Inspection on 09/05/05 for Park View (15)

This inspection was carried out on 9th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Park View (15) 10/06/09

Park View (15) 22/06/07

Park View (15) 06/10/05

Park View (15) 13/12/04

Park View (15) 02/06/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Craigmore House

1 Lanark Close

Sixth Avenue, 53-55

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

CARE HOME ADULTS 18-65 Park View (15) 15 Park View Hetton le Hole Houghton le Spring DH5 9JH Lead Inspector Clifford Renwick Unannounced 9 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 (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park View (15) Address 15 Park View Hetton le Hole Houghton le Spring DH5 9JH 0191 520 8570 0191 520 8570 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 Mrs Barbara Murray Care Home Only 8 Category(ies) of MD Mental Disorder (2) registration, with number LD Learning disability (8) of places Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 13th December 2004 Brief Description of the Service: The home is registered to provide personal 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, including 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 (15) B52 B02 S15787 15 Park View V219601 9 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 6 hours and was carried out as part of the statutory twice-yearly inspection process 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 8-service users. Inspectors spent time observing staff practices and they also joined in some of the activities with service users and this included having lunch with them. What the service does well: What has improved since the last inspection? Increased opportunities have been made available to service users to take part in activities which are carried out by an outside agency. This has ensured that they are supported to develop new interests as well as developing their individual skills. Good record keeping systems are in place and wherever possible they have been developed in a range of formats so that service users can easily understand them. 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 activity timetables which confirm the activities available to service users and when they take place. Any issues identified during the last inspection have been addressed. Park View (15) B52 B02 S15787 15 Park View V219601 9 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 (15) B52 B02 S15787 15 Park View V219601 9 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 (15) B52 B02 S15787 15 Park View V219601 9 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) 2,5 Service users needs are always assessed prior to admission in order to determine that their needs can be met in the home. Each person is also issued with a copy of his or her terms and conditions of residence, which clearly states what is to be provided in the home. This information assists service users to make an informed choice of where they live. EVIDENCE: Examination of service users files confirmed that admission to the home is based upon an assessment of needs that also identifies any restrictions that need to be in place as part of the agreed admission. Any restrictions are then agreed by the service user and their representative and attached to the terms and conditions of residence so that at all times service users are fully informed of the conditions of the placement. The assessment process is ongoing and also identifies any risks, which in turn may lead to further limitations or restrictions being placed upon service users as part of the agreed contract. Park View (15) B52 B02 S15787 15 Park View V219601 9 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 Care practices ensure that people can live as independent lifestyle as possible. Although a wide range of information is contained in the service user plan and the assessment information is comprehensive, at times the specific information required to assist service users and staff meet the aims of a goal is not always available. EVIDENCE: The staff have a very in depth knowledge of the people using the service and their needs. Full and comprehensive assessment information is in place. The assessment records are regularly updated and are pertinent to people’s needs. However when service user’s health changes or their primary needs alter staff must up date the care plans so the action the service user and staff are taking to meet a goal in this area is clearly specified. Care plans should outline all of the actions that would be needed to meet a particular goal such as going to hospital. This plan then needs to be monitored and evaluated. Staff would decide whether the actions they had put in place assisted the goal to be achieved. People discussed their service user plan and were aware of what they were for. One person needs a little more staff involvement at the moment and was Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 10 aware of why a more prominent staff presence was needed. Staff handled difficult situations sensitively and well but again how this is being conducted is not fully stepped out in the risk assessment or care plan. Agreed contracts are in place with service users when restrictions have been imposed such as access to lighters or the community. Again advice was offered on how these contracts could be made more service user friendly. Service users take risks as a part of daily living and for some individual’s conditions have been imposed by multidisciplinary teams about what risks should be taken especially if they are subject to limitations placed upon them by the Mental Health Act. Service users were aware of these plans but how the risk-taking or reduction will be achieved needs to be stepped out for all staff. All of the important information around what the risk is and why certain action needs to be taken is written in the service user plan. However the risk assessment must specifically step out all of the things staff and the service users have to do to meet the aim of the assessment. Service users actively make decisions about their lifestyles and staff assist them to achieve their goals. Service users were eager to share developments in their lives and how they had been involved in these changes. Individuals are very aware of the routines of the house and why they are in place. Park View (15) B52 B02 S15787 15 Park View V219601 9 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, 14, 15, 17 Service users are encouraged to reach their potential and often exceed what was expected of them. A good range of stimulating activities is available both inside and outside the home. The food is of good quality and sufficient to meet the needs of service users. EVIDENCE: The local library was running a craft course on the day of the inspection and service users produced some beautiful cards. Service users said that they went out to the local shops with staff and used local amenities. Some service users have restrictions imposed on going out and the distance they can travel as a condition of the residency. Service users were very clear as to what the expectations were in relation to travel. They said that staff were helping them to develop their skills and recognise when certain behaviour might pose a problem for them or others. Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 12 Two of the service users regularly go to a local farm horse riding and gave advice on what items of equipment would need to be purchased for this hobby and three service users have joined the British Horse Society. A number of the service users have recently bought computers. During the inspection service users were helped to load useful word processing packages on to their machines. This helped one person write a letter to the fire brigade to thank them for letting him visit the local fire station. 15 Park View has forged close links with the local church and have previously been invited to the Christmas meals and local events. Service users have attended courses at local colleges and continue to do so. A number are looking forward to completing computer courses. Service users also have access to a tailor made course on sexuality and relationships and these have proved to be very beneficial. Again service users confidence, social interactions and communication skills have developed. One service user who previously had difficulty communicating has made positive steps and is now using basic sentences to communicate their needs. Inspectors joined service users for lunch and the less able service users demonstrated a lot of consideration towards others and poured drinks for people. Also service users independently tidy up without prompting from staff, which shows how they are being assisted by staff to develop daily living skills. Service users assisted staff to prepare and serve the meal. Examination of the menus confirmed that a good healthy and balanced diet is being offered at 15 Park View and both options that were available were tasty. A good supply of food products is always available and regularly topped up. Staff have sought advice from a dietician regarding healthy eating options and this has also assisted in providing any specialised diets. Over the inspection a wide range of activity was completed. Activity timetables, which list the area of activity service users are involved in, are in place and these would benefit from further development. Service users are encouraged to make decisions about how they spend free time and participate in the day. The people at 15 park View prefer more structure to their day and this was evident in how the routines are developed. Service users said that the ‘staff were their friends’ and an easy rapport has developed between all. The atmosphere in the home was very welcoming and relaxed. Even people who are subject to quite rigid restrictions were extremely complimentary about the staff and said, “their lives had greatly improved since moving to 15 Park View”. Park View (15) B52 B02 S15787 15 Park View V219601 9 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, 20 Service users receive consistent support from staff to ensure that all aspects of their individual personal and health needs are met and their individual preferences are documented in their case files. EVIDENCE: Evidence is available in case files, which confirm that service users can be, if able, fully involved in the health care, with support from staff. A community nurse visits daily to attend to one service user who has diabetes and a specialist nurse is also available to offer advice on other health matters. One service user is currently undergoing regular hospital treatment and staff are fully involved in supporting this person with hospital appointments and also in offering support to deal with their illness. This has ensured that at all stages of their treatment they are aware of what is involved. Health care needs are monitored on a regular basis and part of this includes monthly weight checks. Service users have access to all NHS services and discussion with staff and examination of records confirmed that good use is made of a number of the various health specialists ensuring that health needs are always met. None of the service users administer their own medicines and written consent has been obtained from them to enable staff to administer medicines. Satisfactory policies and procedures are in place which deal with all aspects of medication in the home and records of administration confirmed that staff were working to these procedures. Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 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 standard(s) 22 Appropriate policies and procedures are in place that deals with protecting service users from abuse and neglect and service users are aware that if they make complaints staff will act them upon. EVIDENCE: There is a standardised complaints procedure in place, which outlines the action to be taken in the event of any service user making a complaint. It is in a pictorial format and also uses symbols to make it easy to understand. Examination of minutes of service users meetings confirmed that staff listens to their views and that service users can also influence how the service in the home is provided. These meetings are also used by service users to raise any concerns that they might have. The minutes include a photograph of who attends and as such serve as a good record for future reference. Discussions held with service users confirmed that if they had any concerns they would raise them with staff and they stated that staff would do something about this. Service users also confirmed that they had no complaints about the service. Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 30 The building is homely and comfortable and maintained to a high standard ensuring that service users are living in a safe environment. EVIDENCE: Service users, as part of developing their individual skills, are involved with staff in carrying out household tasks and this includes hoovering and dusting and cleaning their own bedrooms. Most areas of the premises were viewed during the inspection and service users were eager to show inspectors their bedrooms and their equipment, which they had purchased, which included computers and digital cameras. One service user would benefit from a special chair now that they have acquired a computer, in order to assist with their posture. Furniture and fittings are of a good quality and arranged in such a way to ensure that service users can make full use of the communal rooms for either individual or group activities. Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 36 Service users are supported by a well-trained and competent workforce who receives appropriate supervision to ensure that all aspects of individual service users needs are met. EVIDENCE: Three staff have commenced work in the home and examination of case files confirmed that appropriate induction training had been undertaken as well as ensuring that all appropriate documentation in respect of recruitment had been obtained. All staff have been enrolled on NVQ level 2 training, all senior staff have achieved NVQ Level 3 and two staff are undergoing NVQ Level 4 training in order to ensure that all of the workforce are fully trained. Examination of staffing rotas confirmed that a good staffing ratio is in place to support service users. Staff supervisions are carried out 2 monthly and all staff have recently undergone an annual appraisal. Evidence was also available that confirmed regular work is carried out with staff by the manager on a monthly basis which focuses on key areas of needs within the home and this ensures that staff remain focused on the work that they are carrying out. In addition to this staff meetings are held and examination minutes confirmed that the agenda always focuses upon the care services being offered in the home. Staff maintain good relationships with other professionals and evidence was available in service users case files to confirm this. All staff are able to communicate effectively with service users and where necessary they use a set Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 17 of photographic cue cards to assist service users when carrying out individual tasks. This is a positive development within the home and offers a good visual aid to those service users who are unable to read. Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 18 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, 42 The manager is appropriately qualified and experienced to ensure that service users benefit from a well run home which guarantees that the health, safety and welfare of service users is always promoted and protected. EVIDENCE: The manager is undergoing the Registered Managers Award and will have completed this by the end of May 2005. In addition to this the manager has ensured that she has continued to update her training in order to increase her knowledge and skills. Service users were very aware of health and safety matters around the house and some of them have received “in house” training. This was evident when they insisted that inspectors must sign into the building when they arrived. Service users join in health and safety and fire training with staff. This has led them to being very familiar with the procedures and individuals living at the home ensure everybody complies with them. They are so good at this that a recent fire drill was completed correctly and safely in a matter of minutes, which is excellent practice. Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 19 Examination of the fire logbook and the accident book confirmed that satisfactory records were being maintained. Park View (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 20 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 3 Standard No 22 23 ENVIRONMENT Score 3 x 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 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park View (15) Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 21 Yes 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 7 Regulation 15 Requirement Service user care plans must continue to be developed when there have been changes to health and where identified risks have been noted during the assessment process. Timescale for action 30.09.05 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. 2. 3. Refer to Standard 7 11 34 Good Practice Recommendations Individual activity timetables for service users should continue to be developed as advised during the inspection. Consideration should be given to providing internet access to those service users who have their own computer. 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 (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 22 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 (15) B52 B02 S15787 15 Park View V219601 9 May 05 Stage 4.doc Version 1.30 Page 23 - 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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