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Inspection on 08/08/06 for Park View Nursing Home

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

This inspection was carried out on 8th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

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

What the care home does well

Park View Care Home provides its residents with a welcoming, homely and well-maintained environment. The home has recently undergone extensive refurbishment and redecorating. Residents have been consulted in the redecoration process, one resident spoken with stated she has chosen the colour for her bedroom. The shower, bathroom and bedrooms viewed were very clean and well decorated. Residents benefit from a comfortable, appropriately furnished environment, which provides specialist equipment such as hoists and bathing equipment. The manager and staff encourage residents to be as independent as possible, whilst some residents require significant assistance with all aspects of daily living. Staff were observed carrying out tasks efficiently and were committed to their work. During the inspection staff were observed to positively interact with residents and spoke with them respectfully. The quality of care and support for residents was considered to be high. Staff training was thorough and relevant. Residents were very pleased with the care received. Residents presented as relaxed and happy and there was lots of conversation and laughing between residents and the staff. Residents were well groomed. Activities for residents are well organised suiting individual needs. The home has a mini bus, which they use when taking residents on outings. Staff are committed to promoting the quality of the life of residents, with activities within the home and the community. Care plans are very detailed. The homes filing system is well organised, ensuring documentation is easily accessible.

What has improved since the last inspection?

Park View have continued to maintain standards. Medication administration recording has improved following the last inspection. Records were viewed for two residents and the medication administration records for these residents contained no gaps.

CARE HOME ADULTS 18-65 Park View Care Home 13 Gedling Grove Nottingham NG7 4DU Lead Inspector Rehana Rashid Key Unannounced Inspection 8th August 2006 10:50 Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Care Home Address 13 Gedling Grove Nottingham NG7 4DU 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) 0115 979 0776 0115 979 0779 Crystal Nursing Services Ltd Mrs Mary Catherine Upton Care Home 18 Category(ies) of Learning disability (18), Physical disability (7) registration, with number of places Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 1 x LD(E) for a named service user - as identified in the registration report. Within the total number of beds, a maximum of 18 may be used for the category LD Within the total number of beds, a maximum of 7 may be used for the combined category of LD/PD Date of last inspection 14th December 2005 Brief Description of the Service: Park View is a home that offers nursing care for up to eighteen service users with a learning disability and some challenging behaviours. The home is situated close to the city centre, providing good links to leisure facilities, local parks, shops and public transport. The home currently provides single ensuite bedrooms across two separate units. Each unit has a seperate lounge, dinning room and quiet room. In addition the ground floor unit has a snoezelen room, which is a multi-sensory room. There is also an assisted bathroom and a walk in shower on the ground floor. There is a lawned garden to the rear of the property and car parking to the front of the home. Following the last inspection the home has gone through extensive refurbishment. The home is staffed with trained nurses and care staff, who receive regular training. The registered manager stated that the current weekly fee range start from £745. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by one inspector and took place over five hours on 8th August 2006. This was the homes first inspection for this inspection year. The main method of inspection was case tracking, which involved randomly selecting two residents and examining care records for these individuals. The method of case tracking is used to establish if the needs of the residents are being catered for. As part of the inspection methodology indirect and direct observation of interaction between staff and residents was also carried out. The inspector was given a partial tour of the premises, which included viewing a shower room and bathroom, dining areas, kitchen, lounge, eight bedrooms and the garden area. The registered manager showed the inspector around the home. Some health and safety documentation were also viewed which included gas-servicing certificate. During the course of the inspection some residents were out to day care and others were at home. Residents spoken with stated they enjoyed living at the home and the staff were kind to them. They also stated staff knocked on their doors prior to entering. Residents were observed in the dining area at lunch, staff interacted well with residents. The staff members on duty spoke with residents in a respectful and sensitive manner. The Registered Manager assisted in the inspection process together with the staff on duty. The manager and staff members were helpful and pleasant to the inspector throughout the inspection. Two staff files were examined and two staff members were spoken with. They stated they are provided with adequate training. Staff spoken with had a good understanding of the needs of the residents. The focus of the inspection was to concentrate on the key standards, which were assessed under the new methodology of Inspecting for Better Lives (IBL). Requirements and recommendations made at the previous inspection were also explored with the registered manager. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Following this inspection there are some areas for improvement. During the partial tour of the building a radiator in the ground floor shower room was not fitted with a radiator cover. The registered manager should ensure a risk assessment is carried out and if necessary a radiator cover to be fitted. One of the first floor bedrooms was not fitted with a window restrictor. Please contact the provider for advice of actions taken in response to this Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Prospective residents individual aspirations and needs are assessed prior to moving to the home. Prospective residents have an opportunity to visit the home and to “test drive” the home. EVIDENCE: The manager stated assessments are undertaken prior to the commencement of the placements ensuring the home are able to meet the perspective residents needs. Perspective residents are encouraged to visit the home prior to the commencement of a placement. A guide with symbols is given to assist perspective residents understand what the home can offer. During the inspection the registered manager stated a prospective resident was visiting Park View today for tea. She also stated prospective residents are encouraged to have overnight stays to ensure the Park View Care Home is the right environment for them. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Individual care plans reflect resident’s needs and how needs will be met. Staff encourage residents to make own decisions about their lives with assistance as needed and to take acceptable risks as part of promoting independence. EVIDENCE: Two residents support plans were viewed during this inspection, which were both randomly selected. Files viewed were well organised containing significant information regarding the individual needs of the residents. Care plans were comprehensive and clear about the level of assistance each resident requires. Residents spoken with on this inspection knew about their care plans. One staff member spoken with stated that care plans are discussed with the residents. The staff member commented that staff work towards enhancing residents independence. Records seen evidenced that care plans and risks assessments are reviewed regularly. Risks assessments are completed in area’s regarding individual risk. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 11 The risk assessments are detailed as to what action staff would need to take to minimise the identified risk. Some residents have behaviour difficulties, which may cause harm to them, worry other residents or hurt other people and one resident case tracked is at risk of absconding. Due to this 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. Residents spoken with commented that they are able to do as much as they can, for example washing and bathing, getting dressed, going to the shops, getting to college and going on trips. Other residents need a lot of assistance with looking after themselves and this was written in the care plan. The home operates a key worker system, one resident spoken with stated their key worker is understanding and listens to her. On the day of the inspection one resident was observed going out to the local shops. Whilst another resident needed staff support to go out due to vulnerability. Throughout the inspection staff were observed with residents assisting them to participate in day-to-day living. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good, this judgement has been made using available evidence including a visit to this service. The Residents are given opportunities for personal development and are able to participate in appropriate activities. Residents at Park View Care Home are encouraged to maintain appropriate relationships with family and friends. The home is committed to respecting resident’s rights. Residents are provided with a healthy and varied diet. EVIDENCE: On the day of the inspection some residents were out to day care whilst other residents were at the home. Two of the residents files viewed contained details of social activities they undertook. Residents spoken with stated that the home arranges many outings. Park View Care Home has their own minibus, which is used to take residents out. One resident stated he enjoyed going to the pub with staff. The activities folder was seen which gave lots of examples of where residents had been such as a White Post Farm, Rufford Park, and a shopping trip in Derby. Residents spoken with stated during the weekend they visited Wonderland Pleasure Park. The activities folder showed photographs of Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 13 some residents enjoying a member of staff’s wedding and there were photographs or holidays in Portugal and Canary Islands. One resident spoke positively about having a bus pass, which means he has independence to travel to college. Another resident spoken with stated she keeps contact with her family and they are able to visit when they like. One of the files case tracked contained letters from the resident’s family and friends which evidence Park View staff encourage residents to maintain social contacts. There are quiet lounges in the home, which the registered manager stated residents could use when they have visitors. Resident spoken with indicated that meals are varied and wholesome and choices are available. The residents commented ‘meals are good’. Park View has a four-week rotating menu, which the inspector examined, and it indicated a wholesome diet is provided. The Registered Manager stated the menu is planned in consultation with the residents. The residents spoken with confirmed they are involved in the planning of meals stating they are able to decide what they wish to eat. Lunch was briefly observed in the first floor dining room, which was a social event with residents and staff interacting positively. The dining room had been recently be refurbished to a good standard. Staff knew about the likes and dislikes of the residents and there was a list in the kitchen. The food storage was very clean and there was a selection of foods including fresh vegetables and fruit. The home purchases good quality food items. Foods with a short shelf life have labels on stating when the item was opened. Records are maintained of meals taken within the home. The last visit from the Environmental Health Officer in 2005 was positive as indicated in the feedback sheet left at the home. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. Personal support is provided in the way that is preferred and required. Resident’s health and emotional care needs are met at the home. The arrangements for the administration, storage and recording of medicines in the home are appropriate, ensuring residents safety. EVIDENCE: Two resident’s files viewed at this inspection contained details of their health care needs, which were clearly documented. Daily communications sheets and care plans confirmed residents receive input from health care professionals when necessary including the GP and attendance to outpatient’s clinics. Care plans contained details of other professionals involved in resident’s well being including Social workers, Consultants and community nurse. Staff spoken with were aware of individual health care needs and preferences. Park View work closely with health care professionals to improve resident’s health and well being. One of the resident case tracked has had a recent assessment by the dietician and the file contains details of the feeding regime. There has also been input from the Speech and Language Therapist. A resident said that staff arrange for them to go to the doctors when they don’t feel well. Staff were clear about these plans and assessment of residents Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 15 vulnerability was identified. Residents spoke positively about the quality of care provided by the staff. During the inspection whilst the manager was showing the inspector around the home one of the residents activated the nurse call system; staff promptly went to the nurse call system board to identify the room. They proceeded immediately to the room to ensure the resident was safe and establish if the resident required assistance. Staff responded to the nurse call alarm efficiently. The process for the administration and storage of medicines in the home was partially inspected and has improved following the last inspection. Medication was observed to be stored securely in a lockable trolley in the office. The trolley was well organised and clean. The home uses a monitored dosage system for the majority of the medicines. Photographs of residents were attached within the medication administration folder. The home had good policies and procedures in place with regard to the administration of medication. Trained nurses are responsible for administering medication. The MAR sheets were found to be well organised in the file and there was no gaps in the entries for the two residents case tracked. The medication fridge was clean and records were viewed which confirmed fridge temperatures are being taken daily. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good this judgement has been made using available evidence including a visit to this service. There is an appropriate complaints procedure in place ensuring that the views of residents and their representatives are listed to and acted one. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The registered manager stated the complaints procedure is available in symbol form; the inspector did not see this on the day of the inspection. 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 manager stated no complaints had been received by the home for sometime. The complaints folder was viewed which kept records of complaints together with outcomes. Clear procedures where in place, in relation to adult protection. Staff members spoken with demonstrated that they had an understanding of the whistle blowing procedure and were aware of the seriousness of the issues around abuse. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30 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 homely, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: Park View Care Home offers its residents a clean and well-maintained environment. There is a garden located at the rear of the property. The home has had extensive refurbishment throughout and rooms decorated to a good standard. Inspection of bathrooms, bedrooms and communal areas such as the living room and kitchen were found to be suitable for residents. The bathroom and shower room viewed were in a good state of condition and decorated of a high standard. The ground floor bathroom has a Malibu bath in place. This is a specialist bath with a hydraulic lift from which a person can be lowered or raised from the bath; this allows the care staff to have easier access when assisting a resident to bathe. Some of the bedrooms viewed were well personalised with residents being able to choose their own decoration. One resident spoken with commented that she decided on the colour in her room. Some of the rooms were well personalised with TV’s, ornaments, stereo’s and photographs. Bedrooms viewed all had ensuite facilities and sufficient storage including lockable Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 18 storage. Some are the bedrooms viewed were bare, the registered manager stated the key workers were working with the residents to make the rooms personalised. Communal rooms were comfortable, homely and spacious. The residents were able to choose the type of decoration for the lounges. The registered manager advised as the refurbishment has recently been completed, final touches are being made to make Park View more homely. Residents spoken with stated they liked the home. The atmosphere around the home was friendly and relaxing. Following the refurbishment the registered manager informed the inspector the layout of the home had been changed into two units. On the day of the inspection the home was free from mal-odour. The overall standard of cleanliness in home was good. Carpets and furniture viewed during the partial tour of the premises were free from stains. The laundry area was organised with appropriate machines with sluicing facilities. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Residents are supported by competent and qualified staff. The homes recruitment policy and procedure need to be more robust ensuring residents are protected. Staff are given training opportunities. EVIDENCE: The staff rota was viewed, which was found to be an accurate record of who was on duty on the day of the inspection. The staff rota includes trained nurses, community support workers, cleaner, cook and handyperson. Two staff files were viewed at the time of the inspection. Two staff files were viewed and provided evidence of adequate recruitment and selection process, including application forms, interview notes and satisfactory criminal records bureau checks. One staff file contained all items as listed in schedule 2 and schedule 4 of the Care Homes Regulation 2001, which included two references. However the second staff file contained one reference and there was evidence confirming that the registered manager had requested two references. On the day of the inspection only one reference was on the file, this was discussed with the manager who stated she is confident that both references would have been received. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 20 Training is available for staff to ensure they develop in their roles and meet the needs of the residents. Staff spoken with confirmed that they have received training, which includes adult protection, food hygiene. Staff’s training records were viewed which confirmed training had taken place in Protection of Vulnerable Adults, Infection Control and manual handling. A staff member commented that the training provided is good. Also that the manager is supportive of staff and encourages staff to complete training. Staff were friendly and welcoming to the inspector and had positive relationships with the residents, demonstrating a caring attitude. Staff spoken with demonstrated a good understanding of the needs of the residents. One staff member stated some of the staff had been working at the home for a number of years and have a very good understanding of individual resident needs, which is very helpful when new staff start. Staff members spoken with stated the staff team at Park View is relevant to their jobs. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is adequate this judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well run home. There are systems in place for monitoring and reviewing the quality of care underpin the views of residents. Health, safety and welfare of residents needs is not fully promoted and protected. EVIDENCE: The registered manager was present throughout the inspection and demonstrated good management knowledge. Staff spoken with stated the manager is very supportive and approachable. The manager is registered with the Commission for Social Care inspection. She is a trained nurse and is currently in the process of completing National Vocational Qualifications Level 4. Staff and residents commented positively about the leadership style of the manager. This was reflected in the very well organised office and files inspected. Files were kept in good order and easily accessible for inspection. Residents at Park View participate in residents meeting, where issues are raised and suggestions are made. Minutes from the last residents meetings Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 22 were seen topics covered were places to visit and items required in individual rooms following redecorating. The registered manager stated that the quality assurance system adopted by Park View takes place annually. Questionnaires are distributed to residents and their representatives. A selection of questionnaires were seen from the last quality assurance audit, which took place July 2005, overall the feedback was positive. Two responses stated they wanted to be informed about social activities to take place, the registered manager stated that the plan was to design a newsletter. However this has not yet been produced as the registered manager stated the home has been undergoing significant refurbishment, which has only recently been completed. The registered manager has a new computer program in place, which she showed the inspector it is called the “widget” this will enable her to incorporate pictures and symbols in the newsletter making it easier for residents to understand. The inspector viewed a range of records relating to health and safety. Health and safety documentations were well organized. In the reception area the certificate of registration was displayed. Fire system testing including smoke alarms, fire exits and fire alarms takes place at intervals as advised by the fire officer. Certificate was viewed by the inspector confirming that gas servicing was undertaken recently. Water outlet temperatures are taken weekly; records were viewed which confirmed this. During the partial tour of the premises, the ground floor shower room did not have a radiator cover. This was discussed with the registered manager at the time of the inspection. One of the first floor bedrooms was not fitted with a window restrictor, which could be a potential hazard. The inspector viewed PAT-testing records, which confirmed this, took place March 2005. The registered manager stated that the handyperson has recently undertaken a course, which qualifies him to carry out PAT testing. She confirmed PAT testing would take place as soon as possible. Records were seen which showed that there are some gaps in food and refrigerators/freezers temperature recordings, the manager was made aware of this at the inspection. The health and safety checks must take place at regular intervals to ensure the safety of residents and staff. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 24 N0 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 YA42 Regulation 13(4) Requirement Timescale for action 08/09/06 2. YA42 13 (4) 3. YA34 7,9,17,19 The registered person should ensure safety of residents. Radiator cover to be fitted or Risk assessment required for ground floor shower room, as the radiator is not fitted with a cover. The registered person to ensure 08/09/06 the health and safety of residents through the provision and maintenance of window restrictors based on assessment of vulnerability of and risk to residents. Recruitment procedures to be 08/09/06 more robust, the registered person to ensure all staff files to contain all items as listed in schedule 2 and Schedule 4 of the care homes regulation 2001. Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA42 Good Practice Recommendations Safety procedures should be made available in formats that are easily understood and take account of residents special communications needs. The registered person should ensure that food and refrigerator temperatures recordings are taken regularly. YA42 Park View Care Home DS0000031965.V306477.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office 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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