Inspection on 08/11/05 for Parkview Elderly Persons Home

This inspection was carried out on 8th November 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 13/07/05

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 Shaun Common Unannounced Inspection 8th November 2005 11:30 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 Parkview Elderly Persons Home DS0000038031.V264676.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.V264676.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.V264676.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. 13th July 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.V264676.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to Parkview by the Lead Inspector. The inspection started at 11.30am on 8th November 2005 and lasted six hours. The inspector spoke to two residents, staff and an external line manager, as well as looking at records and looking around the home. A resident told the inspector ‘I feel safe here’ and ‘its ok here’ What the service does well: What has improved since the last inspection? What they could do better: 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.V264676.R01.S.doc Version 5.0 Page 6 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.V264676.R01.S.doc Version 5.0 Page 7 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): 6 Parkview does not provide intermediate care. EVIDENCE: Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 8 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): 9 Structures are in place to enable formal assessments of residents who selfmedicate. EVIDENCE: As Standards 7-11 had been assessed at the previous inspection, only substandard 9.2 was assessed in order to re-visit a Statutory Requirement raised at that inspection. At the time of inspection there were no residents responsible for their own medication. The acting manager provided the inspector with a document that had been developed for assessments to be undertaken with residents in the future, who do manage their own medication. Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 9 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): Daily Life and Social Activities was not assessed at this inspection. EVIDENCE: Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 10 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): Complaints and Protection were not assessed at this inspection. EVIDENCE: Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 11 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): 19 & 26 Safety of residents is compromised through lack of effective risk management and appropriate safety measures. The home is generally well maintained. EVIDENCE: A tour of the premises was undertaken. In the Bonlea unit, the door to the sluice was noted to be held closed by a ‘hook and catch’ mechanism. This enabled access to anyone wishing to do so. The room allowed access to unregulated hot water and lockable cupboards within the room had keys existent in the locks. These cupboards contained various cleaning materials that are hazardous. The acting manager was asked to take immediate action to make this safe for residents. Within a short period of time, a new lock was fitted to the door. Also within Bonlea is the door to the staffing area. The key to this door was kept on a hook outside the door making the area accessible. The staffing area contained hazards such as un-regulated hot water, a cluttered room, kettle etc. Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 12 The acting manager ensured that the key was moved into the stairwell area, which is only accessible via a keypad system. The laundry also had an accessible key. The acting manager ensured that this was made safe. The other two units had sluice rooms, which did not have locks in place. The acting manager was uncertain as to whether risk assessments were in place and therefore agreed to ensure that these rooms were also fitted with locks or risk assessments put in place for all residents as required. The fascia boards and guttering around the building and in the garden area was noted to have flaking paint and were rotten in places. This required attention. The respite bathroom had pipe-work that was not boxed in due to a cover recently breaking. This was unsightly and must be made good as soon as possible. The handrail near the entrance that faces the main road was rusting and had flaking paint. This must be made good. The home was noted to be clean and hygienic throughout with appropriate hand washing and sluicing facilities. The home generally was noted to be well maintained. Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 13 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): 28, 29 & 30 Staff are appropriately trained, qualified and competent to deliver care to residents. EVIDENCE: The home has an appropriate number of staff qualified to NVQ Level 2. Staff files examined contained photographs and certificates of mandatory training were evidenced. These issues were revisited as they were raised in the previous inspection of the home. Residents interviewed stated: ‘Staff look after me well’ and ‘all the staff are alright’. Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 14 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): 31, 33, 35, 37 & 38 Parkview is managed by competent staff and quality assurance systems are improving. Resident’s finances are well managed. Some Health and Safety matters present risks to residents. EVIDENCE: The home’s Registered Manager was absent at the time of inspection, however is appropriately qualified and experienced. The acting manager had undertaken appropriate training and was undertaking the Registered Manager’s Award. The acting manager demonstrated a sound understanding of her role, the running of the home, staff and service users needs. Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 15 The fridge on the respite unit had a very loose handle and the door/cover to the freezer compartment had broken off. This will result in adverse variation in fridge temperatures, which will affect food storage. This must be effectively repaired or the fridge/freezer replaced. The line manager of the home was conducting a regulation 26 visit at the time of the inspection. These inspections add to and enhance the quality assurance systems already being developed. The line manager advised that the home are in the process of further developing effective quality assurance systems and two residents spoken to, confirmed that they had received questionnaires. One resident stated ‘occasionally they ask me what its like here’ and ‘sometimes they send me questionnaires’. Three residents files were examined and evidenced that they had seen and agreed their plans of care. There were records in place relating to residents monies. Two residents told the inspector that there money was looked after by the home and they were happy how it was managed. The storage of hazardous substances i.e. cleaning materials was addressed in the Environment section of the report as well as other matters relating to safety of residents. Maintenance checks were noted to have been carried out as required e.g. fire equipment, emergency lights, hoists, Legionella etc, however it was noted that repairs required on the boiler identified some months ago in a report filed in the home had not been actioned. The homes fire risk assessment document was examined and had not been reviewed since March 2001. Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 16 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 1 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 1 Parkview Elderly Persons Home DS0000038031.V264676.R01.S.doc Version 5.0 Page 17 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 19, 38 Regulation 13 Requirement Timescale for action 14/11/05 2 3 4 5 19 19 19 19 6 38 7 38 8 38 Doors to sluice rooms must be locked or thorough risk assessments of all residents carried out in relation to access to unregulated hot water and other hazards in these rooms. 23 Fascia boards have flaking paint and are rotten in places. These must be made good. 23 Guttering has flaking paint and this must be made good. 23 Pipe-work in the respite bathroom must be boxed in 23 The handrail at the front of the property is rusting and is becoming unsightly. This must be made good. 23 The fridge in the respite unit has a loose handle and the freezer door has broken off. This must be effectively repaired or replaced. 12, 23 The boiler must be repaired as set out in the repair notice issued by the relevant professional. 12, 13, 23 The fire risk assessment must be updated and the fire authority consulted in relation to the DS0000038031.V264676.R01.S.doc 01/02/06 01/02/06 15/12/05 01/02/06 15/12/05 01/12/05 15/12/05 Parkview Elderly Persons Home Version 5.0 Page 18 completed document. 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.V264676.R01.S.doc Version 5.0 Page 19 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.V264676.R01.S.doc Version 5.0 Page 20 - 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. 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