Inspection on 03/10/05 for Park View (14)

This inspection was carried out on 3rd October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park View (14) 25/06/07

Park View (14) 05/05/05

Park View (14) 15/10/04

Park View (14) 05/05/04

Park View (14) 15/01/04

Park View (14) 11/06/03

Park View (14) 09/09/02

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

CARE HOME ADULTS 18-65 Park View (14) Hetton-le-hole Houghton-le-spring Tyne And Wear DH5 9JH Lead Inspector Mr Clifford Renwick Unannounced Inspection 3rd October 2005 10:00 Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 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 (14) DS0000015718.V251550.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 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 (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park View (14) Address Hetton-le-hole Houghton-le-spring Tyne And Wear DH5 9JH 0191 526 8565 0191 526 8565 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) S.E.L.F. Limited Mr Calvin Moore Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 05/05/05 Brief Description of the Service: The home is registered to provide residential care for 8 adults under the age of 65 years, it does not provide nursing care. Any health needs are addressed by the use of community health services. It specifically offers services for adults with a learning disability who are ambulant and are able to manage the stairs in the building. It cannot provide accommodation for people who are physically disabled.The house is semi detached and stands in its own grounds in what could be described as being in the centre of Hetton le Hole. It is only a short walk to the local shops. The busy shopping parade at Hetton, which has a range of facilities, also includes a swimming baths, is within easy reach.The building is 2 storeys in construction and has bedrooms on both the ground and first floor. Its design and layout ensures that it blends in with the neighbouring houses and there are no features that would indicate that it provides a residential service. The house was originally an older persons home which following conversion was developed into two residential homes for people with a learning disability. The adjacent house is also owned by the same company and offers a similar service. The house like the adjacent has its own entrance and separate staff team and registered manager and is run independently.There is a large enclosed rear garden and patio area and parking which is shared between the 2 homes. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 6 hours and was carried out as part of the statutory twice-yearly inspection by the Lead Inspector and another inspector. All areas of the premises were viewed and care records were examined as well as records that related to health and safety and new staff employed in the home. Discussion took place with the staff on duty on the morning shift and also with the staff on the changeover of shift in the afternoon. Discussion also took place with all service users. Inspectors spent time observing staff practices and they also joined in some of the activities, which were being carried out with service users. The judgements made are based on the evidence available at the time of the inspection. What the service does well: The home continues to provide a good and consistent service to the people who live there and at all times service users are fully involved in the day-today routines of the home. As previous inspection reports have identified the service users are encouraged and supported by staff to be as involved as much as their ability enables them to be and this is demonstrated in their individual care plans. This continues to have positive benefits with a number of service users now being able to travel independent of staff outside of the home. Service users on their satisfaction of living in this home stating that staff are always there to help them and this is consistent with previous inspection visits. One service user has recently acquired a fish as a pet and explained that staff had been supportive to her when she asked to have a pet. The manager is committed to providing regular and ongoing training for the staff team, which in turn has positive outcomes for service users. The manager ensures that are also supported by holding regular supervision and appraisal sessions that focuses upon their individual work and any additional training that they require to satisfactorily do their work. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 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 (14) DS0000015718.V251550.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service users needs are always assessed prior to admission in order to determine that their needs can be met in the home. EVIDENCE: Since the last inspection one new person has moved into the home. Examination of their case file confirmed that a detailed assessment was received from the placing authority. This included information from health professionals. In addition to this the home carry out their own assessment. Some work is now required in developing the homes assessment document. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 10 The individuality of service users is constantly promoted and they are encouraged to make choices about their lives but at times this needs to be recorded more fully. Appropriate polices and procedures are in place which ensure that information held about service users is handled appropriately and which ensures that confidentiality is not breached. EVIDENCE: Since the last inspection staff have been developing the care plans. They have introduced photographic formats for residents. The photographs have been created of each person undertaking each step of a particular care plan such as brushing teeth. This was seen to be a very positive development and residents were pleased with having their photos taken. Service users could confidently discuss their own care plan and knew what was expected of them. The area staff need to develop is in relation to people’s social skills and making sure residents do not compromise staff safety or intimidate other residents. Staff at 14 Park View actively encourages people to make choices about their lifestyles. Staff have consistently demonstrated that they promote people’s Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 10 individuality and continue to always look at how to help people explore their self-expression. Over the years service users have been helped to reduce the affects that anxiety has on their behaviour and improve their social skills. They have developed literacy, numeracy, IT, personal and social skills. Service users have been enabled to make decisions about how relationships should progress and learn the skills needed to live independently. Not all of the service users will be able to live independently because of the complexity of their needs but their choices and wishes are promoted. Staff work with service users in a very positive manner and service users were extremely complimentary about them and their life at 14 Park View. Limitation and restrictions have to be imposed at times because of the needs of individuals or behaviours they are demonstrating at times. When this occurs staff need to record why these decisions have been. The manager is assessing and defining all areas where service users are unable to complete an ordinary task or be fully involved in the operation of the home because of their cognitive skills but this needs to be extended to cover all aspects where limitations occur. Service users are actively encouraged to make decisions about how the home is run. The service users discussed how they were involved in meetings and put forward suggestions. They felt that their views were valued and they were listened too. One of the service users has recently made friends with someone from the village and came back to ask if they could go for coffee with this person. Staff handled this issue in a sensitive and supportive manner. They were very complimentary of the person’s developing skills and helped them look at how staff could make sure the person would be a good friend. Service users are actively encouraged to develop their skills and independence. Since opening staff have consistently worked toward helping service users reach their potential. All of the service users at the home have been seen to make positive steps and change their challenging behaviours. Staff combines a sense of humour, range of activities and consistent approaches to achieve year-on-year positive developments for service users and are to be commended for this. Staff are supported by the manager in ensuring that all aspects of confidentiality are adhered to and policies and procedures are in place to confirm this. In addition to this confidentiality is also covered in service user’s care plans. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 14, 16, 17 Staff at 14 Park View actively promote the development of service user’s skills and have consistently worked to a high standard when matching routine to service users needs. There is always a range of good quality food provided at the home. EVIDENCE: Service users are consulted and involved in the routines and are included in all discussions. Staff work in a skilled and sensitive way with the people who use the service. Thus service users have been enabled to develop skills in excess of those expected by the funding authorities and relatives. The service users because of the needs prefer structured routines. Staff have ensured these routines have an element of flexibility, are tailored to each person’s needs and are acceptable to the service users. The atmosphere and ethos of the home is family life and the home is run like a large family house. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 12 A range of activities went on throughout the day, which the inspectors participated in. One of the staff members shows a flair for developing enjoyable games that stimulate service users to develop a wide range of skills. The activities meet a variety of educational needs as well as promoting emotional well being and encouraging confidence and assertiveness. The majority of service users joined in the games and activities of their own accord. One service user has recently developed the skills to self regulate their behaviour more effectively and staff have enable this change to occur. One service user has recently completed three computer courses, has commenced an arts and crafts course and is currently looking towards undertaking a cookery course. Examination of the minutes of service users meetings confirmed that a range of outings and activities are available to service users. Service users are involved with staff in going to the shops on a weekly basis and there is trip once weekly to the local pub for the karaoke evening and disco. There have been numerous trips out and these have included trips to Flamingoland, Sunderland fire station and a visit to Seaham for a bar meal. A positive development with these minutes are that service users sign to say that they agree with the content and also a photograph is included to confirm who attended the meeting. An activity timetable is also in place for each service user, which in turn is linked to their care plan, and this demonstrates how activities are planned for each day of the week. Staff promote a healthy eating diet but also are aware of service user likes and dislikes. Thus choices of nutritious meals are provided at all times. Service users assisted in preparing and cooking the meal plus clearing up. All of the service users commented that the food was very good. A range of good quality food stock was available. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Good systems for storing and administering service users medication are in place and this ensures that service users receive the medication they have been prescribed. EVIDENCE: Examination of records confirmed that satisfactory procedures are in place to deal with the storage, receipt, administration and disposal of medicines. All staff have received certificated training in the safe handling of medicines. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were looked at on this inspection both having been fully covered during the last inspection. EVIDENCE: Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27 The home is homely, comfortable, and clean and provides service users with a safe environment in which to live. Service users bedrooms are furnished to a good standard and reflect their personal taste. This contributes to their comfort during their stay at the home. Some areas of the building are showing signs of wear and tear and would benefit from decoration. EVIDENCE: All service users bedrooms are personalised to reflect their individual preferences and taste. Service users have a range of equipment such as computers, DVD players, video recorders and a karaoke machine. Service users have also chosen to have larger beds and bedrooms have been decorated in a style appropriate for each service user. One area of work was identified as requiring immediate attention in one bedroom and this was discussed with the manager. There are sufficient toilets and bathrooms throughout the house and these too are in good decorative order. Due to the heavy wear and use of the building some areas now require decoration and this was a matter that the manager was aware of. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 36 Staff work well together, are well organised and share information and views so that service users care is consistent and well thought out. Robust recruitment & selection procedures and regular training opportunities ensure that service users are appropriately supported and protected by a competent and qualified staff team. The manager routinely supervises staff so that the skills they use to support service users can continue to be developed. EVIDENCE: The manager has now completed the registered managers award and NVQ Level 4 and 80 of the staff team have achieved NVQ Level 2. One new staff member has commenced work in the home and examination of the staff file confirmed that all appropriate documentation had been obtained in respect of their employment. New employment forms/contracts and grievance and disciplinary procedures have been implemented and all staff have been presented with new contracts as part of the ongoing developments within the home. Staff said they were receiving regular supervision sessions, which they found to be useful. All staff have received training in the protection of vulnerable adults. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39, 40 All required policies and procedures are in place, which help staff and the manager run the home efficiently and for the benefit of service users. The manager of the home is the driving force behind the consistent high standards offered and he offers leadership and support to the staff team to ensure service users rights and best interests are always promoted. EVIDENCE: The manual of policies and procedures have continued to be developed and now referred to as the staff handbook with staff having copies of all of the main policies and procedures and access to the handbook at all times. Policies and procedures relating to employment have been revised and a new staff induction pack has been compiled which is based on foundation standards and is used with new staff and existing staff as an introduction to NVQ training. Monthly meetings are held with service users and staff also uses questionnaires to seek service users and other stakeholders about their views on their service. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 4 4 X X X LIFESTYLES Standard No Score 11 4 12 X 13 X 14 4 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park View (14) Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 3 X X X DS0000015718.V251550.R01.S.doc Version 5.0 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6 Regulation 14, (2), (b) 23 Requirement The homes assessment document must continue to be developed as advised during the inspection. Those matters, which were identified as requiring immediate attention in a service users bedroom, must be addressed. Decoration must take place to those areas identified during the inspection Timescale for action 31/03/06 2 YA24 03/10/05 3 YA24 23 31/03/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations When staff are completing assessment documents these should be signed and dated. Consideration should be given to adding an additional section for comments and only plain English should be used when compiling the assessment document. Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Park View (14) DS0000015718.V251550.R01.S.doc Version 5.0 Page 21 - 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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