Inspection on 13/02/06 for Parkview

This inspection was carried out on 13th February 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also 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 12/09/06

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 Unannounced Inspection 2.00 13 February 2006 th Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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.V256958.R01.S.doc Version 5.0 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.V256958.R01.S.doc Version 5.0 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.V256958.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The number of people accommodated must not exceed 10 The people accommodated will be aged 18 years or over on admission The people accommodated will have a past or present mental illness Date of last inspection 7th September 2005 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 five registered care homes plus supported housing 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. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced routine inspection, which was undertaken over four hours. The inspection was undertake with Paul Bancroft and Yam Sarr (Senior care officers). There were eight residents living at the home. The inspection involved a tour of the premises, examination of the homes records, discussion with provider, consultation 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 to 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 inspection. What the service does well: What has improved since the last inspection? What they could do better: There are a few areas, which do not meet the National Minimum Standards. This is to develop a system for the self-monitoring and review of the homes Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 6 practices. This to be able to identify any shortfalls in practices promptly and to inform future service development. 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.V256958.R01.S.doc Version 5.0 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.V256958.R01.S.doc Version 5.0 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, 3 and 4 The home provides both prospective and existing residents, with a good level of information about what services are provided and what to expect when living at the home. The home is managing well the range of residents needs at 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 and made available to prospective residents, representatives and other interested parties. In line with previous requirements these documents have been reviewed to ensure that they include clear information on the aims and objectives of the home. Staff were clear on the objectives of the home and how their roles helped to achieve this. There have been several admissions to the home who have more complex needs than existing residents. Although this has been initially challenging for some existing residents, new residents appear to have settle in very quickly. The group at inspection presented as a close group and were protective of one another. Additional staff have been employed to help meet the needs of new residents. The home was able to demonstrate that it is able to meet the range of needs of residents through the assessments and care planning process, staffing levels and competencies. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 9 Where a resident needs have changed or increased, prompt advice and support has been obtained from health care professionals or support provided to obtain a more suitable placement. All residents consulted continue to speak positively about their life at the home saying: “best place I’ve lived in” “free to come and go as I please” “I am having a fantastic time” and “I don’t want to go anywhere else”. The home is achieving its aims by enabling some residents to move on to more independent living. A newly admitted resident said that they had a choice of visiting the home prior to moving in but had chosen not to. Staff said that trial visits can involve participating in meals, day visits to an overnight or a weekend stay depending upon the wishes of the individual. The first six weeks of occupancy is looked upon as trial period. Where social services are the placement authority it is usual practice that within this period a review is undertaken to determine whether the residents wishes to stay permanently or not. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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, 8, 9 and 10 Care plans seen provided a good framework for the delivery of care and support to help residents achieve their individual goals. Services are designed to provide appropriate care and support in ways, which maximise independence and choice for residents. The home balances well the rights of residents to take reasonable risks as part of an independent lifestyle. Good practices were noted in the handling of personal information. EVIDENCE: Of the sampled care plans seen these provided clear information on the needs of residents. The emphasis of the care plans is the development of individual goals and targets. These can be used to identify the necessary skills and development needs necessary for residents to potentially move onto more independent living. In line with previous requirements these goals have been identified for all residents in accordance with the homes aims of providing rehabilitative programmes. Care plans were being regularly reviewed and updated to reflect any changes in needs and preferences. 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. The majority of residents consulted said that Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 11 they have seen their care plan and are involved to the level of their personal preference in its development and review. The home continues to work positively with residents and staff to ensure that the tone and style of recording is respectful and non-judgmental. This has in the past involved staff training and residents being present during the recording of some incidents. It remains integral to the ethos of the home that of respecting resident’s rights to make decisions. For a new resident staff said that they were recording in detail any actions and events in order to help understand how the resident made decisions. Residents are involved in the running of the home to the extent of their individual preferences and in accordance with individual gaols. For some this involves assisting in the cooking of meals while others prefer to have little involvement. Residents are encouraged to take reasonable risks as part of an independent lifestyle and written risk assessments are completed on core risks, including smoking, sexual vulnerability and self-harm. Risk assessments also include the actions needed to manage any risks. Staff demonstrated an awareness of good practice around confidentiality, ensuring that sensitive information is kept secure and knowledgeable about the circumstances under which information must be shared with management and others. Staff are also aware that residents have the right to ask that some information is not shared with family or others. Residents have the option of signing a confidentiality statement, which identifies who they want any health and care information shared with. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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): 11, 12, 13, 14, 15, 16 and 17 Residents are encouraged to remain as independent as possible and maintain control over as many aspects of their daily lives. Staff support residents to spend their time usefully, but balance this with the understanding that they have the choice to become involved or not as they wish. The routines of daily living are predominantly determined by the needs and wishes of residents. EVIDENCE: Residents are encouraged to develop skills that will enhance their opportunities to lead an active and fulfilling life, within the range of their individual strengths and any identified goal. One resident is undertaking college courses with a view to wanting future employment. Another resident attends day care services were they have the opportunity to take part in a structure programme of activities and self development. Staff were knowledgeable about local resources and spoke of going out with residents to cafes, for walks and to local shops. Many residents also access local resources, independently including drop in centres and local pubs, cafes and shops. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 13 Some residents use mobile phones to keep in contact with their friends and relatives. Several residents spoke of their friends and family visiting but in the main preferred to meet up outside of the home. Where concerns have been noted regarding a resident’s potential vulnerability within a friendships/relationship clear contact guidelines have been agreed. Resident’s consensus was that staff make available various activities but in the main residents preferred to occupy their own time. Staff said that various leisure activities are organised including trips to France and places of interest but these were not well attended. Residents generally felt that their time was being suitable occupied. Residents said that staff respected their individual lifestyles and the daily routines of getting up, timing of meals and going to bed were largely determined by them. A communication board is used to keep residents updated on the staff on duty and on any planned events for the day. The Kitchen was clean and well-equipped, and there remains plans to refurbish it in near future. Not all residents are allowed independent access to the kitchen for safety reasons instead there are designated supervised times. Most residents have kettles in their bedrooms and a drinks tray and fruit bowl was reported to be permanently available. The manager/staff prepare meals often with the assistance of a particular resident. Most residents expressed little interest in being actively involved in meal preparation. Weekly menus are displayed which have been developed based on the likes and dislikes of Residents. Resident’s consensus was that the standard of food was good with their individual preferences being catered for. The evening meal was noted to be presented well with all residents saying how nice it was. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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 Support is offered in such a way as to promote and protect resident’s privacy, dignity, continuity of care and independence. The systems for the administration of medication are good with clear arrangements to ensure resident’s medication needs are being safely met. EVIDENCE: The majority of residents do not require direct personal care. Instead, staff prompt and encourage residents to maintain their personal appearance. Where residents do need some personal care guidelines have been developed on the level of support needed and how this is to be undertaken in order to maximise their independence. One resident said that staff were always available to help emotionally support them by listening and then offering advise. Each resident is allocated a named worker/keyworker. Staff said that although residents are not involved directly in the allocation of keyworkers, their preferences are taken into consideration. Most residents knew the name of their keyworker and were happy with their allocation. One resident said “that it was nice having one staff member that you could talk to about any problems”. Residents continue to be supported to maintain control over their own health care. Several residents said that they largely decide when they want any Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 15 medical intervention. Support is given to attend appointments and staff accompany residents to consultations only upon the invitation of the resident. It was clear that when medical intervention has been requested by a resident, then this has been sought promptly. The medication practices at the home enable a clear audit trail of medication entering the home, being administered or being disposed of. Where residents wish to self medicate this is supported by a risk assessment. Guidance is provided for staff on the administration of “PRN” medicines. This makes clear when these should be administered. Regular audits of some medicines are undertaken to ensure that they are being administered appropriately and accounted for. At inspection a discrepancy was noted in the outstanding balance of a medicine. The provider was asked to investigate this and concluded that the outstanding balance was being stored separately. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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 There is an accessible complaints procedure with residents feeling able to air any concerns and when this has been done prompt action has been undertaken to address their concerns. There are procedures and practices in place that supports the protection of vulnerable adults, and staff know what to do if abuse is suspected. 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 or talking directly with the manager. Where concerns have been logged the actions taken to address their concerns are also recorded. One resident said that they had expressed concerns regarding the manner of a member of staff to the manager who addressed this very quickly. Concerns raised by residents to the inspector were to do with aspects of communal living and the conflict between individual lifestyles. It was clear that action had already been taken to address these concerns. For example a laundry rota had been devised to reduce waiting times. House rules regarding volume of music and use of telephones late at night have also been established. There are written policies covering adult protection, which identifies different types of abuse, possible indicators of abuse and how to report suspected abuse. Staff have undergone adult protection training and staff consulted were aware of their roles and responsibilities under adult protection. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 17 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. Residents said that they were happy with their individual arrangements. Support is provided to some vulnerable residents on issues of value for money, and budgeting. Residents have access to the organisations “patient advocate” who supports them to access appropriate benefits and offers general financial advice. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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, 26, 27, 28, 29 and 30 The standard of the environment is good providing residents with an attractive, clean and homely place to live. EVIDENCE: A plan of redecoration and repair has been implemented. This has seen the redecoration of some bedrooms, dining room, corridors and external fire escape. Where redecoration has occurred this has been done to a good standard. Resident who’s bedrooms had been redecorated said that they were encouraged to choose the design and colours and were pleased with the overall results. All residents consulted said that they liked their bedroom and those seen had been individualised by the resident, with most residents having their own audio equipment. 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. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 19 All areas inspected were observed to be clean with a good standard of hygiene maintained. As part of an assessed goal some residents are responsible for part cleaning their own room and laundry. There are sufficient number of toilets and bathrooms located around the home including all but two rooms having their own ensuite. 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. All residents are assessed as fully mobile, therefore there is currently no need for any aids and adaptations. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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): 31, 32, 33, 34 and 36 The numbers, deployment and competence of staff are sufficient to meet the aims, objectives of the home and the individual needs of residents. Staff were well supported to carry out their roles by the manager. EVIDENCE: At inspection there were two staff on duty, one being a senior carer in the absence of the manager. Due to the admission of residents with complex needs the staffing structure had recently been reviewed and increased accordingly. Staff felt that staffing levels were sufficient to be able to undertake their roles in a timely manner. Residents felt that when they needed staff they were able to get the support they needed. Residents described staff as: “very nice” “most of them are ok” “nice and kind” “I can talk to them” “I like the way they help me”. All staff consulted spoke respectfully and professionally regarding residents and demonstrated much commitment towards the home and supporting residents to move on to more independent lifestyles. Staff had a clear understanding of the purpose of the service and how their role contributed to the achievement of this purpose. There have been some turnover of staff which residents said had not impacted on the quality of support they had received, but were conscious that the same Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 21 staff had undertaken long hours until new staff had been recruited. Due to the confidential nature of personnel documentation the senior carers at inspection did not have access to recruitment documentation. Therefore this will be looked at during future inspections. Staff said that they receive regular supervision with the manager regarding their performance, conduct and training needs. Where shortfalls in performance had been identified these were addressed promptly. All staff consulted said that they felt well supported by the manager and provider to undertake their roles and felt able to approach them for advice and guidance. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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, 41, and 42 The home continues to benefit from a well-established and experienced manager who provides a strong sense of leadership and direction. A system for the self-monitoring and review of the homes practices needs to be implemented. The health and safety of residents and staff are generally promoted and protected. EVIDENCE: The manager is well qualified and experienced, as a registered mental nurse (RMN), registered nurse (RGN) and community psychiatric nurse (CPN). They have been in post for many years. Both staff and residents spoke positively about the manager with particular reference to the strong sense of leadership and direction they provide. Resident consensus was that the manager was very firm but fair and all expressed confidence in her management style and approachability. It was reported that in accordance with previous recommendations a review of the management structure has been undertaken and senior carers appointed in order to support the manager in the administration of the home. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 23 It was not possible to ascertain what actions had been undertaken towards developing a system to monitor the quality of the care provided. Therefore this requirement is repeated in this report. Some mechanisms are in place for residents to feedback on the services provided this includes regular residents meetings and reviews. All records requested by the inspector were made available and were generally well organised and supportive to the effective and efficient running of the home and were maintained in accordance with resident’s rights and best interest. 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 checks of fire safety equipment, good standard of maintenance and how the home manages the risks of smoking. It was previously required that an external fire escape stairway be repainting to ensure a none slip surface. Although not completed within the agreed timescales, due to additional works necessary it was in the process of being addressed. A fire door at the top of the building could not be easily opened and this was made an immediate requirement. Subsequent to the inspection the inspector was notified that this fire door was not in use due to the fire escape being under repair and that an alternative means of escape had been provided. This had not been pointed out at inspection. The manager confirmed that residents and staff had been informed and a drill had been undertaken to confirm their awareness of an alternative fire escape. It could not be ascertained that the fire risk assessment had been expanded to include all areas of fire safety undertaken at the home as previously recommended. Several portable radiators were noted in resident’s bedrooms. The inspector was informed that this was to boost the heating system in some parts of the home. This included one radiator that had been attached to a wall, which was extremely hot to touch. The risk of accidental scalding and fire safety from their use needed to be risked assessed. The manager undertook this immediately and forwarded copies to the inspector. These will be examined as working tools during future inspections. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parkview Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 X 2 X 3 2 x DS0000014221.V256958.R01.S.doc Version 5.0 Page 25 YES 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 YA3939 Regulation 24(1-3) Requirement That a system for obtaining feedback from service users representative and other stakeholders on the services provided by the home is developed. (Made at inspection 27/7/04 with timescales of 30/04/05, 30/11/05 not met). That the use of portable heaters in service users bedrooms be risk assessed, which records significant findings and the actions to manage and be reviewed regularly. Timescale for action 30/06/06 2 YA43 13(3)(c) 13/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 2. Refer to Standard YA42 Good Practice Recommendations That the fire risk assessment be expanded to include all areas of fire safety undertaken at the home. Parkview DS0000014221.V256958.R01.S.doc Version 5.0 Page 26 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.V256958.R01.S.doc Version 5.0 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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