Care Home: Preston Park Nursing & Residential Home

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well This is a medium sized home which on the whole is well run. People living at the home their relatives and staff all gave positive comments about the care and support provided. It is evident that staff have "team spirit" and work well together. As well as meeting health care needs there is a good range of social and recreational opportunities available to people at th home. This includes trips out f the home. A recent trip to the theatre had been arranged. What the care home could do better: Following this visit no requirements have been made. The management however need tonote the comments made in the report with regard to care planning, the use of clothes protectors, hot water and the decor within some parts of the home. Random inspection report Care homes for older people Name: Address: Preston Park Nursing & Residential Home Preston Road Yeovil Somerset BA20 2EF two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Justine Button Date: 2 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Preston Park Nursing & Residential Home Preston Road Yeovil Somerset BA20 2EF 01935474023 01935431727 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Janice Anne Passmore Type of registration: Number of places registered: Conditions of registration: Category(ies) : Somerset Care Limited care home 33 Number of places (if applicable): Under 65 Over 65 33 old age, not falling within any other category Conditions of registration: 0 Elderly persons of either sex, not less than 60 years, who require general nursing care. Registered for a maximum of 30 `nursing` clients. Up to 9 places for personal care. Date of last inspection Brief description of the care home Preston Park House is a ham stone listed building with a two-storey extension and an attached bungalow. Behind the home are attractive private gardens. Preston Park is situated near the centre of Yeovil, with local amenities of a pub, post office and shops within walking distance. The home offers general nursing care for up to 30 people and personal care for up to 33 people in total. The home provides day care for personal Care Homes for Older People Page 2 of 9 Brief description of the care home care for up to 6 people per day. The Day Care service does not need to be registered. Accommodation is in single rooms with double rooms available should couples move in to the home and wish to share. Somerset Care Limited, operate the home. Care Homes for Older People Page 3 of 9 What we found: This inspection was conducted by one inspector over four hours. The purpose of the inspection visit was to ensure that the home continues to provide a good standard of care and support to people living at the home. As part of this inspection we spoke with people who live at the home, management and staff. We also received a number of surveys from all parties. Comments received were all very positive and included Staff always seem welcoming and cheerful when I visit I would like to thank the staff for the care and attention given to my mum. She has improved considerably in health and mind since last year. The home is excellent for me. I am very well treated and cared for. During the inspection visit we reviewed the care and support plans for two people living at the home. Overall the plans were well managed and contained a range of assessments and plans giving guidance to staff on the needs of the individual. The plans need to be kept under review however to ensure that the information is not ambiguous and is clear in all areas. For example the plans for one individual who was diabetic were viewed. The plans stated that staff should support the individual to check her blood sugar twice daily. The plan however did not state what the normal range for this individual was. Nor did the plan state what staff should do if the blood sugar levels were outside this normal range. The care plans for one individual who had a wound were viewed. The plans gave staff clear guidance and information on the treatment and progression of the wound. This included a range of photographs, tracings and sizes. To aid wound healing people with sores or wounds should maintain an adequate diet and one which is high in protein. Whilst there was a nutritional assessment in place for the individual the assessment did not refer or make reference to the wound that the individual had. The management need to ensure that the plans and assessments are crossed reference to ensure that they contain information in all areas for all of the individuals health needs. We reviewed the lunch time meal arrangements. a choice of meal is available at all times. The main meal of the day is served at lunch time with a soup and a lighter meal served in the evening. On the day of the visit the food looked and smelt appealing. People living at the home told us that the food was nice. The tables were nicely set with cloths condiments and napkins. Vegetables and potatoes were served by staff at the tables. This enables people choice and also to have portion sizes according to their appetite. A range of pudding and desserts were also served to the tables again allowing people choice and portion size. One person was observed to request something that was not on the trolley. Staff provided this very promptly. A range of drinks were available during the meal including orange, blackcurrant and water. Staff were observed to show the jugs to some people to enable them to make a choice more readily. Some people at the home require support from staff at mealtimes. This was observed to be completed in a dignified and unhurried way by staff. Interactions between people living at the home and staff were observed. These were friendly, positive and showed a mutual respect between all parties. During the meal one person complained of some pain and discomfort. The nurse on duty attended promptly and was very attentive to the individual. Pain relief was given in an appropriate manner. It was noted that all people living at the home had been supported by staff to wear clothes protectors. This gave an institutional feel to the dining room. This should be reviewed by the management. Care Homes for Older People Page 4 of 9 We completed a tour of the building. All rooms seen were personalised to peoples individuals taste and belongings. The rooms were clean and tidy and free from odours. Parts of the building, although clean, do look rather tired with some older style decor. This should be kept under review by the management. It was noted that the hot water in all the sinks in bedrooms was very hot. Signs were in place stating water from this tap could exceed 42 degrees awaiting mixer valve This notice is dated 06/12/08. The management need keep this under review to ensure that there is no risk to people scalding themselves. Water from the baths was checked and was within normal limits. This is important as there is more risk associated with whole body submersion. During the inspection we reviewed the staff duty rotas. These demonstrated that sufficient numbers of staff, including a registered Nurse are on duty at all times. In addition the home employs a cooks and domestic staff . The homes manager is also available Monday to Friday. Managerial on call arrangements are in place between the manager and the deputy to provide staff support outside office hours if this is required. Staff surveys supported these findings with staff saying that on the whole there were sufficient numbers of staff are on duty. We reviewed the homes training matrix after the site visit. This showed that all staff had undertaken mandatory training. Again staff confirmed this in the surveys received. staff surveys commented how staff felt supported by the management team and received regular supervision. This was confirmed in staff personal files which were viewed. Staff recruitment procedures were reviewed. These showed that staff are recruited robustly with appropriate checks including ISA and CRB being completed. The personal files also showed that new staff completed a full and robust induction. Following the induction period staff are supported and encouraged to continue with their career development by undertaking an NVQ. We have received one complaint about the services at the home in the last 12 months. Any complaints received by the home are appropriately reviewed. The home has a quality assurance system in place. This includes regular meeting with all heads of department within the home, staff, relatives and people living at the home. This enables people to express their views on the care and support provided at the home. There was evidence from viewing previous meeting minutes that any issues identified at the meeting are reviewed seriously by the home management. What the care home does well: What they could do better: Following this visit no requirements have been made. The management however need to Care Homes for Older People Page 5 of 9 note the comments made in the report with regard to care planning, the use of clothes protectors, hot water and the decor within some parts of the home. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!