Care Home: Parklands Nursing Home

Annual service review Name of Service: Parklands Nursing Home The quality rating for this care home is: The rating was made on: two star good service 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It 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.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Jayne White Date of this annual service review: 0 4 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Park Street Wombwell Barnsley South Yorkshire S73 0HQ 01226751745 01226341130 parklands@mimosahealthcare.com www.mimosahealthcare.com Mimosa Healthcare (No4) Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 52 40 0 0 The maximum number of service users who can be accommodated is: 52 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: Dementia - Code DE and Mental Disorder - Code MD Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Parklands are a care home that provides nursing and personal care for up to 52 people with dementia or who have a mental disorder. They re-registered in October 2007 and this enables the home to provide personal care to younger adults. Annual Service Review Page 2 of 7 The home is in landscaped grounds shared with two other homes belonging to Mimosa healthcare. There are shops and community facilities in Wombwell, which is a short walk from the home. Barnsley town centre is about 6 miles away. The home has two floors, which people can access by stairs or a passenger lift. All bedrooms, apart from one are single and each has an en-suite with sink and toilet. There are a selection of lounges, a spacious conservatory and a selection of dining areas. The rooms and corridors are suitable for people who use wheelchairs and there are handrails throughout the corridors. Parklands have at least one qualified nurse on duty at all times. The manager gave the Care Quality Commission information about the homes fees and charges on 1 February 2010. These ranged from £445.16 to £2128.50 per week. The amount charged is dependent on peoples assessed needs. Parklands additional charges include hairdressing, chiropody, toiletries and transport. These charges are variable and the manager can provide more information about this. People who are interested in Parklands nursing home can get information by contacting the manager. The home will also provide a copy of the statement of purpose, service user guide and the latest inspection report. The home has a website with more information on it. The address is: www.Parklands.com Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last annual service review on 19 November 2008. This included: 1 The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a selfassessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 2 Six surveys (out of ten sent out) returned to us by representatives of people living at the service (this could be someones relative or friend). 3 A survey (out of five sent out) from a member of staff. 4 What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 5 The previous key inspection and annual service review. 6 Relevant information from other organisations. 7 As well as the above, we completed a risk assessment of the service, to ensure we had enough information about the service, to determine the quality rating made at the last inspection has not changed in the past twelve months. What has this told us about the service? The home appointed a new manager Mr Scott McCaffrey on 1 April 2009. He submitted an application to register, but this was returned on 24 November 2009, because it was incomplete. He has not resubmitted the application, because he will be leaving the home in April 2010. The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA. It told us the views of people were promoted and incorporated into what they do through pre-admission assessments and risk assessments on admission with regular reviews, asking people to be part of their care plans implemented as a result of assessments, using questionnaires for people, relatives, representatives and social and health care professionals, holding regular resident and relative meetings, monthly visits and reports by area managers and directors, audits by the manager and regular meetings with GPs, social services, district nurses and community psychiatric nurses. As a result of this they have changed their food menus, activity programmes, decorated tired areas, changed some aspects of individual care and implemented the dignity in care campaign. The six surveys returned by representatives of people living in the home told us: One felt the service met the needs of their representative, four that they usually did and one that they sometimes did. Annual Service Review Page 4 of 7 Four felt they were kept up to date with important issues affecting their representative, two that they usually were. Two felt the service gave the care to their representative that they expected, three that they usually did and one that they sometimes did. Two felt the care workers had the right skills and experience to look after people properly, three that they usually did and one that they sometimes did. Four felt the service usually supported people to live the life they choose, one that they sometimes did. Five stated they knew how to make a complaint if they needed to, one didnt. Three stated the service always responded appropriately if they raised any concerns, two that they usually did and one that they sometimes did. They made the following comments about what the service did well, relaxed and friendly atmosphere, look after the patients within the constraints of staffing levels, quite a high proportion of staff treat patients like mothers/fathers and this is very reassuring, on the whole, the family is very happy with the level of care dad receives, sure the home is desperate for redecoration, but to us as relatives it is more important to see compassionate care provided. Parklands does this well for dad and for that we are very thankful, the service does everything I expect of it and meets all the basic needs of everyday care. Liaises with family members. About what the service could do better, they commented, closer supervision at meal times etc to ensure meals are eaten, try to stimulate residents more with conversation and activities, no real complaints, but I feel there is room for improvement in some areas, clean the patients chairs thoroughly (i.e. give them a good scrub with disinfectant) on a daily basis and also when patients are wet, sometimes the chair cushion is just turned over! The smell of urine lingers, provide more staff. At times the home appears understaffed and there are quite a few patients with challenging behaviour, a more appropriate and quicker acted upon clean as you go policy and perhaps more sensory input tailored to individual needs. The survey returned by staff told us: They were always given up to date information about the needs of people they cared for. They were given training relevant to their role, that helped them understand and meet peoples needs, kept them up to date with new ways of working and gave them enough knowledge about health care and medication. They stated they felt they always had the right skills, experience and knowledge to meet the different needs of people living at the home. They were supported regularly by their manager. They knew what to do if someone had concerns about the service. Annual Service Review Page 5 of 7 That the ways information is shared about people between carers and the manager usually works well. That there is enough staff to meet the needs of people. They commented, feel we provide an excellent standard of care and understanding to all - residents, relatives and staff and now getting more staff and equipment we need since arrival of new manager in post. Prior to commencement we had little if any support. They also commented, company needs to address training. The home continues to let us know about things that have happened since our last key inspection and they show that they manage issues well. They told us they had received two complaints in the last twelve months, which were resolved within 28 days. They told us there had been three adult safeguarding referrals (this means concerns that have been made about keeping people safe). This had resulted in three investigations. The manager told us these had not been upheld. The CQC received one adult safeguarding referral. The case was not taken into safeguarding as a social services preliminary fact finding exercise identified there were no concerns. At a quality assurance visit on 5 January 2009 by the contracting team from the local authority they remarked there was a strong odour and the bathrooms seemed cold. They stated visits to the home on other occasions had also identified a strong smell. This supported some comments by representatives and the service need to address this. The service work well with us and other agencies, but need to address the comments made by representatives and the identification of the service having a strong odour, to demonstrate their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? It is our statutory responsibility to inspect all care services at least once every three years. The completion of the risk assessment and annual service review has not changed our view of the quality rating of the service, therefore, we are not going to change our inspection plan and will do a key inspection by 20 November 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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. 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