Inspection on 09/10/07 for Park View Nursing Home

This inspection was carried out on 9th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park View Nursing Home 15/09/08

Park View Nursing Home 08/08/06

Park View Nursing Home 14/12/05

Park View Nursing Home 28/06/05

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

122 Scorer Street

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 Nursing Home 13 Gedling Grove Nottingham NG7 4DU Lead Inspector Rehana Rashid Key Unannounced Inspection 9 October 2007 11:15 Park View Nursing Home DS0000031965.V351258.R02.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 Nursing Home DS0000031965.V351258.R02.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 Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Nursing 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 parkview@crystal-nf.co.uk 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 Nursing Home DS0000031965.V351258.R02.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 8th August 2006 Date of last inspection 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 separate 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 . The home is staffed with trained nurses and care staff, who receive regular training. Information about the home is provided in the statement of purpose and service user guide. The registered manager stated that the current weekly fee range start from £760. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. This inspection was unannounced and took place on 9 October 2007 over approximately five and half hours by one Inspector. On the day of the inspection there were fifteen residents in residence. The main method of inspection was “case tracking,” which involved selecting two service users and looking at the quality of care they receive by review of their records, discussion with residents where possible, discussions with the care staff and observation of care practices. Two service users were also spoken with as part of the inspection process. Prior to the inspection the Annual Quality Assurance Assessment (AQAA) was sent out to Park View Care Home, which asked questions around the service including staffing levels and number of service users. The AQQA, which was returned to the Commission for Social by the registered manager, was used within this inspection report The Registered Manager assisted in the inspection process. Two members of staff were spoken with and two staff files were examined. A sample of health and safety records maintained by the service were also looked at. What the service does well: Park View Care Home is well maintained offering residents a comfortable and homely environment. Residents are supported and enabled to join in activities of their own preference. Staff support residents to maintain contact with family and friends Staff were observed to interact with service users in a caring and friendly manner and assist them as needed. The registered manager and support staff spoken with were able to discuss residents needs clearly and how that are assisted in meeting these. Comments from residents spoken with included, “staff are kind and caring,” “the food is nice” and “I like living here.” Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents needs are assessed prior to moving in and have an opportunity to visit the home before moving in. EVIDENCE: The Statement of Purpose and Service user guide were available in the home on the day of the inspection and a copy of the Inspection report was available on request. Some updating to the Service User Guide is needed. Two resident’s care files were checked as part of this inspection. Both files contained preadmissions assessments conducted by the registered manager. These assessments were detailed containing sufficient information ensuring staff are able to meet the residents assessed needs. The files also contained specialist assessments from social services and physiotherapist. Residents and or their representatives are able to visit the home and spend time there getting to know what the service has to offer and the staff employed before moving in. This was evidenced on the most recent residents care file that has moved to the home. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. 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. Resident’s needs are reflected in individual care plans. Residents are enabled to make decisions about their lives and assistance is given where needed to manage risks. EVIDENCE: Two residents were case tracked at this inspection, both care files had support plans in place which cover social, recreational, health and personal care needs. Care plans were reviewed at least on an annual basis. A case tracked resident has a support plan in place for assistance at meal times, however it did not reflect the type of assistance or supervision required. For both case tracked residents there are risk assessments that accompany relevant support plans. Some risk assessments are concerned with health and safety, whilst other risk assessments enable residents to participate in their chosen activities and to enhance their quality of life for example going out in the community with support. One of the resident care plan evaluation stated that over a period of time there have been incidents of verbal aggression and one of physical. This information has not been transferred to current support plans or risk assessment, although an ongoing risk assessment for this was in place. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 10 Daily records and review notes indicate that relatives / representatives are consulted on residents’ support. Staff were observed offering residents choices about what they wished to do. For instance one resident was going to the local pub, whilst another went to the local shops with a member of staff. Positive interactions were also observed between staff and residents. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 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. 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. There is a commitment from the staff team in promoting residents’ rights and enabling residents to experience a fulfilling quality lifestyle. Residents are offered a varied and healthy diet. EVIDENCE: At this inspection some residents were either out at voluntary work or attending day care. Routines at the home are flexible, residents were observed carrying out individual tasks. Staff respect the rights of residents. Staff spoken with gave good examples on how they ensure residents’ privacy is maintained, for example always closing the door when assisting with personal care. Residents spoken with stated that staff knock on their bedroom door before entering. Interaction between staff and residents was positive, staff involved residents in discussions speaking to them in a caring manner. Residents are supported by staff to use local facilities including going to the local pub, holidays and shopping and going into the city centre. There were photographic displays, Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 12 which evidenced that residents are involved in social activities. Park View Care Home has a minibus for residents use. Residents spoken with confirmed that they took part in the different social activities arranged by the home, which they enjoyed. Residents are able to go home and visit relatives and have visitors to the home. One resident at this inspection was returning to the home after having stayed with their family at the weekend, this was also reflected in the residents support plan. The menu is planned in consultation with residents who also may assist with the shopping. Food storage and preparation areas were clean and organised. fridge and food temperatures were monitored and recorded. Residents commented that the food is nice. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ healthcare needs are met and they receive personal support in the way they prefer and require. Medicine management promotes the safety of residents. EVIDENCE: For the two residents that were case tracked the support plans included information regarding their health and personal care needs. The care plans also include how to promote independence and the right to make choices for example with clothing and developing self-image. The residents’ files seen demonstrate that specialist healthcare professionals such as Psychiatrist, Speech and Language Therapist and the GP are accessed when necessary. All healthcare appointments are recorded on the care file, which shows that residents have access to chiropody, dentist and to the GP. Medication management was assessed briefly. The storage of medication was organised and was stored securely. Most medicines are pre-dispensed in monitored dosage systems (MDS). Instructions for the administration of medication were clear and all medicines audited in MDS have been given as prescribed. There were no gaps on the medication administration records (MAR). Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 14 Policies and procedures are in place, which includes the procedure to follow in the event of a drug error. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The homes complaints and safeguarding procedures do not fully protect residents from abuse. EVIDENCE: The complaints procedure is satisfactory, which was available in a suitable format for residents. The registered manager stated in the Annual Quality Assurance Assessment (AQAA) that in the last twelve month the home had received one complaint. Whilst looking at the complaints log, there was a complaint recorded which contained safeguarding issues. The registered manager did not notify the Commission for Social Care Inspection of this issue. The registered person must ensure that any significant incidents, which have a negative effect on the health or welfare of any individual resident, or all residents. They must notify the Commission for Social Care Inspection by means of a Regulation 37 notification without delay. Two staff members spoken with were not clear about the procedure of reporting an allegation or suspicion of abuse. One staff member stated that they had not received safeguarding adults training. All staff should receive training or refresher training in safeguarding adults. Financial records for two residents were viewed, they were found to be accurate. Resident’s monies are held individually and records are kept of all transactions made. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 16 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. 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 and comfortable environment, which is clean. EVIDENCE: Park View provides its residents with a homely and comfortable environment, which is well maintained. Two residents bedrooms were viewed, there are pleasantly decorated and personalised with residents’ pictures and items. The laundry facilities are appropriate for the needs of the current residents they include a washer and industrial dryer. It was observed by the Inspector that the laundry room door had been left open and unattended During a partial tour of the premises the communal areas of the premises viewed were clean and tidy. During the inspection a cleaner was on duty who was observed cleaning around the home. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Park View Care Homes recruitment practices protect residents. Resident’s needs are met by trained and competent staff. EVIDENCE: The staff rota viewed for the inspection week demonstrated that there are adequate staff on duty. Staff members spoken with stated that the staffing levels were adequate. Two staff files were randomly selected, which evidenced that satisfactory criminal records bureau (CRB) checks had been obtained. Other pre employment checks including two references and proof of identification were also included on the staff files. Training records show that a range of courses relevant to the needs of residents and to enable staff to do their jobs are accessed. Courses include protection of vulnerable adults, moving and handling and continence management. The two staff members spoken commented that the training has been useful. Supervision records on one staff file showed that the staff member had not received formal supervision since 2005 Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This is a well managed home, that benefits from formal quality assurance and quality monitoring systems. The health safety and wellbeing of the residents is generally protected. EVIDENCE: The registered manager was present throughout the inspection and demonstrated good management knowledge. Files were kept in good order and easily accessible for inspection. Staff spoken with stated that the home was well run and that the management team are very supportive and approachable. Staff also said they felt supported by the manager. A quality assurance monitoring system is in place to obtain the views and opinions of the residents, relatives and external providers about the service. A sample of the surveys were viewed comments from relatives included “I feel Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 19 that the staff are helpful”, “newsletter brilliant idea,” and “the staff seem interested in caring got the residents.” As part of the quality assurance a newsletter has been produced and residents meetings take place. The registered manager stated that the provider makes monthly visits to the home and reports were seen confirming this. A sample of records relating to health and safety were examined. Portable appliances testing (PAT) and gas servicing certificates were viewed which confirmed these are carried out annually. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 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 2 23 2 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 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA23 Regulation 37 Requirement The registered person must ensure that any significant incidents, which have a negative effect on the health or welfare of any individual resident, or all residents, they must notify the Commission for Social Care Inspection by means of a Regulation 37 notification without delay. The registered person must ensure all staff receive training in safeguarding adults. Also for all staff to receive annual updates to ensure that they are aware of updates and best practice. This will ensure service users are safeguarded from all abuse. Timescale for action 30/11/07 2. YA23 13(6) 30/01/08 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 Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 22 1. YA1 2. YA36 The registered person should update the Service user Guide to meet with the requirements of Regulation 5 and The Commission for Social Care Inspection details containing the current fees. The registered person should ensure staff have regular supervision meetings. Park View Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Nursing Home DS0000031965.V351258.R02.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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