Inspection on 19/09/06 for Park View Residential Home

This inspection was carried out on 19th September 2006.

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

The inspector 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 17/09/08

Park View Residential Home 24/09/07

Similar services:

Claremont House

Oak Ridge

Coopers Mill Ltd

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Paradise Lodge

Bilney Hall

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 118 Gammons Lane Watford Hertfordshire WD25 0HY Lead Inspector Louise Bushell Key Unannounced Inspection 19th September 2006 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 DS0000065952.V315311.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 DS0000065952.V315311.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Residential Home Address 118 Gammons Lane Watford Hertfordshire WD25 0HY 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) 01923 242431 01923 240131 Mr Frank Silva Mrs Z Silva Sheryl Amanda Evans Care Home 5 Category(ies) of Learning disability over 65 years of age (5), registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (5) Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. OP-5, LD(e)-5, MD(e)-5 All service users resident at the home must be fully ambulant and mobile. Not applicable as first inspection Date of last inspection Brief Description of the Service: The service will provide a range of care services to five older persons age range from 65 to 75 years old. The house is domestic in style and has been completed renovated to present as a care home meeting all needs of the service users and under specific regulations. The five bedrooms are large and are all fitted with sinks and vanity units, a phone point and a minimum of two double electrical socket points. The furniture currently provided in the rooms is neutral and of a good quality. The service users will be able to change the furniture if they wish and or bring their own into the home as desired. Each room has an Arial point. There are four bedrooms on the first floor and one bedroom on the ground floor. The home has a domestic kitchen and a lounge dinning room on the ground floor. There is additional seating for service users in an upstairs reading room. A laundry room is situated downstairs and comprises of suitable and adequate machinery to meet the needs of the proposed service users. The bathrooms are domestic in style; one is fitted with a bath and the other with a walk in shower. All flooring in the bathrooms is non-slip with a toilet and hand washing facilities in each. There is a large rear garden area and a patio area. A large garden shed houses all gardening equipment, which is maintained by a contractor. The lounge doors open up onto the rear garden patio area and a suitable pathway is laid to access the garden with ease. The fees for the home range from £1250 - £1750 per week. Park View Residential Home DS0000065952.V315311.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 inspection of the home following registration in April 2006. The inspection took place mid morning and was conducted with the manager of the home. Currently the home does not have any service users and minor works are occurring on the home to meet a newly referred service users preferences and choices regarding bathing facilities. The inspection process focused on all key standards and assessments of generic paper work occurred to ensure compliance with the National Minimum Standards. At this inspection the inspector was unable to assess the homes ability to fully implement the systems that are set up, however this will be competed at the next inspection. The reader must note that findings from this report are made on what evidence was provided on the day. What the service does well: What has improved since the last inspection? Not applicable as this is the first key inspection. Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park View Residential Home DS0000065952.V315311.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 DS0000065952.V315311.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. Written contracts for service users must be drawn up, detailing individual rights and responsibilities, prior to any admissions. The assessment paper work in place is adequate, once fully complete, to ensure that the needs of the service users are meet, assessed and fully reviewed. EVIDENCE: The outcome discussions occurred with the registered manager of the home regarding the need for an individual service user contract to be established. There is a policy in place for the new admission of service users, and whilst this does recognise the need for a contract to be established with the funding authority, it does not stipulate the completion and exchange of individual contracts with the manager and the service user. The manager had at the Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 9 inspection made progress with this document and initial ideas were adequate to meet the standard. The assessment paper work shown to the inspector on the day was adequate to meet the assessment needs of potential service users. The assessment process follows the national framework of assessment of older persona and is based on ensuring that all emotional, physical, social and psychological needs are assessed and fully meet. A trial period is offered to potential service users and at this stage a Service User Guide and Statement of Purpose is provided to the service user and supporting social worker. The assessment process that is going to be used assesses the individual at each trial visit in order to build a picture of need to ensure sound and accurate care plans can be implemented on admission. It must be noted that due to there currently being no service users at the home this judgement and assessment of evidence has been gained from records and evidence that is proposed to be used. If fully operational and completed accurately as per the policy and procedure then it is determined that the standards are adequately met. Park View Residential Home DS0000065952.V315311.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. Proposed documents for the care plan are sufficient to identify service user need and ensure that personal, social and health care needs are fully met. The policy and procedure for the safe handling, storing and administering of medicines is adequate. EVIDENCE: Draft care planning documentation was seen as part of the inspection process. Discussions occurred with the registered manager to determine the formats that were to be used and how they were going to be achieved. The manager displayed sound working knowledge of the referrals, admissions, assessment and care planning process. The care plans aimed to assess all areas of need for the service users and form a holistic care plan document, which is, reviewed monthly to meet any changing needs of service users. The documents also encourage service users to gain and develop greater independent living skills through on going support and reviewing of need. Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 11 A policy and procedure is in place for the safe handling and management of all medication. Part of the assessment process is to assess and determine the ability of each service user to self medicate. Proposed documentation was seen. If a service user is able to self medicate then the manager stated that they would be encouraged and supported individually to maintain this skill as is required. Service users that will have their medication administered by trained staff will sign consent for this. Systems such as taking the temperature of the medicines room and cabinet are almost in place. There is a need for the medicines cabinet to be erected on the wall and the manager to ensure that there is adequate storage for tablet, liquid and cream medicines. It is recommended that an additional cupboard be purchased for storage. Park View Residential Home DS0000065952.V315311.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The proposed activity provision appear adequate to potentially meet the needs of service users, encouraging them to maintain contact with friends and family whilst exercising control over their lives. Proposed sample menus are well balanced with a range of foods available meeting diverse needs. EVIDENCE: The home is offering individual activities for each service user based on a needs assessment, the individual likes and dislikes and aspirations. Activity provision will be varied and based on the needs and wants of the individuals. The assessment of these standards have been based entirely on the managers information that has been provided, and therefore is only a proposed assessment of the home ability to meet the standards. Proposed menus have been devised to ensure that on the admission of any service users that there is some provision of foods. Following a discussion with the manager it was determined that the menus in place are to be used only as a guide and the service users will be devising their menus on admission, this Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 13 will become part of their assessment and care plan and systems will be put into place to ensure that where a health need is identified, for example to maintain a low fat diet then this will be adhered too and supported by the staff with appropriate engagement and encouragement offered to the service user when devising their menu. Park View Residential Home DS0000065952.V315311.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. A comprehensive complaints procedure is in place ensuring all complaints are acted upon. Policies and procedures regarding adult protection are in place and will protect service users from abuse. EVIDENCE: A comprehensive complaints procedure is in place. The manager showed the inspector the complaints log that is going to be in place. To date this assessment of these standards have been made using the evidence available and the proposed documentation seen on the day of the inspection. Staff will all receive POVA training whilst they are on their induction period as part of the completion of all mandatory training. The home has a copy of the Hertfordshire Adult Protection Policy and this is displayed. Park View Residential Home DS0000065952.V315311.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 22 & 26 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The home presents well and is domestic in style. Bathing facilities are required to be fully operational prior to admission of any service users. A handrail is required to be fitted to the stairs to support an aging service user group. EVIDENCE: The home has been completely refurbished and renovated to meet the standards for registrations. The home was granted registration in April 2006. The environment of the home is very bright and clean and will meet the needs of the service user group it is aimed at. Individual rooms are spacious and furnished to a high standard. The walls are of a neutral colour in order for service users to make their individual choices about colour upon admission. The home provided adequate number of toileting and bathing facilities for all service users. Due to a current service user being assessed and the service Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 16 user requesting a walk in shower, the manager of the home has agreed to change and replace the bath with overhead shower to accommodate his needs. This work was almost complete on the day of inspection and works appeared to have been completed to a high standard. This must be completed fully prior to any service user being admitted. The registration of the home determines that only mobile service users can reside in the home. There is a need for a handrail to be fitted to the stairs in order to support service users of an aging group. It must be noted that the evidence gained for these standards have been gathered based on information available on the day of the inspection. Park View Residential Home DS0000065952.V315311.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The proposed staffing team is suitable to meet the needs of the service users, this ensures that service users will be in safe hands at all times. Recruitment polices and procedures determine that service users will be protected. EVIDENCE: At the time of the inspection no other members of staff have been fully recruited to work in the home. The manager has been successfully recruited and granted registration by the Commission. One member of staff who will be working as a senior support worker will be commencing employment once a new CRB application has been passed and is clear. The files for this member of staff was not held on site and therefore the inspector could not assess the homes ability to recruit as per their policy and procedure. The home must hold all staffing records on site. These must be accessible at all times. The manager must ensure that when all staffing records are available, these must be securely locked away and access only available to the manager and another senior member of staff at the managers discretion. In order for this to be achieved an additional filing cabinet must be purchased. According to the information passed to the inspector by the manager and the proprietors of the home, all staff will be inducted into working at the home, during their individual induction period. The home has made direct links with a Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 18 training company to ensure that all staff are trained annually in mandatory courses, this includes, fire safety, medication, health and safety, POVA, mental health awareness, infection control and risk. The trainers will provide the training on site, which staff will benefit from. From the evidence gathered on the day of the inspection and following discussions with the manager if all staff receive the training as defined above and complete an individual induction programme then these standards will be adequately met. Park View Residential Home DS0000065952.V315311.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager presents as a fit individual to run and manage the home. Systems appear to be in place to support in the homes management and to ensure the safety of all service users. The policy on quality assurance is being further developed to ensure that the views of service users are being respected and acted upon. EVIDENCE: The Commission in March 2006 granted the manager registration and the home was registered shortly after this date. On the day of the inspection the majority of time was spent with the manager discussing new systems that she is intending to put into place. The manager appears to be very experienced and has the skills to sufficiently run the home. This assessment has been made Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 20 utilising the evidence on the day of the inspection. Due to the home not being fully functioning this assessment will be inspected fully at the next inspection to ensure compliance. Health and safety systems for sound management are in place and will be fully functioning when service users are admitted. The home has a policy and procedure in place for the management and safe keeping of service users finances. However the home must have a safe for the holding of secure items. The quality assurance policy was seen. The manager discussed additional methods that will be occurring to ensure that the views of the service users and other relevant professionals are gained. The quality assurance procedure could be further explored with feedback from each service users as they become resident about the assessment, referral and admissions procedure. The manager felt that this would be a beneficial process. Please see standard 22 with regards to the attachment of a handrail and window restrictors. Park View Residential Home DS0000065952.V315311.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 X 2 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 2 2 X X X 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 3 X 2 X 2 X X 3 Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. 3. 4. 5. Standard OP2 OP9 OP33 OP21 OP22 OP38 OP22 OP38 OP29 Regulation 5 (b) & (c) 13 (2) & 17 (1) (a) 24 (1) (a), (b), (2) & (3) 23 (2) (j) 23 (2) (n) Requirement The home must establish a service user contract. The medication cupboard is required to be erected as per guidance onto a solid wall. An effective quality assurance system must be implemented. The walk in shower area must be fully completed. A Handrail must be fixed to the stairway. Timescale for action 15/11/06 15/11/06 15/12/06 15/11/06 01/11/06 6. 7. 13 (4) (C) 8. OP35 Window restrictors must be refitted to required windows. 19 (4) (c ) All Staff records must be held on & site. Schedule 2 (5) 16 (2) (1) A safe must be obtained for securing service users money or valuables kept for safe keeping 01/11/06 01/11/06 15/11/06 Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 23 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 OP9 Good Practice Recommendations An additional medicines cupboard should be purchased for the holding of stock medicines. Park View Residential Home DS0000065952.V315311.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hertfordshire Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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