Inspection on 10/11/06 for Park View

This inspection was carried out on 10th November 2006.

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 16/05/06

Similar services:

Whitwood House

Whitwood Hall

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

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

CARE HOME ADULTS 18-65 Park View 61 Northstead Manor Drive Scarborough North Yorkshire YO12 6AF Lead Inspector Mavis Pickard Key Unannounced Inspection 10th November 2006 09:30 Park View DS0000065531.V319727.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 DS0000065531.V319727.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 DS0000065531.V319727.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Address 61 Northstead Manor Drive Scarborough North Yorkshire YO12 6AF 01723 361555 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) Milewood Healthcare Limited Mrs Veronica Kelly Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th May 2006 Brief Description of the Service: Anchor House is a detached three-story property in the Peasholm area of Scarborough, North Yorkshire. The house is located close to local shops and Peasholm park and about a mile from the north bay and Marine Parade of Scarborough seafront. The home is regsitered to accommodate up to 7 Adults who have a Learning Disability. Information about the services the home provides are made available to prospective clients and/or their representatives and to placing authorities though the provision of a written Statement of Purpose and Service Users Guide and through CSCI reports. At the time of this report the range of fees are from £1398.00 to £ 2800.00 a week. Additional charges may be made for client’s personal toilet requisites, hairdressing, chiropody, eye care and dental treatment as is required. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This ‘site visit’ is part of the second key inspection undertaken for this service in the inspection year 2006/7. The service was first registered in November 2005. This inspection is conducted to assess the improvements made for service users since the previous key inspection in May 2006. Information about improvements to the service has been received from the providers and management of the home and from staff working at the home. Care Managers, GP’s, service users representatives and other people who have an interest in the service advise that they are supportive of the service and its provision for service users. 3 service users were spoken with or observed during this visit. All said that they are satisfied with the provision of support they receive, that they like living at Park House and that staff are friendly and kind. What the service does well: What has improved since the last inspection? The service does not admit clients with specialist and complex needs unless they are sure that local support services are in place to meet those needs. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 6 The service makes sure that staff employed have or are provided with the training, and skills to meet the specialist and/or complex needs of clients. The service has a training manager who helps staff to get the training they need to support service users. The home is in the process of being decorated and furnished. The service is getting better at talking with service users family’s and visitors in a way that helps to make service users relaxed and happy. 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. The summary of this inspection report can be made available in other formats on request. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 7 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 DS0000065531.V319727.R01.S.doc Version 5.2 Page 8 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): 2 and 3. Quality in this outcome area is good. The needs of prospective clients are assessed prior to admission to the home. Clients and their representatives know that their needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has admitted 1 service user since the previous visit and is in the process of assessing 2 more people. From the records seen and from speaking with the newly admitted service user its clear that the new systems in place have supported the organisation and the home’s management to ensure that the service does not admit people before all required systems are in place to meet their need. Having spoken with the service user and their care manager its clear that albeit the placement was an emergency placement, before this person was admitted the service and the manager worked through a process to ensure that the clients needs can be met by the service and that staff employed have the knowledge to support the client. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 9 The service user has fitted into the setting well and staff are confident that they are being supported by the organisation to meet their client’s complex needs. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 10 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 and 9. Quality in this outcome area is good. Service users assessed and changing needs are reflected in individual plans. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service user plans examined during this visit have improved to give good evidence of what is in place for individuals and to evidence the steps staff are taking to meet individual need. Service users and people who have an interest in their welfare are party to all reviews. It is evidenced from plans and from speaking with service users that they are supported to make informed decisions about their care and about their lives. Service users have lots of input into the running of the home especially where this affects them. People living at the home have assessments of individual Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 11 risk but they are enabled to take reasonable risk where they have the appropriate information. All service user data is handled confidentially by the service. All service users have individual life plans that are constructed by them with support and that reflect the way individuals live their lives. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16 and 17. Quality in this outcome area is good. Lifestyle opportunities meet the expectations and goals of people accommodated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Evidence was seen that service users are provided with opportunities to maintain and develop social and independent living skills. The service actively promotes service user involvement in the local and wider community and with involvement with their immediate and wider family and friends. The service is forging links with local community groups and supporting service users to take part in a range of appropriate activities and pastimes inside and out of the home. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 13 People who wish to are encouraged to undertake educational and occupational activities. Some service users have jobs outside the home and some attend local educational establishments. Staff helps and support people to seek out and take up opportunities that occur locally. Service users are assisted and encouraged to take part in local leisure activities some visit local theatres, pubs, clubs etc. The daily life at the service is relaxed and usual. Service users take part in the running of the service as far as is possible, they can take part in and develop lifestyle opportunities such as cooking, laundry etc. Meals are planned, shopped for and cooked by service users with staff support. Meals are informal affairs that take place in the dining room and when weather permits in the garden. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 14 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 and 20. Quality in this outcome area is good. Service users receive health and personal care that suits their need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Personal support is limited in general to ensuring that service users have appropriate health care from their GP and from other people who have an interest in their physical, emotional and psychological health. Medication processes in the home are by monitored dosage system. Each service user has a medication recording sheet that shows their details and a photograph along with the medication they take. These details are reviewed regularly. Each medication gives guidance to the person administering about possible side effects of the medication and of any effects that may occur should the service user refuse. Medication records examined are detailed and accurate. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 15 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 and 23. Quality in this outcome area is good. Clients and their representative feel that their views are listened to and that clients are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints records were examined and showed good evidence that complaints are taken seriously and dealt with appropriately. The services complaints policy and procedures are clear and easy to follow. The recruitment process protects people accommodated. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 16 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 and 30. Quality in this outcome area is adequate. The environment is much improved and now in general meets service users expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home gave good evidence that improvements have been made to the environment of the home. The home is clean. Since the previous visit much of the improvements expected have been achieved. The communal areas are still in the process of refurbishment and decoration. Bedrooms seen showed that people have been encouraged to personalise their ‘own space’ and people spoken with said that they ‘love their room’. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 17 The kitchen is cleaner and brighter than at the previous visit and the dining room although still waiting for new furniture, has been decorated. Service users said that they are happy with the décor and furnishings in the home albeit they and staff are concerned is that a cream carpet fitted in the main sitting room which becomes easily soiled and is not a serviceable colour. Staff said that they and service users were not fully consulted about the colour they wanted before the carpet was fitted and are now unhappy about the way it looks and the impression it gives to visitors. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 18 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): 32, 34 and 35. Quality in this outcome area is good. Increasingly skilled and competent staff that are recruited in a way that keeps people safe, support service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the service’s improvement plan and following the provider and manager meeting with Commission staff in July 2006 there is evidence that the service is being proactive in sourcing appropriate training for all staff and that training will relate to the needs of people who are accommodated. Staff and staff spoken with and observed during this visit have much more confidence that they are now gaining the specialist skills and knowledge to assist them to support service users. The service employs a training officer whose role it is to ensure that appropriate mandatory and specialist training is sourced for staff to ensure that they can be confident they have the skills to support service users. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 19 The training matrix was examined and found to be inaccurate. This needs to be addressed. The home’s recruitment processes ensure that service users are safe. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 20 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, 39 and 42. Quality in this outcome area is good. Service users benefit from a well run home and are safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users and /or their representatives, management and staff were asked during the inspection process how they see that the home has improved. Everyone said that there have been major improvements to the home and to the way in which it is run. That the home is a much more relaxed place to be and to visit. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 21 Service users have structure to their lives that now includes leisure, education and learning and other activities that supports the lifestyle they wish to have. All service users have a life plan that they construct themselves with staff support. Their life plans evidence their expectations and goals and how they want and are supported to achieve them. Management and staff are confident that they understand the complex needs of service users and could discuss what they understand about the support they provide and why. The change in the ethos of the home is staggering in that there is now an open positive and progressive atmosphere in the home. Service users are relaxed and happy about their service and their home. Staff said that people are safe and that they are safe in the knowledge that they can keep them so. Service users presented as feeling safe and comfortable in their home and as being active in the development of the service. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 22 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 X 2 3 3 3 4 X 5 X 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Refer to Standard YA24 Good Practice Recommendations That consultation takes place with service users and staff about replacement of the sitting room carpet. Park View DS0000065531.V319727.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 DS0000065531.V319727.R01.S.doc Version 5.2 Page 25 - 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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