Inspection on 12/09/06 for Parkview

This inspection was carried out on 12th September 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkview 26/11/07

Parkview 13/02/06

Parkview 07/09/05

Parkview 08/02/05

Parkview 27/07/04

Parkview 14/10/03

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

CARE HOME ADULTS 18-65 Parkview 70 Old Shoreham Road Hove East Sussex BN3 7BE Lead Inspector Jane Jewell Key Unannounced Inspection 12th September 2006 10:00 Parkview DS0000014221.V311067.R01.S.doc Version 5.2 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 Parkview DS0000014221.V311067.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 Adults 18-65. 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. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkview Address 70 Old Shoreham Road Hove East Sussex BN3 7BE 01273 720120 01273 749810 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) Parkview Care Homes Limited Mrs. Janet Hardacre Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10) of places Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is ten (10). Service users must be aged over eighteen (18) years or oven on admission. That service users must have a past or present mental illness. Date of last inspection 13th February 2006 Brief Description of the Service: Parkview is a residential care home for up to ten adults with past or present mental health needs. The Home has been privately owned by Parkview Care Homes Limited since 2000. The organisation also own a further four registered care homes within the Southeast region. The home is a large detached property situated in Hove on the main A270. It is located near to local amenities such as shops, cafes and bus routes into Brighton and Hove. Accommodation is presented across four floors with a shaft lift providing access to all floors. Resident’s accommodation consists of six single and two shared rooms with six rooms having ensuite facilities including bath ensuite. Currently all shared bedrooms are used for single occupancy. Shared facilities include a lounge and dinning room and a rear garden. The homes literature states that the care at Parkview is strongly geared towards the rehabilitation potential of the individual. The fees for residential care at are currently in the range of £600. to £850. per week, depending on room size and the funding arrangements. Extra such as: newspapers, hairdressing, chiropody, toiletries and some leisure activities are additional costs. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information contained in this report has been comprised from an unannounced site visit undertaken over six hours and information gathered about the home since the previous inspection. This includes survey questionnaires, discussion with relative’s, health care professionals and records submitted to CSCI. The site visit was undertaken with Mrs. Janet Hardacre (Registered Manager). There were eight residents living at the home. The site visit involved a tour of the premises, examination of the homes records, discussion with staff on duty and residents. The focus of the inspection was to look at the experiences of life at the home for people living there. In order that a balanced and thorough view of the home is obtained, this inspection report should be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their assistance and hospitality during the visit. What the service does well: Parkview consistently provides well-tailored individuals programmes of support to a wide range of residents needs. The home continues to provide a stable and safe environment of which residents clearly benefit from. Resident’s comments on their overall view of the home included: “I am very happy at Parkview. The staff are helpful and I have my own freedom”; “Free to come and go”; “ relaxed atmosphere” and “treated like people not patients”. Staff are competent, knowledgeable and well supported to undertake their roles and in the care they provide for residents to achieve their individual goals and aspirations. Resident’s comments regarding staff included: “they talk to people like they are human beings”; “quite friendly” and “the staff are very helpful and understanding”. Central to the ethos of the home is the promotion of independence and the respect shown for resident’s individual lifestyle. Residents are encouraged to be in control in as many aspects of their lives as preferred. A consistent strong management approach ensures that both staff and residents are provided with a clear sense of leadership and direction. Parkview DS0000014221.V311067.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. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Parkview DS0000014221.V311067.R01.S.doc Version 5.2 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 the following standard(s): 1 2 3 and 4 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. There is adequate information about the home available for prospective residents to help them make an informed choice about whether to live at the home. Resident’s only move into the home following an assessment of their needs and the home is satisfied that their needs can be meet by the home. Residents must have their own written terms and conditions with the home. EVIDENCE: There is a range of information about the home and the services it provides. This includes a statement of purpose and service user guide, which are displayed at the home. Individual copies of these documents are not generally given out to prospective residents instead its contents are discussed prior to admission. It is felt that this system helps residents gain a better understanding of the home. In the past residents have signed to say that they had seen these documents, however for recent admissions this had not been undertaken. It is recommended that this practice is re-introduced to demonstrate that residents have been provided with the information necessary to make an informed choice about the home. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 9 There have been no new admissions since the previous inspection. Assessment documentation was examined for the last few admissions. This showed that a copy of the placement authority needs assessment had been obtained, which provided the home with a comprehensive picture of individual needs. The manager reported that they also undertake their own assessment of prospective residents and had made written notes, however this could not be located. It is recommended that a formal assessment tool be developed to assess prospective residents needs. This is necessary in order for the home to be able to base their decision as to whether a prospective residents needs could be met by living at the home. As part of the homes assessment of prospective residents thought is given to the compatibility with existing residents. Referrals have been declined where it has been felt that the home would not be able to meet their needs. The home currently caters for a wide range of needs, including some residents who have complex mental health needs and physical support needs. The home is able to demonstrate that it continues to meet most needs of residents with all residents generally speaking positively about their life at the home. Resident’s comments about the home included: “I am very happy at Parkview. The staff are helpful I have my own freedom”; “it’s perfect”; “satisfied with everything”; “ relaxed atmosphere”; “ treated like people not patients”; “Free to come and go”; “Satisfied with everything” and “best thing about living at the home is the company”. Relatives consulted all spoke positively about their experiences at the home and the support provided to their relative with one relative saying that residents “live quiet independent lives” and how they felt involved in the support provided to their relative and how they were informed of any major changes in needs. Contracts are agreed between the home and the placing agency, with each contract being specific to both the agency and the resident’s particular needs. Copies of these contracts are kept in resident’s files. Alongside this formal contract there must be a separate statement of terms and conditions of residency between the home and the resident. This is necessary in order to make explicit the placement arrangements, and to clarify mutual expectations around rights and responsibilities between the home and the resident. It has been required that this is undertaken. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 6 7 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans seen provided the appropriate guidance for staff on how to meet the assessed needs of residents. The homes services and practices actively promote independence and choice for residents. EVIDENCE: The sample of care plans seen provided clear information on the needs of residents. Staff demonstrated a good understanding of the assessed needs and support techniques for residents. The emphasis of the care plans is the development of individual goals and the targets needed in aiding residents to achieve, for example, independent living skills or maintaining personal care. For some residents their care plan contained clear agreed behavioural boundaries. Most residents consulted were aware of the contents of their care plan but expressed little interest in being involved in its review. The home continues to balance well the need to provide guidance to staff on the support needs of residents with that of respecting residents rights on what is being recorded about them. Clear daily notes are kept for each resident; Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 11 these were relevant with only essential non judgemental events being recorded. Residents can request to see what is being recorded about them and in the past this has occurred. A manager ensures that any changes in resident’s needs and preferences are identified through the regular review of care plans. Regular placement reviews held with placement authorities are also held for some residents. It remains integral to the ethos of the home resident’s rights to make decisions are respected. This is reflected in the daily routines of the home, which were largely determined by the needs of residents. The home balances well the rights of residents to take reasonable risk as part of an independent lifestyle against the risks faced and posed by individuals. This is supported through the written assessment of risks faced and posed by each residents and includes such areas as self-harm and sexual vulnerability. Residents are involved in the running of the home to the extent of their individual preferences or in accordance with any individual gaols. For some this involves cooking their own meals, shopping, cleaning bedrooms, making hot drinks while others prefer to have little involvement. Regular house meetings are held with staff and residents where daily living issues are discussed and agreements reached on any changes to house rules. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12 13 15 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents access a range of leisure and community facilities in accordance with their individual preferences or needs. Flexible daily routines are an integral part of daily life at the home. The majority of residents felt that the meals provided were good. EVIDENCE: The majority of residents access local community resources by themselves. This includes day centres, where there is an opportunity to take part in a structured educational programmes, and local drop in centres. As part of enabling independent lifestyles the majority of residents occupy their own time. For some who need support to do this meaningful occupation is provided. There was a range of equipment suitable for in-house entertainment, which included audio equipment, films, board games, puzzles and books. Many residents went out independently to use local leisure facilities, which included cafes, pubs and shops. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 13 Collective day trips are arranged for all the homes across the organisation, one recent trip was to France. Staff spoke of organising many activities either group or individual and at the last minute residents often decline to participate. When this has happened a staff member spoke of the different approaches they would use to encourage participation, while respecting residents rights to opt out if they wished. Art therapy sessions are held at the home once a week. These sessions are open to all residents. Those residents who wanted to go on holiday have been provided with the opportunity. However the majority or residents declined. Some residents use mobile phones to keep in contact with their friends and relatives. One relative spoke of the staffs respect for privacy when their relative was using the communal phone. Several residents spoke of their friends and family visiting but in the main preferred to meet them outside of the home. Relatives consulted said that they could visit at any reasonable time, were always made to feel welcome and offered beverages or to stay for meals. Where concerns have been noted regarding a resident’s potential vulnerability within a friendship/relationship, clear contact guidelines have been agreed and are recorded in the individuals care plan. The consensus of residents consulted is that staff continue to respect residents individual lifestyles and personal routines. For example in the flexibility shown regarding meal times, going to bed, rising, personal dress, bathing and going out. Residents are informed via a notice board which staff are on duty and who their link worker is for that day and of any significant events occurring. Although residents are not directly involved in selecting their daily link worker individual preferences are usually accommodated. The majority of residents spoke positively about the food provided which included such comments as “food very good there is a menu on the wall”; “You can have an alternative if you don’t like the meal”; “If you asked for a specific food item Janet usually gets it for you” and “Janet is such a good cook”. One resident felt that recently there had been insufficient food stocks available to provide a variety of meals. Food stocks at the time of the inspection were low. It was reported that the manager was due to undertake the weekly shopping on the day of the inspection. In addition to the main meals hot drinks and snacks are provided, but many residents purchased their own snacks. “Treats” such as biscuits are now locked in the manager’s office. It was reported that this is to ensure their fair distribution to all residents, the majority of residents agreed with this system. Not all residents are enabled to have open access to the kitchen on the grounds of personal safety. Instead access is either supervised or staff obtain requested items. The daily notes of a resident who did have open access indicated that requests for additional snacks and hot drinks were observed including during the night. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 18 19 and 20 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Health care and personal support needs are well met with staff knowledgably about the individual needs of each resident. Good medication practices are observed, which safeguarded residents and ensure that their medical needs were being addressed. EVIDENCE: The majority of residents do not require direct personal care. Instead, staff provide emotional and practical support which residents said was provided in ways that promoted their dignity and independence. Where residents do need some personal care clear boundaries are agreed on the level and type of physical support offered in order to enable and encourage independence. Staff demonstrated a good understanding of the different support needs of residents and were observed firmly adhering to individual guidelines for residents. Residents continue to be supported to maintain control over their own health care. From the homes records regular medical reviews are undertaken with visiting health care professionals. Where staff have expressed concerns to the manager regarding the health or welfare of residents prompt action has been sought to obtain further professional health care advice and support. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 15 All residents consulted said that when they have asked for any medical intervention then this has always been sought on their behalf. Residents were seen in private by a visiting health care professional during the course of the inspection. Residents spoke of visits to dentist’s opticians and chiropodists, either by themselves or with the support from staff. Any resident’s health care needs observed by the inspector during the course of the inspection were already being appropriately addressed. The system for the administration of medication are good with clear and comprehensive arrangement being in place to ensure residents medication needs are met. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 22 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were many different ways residents could raise their concerns and be taken seriously. Further work is needed to ensure that clear records are maintained of any complaints raised. The homes practices are designed to support the protection of vulnerable adults. EVIDENCE: There is a written complaints procedure in place for residents, their representative and staff to follow should they be unhappy with any aspects of the service. This is displayed around the home and is contained within the homes literature. Residents are encouraged to air any concerns either by recording them in a complaints book, raising at house meetings or talking directly with the manager. Without exception all residents consulted said they felt confident to raise any concerns that they had and that where they have done this the manager has always taken their concerns seriously. There have been two formal complaints raised with the home since the last inspection. Although it was reported that these have been investigated it was not always clear what the details of the initial complaint were or the what the outcome of the investigation was, as not all of the records relating to the complaints could be located. It is therefore required that a record of all complaints be maintained which includes the outcome of the complaint. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 17 There are written policies covering adult protection, which identifies different types of abuse, possible indicators of abuse and how to report suspected abuse. Staff undergo adult protection training and staff consulted were aware of their roles and responsibilities under adult protection guidelines. There is a zero tolerance policy towards violence at the home. Residents consulted felt protected and reassured by this and were also aware of the likelihood of Police prosecution if this policy was not adhered to. The manager continues to acts as “Corporate appointee” for most residents in respect of their personal allowances. Various arrangements are in place for the distribution of personal allowances depending upon the agreed terms with residents. This can range from daily to weekly allowances. The organisation employs a financial adviser who supports residents to access appropriate benefits and offers general financial advice. He was observed meeting with residents in private and residents were clearly at ease to seek his advise. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 18 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 the following standard(s): 24 25 26 27 28 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and homely environment with some minor redecoration necessary to ensure a consistently pleasant environment throughout. EVIDENCE: There has been a gradual programme of redecoration and repair, which has seen improvements to the interior and exterior of the building over the last two years. Further minor works remain necessary in order to provide a consistent environment throughout. This includes replacements of some corridor carpets and refurbishment of the kitchen. The manager was aware of the necessary works and was in the process of discussing this with the providers. Bedrooms were found to be comfortable and personalised with furnishing and fittings in good condition. One resident said “my bedroom is the best bit about the house”. Bedrooms are fitted with locks and most were locked by the resident when they were not in the bedroom. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 19 There are sufficient number of toilets and bathrooms located around the home including all but two rooms having their own ensuite. Communal space consists of a dinning room and a small link room leading to a lounge. Furniture and fittings are of a domestic character. The lounge overlooks a well-maintained rear garden, which has a patio area, seating, lawned area and a water feature, making this a very attractive social space. The home is not registered to offer a service to people with physical disabilities, as access arrangements within the home would make it unsuitable for residents with significantly restricted mobility. There is a passenger lift to all floors. A call bell system is fitted throughout the home to enable assistance to be summoned if required. One resident said that when they have had to use it staff responded quickly. All areas inspected were observed to be clean with a good standard of hygiene maintained. Some residents as part of an assessed goal undertake light cleaning duties of their bedrooms and personal laundry. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 20 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 33 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The relationship between staff and residents was observed to be close and supportive. Sufficient staff are employed who have the competences and skills to meet the needs of residents and help achieve the homes’ aims and objectives. EVIDENCE: At inspection there were two staff on duty in addition to the manager. Residents and staff said that this is the normal staffing level. Staff continue to feel that the staffing levels are sufficient to be able to undertake their roles in a timely manner. It was clear that should the need arise additional staffing is made available. Residents felt that there was always sufficient staff on duty to get they support they needed. Staff interactions with residents were observed to be relaxed offering encouragement, guidance and appropriate choices. Residents spoke positively about staff and included the following comments: “ok”, “fine”, “they talk to people like they are human beings”, “quite friendly”, “the staff are very helpful and understanding”. A visiting health care professional said that staff show a “thoughtfulness of how to approach residents” and felt that staff did a “really good job”. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 21 Staff demonstrated very positive attachments to residents and showed much commitment towards supporting residents to achieve independent lifestyles. There has been little staff turnover since the last inspection, which promotes the continuity of care provided. There have been no external staff recruited since the last inspection therefore it was not possible to assess recruitment practices at the home on this occasion. There is a commitment to improving staff skills through an ongoing training programme both in practical matters and the broader aspects of mental health. Staff were supported to only work within the range of their expertise and training and to seek advice from the manager or senior staff if they were unsure of situations. Staff continue to feel well supported to undertake their roles and were receiving regular informal supervision from the manager who works directly with care staff. A health care professional who regularly visits the home felt it was a very supportive environment in which to work and felt that the manager was very supportive of the work they did at the home. Not all staff received regular formal recorded supervision. This is necessary to ensure that practice issues are addressed and skills developments needs identified. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 22 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to benefit from a well-established and experienced manager who provides a strong sense of leadership and direction. Health and safety is promoted and well managed. Further work is needed to the homes quality assurance procedures to enable the self-monitoring and review of its own practices. EVIDENCE: The manager is well qualified and experienced, as a registered mental nurse (RMN), registered nurse (RGN) and community psychiatric nurse (CPN). The manager reported that they have also attended local training sessions held at the home in order to keep update to date in working practices. Without exception all persons consulted in connection with the home spoke positively about the manager with particular reference to the clear sense of leadership she provides. Comments received included “great sense of humour”, “Very professional”, “excellent” and “warm and human”. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 23 The manager is supported by two senior carers who in their absence are competent to be left in charge. There is an established out of office hour’s management on call system. This is operated in conjunction with the organisations other home situated next-door. This enables staff to call on management support at all times. There are some stand-alone quality assurance practices in place, which obtain residents and their representative’s views on the services provided by the home. This includes: Monthly recorded visits by the provider’s representative, regular residents house meetings, feedback questionnaires and placement reviews with funding authorities. This feedback now needs to be integrated into a structured quality assurance system, for the home to use in the selfmonitoring and review of its own practices. There are policies and procedures relating to health and safety. The home uses an external management consultancy manual to guide them in health and safety matters. Some good practices were in evidence in relation to the management of health and safety. This included regular testing and servicing of fire safety equipment. It was previously required that the use of portable radiators in residents bedrooms be risk assessed from the risk of accidental scolding. This had been undertaken for those noted during the previous inspection. However, a further radiator was noted which had not yet been assessed, but was not currently in use. The manager assured the inspector that it would be risk assessed prior to any further use. The providers visit the home regularly and their representative carries out the required monthly-unannounced visit to the home and produces a comprehensive report on the conduct of the home. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 3 2 3 3 3 4 x 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 3 Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA5 Regulation 5(1)(b) Requirement That service users are provided with terms and conditions in respect of the accommodation to be provided, including the amount and method of payment of fees. That a record of all complaints be recorded which includes the action taken by the registered person in respect of the complaint. Timescale for action 30/10/06 2 YA22 17(2) Schedule 4 (11) 30/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard YA1 YA2 Good Practice Recommendations That residents sign to say that they have had the opportunity to seen and discuss the homes statement of purpose and service user guide. That a written format for the assessment of prospective service users is developed in line with the homes admission criteria and the requirements of the Minimum Standards. DS0000014221.V311067.R01.S.doc Version 5.2 Page 26 Parkview 3 4 YA36 YA39 That care staff receive regular formal recorded supervision. That a system be established and maintained for the self monitoring and review of the quality of the care and services provided at the home. Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Parkview DS0000014221.V311067.R01.S.doc Version 5.2 Page 28 - 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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