Inspection on 31/05/07 for Park View Residential Home

This inspection was carried out on 31st May 2007.

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

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

Other inspections for this house

Park View Residential Home 03/01/06

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 Mr David Bacon Key Unannounced Inspection 31st May 2007 08:00 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 DS0000041706.V323992.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 DS0000041706.V323992.R01.S.doc Version 5.2 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 www.lincolnshire.gov.uk 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.V323992.R01.S.doc Version 5.2 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) The service users in the category of DE are aged 60 years and over. The maximum number of service users to be accommodated is 21. 2. 3. Date of last inspection 3rd January 2006 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. A 10-place day care service for people with dementia care needs is provided at the home 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. There is an enclosed garden and car parking to the front of the building. Copies of inspection reports are maintained in the entrance to the home for service users and members of the public. The care fees range up to £348 per week. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place during May 2007 and the visit to the home was undertaken over approximately 4.5 hours. The methodology for the inspection visit used is called ‘case tracking’. This means that the care received by three service users was looked at in detail, including service users care, staff and general home records, which pertain to their care and support. We also spoke with three service users, the registered manager and a visiting health professional about the support offered to people living at the home. Ten completed quality satisfaction surveys were also seen during the visit, which have been used to further inform the judgements made within this report. A partial tour of the premises was conducted including areas relating to the service users who were case tracked. Observations were also made of day-today care practice. Notifications received along with a pre-inspection questionnaire, completed by the manager were also viewed as part of the overall information gathering regarding the service. The range of fees is assessed per individual. What the service does well: There are good systems in place for promoting service users rights and choices and these have recently been developed to further seek the views of service users and their representatives. The home is well managed and service users spoken with said they feel safe here and that they can choose how they spend their time. Service users comments included: “I have felt comfortable from day one, they make you very welcome and nothing is too much trouble”. “I spend my time as I like, relaxing and I can take part in the activities if I like or just relax”. “The atmosphere is relaxed and informal”. “The food is very good, there is a good variety and choice, you could easily put on weight here”. A detailed assessment of service users care needs is undertaken prior to their admission to the home and service users are involved in the care planning process. Comprehensive recruitment procedures are in place to protect service users and staff are well trained to meet individuals care needs. The physical environment is of a good standard and provides a safe, clean and comfortable place for service users. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Park View Residential Home DS0000041706.V323992.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 DS0000041706.V323992.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive systems are in place for the introduction of service users to the home. Service users are satisfied with the admission process, they are involved in planning the care they receive and can be assured that their care needs will be appropriately met. EVIDENCE: Park View mainly accepts referrals for service users requiring short-term care. An up to date statement of purpose and service user guide are in place, which are displayed in the main entrance. A copy of the service users guide is located in each bedroom. Also, a new leaflet has been produced giving a brief insight as to the services provided, which the manager said is given to service users during the home visit where the assessment of need is also undertaken. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 9 The care records viewed identified that a comprehensive assessment of each service users care needs had been undertaken. The assessment information seen clearly identified individuals care needs and included potential risks and individuals likes and general preferences. The majority of records seen clearly documented service users involvement in the assessment process and the one record not signed was regarding a service user unable to give written consent. The manager acknowledged that service users representatives should be sought in this event and confirmed that they would aim to ensure this. Records clearly identified how service users were made aware of their rights during the admission process, which included data protection and confidentiality. Discussions held with service users confirmed that they were satisfied with the homes admission arrangements. Comments included: “I hope to come back, the welcome and treatment here is quite wonderful”. “You get the care you need and a bit of a break”. “I have no suggestions to make, I have been treated very well, nice food, friendly people, very good”. “They put your mind at ease, you do as you like, either relax or keep busy”. The care staff spoken with were aware of service users care needs, how these were met and of the homes admission procedures. Intermediate care services are not provided at the home. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service users spoken with feel satisfied with how they are treated and they are assured that their care needs are met by a well-informed staff team. Procedures for the administration of medication are appropriate. EVIDENCE: A comprehensive “person centred” care plan is completed for each service user from the initial assessment and the records seen clearly documented each individual’s care needs and how these are met. Information regarding any health care needs is also clearly detailed, which includes input from supporting agencies and records are updated and reviewed as necessary. The visiting district nurse said that they were satisfied with the care provided by the home and that staff followed any given instruction of advice. The service users spoken with said: “They have looked after me very well”. “They know what they are doing, very efficient but not rushed, very good”. “I have been treated wonderfully, you only ask and they will help”. “They seem Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 11 very professional and have been very good to me”. Information in the homes completed satisfaction questionnaires further confirmed these. The staff spoken with confirmed that they received regular awareness training and support specific to service users assessed care needs and to promote service users privacy, dignity, choice, rights and independence of which policies, procedures and records are in place. Staff also confirmed that they were encouraged to voice their opinions regarding the care provided and that these were listened to and acted upon where appropriate. Systems are in place to enable service users to administer their own medicines where this is risk assessed as appropriate. Staff whom administer medication receive accredited awareness training regarding this and were seen to appropriately administer medication during the visit. Medicines were properly stored and records clearly documented medicines as receipted into the building, as administered and where disposed. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to choose how they spend their time and to maintain and develop community links as they prefer. Service users enjoy the meals provided and their views regarding meals are regularly sought. EVIDENCE: The service users spoken with said that they were satisfied with the variety and frequency of activities available to them during their stay. Comments included: “There seems to be a lot of things going on, if you like”. “I have been involved in a few things, they don’t pressure you, its there if you like”. “I read, chat with people and do as I please”. Information in the homes completed satisfaction questionnaires further confirmed these. Service users said they were able to make informed choices during each day, that there were no restrictions as to how they could spend their time and that their visitors were made welcome. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 13 Service users also said that they enjoyed the meals provided of which a choice of food is available at each mealtime. A selection of hot and cold foods were being served at breakfast upon the inspectors arrival at the home. Comments included: “There’s choice, the food is very good”. “They provide a good service, I couldn’t complain about the food”. “I’m sure I’ve put on weight, there’s a nice choice and it all tastes good” “The food here is delicious, I’m very satisfied”. Service users are initially consulted with about their likes and dislikes as part of the admission process and service users meetings are also held of which records are maintained. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users spoken with feel able to complain about the care they receive and staff are made aware of the systems in place to protect service users from abuse. EVIDENCE: The pre inspection information received identified that policies and procedures are in place to safeguard service users. Information regarding these is displayed in the home and provided to service users. Records show that there has been one complaint and one safeguarding adult’s referral since the last inspection visit. The manager said that the complaint has been resolved to the complainant’s satisfaction, of which a record is maintained. The safeguarding adult issue was not formally closed at the time of writing this report. The service users spoken with said that they felt able to express any views regarding the care provided and these would be appropriately acted upon, which was further confirmed in the quality satisfaction surveys seen. Comments included: “I can quite easily approach the staff if needed but I don’t need to”. “They are well trained and you could speak with any one of them. “I think there is some information about this but you can talk with any of them and I’m sure they would try to help you”. Information regarding complaint procedures is displayed in the home. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 15 The staff members spoken with explained the correct action to be taken in the event of an issue of abuse being identified although one staff member said that they were not fully aware of policies and procedures regarding this subject matter. The manager said that this matter would be addressed as part of individual supervision and that refresher awareness training would be also be arranged. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the physical environment is good, with the organisation ensuring the maintenance and safety of each area of the home. Fire safety systems are adequately maintained. EVIDENCE: The environment was clean, tidy and well maintained throughout all the areas seen. The manager said that a rolling programme of decoration was in place, which was evidenced throughout. The service users spoken with were satisfied with the cleanliness of the home and comments seen in the homes completed satisfaction questionnaires further confirmed this. Comments included: “I’ve not noticed any problems, they keep it all very well”. “It is all cleaned regularly”. “The staff come round and Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 17 ask if they can clean”. “I don’t think they could improve it”. “It’s clean and tidy and I’ve been made very comfortable here”. Fire safety tests were appropriately maintained and the home staff receive regular awareness training. The home recently received a visit from the fire safety officer of which the report was satisfactory. Substances identified as being potentially hazardous to health are stored appropriately, and there are information sheets and risk assessments in place providing guidance for staff. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive recruitment procedures are in place to safeguard service users and the staff receive induction when commencing work at the home. There are sufficient numbers of staff, appropriately deployed and well trained to allow them to care for service users. EVIDENCE: The staff records seen evidenced that appropriate recruitment checks and procedures had been undertaken of which clear guidelines are in place. Recruitment records contain application forms, references, criminal record bureau checks, and identification. Newly appointed staff attend induction training upon commencing work at the home of which records are maintained. A training plan is in place and any outstanding training needs are identified and provided for. The staff members spoken with were satisfied with the recruitment process and confirmed that they received induction and regular training appropriate for their roles, which was further evidenced in the training records seen. Staff confirmed that they enjoyed working at the home and that any routines were flexible where possible to meet service users individual choices and lifestyles. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 19 Staff also felt able to voice their opinions regarding the care provided including during supervision and staff meetings, of which records are maintained. The service users spoken with said that they were satisfied with the standards of care provided, which was further evidenced in the completed satisfaction questionnaires seen. Comments included: “There seem to be enough staff, they come when you need them and they are all pleasant”. “They treat you well and seem very well trained”. “You don’t wait too long when you call for help”. “They have all looked after me very well of which I’m very grateful, I will certainly come back”. The pre inspection information received identified that there are sufficient levels of staff to meet the needs of service users, which was further evidenced during the visit. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported to express their views regarding the care they receive. The home is well managed and systems are in place to ensure that care is provided in a safe and appropriate manner. EVIDENCE: All areas of the home seen were well maintained of which records are kept and a basic risk assessment of the premises has been undertaken, which is updated as necessary. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 21 The service users spoken with confirmed that they were satisfied with the management of the home, the care provided and that they felt able to express their views and that these would be acted upon. Quality satisfaction questionnaires are given to service users or their representatives where appropriate following each stay and the manager said that a new system was being introduced to formally assess and act upon the comments received. The manager demonstrated how short and long term goals were being made following audits of previous comments received. It is also positive to note that service users meetings are held to further enable service users to express their views about the service provided. Service users comments included: “I am pleased to stay, they look after you very well and you feel comfortable”. “I have no complaints and they have been wonderful”. “I can talk with them all, it’s a very friendly and caring place”. The staff members spoken with said they received very good management support including supervision of which records are maintained and that they were satisfied with the management of the home, which was further confirmed by the district nurse spoken with. The manager described a clear vision for the service and how this was being monitored, reviewed and implemented. Policies and procedures are in place to protect service users where the home has any involvement in their finances. Monies are kept separate and receipts and records of transactions and totals are maintained. Service users sign for any transactions where possible. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 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 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 3 Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 OP18 Good Practice Recommendations It is recommended that staff receive regular awareness updates regarding safeguarding adults policies and procedures. Park View Residential Home DS0000041706.V323992.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 DS0000041706.V323992.R01.S.doc Version 5.2 Page 25 - 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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