Care Home: Parkhill Nursing Home

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well The atmosphere in the home was warm, welcoming and friendly. People living in the home said that they enjoyed living there and that they were well looked after and staff were very good. One visiting relative told us "Staff are always welcoming and provide excellent care" and "(There are) always plenty of staff around". The home is maintained and furnished to a very high standard that adds to the comfort and well being of the residents. The grounds are also maintained to a very high standard with pleasant seating areas at different points giving residents and their visitors` opportunities to enjoy the good weather and take advantage of the views of the surrounding countryside. Before we carried out the inspection we received nine completed surveys from residents living in the home and in these they told us "Staff are very kind, caring and attentive. (I am) treated with respect and dignity. (There is) always someone there if needed", "They (staff) are always so friendly. ....my key worker is lovely; she treats me as I am one of her own family. All the carers are great; we have a good laugh and a good cry sometimes. They always understand my needs" and "The staff are always pleasant, they always help whenever they can and have the time to chat if we need it". Staff training and supervision is seen as important by the management team of the home and a good range of training is made available to all staff. What has improved since the last inspection? Further work to improve the premises has been carried out including the fitting of new `digital` aerial points to all bedrooms and new window frames in a number of bedrooms. During the next few weeks a new driveway and patio area will be laid. The manager has reviewed and updated the statement of purpose and service user guide and a copy of each has been placed in every bedroom. Staff are encouraged to attend various training courses and the management team have continued to participate in development training. What the care home could do better: Care plans do not always clearly detail how individuals` needs should be met. Information must be clear about how assistance is offered/given to residents in order that staff can look after and monitor residents in the most appropriate way. Risk assessments need to clearly detail what the identified risk is and how that risk is to be managed. The way information is written in the daily records for residents could be improved. At present very little information is recorded about the general dayto-day routines of residents or about how individual aspects of the care plan has been met. CARE HOMES FOR OLDER PEOPLE Parkhill Nursing Home 319 Huddersfield Road Stalybridge Tameside SK15 3EP Lead Inspector John Oliver Unannounced Inspection 29th May 2008 08:30 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 Parkhill Nursing Home DS0000025448.V363454.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. Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkhill Nursing Home Address 319 Huddersfield Road Stalybridge Tameside SK15 3EP 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) 0161 303 8643 0161 338 6910 parkhillcare@btinternet.com Belmont Parkhill Limited Mrs Christine Holland Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38), Physical disability (10), Physical disability of places over 65 years of age (38) Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Services Users to include up to 38 PD(E), up to 38 OP and up to 10 PD. The registered manager to be supernumerary for 27 hours per week. A minimum of 238 qualified staff hours to be deployed per week. No more than 10 service users to be admitted who are between the ages of 39 and 65 years. 26th June 2007 Date of last inspection Brief Description of the Service: Parkhill Nursing Home is a late Victorian building with a purpose built extension, situated on Huddersfield Road, a short distance from Stalybridge town centre. The home provides nursing care for up to 38 service users and provides within that figure for a small number of younger adults who are disabled or service users who require personal care only. Accommodation is provided over three floors in primarily single rooms, although a number of shared rooms are available. Some rooms have en-suite facilities. Lounge and dining areas are available on each floor, in which service users can socialise and participate in activities taking place within the home. In addition, there is access to patios and garden areas with open views of the surrounding countryside. Fees charged range from £342:03 - £465:77 Parkhill Nursing Home DS0000025448.V363454.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 was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Commission for Social Care Inspection) in relation to the home prior to the site visit. This visit, which the home did not know was going to happen, took place over the course of 8 hours on Thursday 29 May 2009. During the course of the site visit we spent time talking to the residents, the registered manager, the owner, visitors to the home and staff on duty to find out their view of the home. Before the site visit we sent the manager of the home an Annual Quality Assurance Assessment (AQAA) document for them to complete and return to us with information about the service they provide. This was returned before the visit took place and contained some information that helped us to assess the service being offered by the home. We also spent time examining various files and written information and spent some time looking around the building. What the service does well: The atmosphere in the home was warm, welcoming and friendly. People living in the home said that they enjoyed living there and that they were well looked after and staff were very good. One visiting relative told us “Staff are always welcoming and provide excellent care” and “(There are) always plenty of staff around”. The home is maintained and furnished to a very high standard that adds to the comfort and well being of the residents. The grounds are also maintained to a very high standard with pleasant seating areas at different points giving residents and their visitors’ opportunities to enjoy the good weather and take advantage of the views of the surrounding countryside. Before we carried out the inspection we received nine completed surveys from residents living in the home and in these they told us “Staff are very kind, caring and attentive. (I am) treated with respect and dignity. (There is) Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 6 always someone there if needed”, “They (staff) are always so friendly. ….my key worker is lovely; she treats me as I am one of her own family. All the carers are great; we have a good laugh and a good cry sometimes. They always understand my needs” and “The staff are always pleasant, they always help whenever they can and have the time to chat if we need it”. Staff training and supervision is seen as important by the management team of the home and a good range of training is made available to all staff. 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. Parkhill Nursing Home DS0000025448.V363454.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 Parkhill Nursing Home DS0000025448.V363454.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective residents are fully assessed before admission into Parkhill. EVIDENCE: The manager confirmed that all prospective residents receive a pre-admission assessment prior to moving into the home. This assessment would be carried out by one of the senior staff and would take place in the person’s own home or hospital. We examined three files of people living in the home and all contained full assessments of need that had been carried out by the placing authority (Social Services) and by the management of the home prior to any arrangements for admission into Parkhill taking place. Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 9 Where relatives are involved in the admission of a new resident they are asked to complete social histories for their relative in order to give staff background details about the resident’s previous lifestyle and to help staff maintain the individuality of the resident. People are provided with lots of information about the home to help them make a positive choice about whether to move into Parkhill or not. In the resident surveys returned to us before the inspection took place comments included “I visited several times on behalf of my mother and was always welcomed. I never had to make an appointment and was given as much information as possible. I also had the opportunity to chat to staff which was welcome” and “They showed my family around the home and answered any questions they had. My family came to look around twice also ringing up the home to ask further questions, nothing was too much trouble”. The manager confirmed that the home did not offer the services of Intermediate Care. Parkhill Nursing Home DS0000025448.V363454.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were in place that detailed the needs of the individual resident but further improvements could be made. Policies and procedures were in place to ensure the safe handling and administration of medication but again further improvements could be made. EVIDENCE: We looked at the files of three residents to check what information was available in the care plans. Those care plans we looked at included information relating to health and personal care needs, mobility, social interests and risk assessments, and, in most cases, were reviewed on a monthly basis. On one file details had been completed on the documents ‘Risk Assessment Part 1 and Part 2’. These documents identify areas where there may be a risk to the individual with things such as “moving, feeding, swallowing, bathing and toileting” and directs you to look at the care plan where details of the risk assessment should be found. On the files we saw, although a specific risk may Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 11 have been identified, there were no risk assessments in place, for example, one care plan relating to medication stated that the resident may not always take their medication and “Make sure she doesn’t hide them anywhere”. Should this happen it would not only place the health of the individual at risk but could place other residents at risk should they find ‘hidden’ medication. We noted that some statements written in care plans such as “Assist…with bed baths in the morning” and “Needs careful handling due to ….” was not enough when compared to the information detailed about the person needs in the assessment and moving and handling risk assessment. Lack of such information could place the resident at risk of their needs not being met in the most appropriate way. To share information between the staff team about how each resident is on a day-to-day basis a daily report is completed. We looked at a number of reports and found the comments recorded in them very repetitive for example, 09/05/08 “Settled day, care as planned”, 10/05/08 “Settled day, no changes to report”, 11/05/08 “No changes to report…remains settled” and 12/05/08 “Settled day for… no changes to report”. It would be good if a little more information about how care is actually delivered to the person could also be recorded to show that particular needs identified in care plans are being met. We received nine completed surveys from residents living in the home prior to our visit taking place and comments included “The staff are very pleasant, they always help whenever they can and have the time to chat if we need it”, “Staff are very kind, caring and attentive. (I am) treated with respect and dignity. (There is) always someone there if needed”, “Always staff available any time of the day or night. Attentive to my needs” and “The staff are always close by and the call buttons are always answered quickly”. Information seen on files confirmed that other health care professionals such as GP’s, Chiropodist and Opticians were involved in maintaining the health of individual residents. One relative spoken to told us “Staff provide excellent care and there are always plenty of staff around”. Medication in the home is administered via a Monitored Dosage System (MDS) supplied by a local pharmacy. Residents are identified prior to medication being administered to them by the use of photographs attached to the MAR. Nursing staff with the responsibility for administering medication could be identified by the means of a staff signature sheet, which is also located in the MAR file. Where medication such as Paracetamol is to be given ‘as and when’ required, no record was being kept of running balances so this made it difficult to balance tablets administered against tablets left in the packs. It is important Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 12 that all medication can be accounted for to minimise the risk of potential errors occurring in the administration of such medication. We checked a number of MAR’s and found them to be in order and appropriately signed. We saw that one particular resident had been administered a thickener to be added to all liquids to aid their swallowing difficulties. No record was being kept of when this thickener was being used although discussion with staff clearly demonstrated they knew how and when to use it. It was recommended to the manager that a fluid/dietary intake chart be kept for anyone requiring such medication on which staff can record each time it is used. Following a recent medication audit carried out in the home by a Medicine Management Technician from the Primary Care Trust (PCT) it was recommended that a “Near Miss Guidance Log” be used on which to record any errors that may occur in the administration of medication. We saw that this had been used to record an error when a tablet was dropped on the floor and had to be disposed of. This is good practice. We checked controlled drugs for three residents and found them to be appropriately stored and balances were correct. We spoke to the manager about the recent updated legal requirements regarding the storage of controlled drugs and the type of cabinet that must be used. In brief, the requirements for controlled drugs storage are: * * * * A metal cupboard of specified gauge Specified double locking mechanism Fixed to a solid wall or a wall that has a steel plate mounted behind it Fixed with either Rawl or Rag bolts. Suppliers of controlled drug cabinets or the supplying pharmacy can confirm that a cupboard meets the legal required. The manager told us that all nurses with the responsibility for administering medication were currently undertaking training in “Managing and Safe Handling of Medicines” which is a Vocational Registered Qualification (VRQ). Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 13 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Daily routines in the home demonstrated that residents were encouraged to maintain control over their lives, were encouraged to maintain contact with the community and, are provided with a wholesome and well balanced diet. EVIDENCE: Routines in the home appeared flexible and allowed people the freedom to choose what (if any) daily activities they participated in. The home’s administrator is also an experienced activities organiser and has a number of hours allocated per week in which he can organise and plan suitable and requested activities for people living in the home. We saw that available activities were advertised throughout the home and included chairobics, reminiscence, sing-a-long and, ‘Sonas’ sessions. Residents with mild to moderate dementias are encouraged to attend to ‘Sonas’ sessions as they involve using senses such as touch, smell and sight Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 14 and a range of relaxation therapies. Since our last visit to the home the activities organiser has attended a further two-day’s training on this subject to further enhance his skills in this area. We received nine completed resident’s surveys back before we visited the home and these contained some information about the activities available in the home. Comments included “There are many organised and well run activities – chairarobics, sing-a-longs, quizzes. Highlight is David’s sing-a-long & quiz Fridays”, “Always activities offered. My mother has the choice to take part for as long as she wishes to. Alternative therapies can also be arranged which is good for one to one interaction”, “Singing by David on Friday. Quizzes by Dorothy on Thursday. Chair aerobics by Beryl on Wednesday. Church Service every 4 weeks. Family can join in, sometimes we go to the local pub for a meal which is great” and “There area a variety of activities arranged by the home but I do not wish to partake in them (and happily I am not pressured to do so against my wishes)”. On the day of our visit to the home an entertainer was booked for the afternoon. This entertainer was a singer and watching the residents participate in the event indicated that they thoroughly enjoyed themselves. The home has open visiting arrangements and we saw a number of residents entertaining their visitors during the day both in the house and in the large well-planned, landscaped gardens, which are easily accessible to all residents, including those needing to use mobility aids such as wheelchairs. Residents living in the home are asked about their likes and dislikes regarding food and the cook then tries to meet their preferences by planning suitable, well balanced menus that includes catering for all special dietary requirements. Lighter meals such as home made soup; sandwiches or scrambled eggs on toast are offered at lunchtime with more substantial meals being prepared for the teatime meal. Residents spoken to were complimentary about the meals served and comments included “Food is OK most days”, “Food is good, you get a choice” and “Sandwiches get a bit boring sometimes”. Comments in returned resident surveys included “My mother enjoys the meals and always looks forward to the food. The cook personally comes to ask what she would like from a choice of two dishes and ensures my mother has a suitable, soft diet”, “Mum eats well and says the food is very good”, “The meals are very nice but sometimes they have something which I don’t like so they are good and make me what I want” and “I am more than satisfied with the meals. There is a variety of well-cooked choices. I only have a small appetite, so eat small amounts…the staff are aware of this and ensure I have meal supplements when necessary to maintain my health”. Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 15 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and training measures were in place for staff to support residents to raise any issues of concern and to protect residents from neglect and abuse. EVIDENCE: The manager confirmed that no complaints had been received by the home since our last key inspection visit in June 2007. No complaints had been received by the Commission for Social Care Inspection and the manager had acted upon a recommendation made at the last inspection visit. The complaints procedure is available in the Service User Guide, a copy of which is available in each bedroom. The procedure is also available in the form of a leaflet placed in the hallway of the home. This gives relevant information about how a concern or complaint would be dealt with and the timescales involved. The management team of the home have undertaken various training courses in the Protection of Vulnerable Adults (POVA). The home manager has completed the Safeguarding Adults Management (SAM) course and the care Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 16 manager (deputy) and the homes business administrator have completed the Investigator’s course. Most staff has completed training that involves the recognition of abuse whilst on National Vocational Qualification (NVQ) training. The manager told us that all staff would also be put forward to attend safeguarding training with Tameside Training Consortium. No safeguarding referrals had been made to or by the management of the home and the manager and staff team were very clear about the procedure to follow in the event of an allegation being made. One member of staff told us “Although I have not done specific training – I would report any abuse to the manager or nurse in charge – even if it was about a family member of a resident”. Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 17 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 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are provided with an environment that is clean, safe and comfortable to live in. EVIDENCE: Parkhill is a large detached Victorian house set within it’s own landscaped grounds including well kept gardens, patio areas and various garden features such as planters and garden ornaments. At the time of our visit seasonal flowers and shrubs had been planted and new stone paving was being laid to the rear patio area. The owner told us that within the next couple of weeks, work would begin on laying a new driveway and car park to further enhance the appearance of the home. During our visit we saw a number of residents freely accessing the outside areas of the home using self-propelling electric wheelchairs or being escorted by a member of the staff team. Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 18 Accommodation can be provided in single or shared bedrooms and those rooms seen had been furnished to a good standard with many residents personalising their rooms to reflect their character. Residents spoken to said, “I love my room – it’s my own little world” and “You can go to your room whenever you want”. A number of new window frames had been fitted around the home with others planned in the very near future. All bedrooms had recently had new digital Ariel points fitted ready for the ‘switch over’ to digital TV in December 2009 and the owner has also ordered new large screen TV’s for the communal areas of the home. Various areas around the home have had improvements made since the last inspection visit including the repainting of all communal areas and the tiling of the hallway area leading to the kitchen. Lounge and dining areas are comfortably and appropriately furnished adding to the homely atmosphere of the home. A number of residents use reclining chairs, either manual or electric and it is recommended that risk assessments be carried out to ensure any potential risks from entrapment is recognised and minimised. The cleanliness throughout the home was seen to be of a very high standard and no unpleasant odours were detected anywhere in the building. One resident told us “The home is kept spotless”. Comments in the surveys returned to us before the inspection took place include “There is never any underlying smell..”, “Skirting boards and bathroom tiles spotless”, “The home always smells fresh and clean…the staff take great care with cleaning”, “It is one of the best homes we have been in for cleanliness. Every time we (family) visit, there are people cleaning. The home smells fresh when you go in. There are no untoward smells at all. Everywhere is tidy, carpets hovered, and surfaces clean, bedding etc. fresh. Very impressed” and “After visiting many homes within the area I feel Parkhill is outstanding for the cleanliness and freshness. All my relatives have remarked on this”. During the inspection we also spoke to two visitors who told us “The home is a pleasure to walk in to – never any smells – it was one of the most noticeable things when we first visited”. The laundry area is sited in the basement of the home and was found to be clean, tidy and well kept with appropriate equipment in place. A recent visit by an Infection Control Nurse included completing an audit of the home. It is commendable that the home attained 100 for clinical practice and 100 for management of infection. Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are employed in the home, with staff training and development helping to ensure staff are competent to carry out their jobs. A robust recruitment and selection process helps to protect residents from unsuitable people working in the home. EVIDENCE: Observation of staffing levels during this visit to the home and examination of staffing rotas provided evidence that staffing levels were appropriate to meet the needs of people currently living in the home. We spoke to a number of staff and resident’s during our visit and they told us “(The) home is always well staffed”, “The home is never short staffed other than in emergencies and then they (management) bring in agency staff if needed” and “There are always enough staff around to help you when you need it”. We observed how quickly staff responded to those resident’s who used their call bells and the response time was good. During our visit we spoke to some visiting relatives whose comments were very positive about the staff and the home and included “Staff are always welcoming and provide excellent care” and “(There are) always plenty of staff around”. Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 20 Staff training and supervision is seen as important by the management team of the home and a good range of training is made available to all staff. A training matrix is displayed on the wall of the office and clearly identifies what training each member of staff has participated in and when mandatory training is due for renewal. Each member of the staff team also has an individual training record kept on file and we examined a number of these during our visit and found them to clearly demonstrate that staff were receiving training that is appropriate to the jobs they hold. We received nine completed surveys back from staff working in the home and all said that they received training that met all their needs. Comments also included “Full induction was given” and “Yes the manager always updates us on any new changes and encourages us to go for training available to us which can help us to develop our skills. The manager also advises us when there are opportunities for advancement of career within the company. I greatly appreciate this because that gives help to perform effectively”. The manager told us that sixteen staff have achieved a National Vocational Qualification (NVQ) at level 2 and a further seven staff are working towards this award. The manager operates a robust recruitment procedure and no new staff are employed in the home until all pre-employment checks have been fully completed and details confirmed. We looked at the file of the one member of staff recruited since our last visit to the home in June 2007 and saw that all relevant paperwork was in place and all pre-employment checks had been carried out prior to the person commencing work. Parkhill Nursing Home DS0000025448.V363454.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): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living in the home benefit from having the support of a manager with skills to provide a good quality service and procedure in place to promote their interests and well-being. EVIDENCE: People living in the home benefit from a committed team of staff with a very clear management structure in place. The manager operates an open management style, and encourages both residents and staff to make use of this ‘open door’ policy. During our visit we had an opportunity to speak with residents, staff and visitors about how they found the management of the home, comments included “Whenever we visit there is always a manager Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 22 available to talk to”, “The manager comes around the home very day” and “We have good management in this home – they care about the residents”. The management team of the home carry out regular quality audits of the service and this is done by using questionnaires. Another method previously used to gather information about the service being offered was by way of resident’s meetings. The manager told us that this type of meeting had become less popular with people living in the home and therefore an alternative method of gaining feedback about the service was sought. Staff now have regular one to one ‘chat time’ with residents and relevant information from these chats are recorded on the individuals file. With the permission of the resident, any concerns, ideas for improvement or other information about service deliver is shared with the management team. The manager confirmed that the registered provider (owner) provides regular support to both herself and the rest of the management team during his regular visits to the home. We had an opportunity to speak with him on the day of our visit and he was able to tell us about his plans for the future development of the home and service. We also saw that he had developed a Business Plan for 2008/2009. The administrator of the home provides a high standard of support to the management team and during our visit was seen to deal with both visitors and tradesmen in a professional and courteous manner. He has also participated in various training courses to further enhance his knowledge and skills such as National Vocational Qualification (NVQ) Level 2 in Business Administration and Management. The manager told us that she had no involvement in managing resident’s finances; this remained the responsibility of the resident and/or their relatives/advocate. Small amounts of money are held for resident’s to purchase small items and systems were in place to ensure the safe handling and storage of resident’s monies. Before the inspection took place the manager returned to us a completed Annual Quality Assurance Assessment (AQAA) in which she told us that the maintenance and servicing of equipment used in the home had been carried out and a random selection taken from the service records during our visit confirmed this. When asked, staff and resident’s told us that the fire alarm was tested on a weekly basis. Parkhill Nursing Home DS0000025448.V363454.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 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP9 Regulation 13 (2) (4) Requirement Timescale for action 25/09/08 2. OP9 13 (2) (4) Controlled drugs must be stored in an appropriate metal cupboard of specified gauge and with a specified double locking mechanism. All medication, including 10/07/08 ‘thickener’ must be recorded each time it is administered. 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 OP7 Good Practice Recommendations It is recommended that information contained within a care plan on how assistance is to be provided to a resident be more specific than just a statement saying assistance to be given. Risk assessment should contain specific details of the identified risk and how the risk(s) are to be managed. It would be good if daily records contained a little more information about how care is actually delivered to the person. Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Parkhill Nursing Home DS0000025448.V363454.R01.S.doc Version 5.2 Page 26 - 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!