Inspection on 13/07/05 for Parkview Elderly Persons Home

This inspection was carried out on 13th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Parkview Elderly Persons Home 08/11/05

Parkview Elderly Persons Home 05/01/05

Parkview Elderly Persons Home 04/09/04

Parkview Elderly Persons Home 13/11/03

Parkview Elderly Persons Home 21/07/03

Parkview Elderly Persons Home 05/12/02

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Parkview Elderly Persons Home 103 Thorntree Road Thornaby Stockton-on-Tees TS17 8HJ Lead Inspector Penni Hughf Unannounced Inspection 13th July 2005 10:00 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 Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 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. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkview Elderly Persons Home Address 103 Thorntree Road Thornaby Stockton-on-Tees TS17 8HJ 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) 01642 528029/528030 01642 528031 Stockton-on-Tees Borough Council Mr Adam John Underwood Care Home 32 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (21) of places Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow a maximum of four residents who are elderly frail and over 60 years of age to receive respite care in the home. 5th January 2005 Date of last inspection Brief Description of the Service: Parkview is a care home providing care and accommodation for older people. It is owned by Stockton-on-Tees Borough Council. The home provides accommodation in three district units, Bonlea providing care for 11 older people with dementia, Westbury and Littleboy of 10 beds each providing elderly care. The home is set back from a busy road near to the town centre and has views over an expansive grassed area and bowling green. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took seven hours and fifteen minutes and was carried out as one of the two statutory annual inspections required by the Care Standards Act 2000. A partial tour of the premises took place during chats and interviews with staff and residents and staff and care records were inspected. Three staff on duty were interviewed, together with seven of the twenty one residents. A speech therapist who visited during the inspection also spoke to the inspector. What the service does well: What has improved since the last inspection? What they could do better: Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 6 The home must make sure that all residents who self-medicate have a full assessment and this assessment must be recorded on their file. All staff files must include a photograph of the staff member and documentary evidence of any qualifications they possess. All staff must hold current mandatory training certificates. The residents’ daily records must be held individually to meet the requirements of the Data Protection Act 1998. 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. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 7 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 Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 4 The home is good at making sure that prospective residents are able to make an informed choice about where to live and that their needs can be met by the home after admission. The home is also good at providing contracts and agreements about what the residents can expect whilst living at the home. EVIDENCE: Three resident’s files were examined at the time of inspection; one of a resident from each of the three units and all contained a Statement of Terms and Conditions. These documents were signed by residents and/or their relatives as well as a member of the management team, and dated. All three files contained a pre-admission assessment and care plan. The pre-admission information in this instance was particularly detailed. The files also contained a Statement of Purpose. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 9 Two of the residents had lived at the home for a number of years, the other, from the respite unit, had been accommodated for a week. Residents spoken to were confident that their needs were met, indeed one resident felt the home exceeded her expectations – “I didn’t think I was coming to such a lovely place”. Although not admitted for intermediate care, residents on the respite unit were encouraged to use the domestic kitchen next to the dining room and to adhere to their home routine as much as possible. One lady continued to go to her own hairdresser and external clubs. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 The home was good at setting out resident’s needs in an individual plan that covered all areas of their lives within the home. They generally managed the resident’s medication well, but procedures for self-administration must be improved and recorded to protect those residents who self-medicate. Residents and their relatives were treated with dignity and their privacy respected and staff displayed an in depth knowledge of the residents and their needs. EVIDENCE: There was clear evidence in the three care plans examined, that they were working documents, with changes to plans of action and additions to the information held, as well as reviews, which were held regularly. The plans were comprehensive and included a personal profile of each resident, key information, personal are, nutrition, mobility, day and night time continence. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 11 Some areas of the care plans examined were excellent, with great detail about what the residents liked and how they wished their care to be delivered, “likes to have a cup of tea in bed at 7am with 1 sugar and two biscuits”, but some parts of the plan would benefit from more detail, such as “(resident) suffers from some incontinence and wears pads, but benefits from a toileting programme”. There was no description of what that programme was so that staff were relying on word of mouth for information. Health needs were identified, and included sections on memory, smoking, drinking and general health, as well as repeat medication and selfadministration. Only one resident self-medicated, and that only in part, but although the manager said that an assessment had been carried out as to his ability to manage his own medication, this was not recorded anywhere. A written assessment must be undertaken and held on the resident’s care plan, and should include arrangements for regular monitoring and review. All the staff (managers and night staff) that administer medication had undertaken the twelve week Safe Handling of Medications course at Middlesbrough College. Some had completed the course, others had almost finished it. Residents spoken to during the inspection made the following comments about their views of their care: “The staff are very nice, they look after me very, very well, very, very well”. “The staff are very nice – I lost my glasses, they said they’d find them for me. They’re very, very good”. “Staff seem alright, but busy”. “No complaints about the staff, they look after me very well”. Observations during the inspection showed a warm and friendly relationship between the staff and their residents, with those on the elderly mentally infirm unit being treated with great gentleness. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The home is good at supporting residents to take part in a variety of activities with their wishes and needs being central to all choices. Links with the community are good and offer residents social opportunities. Dietary needs are well catered for, with a well balanced and varied selection of food available which residents enjoy. EVIDENCE: Interviews with staff and residents highlighted that the home had a range of activities, including day trips to a range of venues. In-house, each unit had a programme of weekly events, including exercise classes, dominoes, bingo, reminiscences, arts and crafts, carpet bowls and a sing-a-long with musical instruments. Staff interviewed confirmed the above and added that garden parties and events such as Halloween, Easter and Christmas parties also took place. So far this summer, outings had taken place to a “sing-a-long” at the Blue Bell Hotel, a mystery tour and the Teesside Princess. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 13 The day before the inspection, the home had held a garden party, which the residents said they had much enjoyed. “The garden party was good”. “There was a lovely garden party yesterday”. Lay ministers visit once a week on a Wednesday, to give communion to those residents who wish to take it. In addition, a lady comes in every Tuesday form the Salvation Army. During the inspection, a number of visitors came and went. One lady said “My daughter’s on holiday for a couple of weeks, but my neighbour came in to see me yesterday”. Another, a gentleman said, “Your family can come – oh aye”. Staff and residents said that residents were consulted on all areas of life in the home. One staff member said “I always put myself in their shoes – how would I feel. I always ask them their choice and respect it”. Resident’s comments included, “You can go out when you want to”. “I can come and go as I please, you just do what you want to”. Each unit had a notice board, upon which was displayed the menu for the day – on the day of the inspection, it was a cooked breakfast – bacon, eggs and mushrooms, or toast and marmalade, lunch was fish and chips and mushy peas, or chicken soup followed by trifle, and tea was cheese and onion bake, cake and biscuits. Also included on the board were activities for the day, It’s a Knockout and Bingo, and the staff on duty throughout the day. Comments about the food included, “The food’s alright, I’ve no complaint at all”, “The food is beautiful”, “The food’s nice, it suits me”. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 Residents are confident that their complaints are listened to and satisfactory procedures are in place. The home is good at providing a robust procedure about protecting residents from abuse and staff showed a knowledge and understanding of adult protection issues, which protects the residents. EVIDENCE: A complaints book and procedure was in place, and a comments and compliments book was also available for inspection. Two letters of appreciation for care given had been received since the beginning of March 2005. No complaints had been received in the last twelve months. Residents said that they believed their complaints would be listened to. Comments included, “The staff are very good, they always listen to you”. “I have nothing to complain about whatsoever. The staff listen to you, very, very good they are”. “Staff would listen to any complaints I had”. “No complaints about the staff, they look after me very well”. The Department of Health’s guidance, “No Secrets”, was available for inspection, as was the Adult Protection procedure, which included links to the “No Secrets” and contact numbers for the Vulnerable Adults Unit and the Commission for Social Care Inspection. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards not inspected on this occasion. EVIDENCE: Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 & 30 The home is good at making sure that recruitment practices protect the residents but they must make sure that all staff receive the mandatory refresher training they need to do their jobs. EVIDENCE: The home was seen to have an ongoing programme of training for care staff to obtain NVQ 2 (or equivalent). At the time of inspection, there was evidence to show that 12 staff had achieved their National Vocational Qualification Award at level 2 in care, 3 staff had achieved their level 3, making a total of 17 staff holding National Vocational Qualifications at level 2 or above, over 50 of the total of 30 care staff. Three new staff, who had commenced their employment at the beginning of July, were said by the manager to all hold their NVQ level 2, but as yet, their certificates were not available for inspection. The staff files for the three new members of staff were examined and the information required by Regulation 17, Schedules 2 and 4 of the Care Homes Regulations 2001 were in place, apart from a photograph. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 17 The manager said that they had not yet managed to take and develop the photos. This must be done as soon as possible. A quick look through other staff files showed that they contained photographs as required by the regulations. All three new starters had undergone an in house induction that was recorded and dated, and were undertaking a “Skills for Care” induction course, which was day release one day a week for six weeks. The inspector checked the training undertaken by three longer term members of staff, which identified that mandatory courses such as fire safety, first aid, manual handling and food hygiene had been undertaken by two of the staff which were still current. The third member of staff’s file did not contain evidence of current mandatory training, although it was accepted that this staff member had been on long term sick leave, only having recently returned. The manager must ensure that her training is brought up to date. Residents interviewed were clear that the staff met their needs saying, “The staff are very nice, they look after me very well”. “The staff are very good they are, I can’t say any other”. “I get on well with every one, the staff look after me very well”. “They’re kind, they make me feel at home”. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 & 37 The home is financially sound which protects resident’s interests. The home must improve its record keeping procedures to protect resident’s privacy. EVIDENCE: Stockton Borough Council maintained financial and accounting responsibilities for the home, part of which was a devolved budget to the manager of the home. A current Insurance certificates was displayed in the home. On the respite unit, resident’s daily records were held on each individual file, however, on the other units, a daily report book contained information about several residents on each page. This contravened the Data Protection Act 1998 and the manager must ensure that new procedures are put in place whereby each resident’s notes are held on a different page. Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 19 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 X 3 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 X X 2 X Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 20 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. 1. Standard OP9 Regulation 13 Requirement Resident’s that self-medicate must be given a full assessment that is recorded on file to show that they are able to manage their own medication safety. All staff files, including those of new staff, must include a photograph of the staff member and evidence of any qualifications held by that person. The manager must ensure that all staff files hold evidence that their mandatory training is current. Daily notes held on residents must be kept individually to meet with the requirements of the Data Protection Act 1998. Timescale for action 01/11/05 2. OP29 19 01/11/05 3. OP30 19 01/11/05 4. OP37 17 01/11/05 Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 21 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 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 Parkview Elderly Persons Home DS0000038031.V256657.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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