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Inspection on 23/11/05 for Park View

Also see our care home review for Park View for more information

This inspection was carried out on 23rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home promotes an inclusive, family atmosphere and service users are encouraged to continue with their social lives outside of the home as much as possible. One service user spoke of "going out to meet friends and have a game of snooker at the local club" and "I`m happy here, it couldn`t be better". He also said that his mealtimes were arranged flexibly to suit his social needs. The change of ownership was handled very well and service users said they were always informed of the change and felt no anxiety.

What has improved since the last inspection?

Since the last inspection the manager has updated the statement of purpose and Service User guide and many other documents to reflect the change of ownership. Training has continued to improve and most staff have achieved NVQ 2 and 3 in care, exceeding the target of 50% of care staff with the qualification.

What the care home could do better:

As the home has become part of the new organisation, there are plans to update and redevelop the home and garden areas. The manager should ensure that service users are not inconvenienced by any works to be carried out and should continue with keeping them involved and informed about proposed changes to the environment.

CARE HOMES FOR OLDER PEOPLE Park View 34 Station Lane Seaton Carew Hartlepool TS25 1BG Lead Inspector Stephen Willcock Unannounced Inspection 23rd November 2005 12:30 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.V269674.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.V269674.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.V269674.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2004 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. A change of ownership has occurred recently and the home is now owned by Mr Mat Matharu, who is proprietor of a number of care homes in the Hartlepool area. Park View DS0000065358.V269674.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 November 2005 over a 3-hour period and time was spent talking to service users, staff, management, looking at records and the building itself. The home had recently changed ownership and considerable improvements were planned to the interior and to the garden areas. Service users who were spoken to were positive about life at the home, staff and manager and said they were kept informed about the change of ownership. Comments made by service users included a high level of satisfaction with the quality of food served, the cleanliness of the home and feeling safe. One service user said “it is lovely to go to bed at night and feel secure”. What the service does well: What has improved since the last inspection? Since the last inspection the manager has updated the statement of purpose and Service User guide and many other documents to reflect the change of ownership. Training has continued to improve and most staff have achieved NVQ 2 and 3 in care, exceeding the target of 50 of care staff with the qualification. Park View DS0000065358.V269674.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.V269674.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.V269674.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): 1, 3 and 5 Information to assist service users make the decision to stay at the home is available. New service users are admitted to the home after a thorough assessment of individual need, and a trial visit is offered if required. EVIDENCE: A Statement of Purpose and Service Users Guide was made available to service users and their representatives in order to make an informed choice in deciding to stay at the home. The documents were found to be generally satisfactory and the manager was in the process of updating the information to reflect the recent change of ownership. Assessment documents, stating individual service user’s needs and how these needs were to be met, were available. Assessments had been completed prior to moving into the home and further assessments carried after admission were in place and regularly reviewed. Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 9 The home invited service users to come for a trial visit if required, before making the decision to live there permanently. Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 10 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): 7 and 10 A satisfactory system of care planning for individual service users is in place at the home, and care is provided in a dignified and respectful manner. EVIDENCE: Individual service users care plans were examined and found to have sufficient information. The care plans were clear and concise and contained evidence of regular review and evaluation. The manager said that service users and their family were invited to be fully involved in the care planning process. There was general agreement between service users spoken to, that staff at the home treated them with dignity and respect. One service user said staff provides personal care in a dignified manner and maintained good communication with the service user when carrying out these tasks. Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 11 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): 12 and 15 The home provides a satisfactory range of activities and encourages service users to join in. Food served at the home is appealing and offers choice. EVIDENCE: A range of activities, were available at the home including Bingo and visits by entertainers. A service user said that he looked forward to entertainers coming to the home but was able to enjoy a social life independently by visiting a local club. The manager had arranged a Christmas party at a local hotel and many service users were looking forward to the event. Observation of the menus prepared at the home found them to be of variety and offering alternatives if required. In discussion, service users commented that “ the food is good” and “you are always asked what you would like”. One service user said that her food was specially prepared as she had difficulty in swallowing. Meals were mainly served in the large dining room but a choice of conservatories or the service user’s room could also be used if that was preferred. Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 12 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): 16 and 18 The home has a satisfactory complaints system in place. Information relating to the protection of vulnerable adults was in use at the home. EVIDENCE: A complaints policy and procedure is in place at the home and made available to service users and their representatives. In discussion, service users confirmed they felt safe at the home and knew how to make a complaint. A service user said, “If I had a complaint it would be treated seriously”. The home operates an Adult Protection policy linked to the Protection of Vulnerable Adults strategy “No Secrets”. Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 13 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): 19, 23 and 26 The home is well maintained and clean, offering comfortable accommodation. EVIDENCE: The home was generally well maintained and was to have some refurbishment carried out by the new owner. The manager said that since the change of ownership a maintenance team had responded quickly to rectify any defects that had occurred. The new owner had planned a programme of redecoration and updating of the environment including the provision of en-suites to service users bedrooms. Service users bedrooms were pleasantly decorated and suitably furnished to the service users taste, often with items from their own homes. In conversation, service users said they were happy with their rooms. It was noticeable that the home was clean, tidy and free from odour. The manager said that it was often commented by visitors that the home was always fresh and friendly. Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 14 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): 27, 29 and 30 Records at the home show that staffing levels are maintained and staff recruitment processes are satisfactory. Staff are trained and competent to carry out their roles. EVIDENCE: Staffing levels at the home remain constant and are complemented by long serving staff members. Currently there are 12 care staff with additional catering and domestic staff in support. Recruitment to the home is conducted in accordance with the home’s recruitment policy. This policy was outlined by the manager and confirmed to include the obtaining of suitable references, Criminal Records Bureau checks and associated Protection of Vulnerable Adult checks, prior to the commencement of employment. Staff training records were examined and found to be up to date. A training plan was available giving details of training undertaken and future planned courses. Of the 12 care staff, 6 had achieved NVQ level 2 in care, 3 had achieved level 3 and 1 staff member held NVQ4 and an assessors award. Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 15 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): 31 and 34 The home is well managed and service users finances are safeguarded. EVIDENCE: The registered manager has been in post at the home a number of years and has gained good experience within the role. Currently, the manager is studying for the Registered Managers Award and will shortly be starting study leading to NVQ4 in care. The manager was able to demonstrate her capabilities to carry out her duties with confidence and maintain a good rapport with service users, staff and visitors. In discussion, a service user said the manager always kept him informed about issues of their care, and had a good attitude. Arrangements for safeguarding service users finances were in place and regularly reviewed by the manager. Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 16 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 3 X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 X X 4 STAFFING Standard No Score 27 3 28 X 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X 3 X X X X Park View DS0000065358.V269674.R01.S.doc Version 5.0 Page 17 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.V269674.R01.S.doc Version 5.0 Page 18 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 © 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 DS0000065358.V269674.R01.S.doc Version 5.0 Page 19 - 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. You have been warned!