Inspection on 08/03/07 for Park View

This inspection was carried out on 8th March 2007.

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 13/01/09

Park View 23/01/06

Park View 23/11/05

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Park View 34 Station Lane Seaton Carew Hartlepool TS25 1BG Lead Inspector Gavin Purdon Unannounced Inspection 8th March 2007 10:00 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.V328953.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 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.V328953.R01.S.doc Version 5.2 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 kristyhowe@tiscali.co.uk 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.V328953.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 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, connected by a shaft lift as well as by stairs. There are two conservatory areas to the front of the house. 22 of the 24 bedrooms are single rooms, some of which have en suite toilet facilities. Building, refurbishment, and decorative work, is going on at the home presently with the intention of improving facilities available to residents at Park View. Weekly fees are in line with the current local authority payment of £354, which was introduced on 2 October 2006. The home does not require any additional “top up” fee. The £354 charge does not cover chiropody or hairdressing. If chiropody is required that can be arranged at the cost of £10 per person. Hairdressing can also be arranged with charges of between £2.50 and £4. These services are entirely optional. A selection of daily newspapers is provided free of charge for residents, as are toiletries. The home is owned by Mr Matt Matharu, who is proprietor of a number of care homes in the Hartlepool area. Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection is classed as unannounced, and took place with very short notice given to the home. It lasted 5 hours and 20 minutes. Much of that time was spent talking to the registered manager, and talking individually and in private with 3 residents, and with 3 members of staff, with domestic, care, and supervisory duties. Parts of the home were seen, including service, communal, and private areas. Some interaction between staff and residents was seen. A sample of care, medical, financial, and staff records was looked at. The overall impression gained from this range of activities on the day of inspection was of residents being happy with their care and staff feeling they were able to make a good job of looking after residents. Since the last inspection in January 2006, the home’s manager sent some useful written information about the conduct of the home to the inspector, and 5 residents also wrote to the inspector with their views about life at the home. All of this was helpful to the inspector in preparing for and carrying out the inspection, and was much appreciated. What the service does well: There is much that the home does well. When asked what was good about the home, a resident said, “The grub, the staff, the cleanliness, the boss.” Another resident said much the same, “ I like the staff. They do a very good job. I like their general attitude. You can’t grumble at the food. I eat all the food I get. It’s so well cooked.” Another resident said, “They are all very kind, all very good. My room’s comfortable. I have no complaints. I’m very satisfied. The food’s very good. Good meat, good fresh vegetables. The laundry’s very good.” Staff said, “The meals are very good. There’s variety, and the residents enjoy their food. There’s good communication. Staff work well together. If there’s a problem you can go to the manager and it will be sorted out. Staff here know their jobs and they do their jobs well” Another member of staff said, “This home is clean. It smells nice. It has a friendly atmosphere. It’s a happy team. The residents like it here.” Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 6 These positive comments touch on many important standards, personal care, daily life, environment, staffing, and management and show how these help give residents a service they are really happy with. 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 DS0000065358.V328953.R01.S.doc Version 5.2 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.V328953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents coming to live at Park View have their care needs carefully assessed. This means the home knows at an early stage what kind of care is required and whether this can be given in away that suits the resident. EVIDENCE: 3 examples of residents’ assessments were seen. These were fully detailed professional records completed with the help of residents, their relatives, or representatives. The home’s registered manager confirmed that assessments were important documents to have when drawing up a resident’s plan of care for daily living. Park View DS0000065358.V328953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9, & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents do benefit from care plans that carefully account for a variety of individual needs but the home should develop its care plan section covering resident’s social interests, hobbies, contacts & relationships. Residents benefit from the home identifying their healthcare needs and arranging for these to be properly met. Residents are protected by the home’s arrangements for dealing with medication safely. Residents benefit from the home ensuring that they are treated with respect and have their right to privacy upheld. Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 10 EVIDENCE: The 3 care plans seen carefully covered a variety of residents’ needs, and included risk assessments signed by individual residents. These 3 care plans were discussed with the home’s registered manager. They showed how residents’ needs and risks were identified and responded to. The 3 plans seen were clear and up to date, and the registered manager confirmed this was the general standard for all care plans in the home. It was noted in discussion with residents and staff that the home was aware of the importance of social interests, hobbies, contacts, and relationships and did a lot to recognise and support these. It was agreed with the registered manager that these should be accounted for in more detail in the care plans and other records kept by the home. The 3 members of staff interviewed, as well as the registered manager, all had a very good insight into the individual needs and preferences of the 3 residents whose care plans were looked at during the inspection. Medication was checked for 1 of the 3 residents whose care plan was looked at, and this medication was found to be properly stored and accounted for. It was noted that none of the 17 residents currently living at Park View has control of their own medication. Each resident has either been risk assessed as unable to do so safely or if able has signed a statement saying they do not wish to have control of their medication. The 3 residents interviewed separately, and in private, thought they were treated with respect. They said, “ I like the staff. They do a very good job. I like their general attitude.” “They are all very kind. I do need help, and they are all very good. I’m very satisfied. I have no complaints at all.” “I’ve got no worries. I’ve been independent in the past, but I’m pleased with the way I’m treated here. Nothing’s a chore to them. I think I’m very lucky really.” It was noted that none of the bedrooms have door locks, and that residents who are able to use them safely have signed to say they do not want a lock. Regarding residents who would wish to control their own medication, or operate a bedroom door lock and could safely do so, the registered manager confirmed they would be supported to do so. Park View DS0000065358.V328953.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14, & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the home supporting their social and recreational activities. Residents benefit from the home’s readiness to support contact with family, friends and the community at large. Residents benefit from the home recognising the importance of choice and control in their daily lives. Residents benefit from the home recognising the importance of meals and mealtimes in maintaining wellbeing and health. EVIDENCE: All 3 staff interviewed, as well as the registered manager, had a very clear picture of the interests and activities of the 3 residents whose care plans were looked at. Staff mentioned the particular interests of those 3 residents, Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 12 “ Going to the club, having a walk along the seafront, being at parties, family visits, or just talking and having a joke.” “Watching TV, listening to music, family visits.” “Regular family contacts are important.” The home should develop and maintain a written record, that is suitable to the home, useful, and practical to keep, showing events and activities for residents and who was involved. From discussions with staff and with residents the home clearly recognises and supports family contact as beneficial where residents want that. A resident said, “When you have visitors they always ask if they want a cup of tea or a cup of coffee.” Residents spoken to said that family had been closely involved in choosing the care home, attended to their business matters, and had a general ongoing interest in their welfare and wellbeing. Residents spoken to were broadly happy with their care and with their carers. They understood that they were frailer than they once were and needed care and attention. They regretted this but also thought they received care in a place and in a way that they liked and felt fortunate in that respect. Food was well commented on by residents, “The food here is very good. Good meat, and good fresh vegetables.” “You can’t grumble at the food we get here. I eat all the food I get. It’s that well cooked.” “What do I like about this place. The grub for a start.” The registered manager said, “We have a good cook. We have good food. There’s a wide variety and we ask people’s opinions. We use good quality produce.” Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives benefit from the home’s interest in listening to what people think about the care provided, and responding to that in a positive way. The home has policies procedures and practices that help protect residents from abuse. EVIDENCE: The home’s complaints policy is on display in the entrance hall. Residents interviewed said they had not really needed to complain. One resident said, “I am fussy about things and if you want to speak to the boss of the home you can. That’s good because it lets you unwind.” A member of staff interviewed said, “We try to be a happy family. We want people to make friends. We try to be approachable, to have good relationships and good rapport. There can be conflicts when people live together but we try hard to resolve them.” Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 14 Another member of staff said, “I’ve had adult protection training. If I saw or heard something I was unhappy with I would go straight to the manager, and if nothing happened I would have to take it further. That’s what you have to do. Although I have to say staff here are well supported and residents are treated as individuals.” Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a pleasant, safe, and well kept home. Residents benefit from a clean and hygienic home. EVIDENCE: A selection of private, communal, and service areas were seen during the inspection. The home is in the process of increasing and improving existing facilities. These activities are more a matter for the service provider and the CSCI Regional Registration Team to deal with at the appropriate time. Currently there are no unmet inspection requirements or recommendations to improve Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 16 the environment at Park View, but some of the work now underway should improve the safety, comfort, and convenience of present and future residents. Residents said, “ The cleanliness here is good. The place is kept nice. Clean sheets and clean towels. I’m fussy about things like that.” “Rooms are kept tidy.” “The laundry’s very good, very well looked after. Things are washed every day.” Staff said, “ This home is clean, and it’s comfortable.” “Domestic staff work well, separately, and together. There’s plenty of cleaning equipment. Whatever is needed is got, protective, gloves, aprons, C.O.S.H.H. training. This home is clean and it smells nice.” Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29, & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The very good staffing levels, and the range of skills and different roles of staff at Park View, mean that the needs of residents can be met in very a thorough way. The very good level of qualifications in the staff group at Park View helps ensure that residents are in safe hands at all times. Residents are protected by the home’s thorough recruitment policies and practices. The training and development of staff helps ensure they are competent to care for residents. EVIDENCE: Staffing arrangements were discussed with management, with staff, and with residents. There was all round agreement that residents needs were well catered for by a strong staff team, with good skills and a pleasant caring manner, who all worked well together in the best interests of Park View’s residents. Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 18 At the time of the inspection there were 17 residents in the home, and the care staffing levels provided were 3 to 4 carers on mornings, 2 to 3 carers on afternoons and evenings, and 2 carers on nights. All shifts have a designated senior carer. There is additional support from the management team of the home and from kitchen and cleaning staff. This is above the minimum standard and makes it possible to give a better service to residents. 75 of care staff at Park View hold the NVQ level 2 qualification in care or above. This is also above the minimum standard and an improvement on last year’s standard. Recruitment and selection records were looked at for the most recently appointed member of staff and these showed that all the necessary checks on that staff member’s suitability to work with vulnerable residents had been made. Staff interviewed gave a good account of how their training and development was progressing through NVQ level 2 to 3, and how basic training in such matters as safe handling of medication, fire awareness, and moving and handling had been added to by courses on dementia awareness and healthy eating. Senior staff also mentioned advanced training suited to their role such as managing complaints. Management and staff said there were good contacts with Thornaby College and the home made successful use of distance learning booklets with groups of staff working together on topics. Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from having a competent manager, who is well qualified to run their home. Residents benefit from the home’s interest in quality assurance, which ensures that their views about the care they receive are known and acted on. The home makes sure that money kept for residents, and spent on their behalf, is properly protected by keeping clear records. Residents and staff are protected by the safe working practices at Park View. Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 20 EVIDENCE: Staff interviewed said they felt well supported by the home’s manager, in terms of formal 1 to 1 supervision sessions every 6 to 8 weeks. They also felt well supported by the manager’s practical everyday advice and assistance. Resident comments also confirmed that the home’s manager was happy to listen to people and deal with any concerns or suggestions. The use of good rapport and good relationships to deal with any conflict was seen as the home’s style of management, and an approach shared by all of the management team and by staff themselves. Since last reported, the home’s manager has completed the Registered Manager’s Award. This is an important achievement that shows the manager can demonstrate from personal practice an approach to the role that is in line with current best professional practice. The manager said the home welcomed views about the conduct of the service, whether from the local authority, CSCI, residents, relatives, visitors or staff. The manager described the variety of ways the home seeks views about the services it provides. Anonymous questionnaires are used but also face-to-face discussions to invite and encourage people to share opinions. The views received are collected and reported on by the manager. The manager said that the owner of the home was interested in and supportive of these quality assurance activities. The home has arrangements in place for maintenance of equipment and services. As part of the home’s own present plan for improvement, some existing fittings such as the emergency call system are being completely upgraded and replaced. Park View DS0000065358.V328953.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 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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 22 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. 1 Refer to Standard OP7 Good Practice Recommendations Residents do benefit from care plans that carefully account for a variety of individual needs but the home should develop its care plan section covering resident’s social interests, hobbies, contacts & relationships. The home should develop and maintain a written record, that is suitable to the home, useful, and practical to keep, showing events and activities for residents and who was involved. 2 OP12 Park View DS0000065358.V328953.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 DS0000065358.V328953.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. 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!