Inspection on 03/01/06 for Park View Residential Home

This inspection was carried out on 3rd January 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 31/05/07

Park View Residential Home 04/07/05

Park View Residential Home 04/03/05

Park View Residential Home 15/11/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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 St. Botolph`s Crescent Lincoln LN5 8AZ Lead Inspector Sue Hayward Unannounced Inspection 03 January 2006 13:15p 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 DS0000041706.V272073.R01.S.doc Version 5.0 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 DS0000041706.V272073.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park View Residential Home Address St. Botolph`s Crescent Lincoln LN5 8AZ 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) 01522 520516 01522 514626 Lincolnshire County Council Ms Lyn Denise Edwards Care Home 21 Category(ies) of Dementia (21), Dementia - over 65 years of age registration, with number (21), Old age, not falling within any other of places category (21) Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old Age, not falling within any other category (OP) (21) Dementia - over 65 years of age (DE[E]) (21) Dementia - (DE) (21) Condition of Registration. The category DE applies to service users aged 60 and over, with the addition of one named person aged over 45 years who is named in the notice of proposal to register dated 6th January 2005. The maximum number of service users to be accommodated is 21. The service users in the category of DE are aged 60 years and over. 2. 3. 4. Date of last inspection 4th July 2005 Brief Description of the Service: Park View care home is to the South of the city of Lincoln, behind the main high street. It is owned by Lincolnshire Social Services. It can provide care and accommodation for up to 21 older persons or persons over 60 years of age who have dementia care needs. With the exception of one person all are accommodated on a short-term basis. The main focus of care provision is to provide short-term care for residents who have dementia care needs. Fifteen residents were residing at the home on the day of the inspection. The home continues to offer a 10-place day care service to people with dementia care needs although this service is not regulated by the CSCI. Some of the residents also attend this service. The home is in two areas, “The Lodge” and the main home. There are a variety of lounges and a large dining room. Bedrooms are on the ground and first floor, which can be reached via stairs or a passenger lift. All bedrooms are for single occupancy. The home has an enclosed garden and there is car parking to the front of the building. The Alzheimer’s Society has an office within the building, working in partnership with Social Services to provide continuity of services to residents who have dementia and their relatives and friends. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours. One inspector carried it out. It was the second inspection required by law for April 2005 to March 2006. Two residents records were checked on this occasion and three residents were spoken to. In addition there was discussion with two care staff, the chef, administrator and manager, the latter who was present throughout the inspection. A sample of records and policies and procedures were seen on this occasion and a partial tour of the premises took place. What the service does well: What has improved since the last inspection? The home has made additional links with the community and is working with Lincolnshire Heritage who has assisted in providing opportunities for residents to reminisce about bygone times. A dementia training strategy is also in the process of being developed for staff. The home has had a health and safety audit carried out since the last inspection and a further lock is to be provided to the front door to increase Security. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 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 DS0000041706.V272073.R01.S.doc Version 5.0 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 DS0000041706.V272073.R01.S.doc Version 5.0 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): Core standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. They were inspected at the time of the last inspection of 4th July 2005 and were being met. A resident who was spoken to confirmed that this was his first short break at the home. He also attended the day care centre and had had the opportunity to look around the home before he came to stay. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 9 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, 9 and 10 The care planning system ensures that there is sufficient information available which details the care and support required to meet residents’ needs. Residents have their privacy and dignity respected at this home. The medication procedures in place help to ensure that residents are safeguarded. EVIDENCE: Care plans had been established from a comprehensive assessment for each resident checked on this occasion. These demonstrated that they had been developed and agreed with residents if able, or their relatives’ involvement and were reviewed on a monthly basis. Care plans gave detailed information about the care needs of residents and how they were to be met. Records also included risk assessments for example in relation to manual handling needs, diabetes and nutritional needs. Staff demonstrated that they had a good knowledge of the needs of the residents asked about and that they were involved in developing residents care plans. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 10 The home are currently in the process of piloting a different way of recording care plans and will evaluate the new system to ensure that it provides a better system. The systems for the storage, administration and disposal of medication were satisfactory. There are comprehensive policies and procedures in place, which staff can refer to if needed, and records demonstrated that these had been recently reviewed. Discussion with a staff member confirmed that she had just completed a distance-learning course in relation to dispensing medications and that a local pharmacist had also provided training for staff. Senior staff are responsible for administering medications and the record keeping systems in place were well maintained. Discussions with residents indicated that they felt that staff respected their privacy. It was observed that staff respected residents’ privacy by closing doors when dealing with personal hygiene needs and knocking on doors before entering rooms. Bedroom and bathrooms are lockable. Residents commented positively about the care and accommodation provided such as “staff give me the help I need” and “I can come and go as I please about the home”. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 11 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): 14 and 15 Residents have a choice as to how they lead their lives at the home and their individual preferences are catered for. The meals provided are well balanced and cater for individual preferences and dietary requirements. EVIDENCE: All residents commented positively about the food provided. Records and comments from staff and residents indicated that the home offers a choice of food at each mealtime and any particular dietary requirements are catered for. For example, there is a choice of two main meals but additionally individual preferences are catered for if residents decide that they would like something different. A staff member who had been recently employed at the home confirmed that it is not “assumed” what residents want to eat, they are always asked. One resident said that she always puts on weight when she visits as the food is good another said there was plenty of it and drinks are always available should you want one. Records indicated whether residents had any particular dietary requirements and staff were aware of these and of residents particular likes and dislikes. Kitchen staff are also provided with a list of residents preferences, likes and Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 12 dislikes. Although the main meal is served in the middle of the day there is flexibility to accommodate residents specific needs for example one resident has his main meal at teatime. Breakfast is served over a period of time in order to cater for residents differing times of rising. Records are well maintained in relation to the food provided and demonstrated that meals are well balanced and varied. Staff confirmed that they had had Basic Food Hygiene training although the manager said that further advanced training is yet to be arranged for some staff as recommended by the Environmental Health Officer who visited the home on 18/01/05. Discussion with residents also confirmed that they have choice as to how they lead their lives in the home such as “I can get up and go to bed when I like” and “I feel I can come and go as I please around the home”. There is a choice of sitting rooms they can use and residents are able to bring in personal items and effects to make their bedrooms more comfortable if they wish. A staff member gave an example of how a resident was given a choice of three bedrooms for his stay. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 13 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 and 18 Residents are protected as far as possible by the procedures and systems in place for handling complaints and allegations of abuse. However, residents’ safety potentially could be compromised through the lack of records to demonstrate that Criminal Records bureau checks have been undertaken on staff that occupy office space within the home who work for other organisations. EVIDENCE: There are satisfactory policies and procedures in place relating to complaints. Residents said they would feel comfortable to raise any problems or concerns with staff although none had had to do so. Records are kept of any complaints made, the action taken and outcome of any investigation. Two complaints had been received by the home and had been satisfactorily responded to and resolved. In addition two letters of satisfaction with the service provided had been received since the last inspection, indicating that the service provided a warm, friendly and homely atmosphere. Whilst records demonstrated that there are satisfactory procedures in place to recruit staff safely, which includes Criminal Records Bureau/POVA checks, records were not available to demonstrate that staff from other organisations who have an office based within the home had been CRB/POVA checked although it is acknowledged that the manager confirmed these checks had been applied for. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 14 The systems and practices in place to safeguard and store residents’ money and valuables are satisfactory and there are satisfactory record keeping systems in place for any transactions. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 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 and 26 The home provides a clean, well-maintained and safe environment for residents. EVIDENCE: Those areas of the home seen on the day of the inspection were being well maintained and decorated and were comfortably furnished and clean. Three residents rooms were seen on this occasion, three lounges, kitchen and stores, dining room and laundry facilities. Bedrooms showed that residents are able to bring with them personal effects to make their rooms more homely should they wish. Residents described their rooms as comfortable and warm enough and discussion with one indicated that there was consultation as to how the furniture was arranged in order that it best met the residents’ needs. On the day of the visit the manager said that the lift was not working. This matter was dealt with promptly and the lift engineer called. By the end of the Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 16 inspection the manager confirmed that this matter had been satisfactorily addressed and that the lift was again in working order. Representatives from the fire brigade and Environmental Health Department visit the home periodically. The most recent report from the fire safety officer of 27/03/03 indicated that fire safety arrangements were satisfactory. The Environmental Health Officers report made the recommendation that some staff would benefit from more advanced Food Hygiene training. The manager confirmed that this was yet to be arranged. Laundry facilities were satisfactory and staff asked, were aware of good hygiene practices in relation to infection control and the use of equipment to prevent cross infection. Disposable gloves were available for staff to use around the home and staff confirmed there were always adequate supplies of gloves and disposable aprons available for them to use. Satisfactory policies and procedures are in place relating to infection control. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 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 and 29 Residents’ are protected as far as possible by a thorough staff recruitment procedure in numbers that are sufficient to meet their needs. EVIDENCE: Comments from residents were complimentary about the care staff provide. They felt their needs were met and that they generally received help promptly. It was observed that staff had time to sit talking to residents in a lounge and involving them in a crossword puzzle during the afternoon of the inspection and their were photographs in the corridor showing different activities that residents had had the opportunity of participating in over the Christmas period. Staff comments indicated that they also felt staffing levels were sufficient to meet the needs of residents and that they felt comfortable to raise at staff meetings any staffing issues. Both staff members spoken to said that there is flexibility top increase staffing levels if residents need for example some one to one support. There are generally five care staff on duty in the mornings and a minimum of four in the afternoons. In addition there is the manager, catering, housekeeping and laundry staff as well as an administrator. Records and discussion with a recently employed staff member indicated that a thorough recruitment procedure is in operation, which includes ensuring, that references and CRB/POVA checks are satisfactory prior to employment. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 18 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, 35, 36 and 38 The home is being well managed and provides residents with a safe environment that meets their needs. The record keeping systems, policies and procedures help to ensure the health and welfare of residents. EVIDENCE: The positive comments from residents and staff indicated that the home is being well managed. There are opportunities for both staff and residents to air their views about the service through staff and residents meetings. Records are kept of both. Staff were clear about the management arrangements and residents said that they would feel comfortable to approach staff with any concerns or problems and felt sure they would be listened to and action taken to resolve matters. Staff also said they would feel comfortable to raise any issues at meetings, through their regular supervision sessions and appraisals or with the manager as needed. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 19 There are satisfactory procedures in place in relation to service users monies and valuables held in safe keeping with satisfactory record keeping systems also in place. (See also comments made at standard 16 – 18). There are a range of policies and procedures in place and a sample of these were seen as were a sample of records that the home is required by law to keep. These included records of fire practices, drills and tests of fire equipment, records of money in safe keeping, staff records, residents records, records of the food provided, health and safety and fire risk assessments as well as residents individual risk assessments and complaints. All were in place and were being well maintained. The home has recently undergone its own Health and Safety audit and is in the process of acting on the recommendations, for example providing an extra security lock to the front door. There are satisfactory health and safety policies and procedures in place and all new employees undergo an inductiontraining programme, which covers a range of matters including health and safety. Residents said that they felt safe at the home and were satisfied with the care and accommodation provided. Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 20 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 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 3 x 3 Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 21 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 Standard OP18 Regulation 13 (6) Requirement In order that residents are satisfactorily protected from the risk of abuse the registered person must be able to demonstrate that those staff from other organisations who are based at the home have had a satisfactory employment checks that have included a CRB/POVA check. Timescale for action 03/02/06 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 DS0000041706.V272073.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Extracts may not be used or reproduced without the express permission of CSCI Park View Residential Home DS0000041706.V272073.R01.S.doc Version 5.0 Page 23 - 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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