Inspection on 14/07/08 for Park View Care Centre

This inspection was carried out on 14th July 2008.

CSCI found this care home to be providing an Adequate service.

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 Care Centre 23/07/07

Park View Care Centre 07/09/06

Park View Care Centre 23/11/05

Park View Care Centre 10/05/05

Park View Care Centre 01/03/05

Park View Care Centre 04/10/04

Park View Care Centre 07/06/04

Park View Care Centre 18/05/04

Park View Care Centre 21/04/04

Park View Care Centre 16/02/04

Park View Care Centre 26/09/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Park View Care Centre Field View Park Farm Ashford Kent TN23 3NZ Lead Inspector Robert Pettiford and Sarah Montgomery Unannounced Inspection 14th July 2008 07:30 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 Care Centre DS0000026097.V367610.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 Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Care Centre Address Field View Park Farm Ashford Kent TN23 3NZ 01233 501748 01233 501757 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) Ranc Care Homes Ltd Mrs Sarah Margaretha Erasmus Care Home 88 Category(ies) of Dementia - over 65 years of age (43), Old age, registration, with number not falling within any other category (45) of places Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The forty three (43) beds for DE (E) residents are located on the ground floor. The forty five (45) beds for nursing clients are located on the first floor of the building. From time to time the home may admit people below the age of 65 years commensurate with the resident categories of Nursing and Dementia. 23rd July 2007 Date of last inspection Brief Description of the Service: Park View Care Centre is an 88-bedded, purpose built two storied home located on the outskirts of Ashford. It is set in its own grounds, surrounded by well maintained gardens and has plenty of parking spaces. The home is registered to care for 45 residents requiring nursing care on the first floor and 43 residents with dementia care needs on the ground floor. Mrs S Erasmus has been the registered manager since November 2005. She is supported by two unit managers and the director of nursing and operations. The Inspection report is available and on display. Current fee levels are: Between £453 and £690 for residents with dementia care needs and £446 to £889 for residents with nursing needs. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The inspection took place at 7:35AM on 14th July 2008. The Inspectors agreed and explained the inspection process with the registered Manager and Operations Manager present for part of the inspection. The focus of the inspection was to assess Park View Care Centre in accordance with the Care Home Regulations 2001 and the National Minimum Standards for Older Persons. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. The Inspectors used a varied method of gathering evidence to complete this inspection, pre-inspection information such as the previous report and discussion and correspondence with the registered provider/manager was used in the planning process to support the Inspectors to explore any issues of concern and verify practice and service provision. The home has completed an annual quality assurance assessment questionnaire (AQAA), which was received on time. This provided the Inspectors with information relating to What the agency considers it does well, What we could do better, What has improved within the last 12 months and plans for improvement. The judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable the CSCI to be able to make an informed decision about outcome areas. Further information can be found on the CSCI website with regards to information on KLORA’s and AQAA’s. Documentation and records were read. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. Other area’s viewed included risk assessments, pre-admission assessments, rota’s, training records and recruitment records. In addition an environmental tour took place. The Inspectors identified several residents for case tracking. In addition the Inspectors had the opportunity to speak with several of the residents and a number of staff. Additional evidence was gained to inform judgements following the observation of many of the residents and their interactions with staff. Surveys were sent to Residents, Healthcare Professionals, Care Managers, Doctors and staff. This provided additional information to enable the Inspectors Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 6 to make sound judgements on the quality of care within Park View Medical Centre. The Inspectors had the benefit of having the assistance of an expert by experience. The Commission is committed to involving experts by experience in both service and regulatory inspections. The Commission uses the term ‘experts by experience’ to describe people who use services of have experiences of services. The report provided by the expert by experience has contributed towards helping the Inspectors making judgements about the home. What the service does well: What has improved since the last inspection? What they could do better: On standards inspected during this key announced inspection some shortfalls were noted and recommendations made with regard to: Residents would benefit from the home adding more detail to support needs in care plans. Shortfall in risk assessments were also noted. Current risk assessments do not contain sufficient detail. The home is well lit, clean and tidy. Whist it is accepted that the time of inspection was early it was felt that despite rigorous cleaning of some of the carpets the home had not been fully successful in removing said odour. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 7 From documentary evidence seen the standard of staff training was adequate overall with the majority of staff completing basic courses, however at present the home has not achieved an NVQ (National Vocational Qualification) Level 2 or above care qualification for at least 50 of care staff. This was seen as a shortfall. The manager is aware of this and is being proactive in addressing the identified training issues within the home. Full training has not been provided in abuse for all staff. The home showed that it undertakes a recruitment practice including submission of an application form detailing all previous work history, requests proof of identity and copies of qualification certificates, seeks two written references, and confirms work status. Not all staff however have a current CRB or POVA (Protection of Vulnerable Adults) check. 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 Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 8 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 Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 9 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 can be confident their needs are assessed prior to admission. EVIDENCE: People who are considering moving into the home are provided with an informative information pack. This contains a statement of purpose and residents guide. These documents inform people about what it is like to live in the home. Two people who had recently moved into the home and a relative were spoken with. They confirmed that they had received the information they required to make an informed choice about the home. They said that they had felt very welcome and had been impressed with the warm and friendly atmosphere. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 10 People who move into the home can be confident that their needs will be met. Six pre assessments were inspected. Evidence from these demonstrated that a thorough pre admission assessment is carried out to enable the unit manager to make a judgement as to whether the home will be suitable for and can meet the needs of the individual. These assessments include information gathered from care managers and health professionals. Upon admission, a further assessment is undertaken by the unit manager. Information from all the assessments informs care planning and risk assessment. Initial assessments do not include all of the information on the wishes and aspirations of residents. Nor do they state who the information where given is being given by (prospective resident/relative/health professional). Residents would benefit where possible if the home recorded who they gathered information from, and what the prospective resident’s wishes and aspirations were. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 11 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 adequate This judgement has been made using available evidence including a visit to this service. Residents benefit from being competently assessed and supported with regard to their health and personal care needs, but cannot be confident all their needs are recorded on care plans and risk assessments. EVIDENCE: People who live in the home confirmed that arrangements are made for them to see the chiropodist, doctors and other health care professionals when they need to. Those who need help to manage their medication are supported by trained staff and are protected by the homes’ policies and procedures for the safe storage and administration of medication. All the residents spoken to confirm that their privacy is respected and that staff knock on doors before entering, many residents prefer not to lock their doors and are happy with this arrangement. Observation of interaction between staff Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 12 and residents throughout the visit confirmed that privacy and dignity is respected in the home. Confidential information is handled discreetly and sensitively. Care plans from both units were inspected. All care plans inspected contained evidence of individual’s needs, with further evidence of regular review and updating of care plans. Residents would benefit from the home adding detailed support needs to some care plans. For example, on care plan identified poor skin integrity, with the action being ‘staff to check skin daily and report any change’. When questioned, the unit manager stated that cream is applied to this individual as a proactive measure, yet this is not stated on the care plan. All support needs must be recorded to ensure residents receive appropriate support, and staff are clear what support is required. Shortfall in risk assessments were noted. Current risk assessments do not contain sufficient detail. For example, the ‘action required’ section in risk assessments all state ‘see care plan’. The home must develop risk management strategies, and these must be detailed on all individual risk assessments. It was recommended that wherever possible, care plans and risk assessments are signed by the resident. It was also recommended that the home give consideration to language used on the care plan. Currently the assessed need is described as ‘problem’. This is a negative use of language and a more appropriate title would be ‘need’ or ‘assessed need’. Residents said to one of the Inspectors how happy they are in the home. All those spoken by one inspector said they were satisfied with the care they receive and praised staff for the way in which they carry out their duties. When asked about how they felt about the care in the home phrases were used such as: ‘Nothing is too much trouble.’ ‘Its home from home here.’ ‘We are all treated as individuals.’ ‘ You couldn’t ask for better care.’ ‘The staff are so kind and helpful.’ ‘I can’t fault it’ and ‘the girls always come when I need them’. The expert by experience however commented that from observations at time of inspection that staff treated residents with respect when supporting them, but staff were very busy, helping and supporting them. The expert did not see any evidence of communication between them other than at mealtimes or as they passed a resident in the corridor. The expert by experience observed for 15 minutes the upstairs lounge where a relative was sitting with their loved one. It was the relative who talked to residents, went to make them a drink and checked they were all right, At no time were any staff present in the room. Evidence from the feedback received within surveys, observations made by the Inspectors and AQAA would suggest overall residents were supported with their needs. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 13 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. Resident’s benefit from being supported to make choices and a wide range of activities. Residents can feel confident overall that they are offered a well balanced and varied diet and supported to eat their food where necessary. EVIDENCE: People who live in the home are supported to live their lives as they choose. Routines are flexible. Restrictions are kept to a minimum within a risk management framework. There is a variety of activities on offer such as art and craft, sketching, hand massage, knitting, reminiscence and exercise, which they may choose to take part in if they wish. There are three activity coordinators employed in the home. On the day of inspection however only one activity coordinator was on duty. She was enthusiastic about her role, and described the different activities (including coach outings) residents had access Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 14 to. Individual records are kept of all activities undertaken or refused by residents. It was recommended that this be recorded on daily notes. The expert by experience looked at the activities taking place around the Care Centre in the afternoon. She was told by a member of the Administration staff that the co-ordinator was not available. She asked to see and was shown the weekly organised activity sheet, which was extremely varied with activities ranging from craft making, icing cakes, sketching, knitting, card making, entertainment with accordion and piano, songs and reminiscing, as well as bingo. A part time activity organiser, who should have finished her shift at 2pm, was, at 3pm was still playing bingo with 9 other residents and 3 members of staff. The home also benefits from a sensory room, providing relaxation and stimulation. The expert by experience was given to understand that a summer fete would take place in two weeks time where residents and their relatives were all invited. At a later date a barbeque for all residents would be held in the grounds. When the expert by experience asked if residents were asked what activities they would like to do she was told that care assistants look at the care plan on admittance for this information but rarely are residents asked themselves by staff members. The activity programme was varied and should, if adhered to, cope with the majority of the resident’s tastes but as the Activity Co-ordinator who planned the items was not there this is difficult to assess. Outings do however, have to take into account the needs of those residents who are less mobile and look at a variety of different venues which could accommodate them at various times. If the activity coordinators are off, then care staff do try to engage residents in activities despite time constraints. A relative commented that the home is always welcoming to visitors and that staff and management are helpful. The home takes particular care to ensure that food is nutritious and takes account of specialist dietary needs. The range of food available for those residents has been increased. The dining rooms are well laid out with tables attractively set, although many people choose to take their meals in their rooms. Currently the home only records what meals have been eaten by residents in the nursing section. The home was reminded of Schedule 4 paragraph 13, which states that all food for every individual resident must be recorded to ensure that the home and other professionals can determine that individuals are receiving an adequate diet, and their nutritional needs are being met. The expert by experience spent some time in both areas of the Centre observing meal times. She was told that a weekly menu was published. The expert by experience did see the menus and observed residents being told the choices for the following day and asking them what they would like. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 15 There were two choices for a main meal and one for dessert although The expert by experience was told that fruit was also on offer should it be required. She did ask if anyone was vegetarian but was told there weren’t any, although a care assistant said one person did not like meat and therefore had vegetables and pasta. The meals served were substantial and well presented. One dining room on the top floor was set out with cutlery but no one used it whilst the expert by experience was there, residents in the main taking their food in their room, where those who needed it were supported to eat and three others eating in the larger dining room so that they enjoyed company. There was a wide variety of juices to go with the meal. Observation of the ground floor dining area was similar to that addressed above, with more staff giving support to those who needed it. More people ate in their rooms and I spoke to two relatives who came in to assist, as this is what they wanted to do and was nothing to do with dissatisfaction of the service provided. Residents have the opportunity to attend a weekly church service held in the home. All residents have their spiritual needs recorded on their care plans. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 16 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 adequate This judgement has been made using available evidence including a visit to this service. The home has an effective complaints system in place and resident’s where capacity allows and families are aware of its contents. Resident’s are however not fully protected by adult protection policies and procedures EVIDENCE: The home had a written complaints procedure, which was seen. Feedback received and comments made within resident’s surveys confirmed they were aware of the contents and felt free to voice their concerns where capacity allows. The home has received several complaints since the last inspection. On information received from the manager complaints received have been dealt with in a positive way to achieve the best outcomes for the complainant. The complaints procedure however was in need of updating to include the address of the local social services department and that a complaint can be raised with the Commission and social Service’s at any point. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 17 The Inspectors viewed and discussed copies of the Home’s Policy for the Protection of Resident’s, “Whistle blowing” procedures for staff and safeguarding adult policy. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. Full training however has not been provided in abuse for all staff. The manager is aware of the shortfall in this area and more courses are planned to ensure all staff receive the training required to protect residents from abuse. It was further recommended that the home make the abuse policy more visible for staff and have information more readily available at the staffing stations within each unit. Criminal Record Bureau Checks (CRB) has been obtained for the majority of staff. The Registered Manager is aware of her obligations with regard to ensuring the safety of Resident’s and protecting them from abuse and is aware of a shortfall in this area in that all staff do not currently have a CRB. CRB’s will be obtained for all staff as per the regulations. The manager has made such undertaking. It is also recommended by the Inspectors that CRB’s be renewed every three years to further protect residents. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 18 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): 19,20,26, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s benefit from living in a home that provides for an overall homely environment which provides safe access to comfortable indoor and outdoor communal areas. The standards of internal and external decoration were found to be of a good quality. However carpets within several areas of the home were in need of consideration of replacement / further cleaning. EVIDENCE: The Care Centre is 7 years old and stands on a well-proportioned plot with good sized and very well maintained gardens, with ample seating in different areas. Part of the garden is sensory with scented plants, mainly roses whilst another, which is for the use of Dementia sufferers, has a mixed herb garden. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 19 Several doors were open onto all the gardens. Residents and staff stated that they were used frequently and informed the expert by experience. The expert by experience observed and was invited into several rooms by residents who were pleased to show their plants or photographs but some rooms were sparsely furnished, when the expert by experience questioned staff about this she was told residents break things and so it is not always possible for them to have many personal objects around. The management and staff encourage residents to see the home as their own home. It provides a very well maintained, safe, comfortable, attractive home, which has all the specialist equipment and adaptations needed to meet individual resident’s needs. As well as a good selection of general aids such as hoists and variable height beds, the home also ensures that equipment is individualised for each resident and all staff members are trained in the safe use of aids and equipment. All residents are assessed for their need to have equipment or aids before they move into the home and these are provided to them on admission. The rooms are very well planned. The fixtures and fittings are of a good quality, well maintained and adapted to meet the wishes of the present resident. There is a selection of communal areas, according to the numbers of residents, this means that residents have a choice of place to sit quietly, meet with family and friends or be actively engaged with other residents. The bathrooms include a selection of different ways to bath, for example assisted and unassisted showers and baths and there are a number of toilets strategically placed around the home. The home is well lit, clean and tidy. However parts of the home did at time of inspection have an odour problem. The expert by experience and the other Inspector was also of this opinion. Whist it is accepted that the time of inspection was early it was felt that despite rigorous cleaning of some of the carpets the home had not been fully successful in removing said odour. This had been highlighted in the previous report and the home was requested to consider as an option the replacement of some of the carpets to address this issue. The management has a proactive infection control policy. Staff wear protective clothing (gloves & aprons) when providing personal care or handling soiled linen. The manager stated that comprehensive infection control guidelines are followed The laundry room is situated downstairs and is an appropriate environment. The washing machine has a sluice facility and can provide a hot wash at 95C. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 20 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 adequate This judgement has been made using available evidence including a visit to this service. Resident’s can feel generally confident that their care, social and emotional needs are fully promoted by the employment of care staff in sufficient numbers to meet their needs at all times and trained on the whole to the required standards. Residents are not fully protected by the recruitment procedures within the home. EVIDENCE: The ratios of care staff to residents are determined according to the assessed needs of residents. Following discussions with the manager, a review of the rota and observations made during the inspection. The Inspectors were of the opinion that sufficient care staff were on duty to support residents to meet their personal needs and take all reasonable steps to ensure their health and safety. However it was noted that activities were limited due to staff absence. Evidence at time of the inspection however confirmed that their immediate needs were being meet and that the residents spoken with were happy and content. Feedback from surveys confirmed that residents are generally well supported with their needs. The manager stated that staffing is constantly kept under review. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 21 The home employs a higher than average number of ancillary staff in the view of the Inspectors who work as cleaners, laundry, cooks, gardener/ maintenance staff. Thus allowing care staff the time to meet the needs of resident’s. The staff training records indicated undertaken training. Individual and group staff training needs had been identified. From documentary evidence seen the standard of staff training was adequate overall with the majority of staff completing basic courses but however at present the home has not achieved an NVQ (National Vocational Qualification) Level 2 or above care qualification for at least 50 of care staff. This was seen as a shortfall. The manager is aware of this and is being proactive in addressing the identified training issues within the home. The manager confirmed that the home has a development programme for all new staff, which meets Sector Skill’s council’s workforce training targets and ensures staff fulfill the aims of the home and meet the changing needs of resident’s. The home showed that it undertakes a recruitment practice including submission of an application form detailing all previous work history, requests proof of identity and copies of qualification certificates, seeks two written references, and confirms work status. The home’s recruitment files were seen not to include all the information as required under schedule 2 of the Care Home Regulations 2001 on information given. All qualified Nurses working within the home on evidence seen are currently registered with the Nursing and Midwifery Council. Not all staff however has a current CRB or POVA (Protection of Vulnerable Adults) check. The manager has given an undertaking to the Commission that this will be addressed as a priority. The home was also requested to review its staff files to ensure compliance with the Care Home Regulations 2001. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 22 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): 33,38 Quality in this outcome group is Adequate Residents on the whole do benefit from living in a well run and managed home. Residents and or their relatives can be confident that their views and opinions effect how the home is run but cannot be fully assured that residents best interest are wholly safeguarded by appropriate policies and procedures. EVIDENCE: Quality assurance was discussed and the views and opinions of many of the resident are sought where capacity allows. They confirmed a great deal of satisfaction in living within the home and felt confident that the staff and management valued their views and opinions. The manager confirmed that the Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 23 home does undertake quality assurance by means of asking resident’s to complete questionnaires. The views of other stakeholders are also sought. The registered provider of the home does visit the home but does complete what is known as a Regulation 26 visit (Statutory documented visits by the provider to monitor standards within the home). This requires the provider to assess the quality of care within the home and ensure that it is meeting with the required National Minimum Standards. Such visits need to focus on outcomes for resident’s with regard to quality of care, staffing, adult protection, audits of policies and procedures and that they are followed, staff training, Activities, Health and Safety etc. along with speaking to staff and resident’s. The manager was requested that such shortfalls identified within the inspection are picked up within such visits and actioned. The home has developed a health and safety policy that meets health and safety requirements and legislation. The Inspectors viewed records relating to Health and Safety Procedures, maintenance and servicing, and risk assessments. The Inspectors viewed the Fire Log book. The Inspectors was able to evidence that checks and servicing of fire safety equipment / emergency lighting had been undertaken at the required frequency. Fire risk assessments were in place along with gas safety checks. This section has been judged as adequate due to shortfalls noted within training and protection. However it is indicated that once these shortfalls have been addressed this section will be considered to have a good outcome. The manager has expressed a proactive attitude and has undertaken to action the identified issues as a priority. Standards 31 and 35 were not inspected on this occasion. Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 24 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 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X X X X 3 Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 25 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 OP7 Regulation 15(1) Requirement Plans of care shall contain sufficient detail to fully identify need and actions required to meet such need. Risk assessments will be of sufficient quality to ensure measures are taken to minimise risk. The registered person shall make arrangements, by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. The home shall take all necessary steps to address any odors within the home. The registered person shall, having regard to the size of the care home. (a) ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and welfare of service users. Timescale for action 14/10/08 2 OP8 12(1)(a) 14/10/08 3 OP18 OP29 13(6) 14/08/08 4 5 OP26 OP28 OP30 16(2)(k) 18(1) 14/11/08 14/01/09 Park View Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 26 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 Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Care Centre DS0000026097.V367610.R01.S.doc Version 5.2 Page 28 - 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. 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