Inspection on 26/06/06 for Park View

This inspection was carried out on 26th June 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 18/11/08

Park View 15/11/05

Park View 10/06/05

Park View 23/11/04

Park View 12/07/04

Park View 18/02/04

Park View 18/11/03

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

CARE HOME ADULTS 18-65 Park View 9 - 11 Park Avenue Mitcham Surrey CR4 2EQ Lead Inspector Emma Dove Unannounced Inspection 26th June 2006 11:00 Park View DS0000027247.V301637.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 DS0000027247.V301637.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 DS0000027247.V301637.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Address 9 - 11 Park Avenue Mitcham Surrey CR4 2EQ 0208 646 6694 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 Feeroz Hosanee Mr Feeroz Hosanee Care Home 6 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (6), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (6) Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2005 Brief Description of the Service: Park View is a registered care home for up to six residents with mental health needs. Six residents are currently living at the home. The property is owned and managed by Mr Hosanee who also owns a second home in this area. The home is in a residential area of Mitcham, close to local shops and transport services. Park View is made up of two residential properties, which have been joined together and include two lounges, two single bedrooms, a kitchen, laundry area and smoking room on the ground floor with four single bedrooms, two bathrooms and staff rooms on the first floor. Information about the home is made available in the Service Users Guide and Statement of Purpose, copies of these documents are available in the home. The weekly fees are from £550.00. Information regarding the CSCI is included in the Statement of Purpose, Service Users Guide and contract of residence. Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over five and a half hours on the 26th June 2006 by one regulation inspector. The inspection included the examination of records, inspection of communal areas of the home, two residents bedrooms, talking to residents, staff and the owner/manager. The inspector spoke with three residents and two members of staff. Questionnaires were left for staff and residents. Eight questionnaires have been received and comments from these are included in the relevant section of this report. What the service does well: What has improved since the last inspection? What they could do better: Continue with the refurbishment of the kitchen and decorating the bathrooms and other areas of the home as required. Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 6 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 DS0000027247.V301637.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 DS0000027247.V301637.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have access to information to help them in making an informed choice about moving into the home. EVIDENCE: The Statement of Purpose and Service Users Guide contain satisfactory information for prospective residents to make an informed choice about moving into the home. Questionnaires noted that residents had a contract and received information about the home prior to moving in. Assessments are completed before and on admission to the home with regular reviews carried out. Park View DS0000027247.V301637.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 at least once during a 12 month period. 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. Care plans are in place which are kept under review. EVIDENCE: Case files contain assessments, religious persuasion and any needs to support the individual, care plans, reviews, contract of residence and general correspondence. A separate file contains daily recording, health appointments and health records. Records indicate residents make choices about daily living and their skills and strengths are noted. Care plans and risk assessments are reviewed and updated as required to make sure they are up to date. Park View DS0000027247.V301637.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents take part in activities of their choice and receive a varied menu. EVIDENCE: Questionnaires indicated that there are always activities available at the home for residents. Individuals were observed to watch television, play dominoes, read the paper, spend time in their room, speak with staff and pop out to the library during the inspection, with three residents out for the day. The manager reported that residents attend day centres or go out to places of their choice and that day trips and outings are arranged for the summer. Visitors are welcome and residents are supported to keep in contact with family and friends. Residents attend churches of their choice in the community, Current residents do not require support to attend but this is offered if necessary. Residents questionnaires completed by the home in June 2006 included a question on Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 11 whether residents felt their religious and cultural needs are understood and met. All residents felt that these needs are met and understood by staff at the home. Residents comments about the food provided included ‘I enjoy the food’, ‘the meals are enjoyable’ and ‘I always like the meals’. The menu is displayed at the home and includes a choice. Religious and cultural dietary requirements are met. Park View DS0000027247.V301637.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 at least once during a 12 month period. 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. Residents receive appropriate personal and healthcare support. EVIDENCE: Staff said that residents do not currently require assistance with personal care tasks. Residents are all registered with a GP and records of appointments are kept. Residents comments regarding health care included ‘staff take me when I want to go to the surgery’ and ‘I go to the doctors when I need to’. Questionnaires confirmed that residents receive the care and medical support they need and that staff are always available to provide support and guidance. Staff also feel that residents are well cared for. Medication is appropriately stored, labelled with records up to date and signed by staff. Medication policies remain the same as the last inspection. Records are kept of medication received at the home. The manager reported that he completes medication training for all staff when they commence employment at the home. One member of staff is completing additional training in medication through an external organisation. Park View DS0000027247.V301637.R01.S.doc Version 5.2 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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is included in the contract of residence. EVIDENCE: Residents know how to make a complaint and said that they would speak with the manager, their social worker or contact the CSCI. The complaints procedure is included in the contract of residence. This document should be updated to reflect that the CSCI is not a complaints agency. No complaints have been received at the home or the CSCI since the last inspection of the home. No issues were raised regarding the protection of vulnerable adults. Park View DS0000027247.V301637.R01.S.doc Version 5.2 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): 24, 25, 26, 27, 28 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally kept at a satisfactory standard. The kitchen and bathrooms require further work to bring them to a good standard. EVIDENCE: Progress has been made with the redecoration and refurbishment of the home. Work has commenced in the kitchen with the fitting of some new cabinets and there are plans to complete this work in the near future. Bedrooms are single and have been personalised to individuals taste. They are all furnished with a single bed, wardrobe, and chest of drawers and have a wash hand basin. Residents comments included ‘I like my room’. Questionnaires indicated that residents feel the home is always clean and fresh. Residents have access to two connected lounges which have comfortable seating and table with chairs with a television in both rooms. Residents can use a small area overlooking the garden to smoke. Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 15 The laundry area is away from the kitchen and dining areas. All areas of the home were clean. Park View DS0000027247.V301637.R01.S.doc Version 5.2 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 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): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents receive support from appropriately trained and supported staff. EVIDENCE: The rota identifies that two members of staff are on duty during the day with one member of staff at night. The manager said that he is available at night if required. Residents comments regarding staff included ‘staff always help me’ and ‘staff listen to me’. The staff team do not fully reflect the gender and ethnicity of the residents. No issues were raised regarding this during the inspection visit or in questionnaires. The manager continues to provide training for staff on issues relating to mental health and one member of staff has completed training to NVQ Level 2 with staff completing training in First Aid, food hygiene, medication, infection control, risk assessments and Health and Safety. Staff said that they receive appropriate training, supervision and support to carry out their role. One staff file identified that staff have had an annual appraisal. Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 17 Staff files contain the required information with the exception of one file. This issue was raised at the last inspection of the home and the manager is aware of his responsibilities in future to ensure residents are protected from harm. No new staff have been employed at the home since the last inspection. Park View DS0000027247.V301637.R01.S.doc Version 5.2 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 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Residents are involved in the day-to-day running of the home. Health and Safety policies, procedures and practices protect residents and staff from harm. EVIDENCE: Residents and staff meetings are held every month with minutes available to individuals not present at the meetings. Minutes of residents meetings should include the staff members present. Two residents confirmed that they attend residents meetings and take it in turns to chair the meetings. One resident said that they prefer community style meetings where they all have the opportunity to say how they are feeling. The manager reported that issues regarding residents dignity and the practices in place are discussed at staff meetings. Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 19 The manager has developed systems for annual monitoring of Health and Safety systems. Questionnaires were given to residents to obtain their wishes and feelings on the services provided at the home. Park View DS0000027247.V301637.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 X 5 X 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 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 21 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. 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. 2. Refer to Standard YA24 YA24 Good Practice Recommendations The registered persons should complete redecoration and or refurbishment of the premises as required. The registered persons should complete the refurbishment of the kitchen area and the redecoration of the bathrooms in the home. Park View DS0000027247.V301637.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 DS0000027247.V301637.R01.S.doc Version 5.2 Page 23 - 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!