Inspection on 04/07/05 for Park View Residential Home

This inspection was carried out on 4th July 2005.

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 03/01/06

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 Botolphs Crescent Lincoln Lincolnshire LN5 8AZ Lead Inspector Sue Hayward Unannounced 4 July 2005 09:00 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 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 C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Park View Residential Home Address St Botolphs Crescent Lincoln Lincolnshire LN5 8AZ 01522 520516 01522 514626 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr Matthew Bukowski Lincolnshire County Council Mrs Lyn Edwards Care Home 21 Category(ies) of DE (E) Dementia - over 65 years Both 21 registration, with number OP Old Age Both 21 of places DE Dementia Both 21 Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 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. 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. Date of last inspection 4th March 2005 Brief Description of the Service: Park View Care home is located in the suburbs south of Lincoln City behind the main high street. The home is owned by Lincolnshire Social Services Directorate. It is registered to 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 two people all residents are accommodated on a short term basis. The home continues to offer a 10 place day care service to people who have dementia care needs. Day care is not regulated by the CSCI although some of the residents also attend the day care facility. The home is in two areas, The Lodge and the main home. There are a variety of lounges and a large dining room. The large kitchen in the main home provides the meals. The kitchen in The Lodge is for drinks and snacks. Accommodation is on the ground and first floor which can be reached via stairs or a passenger lift. There are 21 single bedrooms, 9 toilets, 4 bathrooms and a shower unit. The Alzheimers Society has an office within Park View, working in partnership with Social Services to provide continuity of services to residents who have dementia and their relatives/friends. There is car parking to the front of the building. The fenced gardens are well kept. There is an enclosed garden which provides privacy and security. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced starting at 10:45 a.m. and took place over six and a quarter hours. It was carried out by one inspector as the first of two inspections required by law for 2005/6. The main method of inspection used was “case tracking”. This involved selecting three residents and tracking the care they receive through their records. Four residents were spoken to as was two care staff on duty and the manager who was present throughout the inspection. It also included discussion with a resident’s relative and with a representative of the Alzheimer’s society. A sample of regulatory records, policies and procedures were inspected. The Commission received a completed pre-inspection questionnaire prior to the inspection. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made at the time of the last inspection nor the one previous to that. There was some discussion about proposals to alter the location of the office used by the Alzheimer’s Society in Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 6 the home. The manager is aware that residents and/or their families need to be consulted about any changes and that the home will still need to meet minimum standards and regulations for example in relation to lounge/dining space. The home continues to operate to good standards. 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 C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 standard(s) 3. Standards 6 does not apply as the home does not offer an intermediate care service. The systems in place for the introduction and assessment of resident’s to the home ensure care needs are identified and met. Written information about the home is made available to residents and their representatives. EVIDENCE: Discussion with staff indicated that they had a good knowledge of the organisations assessment procedure and described how they put it into practice. They said that it includes prospective residents and their families visiting the home if they wish and staff visiting residents to assess whether the home can meet their needs prior to agreeing any admission. The records of residents checked contained information, which demonstrated that assessments had been carried out and care plans had been developed from this information. It was noticed that information about the home was on display for anyone to refer to. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 9 Discussion with the manager indicated that the homes statement of purpose may be changing and the main focus of the home will be to provide short-term care for older people who have dementia care needs. She is aware that if this happens then the statement of purpose and service users guide will need to be reviewed to reflect any changes to the service and copies will need to be sent to the CSCI. The homes current registration will not need to be changed as it already enables the home to admit residents with dementia care needs. All residents and a relative seen commented positively about the care and accommodation that the home provides. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 standard(s) 7 and 8 The care planning system in operation provides detailed information and contributes to making sure that the health and care needs of residents and their preferred lifestyles are met. This is supported by good liaison with healthcare services. EVIDENCE: Each resident has an individual plan of care. These contained residents’ signatures in two instances demonstrating their involvement. In the one instance where a signature was not obtained the reason for this was included. Care records demonstrated that risk assessments had been undertaken in relation to various matters for example, manual handling needs, falls and residents at risk of wandering. The sample of records checked also included information about dietary needs. Records also demonstrated when the involvement of other professionals had occurred for example visits by the district nurse, occupational therapists and social workers. Records demonstrated that care plans are reviewed on a regular basis. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 11 Residents looked well cared for and spoke positively about the care and attention they received at the home. One resident made the comment that he felt he got the help he needed at this home and one relative made the comment that he was so satisfied with the care his mother received he wished that she did not have to move from the home. Staff demonstrated that they had a good knowledge of the needs of residents and of their likes and dislikes. They confirmed a chiropodist visits the home as do G.P’s. For those residents who are at the home on a short-term basis if they are out of the area they are temporarily registered with local G.P. practices. When attending medical appointments staff said they would accompany residents unless they preferred a family or friend to do so. As the Alzheimer’s society is also located within the home there is good communication and liaison between the home and the society. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 standard(s) 12 and 13 Visitors are made welcome at this home. Residents have choices as to how they live their life at the home and there are opportunities for residents to participate in social activities and events should they wish. EVIDENCE: Throughout the inspection it was noticed that staff were involving residents in various activities. For example some residents were taking part in a game of dominoes and some a “sing song”. Information about events that happen in the home and community was displayed such as quizzes and a coffee morning. Comments from resident indicated that they are able to choose whether or not they participate in the activities and events at the home and their preferred routines e.g. in relation to what times they choose to get up and go to bed. Residents’ records included information about their particular preferences and likes and dislikes. Staff gave a description of the needs of residents, which reflected information contained in care plans. Books and board games were noticed to be available for residents. It was also noticed that residents were having visitors throughout the day. A relative was very complimentary about the care and was noticed to have a Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 13 good rapport with staff. Staff were well aware of the visiting procedure of the home, which included offering visitors drinks, checking their identity and whether residents wish to receive visitors. Details about the visiting arrangements are included in the “Welcome to Park View leaflet”. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 Residents are protected by the procedures and systems in place for handling complaints and allegations of abuse. EVIDENCE: There are satisfactory policies and procedures in place relating to how to raise complaints and the reporting of adult protection matters. Staff spoken to had a good awareness of these and what to do should any issues be raised. A staff member said that she was due to have training relating to adult protection. Residents said that they would feel comfortable to raise concerns and one said that staff regularly checked out with him whether he was o.k. A comment was also made that staff treated residents with respect. A relative confirmed that he would feel comfortable to raise any concerns if he had any and knew who was in charge. Records are kept of any complaints that the home receives. This was inspected but no complaints had been received by the home since the last inspection. Pre-inspection information and discussion with the manager confirmed that no residents at the home have their financial affairs handled by the home, other than money or valuables that are held in safe keeping on behalf of residents. Whilst these arrangements were not checked on the day all comments from staff confirmed that there is a satisfactory procedure in place which includes Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 15 obtaining two signatures including residents if they are able or two staff members for any transactions that take place and secure storage is provided for any money of valuables held by the home. All transactions are receipted. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 This home provides a clean, comfortable and homely environment for residents, which is being well maintained. Staff have training to ensure residents health and safety. EVIDENCE: All areas of the home inspected on the day, which included all communal areas and a sample of residents bedrooms and bathrooms were clean, tidy and comfortably furnished. There is a passenger lift and records checked demonstrated that this had been serviced on 10/06/05 Gardens are well maintained and secure and there is car parking to the front of the property. Residents described their rooms as being comfortable and it was noticed doors are lockable if residents choose to do so. Pictorial notices are in place on doors to help identify the use of the rooms. There is a rolling programme of redecoration and refurbishment. It is noted that the programme to guard Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 17 those radiators identified as a risk to residents is now complete. Discussion and records demonstrated that staff have health and safety training. Information provided on the pre-inspection questionnaire demonstrated that there are regular checks made to ensure that the home provides a safe environment for example the central heating system was serviced on 13/04/05, water heating check for compliance with Legionella had been undertaken on 10/05/05 and it was documented that both the manager and maintenance person had completed training about this and equipment such as hoists, baths and wheelchairs had been checked this year. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 The home is being staffed to ensure that residents’ needs are being met. Staff have training to ensure that they have the necessary skills and knowledge to care for residents safely. EVIDENCE: Information obtained from the pre-inspection questionnaire demonstrated that there has been few changes to the staff team since the last inspection. Information also demonstrated that 85 of staff have either completed or are in the process of completing National Qualification Award (NVQ) in Care at level II or above. There has been a range of training within the last twelve months such as a moving and handling refresher, fire lecture, activities for people with dementia and diabetes. Further training is planned for example in relation to First Aid and Health and Safety (through Distance learning). Staff comments also confirmed that they had participated in a range of training opportunities with some training being updated periodically. Comments and records checked also demonstrated that there is a staff development system in place. On the day of the inspection there were 12 residents at the home receiving short-term care, one permanent resident and one in hospital. Rotas and discussion with staff indicated that current staffing levels were meeting residents’ needs. Staff comments confirmed that there are generally 3 care workers; a senior staff member and a team leader on duty during the week Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 19 and at night two wakeful staff are on duty. Additionally laundry, catering, domestic and maintenance staff are employed. Comments from residents, relatives and other professionals seen were positive about the staff team indicating that residents had good relationships with staff. One described them as being “tremendous” another “lovely”. A good rapport was noted between staff and residents and staff were attentive to residents needs during the inspection. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 37. inspected. The record keeping systems in place and policies and procedures help to ensure the health and welfare of residents. The quality assurance system enables residents to make their views known about and influence the service provided. EVIDENCE: There is a quality audit system in place and the manager confirmed that this was last undertaken in September 2004. Questionnaires are used with residents and replies are collated. Residents meetings are held although it has not been the practice to keep minutes of these meetings although the manager agreed to do so. Staff meetings are held on a fortnightly basis and there is a staff supervision and appraisal system in place. In addition a representative of the Local Authority who provides a report on the service visits the home on a monthly basis. Residents, relatives and another professional all made positive Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 21 comments about the service. Residents said that they would feel comfortable to raise any concerns or make suggestions. There is a range of policies and procedures in place and a sample of these and a sample of records that regulations stipulate must be kept were seen. All were satisfactory. A resident said that they were aware that the home kept records about them. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x x x x Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 23 None 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. 1. 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 33 Good Practice Recommendations It is recommended that minutes of residents meetings are kept. Park View Residential Home C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 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 C53 C04 S41706 Park View V236613 040705 Stage 4.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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