CARE HOMES FOR OLDER PEOPLE
Park View 34 Station Lane Seaton Carew Hartlepool TS25 1BG Lead Inspector
Stephen Willcock Unannounced Inspection 23rd January 2006 11:00 X10015.doc Version 1.40 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 DS0000065358.V271213.R01.S.doc Version 5.0 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 Older People. 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 DS0000065358.V271213.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Park View Address 34 Station Lane Seaton Carew Hartlepool TS25 1BG 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) 01429 221951 Mr Matt Matharu Mrs Kristy Louise Howe Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Park View residential home is situated near the coast at Seaton Carew, Hartlepool and is a long established care home. The home is registered with the Commission for Social Care Inspection to provide care and accommodation for up to 26 older people. The building has been extended and provides bedrooms over two floors and has the addition of two conservatory areas to the front of the house. The home is owned by Mr Mat Matharu, who is proprietor of a number of care homes in the Hartlepool area. Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place on 23rd January 2006 over a period of 3 hours. During the inspection time was spent talking to service users, staff and management. A number of records were looked at and the grounds and building itself were inspected. Discussions with service users found a high degree of satisfaction with the care provided and the rapport that had developed between themselves and the staff. Comments made by service users suggested that the communication between the manager and service users was “extremely good” and that the staff are “always caring, patient and willing to listen”. Service users also commented, “the food is good, we have a good choice” and “the atmosphere is homely, happy and comfortable, I enjoy the sing-a-longs”. What the service does well: What has improved since the last inspection?
Since the last inspection further staff training has taken place and the number of staff with NVQ qualifications has increased. Courses offered by local colleges have been accessed and individual training plans for staff members are maintained.
Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 6 Contracts between service users and the home are in place and admission is conducted appropriately. EVIDENCE: A new owner had recently bought the home and the manager was updating the existing statements of terms and conditions with new contracts reflecting the change of ownership. Examination of service user files found assessment records being completed prior to the service user moving into the home. Service users and their families are invited to look around the home and are given a home’s brochure. The manager or senior member of staff carries out a visit to the prospective service user and completes an assessment to ensure the home can meet their needs. When a new service user moves into the home, a reassessment is undertaken to evaluate the placement. The home offers a respite or short stay service but does not offer intermediate care.
Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 and 9 The home ensures service users needs are met and the administration and handling of medicines is satisfactory. EVIDENCE: Evidence of regular care review was seen and carried out to ensure the service was providing the care that was required. Changes in service user need were recorded. The home ensures that health checks are arranged with the service users doctor and regular visits to and from dentists and opticians take place. A policy on self-medication was available at the home that included the process of risk assessment that is carried out should a service user wish to self-medicate. Medication records held by the home were found to be accurate and appropriately held and included signed documents where a service user had requested the home to control their medication. The manager conducted checks and audit of medications held by the home. Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 14 The home encourages service users to maintain their social contacts and encourage them to retain control over their lives. EVIDENCE: In conversation, service users said visitors were welcomed at the home at any time and that some service users went out for the day with their families. Service users could meet with their relatives in private, using their bedrooms or a choice of two conservatories. Staff said that local transport or Dial-a-ride was also used to maintain contact within the local community. Service users spoken to said that they could make choices in their lives including when to get up and go to bed and added that there were always plenty of things to do if they wished. It was seen that service users were able to make choices about the meals available and that staff had good knowledge of individual likes and dislikes. Service users said they had been encouraged to bring their own possessions to the home including furniture and to personalise their rooms to their own tastes. Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 The home promotes and protects the legal rights of service users. EVIDENCE: Service users and their families were encouraged by the home to maintain control over their legal affairs. For those service users who did not have a family member, an advocacy service would be arranged. There were also links with the Local Authority to maintain financial and legal affairs on the service users behalf. Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 The home provides safe, comfortable and clean surroundings. EVIDENCE: The new owner of the home has made a maintenance team available, providing prompt attention to any repairs that need to be done. The home is generally well maintained but the planned refurbishment has not yet started. Some interior decoration is needed and the garden areas could be used to greater advantage for service users to enjoy in the summer months. The home continues to have a family atmosphere and is clean and tidy. Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 The home promotes and encourages staff training to ensure service users safety. EVIDENCE: Since the last inspection, staff training has been continuing and courses in Dementia care, Equality and Diversity have been undertaken. Staff were also studying for a certificate in Medication Handling and it was planned for the kitchen staff to undertake study in Food Safety. Study at NVQ level 2 in care was ongoing and 4 staff members had also passed NVQ level 3 in care. It was noted that the deputy manager had commenced study at NVQ level 4 in care and was also providing in house assessment for NVQ studies. Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 35 and 38 The home is well managed and includes relatives and service users in all aspects of the care provided. EVIDENCE: The home monitors the care provided by conducting surveys using anonymous questionnaires that are audited by the manager. The results of the surveys are provided to service users and their families. Regular review of individual service users care is carried out with social workers and service users and their families are invited to offer their opinions. The home encourages service users families to manage their financial affairs but maintains some personal finances if required. A record of service users personal finances held at the home was checked and found to be accurate. It was demonstrated that as far as reasonably practicable the health, safety and welfare of service users, staff and visitors to the home were maintained.
Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X 3 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X X X X 3 X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Park View DS0000065358.V271213.R01.S.doc Version 5.0 Page 16 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 DS0000065358.V271213.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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