Inspection on 10/05/07 for Park View

This inspection was carried out on 10th May 2007.

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

Park View 02/02/06

Park View 22/09/05

Park View 01/03/05

Park View 07/09/04

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

CARE HOME ADULTS 18-65 Park View 1 Westfield Road Burnham-on-sea Somerset TA8 2AW Lead Inspector Pippa Greed Unannounced Inspection 10th May 2007 08:40 Park View DS0000016281.V335414.R01.S.doc Version 5.2 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 Park View DS0000016281.V335414.R01.S.doc Version 5.2 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 Adults 18-65. 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 DS0000016281.V335414.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Address 1 Westfield Road Burnham-on-sea Somerset TA8 2AW 01278 789888 01278 795961 marinaparrett@nas.org.uk 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) National Autistic Society Mr Paul Brian Harrington Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2006 Brief Description of the Service: Park View is a detached house situated in Burnham on Sea. It is registered with the Commission for Social Care Inspection to provide a service for up to three people with a learning disability. The home specialises in providing care for people with Autistic Spectrum Disorders. The registered provider is the National Autistic Society. The registered manager is Mr Paul Harrington. The home has three single bedrooms, two toilets, family bathroom, lounge, a conservatory, a large kitchen/dining room, utility area and gardens to the rear. The home is within walking distance of local amenities. The current scale of charges is between £1,196.08 and £1,940.85 per week. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key inspection was conducted over one day (8hrs) by CSCI Regulation Inspector Pippa Greed. On the day of the inspection, one practitioner (07.30 – 09.30 and 09.00 – 17.00) and the manager were on duty (09.00 – 18.00). There was one evening/sleep in staff rostered for that evening (18.00 – 07.30). The registered manager was available to assist the inspector during the unannounced visit. On the day of the inspection three service users were at home initially. One service user left at 09.15 to attend craft workshop in Love Lane. One service user left at 09.45 to attend gardening session at Cannington College. The remaining service user was at home undergoing one-to-one in-house activities with staff. The atmosphere was purposeful and calm. Staff were seen to work in a supportive manner with the service users. The inspector viewed all communal areas and three service users bedrooms with their expressed consent. The inspector met with and engaged with three service users. The inspector also observed daily routines within the home. The inspector met with one staff member to discuss their induction, supervision and training provision. The staff commented that they felt supported by the manager. A selection of records was examined. These included three service users care plan and three staff recruitment files. CSCI sent out feedback cards for three service users, three staff, three relatives, and four social workers. Two service user’s surveys were received. These were completed with advocated support and reflected overall positive comments. One service user wrote ‘Very friendly staff’ and another wrote ‘Happy living here.’ One care staff comment card confirmed that they are aware of organisational policies and receive regular supervision. One social worker comment card was received. The social worker wrote ‘Extremely sensitive and competent care and management of my client responding very appropriately to the challenges he presents. Very good liaison maintained by the manager with myself and family.’ The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Four recommendations were made at this visit. These relate to the following: The logging system for receipts was not straightforward. A receipt for one date was clipped to a different recording sheet covering a different time period. It would be helpful to implement a folio slip to go with receipts in order to provide a clearer audit trail. Over the counter medication were provided such as supermarket paracetamol. It is recommended as good practice that a GP letter be obtained to verify any over the counter medication (homely remedy). Two staff files did not evidence regular formal supervision. It is recommended that formal one-to-one supervisions be provided at least six times a year. The home should consider contracting an external agency to test presence of Legionella micro-organisms in the water supply and a strategy be developed. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home provides a statement of purpose, and service user guide that clearly sets out the objectives and philosophy of the service. Prospective service users are given the opportunity to spend time in the home prior to admission. EVIDENCE: A pre-admission assessment was sampled for one service user. The relevant Social Service Care Manager provided a detailed pre-admission care plan. One service user visited Park View on two occasions through day visits, which included a consultation process. Park View asked the service user what colour would he like for his bedroom. The service user stayed over for one night and one day as a final visit before deciding if he wanted to live at Park View. Service user’s contract was seen within the service user’s guide. This was presented in a way that the service user could understand the terms and condition of service provision from the home. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 10 One service user wrote in their survey the following comments: ‘I was told about the place in an interview. It was one of two places as new accommodation.’ The Statement of Purpose outline criteria for admission. Prior to admission a needs assessment is undertaken by the social worker (care manager) involving the service user and carer or someone well known to them. The registered manager will visit prospective service user at home to meet service user and family to discuss needs, and identify what support is needed. The prospective service user will spend some daytime hours in the home then gradual overnight stays lengthening in time until full time admission is successfully completed. Should funding be confirmed and a placement offered, the first six months will be regarded a trial period when the service user will be familiarized with the home, staff and other service users. Continuous assessments are made throughout this transitional period and further twelve monthly reviews to evaluate the placement. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a detailed and well-written care plan for each service user. Service users are encouraged to exercise choice and participate in all aspects of life within the home. Service users are supported in taking risks. Records relating to service users are stored securely and appropriately maintained. EVIDENCE: The inspector sampled three service users Care Plan and care plan files. Care Plans are well maintained for each service user. Care Plans provided information regarding service users personal details, behaviour support plan, summary of key risk assessments, medication and medical needs, religious and cultural needs and promotion, communication profile, personal and intimate care, lifelong learning goals, and promoting healthier life styles. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 12 Service users care plan files, which are known as key-worker’s file covers personal details, guidelines for staff, correspondence records, personal inventory, general care, accident and incident recording all of which were completed in full details. These also included records of visits to health care professionals such as GP, dentist, optician, chiropodist and psychologist. Monthly reports have been completed by designated key-workers and in-house day planners listed the activities planned for the week. Care planning review meetings have been arranged in recent months and these were up to date. Individual risk assessments had been completed for each service user. These were overall up to date. A few will need reviewing. Service users are encouraged to exercise choice. There is a board in the kitchen, which is used to provide timetables for all service users. These have been designed with service user’s input. The home provides regular house meetings, which usually takes place on Saturday. This provides service users opportunity to discuss their meal preferences and plan activities and menu. Quality assurance tools are used aside from house meeting, family questionnaire and newsletters are also provided. This questionnaire provides family members with opportunity to offer suggestions. Regulation 26 visits are carried out and the key person offers suggestions on how to further improve the service. One recent example suggested for staff to sign key documents they have produced such as monthly reports and guidelines. The area manager visits the home weekly and knows the service users well. Service users are enabled to make an appointment to see the area manager if they wish to discuss their progress and daily living. The home keeps individual day to day records that detail the activities and choices that have been made by service users. Financial records were seen for two service users. One staff initial supported all entries as well as service user’s signature. The entries were correct for expenditures and tallied with the balance. Benefits are paid directly into service user’s bank accounts, which is interest bearing. However, the logging system for receipts was not straightforward. A receipt for one date was clipped to a different recording sheet covering a different time period. It would be helpful to implement a folio slip to go with receipts in order to provide a clearer audit trail. All records relating to service users are stored securely. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home supports the service user with personal development. The home offers service users opportunities to engage with peers, access appropriate leisure activities, and exercise choice. Service users are supported with friendship and family contact. Service users rights and responsibilities are respected. Service users are offered a choice of menu, and the options are developed around their preferences and dietary needs. EVIDENCE: On the day of the inspection, service users were accessing a range of activities, some of which were daily living skills, college session (gardening and animal care), craft workshop and hobbies of their own choosing. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 14 A day service timetable for the week listed the following activities: Weston Lynx Centre, Love Lane Workshop, Hydro-pool, Bridgwater College, Cannington College and in-house activities and daily living skills. Service users also access the local community and shops, visit social clubs such as Gateway Club, go for a drive, visit local pubs, attend local Church, karaoke evenings and go out for meals. They are able to pursue their personal hobbies and interest in the home, such as listening to music, reading library books, using the computer, and watching a video. One service user spoken with described how he enjoys gardening session at the agricultural college. He also helps care for a rabbit that resides there. Another service user spoken with explained with staff support that he access a local workshop and likes to walk there independently. Another service user described personal interests such as television and cookery with staff every Friday evening. An events timetable is displayed in service user’s bedroom, such as a theatre trip to see Chitty, Chitty, Bang, Bang at Bristol Hippodrome. It was also advocated in a recent care review that the service user would like to see an Elvis show. This is presently being arranged through a person centred planning approach. One service user informed the inspector that he sometimes travel by bus independently to nearby towns. These examples demonstrate excellent outcomes for the service users. All service users are in frequent contact with their families and friends and are supported. The home is decorated to a good standard throughout in light colours, which lends to a calming atmosphere. Service users were observed carrying out an in-house activity and hobbies. Through the interaction and communication, it was evident that the staff were well motivated and clearly understood the service users needs. Staff spoke to the service users in a kind and respectful manner. Service users were supported with decision-making and encouraged to do so. Service users were also empowered to walk around freely and access local shop with staff if so wished. Service users have a house meeting with staff on a weekly basis and discuss their mealtime preferences for the upcoming weeks. A cooking rota and mealtime menu is planned with service user’s agreement. Each service user takes turn to cook with staff one evening a week. Menus sampled appeared well balanced and appetising. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are provided with appropriate support to meet their personal care needs. The home supports service users in accessing healthcare services. The home has a medication policy, which provide staff with clear guidance. Medication records are managed safely. EVIDENCE: It was evident from the care plans through regular monitoring that any changes in the service users wellbeing or behaviour would be identified. The manager and staff team would then take pro-active steps to address and meet changing needs. Care reviews were seen to be regular and up-to-date. The care plans that were sampled contained documentation of the visits made to health care professionals. These included visits to the GP, dentist, chiropodist, optician and psychologist. Records are kept of all visits, consultations and outcomes. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 16 The care plan file contained a useful toolkit, which is called ‘The “OK” health check for assessing and planning the health care needs of people with Learning Disability’. This toolkit provides staff with a checklist to help identify and highlight areas of possible health needs. With this checklist, staff would then support service user to visit appropriate health care professionals. Service users are encouraged and supported to self medicate where possible. Medications are stored appropriately. Service users respect each other’s private space and do not enter without agreement or invitation. The inspector sampled the Medication Administration Record and storage of medication. This was considered well maintained. Three service users medications were sampled and checked. Storage areas were found clean and tidy. A list of staff signatures is provided including relief staff. A list of medication kept at Park View is also recorded, which provides medication details including why the medication is given. Patient Information Leaflets are kept for staff reference and evidences awareness of any possible contraindication. Personal Protective Equipment (PPE) was provided for staff. No gaps were seen on the Medication Administration Record. One staff member wrote medication details on the Medication Administration Record. Two staff signs for Haloperidol medication. Returned medication is recorded appropriately. The home’s medication policy was updated on 24th April 2006. Some over the counter medication were provided such as supermarket paracetamol. It is recommended as good practice that a GP letter be obtained to verify any over the counter medication (homely remedy). Photographs of service users were not stored on their medication care profile. At present the care plan does not contain details relating standard 21 in the care plans. The home has a policy in place in respect of standard 21. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a clear Adult Protection policy, which is accessible. The home has systems in place to protect the service users from abuse. The home has a complaints procedure and policy relating to the Protection of Vulnerable Adults. EVIDENCE: The home has appropriate policies relating to the Protection of Vulnerable Adults, Whistle Blowing, Complaints policy, and Grievance policy. The home’s complaint policy demonstrates clearly that complainants can contact the Commission for Social Care Inspection at any stage of a complaint. The policy also includes a flowchart and contact details for Health & Safety Executives. The inspector met with one staff member and asked about their understanding of Safeguarding Adult procedures. The inspector sampled training records for Park View staff team. All staff member have received Protecting Vulnerable Adults training in the last two years. Staff recruitment files were seen to be robust and contained records required in Schedule 2, Care Homes Regulations. Criminal Records Bureau enhanced disclosure has been completed and renewed where appropriate. The home has recruited new staff internally therefore POVA1st checks have not been carried out, as CRB are still current. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 18 The inspector was informed that there have been no complaints since the last inspection and no complaints/concerns have been raised directly with the CSCI. The home has a Complaint Log, which includes suggestions and feedback. This log contains contact detail for locality manager and the Commission. The log explains clearly to the reader that they can contact either National Autistic Society or CSCI. The last entry was made on 18th May 2006. This related to a service user who wished to raise a grievance. The details were recorded appropriately and the issue addressed to the service user’s satisfaction. Two service users spoken with stated that he felt able to talk to the manager if he had any worries or concern. Another service user has a recognised advocate. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has been decorated and furnished to a high standard. Appropriate adaptations have been provided. The home has sufficient communal areas and bathrooms to meet service users’ needs. The home was found to have a high standard of cleanliness. EVIDENCE: On the day of the inspection the home was warm and homely in appearance and appeared to maintain high standards of cleanliness and hygiene. The inspector conducted a tour of the premise. Park View is a large detached house situated in a residential area within walking distance from the centre of the large town of Burnham-on-Sea. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 20 The home has three single bedrooms with en-suite wash sink, two toilets, family bathroom, lounge, a conservatory, a large kitchen/dining room, utility area and gardens to the rear. One service user showed the inspector his bedroom. In a discussion with the inspector, the service user described how he was involved in choosing colour scheme for his room prior to moving into the home. Each service users bedroom was specifically decorated to their taste and interest. The bedrooms were filled with a range of décor such as collectibles, activity board, framed photographs, comfortable armchair, television, CD music system, and personal memorabilia. Communal areas are situated on the ground floor and consist of one quiet lounge (with no television), an open plan dining room and spacious kitchen, and conservatory room which is used for watching television, and receiving visits from families and friends. There are sufficient communal spaces for the service users to access and choose from. The home offers a wire-free telephone for those who wish to make calls in a preferred room. The home has domestic laundry facilities in keeping with a small homely environment. The instructions for using the machine are clear and all service users are able to use them independently with staff support available if needed. The home has installed a new door videophone, which maximises service user’s independence through ensuring their safety as a security measure. The service user will be able to see the person at the door and speak with them prior to letting the caller into the home. To the rear of the house, there is a large sectioned off lawn and patio area with patio table and chairs. There is a pathway leading to a vegetable garden that is well maintained and not overlooked. The vegetable garden is managed by the Day Care centre to enable service users to carry out gardening tasks. The home also has shared access to a summerhouse. To the side of the house is a separate administrators office, comprising of a waiting room and kitchenette. The office serves as an administration base for National Autistic Society homes in the Burnham-on-Sea catchment area. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are experienced and provide a good standard of care. Staffing levels are appropriate to meet service users’ needs. Staff have received Adult Protection training. Staff receive appropriate support and supervision. EVIDENCE: Duty rotas are well maintained. On the day of the inspection, there was one practitioner (07.30 – 09.30 and 09.00 – 17.00) and the manager was on duty (09.00 – 18.00). There was one evening/sleep in staff rostered for that evening (18.00 – 07.30). Since the last inspection, three staff have joined Park View. The Manager has completed an analysis of staff training needs, to ensure that all staff are provided with appropriate training to undertake their role. Newly employed staff complete a thorough induction programme. Staff are provided with regular opportunities to receive training, and have attended courses on Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 22 Food Hygiene, First Aid, Fire Safety, Epilepsy, Manual Handling, Somerset Total Communication, Medication Administration, and specialist training tool for working with autistic people such as SPELL. Out of the three staff employed, two have obtained the NVQ level 2 in care. Three staff recruitment files were examined. These were maintained appropriately. Each was found to contain the documentation required within Schedule 2 of the Care Home Regulations 2001. The inspector viewed the records in relation to staff supervisions and appraisals. Out of three files, one evidenced detailed induction, supervision and probationary review. However, two other files did not evidence formal supervision. It is recommended that formal one-to-one supervisions be provided at least six times a year. Staff details will need updating within the Statement of Purpose. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, 43 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well run and benefits from a competent manager. There is a calm and purposeful atmosphere within the home. Health and Safety checks are well maintained and the service users welfare is protected. EVIDENCE: The registered manager is Paul Harrington. He has worked in care for twelve years and at management level for five years, therefore has the skills and understanding of service users needs. The manager has undertaken a range of management training in the last twelve months such as Models & Theories of Care, Equality, Diversity & Rights, Managing working relationships, and Protection of Vulnerable Adults. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 24 The manager has a certificate in NVQ 3 Promoting Independence and a certificate in NVQ 4 Care and Management. Staff spoken with confirmed that the manager was approachable and that they would be able to raise any concerns. The home has appropriate policies and procedures in place to safeguard vulnerable service users. All records relating to service users are stored securely in accordance with the Data Protection Act 1998. The home has a current Employers Liability insurance (September 2007). The home operates a comprehensive system of health and safety audits. Fire safety records were examined. Fire equipment had been serviced and tested as required. Fire risk assessment was up to date. The Portable Appliances Test (PAT), Electrical Wiring Certificates, Gas Safety Certificate and water temperature checks have been appropriately maintained. However, it is recommended that the home consider contracting an external agency to test presence of Legionella micro-organisms in the water supply and a strategy for the prevention of this disease be developed. Accident and Incident log was sampled and the last entry was March 2007. The log provided clear guidance on reporting procedure. Risk assessment has been implemented as a result of the last incident. Overall accident and incident levels are deemed low. The manager informed the inspector some examples of quality assurance monitoring. These are offered through monthly visits (regulation 26), service users meeting, staff meeting, newsletter, family questionnaire and annual review. The inspector saw records of daily fridge and freezer temperatures. These were found to be within safe range. Food probe records were seen and were maintained within appropriate range. Safeguards are in place for good food hygiene safety. Although the sequence of food storage could be further improved. This was discussed with the manager. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 4 2 3 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 4 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 2 3 LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 3 3 4 3 3 3 2 3 Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A 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. Standard Regulation Requirement Timescale for action 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 YA9 YA20 YA36 YA42 Good Practice Recommendations To implement a clearer recording system with receipt such as a folio slip thus providing a clearer audit trail. To ensure a GP’s letter is sought permitting use of over the counter medication in line with the home’s policy and procedures. To ensure that staff be provided with formal one to one supervision at least six times a year. To arrange for an external contractor to provide Legionella checks at least once a year. Park View DS0000016281.V335414.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000016281.V335414.R01.S.doc Version 5.2 Page 28 - 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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