Inspection on 28/06/05 for Park View Nursing Home

This inspection was carried out on 28th June 2005.

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 Nursing Home 15/09/08

Park View Nursing Home 09/10/07

Park View Nursing Home 08/08/06

Park View Nursing Home 14/12/05

Park View Nursing Home 25/01/05

Park View Nursing Home 19/08/04

Park View Nursing Home 24/02/04

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Park View 13 Gedling Grove Nottingham NG7 4DU Lead Inspector Elaine Cray Unannounced 28 June 2005 15:00 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 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 Stationary 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 C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Park View Address 13 Gedling Grove Nottingham NG7 4DU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0208 864 0695 Crystal Nursing Services Limited Mrs Mary Catherine Upton Care Home - Private 17 Category(ies) of LD - Learning Disability - 17 registration, with number PD - Physical Disability - 17 of places Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25th January 2005 Brief Description of the Service: Park View is a home that offers nursing care for up to seventeen service users with a learning disability and some challenging behaviours. The home is situated close to the city centre, providing good links to leisure facilites, local parks, shops and public transport. The home currently provides both single and double bedrooms, a large lounge and separate dining room. There is a lawned garden to the rear of the property and car parking to the front of the home. The owner of the home has planning permission to start work to extend and upgrade the property. The home is staffed with trained nurses and care staff, who receive regular training. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 29th June 2005 over a period of 3 hours. The manager was present throughout the visit . Four residents spoken with and all were happy living at the home. This inspection took place during the afternoon, which was a busy time for the home, as service users were returning from college and work placements. One member of staff was briefly spoken with, whilst other staff were observed talking to and helping the residents. Two staff files, two care plans and a variety of records were inspected and a tour of the building was made. What the service does well: Park View offers a homely maintained environment. The manager and staff encourage residents to be as independent as possible and to be part of the day to day running of the home. There is a warm rapport between staff and residents. Residents presented as relaxed and happy and there was lots of conversation and laughing between residents and the staff. Residents liked living at the home, they said they were happy, the staff were helpful and there were lots of activities and trips out in the home’s new mini-bus. Care plans are comprehensive and form a good basis for an assessment of need and to provide the day to day support to enable residents to maintain their independence and be provided with appropriate care and support. Health care needs are well met and the staff at the home liaise well with health care and medical agencies. Staffing in the home was well organised, with numerous experienced and long term members of staff, who are well supported by the manager and provided with a good selection of training. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 6 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. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 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 standard(s) None of these standards were inspected None of these standards were inspected. EVIDENCE: Not Applicable. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8 and 9 Individual needs and choices of service users were reflected in care plans and as part of the day to day routines and experiences of the service users and the overall running of the home. EVIDENCE: Care plans were comprehensive and clear about what help each service user needed. Service users spoken with on this inspection knew about their care plans and, where able, had signed the plan. Service users said that their key worker had talked about the care plan and knew where their care plan was stored. Services users said that they are able to do as much as they can, for example washing and bathing, getting dressed, going to the shop, getting to college and going on trips. Other service users need a lot of help with looking after themselves and this was written in the care plan and included how the person liked help to be given. Some service users go out on their own and some need staff support. Some residents have behaviour difficulties which may cause harm to themselves, Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 10 worry other residents or hurt other people and staff have written risk assessments and put these in the care plan. The risk assessments say what support and help staff need to give in order to keep people safe and help the person to still do as much for themselves as possible. Two service users knew about some of the things they need help with and why staff had to be with them sometimes or why they had to do things in certain ways so that they could be safe. Service users said that staff talk to them a lot and residents’ meetings are held regularly where they can talk about any problems in the home, choose food for the menus and decide on trips out and holidays. The inspector observed staff asking service users what they would like and service users were very good at expressing their own views, which were listened to by the staff. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 11 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 standard(s) 11, 12, 14 and 17 Service users are involved in a variety of activities, work and education placements which help them develop different skills and provide a good social lifestyle. EVIDENCE: Residents gave lots of examples of when they had been out in the home’s mini-bus to visit local attractions such as a White Post Farm, Rufford Park and a shopping trip in Derby. Some residents had enjoyed attending a member of staff’s wedding and there were photographs or holidays in Portugal and Spain. Residents were looking forward to holidays in Tenerife and Ingoldmels during the summer break. Residents were enthusiastic about their achievements in college, at work and at clubs during the evenings. Residents also enjoyed collecting music and videos, going shopping, visiting friends and family and playing snooker. There was a warm and social feel to the home with residents discussing their day and plans for the evening with staff and other residents. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 12 Some residents help with tasks around the home and one resident showed the inspector around the home and had the confidence to answer the telephone on this visit. All the residents spoken with said they liked the food and get to talk about what they would like on the menu at the residents’ meetings. Staff knew about the likes and dislikes of the residents and there was a list in the kitchen. The menu was varied and there was plenty of food and fresh produce in the home. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 13 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 standard(s) 18 and 19 The health care and medical needs of residents were well promoted, assessed, identified and well met. Service users are able to choose how they would like help with their personal care. EVIDENCE: Two care plans were viewed on this inspection. Medical histories, health assessments and how and who were involved in meeting these needs were comprehensively recorded in each plan. Residents said that staff are kind when they are ill and help them to visit the doctor and dentist. Each care plan has a section stating how much and what sort of help is needed when a resident needs help with personal care, including the sort of toiletries preferred, the choice between a bath or a shower and best ways to make sure residents are as private and as independent as possible. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22 Residents were confident that any concerns expressed to the manager and staff would be addressed. EVIDENCE: The complaints procedure is also available in symbol form. All residents spoken with on this inspection were happy with the home and how they could always talk with staff. They felt listened to and confident that the manager and staff would try to sort things out. The inspector met with some residents who were able to say what they felt, whilst other residents may experience difficulties in verbally expressing their concerns. However, the manager presented a clear commitment to encouraging all residents to express their views and an awareness of how changes in behaviour may indicate that some people are not happy. There was a clear theme of empowerment running through the home. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24, 25, 26, 27 and 30 Residents bedrooms were well maintained and personalised and whilst parts of the accommodation is in need of refurbishment, the home presents as homely and suitable to the needs of the residents. EVIDENCE: Several service users bedrooms were viewed and all were clean, well furnished and well personalised with TV’s, music equipment, books, videos, pictures and ornaments. Residents were keen to show their rooms and were very pleased with the accommodation. One bathroom had been refurbished and the other toilets and bathrooms were suitable to meet the needs of the residents. There are clear plans to attend to redecoration and some furnishings within the imminent extension of the home, where there will be a change of use of several of the areas in the home. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 and 36 The staffing arrangements in the home are well managed and staff working there are able to meet the needs of the residents. EVIDENCE: On the day of this inspection, the home was adequately staffed by trained nurses and care staff. There is a qualified nurse vacancy, but these hours are being covered by the manager. The manager and many of the staff have worked at the home for an extensive period of time and provide a good level of experience. Regular training, including NVQ, is provided and a formal staff supervision system is available. All the residents spoken with on this visit gave positive comments about the staff and there was a warm rapport between the staff and residents. Residents spoken with felt safe and well looked after, with staff encouraging them to be independent and providing support when needed and requested. Discussion with the manager and observation of staff demonstrated that staff were knowledgeable about the needs of the residents, and the inspector Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 17 observed appropriate care practices throughout the inspection. Care plans were well documented and staff were observed to be carrying out tasks according to information given in the care plan. Two staff files were viewed and provided evidence of a thorough recruitment and selection process, including application forms, interview notes, reference and criminal background checks, identification checks and induction checklist. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38 and 42 The management of the home was well organised, with clear lines of accountability, roles and responsibilities. Records were well maintained, accurate and up to date. EVIDENCE: The care manager was present throughout the visit and had a thorough knowledge of the management and administration systems and the running of the home. She is currently in the process of completing her NVQ 4 qualification in Care Management. The manager and staff were observed to maintain positive relationships. Staff are provided with a formal staff supervision system and staff meetings are recorded on a monthly basis. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 19 Record keeping in the home was detailed, accurate and up to date. Policies and procedures had been updated, care plans were very comprehensive and practical for the day to day care for each resident and other required records were available in the home. Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 x x 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park View Score 3 x x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 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. 1. Standard NA Regulation NA NONE Requirement Timescale for action NA 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 NA Good Practice Recommendations NONE Park View C53 C03 S31965 Park View V235414 280605 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. 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