Care Home: Parkfield Rest Home

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What the care home does well Everyone at the home said they enjoy living at Parkfield and their comments confirmed that the home is run in the best interests of the people who live there. Pre-admission assessments are thorough and make sure the home can meet people`s needs. The care plans are reviewed regularly and reflect people`s needs. The staff understand the needs and preferences of all the people who live at the home. People`s health is looked after and the home supports people well and staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Everyone said they felt safe and well protected. The medicines administration procedure, observed during the inspection, was safe and accurate. People said they enjoy their meals and there were drinks available throughout the day. The staff are aware of people`s dietary needs and preferences. The staff provide a range of activities for people to take part in, if they wish. Regular trips out and holidays are arranged. People said they receive the care they need and are supported to maintain their independence for as long as they are able. The kitchen and the rest of the house is clean, safe and well maintained. What has improved since the last inspection? One member of staff has taken the adult protection training course. The home has found ways of introducing healthier choices into the menus, through discussions and agreement with the people who live there. What the care home could do better: To keep their knowledge and skills up to date, the rest of the staff must have adult protection training, as well as other training relevant to the needs of the people they support. In order to keep an accurate record of the medicines that are supplied in their original packaging, a `brought forward` system should be put in place. CARE HOMES FOR OLDER PEOPLE Parkfield Rest Home 9 Parkfield Road Manningham Bradford West Yorkshire BD8 7AB Lead Inspector Liz Cuddington Unannounced Inspection 5th June 2008 11:00 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 Parkfield Rest Home DS0000001217.V366437.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. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkfield Rest Home Address 9 Parkfield Road Manningham Bradford West Yorkshire BD8 7AB 01274 488280 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) Mrs Letitia Alake Fehintola Mrs Letitia Alake Fehintola Care Home 9 Category(ies) of Past or present alcohol dependence (1), registration, with number Dementia - over 65 years of age (2), Mental of places disorder, excluding learning disability or dementia (1), Old age, not falling within any other category (5), Physical disability (1) Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for PD is for the named service user only. Date of last inspection 2nd July 2007 Brief Description of the Service: Parkfield Rest Home is a large Victorian house in a residential area near Valley Parade football ground in Bradford. The home is registered to provide personal care for up to nine people with mental illness or dementia. The accommodation consists of three single and three twin bedrooms. There is a lounge and separate dining room. There are gardens to the front and a large paved area at the back of the home. On the 5th June 2008 the home’s charges were the local authority rates and extra charges are made for personal expenses, holidays and day trips. Parkfield Rest Home DS0000001217.V366437.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 purpose of this inspection was to assess the quality of the care and support received by the people who live at Parkfield. The visit to the home was carried out over one day by one inspector. The last key inspection was in July 2007. The methods used to gather information included conversations with the people living at the home and the staff, as well as looking at care plans and examining other records. We received the home’s self-assessment questionnaire on the day of the visit. This questionnaire provided valuable information to help us form a judgement about the quality of the care and support the home provides. We would like to thank the people who live at the home and the staff, for their welcome and hospitality and for taking the time to talk and share their views during the visit. What the service does well: Everyone at the home said they enjoy living at Parkfield and their comments confirmed that the home is run in the best interests of the people who live there. Pre-admission assessments are thorough and make sure the home can meet people’s needs. The care plans are reviewed regularly and reflect people’s needs. The staff understand the needs and preferences of all the people who live at the home. People’s health is looked after and the home supports people well and staff have the skills and experience they need to do this. Everyone said that staff listen to them, and act on what they say. Everyone said they felt safe and well protected. The medicines administration procedure, observed during the inspection, was safe and accurate. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 6 People said they enjoy their meals and there were drinks available throughout the day. The staff are aware of people’s dietary needs and preferences. The staff provide a range of activities for people to take part in, if they wish. Regular trips out and holidays are arranged. People said they receive the care they need and are supported to maintain their independence for as long as they are able. The kitchen and the rest of the house is clean, safe and well maintained. What has improved since the last inspection? 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. Parkfield Rest Home DS0000001217.V366437.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 Parkfield Rest Home DS0000001217.V366437.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): 3 Standard 6 is not applicable 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 are assessed before they are admitted to the home, to make sure their needs can be met. EVIDENCE: We were told that the home’s information, including the Statement of Purpose and Service Users Guide, could be made available in other languages if this was needed. The care plans included pre-admission assessments completed by the home. Before moving into Parkfield, people’s needs are assessed to ensure that the home is able to meet their needs. This assessment forms the basis for the individual plan of care and support. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 9 Before deciding to move in, people are invited to visit for all or part of the day and share a meal. People can do this as often as they need to, in order to help them make the right decision. After four weeks there is a review, to make sure the home and the care plan meets the person’s needs and they are happy at Parkfield. Parkfield Rest Home DS0000001217.V366437.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): 7, 8, 9 & 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 personal and healthcare needs are met. People generally are protected by the medication administration systems. Staff treat people with respect, care and consideration at all times. EVIDENCE: From observation and discussions with staff and people living at the home, it was clear that the staff are aware of each person’s needs and preferences. The staff make sure they provide the help people need in the way they prefer. Each care plan includes a ‘pen picture’ of the individual giving the staff background information to help them understand the person, their support needs and their preferences. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 11 Three care plans were looked at, to make sure that people’s health and personal care needs are being met in the way the person prefers. The plans cover each area of the individual’s care needs. They all contain enough information to guide staff in how to care for and support each person. The information is clear and shows where people need support and where they are able to manage independently. People said that they always receive the medical and healthcare support they need. The home seeks advice about people’s health from healthcare professionals, and the care plans show that the staff act upon the advice they are given. There are risk assessments in place and the plans are reviewed regularly, to make sure they are up to date and still reflect the person’s needs. When someone’s needs change significantly, this is shown in a very detailed review. The daily records are kept up to date and include brief, relevant information on significant occurrences. The medicines are kept safe and secure and the Medicines Administration Record (MAR) charts are securely stored. Most of the medicines are supplied by the pharmacy in a monitored dosage system, but some is kept in the original packaging. The MAR charts, which must show clearly the quantities of medicines received and in stock for each person, were examined. The medicines supplied in the monitored dosage system appeared to be administered and recorded accurately. There were signatures to confirm that staff had administered the medicine. In order to keep an accurate record of the medicines that are supplied in their original packaging, a ‘brought forward’ system should be put in place. This would show the quantity of any medicines that are carried forward from one four-week MAR chart to the next, in addition to any new supply of the medicine. During the visit, all the staff were seen to treat people with respect and maintain their dignity. People said that they receive the care they need and are supported to maintain their independence for as long as they are able. Parkfield Rest Home DS0000001217.V366437.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): 12, 13, 14 & 15 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 are supported to take part in a range of activities. People are offered a good choice of meals and drinks, to make sure their dietary needs and preferences are met. EVIDENCE: People said they are supported to lead their lives in the way they choose. The staff are aware of people’s preferences and the home is run in the best interests of the people who live there. People’s preferred activities and lifestyles are recorded in their care plans and the staff make every effort to help people to meet their social and recreational needs. They go on regular trips out for lunch, to the shops, to the local park and anywhere else people choose. This can be as a group or individually, just as people prefer. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 13 Regular holidays are also arranged. This year everyone went on holiday to the coast in April, staying at a lovely hotel with a range of recreational facilities for people to enjoy. People said they enjoyed their holiday very much. People are supported to follow their own faith and personal beliefs. People regularly go out to organised church events. Since the last inspection the home’s staff have been working with people to introduce a healthier balance into the menus. They have negotiated a compromise of a balance of healthy home cooked meals, with the ‘take away’ meals people like as pleasures to look forward to. On the day of the inspection everyone enjoyed fish and chips for lunch. As a way of introducing more vegetables into the menus, the home has started making their own vegetable soups and pasta sauces, which are well received even by people who are not keen on vegetables. A record is kept of the menus and it was clear that the meals reflect people’s preferences. More fruit has been introduced through the desserts people enjoy. There are drinks and snacks available at any time and people are encouraged to drink water, as well as other drinks of their choice. Parkfield Rest Home DS0000001217.V366437.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): 16 & 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 are aware of how to raise a concern or make a complaint if they are dissatisfied. Staff have not all received suitable adult protection training. Staff understand the adult protection policies and procedures, which makes sure that people at the home are safe. EVIDENCE: Staff said they know what to do if anyone has concerns. Most people who live at the home said they know what to do if they have a concern or complaint. Staff are made aware of the home’s ‘whistle blowing’ policies and procedures, to be used if they suspect abuse or see examples of poor practice. Not all of the staff have had adult protection training, but further training is planned. All the appropriate policies and procedures are in place to guide staff. Since the last inspection there have been no complaints or adult protection referrals. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 15 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): 19, 20 & 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. The home provides a safe, comfortable and well-maintained environment. EVIDENCE: The home is clean and generally well maintained and there is an ongoing refurbishment programme. Everyone said the home is always kept fresh and clean. Protective gloves and aprons are available for staff to use when necessary. The washing machines have a sluice wash programme, as part of the home’s infection control measures. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 16 The rooms are comfortably furnished and have a welcoming feel. A new television has recently been installed in the lounge, which everyone seemed to appreciate. There are sufficient, accessible toilets and bathrooms on both floors of the house. The garden at the front of the house is tidy and has seating for people to use in the better weather. The home’s owner has a programme of re-decoration for the home. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 17 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): 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. Sufficient staff are employed to meet people’s needs. People are protected by thorough recruitment procedures, which ensure that staff are suitable to work with the people who live at the home. Some suitable training is provided to make sure staff have the skills and knowledge they require to meet people’s needs. EVIDENCE: The staff rotas confirmed that there are enough staff on duty to meet people’s care, social and leisure needs. The owner/manager’s hours are supernumerary to this. Staffing levels are adjusted where necessary to meet people’s needs. All new staff complete an application form and provide two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks are obtained and no new staff begin work until these checks have been completed satisfactorily. Staff have a copy of the terms and conditions of their employment. The staff files contain all the information needed. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 18 Staff confirmed that they have training opportunities to support them in their role. Staff said their training was relevant, helped them understand their role and kept them up to date. One of the care staff has completed a National Vocational Qualification (NVQ) in care at level 2 and the senior carer has achieved NVQ levels 3 and 4. Another member of staff is taking the level 2 course, and another is about to start the award. All new staff complete induction training which meets the Skills for Care criteria. This gives them good basic training to help them do their job effectively, and provides a sound basis for taking an NVQ course. In addition staff attend training courses, which include infection control, medicines administration, adult protection and health and safety training. It would be valuable for staff to attend training in other areas relevant to their work, such as the Mental Capacity Act, adult protection and dementia care, in order to keep their skills and knowledge up to date. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35 & 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 safe and well managed. EVIDENCE: The home’s owner is also the manager. She has the necessary qualifications and experience to manage the home effectively and it is run in the best interests of the people who live there. The records, and the staff, confirmed that all staff are now having regular one to one formal and informal supervision meetings with their manager. This supports staff to plan their personal and professional development and gives them the opportunity to discuss any areas of concern in a confidential setting. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 20 Where the home helps people to manage their personal finances, accurate records are kept of all transactions. All monies are securely stored. The home’s policies and procedures are kept up to date; to make sure they provide relevant information to guide staff on how to act in every situation. All the regular health and safety checks for the home are carried out in a timely manner. The fire safety checks are carried out regularly and staff have had the necessary training and practice fire drills. These measures make sure that the health, safety and welfare of the people at the home is promoted and safeguarded. The home’s kitchen was clean, tidy and hygienic. The laundry is well organised and well equipped and supports the home’s hygiene and infection control systems. Regular meetings are held for staff and the people who live at the home and records are kept. Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 21 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 X X 3 X X N/A 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 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 22 YES 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. 1. Standard OP18 Regulation 13(6) Requirement Adult protection training must be provided for all staff. (Timescale of 01/06/06 and 01/09/07 not met from last inspection) All staff must be offered additional training relating to the needs of the people in the home, so that they can meet their needs effectively. (Timescale of 30/09/07 not met from last inspection) Timescale for action 30/09/08 2. OP29 18(1)(a) 31/10/08 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 OP9 Good Practice Recommendations In order to keep an accurate record of all the medicines that are supplied in their original packaging, a ‘brought forward’ system for recording the amounts carried forward and in stock should be introduced. DS0000001217.V366437.R01.S.doc Version 5.2 Page 23 Parkfield Rest Home Parkfield Rest Home DS0000001217.V366437.R01.S.doc Version 5.2 Page 24 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. 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