Inspection on 12/08/05 for Parkview

This inspection was carried out on 12th August 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

Parkview 04/04/07

Parkview 31/01/06

Parkview 01/02/05

Parkview 09/06/04

Parkview 27/02/04

Parkview 30/09/03

Parkview 01/08/02

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

CARE HOME ADULTS 18-65 PARKVIEW 1 Armour Road Tilehurst Reading Berkshire RG31 6EX Lead Inspector Sally Newman Unannounced 12 August 2005 @ 08:55 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parkview Address 1 Armour Road Tilehurst Reading Berkshire RG31 6EX 0118 942 0596 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) Choice Limited Mrs Yvonne Little Care Home 7 Category(ies) of Learning Disability registration, with number of places PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 01/02/05 Brief Description of the Service: Parkview is a residential care home which caters for the needs of 7 residents with learning disability who have associated difficulties such as sensory impairments and challenging behaviour.The home is well maintained and brightly decorated. It is situated within 2 miles of Reading town centre close to community facilities and public transport. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which was conducted over a morning period and was for a duration of 2 ½ hours. The home has experienced staff shortages recently due to a number of vacancies and staff sickness. On the day of the inspection the morning routine was very busy. As a result the inspector was unable to speak at length with staff. Considerable observation over the course of the morning was undertaken and a selection of care plans were seen. At 11am 4 service users left the home to attend a trip to town shopping and the remaining 3 service users were due to start on site day care. The inspector did have the opportunity to talk to the relative of a service user on the telephone when they happened to ring the home. This relative provided positive feedback about the care provided at the home. The overall outcome of the inspection was positive with clear evidence that this home provides an excellent standard of care to its residents. The inspector observed clear directions being provided for the agency member of staff on duty. Staff were respectful of service users and no service users bedroom was entered without staff knocking on the door. Overall the morning routine ran very smoothly despite a shortage of staff on shift. It was noted that an additional member of staff arrived later to provide assistance. Due to communication difficulties it was not possible to obtain reliable feedback about the service from service users. What the service does well: Providing very personalised and individually tailored packages of care. The provision of day opportunities for all service users is varied, regular and takes account of individual preferences and interests. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 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. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 All prospective service users have their needs thoroughly assessed. EVIDENCE: The evidence for this standard has been provided in the past. The home provides long term care and therefore does not experience a high turnover of service users. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 & 9 Service users needs are assessed on a regular basis and the service adapts to accommodate these changes needs. Service users are supported to make decisions about their lives. Risk are an accepted part of life in the home and service users are supported to take managed risks. EVIDENCE: This home is vigilant in recognising changing needs and adapting the service to meet the needs. Care plans are regularly reviewed and provide detailed evidence of individual needs based upon preferences, likes and dislikes. There was evidence from observations undertaken during the course of the inspection and from care plans that service users are constantly encouraged to make decisions about their lives. These decisions take account of individual PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 10 strengths and weaknesses and are not directed beyond the individual capacities of the service users. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 & 16 All service users take part in age, peer and culturally appropriate activities. Community presence is considered to be a priority for all service users. Service users are supported to have appropriate personal, family and sexual relationships. The rights of service users are respected. EVIDENCE: There was considerable evidence from care plans and from talking to a relative on the telephone that service users each have a detailed plan of activities which includes leisure pursuits, general occupation and contact with friends and family. Great emphasis is placed upon providing service users with opportunities for following their interests and engaging in fulfilling activities. The manager was pleased that since the last inspection the opportunity for one to one support had improved. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 12 The upholding of the rights of service users is addressed in various policies and procedures and was evident in care plans. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 The personal support provided is tailored to service user preference and needs. The physical and emotional health needs of service users is met. EVIDENCE: Care plans contain detailed information about the personal care needs of service users. Although only brief discussions were held with staff it was apparent that individual personal care needs and preferences were well known and understood. It was apparent from care plans that all service users health care needs are well met. Psychology input is provided from the organisations own psychology department. This service is seen as invaluable to enable tailored plans to be developed particularly in the are of challenging behaviour. Regular G.P. contact is maintained for all service users and there was evidence of chiropody, dental and speech and language therapy input. PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No standards under this heading were inspected on this occasion. EVIDENCE: PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No standards under this heading were inspected on this occasion. EVIDENCE: PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No standards under this heading were inspected on this occasion. EVIDENCE: PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No standards were inspected under this heading. EVIDENCE: PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 4 x 4 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 PARKVIEW Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 19 no 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 Good Practice Recommendations PARKVIEW H51-H01 11089 Parkview V234225 120805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading RG7 4SA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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