Care Home: Parklands Residential Home

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What the care home does well The home is well run with a family atmosphere and the staff work well together as a team under the leadership of the registered manager and her husband who are joint owners. Communication is good between staff and the manager and good positive interaction was observed between the staff and the people cared for in the home. The people living in the home see it as one big family and all stated they would not wish to be anywhere else. Staff encourage the people accommodated to socialise and get out into the local community whenever possible and accompany them as necessary. The manager always transports and accompanies any person requiring health appointments. The manager also ensures that everyone has new clothes and toiletries as required at no charge when they have little money to spare. The manager and staff spoken with believe that each person should be cared for as if they are a member of their own family. There was evidence of good liaison with health professionals within the care records. One person has outlived the expectations of her GP by a number of years and is sure that is because of the care and attention received. Visitors are made to feel welcome and a relative spoken with commented how well his wife was being cared for and what a comfort it was to know she was in good hands. The relative is also involved with the activities within the home and it has given him a sense of purpose and additional time with his wife. Activities take place every day of the week; outings have taken place to Knowsley Safari Park, the Lake District, Fairhaven Lake and Lytham. Comments from people cared for in the home when asked what the home does well include the following: `Everything; good food; good care.` `Everything very satisfied with all aspects of care.` `Looks after me very well. Makes sure I am happy all the time. Manager is a good lady. Takes care of us very well, she is like a big `mummy` in the house.` A relative made the following comment: `Has been resident at Parkland`s for almost 15 years. Enjoys her food (good meals). Care home always clean and bright (cared for). Clothing laundered regularly. Plenty of variety for the residents, days out, in house games, dominoes etc.` Staff comments include: ` I have had lots of training and support from my manager. Always given information about any changes in a residents care needs. At Parkland`s we are always trying new ways of working to suit the needs of the individual.` `I had no training at all but now I feel proud of myself to work at the level I have been shown. I will continue to work for Mrs Seetal until I retire, I will never work anywhere else. Mrs Seetal has given me a lot of help and support and continues to do so.` The recruitment of staff is robust with all pre-employment security checks undertaken. Training is a high priority and the registered manager is very responsive to changing needs and seeks out training that will be useful to staff in their care of the people in the home. Good recruitment and training policies and procedures ensures staff are of the right calibre and competent in the provision of care. Staff continuity and retainment is good with all the staff spoken with stating that they would not work anywhere else and full of praise for the support provided by the manager. Training is excellent, all seven care staff have obtained a National Vocational Qualification (NVQ) at level 2 in Care and two of them have obtained NVQ 3 in Care. The NVQ in Care is the nationally recognised qualification required for staff working in social care. The manager has NVQ 4 in Care and Management and has also obtained the D32/33 Award which enables her to assess staff undertaking NVQ training. The home has achieved the Investors in People award which is a recognised accreditation demonstrating good quality standards and a commitment to staff development. Various methods are used to ensure the service provided are meeting needs. Discussions take place on a daily basis and a relative was asked to talk individually to each person and obtain their views. Surveys are also provided once a year. What has improved since the last inspection? The manager has undertaken training in the Mental Capacity Act and the Deprivation of Liberty Safeguards. The Mental capacity Act (MCA) was fully implemented in 2008 and has been amended to include the deprivation of liberty safeguards that came into force on the 1st April 2009. The safeguards are in place for any person who lacks capacity and is unable to make decisions for themselves. Any person who lacks capacity can be confident that any decisions made on their behalf will be made in their best interests. A new assessment tool has been introduced to ensure that any new person will have their needs met by the services provided at the home. The Statement of Purpose and Service User`s Guide have been reviewed and updated; both documents provide good information about the services and facilities provided at the home and include the last Inspection Report. A large digital television has been purchased for the lounge smaller digital TV`s for the bedrooms. Sky Sports has been purchased for some of the gentleman accommodated who like watching football. The home is well maintained and refurbishment is ongoing. Photographs of the persons accommodated are gradually being placed on the doors of bedrooms. A new boiler and water tank are in place. There is a new front door and replacement of interior doors; new floor covering in the bathrooms and toilets. The beds have all been replaced with hospital beds. A gate has been purchased and installed at the top of the stairs following a risk assessment on the safety of the persons accommodated. New wardrobes have been purchased and commodes are gradually being replaced. There are new lockers for staff to use for their personal belongings. All the fencing around the home has been replaced. The electrical wiring within the home was checked on the 23/02/2010. All staff now have an NVQ qualification as detailed in what the service does well. What the care home could do better: There were no requirements or recommendations made at this inspection. Key inspection report Care homes for older people Name: Address: Parklands Residential Home 516 New Hall Lane Preston Lancashire PR1 4TD     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Susan Dale     Date: 1 7 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Parklands Residential Home 516 New Hall Lane Preston Lancashire PR1 4TD 01772795675 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Chattargoon Seetal,Mrs Narainee Seetal Name of registered manager (if applicable) Manager post vacant Type of registration: Number of places registered: care home 14 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 14. Date of last inspection Brief description of the care home Parklands Residential Home is a two storey detached building located on one of the main thoroughfares of Preston. The home is close to local amenities and has a garden area to one side and parking to the rear. Parklands are registered to provide personal care to fourteen older persons of both sexes. There is a clear commitment to provide high quality individualised care and promote independence within a homely setting. Social activities both within and outside the home are arranged in consultation with the Care Homes for Older People Page 4 of 26 Over 65 14 0 Brief description of the care home people accommodated; visitors are made to feel welcome. The home has a Statement of Purpose and Service Users Guide that provides information about the services and facilities provided in the home. The fees currently charged by the home are £395:00 rising to £435:00 per week and these will be subject to a review in April 2010. Further information about fees can be obtained from the registered manager. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The site visit was unannounced and focused on key standards. The inspector was able to speak to the persons cared for in the home, a relative, staff and the registered manager and owner of the home. Various documents were examined belonging to the people cared for and staff. The registered manager completed the Annual Quality Assurance Assessment prior to the site visit that provided some statistical information and how well the home was meeting standards of care. Prior to the site visit surveys were provided to the persons cared for in the home and staff; their views and comments have been incorporated into the report. The last key inspection was on the 30th April 2007 and an Annual Service Review was carried out on the 22nd April 2008 and the 14th April 2009. Care Homes for Older People Page 6 of 26 What the care home does well: The home is well run with a family atmosphere and the staff work well together as a team under the leadership of the registered manager and her husband who are joint owners. Communication is good between staff and the manager and good positive interaction was observed between the staff and the people cared for in the home. The people living in the home see it as one big family and all stated they would not wish to be anywhere else. Staff encourage the people accommodated to socialise and get out into the local community whenever possible and accompany them as necessary. The manager always transports and accompanies any person requiring health appointments. The manager also ensures that everyone has new clothes and toiletries as required at no charge when they have little money to spare. The manager and staff spoken with believe that each person should be cared for as if they are a member of their own family. There was evidence of good liaison with health professionals within the care records. One person has outlived the expectations of her GP by a number of years and is sure that is because of the care and attention received. Visitors are made to feel welcome and a relative spoken with commented how well his wife was being cared for and what a comfort it was to know she was in good hands. The relative is also involved with the activities within the home and it has given him a sense of purpose and additional time with his wife. Activities take place every day of the week; outings have taken place to Knowsley Safari Park, the Lake District, Fairhaven Lake and Lytham. Comments from people cared for in the home when asked what the home does well include the following: Everything; good food; good care. Everything very satisfied with all aspects of care. Looks after me very well. Makes sure I am happy all the time. Manager is a good lady. Takes care of us very well, she is like a big mummy in the house. A relative made the following comment: Has been resident at Parklands for almost 15 years. Enjoys her food (good meals). Care home always clean and bright (cared for). Clothing laundered regularly. Plenty of variety for the residents, days out, in house games, dominoes etc. Staff comments include: I have had lots of training and support from my manager. Always given information about any changes in a residents care needs. At Parklands we are always trying new ways of working to suit the needs of the individual. Care Homes for Older People Page 7 of 26 I had no training at all but now I feel proud of myself to work at the level I have been shown. I will continue to work for Mrs Seetal until I retire, I will never work anywhere else. Mrs Seetal has given me a lot of help and support and continues to do so. The recruitment of staff is robust with all pre-employment security checks undertaken. Training is a high priority and the registered manager is very responsive to changing needs and seeks out training that will be useful to staff in their care of the people in the home. Good recruitment and training policies and procedures ensures staff are of the right calibre and competent in the provision of care. Staff continuity and retainment is good with all the staff spoken with stating that they would not work anywhere else and full of praise for the support provided by the manager. Training is excellent, all seven care staff have obtained a National Vocational Qualification (NVQ) at level 2 in Care and two of them have obtained NVQ 3 in Care. The NVQ in Care is the nationally recognised qualification required for staff working in social care. The manager has NVQ 4 in Care and Management and has also obtained the D32/33 Award which enables her to assess staff undertaking NVQ training. The home has achieved the Investors in People award which is a recognised accreditation demonstrating good quality standards and a commitment to staff development. Various methods are used to ensure the service provided are meeting needs. Discussions take place on a daily basis and a relative was asked to talk individually to each person and obtain their views. Surveys are also provided once a year. What has improved since the last inspection? The manager has undertaken training in the Mental Capacity Act and the Deprivation of Liberty Safeguards. The Mental capacity Act (MCA) was fully implemented in 2008 and has been amended to include the deprivation of liberty safeguards that came into force on the 1st April 2009. The safeguards are in place for any person who lacks capacity and is unable to make decisions for themselves. Any person who lacks capacity can be confident that any decisions made on their behalf will be made in their best interests. A new assessment tool has been introduced to ensure that any new person will have their needs met by the services provided at the home. The Statement of Purpose and Service Users Guide have been reviewed and updated; both documents provide good information about the services and facilities provided at the home and include the last Inspection Report. A large digital television has been purchased for the lounge smaller digital TVs for the bedrooms. Sky Sports has been purchased for some of the gentleman accommodated who like watching football. The home is well maintained and refurbishment is ongoing. Photographs of the persons accommodated are gradually being placed on the doors of bedrooms. A new boiler and water tank are in place. There is a new front door and replacement of interior doors; new floor covering in the bathrooms and toilets. The beds have all been replaced with hospital beds. A gate has been purchased and installed at the top of the stairs following a risk assessment on the safety of the persons accommodated. New wardrobes have been purchased and commodes are gradually being replaced. There are new lockers for Care Homes for Older People Page 8 of 26 staff to use for their personal belongings. All the fencing around the home has been replaced. The electrical wiring within the home was checked on the 23/02/2010. All staff now have an NVQ qualification as detailed in what the service 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good information is available about the services provided by the home. The assessment process ensures that the services provided by the home are suitable for the individual concerned. The home does not provide intermediate care. Evidence: The Statement of Purpose and Service User Guide have been reviewed and updated and include all necessary information. The registered manager has undertaken training on the Mental Capacity Act and the Deprivation of Liberty. Since the last key inspection, other senior staff have been trained to carry out initial assessments in the absence of the registered manager. A new assessment tool has been introduced to include information required by the introduction of the Mental Capacity Act (MCA) and the Deprivation of Liberty Safeguards (DOLS). The MCA and DOLS implementation ensures that any person who Care Homes for Older People Page 11 of 26 Evidence: lacks capacity and is unable to make decisions for themselves is identified. The process ensures that any decisions made on behalf of the person concerned are made in their best interests. Any person considering entering the home is able to have a trial visit and close liaison takes place with the family and other health professionals before a final decision is made. The home is small and most of the persons cared for are fairly independent; the assessment process always takes into account how a new person will fit into the family setting. Staff are provided with equality and diversity training and the assessment always looks at the individual needs of the person concerned including gender, sexuality, race, culture and disability. Previously a person has been cared for within the home who did not speak English. The family acted as interpreters and every effort was made to ensure the persons cultural wishes were met and she was very happily cared for within the home until she passed away. A relative was spoken with who had been very concerned when he was no longer able to care for his wife. Despite his concerns and some difficulties initially, the care provided had been superb and she has settled down and feels safe and cared for within the home. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The policies, procedures and training of staff ensure that the health, safety and welfare of the persons cared for is a priority and the privacy and dignity of each individual is recognised at all times. Evidence: The records belonging to four persons cared for in the home were examined. The care plans are very detailed and up to date providing a rounded picture of the individual concerned. The previous background and social history for each person are recorded and taken into account. Goals are set with short and long term aims that are reviewed on a regular basis. Risk assessments had been undertaken for any areas of potential risk with details on how to overcome or reduce the impact where a risk had been identified. Signatures had been obtained from the person concerned or relative/advocate to show that they had been involved in the compilation of the care plan. Reviews had taken place once a month. One of the people cared for had completed a Preferred Priorities of Care Form to indicate that her wishes were to stay within the home for as long as possible. Her Care Homes for Older People Page 13 of 26 Evidence: comments include the following: Mrs Seetal has helped me a lot. Mrs Seetal comes to my room every day to sit with me and help me and talk to me. It makes me feel cared for and loved. Self care is supported and any person who wishes and is capable of taking their own medication is supported; risk assessments were seen to have been completed. The medication is stored securely and the medication administration records were up to date including controlled drugs. All staff have been trained in the administration of medicine and have received regular refresher training courses. The persons spoken with confirmed that staff demonstrated a clear understanding of their care needs and respected their privacy and treated them with dignity. Staff comments when asked what the home did well included: Comfortable safe treated well and also well respected like your own grandparents or parents, Your Care, your dignity, our promise. Looks after the residents very well, whatever their needs are we deliver them. We promote Privacy, Dignity and respect like our own family. Parklands is a small home with a friendly atmosphere. Residents are very well cared for and their welfare always comes first with a high standard of care. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides activities that meet the expectations and capabilities of the people accommodated and there is a varied menu that provides a choice of nourishing meals. Evidence: A great deal of effort is made to ensure that the persons cared for are happy and that they are part of a large family. The care plan takes into account the previous background, expectations and wishes of the individual concerned and any hobbies and interests are promoted. Each person is able to get up and go to bed at their preferred time and can either stay with their own rooms or join the others as they wish. Activities take place every day and include, dominoes, hair, nails and beauty, gentle exercise, bingo and a shop on a Friday. A member of staff runs a sweet shop with little treats that can be purchased at a nominal price by the people accommodated. Other activities are quizzes and movies with popcorn on a Sunday. A large digital television has been purchased for the lounge and Sky Sports is provided for some of the gentleman accommodated who like watching football. Outings have taken place to Knowsley Safari Park, the Lake District, Fairhaven Lake and Lytham. One of the relatives helps out with the Bingo and calls out the numbers once a week Care Homes for Older People Page 15 of 26 Evidence: on a Thursday. A relative spoken with visits his wife once a day and is always made welcome and offered refreshments. Any person able to attend a church service of their choice is assisted to do so and the manager has purchased a religious cross that has been blessed and placed in one of the rooms for any person unable to attend a religious service. The manager ensures one lady always has her make up on every day as that is their wish and ensures that each person cared for is helped according to their wishes with regard to their personal care and grooming. Some of the persons accommodated have very little money and the manager ensures that essential clothing and toiletries are provided as required free of charge. Meals are taken in a pleasant dining room or within their own rooms if preferred. A choice of menu is available and the manager is keen to promote good food as one of the highlights of the day. Staff are also provided with a meal that is very much appreciated. Any person at risk of losing or gaining weight is monitored and records kept of the intake of food and fluids. A dietary assessment form is completed on admission to the home. In order to encourage new ideas for meals taster days have been introduced to encourage trying something different. Comments from some of the persons cared for in the home or a relative include the following: Care for the patients very well. Good meals; staff very caring and understanding. The home makes the patient feel at home. The home is doing very well, nothing for the home to do better. Everything; good food; good care. Everything very satisfied with all aspects of care. Has been resident at Parklands for almost 15 years. Enjoys her food (good meals). Care home always clean and bright (cared for). Clothing laundered regularly. Plenty of variety for the residents, days out, in house games, dominoes etc. Looks after me very well. Makes sure I am happy all the time. Manager is a good lady. Takes care of us very well, she is like a big mummy in the house. Care Homes for Older People Page 16 of 26 Evidence: For me this is my second home. Staff are polite and very caring, food is good. I love my bedroom and enjoy the activities within the home. Bingo on Thursdays, I like it when I win. We are all happy in the home; I like sitting in the lounge, watching the cars passing by and the park is across the road. I am not frightened of anything, I am very happy and like my food. First thing in the morning I get my nice cup of tea, my porridge Im happy. Care Homes for Older People Page 17 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Policies and procedures are in place to ensure the people accommodated are protected from any abuse and that any complaints are recognised and acted upon. Evidence: The home has an appropriate complaints policy in place with a summary of this policy available within each of the bedrooms. Any concerns are dealt with promptly with the focus on resolving any differences as quickly as possible. There have been no complaints made to the home or to the Care Quality Commission. The home has a Whistle Blowing policy and procedure and has a copy of No Secrets in Lancashire which is a joint policy document produced by Lancashire County Council with regard to preventing abuse to any vulnerable adults. All the staff are aware of the procedure to follow in the event of any allegation of abuse taking place and have attended Safeguarding training. This training helps ensure that the persons accommodated are protected and that staff are able to recognise when any abuse may be taking place and what to do to prevent it happening. All staff receive training in Health and Safety and any risks connected with the care to be delivered are recognised and recorded. This approach ensures any potential risks are prevented or minimised as much as possible. Care Homes for Older People Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this 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 comfortable, safe environment that meets the needs of the persons accommodated. Evidence: The home is well maintained and meets needs in a comfortable and homely way. A programme of refurbishment is ongoing. The parking and garden areas are kept safe and tidy with the persons accommodated having full access. A tour of the home took place and there have been improvements in all areas since the last site visit. New digital flat screen TVs have been purchased for the lounges and bedrooms. Rooms are re-furbished each time they are vacated. A photograph of the person accomodated is being placed gradually on the doors of bedrooms. A new boiler and water tank are in place. There is a new front and interior doors; new floor covering in the bathrooms and toilets. The beds have all been replaced with hospital beds. A gate has been purchased and installed at the top of the stairs following a risk assessment on the safety of the persons accommodated. New wardrobes have been purchased and commodes are gradually being replaced. There are new lockers for staff to use for their personal belongings. All the fencing around the home has been replaced. The electrical wiring within the home was checked on the 23/02/2010. The home was clean and tidy in all areas. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have been recruited and provided with training that has given them the skills to look after the vulnerable people in their care. Evidence: There were three staff on duty plus the registered manager and five staff are senior staff and deputise for the manager in her absence. All three staff were spoken with and all confirmed that there was ample time for them to care for the people accommodated as well as spending quality time with them. There is a robust recruitment policy and procedure and examination of the new staff records showed that all pre-employment checks had been carried out including references, the Criminal Records Bureau (CRB) and the Protection of Vulnerable Adults (POVA) register. Good recruitment procedures ensure that staff recruited are of the right calibre to be caring for vulnerable people. Staff training is a priority and all seven care staff have obtained a National Vocational Qualification (NVQ) at level 2 in Care and two of the staff also have NVQ 3 in Care. The NVQ in Care is the nationally recognised qualification expected for staff in the caring services. The home has joined the Workforce Development Programme (LWDP) for training and the development of staff. Staff confirmed that they had received indepth induction training and further training including, Moving and Handling, Health Care Homes for Older People Page 20 of 26 Evidence: and Safety, Medication, Fire Safety, Food Hygiene, Safeguarding and Epilepsy. All the staff spoken with full of praise for the training received and the confidence that this had given them to care for the people accommodated. Staff comments included: I have had lots of training and support from my manager. Always given information about any changes in a residents care needs. At Parklands we are always trying new ways of working to suit the needs of the individual. I had no training at all but now I feel proud of myself to work at the level I have been shown. I will continue to work for Mrs Seetal until I retire, I will never work anywhere else. Mrs Seetal has given me a lot of help and support and continues to do so. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people supported in the home and staff benefit from the management and leadership skills of the registered manager. The health, safety and welfare of the persons accommodated and staff are protected by the policies and procedures operating in the home. Evidence: The registered manager has obtained a qualification at NVQ level 4 in Management and Care and has also obtained the D32/33 award that qualifies her to assess the competence of staff undertaking NVQ training. Staff have confirmed by discussion and the comments on surveys received that they are very happy with the support provided by their manager and that they would not wish to work for anyone else. A team approach is taken at all times. All staff receive an annual appraisal and recorded one to one supervision every two months. Staff meetings have taken place and minutes had been taken. The registered provider and manager has encouraged staff to meet on their own prior to a staff meeting to discuss Care Homes for Older People Page 22 of 26 Evidence: any issues for the agenda. A similar approach is taken with obtaining the views of the people cared for in the home. The manager takes time to talk to each person every day. A relative has previously been asked if they would talk to the people in the home and independently find out any areas of concern. Annual surveys are also provided in a more formal approach. There are currently 14 persons cared for in the home and there have been no problems filling an empty bed as soon as a vacancy arises. The home is classified as high quality, Band 1 by Lancashire County Council Social Services for their preferred providers list. The home has achieved the Investors in People award which is a recognised accreditation demonstrating good quality standards and a commitment to staff development. The financial affairs of the people accommodated are either taken care of by the individual themselves or a relative. Documentation and discussions with the manager and staff provided evidence that the health and welfare and safety of the persons accommodated and staff are very important. Staff have received training in safe working practices and risk assessments take place. The home continues to let us know about things that have happened since the last key inspection and they have shown that they have managed issues well. They work well with us and continue to show that they provide a service that achieves positive outcomes for the people who live there. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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 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 Care Homes for Older People Page 25 of 26 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 summary 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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