Inspection on 22/09/05 for Park View

This inspection was carried out on 22nd September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Park View 10/05/07

Park View 02/02/06

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 David Kidner Announced 22 September 2005 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 D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Park View Address 1 Westfield Road Burnham-on-Sea Somerset TA8 2AW 01278 789444 01278 795961 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) National Autistic Society Mrs Marina Angela Parrett Care Home 3 Category(ies) of 1. Learning Disabilities (LD) - 3. registration, with number of places Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 1 March 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 Mrs Marina Parrett. The home has three single bedrooms, two toilets, family bathroom, lounge, a large kitchen/dining room, utility area and gardens to the side. The home is within walking distance of local amenities. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced, undertaken by two inspectors and took place over the course of one day in September 2005. (6.5 hours). The inspectors viewed all parts of the home, checked records in relation to care and support plans, health and safety and the administration of medicines. The inspectors met all of the residents and spoke to the manager and staff on duty. Three comment cards were received from relatives/visitors to the home, all of which was satisfied with the services the home provided. All the residents of the home completed comment cards. One comment card was received from a GP who visits the home. There were no requirements or recommendations made as a result of this inspection. What the service does well: What has improved since the last inspection? A video entry phone has been fitted to enable residents to see who is at the front door before letting them in. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 6 A new bath has been fitted. The manager and staff had been proactive and creative in supporting a resident in their wish to move to independent living. 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 D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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 D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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) These standards were not assessed, as there have been no new admissions to the home since the last inspection. EVIDENCE: Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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. Residents are encouraged to make decisions about their life and are involved in all aspects of the running of the home. The care and support plans are user led, well-organised and regularly reviewed. Risk assessments are conducted and reviewed when needed. EVIDENCE: The inspectors viewed two care and support plans, both of which were detailed and 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 up-to-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. One resident has made it clear that he wishes to live independently. The manager and staff have been supportive and proactive in contacting the funding authority involved to ensure that they all are made aware of his changing needs and wishes. The manager and staff supported the resident to make a video where he was able to express his views. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 10 Residents have the opportunity to attend a church of their choosing if they want to for spiritual support. Residents were seen making choices in how they participated in the running of the home. The residents are responsible for doing their own laundry and have responsibility for household tasks. Staff encouraged the residents to gain new skills, develop coping mechanisms and become as independent as possible. Regular house meetings take place, and the record showed that residents’ views and opinions were sought and that important issues such as the proposed new conservatory and vacant managers post had been discussed. A new member of staff was recently appointed and residents were involved in the selection process. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17. The home supports residents to access leisure and social activities available in the local community. Residents’ rights are respected and promoted and contact with family members actively encouraged. The home has a planned menu, which is varied, healthy and provides a balanced diet for residents. EVIDENCE: Residents access a variety of community facilities and leisure activities. All service users access such facilities and resources through informed choice and individual needs. Residents have been supported and encouraged by staff to use public transport without supervision. All residents have an annual health check and have access to appropriate health care professionals to ensure their health needs are met. The staff team Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 12 has access to psychiatric, psychology services and specialist advisers on Autism and Aspergers Syndrome. Residents have regular contact with family members by visits, letters and phone calls. Residents use public transport to visit family, with staff support, if necessary. One resident had recently flown with a friend on a holiday to see his family. Residents have their own key to the front door and to their bedrooms. Their privacy is respected by staff. Residents use cooking methods that are easiest for them, including the microwave and electric grill. Residents are encouraged to eat a healthy diet and a good variety of food including fresh fruit was available on the day of the inspection. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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. The home ensures that residents have access to all appropriate health care professionals to ensure their physical and mental health needs are addressed. The home maintains good records in relation to the administration of medicines. EVIDENCE: Residents’ choices and preferences in relation to daily living were recorded on their care and support plans. Due to the ability of the residents minimal support is needed with personal care. All residents are registered with the local GP, have an annual health check and access to appropriate health care professionals to ensure their health needs are met. The staff team has access to psychiatric, psychology services and specialist advisers on Autism and Aspergers Syndrome. Two residents spoken to said that staff knocked on their room before entering and respected their privacy. The inspectors viewed the arrangements in relation to the storage and administration of medicines and this was satisfactory to ensure the safety and well-being of residents. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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, 23. The home has a detailed complaints procedure that is available in appropriate formats to residents. Robust systems are in place to protect residents from abuse. EVIDENCE: The home has a clear complaints policy and procedure. No complaints have been received by the home or the Commission for Social Care Inspection since the last inspection. Residents spoken to were clear about whom they would speak to if they had any problems or wanted to complain. Staff do not work at the home until a check has been returned from the Criminal Records Bureau. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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, 26, 27, 28. The home is clean, tidy, well maintained and provides a homely, comfortable and safe environment. Residents’ private rooms reflected their individual needs and choices. EVIDENCE: The home is furnished and decorated in a homely, comfortable style and provides a well maintained home for the residents. There is a lounge area and a separate diner/kitchen. A planning application has been made to build a conservatory to give residents a choice of areas to receive visitors and give them more space in which to spend time alone or as they choose. All bedrooms are of a single occupancy and had been furnished and personalised by the residents. Residents’ artwork has been framed and displayed. The home has domestic laundry facilities and residents are responsible for their own laundry, in line with the homes culture of supporting residents to develop independent living skills. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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, 35, 36. On the day of the inspection the home was appropriately staffed to meet the needs of the residents. Staff had the knowledge and skills to provide a good quality service for residents. The home provides formal and informal supervision and appraisal of staffs care practice. EVIDENCE: The inspectors were provided with a copy of the homes duty rota. There were 6 members of staff, including the manager, in the staff team. All the staff are qualified to NVQ level 2 or above with six members of the staff having achieved NVQ level 3. The staff team clearly have the appropriate skills and knowledge to meet the needs of the residents. Staff have access to internal and external training courses and were observed to communicate effectively with residents. Staff received regular supervision with records kept of discussions and outcomes. A member of staff spoken to said that advice and support was always available and that an ‘open door policy’ was in place by the manager. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 17 A member of staff spoken to confirmed that they had access to appropriate training courses and received encouragement and support from the manager to do so. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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, 38, 40, 41, 42. The manager is qualified, competent and experienced to run the home and shows clear direction and leadership. The home has a clear management structure and comprehensive policies and procedures available for staff. The home met all its requirements in relation to health and safety. EVIDENCE: The home has comprehensive policies and procedures that are accessible to staff. The inspectors viewed documents and records relating to health and safety. All appropriate checks are undertaken, including the fire alarm system and fire equipment. Records showed that all equipment was in good condition and regularly serviced. Records were up to date and well maintained. Staff had all Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 19 undertaken fire training and fire drills took place regularly. Environmental risk assessments are conducted and reviewed as necessary. Records were kept of any accidents or incidents that had occurred. Regular staff meetings take place. Staff had been fully involved by the manager to develop creative ways of supporting a resident who wanted to move on and live independently. A member of staff spoken to was very positive about the support offered by the manager, who was described as very supportive. Regular residents’ house meetings took place with minutes taken so that the views of residents were canvassed and listened to. Residents had been informed by staff that an inspection was going to take place and were encouraged by staff to speak to the inspectors if they wanted to. Residents were very satisfied with the standard of care they received from staff. One resident said that they acknowledged the support they had received from staff in managing anxiety. Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 4 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park View Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 x D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 21 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Park View D53_D02 S16281 Park View V243550 220905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier, 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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