Inspection on 04/09/07 for Park View Rest Home

This inspection was carried out on 4th September 2007.

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

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

Other inspections for this house

Park View Rest Home 28/01/10

Park View Rest Home 04/11/09

Park View Rest Home 10/10/08

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Park View Rest Home Parkview 56 Clayton Hall Road Clayton Manchester M11 4WH Lead Inspector Sue Jennings Unannounced Inspection 4th September 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park View Rest Home DS0000069534.V342470.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 Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Rest Home Address Parkview 56 Clayton Hall Road Clayton Manchester M11 4WH 0161 223 2099 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) Russley Care Homes Limited Jean Michelle Ward Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only. Care home only - code PC, to people of the following gender: - Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. The maximum number of people who can be accommodated is: 24 Date of last inspection Brief Description of the Service: Parkview is a residential home providing care for older people and is situated in Clayton, north of Manchester City Centre. Public transport links into the city centre are within easy reach. The home is a two storey converted house, set in its own grounds, which are accessible to residents. Parking space for visitors is available at the side of the building and on the road at the front of the house. There is a passenger lift to enable access to the first floor for those with poor mobility. Accessible toilets and bathrooms are located on both floors of the home. There is a large, bright, lounge dining area. There are 4 single bedrooms, with an en-suite toilet and washbasin, 14 single and 3 double rooms all with a hand washbasin. Double rooms are provided with privacy screens. There are gardens to the front and side aspect. Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first Key Inspection of this service. The visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social Care Inspection in relation to this home prior to the site visit. The visit was unannounced and took place over the course of 5.5 hours on Friday 7th September 2007. During the course of the site visit time was spent talking to the manager and the Responsible Individual, 4 of the residents and 2 members of staff to find out their views of the home. A number of the Commission for Social Care Inspection’s survey forms were sent to relatives by the home. The survey forms received from residents gave positive feedback about the home, meals and level of care provided. Time was spent examining records, documents, the residents and staff files. A tour of the building was also conducted. Fees for accommodation are £378.00 per week. What the service does well: Comments from people who use the service included “I am happy and that’s all that matters isn’t it?” and “the girls are all very nice, the food is nice there is always an alternative” Residents said that staff were very friendly and polite. This is noticeable when visiting the home and watching how staff interact with residents. The healthcare of people living there is well managed. One relative or friend of a resident said that “they make it home from home” and “excellent”. Complaints are managed well and the service uses them to make improvements where necessary. Staff records are also well kept and include all the important checks to help protect people living at the home. Park View Rest Home DS0000069534.V342470.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 Rest Home DS0000069534.V342470.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 Rest Home DS0000069534.V342470.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 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is available to prospective residents and assessments are completed before people move in to make sure that their individual needs can be met. EVIDENCE: All prospective residents have a needs assessment before admission. This is in the form of a questionnaire. Where the placement is made by social services a copy of the care manager’s assessment is obtained. Copies were seen on care plans. Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 9 There was an admissions procedure and assessments are completed prior to anybody moving in. Once an individual comes to live there, a care plan is written based on these assessments. We looked at assessments completed for three people and saw that some good information had been recorded. Prospective residents are invited to visit the home before making a decision to move in. One of the people who responded in surveys said that they had not received a contract. Written contracts are in place and these should be provided to people and / or their representatives on admission. “They have the personal touch and are very considerate towards her” and “They make it home from home” were some comments from relatives and friends. Park View Rest Home DS0000069534.V342470.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was meeting the health and personal care needs of residents. Care plans were detailed and identified residents’ needs. EVIDENCE: A sample of care plans were examined and contained details about the individuals’ needs and gave clear direction/instructions about how to meet needs. There was evidence that care plans were being reviewed and evaluated by a senior member of staff on a regular basis. Residents who completed a survey all said that they received the medical support they need. Records were kept of any contact with healthcare Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 11 professionals for each person. This made checking when an individual resident’s GP last visited much easier. Medication is managed well by the home. We saw that items of medication are securely stored and given to residents at the right time with full records kept. Medication is dispensed in a blister pack monitored dosage system. Staff responsible for administering medication had received appropriate training. It is recommended that a list of names, signatures and initials of staff responsible for administering medication be held with the MAR sheets. The manager and staff at the home had a good understanding of the care needs of older people. One resident spoken to said “the staff are very helpful”. A relative surveyed commented “the staff are marvellous. One person commented ‘they all work very hard but can always have a minute with you’ and ‘there is always a good atmosphere in the home, lots of laughing which is good’. One quality-monitoring questionnaire from a relative commented; ‘mum could not be treated any better’ Park View Rest Home DS0000069534.V342470.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The dietary needs of residents are very well catered for and there were some social activities provided. EVIDENCE: The lunch served on the day of the site visit was fish, chips and peas. This meal was not observed but residents said it was very nice and that the food was always nice. The evening meal was observed; this was jacket potatoes with cheese or baked beans or assorted sandwiches with trifle for dessert. The meal looked and smelled appetising. Most people spoken with said that they enjoyed the food offered with comments including “very good” and “good”. Surveys received from relatives or friends of residents all said that they felt welcomed at the home when visiting. Feedback included ‘the food is very good’, and ‘Excellent’. Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 13 There is a range of activities on offer to people living there. However one resident commented, “This area is very poor we never have outings,” there are a few games, dominoes, snakes and ladders also children’s pictures to colour, we are elderly people not children”. One person said “They occasionally arrange parties- which are very good”. It is recommended that all residents be consulted regarding activities. This information could then be used to tailor and further improve the activities on offer at the home. This is especially important for the residents who are more dependent on staff. There was a poster advertising the time and date of the residents’ meetings and agenda items. These were put up in the hallway and each resident is given a copy of the minutes and any action taken in response to comments made during the meetings. One set of minutes recorded “gone off mashed potatoes prefer boiled, like more chocolate, pea soup or chicken broth”. The good practice of producing an action sheet that is held on file with the minutes was seen. The manager recorded ‘ spoke to the cook re: making more soups/broths” the outcome was that pea soup and broth would be added to the menu. Residents were able to go out independently to the local social club. Residents said they were able to get up and go to be whenever they wanted. One resident commented “I can get up and go to bed whenever I want to and can go out whenever I want, there are no restrictions whatsoever, I do have to tell them if I go out though”. Visitors were welcomed into the home by staff one person commented on a CSCI survey “they make it home from home”. One resident said “I have no visitors just my nephew when he can get over, I have no one else”. They went on to talk about being in the armed forces and where they were stationed. It was recommended that the manager research organisations that might provide a visiting/befriending service for any exservice personnel. Park View Rest Home DS0000069534.V342470.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are policies and procedure in placed to safeguard residents from harm. Concerns about the care provided are listened to and acted on. EVIDENCE: We saw that the home has satisfactory procedures for responding to allegations of abuse and for managing any complaints made about the service provided. Care staff at the home have training that teaches them how to recognise and report abuse. Ten staff had received POVA training and the remaining staff are waiting for training dates. There was a policy and procedure for the Protection of Vulnerable Adults (POVA) and a copy of the local procedures was also seen to be available. There have been no recent allegations of abuse. Staff spoken to said they would report any instances of ill treatment of residents to the manager. All residents and relatives who completed surveys said that they knew how to make a complaint. Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 15 Records were kept of any concerns or complaints received and we saw that these were very well maintained. The complaints policy and procedure is part of the guide for the people living there. There had been 5 complaints; the complaint log gave details of the complaint, the investigation and outcomes. The record of the complaint is discussed and agreed with the complainant and both sign the document, providing a clear audit of complaints investigations. This is good practice. Park View Rest Home DS0000069534.V342470.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is kept clean and well maintained and people living at the home enjoy a comfortable and safe living environment. EVIDENCE: We saw that the communal areas provided a comfortable and well-maintained living environment for residents. Bedrooms were individualised to resident’s preferences. Residents are able to bring personal items, including furniture, with them on admission and are able to have a private telephone line should they wish. Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 17 The lounge dining room had been redecorated and new armchairs had been purchased. A small shoulder high partition wall has been built in this area to provide a quiet space for residents to sit separately if they wished. This area was used by a number of the residents who were either reading newspapers or just sitting quietly with a cup of tea. A similar wall has been built outside the kitchen door to make a small corridor from the kitchen to the dining room. This also provides an area for the kitchen trolley to be stored. New pictures had been purchased for the bedrooms and 2 of the bedrooms had been re-furnished with pine furniture. There was an ongoing programme of refurbishment and bedrooms were being re-furnished on a rota basis two at a time. The gardens had been tidied, shrubs and bushes had been cut back to make more useable space for residents to sit out and enjoy the good weather. A number of residents were sat outside enjoying the good weather. One resident said “I like to go for a walk round the garden but I can’t walk far”. One of the home’s quality monitoring questionnaires stated; ‘the ongoing improvements can only make for better surroundings for residents’, ‘excellent very comfortable’ and ‘it is very clean and tidy’ Park View Rest Home DS0000069534.V342470.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are adequate numbers of staff on duty with the right skills and knowledge to meet resident’s needs and residents are protected well by the recruitment procedures. EVIDENCE: Feedback about the way the staff carried out their duties was very positive. Residents said “the girls (carers) are all very nice”, and “I only stay because the staff are so good to me”. Relatives and friends of residents said “they supply all the attention my Mother needs”, “they are very considerate”, “I am very pleased” and “they have the personal touch”. We saw that staff interacted well with residents and these relationships appear very positive. We looked at the recruitment records for three members of staff. These were very well maintained and contained all the necessary checks including Criminal Records Bureau (CRB) checks. Staff are offered training in a number of topics such as manual handling, Fire Safety and Protection of Vulnerable Adults. Staff spoken to were aware of Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 19 Adult Protection procedures. One said ‘I would go and tell the manager, I would make sure the resident was OK first’. Staff on duty were observed to have a good relationship with residents and during the inspection were seen sitting with residents chatting and listening to what they had to say. Old records were being played and one female resident got up to dance and a member of staff danced with her. Feedback about the way the staff carried out their duties was very positive. Residents said “they are nice kind people”. Park View Rest Home DS0000069534.V342470.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is safe, well managed and run in their best interests. EVIDENCE: People living at the home and their relatives or representatives are sent questionnaires as part of the quality assurance process. The most recent survey was in 2007 and the results of this are filed and kept in the office. Residents and relatives made comments such as: One resident spoken to said of the manager ‘Jean is brilliant’. Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 21 Care staff have supervision with their line manager that helps them to develop their own practice. Feedback from care staff was positive about the support they received from the home. Comments included “the manager is very supportive” and “if I have any concerns I can speak to the manager”. The minutes of a residents’ meeting were seen and issues discussed included catering, activities and spiritual care. Letters of compliment are displayed in the communal areas of the home and feedback from relatives and friends in completed surveys was all very positive about the home. There was an accident report book that met the requirements of the DATA protection Act 1998 and completed reports were filed appropriately. The home had a policy on infection control. There was a policy on the Controls of Substances Hazardous to Health and data sheets on all products used were provided. Health and Safety checks take place to make sure people are kept safe and good records are kept of these. A Health and Safety policy was seen. The Mental Capacity Act came into force in April 2007. It is recommended that a copy of the Codes of Practice for the Mental Capacity Act be kept in the office for staff to reference. It provides guidance and information for anyone who works with or cares for people who may lack capacity to make decisions. Where possible relatives helped residents manage their finances. Residents were in receipt of their personal allowances and records were seen to confirm this. However, there were financial arrangements with the previous owner which the present owners are attempting to address. They were advised to make a referral to the Contracts department at Manchester City Council. This was done during the site visit. Park View Rest Home DS0000069534.V342470.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X N/A X X 3 Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A First Inspection of the service 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. 2. Refer to Standard OP13 OP14 Good Practice Recommendations It was recommended that the manager researches organisations that might provide a visiting/befriending service for any ex-service personnel. It is recommended that all residents be consulted regarding activities. This information could then be used to tailor and further improve the activities on offer at the home. It is recommended that a copy of the Codes of Practice for the Mental Capacity Act be kept in the office for staff to reference. 3. OP38 Park View Rest Home DS0000069534.V342470.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Rest Home DS0000069534.V342470.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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!