Care Home: Parkwood House

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What the care home does well Parkwood House is a pleasant, clean and well-maintained home. Those people living in the home who could comment directly about their experiences said they were cared for by kind and friendly staff. One lady said the home was "fabulous" and another that she "could find no fault". This view as supported by the 6 visitors spoken to, all of who confirmed that their relative`s needs were being met and they had confidence in the manager and staff. People considering moving to Parkwood House have the information they need to make an informed choice about their admission. An assessment of care needs of takes place prior to admission to the home. The home accepts they can meet people`s needs when they agree their admission. Daily activities provide interest and stimulation and people with dementia are supported to become involved in these activities. Staff said they were well trained and well supported to undertake their role. Meals were described as "excellent" by the majority of people spoken to and they confirmed they were asked about menu planning and could ask for snack meals or something different to the main meal if they wished. What has improved since the last inspection? Medication administration practices have been reviewed to ensure people are not at risk from taking tablets in error during the medication "round": the medicine trolley is securely closed when not in attendance. The application of creams and lotions is now recorded on a separate sheet in each person`s bedroom to identify when these were used. Staff have received training in the protection of vulnerable adults and were aware of their responsibility to report any concerns over the welfare of people to the manager. Many more staff have obtained an National Vocational Qualification in Care, during which their knowledge and work performance is assessed to ensure they have a good understanding of the needs of older people. Recruitment practices have improved to ensure the correct pre-employment documentation is obtained prior to staff starting to work at the home. The manager has reviewed the number and skill mix and the availability of Registered Nurses and confirmed that staff were employed in sufficient numbers to meet the needs of those currently living in the home. This was supported by comments from those people spoken to, including relatives, who said staff came promptly. The manager and her nursing team have review all of the care plans to ensure they provide a clear description of people`s current needs and the action required from staff to meet these needs: there was evidence that relatives had been involved in the review of the plans examined including those for people with terminal illness and complex health care needs. The complaints register now includes details of minor concerns as well as the actions taken to resolve the matter indicating the manager`s commitment to providing a good quality service. What the care home could do better: The manager has been asked to provide confirmation that the money belonging to people living in the home and paid into Parkwood House "Residents Account" would not considered part of the business assets in the unlikely event of the home going into receivership. CARE HOMES FOR OLDER PEOPLE Parkwood House 72/74 Exmouth Road Stoke Plymouth Devon PL1 4QJ Lead Inspector Jane Gurnell Unannounced Inspection 11th January 2008 09:30 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 Parkwood House DS0000044973.V350272.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. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkwood House Address 72/74 Exmouth Road Stoke Plymouth Devon PL1 4QJ 01752 560000 01752 607670 admin.parkwood@southernhealthcare.co.uk 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) Southern Healthcare (Wessex) Ltd *** Post Vacant *** Care Home 48 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (14), of places Physical disability (38), Physical disability over 65 years of age (38) Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home is registered as a Care Home with Nursing for a maximum of 48 Service Users in the categories of PD 38, PD(E) 38, OP 14, DE(E) 14, TI 4 4th April 2007 Date of last inspection Brief Description of the Service: Parkwood House is a 48-bedded care home situated in the Stoke area of Plymouth close to local amenities: it is one of the 4 care homes owned by Southern Healthcare (Wessex) Ltd in the Southwest. The home is able to accommodate Residents of either gender over the age of 50.The home is registered for a variety of categories including residential care for people with dementia and general nursing care. The home is arranged on 4 floors with 10 double rooms, 4 of which are en-suite and 26 single rooms 6 of which are ensuite. There is level access to all parts of the building via shaft lifts, stair-lifts and ramps. There is a small garden to the rear. The manager is a registered general nurse who heads up a team of trained nurses and carers, there are appropriate ancillary staff to support the services provided. Information about the home was found in the entrance hall, library and in all bedrooms and people are able to ask for a copy of the latest inspection report from the administration office at the home. Information given to the Commission by the manager indicates the current range of fees is from £333 to £800/week. Additional charges are made for chiropody, newspapers, holidays/outings, taxis, toiletries, confectionary and hairdressing. Parkwood House DS0000044973.V350272.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 star. This means the people who use this service experience good quality outcomes. This inspection was unannounced and undertaken over two days: Friday 11th January 2008 from 9:30 am until 4:15pm and Monday 14th January 2008 from 10 a.m. until 12:15 p.m. The owner and the company’s area manager were present on the first day of the inspection and the newly appointed manager was available both days; they and their staff team assisted the inspector throughout. A tour of the premises was made and 22 people living in the home, 6 visitors, the staff on duty and the manager were spoken with and observed going about their day-to-day activities. Care records for 4 people, health and safety records, staff files and the medication system were examined. Prior to the inspection an Annual Quality Assurance Assessment had been completed which allows the manager to describe what the home does well, what has improved over the past 12 months and the areas for improvement that have been identified. This assessment provided information about the home and the future development plans, including involving relatives in the assessment of people’s care needs, renovating and redecorating the home, improving further the leisure activities offered to people with dementia and introducing comment cards for people to make their views known. What the service does well: Parkwood House is a pleasant, clean and well-maintained home. Those people living in the home who could comment directly about their experiences said they were cared for by kind and friendly staff. One lady said the home was “fabulous” and another that she “could find no fault”. This view as supported by the 6 visitors spoken to, all of who confirmed that their relative’s needs were being met and they had confidence in the manager and staff. People considering moving to Parkwood House have the information they need to make an informed choice about their admission. An assessment of care needs of takes place prior to admission to the home. The home accepts they can meet people’s needs when they agree their admission. Daily activities provide interest and stimulation and people with dementia are supported to become involved in these activities. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 6 Staff said they were well trained and well supported to undertake their role. Meals were described as “excellent” by the majority of people spoken to and they confirmed they were asked about menu planning and could ask for snack meals or something different to the main meal if they wished. What has improved since the last inspection? What they could do better: Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 7 The manager has been asked to provide confirmation that the money belonging to people living in the home and paid into Parkwood House “Residents Account” would not considered part of the business assets in the unlikely event of the home going into receivership. 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. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 8 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 Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough and comprehensive pre-admission assessments, visits to the home and written information about the service enable people to have confidence that their personal care needs can be met at Parkwood House. This home does not provide intermediate care. EVIDENCE: The manager confirmed that she met with each person who was considering moving to the home to undertake an assessment of their care needs and this was evident in the care files examined. This assessment included support in relation to activities of daily living including personal care, health care as well as leisure and social activities and religious and cultural needs. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 10 Each person and their family were invited to spend time at the home before making a decision about its suitability and this was confirmed by a newly admitted resident and a visiting relative, both of whom said that they had been made very welcome. Another lady said she knew this was home as soon as she walked through the door. Two visitors how pleased they were the improvement they had seen in their relatives’ well being since admission. The home has a Service User Guide, a document that sets out the aims and objectives of the home and provides information about the service. A copy of the Guide was seen in each bedroom and in the library and it was available in large print upon request. A copy of the homes previous inspection report was also available in the library. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of people living at Parkwood House are being met and people are treated respectfully. The home’s practices relating to medication administration are safe. EVIDENCE: Many of the people living at Parkwood House were, due to their ill heath or confusion, unable to comment directly about the quality of the care and support they receive. The time spent observing the daily life in the home and care staff practices found the staff were very patient and people with confusion were seen to be treated gently and with respect by the owner, manager and care staff. Those who were able to comment, including a newly admitted lady, said that they are well supported by kind staff who were friendly and polite. Several people described the home as “fabulous” and “lovely”. One lady said that she would rather be at Parkwood House than in her own home, another said she “couldn’t find fault”. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 12 One relative said that her husband had settled in very well and she had seen a great improvement in his well-being, she said she had every confidence in the home and the staff. A further five visiting relatives were spoken with and they confirmed they were very satisfied with the care their relatives receive and they were kept fully informed. Care staff were knowledgeable about the needs of the people living in the home and demonstrated a clear understanding of the needs of those with very poor heath or with confusion. The care plans for 4 people were examined and these provided clear descriptions of each person’s care needs and the action required by staff to meet those needs. Any risks associated with mobility, pressure area care, nutritional intake or complications of their medical conditions were identified and instructions provided to reduce the risk of deteriorating health. These plans had been reviewed each month to ensure they contained the most up to date information about the person’s care needs. Parkwood House works closely with other health care professionals such as the District Nursing Service, the Community Dietician, the Tissue Viability Specialist Team as well as the Mental Health Team support to ensure people’s health care needs and this was evident on the day of the inspection and in the care plans examined. People with terminal illnesses may remain at the home if the staff team can continue to meet their needs. Medication was stored safely and the records were accurate. There were no controlled drugs held in the home at the time of the inspection, however safe storage was available for future use. The medication records identified each person with a photograph to ensure the right person received the right medication. A medication “round” was observed on both days of the inspection and the nurses were seen to administer one person’s medication at a time and to lock the trolley when not in attendance reducing the risk of errors and preventing people from accessing medicines unsupervised. Parkwood House DS0000044973.V350272.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. Social activities are managed well and provide daily interest for the people living at Parkwood House. Meals are nutritious and varied. EVIDENCE: Daily activities are organised by staff to provide interest and stimulation and this was confirmed by people living in the home as well as visitors. A copy of the monthly timetable of activities which included singers and musicians, quizzes, Bingo, reminiscence sessions was on the notice board in the main hallway. People were seen to be enjoying a quiz in the afternoon of the first day of the visit and several people said they were looking forward to the tea dance that was organised for 22nd January. The manager and staff confirmed that since the previous inspection additional support was provided for those people with dementia to become involved in these. Time was spent on both visits to Parkwood House observing staff going about their day-to-day duties. Staff were seen to spend time with those people who were less able and who were reliant upon them for stimulation, company and conversation. The staff described how they had created a “sensory environment” with lights and music in the first-floor lounge room for those Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 14 people who are less able due to their dementia or ill-health and that a member of staff was always allocated to spend time with people in this room. The manager described that people were supported to continue with their religious beliefs with services held in the home and with people being supported to attend local places of worship. The food was described by the majority of people spoken to as “excellent” with plenty of choice. Visitors were invited to join their relatives for meals for a small charge. There were no set times for breakfast and people were seen enjoying this at a time of their choice either in the dining room or in their bedrooms. A copy of the days menu was placed on each dining table and two choices were available for each meal. On Friday people were seen enjoying fish and chips and a fruit crumble and custard and on Monday a choice of pork chops or haddock with vegetables was offered. People said the chef met regularly with them and they were asked about the meals they would like to see on the menus. There was evidence that the Community Dietician was consulted regularly to support the staff with the nutritional needs of people with complex health conditions who were at risk from malnutrition and dehydration and this was detailed in 2 of the care plans examined. Parkwood House DS0000044973.V350272.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, 17 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and suggestions from people living at Parkwood House, relatives or other visitors to the home are treated seriously. People are listened to and issues resolved promptly. EVIDENCE: Those people who were able to comment directly about making known any concerns said that they had confidence in the manager and staff to deal with these promptly and to their satisfaction. Relatives also had the same confidence. The manager has an “open door” policy and throughout the inspection people were observed meeting with her on numerous occasions. The manager maintained a register of complaints that included details of the issue and the actions taken to resolve the matter. Minor concerns are also recorded and demonstrated the manager’s commitment to improving services. Issues raised through the management of complaints and concerns as well as the home’s Quality Assurance reviews were detailed in staff meetings to ensure each member of staff was aware of their responsibilities towards providing a quality service. Care staff had received training in the protection of vulnerable adults and were aware of their responsibilities should they suspect a person is at risk of abuse. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Parkwood House provides a very pleasant, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet peoples’ needs. EVIDENCE: Parkwood House is a large converted period house that retains many of its original features. Accommodation is spread over 4 floors and there are spacious communal areas on the ground floor, including a library, as well as a lounge room on the first floor. Two passenger lifts and stair lifts provide access to the 1st and 2nd floors with the 3rd floor accessible only to people without restricted mobility due to a flight of stairs. People said they were pleased with their rooms and had been able to bring personal items of furniture with them. All areas of the home were found to be very clean, tidy and free from offensive odours. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 17 The majority of radiators were covered or had low temperature surfaces to protect people from burns should they come into contact with them when on. Hot water temperature control valves had been fitted to the baths to prevent the risk of scalding and staff monitor temperature of the water before being used. Equipment and aids, such as beds that raise and lower, lifting hoists and other mobility aids were evident throughout the home and staff confirmed they had the equipment they needed to support people with restricted mobility and those with poor health. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment processes protect vulnerable people. EVIDENCE: People who live in the home as well as those relatives consulted said that staff were kind and polite and assisted them promptly, indicating that there were sufficient care staff on duty each day. The manager and staff confirmed that a trained nurse was on duty 24 hours a day with 8 care staff on duty each morning and early afternoon, 6 during the later afternoon and evening, and 3 at night. These numbers do not include the manager who works 5 days a week. Care staff were supported by catering and housekeeping staff each day. The manager said she used a dependency monitoring assessment to review the needs of the people in the home and to assess the number of staff needed to meet their needs. The call bell system was of a type that recorded when a call was made and how long it took staff to answer it: the results of these timescales were also kept under review, particularly at busy times of the day, to assist with identifying how many staff should be on duty. The manager confirmed that staffing levels were increased when necessary to ensure the quality of the care provided remains high. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 19 Training records indicated there was an ongoing training programme ensuring care staff remain up to date in fire safety, first aid, infection control, health and safety, manual handling, dementia care and other issues relating to personal and health care, providing them with the knowledge and skills necessary to deal with emergencies. Over half the care staff have obtained a National Vocational Qualification in Care, (a nationally recognised qualification awarded by an external training provider that assesses the knowledge and skills of staff with regard to caring for older people). The manager confirmed that newly employed staff undertake the “Skills for Care” induction training programme (a nationally recognised induction programme for new care staff) as well as an in-house induction programme held at the organisations head office; this ensures staff are given information regarding the principles and values of care practice, the rights of the residents and their responsibilities towards provided a high standard of care. The personnel files for four members of staff were examined, including one for a registered nurse and one for a newly employed member of staff. All contained the necessary pre-employment documentation including two written references and a Criminal Record Bureau check ensuring as far as possible only suitable people are employed at the home. Care, housekeeping and catering staff were spoken with on both days of the inspection, and all confirmed they felt well supported to undertake their role and they were invited to attend regular training events. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Parkwood House is a well managed home. The owner, manager and staff strive to provide a stimulating, safe environment that respects and protects peoples’ rights. EVIDENCE: The manager, who is a Registered General Nurse, has been working at Parkwood House for the past 7 months and she has made an application to register with the commission. Throughout the manager’s communication with the commission and this inspection she demonstrated a clear understanding of the needs of the people living in the home as well as the support needs of the nurses and staff. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 21 Those people spoken to and who could comment directly about the management of the home said that they feel safe and secure in their home and that the home was well managed. Relatives said they felt the home was very well managed and provided a good level of care. All confirmed they had confidence in the manager and that she was very approachable. The manager was available each day during the week and met with the people living in the home and staff on a daily basis. In March and September 2007, a written survey had been sent to people living in the home and/or their relatives to ask them their views about the services provided. The results were available and indicated a high level of satisfaction, with an improvement noted from March to September. Staff receive both formal and informal supervision from the manager as well as an annual appraisal to ensure their work performance reflects the high standards of the home and that they have the support and training to be able to undertake their role and develop their own skills. The Area Manager for Southern Healthcare (Wessex) Ltd visits the home several times a month to undertake unannounced audits and observations of the care and services provided at the home and to offer support to the manager. The results of these audits and observations were available for inspection and had been detailed in the recent staff meetings where an action plan identified areas for improvement. The owner of the home also visits each week and was present on the first day of inspection; it was observed that he was well-known to the staff and those living in the home. People are encouraged to maintain responsibility for their own finances if they are able to do so and are provided with lockable storage space for money and other valuables upon request. Safe storage for money is provided for about 12 people and transactions are recorded for each person and receipts obtained for their records. There were a small number of people who, having no relatives, had their benefits paid into a Parkwood House “Residents Account”. This money is taken out each month and held in the home’s safe. Evidence was available that health and safety matters were managed well: the kitchen equipment, passenger and stair lifts and fire alarm system had been recently serviced and checked regularly to ensure they remain in good working order. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 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 3 3 X 3 3 3 3 Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action 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 OP35 Good Practice Recommendations Confirmation should be provided that money belonging to people living in the home and paid into Parkwood House “Residents Account” would not considered part of the business assets in the unlikely event of the home going into receivership. Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Parkwood House DS0000044973.V350272.R01.S.doc Version 5.2 Page 25 - 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. 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