Inspection on 18/11/08 for Park View

This inspection was carried out on 18th November 2008.

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 26/06/06

Park View 15/11/05

Park View 10/06/05

Park View 23/11/04

Park View 12/07/04

Park View 18/02/04

Park View 18/11/03

Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Park View 9 - 11 Park Avenue Mitcham Surrey CR4 2EQ     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: Emma Dove     Date: 1 8 1 1 2 0 0 8 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. the things that people have said are important to them: They reflect 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Park View 9 - 11 Park Avenue Mitcham Surrey CR4 2EQ 02086466694 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Feeroz Hosanee care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Park View is a registered care home for up to six people with mental health needs. Five people are currently living there. The property is owned and managed by Mr Hosanee, who also owns a second home in this area. The home is in a residential area of Mitcham, close to local shops and transport services. Park View is made up of two residential properties, which have been joined together and include two lounges, two single bedrooms, a kitchen, laundry area and smoking room on the ground floor with four single bedrooms, two bathrooms and staff rooms on the first floor. Information about the home is made available in the Service Users Guide and Statement of Purpose, copies of these documents are available in the home. The weekly fees are Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 6 Brief description of the care home from £385.00. Information regarding the CSCI is included in the Statement of Purpose, Service Users Guide and contract of residence. Care Homes for Adults (18-65 years) Page 5 of 24 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection was carried out over three hours on the 18th November 2008 by one inspector. We looked at records, communal areas of the home, spoke with people who use the service and the owner/manager. We sent surveys to people who use the service and staff. Eight completed surveys have been received and comments from these are included in the relevant section of this report. Care Homes for Adults (18-65 years) Page 6 of 24 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 service has information for people, their relatives and representatives, to help them decide whether to move in. Assessments are completed before admission to ensure the home can meet individuals needs. Evidence: The manager told us there have been no changes to the Statement of Purpose and Service Users Guide since the last inspection. These documents give people information about the service provided, the owner and the environment. People told us they received a lot of information before I moved in. The manager told us they receive a request for placement with an assessment from the social worker. They go and meet the prospective person, do an assessment and invite the person to visit the home, to help them decide if it is right for them. We saw assessments completed by social workers and the manager in case files. One person told us they visited before moving in. Care Homes for Adults (18-65 years) Page 9 of 24 Care Homes for Adults (18-65 years) Page 10 of 24 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 service involves people in planning the care they receive. The manager understands the importance of people being supported to take control of their lives. People make decisions and choices. Care plans are person centred. Evidence: We saw care plans developed from assessments with people who use the service. These documents are reviewed after six weeks and then every six to twelve months depending on the individual. People told us I am always involved. We saw records of the choices people make in thier lives and we saw people offered choices of drinks during our visit. People told us that I am always consulted in decision making. People said they choose what I want to do and choose meals. Risk assessments are completed which address areas where there might be issues for individuals such as smoking, alcohol and going out. They are reviewed regularly and Care Homes for Adults (18-65 years) Page 11 of 24 Evidence: updated. Care Homes for Adults (18-65 years) Page 12 of 24 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 invovled in daily activities to meet their individual needs and choice. People are encouraged and supported to be invovled in the domestic routines of the home. People who use the service have the opportunity to maintain important relationships. Evidence: The manager told us there is a list of activities provided or available seven days a week, which can be changed to meet peoples needs. We saw people watching television, talking amonst themselves, talking with staff, listening to music, spending time in their rooms and playing Bingo during our visit. People told us they have enough to do and I do what I want. People said they have visitors and keep in contact with family and friends. Care Homes for Adults (18-65 years) Page 13 of 24 Evidence: Some people told us that their religion is very important to them and said they are supported to continue practicing their faith. We saw a meal served to people in both lounge/dining rooms, staff carried plates on a tray to individuals. People were not sure about what was for lunch, but were not bothered by this. Peoples comments about the food included I like the food, lunch was ok, lunch was tasty and I enjoy the food. The manager said they can cater for peoples medical and religious needs. Care Homes for Adults (18-65 years) Page 14 of 24 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. People have access to community and specialist health care professionals to meet their needs. Medication is well managed with appropriate policies, practices and records. Evidence: We saw good, clear records of peoples health needs. Records include hospital or doctors appointments and any actions for staff to take to help the individual. Medication is appropraitely stored. Medication Administration Record Sheets are up to date and signed by staff. The manager told us staff complete training in medication administration before they give out medication. Staff records confirmed that staff have completed training in the administration of medication. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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 complaints process is easy to understand and the policy is accessible to people who use the service and their representatives. Policies are in place regarding safeguarding. One staff file did not include details of training in safeguarding. All staff must do this training, with records kept of the content and the date completed. Evidence: The manager said they have not received any complaints since the last inspection of the home in June 2006. We received one issue in March 2008 regarding planning persmission, which was not progressed as a complaint and was not found to be an issue. People are aware how to make a complaint and would speak to the manager or family members if they had any concerns. No issues were raised during our visit. The manager told us staff do training in safeguarding as a part of their induction, although this is not recorded on the form used. People said they felt safe and did not raise any concerns or issues. Care Homes for Adults (18-65 years) Page 16 of 24 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 provides a physical environment that is appropriate for the people who live there. It is a pleasant and safe place to live. Bedrooms are all single. Evidence: The refurbishment and redecoration of the kitchen and bathroom is complete with all areas of the home kept to a good standard of repair. Bedrooms are single and people are happy with my room and have all I need. There are enough toilets and bathrooms to meet peoples needs. All areas of the home were clean and fresh. Care Homes for Adults (18-65 years) Page 17 of 24 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. We saw enough staff on duty to meet peoples needs. People are supported by appropriately trained and supervised staff. Staff recruitment is in line with legislation and protects people. Evidence: The staff rota showed two members of staff on duty during the day with one staff at night. These levels were seen to be sufficient to meet peoples needs. Staff confirmed that there are enough staff available to meet individuals needs. People said staff help and feel staff know the help and support they need. Appropriate staff recruitment practices ensure people are protected from harm. We saw staff files contain an application form, two written references, proof of the individuals identity and a clear enhanced Criminal Records Bureau check. Staff told us that they had all the required checks before they started work. The manager said he completes induction training for all new staff and sends staff on training to help them do their job. Staff told us their induction covered all they needed to know and said they have access to relevant training to help them do their job. Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: Staff said they receive regular support and attend staff meetings to discuss any practice issues and areas they may need support and assistance. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 manager has the required knowledge and experience to run the home. Good quality assurance systems are in place. Health and safety is well managed with records up to date. Evidence: We saw records of residents meetings. These meetings give people the opportunity to decide the menu, the type of activitiy and outings they want to take part in a include some general reminders from the manager about keeping healthy and how to make a complaint. The manager sent out surveys to people who use the service in September 2008. The survey asked questions about all aspects of the service with positive responses from people who live there. The manager said if anyone raised any issues they would be addressed with the individual and discussed at staff meeting. We saw records of health and safety checks to be up to date. The boiler was serviced Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: in January 2008 and the electrical supply was checked in February 2008. The Environmental Health Officer visited in September 2008 and awarded three stars. Care Homes for Adults (18-65 years) Page 21 of 24 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 Adults (18-65 years) Page 22 of 24 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 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 23 New staff should compelte training in safeguarding to ensure they are aware of the policy and any actions they must take to protect people from harm. Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) 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 Adults (18-65 years) Page 24 of 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. 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