Inspection on 12/04/05 for Longley Park View Nursing Home

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Longley Park View Nursing Home 14/09/07

Longley Park View Nursing Home 19/09/06

Longley Park View Nursing Home 07/11/05

Longley Park View Nursing Home 14/12/04

Longley Park View Nursing Home 22/07/04

Longley Park View Nursing Home 17/03/04

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

CARE HOMES FOR OLDER PEOPLE Longley Park View Nursing Home 70 Longley Lane Sheffield South Yorkshire S5 7JZ Lead Inspector Mike ONeil Unannnounced 12 April 2005, 08:15 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 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. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Longley Park View Nursing Home Address 70 Longley Lane Sheffield S5 7JZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0114 2425402 0114 2425452 None Longley Health Care Limited David Arden N Care Home with Nursing 67 Category(ies) of DE(E) Dementia - over 65 (38) registration, with number MD Mental Disorder (11) of places MD(E) Mental Disorder -over 65 (18) Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. The numbers of care staff and qualified nurses on duty at any one time must be determined and provided according to the assessed needs of service users. Staffing levels must be maintained at at least those described in the document accompanying the variation application, reference number `JQ09/01/2003 confidential`. 2. One specific service user identified to the NCSC at the time of the variation application aged over 65 years may continue to live in the 11 bed unit registered MD. 3. The building must be organised into the following groupings; 11 Mental Disorder (MD) - ground floor separate unit; 18 Mental Disorder for people 65 and over (MD/E) - ground floor separate unit; 38 Dementia for people 65 and over (DE/E) - first floor separate unit. Date of last inspection 14th December 2004 Brief Description of the Service: Longley Park View’s registration category is a care home with Nursing. It provides care for up to 67 residents, 38 falling within the Dementia service user group over 65 years of age, 11 in the Mental Disorder group under 65 years of age and 18 residents in the same group but over 65 years of age. The categories of registration were varied in July 2003. Longley Park View is a purpose built home providing accommodation at ground and first floor level. The home is sited in a residential area and is close to local shops and a bus route to the North of Sheffield city centre. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over seven and a half hours from 8:15 to 15:45 Opportunity was taken to make a partial tour of the premises, inspect a sample of records and policies and talk to staff and residents. The majority of residents and staff were seen during the inspection and the inspector had the opportunity to speak to six staff on duty, one visiting relative and seven of the fifty-six residents in some detail. What the service does well: What has improved since the last inspection? Residents on Ecclesfield unit were much happier about the increased opportunities they now had to participate in days out of the home and activities arranged within the home by the staff of that unit. There was more structure to the day for the service users on the Concorde unit. Staff were more enthusiastic in providing a more structured day to the residents living routines. Residents said that the quality and choice of the food served in the home had “really improved” over the past few months. A major refurbishment of the home has occurred. Corridors and lounges have been redecorated and new furniture has been purchased for the lounge areas. Staff said that they had received much more training, which has helped them to understand the residents care needs. Staff were dressed in a smarter way and appeared to portray a much more professional image. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 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 standard(s) 3 and 4. Standard 6 is not applicable to this home. Residents had, had their needs assessed this ensured the home were able to meet their care needs. Staff were receiving specific training. Specialist medical and nursing staff were regularly consulting with the staff at the home and advising good practice. EVIDENCE: Copies of full needs assessments were contained in resident care plans. The information from the full needs assessment had been incorporated into the resident care plans. Details of medical/nurse specialists who had been consulted with regard to the residents care were recorded in the care plans this will assist in ensuring residents needs, are met. Staff said that they had undertaken relevant training needed to assist them in caring for the specific client groups who are resident at Longley Park View, and that these training opportunities had increased in frequency over the past few months. This training will assist them to meet the needs of the residents at Longley Park View. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 9 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 standard(s) 7, 8, 9 and 10 The information in one care plan was inadequate to ensure that the resident’s health needs could be met. Three other care plans checked were satisfactory. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents themselves said that they were satisfied with the care they were receiving and that the staff were friendly, helpful and polite. Current medication practices provide a risk to the residents’ health and welfare. EVIDENCE: Three care plans set out in detail the residents needs and the action to be taken by the qualified and care staff of the home to ensure all these could be met. The care plans had been regularly reviewed by the staff. Residents or their relatives were involved in drawing up of the plans. One care plan (Concorde unit), however was not satisfactory because • Some of it was written in pencil. • The resident had developed a pressure sore; the monitoring of the improvement or deteriation in the sore had not been evaluated for three weeks. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 10 • • The nutritional needs were not been adequately monitored. The dietary intake had significantly deteriated yet the care plan had not been adequately evaluated or renewed to enable closer monitoring of the changing needs. The resident had not been weighed for two months. Residents said that they were happy in the home and said, “I like the staff and get on with them all” and ”I’m happy enough here”. A relative said they were “very satisfied” with the care delivered by staff. Residents were well dressed in clean clothes and appeared to have received an acceptable level of personal care. Medicines were securely stored around the home in locked cupboards within treatment rooms. Medicine Administration Records (MAR) checked (Concorde unit) were not safe or adequate. Staff had not signed a MAR sheet on three occasions during a two-day period to indicate that a drug had been administered. Staff had altered the dose times of a drug without any documentation recorded on the MAR sheet or resident care plan as to why the dose time had been changed. Staff had hand written a drug instruction on a MAR sheet. The instruction did not contain the prescriber’s signature. Residents and relatives said that staff were friendly, helpful and polite. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 11 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 standard(s) 12, 13 , 14 and 15 On the whole residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. Meals served at the home were of a good quality and offered choice. EVIDENCE: Activities were occurring during this inspection. Some residents were taking a trip to the local shops. Residents on Ecclesfield unit were much more positive about the increased opportunities they now had to participate in days out of the home and activities arranged within the home by the staff of that unit. A relative said that the staff do try and include the residents in activities that are organised. There was more structure to the day for the residents on the Concorde unit. Staff were more enthusiastic in providing a more structured day to the residents living routines. Some staff however were still at times seen to be observing residents from the corridor as opposed to interacting with them on a one to one basis. A church service was being held at the time of inspection, which was attended, by a good number of the residents. Residents said that visitors were welcome at any time. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 12 The cook was very enthusiastic about her job and was very keen to ensure the residents were offered choice of meals. The cook showed good knowledge of the special diets some resident’s need. Residents said that the quality of the food served in the home had “ really improved” over the past few months. Staff said residents’ were offered more choice of food and the quality of the food was very good. Lunch was served in a pleasant relaxed manner with staff sat with some residents assisting them to eat. Residents said that they enjoyed their lunch. Residents on Ecclesfield said that they would like access to a tea making facility so that they did not have to ask staff everytime they wanted a cup of tea during the day. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 13 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 standard(s) 16 and 18 Staff had an understanding of the procedures to be followed should they suspect any abuse at the home. Complaints procedures and an ethos is in place to enable residents and relatives to feel confident that any concerns they voice will be listened to. EVIDENCE: A complaints procedure was displayed in the home. Relatives and residents said that if they had any concerns that they would feel comfortable in talking to the nurse in charge of the unit or the manager. Staff had received information on adult abuse and some staff had received some formal training. This will help to ensure that residents are protected from abuse. Discussions with residents confirmed they had nothing to complain about, they were happy and looked after. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 14 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 standard(s) 19, 20, 21, 23, 24, 24 and 26. The environment within the home was on the whole well maintained and clean providing a comfortable, safe environment for residents. EVIDENCE: The home was generally clean, with no unpleasant odours noticeable. Relatives said that the home was generally kept clean. All the residents said their rooms and the home in general was well maintained and kept clean. Since the last inspection a major refurbishment of the home has occurred. Corridors and lounges have been redecorated and new furniture has been purchased for the lounge areas. This has markedly improved the aesthetics of these rooms. Carpets have been replaced; a window and toilets have been repaired. The home does have an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 15 Two bathrooms on Firth Park and Hillsborough units were stark, dark, clinical and poorly decorated. The baths were stained and the wooden casing surrounding the pipes in the bathrooms was damaged. The bedrooms were clean. Bed linen in these rooms was clean. The home was warm in all areas. Window restrictors were fitted to all windows checked. The hot water temperature in one bathroom measured a safe temperature of 43 degrees centigrade. The redecoration of Concorde corridor has improved the aesthetics of the unit. However the lighting in the corridor still seems dim. Additional or new lighting should be considered for this unit. The kitchenette in Concorde unit was a lot cleaner than found on previous inspections. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 Staff were employed in sufficient numbers to meet the needs of residents in accordance with agreed staffing levels. The recruitment information obtained for new staff was insufficient to adequately protect the welfare of residents who lived at the home. Staff were undertaking training, which enabled them to meet the needs of the residents in the home. EVIDENCE: The staff rota identified agreed staffing levels had been met. This will assist in making sure that service users needs are met. Staff said that staff numbers were adequate to meet the needs of residents. Residents said there was always a member of staff available when they needed them. Fifty per cent of care staff had not achieved their level 2/3 NVQ qualification although records showed that 12 staff were undertaking the course. Staff said that there were excellent training opportunities available to them. Staff training records identified an increase in training opportunities for the staff. Staff recruitment files were not satisfactory .One file identified that a reference from the member of staffs last employer had not been returned. Other inadequacies included the failure to record staff’s previous employment history and the lack of a photograph or other information to verify identity. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 17 Criminal Record Bureau (CRB) checks had been completed for staff, although records as to the decision as to whether to employ or reject employment of staff that did not receive clear CRB checks were not being kept. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35, 36, 37 and 38. There has been improvements in the management of the home was has led to a more professional better-trained workforce which will ultimately benefit the health, safety and welfare of the residents. The failure to ensure that the regular servicing of some of the homes equipment and appliances may however provide a risk to the residents’ safety EVIDENCE: The CSCI have not received notification to confirm that the manager has completed his level 4 NVQ management qualification. Recorded visits by the registered provider had been carried out. Records of these visits have been forwarded to the CSCI. A manager from Longley Healthcare was carrying out an audit of the catering facilities at the time of the CSCI inspection. This monitoring by the company will help to ensure that the home is run in the best interests of the residents. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 19 A receipting system and statement sheets were seen for each resident. The residents’ personal money accounts were found to be up to date. Staff said that they were undertaking supervisory sessions with senior members of staff on a regular basis. Staff were dressed in a company provided uniform and looked smart. Staff appeared to portray a much more professional and friendly image on this inspection. Service records indicated that the gas ovens had not been tested for over one year. Fire records were up to date and stated that weekly testing of the fire alarm system and fire drills had occurred. Staff said they had received recent fire safety and moving and handling training .A sample of records showed that staff were receiving this statutory training. At the time of inspection no fire exits were blocked and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products and records were safely stored in the home. This will promote the safety and welfare of the service users. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 x 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x 3 x 3 3 3 2 Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 21 Yes Are there any outstanding requirements from the last inspection? 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. 2. 3. Standard 7 8 8 Regulation 15,17 12,13,15 12,13,15 Requirement Records must be written in pen as highlighted in nurses professional codes of conduct. Appropriate action must be taken to maintain residents skin integrity. Appropriate action must be taken to maintain residents nutritional needs. (Previous timescale of 01/02/05 not met) Medication must be administered in accordance with instructions unless there is a documented reason why this was not done. The Medication Administration sheets must contain General Practitioners or two members of staffs’ signatures alongside any directions regarding the dosage of the medication or the time the medication is to be dispensed. The routines of daily living and activities made available are flexible and varied to suit residents expectations, preferences and capacities. (Concorde unit) (Previous timescale of 01/04/05 not met) The bathrooms on Hillsborough Timescale for action 01/06/05 01/06/05 01/06/05 4. 9 13 01/06/05 5. 9 13 01/06/05 6. 12 12,16 01/07/05 7. 21 23 01/09/05 Page 22 Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 8. 29 19 & schedule 2 9. 29 19 & 17 10. 38 23 and Firthpark units must be clean,reasonably decorated and well maintained. Records must be maintained, 01/07/05 which provide evidence that the fitness of the person to work at the home has been assessed. (Previous timescale of 22/07/04 not met) A thorough recruitment 01/06/05 procedure must be followed and this must be demonstrated on individual staff files together with information required by the regulations and standards. The health and safety of 01/06/05 residents and staff must be promoted by the maintenance of the gas system. 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. 2. 3. 4. Refer to Standard 15 25 28 31 Good Practice Recommendations Consideration should be given to provide tea making facilities for the residents of Ecclesfield unit. The inspector would recommend that additional or new lighting be considered for Concorde unit. Preparations should be made to ensure that 50 of staff are trained to NVQ level 2 or equivalent by 2005. Progress should continue to ensure that the registered manager has a level 4 NVQ qualification in management or equivalent by 2005. Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Longley Park View Nursing Home J55 S21794 Longley Park View V218800 12.04.05 UI Stage 4.doc Version 1.20 Page 24 - 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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