Inspection on 02/02/06 for Park View

This inspection was carried out on 2nd February 2006.

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 10/05/07

Park View 22/09/05

Park View 01/03/05

Park View 07/09/04

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

CARE HOME ADULTS 18-65 Park View 1 Westfield Road Burnham-on-sea Somerset TA8 2AW Lead Inspector Ms Sue Hale Unannounced Inspection 2nd February 2006 09:15 Park View DS0000016281.V282116.R01.S.doc Version 5.1 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 DS0000016281.V282116.R01.S.doc Version 5.1 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 DS0000016281.V282116.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park View Address 1 Westfield Road Burnham-on-sea Somerset TA8 2AW 01278 789888 01278 795961 marinaparrett@nas.org.uk Vanessahalfacre@nas.org.uk National Autistic Society 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) Mr Paul Brian Harrington Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 Brief Description of the Service: Park View is a detached house situated in Burnham on Sea. It is registered with the Commission for Social Care Inspection to provide a service for up to three people with a learning disability. The home specialises in providing care for people with Autistic Spectrum Disorders. The registered provider is the National Autistic Society. The registered manager is Mr Paul Harrington. The home has three single bedrooms, two toilets, family bathroom, lounge, a conservatory, a large kitchen/dining room, utility area and gardens to the side. The home is within walking distance of local amenities. Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the course of one day in February 2006 (3 hours). The inspector checked records in relation to care and support plans and other records related to the running of the home. The inspector met one of the residents and spoke to the manager and staff on duty. This report should be read in conjunction with the previous report of the inspection that took place on the 22nd September 2005. There were no requirements or recommendations made as a result of this inspection. What the service does well: Robust admission policies ensure that prospective residents assessed needs would be met at the home. Prospective residents are able to meet the staff and existing residents and spend time in the home before making a decision on residency. Care plans and risk assessments were very well maintained, up to date and contain detailed information to enable staff to meet residents, health, social and care needs. The home has not received any complaints or allegations of abuse. The staff team work very effectively to make sure that the residents’ needs are met in a creative person centred way. Records were stored securely and residents and staff fully aware of confidentiality police within the home. Effective quality assurance that includes the views of residents and their relatives are in place to ensure that the standards in the home are monitored. The home is well run by a suitably qualified and experienced registered manager. A resident spoken to was very satisfied with the care received at the home and the staff support and encouragement provided to assist them to learn the skills necessary for him to move into the community to live independently. The home continues to provide a very high standard of care and very good environment for residents. Park View DS0000016281.V282116.R01.S.doc Version 5.1 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 DS0000016281.V282116.R01.S.doc Version 5.1 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 DS0000016281.V282116.R01.S.doc Version 5.1 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 & 4. Robust admission procedures are in place and all prospective residents would be able to spend time in the home and meet staff and existing residents before making a decision on residency. EVIDENCE: There have been no new admissions to the home for some time. However, the National Autistic Society have detailed and robust procedures for any new admissions to the home. The home would undertake a pre admission assessment and would obtain information from the funding authority from the care management assessment and proposed care plan. An individual care and support plan would be developed with the resident and discussion with their families and/or representatives would take place. Prospective residents would be invited to meet the staff and current residents informally and to spend time within the home including an overnight stay to assess their suitability and ascertain the view existing residents. All admissions would be on a trial basis and be reviewed formally after a settling in period. The home does not accept emergency admissions. Park View DS0000016281.V282116.R01.S.doc Version 5.1 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 &10. Care plans and risk assessments were very well maintained, up to date and contain detailed information to enable staff to meet residents, health, social and care needs. Records were stored securely and staff and residents aware of confidentially issues. Residents are encouraged and supported to make decisions about their lives. EVIDENCE: One resident’s care and support plan was checked. It was detailed, comprehensive and gave clear information to staff. Relatives and other people important to residents had been involved in the residents’ plan of care and consulted on a regular basis. Risk assessments were in place, detailed and upto-date and were reviewed as necessary to ensure the safety of residents. Residents were supported by staff to access all necessary medical and health care. Copies of medical and health care assessments were on file. Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 10 One resident has chosen to make plans to move out of the home to live independently in the community with out reach support. There was very good evidence through discussion with staff and the manager that they were being given structured support with planning and support to learn the necessary skills for the move to succeed. The home has a robust confidentiality policy and staff spoken to were familiar with it and confident in how it worked in day to day practice. Residents are made aware via key worker sessions of which confidences are kept and which cannot and the reasons for this. Residents have the policy available to them in an accessible format and are aware that they are able to access information held about them. Their service plan is kept in their private rooms, and other records are stored securely in the staff sleepover room. Park View DS0000016281.V282116.R01.S.doc Version 5.1 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): All standards were assessed and met at the previous inspection on the 22nd September 2005. EVIDENCE: Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 12 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): All standards were assessed and met at the previous inspection, except standard 21, which is not applicable at this time. EVIDENCE: Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 13 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): These standards were assessed and met at the previous inspection. There have not been any complaints or allegations of abuse since the last inspection. EVIDENCE: Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 14 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): 28, 29 & 30. The home is clean, tidy and hygienic. EVIDENCE: A new conservatory has been built at the rear of the home and is waiting for the residents to choose appropriate furniture. This will give residents a choice of communal space and a private space to entertain visitors. The home has domestic laundry facilities in keeping with a small homely environment. The instructions for using the machine are clear and all residents are able to use them independently with staff support available if needed. The home has infection control policies and procedures and all staff have access to these and training via their induction. Standard 29 is not applicable to the residents currently living at the home. Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 15 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): 33. The staff team work effectively to meet residents’ needs and provide a high standard of care. EVIDENCE: The home is sufficiently staffed by a team of four workers and a manager to ensure that residents’ assessed needs are met. The registered manager stated that the staff team are stable and that the roster showed a low rate of staff turnover providing stability and consistency for residents. Regular staff meetings take place and staff are able to contribute to the agenda and make their views known. All staff are aged 18 and all senior staff are aged over 21. There was evidence through discussion with staff, the manager and by checking a resident’s personal file that staff are person centred and able to work creatively to meet residents’ needs. Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 16 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): 37 & 39. The home is well managed and run for the benefit of residents. Effective quality assurance processes that include residents are in place. EVIDENCE: The registered manager is suitably qualified and experienced and has been in post since September 2005 and has been approved for registration with the Commission for Social Care Inspection. The manger is currently undertaking training with a peer group of other homes managers within the organisation and has recently completed training on the protection of vulnerable adults. The home was inspected by a member of the National Autistic Society Trust board as part of the organisations quality assurance process. As part of the process resents and relatives’ views were canvassed and taken into account in the report. The report was very positive about the service provided at the Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 17 home. Residents meetings are held regularly and minutes kept for all to refer to. All residents have a yearly review of their care and support plan that identifies its development and future opportunities. The National Autistic Society who is also responsible for reviewing and updating them provides the policies and procedures. Residents are informed about inspections and encouraged to take part if they wish to. Park View DS0000016281.V282116.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 3 29 N/A 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X N/A 3 X 3 X X X X Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No. 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Park View DS0000016281.V282116.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 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