Care Home: Parklands Nursing Home

What the care home does well As this was not a full key inspection this aspect of care was not assessed at this visit but will be assessed at the next key inspection. What the care home could do better: The proprietor must ensure that a manager applies for registration with us and that the lead nurse has a clear job description which describes her role and responsibilities, if the manager of the home is not be a registered nurse. Regular quality monitoring visits to the home must be made and the reports of these visits should be available for inspection. These should be undertaken by a competent person and there must be evidence that the proprietor is told of the outcome and that action to address deficiencies is undertaken. These visits should include a review of the complaints records to ensure that these are dealt with in a timely way. The views of residents and their families should also be sought. Guidance on undertaking these visits is available on our website www.csci.org.uk. The Commission for Social Care Inspection must be notified of adverse events in the home in a timely way. Information about making these notifications is also available on our website. The upgrades to the shower rooms must be completed. The proprietor must ensure that if a room is advertised as having ensuite facilities and higher fees are charged for that room, that the facilities are in safe working order and that the resident can access them. The proprietor must notify us formally of any change in the use of the building which is registered as a care home. The approval of the local fire and safety authority must be sought to ensure that lack of access to parts of the building do not compromise residents` safety should there be a fire. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Parklands Nursing Home 33 Newport Road Woolstone Milton Keynes Buckinghamshire MK15 0AA one star adequate service 06/05/2008 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Chris Sidwell Date: 1 9 0 1 2 0 0 9 Information about the care home Name of care home: Address: Parklands Nursing Home 33 Newport Road Woolstone Milton Keynes Buckinghamshire MK15 0AA 01908692690 01908231329 manager@pnh.demon.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Mr Vaz,Mrs M Officer The registered provider is responsible for running the service care home 30 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 30 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category/ies of service only: Care home with nursing - (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 (OP). The maximum number of service users to be accommodated is 30. Date of last inspection Brief description of the care home Parklands is a small privately owned care home, registered to provide nursing care and accommodation for thirty older people. The home is situated in the Woolstone area of 0 6 0 5 2 0 0 8 Care Homes for Older People Page 2 of 9 Brief description of the care home Milton Keynes. It is a short journey to the city centre where a varied range of amenities, which are accessible to those with disabilities, can be found. Parklands has twenty-two single bedrooms and four shared rooms. All rooms were being used as single rooms at the time of the inspection. Some rooms have ensuite shower rooms and the rest ensuite bathrooms, which may not be accessible by those with disabilities. The lounge/dining room has four sets of French doors, which give immediate access to the patio area and grounds beyond. Extensive well-tended gardens surround the home. Care Homes for Older People Page 3 of 9 What we found: The home was last inspected on 6th May 2008. The registered manager for the home resigned in November 2009. We have received a concern about the provision of bathing facilities for residents and have received information that a business was being run from the upstairs offices of the home, about which we had not been notified. The purpose of this random inspection was to confirm the management and registration arrangements, ensure that the bathing facilities for residents were satisfactory and to ascertain the nature of any business being run from the homes registered premises. The wife of the proprietor is currently managing the home. She has appointed a lead nurse to advise her on the care of residents and to lead on the personal and health care of residents. She said that she would be applying for registration with us (The Commission for Social Care Inspection), but has not yet done so. The lead nurse does not as yet have a job description which describes the role of lead nurse and also her role in advising the manager on matters relating to the nursing care of residents. The home is expected to advise us of adverse events in the home (notifications). It was noted that we had not received any notifications since November 2008. The manager confirmed that there had been no deaths in the home. She said that she had one notification of a serious nature which she believed had been faxed to us but did not have the fax cover note. She agreed to send it to us with the outcome of the investigation which was currently being undertaken and to ensure that all future notifications were sent sent to us in a timely way. The responsible individual is expected to ensure that regular, at least monthly, quality monitoring visits are undertaken to ensure that residents are happy with the standard of care that they receive. These had been undertaken by the current manager until November 2008. The manager said that there were plans for the proprietors daughter to undertake these in future. The manager said that she had not reviewed the complaints records as part of the visits that she had undertaken and the format did not indicate that residents or their families had been spoken to on these visits. A tour of the building was undertaken. A new boiler has been installed which has the capacity to run the heating and hot water systems. It is currently running the heating system. The old boiler is running the hot water system through the original underfloor pipes. Some of the ensuite bathrooms, which are not accessible for residents who have disabilities and cannot get into a bath, have been converted into shower rooms but not all. The manager said that this was being held up by the fact that new pipework running through the loft spaces would have to be installed. She said that this should be completed during the next 2 weeks but said that realistically she expected this to be complete by the end of March 2009. The shower room for the person who had raised the concerns was being installed on the day of our unannounced visit. The manager said that she expected it to be complete in two weeks and that an electric shower would be installed if the new pipework was not completed in time. The manager confirmed that a staff agency was being provided from the upstairs offices of the home. This was a new initiative and to date the staff agency was supplying technical and management staff. The manager said that there were plans to Care Homes for Older People Page 4 of 9 provide care staff but that this aspect of the business had not been developed as yet. We were unable to access the office to verify this, as the staff were not working that day. A separate office door has been installed from the street and agency staff do not have to enter the main part of the home or any area used by service users to access their offices. The agency offices do however remain a part of the homes fire safety system and any changes in the use of the building must be agreed with the local fire safety officer to ensure that residents safety is not compromised by lack of access to parts of the building. 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 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 9 13 The administration of 27/06/2008 medication must be recorded accurately on the medication administration record and in the controlled drug register. To ensure that residents receive their medication regularly and reliably. Care Homes for Older People Page 6 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, Care Homes 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 21 23 The upgrades to the shower rooms must be completed., particularly for the resident who has vacated her room whilst the work is being undertaken. To enable her to return to her room and to access the ensuite facilities. 27/03/2009 2 31 8 The proprietor must ensure that a manager applies for registration with us and that the lead nurse has a clear job description which describes her role and responsibilities, if the manager of the home is not be a registered nurse. To meet the requirements of Section 11(1)a of the Care Standards Act 2000 17/04/2009 3 33 26 Regular quality monitoring visits to the home must be undertaken by a competent person and the reports of these visits should be available for inspection. To ensure that residents 27/03/2009 Care Homes for Older People Page 7 of 9 receive the care that they need. 4 33 37 The Commission for Social Care Inspection must be notified of adverse events in the home in a timely way. To enaure appropriate steps are taken to safeguard residents from harm 5 38 39 The proprietor must notify us 27/03/2009 formally of any change in the use of the building which is registered as a care home. The approval of the local fire and safety authority must be sought. To ensure that lack of access to parts of the building do not compromise residents safety should there be a fire. 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 27/03/2009 1 1 The proprietor must ensure that if a room is advertised as having ensuite facilities and higher fees are charged for that room, that the facilities are in safe working order and that the resident can access them. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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