Inspection on 18/09/07 for Park View Residential Home

This inspection was carried out on 18th September 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

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton 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 95 Regent Road Morecambe Lancashire LA3 1AF Lead Inspector Mrs Joy Howson-Booth Unannounced Inspection 18th September 2007 10:00 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 DS0000069399.V344826.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 DS0000069399.V344826.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Residential Home Address 95 Regent Road Morecambe Lancashire LA3 1AF 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) 01524 415893 Mrs Janet Pinington Mrs Janet Pinington Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to service users of the following gender:Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 11 Date of last inspection Brief Description of the Service: Park View is a detached property set in its own grounds in the West End of Morecambe. The home is situated opposte a local park and bowling green. Facilities and amenities are within easy reach. There is a main bus route nearby and is a short walk to the promenade. The home has a fairly big front garden wich is very well maintained. The back garden has recently been altered to provide a pleasant seating area with calming features such as the water fountain and tropical effect plants. The grounds are kept tidy, safe, attractive and are accessible to service users. Internally, there are no shared rooms and all the rooms are very well maintained and furnished to a good standard. Residents have brought in treasured items to make their rooms more homely. The home has four communal areas – a dining room, two lounges and a separate conservatory. All are well maintained and comfortably furnished. The current range of fees are £374.00 per week. Further details over fees can be obtained from the registered owner/manager of the home. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first site visit since the new registered owner/manager took over the home in March 2007. The visit was unannounced so the registered owner/manager, staff and people who use the service were not aware of the visit. The site visit was carried out by the inspector for the service and forms part of the overall inspection for the home which makes sure people are being cared for properly and to make sure the home is a safe place for people to live in. As well as the site visit, judgements have been made about the service based on information supplied by the registered owner/manager of the home. Comment cards were made available to people who use the service, their relatives and GP surgeries. A good response was received from people who use the service, all satisfied with the care provided. 2 responses were received from relatives who also were very satisfied with the service provided. Unfortunately, no responses were received from any healthcare professionals. The site visit took place over one day and included taking time to sit and speak with people who use the service, speaking with staff, speaking with a visiting relative to the home. As well as this, a selection of documents were examined. The home’s registered owner/manager made herself available during the inspection to answer questions and provide additional information. The inspector looked around parts of the home, including communal rooms, a small number of personal rooms, bathrooms and toilets to see first hand if the home was a comfortable, clean and safe for people to live in. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. The site visit was positive with everyone welcoming, friendly and co-operative during the visit. Park View Residential Home DS0000069399.V344826.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: Advice was given that medications need to be better recorded and a special book for recording controlled drugs needs to be obtained. The home are not always recording when healthcare visits and treatment are given to individual residents. It is important that the staff do this so that they can show that they are meeting the healthcare needs of the residents. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 7 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 DS0000069399.V344826.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with good information to enable them to make a decision over the home. The home has good arrangements to assess people who may like to live at the home which means that only people whose needs can be met will be accommodated. EVIDENCE: Confirmation was given by the registered owner/manager that the home has a Statement of Purpose and Service User Guide which contains all the required information. All the residents who completed survey forms confirmed that they received enough information about the home to decide if it was the right place for them to live in. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 10 The home provides a welcome pack for any new resident which includes the Service User Guide and the complaints procedure. The registered owner/manager also confirmed that they ensure new residents are provided with flowers in their room and are given time to settle into the home. Residents confirmed that they have been provided with contracts by the home. Advice was given that the home should refer to the guidance provided by the Office of Fair Trading to ensure their Terms and Conditions provide the required information. This information can be found on the website of the Office of Fair Trading. Information supplied by the registered owner/manager states – “any service user who wants to move into the home will be pre-assessed prior to admission. All their needs will be assessed thoroughly and admission will only proceed once we are satisfied that we can meet these needs.” Assessments for three residents were examined and found to contain the required information, including information over their religious preferences, preferred name and any specific routines or issues that staff need to be aware of. A member of staff spoken with confirmed that information regarding a new resident would be passed on from the registered owner/manager, including any specific cultural, religious, disability needs which would be found out at the point of assessment. The home does not provide an intermediate care facility. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A good quality of care is provided to the people which means their health and personal care needs are generally met and people are treated with dignity and respect. Medication systems are generally good but some systems need improving to ensure people are safeguard. EVIDENCE: Information provided by the home states : “Each service user has an individual plan of care wich clearly identifies their needs. Care plans are reviewed monthly and altered when needed.” Residents spoken with and those who completed survey forms were all very positive about the care provided and all confirmed that they receive the care Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 12 ad support they need. Individual comments included – “The staff are very kind to me and I feel safe” and “I am looked after very well”. Relatives who completed comment cards also confirmed that the service meets the needs of their relative. One relative commented “pleased with all the care in the home”. Relatives also confirmed that they are kept informed of important matters affecting the care of their relatives. Three care plans were examined and found to be well organised in a plastic wallet, sectioned off into different areas. Care plans outline different routines (on waking, during the day, on retiring), medication, personal hygiene, generally health, and community activities. All care plans available for staff to access easily. As well as general information in each of the sections, other more specific information on individual residents is also included which means that staff are aware of different preferences, routines, etc. Care plans are also reviewed on a monthly basis, although changes to care plan seem to be carried out by altering the existing information and replacing with the new instructions. The registered owner/manager was advised that this is not good practice and care plans should evidence both the previous care needs and also when changes have occurred what different care needs are to be. Registered owner/manager advised that use of correction fluid is also not good practice as care notes are legal documents. Risk assessment matrix forms were completed for each resident but were not always reviewed as part of care plan review. Advice was given to review these as part of the monthly care plan review. Care reports were also seen but currently these are not completed on a daily basis and did not include the full date when the entry was being made. Advice was given that these should be done on a daily basis and reflect a more holistic approach to the care, perhaps giving information over social, activities, day to day events of the resident concerned. The member of care staff spoken with was able to evidence that she has a good knowledge of the care needs of the residents, has access to the care plans for each person and is provided with up to date information through shift handovers. In addition, the registered owner/manager is available for any further clarification. In relation to healthcare needs, information provided by the home states – “Service users health care needs are fully met by well trained staff.” Residents who completed survey forms felt that their healthcare needs are met. One resident commented “the staff are very vigilant and get me a doctor when I need one”. Residents spoken with all felt their healthcare needs were met. One resident said “I only have to ask and they call the GP in to see me”. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 13 Two visiting relatives were also satisfied with the medical care provided to their family member. Care plan records examined noted healthcare input from GP’s and District Nurses but other healthcare professional input was not always recorded. For example, that chiropody is to be provided 6 weekly for all 3 residents case tracked but there was no record of this taking place. Information provided by the registered owner/manager states : “Policies and procedures in relation to the admininstration of medication are detailed and staff administerting medication have all received the relevant training. Medication is stored in a locked cupboard and the senior on duty has the key. Mar sheetes are completed properly. Temazepam tablets are recored in a drugs book and signed by two people. Most tablets are in blister packs which the pharmacy delivers on a four weekly routine. Although the home has a policy allowing for self medication, all our residents prefer the staff to administer drugs to them.” Residents spoken with confirmed they get their medication promptly and regularly by staff at the home. Examination of the records and stocks held noted the following : Stocks of medications are generally in blister packs and are stored in a secure cupboard which is clean and tidy. There were no bulk stocks of medications held. Medication Administration Records were accurately maintained. On reading daily diary notes, it was clear that some homely medications are not being recorded when they are given out. Advice was given that all medications must be recorded to avoid error and misadministration. Currently the home does not have a controlled drugs book, although medication records evidence the proper procedures are being followed. There are no records of medications received into and returned from the home. As a result, it is not possible to conduct an audit trail of medications, especially controlled drugs. The registered owner/manager was advised to address this by obtaining a controlled drugs book, to ensure medications are checked and recorded on receipt and also signed for when collected by the chemist and to ensure an audit takes place on a regular basis for all medications held by the home. Information provided by the registered owner/manager states : “all service users spoken to assured me that all the staff treat them with respect and Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 14 dignity. We have three lounges where they can receive visitors, or they can spend some time in their bedrooms whenever they so wish.” Residents who completed survey forms stated that the staff listen and act on what they say – one resident commented “they look after me well”. The member of staff spoken with was able to talk about the importance of the home being the residents “own home” and ensures privacy and dignity is provided during her day-to-day care tasks. Observations during the site visit was that the residents were kindly treated with respect and dignity. The presence of the registered owner/manager on a full-time basis means that should there be any concerns or issues these can be seen and dealt with on a first hand basis. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 15 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): Standards 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. Social contact and meals are good which means the people are provided with a good quality of lifestyle. Individual activities should continue to be developed to ensure people receive social stimulation. EVIDENCE: Information provided by the home states : “All residents are happy in the home and assured me that all their needs are met.” Residents varied in their feelings about the activities provided, although residents confirmed they are able to follow their own routines and interests. Relatives indicated that the home “always” supports people to live they live they choose and the home supports people to keep in contact. Discussions with the registered owner/manager confirmed that since taking over the home her energies have been directed towards other areas. Activities offered to date include - craft activities, baking, musical entertainer, violin player, in-house games, visiting the local bowling green across the road (in the Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 16 warmer weather), walks to shops with carers, and town shopping with residents. A visiting priest visits the home to provide communion to residents. Relatives visiting the home also play a large part and are a vital resource for outings, shopping trips, etc. However, the area of activities is something that needs to continue to be developed, based on individual interests and wishes. The registered owner/manager was advised that as the daily records tend to be care based they do not reflect any activities enjoyed by the residents. For example, one resident has been involved in the creation of a sitting area/patio in the garden and has contributed by providing input about plants, location of seats, and enjoying a cold lager when finished!!! From discussion with the resident concerned this was clearly a positive activity which was really enjoyed but nothing is recorded in any activity record to evidence this. The home also enables one of the residents to keep in contact with their relative overseas by sending and receiving emails. Relatives and friends are able to visit on a daily basis and this was confirmed through discussion with residents, comment cards from relatives and talking with two visitors to the home. Residents are able to manage their own money, with support provided by relatives, etc. if needed. Rooms are furnished with personal possessions. Records are kept in accordance with the Data Protection Act 1998. Information provided by the home states : “all residents are happy with the meals and enjoys the fact that they have a choice of menus. Because we are a small home it is very easy to cater for individual tastes and preferences. They are provided with healthy fresh home cooked meals. Special diets are also catered for”. During the inspection, the home cooked food smelt delicious. The meal included mashed potatoes, two types of vegetables and what appeared to be good quality sausages with onion gravy. The homemade banana surprise was well made and plentiful. Residents spoken with said they enjoyed the food. One resident confirmed that the staff always say what is available to eat and if something different is preferred this is provided. For example, the resident told me “yesterday I just fancied a boiled egg on toast. The girls made this for me and after I had a home made scone (which had been made and brought in by my relative) – the girls had put some butter and jam on it – I really enjoyed this”. One resident commented that the meals have improved since the new owner took over – when asked for clarification she said “they are much more tempting, better presented and make you feel like eating”. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 17 Currently the meals provided are recorded but do not evidence the different meals provided for individual residents. Advice was given that the home should record what is provided for each resident so that it can evidence not only that a nutritional menu is given but also note down that meal preferences are met. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 18 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): Standard 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Concerns can be voiced and staff are trained in safeguarding adults which means that people are protected. EVIDENCE: Information provided by the home states : “the home has a complaints procedure which specifies how complaints may be made and who will deal with them, with an assurance that they will be responded to within a maximum of 28 days.” It has been confirmed that residents know who to speak with if they are not happy with their care and know that there is a complaints procedure in place in the home. One resident commented “the manager is generally available”. Relatives also confirmed that they how to make a complaint about the care provided, if needed and the service has responded appropriately if concerns have been raised. The commission has not received any complaints, concerns or allegations in respect of this service since it was registered in March 2007. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 19 The home has confirmed in its information that : “robust procedures are in place for responding to suspicion or evidence of abuse or neglect and the agreed procedures would be followed should a safeguarding adults issue be raised. To date, there has not been any incidents which have necessitated action being taken under the safeguarding adults procedure. One resident commented “the staff are very kind to me and I feel safe”. Discussions with the member of staff on duty confirmed that they have received training in safeguarding adults and know the procedure to follow should they have any concerns. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 20 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): Standard 19 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People live in a well-maintained and safe environment which provides a very pleasant and homely place for them to live in. EVIDENCE: The home is very well maintained, homely and provides a comfortable and relaxed environment for the residents to live in. Routine maintenance is carried out as needed. Since taking over the home, some rooms have been refurbished and the registered owner/manager has involved residents in the refurbishment of their own rooms. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 21 Although not all areas of the home were viewed, communal areas and some rooms were seen. The layout of the home is homely with two lounges, a dining room and a separate conservatory. All are furnished with comfortable furniture and fittings are homely and to a good standard. The registered owner/manager has also created an outside seating area for residents to use. Residents comment cards indicated that the home is “always” fresh and clean. One resident commented – “The owners are very particular about making the surroundings pleasant”. Rseidents spoken with again confirmed that the home is clean and homely. Comments from relatives also confirmed they are happy with the environment – one relative stated the home “provides a homely atmosphere and everything is always clean – rooms, clothes, etc.” Whilst not all rooms were seen, communal rooms and some private residents rooms were viewed. All were exceptionally clean and tidy, with personal treasured items to make individual rooms homely and familiar. The home has a range of equipment to meet the needs of the current residents. The only concern raised with the registered owner/manager involves the front door which is locked with a key. The registered owner/manager was advised to seek advice from the fire safety department regarding this and to look at an alternative way of ensuring the security of the home and that the door can be unlocked quickly if needed. There were no unpleasant odours in the home. The laundry facilities remain as passed at the point of registration. Information provided by the home confirms that there is an infection control policy in place in the home and 6 members of staff have completed infection control training. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 22 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): Standards 27, 28, 29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The calibre of staff is good. People who use the service are safeguarded as their care is provided by a staff team who are vetted, qualified and competent. EVIDENCE: Information provided by the home states : “Staffing numbers are appropriate to the assessed needs of service users, the size, layout and purpose of the home. A recorded staff rota showing which staff are on duty at any time during the day and night and in what capacity is kept. The ratios of care staff to service users are determined according to the assessed needs of residents, with additional staff on duty at peak times of activity during the day All the residents who completed comment cards indicated that the staff listen and act on what they say and that staff are “always” available when needed. One resident commented “I have made friends with the staff”. One relative comment card stated : “ Since new owners took over 3 key staff have left. As this is only a small home this feels like a lot of change to me. I always felt confident of the previous staffs long experience. I guess time will Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 23 tell with the new staff.” However, residents spoken to during the site visit were happy with the care provided by the staff team. One resident spoken with said that before the new registered owner/manager came to the home said “I use to feel like I was a nuisance to staff”. However, she continued that the staff changes made by the new registered owner/manager have improved the care provided and now “nothing is too much trouble”. Another resident stated that the staff are “lovely”. The home currently has 90 of staff trained to National Vocational Qualification Level 2 and they are aiming to reach the 100 mark within 3 months. The member of staff spoken with confirmed that she has undertaken NVQ Level II. This means that staff are competent to provide good care to the residents. The registered owner/manager manager confirms that the home operates a thorough recruitment procedure based on equal opportunities and ensures the protection of service users. One relative comment card stated : “I presume procedrues to check on skills and experience of new appointees are in place.” – this has been confirmed during the site visit. Records of new staff appointed since registration in March 2007 were examined and found to contain all the required information. Additional systems have been put in place by the registered owner/manager, for example, interview assessments and exit interviews. All staff have current CRB disclosure checks in place. Induction for staff includes working supernurmary on shifts alongside experienced staff (who also provide feedback to the registered owner/manager), shadowing and working on all shifts. Whilst induction records are in place for staff, the registered owner/manager was advised that something more formal needs to be recorded for induction as this is the home’s record that it has been provided and competency has been assessed. The home has also compiled a Staff Handbook which is to be issued to all staff and a copy of the GSCC code of conduct is provided to all staff. A member of staff spoken with confirmed that they have received a copy of the GSCC Code of Conduct. The home has a staff training and development programme in place which aims to ensures all staff training meet the targets to fulfill the aims of the home and meet the changing needs of service users. All staff receive a minimum of three paid days training per year (including in house training), and have an individual training and development assessment and profile. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 24 Currently training files are being set up for staff but those seen evidenced that staff are undertaking training within their day to day work. The registered owner/manager confirmed that training provided to date includes – safe handling of medications, dementia course, moving and handling, risk assessment (with the assistant manager undertaking a formal risk assessment training course), continence care. The home have the services of an external training co-ordinator who is working with the registered owner/manager over future training needs. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 25 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): Standards 31, 33, 35 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents live in a home that is well managed and provides a safe and comfortable environment for them to live in. EVIDENCE: The registered owner/manager is qualified and competent to manage this care home. It was confirmed that she has completed the National Vocational Qualification Level 4 in Management in 2004 and has had several years of experience in senior management in a large nursing home before taking over Park View. I will continue to develop my skills by takining periodic training to update my knowledge, skills and competence, whilst managing the home. The Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 26 registered owner/manager also works on a full-time basis within the home and is in day-to-day control of the home. Residents spoken with confirmed that the registered owner/manager is on hand on a daily basis and they are happy with the management of the home. Observations during the site visit evidenced that residents appear relaxed and calm within the home and enjoyed lively and good natured banter between themselves, the registered owner/managers and the staff on duty. Staff spoken with confirmed that the home is “well managed”. The home has a formal external quality assurance system in place which means regular monitoring and review of the services provided takes place. This involves both residents, relatives and external professionals. Policies, procedures and practices are regularly reviewed in light of changing legislation and of good practice advice from the Department of Health, local health authorities, and specialist/professional organisations. Whilst there are currently no residents meetings or staff meetings, the registered owner/manager feels that as she is on duty on a daily basis, there is the opportunity to provide and be given first hand feedback through one-toone discussion and staff handovers. Residents are spoken with on a daily basis. The registered owner/manager confirmed that when she took over the home she met with all the staff at a general staff meeting to inform them of the new managers and to outline their vision for the service and future plans. A member of staff spoken with confirmed this meeting was helpful at a time of change and uncertainty. Financial records are appropriately kept, although the home are looking to introduce a new system so that residents can be billed on a monthly basis for expenditure (hairdressing, newspapers, etc.) to avoid the home holding personal monies. However, where the resident is able to maintain their own money this is continued – a resident spoken with confirmed that she holds and manages her own personal allowance money, although her relatives manage the larger financial management. Information provided by the registered owner/manager confirms that she maintains the health and safety of both the service users, staff and generally within the home by adhering to legislation, training and good practice advice and by ensuring risk assessments are carried out. Maintenance and servicing of equipment and facilities is carried out as required. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 27 During the site visit, the registered owner/manager confirmed that the home has a fire risk assessment in place. Staff spoken with confirmed that fire drills are held regularly. Weekly fire alarm testing also takes place and emergency lighting checks. The accident book was examined and found to be appropriately kept, although some entries lacked detail. The registered owner/manager was advised to monitor accident forms as these can highlight training, risk or care issues. The registered owner/manager was also advised to obtain a accident book that complies with the Data Protection Act 1998. General comments received about the home include – I am very happy here”; “They look after me welll”, “I am looked after very well”; “I have no complaints”; “I am quite happy” and “I am quite satisifed with all the care I receive”. Relatives commented – “don’t think they can do anything more to improve”. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 28 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 29 Are there any outstanding requirements from the last inspection? Not applicable 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 OP9 Regulation 13(2) Requirement The home must ensure medications are recorded on receipt and disposal. A controlled drugs record book must be put in place for any controlled drugs held by the home. Homely medications must be recorded when administered A record must be maintained of all healthcare input provided to residents by any healthcare professional. Timescale for action 18/09/07 2. OP8 13(1)(b) 18/09/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP2 Good Practice Recommendations The registered owner/manager should refer to the guidance provided by the Office of Fair Trading to ensure the homes Terms and Conditions/Contract provide full information DS0000069399.V344826.R01.S.doc Version 5.2 Page 30 Park View Residential Home 2. OP7 3. 4. 5. 6. 7. OP38 OP12 OP12 OP15 OP38 8. OP38 The use of correction fluid should cease. Care plans that are updated should be done so clearly and, if needed, on a separate care plan sheet so that the home can evidence previous and current care provided. Individual risks of residents should be reviewed when the care plan is reviewed (i.e. on a monthly basis or earlier if needs change) Daily records should be kept for residents and should be holistic to reflect not only healthcare issues but their day to day activities, social input, etc. Activities should continue to be developed in the home, based on individual interests, hobbies, wishes and preferences The meals records should be maintained on a daily basis and should reflect where different meals are provided to residents The registered owner/manager should consult with the fire safety officer over the current practice of locking the front door and not having the key kept nearby. This means that the key may not be easily located should a fire occur and also means that residents are not free to come and go from the home. The registered owner/manager should obtain an accident book that conforms to the requirements of the Data Protection Act 1998. The accident book should be monitored so that any training, care or risk issues can be highlighted and addressed. Park View Residential Home DS0000069399.V344826.R01.S.doc Version 5.2 Page 31 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 DS0000069399.V344826.R01.S.doc Version 5.2 Page 32 - 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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