Inspection on 10/07/07 for Park View Residential Home

This inspection was carried out on 10th July 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Park View Residential Home 09/05/08

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Park View Residential Home 70/72 Peverell Park Road Peverell Plymouth Devon PL3 4NB Lead Inspector Jane Gurnell Unannounced Inspection 10th July 2007 08:50 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 Residential Home DS0000069554.V341541.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 Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Residential Home Address 70/72 Peverell Park Road Peverell Plymouth Devon PL3 4NB 01752 669541 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) Ashley Residential Care Ltd ****Post Vacant**** Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old Age, not following within any other category: (Code OP) The maximum number of service users who can be accommodated is 20. This is Park View’s first inspection 2. Date of last inspection Brief Description of the Service: Park View is situated on the edge of Central Park, in the residential area of Peverell in Plymouth. The home is owned by Ashley Residential Care Ltd, and managed on a day-to-day basis by the 2 directors of the company. The home is within walking distance of local shops and close to Mutley Plain shopping precinct. Bus services pass the home into Plymouth City Centre. The majority of the accommodation is in single bedrooms spread over two floors with a stair lift providing access to the upper floor. There are two lounge rooms, two dining rooms and a conservatory on the ground floor that offer sufficient and pleasant communal space. A patio area is provided at the rear of the building. Park View is registered to provide care services to older persons (OP) whose assessed care needs on admission do not fall within the categories of dementia or physical disability. The homes service is clearly defined to meet the needs of older people who have a lower level of dependence. The weekly fees at the time of the inspection ranged from £286 to £390. Items not included in the fees were hairdressing, chiropody, newspapers and magazines, clothing and toiletries. Information regarding the services provided at Park View can be obtained directly from the home. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and undertaken on Tuesday 10th July between 8:50am and 4:15pm. Both owners were present throughout the inspection. Prior to the inspection the Commission had sent surveys to each person living in the home to ascertain their views regarding the quality of the services provided: 13 were returned and provided positive feedback about the care and support they receive. An Annual Quality Assurance Assessment sent by the Commission had been completed by the owners in June 2007 and the information in this assessment had been used to contribute to the inspection process as it indicated the owners’ plans for the development of their service. There were 15 people living in the home at the time of the inspection and each person was spoken to as well as the staff on duty and 6 visitors. The records relating to the care of 4 people were examined in detail, as were the records for 3 members of staff. Documentation relating to how the owners communicate with those living in the home and the day-to-day running were also inspected. What the service does well: People said the care staff were very kind and caring and they received assistance promptly. One lady described living in the home as “wonderful” and another “I can’t find fault, it’s very nice”. Pre-admission assessments and care plans were detailed and ensured that clear information was provided to staff to enable a consistent approach to care and early recognition of changes to a person’s health or well-being. The food was described as “very good” and excellent”, with plenty of choice. Medication administration is safe and well managed. Parkview was well maintained and provided a very comfortable and attractive home. Standards of cleanliness were high. Living rooms are comfortably furnished and set out in a style that encourages conversation and socialising. Outside, the rear courtyard garden provided seating areas in sun and shade where people can sit. Park View Residential Home DS0000069554.V341541.R01.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 Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving to Park View are provided with sufficient information to help them make an informed choice about where they live. The home’s admission process ensures that people are properly assessed prior to moving in to ensure that their needs can be sufficiently met. EVIDENCE: The pre-admission assessments for 2 people recently admitted to the home were examined in detail and these were found to provide a very clear description of each person’s needs and how these were to be met at Park View. The assessments included information about the person’s personal and health care needs, their social and religious interests as well as their preferred routines. People are invited to visit the home to meet the owners, staff and other people living there. A Service User Guide and brochure detailing the services provided Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 9 at the home and an example of the contact were provided for people considering moving in. One of the people who had recently moved in said that she had been made very welcome and found the home to be “wonderful” and that she had been made very welcome by the staff and the owners. People were invited to stay in the home on a month’s trial at the end of which they can decide if they wish to stay. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 10 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 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of people living at Park View were being met and people were treated respectfully. The home’s practices relating to medication administration were safe. EVIDENCE: Each person living in the home was spoken to about their experiences: all said their care needs were being met and they felt well supported. The home was described as “wonderful” and “very nice” with one lady saying she could “find no fault”. Relatives also confirmed that they had confidence in the home and the care being provided. The care plans for 4 of the 15 people living at Park View were examined in detail. These provided clear descriptions of each person’s care needs and the action required by staff to meet those needs. Any risks associated with mobility and falls, pressure area care and nutritional intake were well documented with instructions to reduce the risk of injury or failing health. Where health care matters had been identified information about this condition was included in Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 11 the care plan to enable staff to have an understanding of the condition and the care needs associated with it. Significant events and contact with other health care professionals, such as GPs and social workers, were clearly recorded, thereby providing staff with information regarding the person’s current state of health and well-being. The District Nursing Service visits Park View to support the care staff with meeting people’s health care needs. People with terminal illnesses may remain at the home if the staff team and the District Nursing Service can continue to meet their needs and, considering the layout of the building, the home remains suitable. People were encouraged to continue with the responsibility for their own medication should they wish to do so. However the majority of people preferred to have the home take over this task. A measured dose system was used for medication administration: this system reduces the risk of medication errors as the pharmacist prepares the medication in advance in cassettes divided into days and times for each person. Administration records were neat and accurate. Records of medicines received into the home and disposed of were maintained allowing an audit trail of each person’s medicines. Staff had recently received training in safe medication practices. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 12 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Park View were able to enjoy a relaxed, homely atmosphere where they can make choices about their lifestyle. Dietary needs were well catered for with a balanced and varied selection of food available that meets peoples’ tastes and choices. EVIDENCE: The atmosphere in the home was warm and welcoming. People were seen to be relaxing either in their rooms or with others in the communal sitting areas. People said there were no set rules in the home and they were able to make their own plans and decide when they wanted to get up and go to bed. Activities were organised at least weekly and people said how much they enjoyed these. A notice on the lounge room door gave details for forthcoming activities including armchair aerobics and musical entertainment. Visitors confirmed that they were free to visit at all reasonable times of the day and had been made welcome. They said they had confidence in the new owners and felt they were kept fully informed. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 13 People described the meals as “very good” and “excellent”. A copy of the menu and observation on the day indicated that cereals, yoghurts and a cooked breakfast were offered each morning and a choice of 2 main meals and 2 desserts each lunch-time; the evening meal also consisted of a choice as well as a dessert. Supper was offered later in the evening and could be of peoples’ choosing. On the day of the inspection people were enjoying a roast pork lunch with fresh vegetables with either apple crumble and custard or fruit salad for dessert. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 14 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, 17 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints and suggestions from those living at Park View, their relatives or other visitors to the home are treated seriously. People are listened to and issues resolved promptly. EVIDENCE: People said they were able to bring any issues of concerns to the owners’ attention and were confident that these would be dealt with. The home’s complaints procedure was available to all with a copy on the notice board in the entrance hallway as well as in the Service User Guide. Many of the people had lived in the home for many years and they were specifically asked if the change of ownership had caused any concerns and if people were happy at the home. Whilst it was recognised that change is always difficult to deal with, the new owners and staff were described as very nice and kind. No concerns were brought to the Commission’s attention. Staff had received training in the protection of vulnerable people under the previous owners and were aware of their responsibilities should they suspect someone is at risk. For those staff employed since March, the new owners were aware of the need to provide additional training. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Park View is a very pleasant, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet peoples’ needs. EVIDENCE: The location and layout of the home is suitable for the needs of those currently living in the home. Previously two large houses, the home has retained much of its character and period features making it an interesting and attractive care home. The living rooms are on the ground floor and consist of two spacious lounges and a conservatory where people sit and socialise and entertain visitors. There are two well-furnished dining areas. Outside, the rear courtyard offers further space where people can sit in good weather. The area has colourful borders, plant pots and shrubs. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 16 Bedrooms are set out on two floors with a stair lift providing access to the first floor. Bedrooms seen on the day of the inspection were clean, bright and reflected the personal taste, interests and lifestyle of the individual. Some people had brought their own furniture into the home and an inventory of belongings was available within files. Doors were fitted with locks that maintained peoples’ privacy and safety of their belongings. There were sufficient toilets on both floors and one bedroom had an en-suite facility. There are sufficient bathrooms with aids to assist people in using them. Grab rails and call bells are positioned for safety and reassurance. The owners confirmed their plans to upgrade all of the bathroom facilities to provide baths and a walk-in shower room that will make bathing by people with restricted mobility easier. Temperature control valves have been fitted to regulate water temperature from bath taps and covers have been fitted to all radiators to protect people from the risk of scalds and burns. All parts of the home seen during the inspection were found to be clean, hygienic and well maintained. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People can feel assured that the staff working at Park View have the skills and are sufficient in number to meet their needs. Generally the home’s recruitment process protects people but needs to be implemented for all staff regardless if previous known to the home. EVIDENCE: Staff were described as very kind and caring with nothing being too much trouble. People said they were supported promptly indicating that staff were employed in sufficient numbers to meet the needs of those currently living in the home. On the day of the inspection, there were 2 care staff on duty as well as a cook, domestic and both owners: the duty rota indicated that 2 staff were available 24 hours a day. Catering staff work 7 days a week and the domestic staff Monday to Friday. Those staff spoken to said they felt well supported to undertake their work and found the owners approachable. All staff either had or were in training for a National Vocational Qualification, a nationally recognised qualification for which staff must demonstrate their knowledge and skills in supporting older people. The personnel files for 3 of the 14 staff members employed at the home were examined. Two of the three files contained the necessary pre-employment checks including 2 written references and a Criminal Record Bureau Disclosure. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 18 The third file however only contained verbal references. This person was known to and had worked with the deputy manager and her employment had commenced prior to the written references being received. The owners were informed that their employment procedure must be followed for all employees to protect the people living in the home, some of which were vulnerable and to ensure only suitable people were employed. New staff are provided with induction training to ensure staff are given information regarding the principles and values of care practice, peoples’ rights and their responsibilities towards providing a high standard of care. Ashley Residential Care Ltd owns another care home in Plymouth and the owners described their plans for one person within the company to have the responsibility to over see the training programme and identify individual training needs. A plan of forthcoming training included issues relating to the care needs of older people, such as continence and catheter care, dementia care, manual handling and fire safety ensuring the staffs’ knowledge and skills are kept up to date and they are able to deal with emergencies. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Park View is a well managed home. The new owners and their staff team were determined to provide a stimulating, safe environment that respects and protects peoples’ rights. EVIDENCE: The change of ownership to Ashley Residential Care Ltd occurred in March 2007. Whilst the owners, staff and those living in the home recognised that taking over a care home owned and managed previously for many years was stressful and unsettling, all agreed that matters were improving as people were getting to know each other better. One of the Company Directors confirmed that she would be registering with the Commission as the Manager. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 20 The owners had formally consulted with the people living in the home to ascertain their views about the overall quality of the services being provided as well as ensuring peoples’ needs are being met. The notes of the Residents’ Meeting held in May were available and demonstrated that people had been informed of the changes and improvements being made to the home. The owners detailed their plans to develop their quality assurance process further and in addition to consulting with those living in the home, relatives and health care professionals would be included. Also they plan that the manager of their other care home will undertake unannounced “spot checks” to ensure that the home meets the National Minimum Standards for Care Homes and that peoples’ needs are being met. The Company’s accounts and financial records were not examined at this inspection as these would have been assessed in March 2007 at the time the Commission registered Ashley Residential Care Ltd. People are encouraged to maintain responsibility for their own finances, however the home does offer safe storage for those who wish to use this. Money was being held for 9 people and individual records were well maintained: sampling of these showed them to be accurate. The owners described their plans to introduce a senior management team within Park View and a deputy manager had been appointed to assist them with the day-to-day running of the home. The deputy manager will have the responsibility for staff supervision to ensure their work performance meets the owners expectations and that their own training and development needs have been identified and addressed. Environmental risk assessments ensured that the home remained a safe place to live and work and the owners confirmed that these would be reviewed along with the policies and procedures to bring them in line with those at their other care home. Records of accidents were well recorded however the owners had not informed the Commission of these events which they are obliged to do by Regulation 37 of the Care Homes Regulations 2001; the owners must also inform the Commission of all deaths. Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 3 3 3 3 3 Park View Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 2 Standard OP29 OP31 Regulation 19(1) Schedule 2 8(1)(b) Requirement Two written references must be obtained for each person working in the care home. As the care home is owned by a company, a Manager must be registered with the Commission for Social Care Inspection. The Registered Provider must inform the Commission of all deaths and any event that effects the health, safety and well being of those living in the home. Timescale for action 31/07/07 31/10/07 3 OP38 37(1)(a) to (g), (2) 10/07/07 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 Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Residential Home DS0000069554.V341541.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!