Inspection on 22/11/06 for Park View

This inspection was carried out on 22nd November 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park View 24/11/08

Park View 01/12/05

Park View 10/05/05

Park View 07/02/05

Park View 20/08/04

Park View 29/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Park View 29 Cocknage Road Dresden Stoke-on-Trent Staffordshire ST3 4AP Lead Inspector Mrs Sue Mullin Key Unannounced Inspection 22 November 2006 10:00 Park View DS0000008323.V317286.R01.S.doc Version 5.2 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 DS0000008323.V317286.R01.S.doc Version 5.2 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 DS0000008323.V317286.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Address 29 Cocknage Road Dresden Stoke-on-Trent Staffordshire ST3 4AP 01782 252586 01782 252586 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) Strathmore College Limited Position vacant Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Category LD, 3 (three) of whom may be 16 to 18 years of age. Date of last inspection 1st December 2005 Brief Description of the Service: Park View is part of a specialist residential College registered to care for twelve people with a learning difficulty/disability between the ages of 16 – 25 years, of both genders. The home is a detached property, providing one double and ten single bedrooms with ensuite facilities. The home located in the residential area of Dresden, close to local amenities and a main bus route into the nearest town centre of Longton. The purpose of the home is to provide support to enable Learners to develop independence skills, to enable them to progress into a supported living environment. Learners who are already placed at the College are offered an opportunity to live in a home, where it is felt appropriate and in line with achieving their long-term goals. The Learners have a full programme of activity, which takes into account personal choice. The activities are meaningful and are delivered in the community, making full use of local facilities. Young people stay at the college for a maximum of three years and attend for between 38 and 52 weeks per year, depending on their contract. The Learners are able to access other college facilitates, which include Jasmine a retail outlet in Wostanton and two other residential premises in the local area. All three homes are part of the Strathmore College Group, operated by Craegmoor Health Services. All three homes are also registered with the DfES. Weekly fees are from £570 up to £1,290.72 Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced key inspection of the service carried out over a period of one day. The inspection was undertaken by one inspector, who used the National Minimum Standards for Adults (18 – 65) as the basis for the inspection. The inspection methodology included pre inspection information, service user/GP/social worker and relative’s questionnaires. An inspection of the environment was also undertaken. Discussion took place with several service users, senior management and other members of staff. Service users spoken to all appeared to be happy at Parkview. They commented as follows: ‘ I feel happy and OK, The staff are nice and the home is always nice and tidy’. Another stated ‘My Mum picked the best College for me, I looked at the video and I can co canoeing. Also like to do Athletics on a Monday’. Two social workers and a GP completed the surveys and all three felt the staff in the home acted professionally and responsibly, whilst looking after their residents. None had received any complaints about the service. What the service does well: The facilities in the Home are domestic in style and afford the residents with a comfortable, homely environment. The health and personal care needs are clearly identified and monitored. The service users plan their activities together with the staff and individual lifestyles and routines are respected. The service users are enabled to take appropriate risks and have opportunity to discuss any on-going concerns with staff. Complaints and Protection of Vulnerable Adults concerns are addressed appropriately. The service users are protected by safe staff recruitment procedures and supported by a well-trained and supervised staff team. Service users looked well groomed with a great deal of attention, support and encouragement from a dedicated team of staff. Park View DS0000008323.V317286.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Park View DS0000008323.V317286.R01.S.doc Version 5.2 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 DS0000008323.V317286.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes Statement of Purpose and Service User Guide were good, providing service users and prospective service users with details of the services the home provides, enabling an informed decision about admission to be made. The statement of Purpose is currently under review to make it more service specific as discussed during the inspection. A service user guide was included in each service user file. The format was very user friendly in pictorial, symbol and simple language for ease of use. There was evidence in a sample of records seen that service users had the contents of the guide explained to them at the point of admission. The terms and conditions of residence were incorporated into the service user guide as well as in the contract between the service and the placing authority. The College also provide everyone with a CD, which visually explains the services offered at the home. Several of the Commission for Social Care Inspection comments cards, completed by relative state that they do not have access to the inspection reports. The manager was recommended to inform the residents and/or their relatives of their availability. Park View DS0000008323.V317286.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans were detailed and provided sufficient information for staff to have a clear understanding of service user’s needs and how those needs should be met. Risk assessments were also in place and both these and the care plans were reviewed regularly. Within the care plan it was observed that service users were involved in all aspects of their care and signed the care plan accordingly (where able). There were numerous examples of service users making their own decisions and choices. This was observed in the kitchen and at lunchtime. One service user was encouraged to remain in regular contact with his parents by way of a Web cam, and staff supported this. An allocated member of staff audited all plans pertaining to individuals every four months. This was particularly useful to ensure that all areas of assessment remained ongoing. Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home operates a programme of routine and opportunities for young people to develop self-confidence and form meaningful relationships with others. Everyone’s opinions are sought and these make up the structure of the learning experience within the home environment. Externally, the service users have great opportunities to follow preferred pastimes and hobbies. The enthusiasm and eagerness of the service users was infectious. A great deal of fun and laughter was evident when the inspector sat down to lunch with them. Service users happily contribute to the daily living and learning experience by helping staff to devise menu plans and rotas for domestic chores. They are encouraged to participate in the maintenance of communal areas and through regular meetings to agree actions and remedy issues. Those spoken to has a keen interest in the ‘running’ of the home. Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 11 Individual religious and cultural needs are identified by key workers and with consultation with families agree how those needs are best met. The College strive to provide a living and learning environment free from prejudice and abuse. All the service users have their own individual timetable of activities, which is designed to enable them to achieve their objectives as set out in their Individual learning Plans. These are divided into four strands• • • • Daily Living Practical and vocational Personal skills Other support Formal reviews are held six monthly where the service user and all relevant parties input their evaluations and changes (if required) are then made to the plan and agreed with all parties for the following six months. Following discussion with service users, and from observation, it was confirmed that in house activity is organised based upon the individual needs of service users. During their final year at College, service users are supported to access appropriate services that will enable them to achieve their destination goals. Transition meetings are planned to ensure that appropriate resources are made available. During this difficult time and as required the College acts in an advisory role to the service users and the services involved, to create a seamless transition stage. Park View DS0000008323.V317286.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Personal care needs are clearly identified within the care records. Where possible the residents are encouraged to be independent and take responsibility for their own personal hygiene. Service users looked well groomed with a great deal of attention, support and encouragement from a dedicated team of staff. The residents are enabled to have flexible lives and this is planned into their activity plans. Each resident is registered with a local general practitioner and dentist. The residents attend the optician and chiropodist and psychology support is obtained where required. Residents also have access to sessions with a speech therapist. A Commission for Social Care Inspection comment card completed by a relative stated, ‘I am satisfied with the overall care provided’ another stated that ‘ generally staffing levels are good’. Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 13 Three Commission for Social Care Inspection comments cards were completed by Health and Social Care professionals, all of which were positive about the care provided at the Home. There was evidence of good record keeping for medication and protocols were in place for the administration of as required medication. The service operates a monitored dosage system for administering medication. None of the current service user group self medicate and each service user file contained a recent photograph. Park View DS0000008323.V317286.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Pre inspection fieldwork identified that to minor complaints had been received by the home since the last inspection. Both these involved disputes between service users and have been satisfactorily resolved. The service has a complaints procedure that was available in the home. However this needs to be updated to include CSCI details as discussed during the inspection. It has been reproduced in a more user-friendly format using symbols pictures and simple language for the benefit of service users. Pre inspection feedback from service users was positive, indicating that they knew how to complain and to whom. This was confirmed from discussion during the inspection visit. Relatives who had completed a pre inspection questionnaire all had access to the complaints procedure or knew who they could approach if they had any concerns. Relatives meeting were recommended to ensure all interested parties had their views taken into account and acted upon. Training of staff in the area of adult protection had been undertaken and new staff had training organised for late December. Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 15 Criminal Records Bureau and Protection of Vulnerable Adults checks are made for all staff and the organisation has a policy of not employing staff until the full Criminal Records Bureau disclosure has been received. Park View DS0000008323.V317286.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home took place, both inside and out. The home was overall well maintained internally, with a number of improvements having been made since the last inspection including new curtains. The damp patch on the ceiling has been remedied. Each bedroom was individually personalised and all rooms had locks on the doors, which were easily accessible to the service users. Communal rooms were spacious, bright and welcoming. Kitchen area was very clean with all potential harmful utensils safely stored. Externally, the building appeared sound and there were some garden/outside areas. The home was very clean and free from any offensive odours. Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were lengthy discussions about the content of the staffing rotas. These must be individualised for each service and be easy to cross-reference. New rotas were shown to the inspector, which clearly identified staff deployment, and the principal confirmed that these would be put into practice. These will be checked on the next inspection. 45 of the current staff team have achieved NVQ 2 or above. A further three are working to level 3. The Home provides adequate care staff on all daytime shifts and at night there is one ‘waking’ night staff, whilst another sleeps in. An up to date on-call system has been introduced. The Home does not employ auxiliary staff and the acting manager reported that the care staff in general complete the majority of the domestic tasks. Residents are encouraged and supported to clean their own rooms and assist in food preparation and doing their laundry. Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 18 It was determined there have been no relatives meetings. It was recommended to facilitate a relatives meeting whereby they can have their views listened to. The recruitment records for two of the most recent staff were checked and are indicative of robust procedures. Criminal Records Bureau and Protection of Vulnerable Adults checks are made for all staff. The College has a policy of not employing staff until the full Criminal Records Bureau disclosure has been received. Discussions were held with several members of staff who confirmed having attended numerous training courses and these were eventually confirmed in training records, albeit with some difficulty. The inspector and the deputy manager spent some time in discussion over the recording of training sessions. The home is to develop a simple staff-training matrix and was advised to include a due date for each course. The trainee and the trainer must sign all training sessions. Training courses have been organised for late December 2006 and include infection control, fire safety, first aid, POVA, Health and Safety COSHH and Basic food hygiene. 13 staff have First Aid certificates at the present time. The residents do not require any manual handling and as such staff do not need this training, however the manager was advised that under the Health and Safety at work act, staff should be trained in the safe handling of loads. All new staff completes a comprehensive induction. Discussions with the staff member also indicated that the staff receive regular support and supervision and this was also confirmed in staff records. This includes an appraisal of their work and career development. Park View DS0000008323.V317286.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Quality Assurance questionnaires are sent yearly to all the residents and their relatives and professional personnel attending the Home. The principal/manager collates the information and this in turn forms the basis of any change in the service. Evidence of this system was seen during the inspection process. Service user’s meetings took place regularly and minutes were seen showing service user requests and suggestions being listened to and actioned. The pre-inspection questionnaire completed prior to this visit by the acting manager indicated that the homes, Health and Safety equipment are maintained appropriately. A random selection of the Health and Safety records was seen and found to be in order. Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 20 Information in the pre inspection questionnaire provided by the principal indicated that fire safety training was up to date. However, not all night staff had received four fire drills per year. A requirement was left to this effect. Fire alarm testing and emergency lighting testing was checked and found to be in order. Water temperatures are recorded. Sanitary waste was collected in line with Infection control guidelines. Discussion took place on the reporting of accidents and incidents and how those areas need to be addressed. They should be recorded as separate events and a regular analysis undertaken and evaluated. Regulation 37 notifications must be sent to the CSCI as discussed during the inspection. Park View DS0000008323.V317286.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 4 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 X X X 1 X Park View DS0000008323.V317286.R01.S.doc Version 5.2 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 Standard YA42 Regulation 23(4)(e) Requirement The registered person must ensure that night staff have four fire drills per year in line with Fire Regulations. Timescale for action 22/11/06 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 YA1 YA22 YA1 Good Practice Recommendations The registered person is recommended to inform residents and/or their relatives of the availability of the Commission for Social Care Inspection reports. The service has a complaints procedure that was available in the home. However this needs to be updated to include CSCI details as discussed during the inspection. Both pages of the registration certificate must be on display in the service. Park View DS0000008323.V317286.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 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 © 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 DS0000008323.V317286.R01.S.doc Version 5.2 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. 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