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

This inspection was carried out on 5th May 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 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 (14) 25/06/07

Park View (14) 03/10/05

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) 14 Park View Hetton le Hole Houghton le Spring DH5 9JH Lead Inspector Clifford Renwick Unannounced 5th May 2005 10:00am 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 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 Stationary 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) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park View (14) Address 14 Park View Hetton le Hole Houghton le Spring DH5 9JH 0191 526 8565 0191 526 8565 Telephone number Fax number Email 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 Calvin Moore Care Home Only 8 Category(ies) of LD Learning disability (8) registration, with number of places Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15th October 2004 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) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 7 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 and a community nurse. Inspectors spent time observing staff practices and they also joined in some of the activities, which were being carried out with service users. What the service does well: What has improved since the last inspection? Care plans have continued to be developed and these list in detail the actions that staff carry out to support the service users with daily life. These include detailed activity timetables which confirm the activities available to service users and when they take place. Service users are also able to access a range of courses, which are being provided by the local community library, and opportunities have been explored to ensure that some of these courses are held in the home. The manager has ensured that any actions identified in the last report to improve the service have been carried out. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 standard(s) 2, 4, 5 A range of information is available which enables service users to make a fully informed choice about where they would like to live and the detailed assessment process which is in place confirms that the home can meet service users needs. EVIDENCE: The Statement of Purpose and Service User Guide is designed in a way, which offers a range of information about the services that are provided in the home. Trial visits are always encouraged before any decision is made to move into the home and this is also combined with a detailed and thorough assessment of individual needs. There are no restrictions on the number of trail visits, which can take place, and this assists prospective service users in making a decision to move into the home on a permanent basis. The assessment process is reviewed every three months and includes an assessment of risks. While carrying out the assessment the service users and their representative are fully involved and any limitations or restrictions are agreed and included in the terms and conditions of residence. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8, 9 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. EVIDENCE: Staff at 14 Park View actively encourages service users to make choices about their lifestyles. Staff have consistently demonstrated that they promote people’s individuality. Over the years individuals have been helped to reduce the affects that anxiety has on their behaviour. Limitations and restrictions on service users have to be imposed at times because of the needs of individuals or because of behaviours they are demonstrating. When this occurs staff need to record why these decisions have been made. The manager has begun to assess areas where people are unable to complete ordinary tasks 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. On the day of the inspection they were discussing the feasibility of having pets. This topic was discussed at length and staff supported people to Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 10 think around all of the factors involved in caring for a pet. The pros and cons were weighed up and the individuals agreed to work a proposal that would meet their needs but also those of the other people using the service. Staff handled this issue in a sensitive and supportive manner. Service users are actively encouraged to develop their skills and independence. Since opening staff have consistently worked toward helping people reach their potential. All of the people at the home have been seen to make positive steps and change their challenging behaviours. Staff combine a sense of humour, range of activities and consistent approaches to achieve year-on-year positive developments for people and are to be commended for this. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15 A range of opportunities and activities are available to service users and these have been developed by staff so that service users can take part in events which are appropriate to their ability and therefore promote a stimulating and inclusive lifestyle. EVIDENCE: Service users have developed literacy, numeracy, IT, personal and social skills and good use is made of activities and courses which are available in the local community. A pictorial timetable is available which demonstrates what is happening each day with each individual service user. Opportunities are available twice weekly for service users to attend a farm and take part in horse riding and this has assisted some of them in developing their individual skills and self-confidence. Service users have been supported to make decisions about how relationships should progress and some have received specialist support with sex education as well as learning the skills needed to live independently. Not all of the people will be able to live independently because of the complexity of their needs but Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 12 their choices and wishes are promoted and this was evident from examination of individual case files as well as with discussion with service users. Good contact is maintained between service users and their families and families are kept fully informed of all \matters in the home. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 standard(s) 18, 19 14 Park View actively promote the health and well being of service users and have consistently worked to a high standard. EVIDENCE: Staff were observed to work in a skilled and sensitive way with the people who use the service. Over the years the challenging behaviours people have displayed have improved. Individuals have also developed skills in excess of those expected by the multidisciplinary team and relatives. The atmosphere and ethos of the home is family life and the home is run like a large family house. People are consulted and involved in the routines and are included in all discussions. This was evident from examination of personal care files as well as examination of staff and service users minutes of meetings. Staff excels at promoting people’s health and acting as advocates on their behalf. The manager has constantly updated his knowledge on the health needs of service users at the home, which has included discussion with a range of health professionals/specialists as well as accessing information held on the internet. He has explored as far as possible the health condition of one person and facilitates a sharing of information. Staff are acutely aware of any deterioration in people’s health and explore all of the actions they need to Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 14 take. The manager ensures staff receives training on all types of conditions that service users may have and ensures updates are in place and this was evident from discussion with the manager and staff. The manager has forged links with a local Primary Care Health Trust and this has led to regular visits from the learning disability community nurse. This resource has proved invaluable and people have been able to gain access to the multidisciplinary team, as it has been required. Currently the local authority is questioning whether this resource should continue. The manager, service users and relatives value this service so he is pursuing with the placing authorities how this resource can be continued. On the day of the inspection one service user attended a computer course at the local library. They said they have moved on to a more advanced course. The manager and staff have arranged for the local library to come and run several courses at the home so all of the people can join in. A range of activities went on throughout the day of the inspection 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 met a variety of educational needs as well as promoting emotional well being and encouraging confidence and assertiveness. The majority of people joined in the games and activities of their own accord. One person has recently developed the skills to self regulate their behaviour more effectively and staff have enabled this change to occur. Some of the service users are now able to travel on their own and this is a marked improvement in their skills since admission to the home. At the time of the inspection some of people went out with the community nurse for lunch. People regularly visit local shops, leisure facilities as well as a local farm. One person enjoys being involved in emptying bins and the local bin men allow him to help them when they visit, which he thoroughly enjoys. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Service users are aware that any concerns or complaints, which are raised, will be dealt with quickly and effectively and robust procedures are also in place, which ensure that service users are protected from abuse. EVIDENCE: A complaints procedure, which is in pictorial format, is in place and this informs service users and their families how to raised any concerns that they may have and also how they will be dealt with. Service user meetings are also held on a regular basis and these also offer service users the opportunity to raise any concerns that they may have. The service uses a set of procedures known as MAPPVA (Multi Agency Panel for the Protection of Vulnerable Adults) to offer protection to service users and previous experience of the service has demonstrated that these procedures are adhered to and work effectively. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 29, 30 14 Park View is consistently maintained to a good standard and offers a comfortable and homely environment. Specialist equipment is provided as and when needed to promote service users independence. EVIDENCE: All areas of the home were well maintained. The décor and furnishing in the home are always to a high standard. Service users continue to personalise their own rooms and a number of bedrooms are regularly redecorated. Service users were eager to show inspectors the additions that they have made to their bedrooms. New furniture is bought as and when needed. An external extractor fan has recently been installed in the smoking lounge and this has assisted in making that environment more pleasant to sit in. 14 Park View does not have a passenger lift so cannot cater for people with a physical disability as they would not be able to access all communal areas. However the manager has ensured that appropriate equipment such as chairs and provided when needed. With the links they have forged with the Primary Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 17 Care Trust staff can readily ensure people are assessed for equipment as the need arises and evidence is available within service user case files to confirm this. 14 Park View was clean and well kept. Staff and service users are responsible for cleaning the home. Service users took their responsibilities seriously and a smooth system is in place for housekeeping. All of the staff have completed infections control and COSHH training. Therefore they are aware of good practice and how to reduce the risks associated with cleaning and the use of the various cleaning products. Discussion held with service users confirmed how they had received appropriate training. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 Service users are supported by staff that are motivated, competent, approachable and trained to carry out the tasks required of them. Recruitment processes are robust and rigorous but some minor work needs to be carried out in relation to how references are sought. EVIDENCE: Four new staff have been employed and individual records confirmed that appropriate checks have been carried out on all of them to ensure their suitability to work in the home. A training plan is in place for all staff and there is an allocated training budget, which ensures that all staff receives training appropriate to their work. Training is accessed from local colleges as well as training agencies and this has ensured that a wide range of courses have been accessed some of which have included NVQ Level 2, safe handling of medicines and equality and diversity. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 42 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: Examination of the accident book and fire logbook confirmed that records are being maintained satisfactorily with all staff receiving appropriate fire drills and fire instruction training. The manager is undergoing the NVQ Level 4 module in Care and will have completed this by the end of May 2005. In addition to this the manager continues to undergo periodic training in order to increase his skills and knowledge base. The manager has implemented a series of staff meetings for both the staff team and senior staff and this has ensured that all staff is actively involved in contributing their views to development of the service. The manager also implements service user meetings on a regular basis and has introduced pictorial style minutes to ensure that they are easily understood. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 20 There is a health and safety manual which includes comprehensive policies and procedures and these are accessible to all staff to assist them with their work and to ensure that at all times staff carry out their work in a safe manner. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 21 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 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x 4 4 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park View (14) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 22 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. 2. Standard 7 7 & 14 Regulation 15 15 Requirement Individual service user plans must continue to be developed as advised during the inspection. The activity timetables which are linked to the care plans must be developed in other formats as advised. Timescale for action 30.09.05 30.09.0534 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 34 Good Practice Recommendations Consideration should be given to revising the policy on how references are sought as part of the recruitment process and as advised within this report. Park View (14) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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) B52 B02 S15718 14 Park View V219599 5 May 05 Stage 4.doc Version 1.30 Page 24 - 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!