Inspection on 07/11/05 for Longley Park View Nursing Home

This inspection was carried out on 7th 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 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 12/04/05

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 Michael O’Neil Unannounced Inspection 09:10 7 November 2005 th 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 Longley Park View Nursing Home DS0000021794.V254899.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. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Longley Park View Nursing Home Address 70 Longley Lane Sheffield South Yorkshire S5 7JZ 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) 0114 242 5402 0114 242 5452 None Longley Health Care Limited Vacant Care Home 67 Category(ies) of Dementia - over 65 years of age (38), Mental registration, with number disorder, excluding learning disability or of places dementia (11), Mental Disorder, excluding learning disability or dementia - over 65 years of age (18) Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 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`. 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. 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. 12th April 2005 2. 3. Date of last inspection Brief Description of the Service: Longley Park Views 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 DS0000021794.V254899.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 inspection carried out from 09:10 to 14:15 by Michael O’Neil, regulation inspector. Maggie Johnson,care manager was present during the inspection. During the inspection 7 residents, 2 relatives, 7 staff and 2 visiting health professionals were spoken with. The inspector spent time observing the interaction between the staff and residents, sampled records and made a partial inspection of the building. The inspector wishes to thank the staff, relatives and residents for their time, friendliness and co-operation throughout the inspection process. Michael O’Neil made an additional visit to Longley Park View on 13th July 2005 during which requirements made at the inspection carried out on April 12th 2005 were checked. What the service does well: What has improved since the last inspection? The standard of resident care plans had improved. The standard of personal care the residents had received showed a marked improvement to the standard seen at previous inspections. Staff were continuing to try and provide a more structured day for the residents on the Concorde unit. Staff were generally more enthusiastic in providing a more structured day to the residents living routine. There was some evidence that the staff of Longley Park View were taking more pride in the appearance of the home. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 Page 6 The cleanliness, housekeeping and décor within Longley Park View had improved markedly since the last inspection. Additional lighting had been provided on Concorde Unit, which made the unit much brighter and more welcoming. There had been a notable improvement in recruitment practices since the last inspection. Staff said that staff moral was improving and said that they enjoyed working at the home. 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. Longley Park View Nursing Home DS0000021794.V254899.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 Longley Park View Nursing Home DS0000021794.V254899.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): None of these standards were checked as the key standards were checked and met at the last inspection. EVIDENCE: Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 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 the following standard(s): Standards 7,8,9 and 10. The residents’ health, social and personal care needs were well documented in the care plans. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents themselves said that the care they were receiving was very good and that the staff were friendly. Relatives said that the care delivered by staff was very good. Medication procedures provided protection to residents. Residents’ privacy and dignity was maintained. EVIDENCE: A resident care plan checked set out individual needs and the action required by staff to ensure those needs were met. Relatives said they were involved in drawing up the plans and that staff kept them informed of their relatives condition. Visiting health care professionals said that staff at the home communicated well with them and felt that the standard of care delivered at the home was of a good standard. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 Page 10 Residents were well dressed in clean clothes and had received a good standard of personal care. The standard of personal care the residents had received showed a marked improvement to the standard seen at previous inspections. Medicines were securely stored around the home in locked cupboards within treatment rooms. It was positive to see a visiting pharmacist carrying out a review of the residents’ medication. The care manager and other staff of the home were fully involved in this review and auditing. Staff were observed to be assisting residents in a positive and friendly manner, doors were closed where staff were helping with personal care. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 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 the following standard(s): Standards 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 had gone in the minibus on a shopping trip with one of the two activity coordinators employed at the home. Residents said there were frequent opportunities available to participate in activities arranged inside and outside the home. Staff were continuing to try and provide a more structured day for the residents on the Concorde unit. Staff were generally more enthusiastic in providing a more structured day to the residents living routine although some staff were still at times seen to be standing in groups together as opposed to interacting with the residents on the unit. Residents said that they had a choice of food and that the quality of food served was good. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 Page 12 The inspector observed that prior to lunch being served the residents on Hillsborough and Firth Park Units were sat for periods of up to fifteen minutes at dining tables, which were not set with clothes or cutlery. The residents were sat staring at each other without any stimulation .The residents were not offered a drink during this period. When lunch was served it was served in a pleasant relaxed manner and the residents said that they enjoyed their lunch. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were checked as the key standards were checked and met at the last inspection. EVIDENCE: Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 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 the following standard(s): Standards 19,21,24,25 and 26. The homes environment and cleanliness of the building has continued to improve. However, not all of the homes environment was well maintained and clean which meant that not all residents lived in a comfortable and safe environment. EVIDENCE: Some corridors and communal areas on Concorde and Ecclesfield Units are in need of decoration, as the décor is looking rather tired and is marked in some areas. The showers on Concorde Unit had leaked which had marked the corridor carpet. The showers need repairing and the carpets then either need cleaning or replacing. However the environment within the home was on the whole, well maintained providing a comfortable, safe environment for residents. There was some evidence that the staff of Longley Park View were taking more pride in the appearance of the home. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 Page 15 Three bedrooms were checked in detail and many others seen, all were comfortable and homely. Bed linen checked was clean and in a good condition. The home on the whole was clean, however unpleasant smells were noted in a lounge on Concorde Unit and a bathroom on Hillsborough Unit. The smell in the bathroom was due to there being no lid on the waste bin in this room. Despite the above requirements the cleanliness, housekeeping and décor within Longley Park View has improved markedly since the last inspection. Longley Park View Nursing Home DS0000021794.V254899.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): Standards 27,28 and 29. Staff were employed in sufficient numbers. Recruitment procedures promoted the protection of residents. EVIDENCE: The staff rota identified agreed staffing levels had been met. This will assist in making sure that service users needs are met. Residents said there was always a member of staff available when they needed them. Staff said staffing levels were adequate. Fifty per cent of care staff had not achieved their level 2/3 NVQ qualification although figures provided by the home identified that 22 had achieved the qualification and another 12 of staff had enrolled on the course. Two staff recruitment files were checked. The recruitment information obtained for new staff protected the welfare of residents who lived at the home. There had been a notable improvement in recruitment practices since the last inspection. The staff files contained references from the staffs last employer, information to verify identity and Criminal Record Bureau (CRB) checks. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 Page 17 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): Standards 31,32,36,37 and 38. Residents and staff benefited from the ethos, leadership and management approach. There was a positive style of management in the home and staff moral had improved. Staff were appropriately supervised on a continuous basis. The homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: At the time of the inspection the CSCI area office had not received the application to register the manager. The CSCI have not received notification to confirm that the manager has completed her level 4 NVQ management qualification or equivalent. Staff said that staff moral was improving and said that they enjoyed working at the home. Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 Page 18 Staff said they were receiving supervision and management support on a regular basis. Records were securely stored around the home, which protected the residents’ best interests and confidentiality. The servicing of the homes gas system had been completed . At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. The hot water temperature in one bathroom measured a safe temperature of 43 degrees centigrade. This will promote the safety and welfare of the service users. Longley Park View Nursing Home DS0000021794.V254899.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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X 3 X X 3 X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X X X 3 3 3 Longley Park View Nursing Home DS0000021794.V254899.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 12,16 Requirement 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 01/07/05 not met) Meals must be served in pleasing surroundings. Showers must be repaired so that adequate bathing facilities are available for residents. All areas of the home used by residents must be well decorated. (Previous timescale of 01/11/05 not met) All parts of the home must be kept clean and free from offensive odours. The manager must forward an application to the CSCI to enable the registration of manager process to commence. Timescale for action 01/03/06 2. 3. 4. OP15 OP19 OP19 16 23 23 01/01/06 01/01/06 01/03/06 5. 6. OP26 OP31 16 9 01/12/05 01/01/06 Longley Park View Nursing Home DS0000021794.V254899.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. 1. 2. Refer to Standard OP28 OP31 Good Practice Recommendations 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 DS0000021794.V254899.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Sheffield Area Office 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 DS0000021794.V254899.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. 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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