home manages complaints and protects the people who live there. We interviewed, in private, three service users and two staff. We also spoke with the manager. We looked at a sample of records relating to health and personal care of service users and complaints and protection. All service users files which we looked at had a written plan of care. Examples were seen where clear helpful instructions were recorded in connection with the way in which staff should be dealing with the specific needs of that individual. There was also documentary evidence that care plans are regularly reviewed and, when necessary, updated. Some examples were seen where the staff used pro forma assessment tools to assist in the identification of levels of risk relating to specific areas, for example the risk of the individual service user falling. In one example seen it appeared that this tool had identified a high level of risk, but there did not appear to be a corresponding care plan or written strategy to indicate how this risk may be reduced. However, other examples were seen where, in connection with for example, risk of malnutrition, the level of risk identified by the assessment tool had resulted in an appropriate level of monitoring or action. We were told that there was a verbal handover between shifts where any significant information in connection with each service user was updated. There was also a continuity book where relevant information is detailed and signposted to service users files when appropriate. Staff who we asked told us they were confident that the system worked and, combined with their own personal knowledge of the service users, enabled them to start each shift knowing about the current situation of each service user. One member of staff who we spoke to also pointed out that the positive relationships between all staff members and the good communication which existed in the home meant that if anyone was unsure of anything they could always ask a colleague. Service users who we spoke to were positive about the way in which their care needs were met at the home, and that their privacy and dignity were maintained. One person Care Homes for Older People Page 4 of 9 told us if you ask for any help they always give it to you another said that the staff were very nice and a third said that the staff were very good, very kind. There was good written evidence that the people living at Park House have access to the full range of health care available in the community. Service users and staff who we asked were confident that appropriate medical support would be sought when necessary and in a timely manner. Medication presented as being stored appropriately although it was not clear if the dedicated cupboard for securely storing controlled drugs was fully compliant with current legislation. The deputy manager, who took prime responsibility for the day-to-day administration of medication, reported that their pharmacist had not identified this as a problem. It was recommended that this should be questioned with the pharmacist and information was given in connection with the specific piece of legislation which applies. Medication administration records presented as being appropriately maintained to demonstrate that the right medication at the right dose at the right time was given to the correct service user. We looked at the homes complaints log which only had a record of two complaints having been received since the last key inspection. We discussed the advantage of keeping a central record of all complaints received even if they were resolved before being escalated to a formal complaint by a service user or someone advocating on their behalf. There was no evidence to suggest that any concern or complaint was not been dealt with appropriately. In fact, evidence was seen of a minor complaint being made, and resolved and noted in that persons care file. All staff and service users who we asked were confident that people could raise complaints and that they would be dealt with appropriately. One service user said that they were confident that if they had a complaint about something staff had done, or not done the manager would be on to them straight away. We looked at a copy of the homes training records in connection with issues around the protection of vulnerable adults (POVA). This indicated that at least seven staff members had undergone specific POVA training. Additionally, other staff had undertaken NVQ (National Vocational Qualification) II or III which would contain modules in connection with POVA issues. Staff who we spoke to told us they believed that people living at Park House were safe and were protected from abuse or exploitation. Staff also demonstrated an understanding of the importance and the process of whistleblowing should that ever be necessary to protect the interests of the service users. Service users who we asked were confident that they were safe. One person when asked to describe Park House replied a ray of sunshine to the lives of older people, its splendid. What the care home does well: Well trained staff provide care for people in an individual way which is agreed with the service user. Staff enable access to the full range of medical services available in the community and medication is given correctly. Care Homes for Older People Page 5 of 9 People feel able to raise any concerns they have and are confident any complaints will be addressed by the staff team. Service users are protected from abuse or exploitation by the consistent application of the homes policies and procedures. 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 2. Care Homes for Older People Page 6 of 9 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 7 of 9 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 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 The Responsible Person should ensure that if any tool or proforma is used as part of an assessment of need, the outcome of that process should be clearly documented. The Responsible Person should ensure that advice is sought regarding the storage of controled drugs to ensure the storage meets the curremt legal requirement. The Responsible Person should ensure that a central record of all complaints, including informal ones, is kept so that any developing patterns can be identified and addressed. 2 9 3 16 Care Homes for Older People Page 8 of 9 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. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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