Inspection on 21/02/06 for Parkview

This inspection was carried out on 21st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 16/08/07

Parkview 29/08/06

Parkview 23/08/05

Parkview 21/02/05

Parkview 09/08/04

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

CARE HOMES FOR OLDER PEOPLE Russell House Woolwich Road Bexleyheath Kent DA7 4LP Lead Inspector Sue Meaker Unannounced Inspection 21st February 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Russell House Address Woolwich Road Bexleyheath Kent DA7 4LP 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) 020 8303 7889 020 8304 8017 jane.kingsmill@kcht.org.uk Kent Community Housing Trust Mrs Jane Louise Kingsmill Care Home 69 Category(ies) of Dementia - over 65 years of age (69) registration, with number of places Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Russell House is a purpose built care home providing accommodation to 69 older people who are physically frail or have dementia care needs. All rooms in the home are for single occupancy; forty of the bedrooms have en-suite facilities, the other twenty nine rooms having easy access to communal toilets and bathrooms within the four units in the home. The home is located in a residential area in Bexleyheath in the London Borough of Bexley, and has good road, rail and bus links with access to local shopping and leisure facilities. The home is part of the Kent Community Housing Trust; a charity established in 1990 and now operates 22 care homes throughout East Kent, West Kent, Medway, and the London Boroughs of Bexley and Greenwich. The organisation provides a range of care services to people in need within local communities . The home has undergone an extensive building and refurbishment programme over the last three years the final phase being completed in January 2006. The home is now able to offer 69 en-suite bedrooms, arranged in four units over two floors, 31 rooms on the ground floor and 38 on the first floor; the first floor is served by two passenger lifts. Each of the four units has their own lounge and dining room. The home has a day centre on site, which offers care to elderly people with specialist dementia care needs. The home has car parking to the front of the building and two attractive, well equipped, integral garden areas accessible to the residents and their visitors Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a statutory unannounced inspection that took place over a period of eight hours by the lead inspector accompanied by the lead inspector for Meyer House, Mrs Maria Kinson. Unfortunately the home manager was on sick leave and the inspection was facilitated by the acting manager of Meyer House and two assistant manager. The residents and staff moved to Russell house on the 13th February 2006; when all the building and refurbishment work was completed. The residents and staff of Meyer are settling well into their new environment and from speaking to residents, relatives and staff seem to be adapting well to the new surroundings. Records were inspected including care plans, personnel files, training records, service users financial records, complaint and medication records. During the inspection a tour of the building was undertaken by both inspector and the serving of lunch was observed. Discussions and conversations were held with some residents, their relatives, care staff and the management of the home. Feedback in the form of questionnaires gave positive comments about the quality of care, the improved environment, the care staff and management of the home. What the service does well: The home provides a good quality service to their residents; the staff have a good empathy with their residents and it was noted that the residents were relaxed, happy and comfortable in a homely environment. Residents and relatives spoken to were appreciative of the improvements made to their environment particularly the new light, airy and spacious en-suite bedrooms and communal areas. The home has robust recruitment and selection processes in place and the personnel files confirmed that extensive pre employment checks had been carried out. The organisation has a comprehensive training programme for staff particularly induction, mandatory and specialist training relating to the care of older people with dementia. Staff are also supported and encouraged to undertake NVQ qualifications. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 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. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Service users and their representatives have access to clear and concise information relating to the home enabling them to make and informed decision about living in the home. EVIDENCE: The home does not currently have a personalised Statement of Purpose or Service User Guide; both of these documents are currently in draft form. The home has undergone extensive building and refurbishment work and it is understood that the home is to have a change of name; both the Statement of Purpose and the Service User Guide need to reflect all changes. A draft copy of the Statement of Purpose was seen at the inspection but not the new Service User Guide. (See requirement 1) Service User contracts will also need to be reviewed and updated and give details of the new name of the home and details of the service users room number. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 9 Key Standard 3 was fully assessed at the inspection on the 23rd August 2005, and was met. Key Standard 6 is not applicable to this home. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 and 11 Service users preferences and wishes are considered by the staff at all times, ensuring that health and personal care given is not intrusive or comprised, that service users, their relatives and friends are treated with sensitivity and compassion at all times. EVIDENCE: It was evident from speaking to some of the service users and relatives, from observing the interaction between service users and staff and from feedback from questionnaire, that staff have established a good rapport with the service users and relatives. One relative spoken to at the time of the inspection, said that the staff in the home were approachable and responsive to the needs of the service users, sitting with them giving reassurance when they were anxious or upset. Any problems were referred by staff to a member of the management team and were dealt with and resolved satisfactorily at the time; the home held regular meetings to review the care needs and any changes made were with the consent of the service user and family member. Regular relatives meetings had been held with the organisation, management and staff of the home during the building and refurbishment work so that everyone was Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 11 aware of what was happening, what disruption there would be and what the timescale was for the completion of the project. Staff undertake a comprehensive induction programme and specialist training relating to dementia and challenging behaviour, ensuring that they have the necessary skills to meet the health, personal and social care requirements of the service users. The home has a policy and procedure relating to the care of the dying; this issue is covered in staff training. The wishes of the service user and their relatives relating to funeral arrangements are recorded in the care plan. The key standards 7, 8 and 9 were assessed in the report of 23rd August 2005 Standard 9 was re-assessed at this inspection and some concerns were raised by the inspector relating to the administration of medication; there were no gaps when recording medication given from blister packs; however more care needs to be taken when administering tablets from bottles, some discrepancies were found when checking the tablets in bottles against medication signed as given. (See requirement 2) The medication room on the ground floor was locked, however the key was hanging above the door, this issue was rectified on the day of the inspection. Some of the homely remedy medication was out of date and disposed of on the day of the inspection. The home’s policy and procedure relating to homely remedies should be displayed in the medical rooms in the home. (See recommendation 2). Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 14 Service users are supported and encouraged to maintain their lifestyle, within the environs of the home. EVIDENCE: The home provides a wide range of activities within the home tailored to the specific needs of the service users. At the time of the inspection there were musical entertainers in the home; from observing the service users it was evident that they enjoyed the show. The home employs two activity coordinators who support and encourage service users to participate in the activities programme either in a group or as an individual. Currently there is no activity programme on display in the home, it is understood that the programme is to be revised. (See recommendation 3) Feedback from relatives and friends of service users confirmed that they felt comfortable when visiting the home, that they were offered refreshments and were invited to and involved in social functions arranged by the management and staff at the home. Visitors are welcome into the home at any reasonable time enabling service users to maintain their links with the local community Key standard 12 was assessed at the previous inspection on 23rd August 2005, and was met. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 13 Key Standard 15 was assessed at the previous inspection and was met; however during this inspection some concerns were raised after observing the lunch being served on the blue and red units. It was observed that a choice was not being offered to the service users, they were all given the same meal. One of the service users said that she enjoyed the meal of turkey, cranberry sauce, stuffing, sprouts, mashed potatoes and gravy. On the red unit the dining experience appeared to be hectic and service users were becoming agitated, although two service users said they enjoyed their lunch. (See requirement 3). Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NONE EVIDENCE: The key standards 16 and 18 were comprehensively assessed in the inspection report of the 23rd August 2005, and were met. However it was noted at this inspection that the complaints procedure is not displayed in the homes’ communal areas, and therefore not easily accessible to service users, their relatives and friends or staff. (See recommendation 4) Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25 and 26 This home offers a well-maintained, comfortable and safe environment for service users. EVIDENCE: This home has undergone an extensive building and refurbishment programme that is now completed. Service users and relatives spoken to agreed that the home has been much improved as to the facilities that are now available; the home is now able to provide care for 69 service users in single rooms, 40 of which have en-suite facilities. All the bedrooms, well-decorated and furnished to a high standard; residents and their relatives have been involved at every stage of the building and refurbishment process and have been able to choose their new rooms and have had some input into the decoration. It was evident from the bedrooms viewed that residents and their relatives had been able to personalise the bedrooms with small items of furniture, photographs, pictures and ornaments; residents also had televisions and radios in their rooms. The home was clean and tidy and there were no unpleasant odours; the home Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 16 creates a homely atmosphere and a spacious and comfortable environment for the residents and their visitors. The communal areas are light, spacious, well decorated and furnished; two new courtyard garden areas have been created and are easily accessible to all service users, their relatives and friends. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28. The home should endeavour to make sure that the numbers and skill mix of safe ensures that service users are in safe hands at all times. EVIDENCE: The staff rotas seen showed that the home is maintaining staffing levels; however these levels need to be closely monitored and reviewed to ensure that the home maintains adequate staffing to meet the assessed health, personal and social needs of the residents; both day and night. (See recommendation 5) The home has comprehensive recruitment and selection procedures that are compliant with the National Minimum Standards – Care Homes Regulations; six personnel files inspected were found to comply with Schedule 2. The organisation has a comprehensive induction programme for new staff that comprises an induction work book, once this is satisfactorily complete staff are required to undertake a foundation in care course prior to being offered an NVQ qualification course. All statutory training is undertaken and updated as required by the standards including moving and handling, first aid, food hygiene and health and safety. As the home is for older people diagnosed with dementia the home provides comprehensive training in dementia care, managing violence and aggression and managing challenging and disruptive behaviour Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 18 The home has an extensive NVQ training programme and more than 50 of the care staff had achieved the NVQ 2 qualification. The home has an annual training programme, staff spoken to during the inspection confirmed that the training offered is comprehensive and that they are encouraged to undertake courses to enhance their skills and experience; six personnel files were inspected and found to contain evidence of successfully completed training courses. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 and 35. Services users financial interests are safeguarded by the homes’ accounting and financial procedures. EVIDENCE: The home was able to demonstrate that the accounting and financial procedures adopted ensure the financial viability and effective and efficient management of the business. The business and financial plan of the organisation is open to inspection and is reviewed annually. The level of insurance cover specified on the displayed certificate complies with regulations. Service users financial records were inspected and found to be in order, all transactions made on behalf of the service user were documented and the cash held balanced with the receipts. Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 20 The laundry at the home was inspected and found to be in breach of health and safety legislation; this issue was discussed at the time of the inspection and was dealt with immediately by the duty management. (See requirement 4) Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 N/A 8 N/A 9 N/A 10 N/A 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 2 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 X X X 3 3 X STAFFING Standard No Score 27 2 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 1 Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 22 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 OP1 Regulation 4&5 Requirement The Registered Person must make sure that there is an updated copy of the homes’ Statement of Purpose and Service User Guide. The Registered Person must make sure that all medication given is accurately recorded. The Registered Person must make sure that the service users have a choice of meals. The Registered Person must make sure that the laundry premises and equipment complies with health and safety legislation. Timescale for action 31/05/06 2. OP9 13 31/05/06 3. OP15 16 31/05/06 4. OP38 23 28/02/06 Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 23 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Russell House DS0000006794.V293568.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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