Inspection on 13/01/09 for Park View

This inspection was carried out on 13th January 2009.

CSCI found this care home to be providing an Good service.

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 08/03/07

Park View 23/01/06

Park View 23/11/05

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Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Park View 34 Station Lane Seaton Carew Hartlepool TS25 1BG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jane Bassett     Date: 1 3 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Park View 34 Station Lane Seaton Carew Hartlepool TS25 1BG 01429221951 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): kristyhowe@tiscali.co.uk Mr Matt Matharu Name of registered manager (if applicable) Mrs Kristy Louise Howe Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is: 26 The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 26 Dementia Code DE, maximum number of places 5 Physical Disability, Code PD, maximum number of places 2 Mental Disorder, excluding learning disability or dementia, Code MD maximum number of places 2 Date of last inspection 5 2 0 2 Over 65 0 0 26 0 care home 26 Care Homes for Older People Page 4 of 25 Brief description of the care home Park View residential home is situated near the coast at Seaton Carew, Hartlepool, and is a long established care home. The home is registered with the Commission for Social Care Inspection to provide care and accommodation for up to 26 people. The building has been extended and provides bedrooms over two floors. There are two conservatory areas to the front of the house. 22 of the 24 bedrooms are single rooms, some of which have en suite toilet facilities. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use the service experience good quality outcomes. This inspection was an unannounced key inspection. As a key inspection, all of the key standards were looked at or discussed. This was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use the services, and that it does what the Care Standards Regulations say it must. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use the service are not being put at significant risk of Care Homes for Older People Page 6 of 25 harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This inspection was carried out by one inspector. The inspection lasted a total of five and a half hours. During this time the inspector looked at a range of documentation including service users and staff files. The inspector spoke to four service users, three family members, two staff and the manager. The manager of the service completed an Annual Quality Assurance Assessment (AQAA). Two service users and five staff returned surveys to CSCI. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has procedures that should ensure that prospective service users have their needs assessed. Evidence: During the visit the inspector examined the files of four service users. Each was found to contain evidence of information gathered by the home prior to that persons admission. During discussion with the manager she was able to describe the process that is followed to obtain information about a prospective service users needs including an assessment from the care manager if that person is funded by a local authority. Service users or their representatives are encouraged to visit the home prior to moving in. Two service users representatives who spoke to the inspector confirmed this. The home does not offer intermediate care. Care Homes for Older People Page 10 of 25 Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual need. The principles of respect, dignity and privacy are put into practice. Evidence: During the visit the inspector examined the files of four service users. Each file contained records of assessments including activities of daily living, moving and handling and risk assessments. Other information recorded included social and family history. Files were seen to contain plans of care in relation to health care needs. Plans would benefit from the inclusion of detail of the service users abilities and preferences. Records were seen to be evaluated and reviewed on a regular basis. All files seen contained information that indicated service users have access to GPs and other health professionals as needed. Staff who spoke to the inspector were able to demonstrate a good knowledge of individuals needs and how these are met. Staff spoke of promoting individuals privacy, dignity and independence. Care Homes for Older People Page 12 of 25 Evidence: Service users who spent time with the inspector confirmed they were happy with how the care is given. One person said the staff are excellent. The inspector observed good interaction between staff and service users, Family members who spoke to the inspector also expressed satisfaction with the care their relative receives. One person stated the home was just marvelous, the staff are absolutely brilliant another said the staff are very good. Information contained in surveys returned to CSCI indicated people were generally satisfied with the care they receive. Information in the AQAA returned to CSCI indicated the home has a policy and procedure in relation to safe handling of medication. A sample audit of medication records and systems found no major concerns. A sample audit of Medication Administration Records (MAR) examined were seem to be completed with no gaps in entries. However hand written entries of details of medication and method of administration did not contain the signature of a second person confirming the accuracy of detail. Medication files also contained information relating to the use of PRN (as required) medication for individual service users. The inspector was told medication is administered by senior care staff who have completed safe handling of medication training. The manager told the inspector that it is her intention to commence annual competency checks. Three of the four service user files examined by the inspector contained a copy of an annual medication review carried out by a pharmacist from the local PCT. The inspector also saw a copy of the annual audit of medication systems carried out by this pharmacist. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The food at the home is of a good quality, well presented and meets the dietary needs of the people who use the service. People who use the service are able to make choices about their lifestyles. Evidence: Service users who spent time with the inspector all expressed satisfaction with the support they receive from the staff and their lifestyles within the home. People said they were given choice in daily living and could spend their time how they wished. Care staff at the home carry out activities. Service users who spoke to the inspector said they were satisfied with the activities provided by the home. People spoke of recent Christmas events including a party and entertainers. Service users and family members who spent time with the inspector told her that visitors were always made welcome, staff are friendly and approachable. People who spoke to the inspector and those who returned surveys to CSCI said the meals were of a good standard and there was a good variety and choice. The inspector observed part of the lunchtime meal. The meal was well presented and served in pleasant surroundings. Staff were observed to give assistance as required. Care Homes for Older People Page 14 of 25 Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and have access to a complaints procedure, are protected from abuse and have their rights protected. Evidence: The home has a policy and procedure in relation to handling complaints. This was seen to be available. Service users and family members who spoke to the inspector confirmed they were aware of how to raise any issues. All service users who spent time with the inspector said they felt safe and comfortable, and had no concerns. Information in the AQAA indicated the home has received no complaints in the last twelve months. The inspector was shown documentation to record any complaints received. The manager told the inspector six staff had received training in relation to prevention of abuse and no secrets, and further training is planned for February 2009. Staff who spoke to the inspector were able to demonstrate through response to questions the action they would take if they became aware of a concern. All demonstrated a commitment to protecting service users from abuse. Information in the AQAA indicated the home has a policy in relation to prevention of abuse. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home enables people who use the service to live in a generally safe, well maintained and comfortable environment. Evidence: During the visit the inspector walked around the building. It was seen that the home provides a clean, odour free and homely environment. A programme of refurbishment has commenced in the home with some bedrooms and corridors redecorated and flooring replaced. This should continue to include further bedrooms where it was noted decor was old and tired looking. The wallpaper in one bedroom seen by the inspector was torn. Bathrooms would benefit from refurbishment to update facilities, replace marked flooring and give a more homely feel. It was also noted that two radiator covers had been removed to allow decoration but had not been replaced. An immediate requirement notice was issued. The manager has since notified CSCI in writing, that one radiator cover has been replaced and the second was to be fitted. Service users and families who spoke to the inspector commented on the improvements and expressed satisfaction with the environment. Care Homes for Older People Page 17 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are satisfied with the care they receive. The home has a recruitment procedure that promotes the safety and wellbeing of service users. Evidence: On the day of the inspection the home was accommodating 20 service users with a variety of needs. Records see indicated there were normally three care staff on duty during the day and 2 care staff overnight. Service users and family members who spoke to the inspector told her there were sufficient staff on duty to meet currant care needs and they were satisfied with the care given. One person stated the staff are absolutely brilliant another said the staff are very good. A number of people spoke of the support given to both service users and families. Staff who spoke to the inspector told her there were sufficient staff to meet service users needs. Information in the AQAA indicated the home has a policy and procedure in relation to recruitment. The inspector examined the file for a member of staff recently recruited. This was found to contain evidence of application and two written references. There was no evidence of a CRB (Criminal Record Bureau) check. The manager told the inspector these are carried out on behalf of the home by the local authority and verbal Care Homes for Older People Page 18 of 25 Evidence: confirmation of satisfactory response is given. This information is normally recorded in the staff members file. The manager immediately contacted the authority to check on details and recorded them in the file. This record included the date of the check, level of check and reference number. The manager signed the entry as the person receiving the information. Other staff files seen included details of CRB. Three staff files seen by the inspector contained evidence that staff have received training including moving and handling, safe handling of medication, first aid and food hygiene. A number of staff had completed training in care practices, diabetes and dementia awareness. Staff who spoke to the inspector confirmed this. Information in the AQAA returned to CSCI indicated 50 of care staff had successfully completed NVQ at level 2 or above and the remaining staff were undertaking the training. Care Homes for Older People Page 19 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has quality assurance systems that should promote the safety and well being of service users. Evidence: The manager has recently taken up the post and is to submit an application to register to CSCI. Staff who spoke to the inspector told her communication is good, they have regular supervision, annual appraisals and meetings. The manager told the inspector documentation had been developed to record Regulation 26 visits and their findings. This had recently commenced, however the report was not available at the time of inspection. Records seen by the inspector included a service user opinion book, which contained the signed comments of service users recorded on a regular basis. The manager also told the inspector quality assurance surveys had recently been given to service users and their representatives, and she was awaiting their return. One family member who spoke to the inspector confirmed this. Records seen indicated accidents Care Homes for Older People Page 20 of 25 Evidence: to service users are recorded appropriately. Service users and families who spoke to the inspector all said they were satisfied with the care and support they receive. All said that the manager and staff were approachable and any issues raised are acted upon. Information contained in surveys returned to CSCI indicated people were satisfied with the care they receive. A sample audit of service users monies held by the home found no discrepancies between the amount held and the amount recorded. However records included only one signature for each transaction. Records would benefit from the inclusion of a second signature confirming the details to promote service user and staff protection. Information contained in the AQAA returned to CSCI indicated the home has a range of policies and procedures that should promote the safety and well being of service users. These were reviewed in May 2008. Other information indicates the home and equipment are maintained as required. Other records seen indicated fire alarms are tested on a weekly basis and there are regular fire drills. The inspector was not able to evidence records of hot water temperatures. Care Homes for Older People Page 21 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 19 13 Action must be taken to reduce the risk of injury to service users from unguarded radiators. To promote service users safety and wellbeing. 26/01/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 Plans of care would benefit from inclusion of further detail of the service users abilities and preferences to promote service users Independence and wellbeing. Annual competancy checks should take place for all staff who administer medication to promote safe handling for the safety and well being of service users. Hand written entries of details of medication and method of administration should contain the signature of a second person confirming the accuracy of detail, or be detailed on a label supplied by the dispensing pharmacist to promote the safety and wellbeing of service users. All staff should complete training in relation to prevention of abuse and no secrets to promote the safety and well being of service users. 2 9 3 9 4 18 Care Homes for Older People Page 23 of 25 5 19 The programme of refurbishment should continue and include bathrooms and remaining bedrooms to promote the comfort of service users. The manager should submit an application to register with CSCI. Reports of regulation 26 visits should be produced and made available for inspection. Records of service users monies held by the home would benefit from the inclusion of a second signature confirming the details of each transaction to promote service users protection. Hot water temperatures should be checked and recorded on a regular basis to promote the safety and well being of service users. 6 7 8 31 33 35 9 38 Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!