Inspection on 13/12/05 for Park View

This inspection was carried out on 13th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 10/04/07

Park View 03/05/05

Park View 12/10/04

Park View 17/06/04

Park View 16/12/03

Park View 20/05/03

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

CARE HOMES FOR OLDER PEOPLE Park View 7-10 Church Circle Farnborough Hampshire GU14 6QH Lead Inspector Isolina Reilly Unannounced Inspection 13th December 2005 10:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park View Address 7-10 Church Circle Farnborough Hampshire GU14 6QH 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) 01252 547 882 Mr Lawrence Alexander Mrs Diane Alexander Mrs Sharon Ann Botting Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Mental registration, with number disorder, excluding learning disability or of places dementia (32), Mental Disorder, excluding learning disability or dementia - over 65 years of age (32) Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category MD referred to above are not to be admitted under the age of 55 years. 3rd May 2005 Date of last inspection Brief Description of the Service: Park View provides care for up to thirty-two male and female residents over the age of 65 with mental health and dementia care needs. The home may also admit male and female residents from the age of 55 years with mental health care type needs. Mr and Mrs Alexander own the home and Mrs Sharon Botting is the registered manager employed by the home. Mr And Mrs Alexander own the Park Group of services that consist of Park View, Park Way and Park Avenue homes and an Outreach service. Park View is located in a quiet residential part of Farnborough and within a short distance from local shops and facilities. The home has an accessible mini bus that is regularly used for transport for outings and weekly shopping trips into Farnborough and Camberley. The home consists of two separate, sixteen bedded, three-storey Victorian style houses that are linked by a secure garden and patio area. Park View comprises of four single rooms and fourteen large double rooms. The homes communal space comprises of four open plan lounges, two dining rooms, and a quiet conservatory. Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection for this service that took place over one day. The opportunity was taken to look around the home, view records, procedures and talk with residents and staff. The inspector also had the opportunity to observe the interaction between residents and staff. The inspector was able to speak with several residents; a relative, carers and the cook were spoken with stating that they felt the home provides an excellent service. The home has completed a pre inspection questionnaire and the commission has received written comments from four residents and one visitor. The comments were positive and provide a good service. A full summary of the home’s assessment against the key National Minimum Standards is available by reading this and this year’s previous inspection report of 3rd May 2005. What the service does well: What has improved since the last inspection? There is an on going improvement and redecorating programme within the home that keeps the house looking fresh and bright. Since the last inspection, the home has redecorated some more bedrooms as part of the on-going redecoration programme. The communal chairs that a re looking a little worn are being slowly replaced with new chairs as is bedroom furniture. Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 6 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 DS0000012061.V267181.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above key standards were assessed and met at the previous inspection on the 3rd May 2005. EVIDENCE: Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above key standards were assessed and met at the previous inspection on the 3rd May 2005. EVIDENCE: Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above key standards were assessed and met at the previous inspection on the 3rd May 2005. EVIDENCE: Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The above key standards were assessed and met at the previous inspection on the 3rd May 2005. EVIDENCE: Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home presents as a clean, homely, comfortable and suitable environment for the residents. The standard of the décor within the home is good with evidence of on-going maintenance and improvements. EVIDENCE: On the tour, the home was found to be clean, warm and no offensive odours were detected. The manager explained that the decorating was on going. Further bedrooms have been redecorated since the last visit. It was noted that some of the communal chairs were found to be looking worn. The manager explained that there is a programme to replace two chairs a month. Some communal chairs have already been replaced. The manager stated that several bedrooms have been redecorated and furniture replaced where necessary. One large single bedroom has been fitted with an en-suite including a shower. The resident is very pleased with her room and enjoys the use of the shower. Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 13 Since the last inspection, both the boilers in the dining rooms have been tastefully boxed in and made safe. The manager and staff spoken with stated that they are regularly removed for cleaning. During the tour of the home the inspector noticed that the communal hand sinks seen have liquid soap for washing hands and disposable paper towels. There were gloves and plastic aprons available in the laundry rooms, toilets and bathrooms. Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 The home successfully supports staff to undertake appropriate qualifications in care that is relevant to this client group. Standards twenty-seven, twentyeight and twenty-nine were assessed and met at the previous inspection on 3rd May 2005. Standard thirty was exceeded when assessed at the previous visit. EVIDENCE: The inspector was able to sample staff training records and speak to staff regarding their qualifications. The staff spoken to stated that the home has been very supportive. Over fifty percent of carer staff have achieved or in the process of achieving National Vocations Qualification level 2 and/or 3 in Health and Social Care. The records sampled confirmed this. The staff spoken with have found the courses informative, increased their knowledge and assisted in the provision of care. The inspector was able to sample a detailed job description for support workers that outline their responsibilities and all have completed and organisation’s induction that gives them an understanding of the home’s ethos and attitude to care. Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 33 The home is run well by an experienced manager. The home has an excellent system in place for self-monitoring, annual review and development. Standards 35 and 38 were assessed and met at the previous inspection on 3rd May 2005. EVIDENCE: The manager has experience in running the care home. This is evident in smooth running of the service and a staff team that was observed works well together. The manager undertakes regular updating training with the staff team and has a National Vocational Qualification (NVQ) Registered Manager’s Award and has recently completed a qualification as an assessor (A1). She is currently in the process of completing a city and guild’s certificate in Community mental health. The copies of certificates sampled confirmed this. The staff spoken with confirmed that there is a clear line of authority within the home. The management is always looking for ways to improve the service and efficiency. There is a supportive structure for all the registered managers Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 16 within the Park group services with regular minuted meetings, development and project work. The inspector was able to sample June/July 2005 quality audit findings that are informing the development of the home operating plan for 2006. The quality audit was found to be systematic, comprehensive including all aspects of the service and reviewed by an external company. The action plans reflected findings from the audit. The residents, relative, staff and management confirmed that they had been asked to complete questionnaire on how the home is run. These were sampled by the inspector and found to be positive in the care provided and attitude of staff. The home also sends out questionnaires to health and social care professionals. The inspector was able to sample a random selection of the questionnaires and found evidence where individuals’ opinions had influenced practices. Copies of a summary of finding and actions taken were available in the service user guide and information file kept in the lounge. Actions points identified include the introduction of more activities, more choices for the evening meal and to re-write questionnaire as some residents did not understand some of the questions. The staff spoken with also confirmed that they are regularly asked their opinion on how the home is performing and ideas are encouraged. This is done in various ways at the staff meetings that are minuted, supervisions and general informal chats with management. Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X X X X X Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations Park View DS0000012061.V267181.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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