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Inspection on 01/09/05 for Park View

Also see our care home review for Park View for more information

This inspection was carried out on 1st September 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Park View provides a friendly, homely environment and good standards of personal care: residents and their relatives said that care staff were very helpful and caring. Residents` health needs are met appropriately and well monitored and prompt referrals are made to GP`s and relevant health professionals where required. There are good links with external agencies and evidence of good multidisciplinary working on a regular basis. Positive feedback was received from a district nurse who said that care staff referred appropriately to them and always followed their advice. Communication with relatives is positive and they are encouraged to participate in care if that is they and the resident`s wish. New staff receive a comprehensive induction and are well supported during the process. Existing staff are well trained and well supervised. The manager and deputy manager ensure care staff are well informed on current good practice to enable them to care appropriately for residents with specific condition i.e. dementia, Parkinson`s Disease.

What has improved since the last inspection?

Good progress has been made in developing care planning which now provides clear and comprehensive instruction for care staff and is regularly reviewed with residents and their relatives. There is close monitoring of pressure areas/sores on admission with appropriate referral to district nurses for treatment. There is good follow up after accidents/injuries with risk assessment of the environment undertaken, action taken to minimise the risk and regular reviews. There is good liaison with district nurses who spoke positively of care team managers and care staff stating they always follow through instructions.

What the care home could do better:

Residents said that staff were very caring but there were not enough of them to enable them to have a bath more frequently, to spend time with them or and to take them out. Staff aim to follow safe infection control practices but are compromised by the unavailability of hand-washing facilities in en-suite rooms and the delay in replacement of malodorous carpets. There are problems with the supply of food reducing residents` choice. Items such as grapefruit segments, cornflakes and wholemeal flour are not supplied as ordered causing difficulty in providing special diets and limiting choice for diabetics. Cooking utensils need review to ensure they are suitable able to accommodate the needs of 80 residents. There are insufficient call bells to enable residents to have one within reach in some communal rooms. The recruitment procedures for volunteers and independent professionals need to be improved to ensure they have the appropriate checks undertaken. The storage facilities are not adequate for the size of the home and do not enable equipment to be safely stored away from residents` accommodation. Residents complained at the lack of entertainment and organised outings and there was evidence that activities were not adequately resourced.

CARE HOMES FOR OLDER PEOPLE Park View Kings Chase Witham Essex CM8 1AX Lead Inspector Diana Green Unannounced 1 September 2005 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. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Park View Address Kings Chase Witham Essex CM8 2DT 01376 512443 01376 510137 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) Runwood Homes Plc Carol Hunt Care Home 80 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (80) of places Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 80 persons) 2 Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 21 persons) 3 Service users under the Mental Health Act 1983 must not be admitted to the home 4 The total number of service users accommodated in the home must not exceed 80 persons 5 One service user aged 87 years with dementia whose name was made known to the Commission in August 2004 to be cared for in the OP unit 6 Staffing levels are to be reviewed within three months from January 2005 Date of last inspection 31 March 2005 Brief Description of the Service: Park View is a large fully detached purpose built two-story building situated in the centre of Witham and close to all amenities, facilities and public transport links.The home provides accommodation for up to 80 elderly people (over 65), within 4 self-contained units. The accommodation comprises 80 single bedrooms with 79 en-suite facilities. Communal facilities include 4 lounge/dining rooms, 2 lounges, quiet room and a smoking room. There is a large conservatory overlooking the local park. There are 9 bathrooms, all equipped for assisted bathing. Two passenger lifts provide access between floors, one of which can take an ambulance stretcher. Car parking for visitors is provided to the front of the building and there is an enclosed and accessible courtyard garden area. A local park is directly adjacent to the property providing some rooms with pleasant views. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 1/09/05, lasting 7.5 hours. The inspection process included: discussions with the manager, deputy manager, five staff, five residents and four relatives; a tour of the including a sample of residents’ rooms, bathrooms, communal areas, sluices, the kitchen and the laundry; and inspection of a sample of policies and records (including any records of notifications or complaints sent to the CSCI since the last inspection). Feedback was also received from a district nurse and social workers. Twenty-two standards were covered, and eleven requirements made including one repeat requirement. The registered manager and staff were welcoming and helpful throughout the inspection. What the service does well: Park View provides a friendly, homely environment and good standards of personal care: residents and their relatives said that care staff were very helpful and caring. Residents’ health needs are met appropriately and well monitored and prompt referrals are made to GP’s and relevant health professionals where required. There are good links with external agencies and evidence of good multidisciplinary working on a regular basis. Positive feedback was received from a district nurse who said that care staff referred appropriately to them and always followed their advice. Communication with relatives is positive and they are encouraged to participate in care if that is they and the resident’s wish. New staff receive a comprehensive induction and are well supported during the process. Existing staff are well trained and well supervised. The manager and deputy manager ensure care staff are well informed on current good practice to enable them to care appropriately for residents with specific condition i.e. dementia, Parkinson’s Disease. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 6 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. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 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 Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 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, 4 & 6 The admission procedure ensures all residents are assessed on admission ensuring their care needs can be met. Limited resources compromise Park View’s philosophy of best practice in dementia care. Without sufficient staff resources positive outcomes for residents cannot be guaranteed. This home does not provide intermediate care EVIDENCE: From discussion with the registered manager it was evident that she or the deputy manager assessed prospective residents prior to admission wherever possible. For urgent admissions care management information is faxed to the home to ensure the residents’ needs can be appropriately met. Evidence of pre-admission assessments was present on all three files inspected. The manager and deputy manager showed a good awareness of the needs that the home is able to meet, and this was clearly taken into account when considering prospective admissions. Park View provides specialised services for people with dementia. The manager has experience in dementia care, has undertaken training in dementia care Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 9 mapping and ensures staff are kept updated by use of research articles to inform practice and through training. For example the deputy manager explained how one resident had benefited from doll therapy that had recently been introduced with the consent of the family. Copies of research articles were made available to care staff and to relatives. The records confirmed that a programme of training in dementia is regularly provided for care staff at Park View. Whilst there was evidence of some best practice in dementia care, there were too few care staff at peak times to ensure residents were supervised at all times in the dementia unit. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 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 standard(s) 7, 8 & 10 There is a clear and consistent care planning system in place that provides staff with comprehensive information and ensures residents’ needs are regularly reviewed and appropriately met. The health care needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. The standards of personal care provision promote and protect residents’ privacy, dignity and independence. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 11 EVIDENCE: From the three service users’ files inspected there was evidence that service users and/or their representative were fully involved in the assessment/development of the care plan and this was confirmed by the signatures of two residents. The remaining resident had refused to sign the care plan. Care plans were regularly reviewed and demonstrated a good understanding of the resident’s needs with a full evaluation recorded. Risk assessments were undertaken for moving and handling, risk of falls and nutritional screening with regular monitoring of weights. Arrangements for meeting the health needs of service users were in place. Access to medical, nursing and chiropody services and attendance at hospital outpatient appointments was evidenced from the records. Positive feedback was received from a district nurse who said that appropriate referrals were made and that care staff followed their instructions and provided a good standard of care that promoted residents’ wellbeing. Continence aids and pressure relieving equipment were provided through the district nursing service where required. Local GP’s attended the home to review service users’ needs and there was evidence of good multi-disciplinary working. Residents spoken with said that care staff were respectful towards them and maintained their privacy and dignity when providing personal care and this was generally evident from observation their care practice. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 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 standard(s) 12 & 15 Residents are generally satisfied with the routines of daily living at Park View but their social and recreational needs are not always met. The meals provided at Park View are homely and provide adequate nutrition but the problems with food supply are compromising residents’ dietary needs and choices and reducing time available for their care. EVIDENCE: The home had a programme of social and therapeutic activities provided that were well documented and service users were observed to be enabled a choice in taking part. Two activities coordinators arranged the activities supported by care staff. A mobile library visited the home monthly, entertainment was provided every two months and a ‘Pat a Dog’ scheme was also arranged regularly. Group activity courses were arranged four times per year through WEA (Workers Educational Association). However several residents and their relatives said that there were too few staff and not enough activities. One relative said staff “have to run around, they haven’t got the time” and “they (the residents) get bored”. One resident said they would like to go out but there are no staff “they’re always busy”. Televisions were observed in all the lounges but screens were too small for residents to see from any distance. A radio/CD player was observed in one of the dining rooms and was playing music that was more appropriate for staff than residents. It was noted that the Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 13 CD’s were copies provided free with newspapers and that staff were raising funds for activities, as resources were limited. Residents were provided with a main dish of the day and an alternative choice. Meals comprised homely type food with seasonal variations. Several residents complained that the meat was often tough. Most residents said there was plenty of food and drink provided. However one said there was not enough food served on their plate and they had not had any fresh fruit offered or a snack in the evening. Another said that they sometimes run out of cornflakes. From discussion with the manager, staff and the cook it was evident that there were problems with the supply system. Orders for items such as grapefruit segments, yoghurt and wholemeal flour were frequently not provided with the result that care staff were required to purchase urgent supplied from local supermarkets. This takes them away from their care duties with residents. District nurses have complained that diabetic diets are not being provided appropriately and residents have complained at the lack of choice. Meat has not being supplied as ordered, either being changed or reduced in quantity. This results in the menus needing to be changed at short notice to accommodate the food provided, which is time consuming for catering staff and with the inevitable complaints from residents who do not receive their preferred choice. There have been no new utensils/cooking pots to accommodate the substantial increase on the number of residents catered for. For instance there is only one small fish fryer to cook fish and chips, meaning that meals need to be cooked up to an hour in advance of residents’ meal times. There had also been several negative comments made by residents on the food made at the end of their stay of respite. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 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 standard(s) 16 & 18 Park View has robust arrangements for management of complaints that assures residents and relatives their views are listened to and any issues addressed. Vulnerable adult procedures are rigorous and ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: Park View has a complaint procedure that is contained in the statement of purpose and displayed in the home for residents’ and relatives’ information. The procedure includes the time scales within which complainants can expect a response, the contact details of the CSCI and advises them of their right to refer directly to the CSCI at any time. From discussion with the manager it was evident that there had been a reduction in the number of complaints made; five having been made since the previous inspection. The records confirmed that all complaints hade been appropriately investigated and action taken to address any issues. One had been referred directly to the CSCI. The home also maintained a file of letters of satisfaction from residents and relatives with words of appreciation and thanking staff for their care. Residents spoken with said that communication with they and their relatives is good and the manager “Carol is remarkable”. One resident said they had made some complaints but “that staff were good and did their best under difficult circumstances”. The registered manager and deputy manager are POVA (Protection of Vulnerable Adults trainers and there was an ongoing programme of training in place for care staff. The staff induction included abuse awareness and a recently appointed member of staff confirmed they had received training on Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 15 POVA. There had been three Protection of Vulnerable Adults referrals made and multi-agency strategy meetings held. One resulted in disciplinary action being taken but no referrals had been made to the POVA list. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 16 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, 22 & 26 The premises are safe and generally well maintained but the standard of décor in some communal rooms does not create a pleasing environment. The outdoor accessible gardens are small and there are no plans or resources for improvement. Residents at Park View have the specialist equipment and aids to maximise their independence. Care staff at the home aim to uphold infection control practices but are compromised by resources not being made available for installation of handwashing facilities or a sluice disinfector. EVIDENCE: Park View is a large two–storey building that had a major extension and refurbishment completed during 2003. The location of the home is suitable for its stated purpose and has one aspect overlooking the park. This view was clearly enjoyed by residents from one of the communal rooms. The premises were paved to the front and one side with no planting. There was some shrubs planted to the park side, but this area was not accessible. There is one enclosed quadrangle with some seating for residents and a pond. The area is small for the number of residents, had few plants and the sensory garden Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 17 planting had not been developed as originally agreed on registration of the dementia unit. The premises were furnished in a comfortable and homely way. However the decor of the building has deteriorated in some parts and is in need of some redecoration. Damaged wallpaper and paintwork was evident in some communal rooms. The records confirmed that the building complied with requirements of the local fire service and the environmental health department. All areas of the home had grab rails and ramps and were accessible to wheelchair users. Sufficient assisted baths and toilets were available to meet residents’ needs. However call systems were not always accessible to residents in their rooms and there were too few in some communal rooms. The home was generally clean throughout with no malodorous smells. However some corridors were not adequately cleaned and hoists were dusty. There were no staff hand-washing facilities in en-suite rooms despite this being raised as an issue by the infection control nurse following an outbreak of infection several months ago. Therefore in parts of the home, staff have to walk along a long corridor before they are able to wash their hands which is not safe practice. No action had been taken to install a sluice disinfector as recommended previously by an infection control nurse. The carpet in one resident’s room smelled very strongly despite having been cleaned on a daily basis and evidently required disposal and replacement. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 18 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, 29 & 30 Residents’ needs are generally well met but their supervision is sometimes compromised by staff deployment leaving them potentially at risk. Recruitment practices were thorough and promoted the protection of service users. Staff are well trained and competent and have a good understanding of residents’ needs. EVIDENCE: There were 77 residents and 1 resident in hospital. Care staffing hours had been increased in agreement with the commission. Residents were observed to have their personal care needs met and were generally well supervised. However two residents spoken with said that there were not enough staff and they were always busy. A relative said that there were not enough staff and they were “always running around”. Two residents in the dementia unit were unsupervised for a period when staff were serving meals. One resident said that communication with some staff employed from overseas was a problem at times, although the manager had made efforts to improve this. The files of two new staff members were inspected: these contained evidence that all the required checks had been obtained (two satisfactory references, CRB/POVA checks) and copies of birth certificates, passports, photographs obtained before the individuals commenced employment at the home. All had received a statement of terms and conditions of employment. The home had an ongoing training plan in place and records summarising training were seen, and showed that most staff were up-to-date with all mandatory training including health and safety, fire safety, basic first aid and Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 19 moving and handling. Food hygiene, dementia care and protection of vulnerable adults training were also regularly provided. The manager kept staff updated with the conditions of older people and maintained files containing research based articles, for example in Parkinson’s Disease, dementia care and infection control residents that is acknowledged to be good practice. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 20 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, 32, 35, 36 & 38 The manager is committed to ensuring good standards of care for residents and has a good understanding of the areas in which the home needs to improve. There are robust management systems in place that ensure residents’ financial interests are safeguarded. Park View staff are well supervised and supported by the registered manager and senior staff. Records required to protect residents were well maintained, up to date and stored safely. Health and safety systems are generally well adhered to but the safety of residents and staff is compromised by the storage of equipment. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 21 EVIDENCE: The registered manager of the home is an experienced manager with 11 years experience of managing care homes and many years experience in care and is supported by a deputy manager. The manager is well known and respected by residents and their relatives. Residents and relatives spoken with said the manager was approachable and helpful. From discussion with the manager and observation there was evidence of regular handover meetings held between shifts. A formal system for staff supervision was in place and provided every two to three months and evidenced from the records. Staff received a four-week induction that was comprehensive, based on the TOPPS standards. The induction included the philosophy of care, charter of rights, codes of practice, home’s location information, staff handbook, fire procedures and Protection of Vulnerable Adults. One member of staff recently employed confirmed that they had received a full induction to the home, received the relevant training and they were well supported by care team managers. The homes’ record keeping policies and procedures safeguarded residents’ rights and best interests. Records were up to date and stored securely. The home had a health and safety policy statement and there was evidence from the records and in discussion with the manager and staff generally adhered to safe working practices. All accidents, injuries and incidents were well-recorded and appropriate action taken. However storage was limited at the home. Incontinence pads were observed stored in the corridor obstructing a door and creating a fire risk. There was no designated equipment store and one resident’s scooter was stored in the conservatory of the home that is also used for residents and visitors and for church services. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 22 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 2 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 2 x 2 x x 2 2 STAFFING Standard No Score 27 3 28 x 29 2 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 3 3 x x 3 3 3 2 Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 23 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. Standard 4 Regulation 12(1)(b) Requirement The registered person must ensure that residents in the dementia unit are supervised at all times The registered person must ensure that activities are provided and resourced to meet the needs of residents The registered person must ensure that food supplies are provided to meet the nutritional, dietery needs and choices of residents. The registered person must ensure that cooking utensils are provided to meet the increased number of residents The registered person must ensure that the sensory garden is developed and maintained as planned. The registered person must ensure that sufficient and accessible call bells are available for residents. The registered person must ensure that handwashing facilities are provided for staff in en-suite rooms. This is a repeat requirement The registered person must Timescale for action Immediate informed at inspection 30/11/05 2. 12 16(2)(m) 3. 15 16(2)(i) Immediate informed at inspection 30/11/05 4. 15 16(2) 5. 19 23(1)(a) 30/11/05 6. 22 16(2) 30/11/05 7. 26 13(3) & 16(2)(j) Immediate informed at inspection 30/09/05 Page 24 8. 26 13(3) & Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 16(2)(j) 9. 9 13(3) & 16(2)(j) 7, 9, 19 Schedule 4 23(2)(l) & 23(2)(m) 10. 29 11. 22 & 38 ensure that the carpet identified at inspection is replaced and there are no malodorous smells present. The registered person must ensure that all areas of the home are adequately cleaned including hoists and other equipment. The registered person must ensure that all volunteers and independant practitioners who have close contact with residents have a CRB disclosure The registered person must ensure that sufficient storage facilities are provided for residents equipment.and continence productsroducts are not stored in corridors Immediate informed at inspection Immediate 30/11/05 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 19 26 Good Practice Recommendations The registered person should provide an action plan to include timescales for reredecoration of communal areas with damaged wallpaper. The registered person should provide a sluice disinfector. Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Park View I56-I05 S28381 Park View V247677 010905 Stage 4.doc Version 1.40 Page 26 - 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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