Inspection on 26/06/07 for Parkview

This inspection was carried out on 26th June 2007.

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

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

Other inspections for this house

Parkview 27/02/07

Parkview 31/10/05

Parkview 28/06/05

Parkview 30/11/04

Parkview 03/08/04

Parkview 11/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Parkview 113 Sussex Road Watford Hertfordshire WD24 5HR Lead Inspector Pat House Unannounced Inspection 26th June 2007 1:00 Parkview DS0000019491.V346135.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 DS0000019491.V346135.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 DS0000019491.V346135.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkview Address 113 Sussex Road Watford Hertfordshire WD24 5HR 01923 230586 01923 230586 FP viv.fenmore@turning-point.co.uk www.turning-point.co.uk Turning Point Southern Area Office 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) Vivienne Inara Fenemore Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Mental disorder, excluding of places learning disability or dementia (6) Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2007 Brief Description of the Service: Parkview is a single storey, purpose built home, providing care for six service users who may have a learning disability or mental disorder. The home is also registered to provide services to individuals in these categories who are over sixty-five years of age. The home is situated in a residential area of Watford, at the end of a cul-de-sac and directly opposite a large park. The home has its own vehicle to transport service users. The main town of Watford is a short drive away, and provides extensive shopping and transport facilities, as well as a wide range of social opportunities. Parkview is a Turning Point home. Copies of the home’s Statement of Purpose and Service User’s guide are kept in the office, and together with the last CSCI inspection report, are available on request. The fees are funded by a Hertfordshire County Council block contract of £1450 per week for each person. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one afternoon with one inspector. The manager was present during the visit; staff and residents were spoken with and observed. A selection of records was checked during the inspection and a brief tour of the home took place. An Annual Quality Assessment document was completed by the manager and as requested has been returned to the Commission. Surveys are now being sent out to relatives and stakeholders in the home and the findings will be included in the next inspection report. What the service does well: What has improved since the last inspection? Work is continuing to update care planning in line with current guidelines and legislation, and the plans are clear and meaningful. Risk assessments are in place, which have resulted in equipment being installed in the home, such as a listening device and a highly positioned door handle. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 6 Medication procedures are now thorough and are audited regularly, and documentation has been completed for the covert administration of some medication. Hot water is being delivered at safe temperatures throughout the home and new flooring is being provided throughout the communal areas. All bathrooms contained liquid soap and paper towels for improved infection control procedures. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Parkview DS0000019491.V346135.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 DS0000019491.V346135.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are given appropriate information and have their needs fully assessed so that all parties can be sure that the home is the right place for them to live. EVIDENCE: The manager is currently working to produce the Service User’s Guide in an ‘easy read’ format. The manager said that this document would be shared with service users when completed, where this is possible. Records examined contained summaries of service user needs, sent by referring agencies and of detailed needs assessments completed by senior care staff in the home. During the previous inspection, a visitor spoken with confirmed that individuals considering living at Parkview are offered the opportunity to visit over a period of time and meet other residents. All such experiences and information are used to ensure that the services provided at the home can meet the prospective service user’s needs and that the home is right for them. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures in the home ensure that the individual needs and choices of service users are documented and that staff support each individual to pursue their goals and take risks wherever possible. EVIDENCE: A selection of residents’ records was checked and these were clearly documented and contained appropriate information. Whole Life reviews had been carried out and were documented and reviews of the care plans were up to date. Staff have been working to update care planning records to reflect the individual goals and aspiration for each person in a much clearer way, usually called ‘person centred planning’. Staff have received training in this concept and were also aware of the requirements of the recent Mental Capacity Act and how this legislation will affect care and planning. However, it is acknowledged that the levels of understanding amongst residents in the home and their willingness to be involved in the discussions will have an impact on how these new concepts can be implemented. The manager is aware that relatives and Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 10 advocates will need to be involved in some planning although the manager said that so far it has proved impossible to recruit advocates to work with residents in this home. The manager will now contact the Local Authority to request their assistance in providing advocates for appropriate residents. Staff spoken with confirmed that wherever possible residents were supported to take risks if this was their wish and a variety of risk assessments were seen documented on records. One completed risk assessments demonstrates that the listening device in the room of a resident with epilepsy is essential. General risk assessments have also resulted in a high door handle being fixed to the front door, to ensure the safety of residents who are ambulant. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Staff provide assistance for service users to take part in leisure activities, attend day centres and maintain family contact. This ensures that people in the home feel part of the community and have their rights respected in their daily lives. Service users enjoy a healthy diet, which adds to their well-being. EVIDENCE: The care plans seen contained details of the activities and events that individual residents attended. Residents attend a variety of different day centres and colleges accessing courses suitable to their individual needs and aspirations. Staff spoken with said that they provide quiet activities such as massage, listening to music and nail manicures on an individual basis. In the summer some residents grow vegetables and plants in the garden and outings take place. The home has its own vehicle, which is now in full working order. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 12 The home is centrally located, and is within a short distance from shops and the local community amenities and staff support residents to access these facilities. Meal choices are provided and staff said they involve residents in meal planning. Menus were available and there is a four-week rolling seasonal menu, which appeared well balanced. The nutritional needs of each individual are regularly reviewed and were seen documented. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures followed in the home ensure that residents’ health needs are met in a manner they prefer and ensure that the system for administering medication is thorough and helps to protect service users. EVIDENCE: Care plans seen described the individual routines required to support residents’ personal hygiene and dental care. Individuals were observed to be appropriately dressed and during times of observation staff appeared to know the residents well and to be able to understand their individual moods and feelings. The care records provided good evidence of the support provided by local doctors and community staff who have known the residents and the services provided at Parkview for a long time. The system for administering medication was checked and records and storage were all in order. Dates of opening were written on packaging and details of audits were available. No errors were found in the process examined. A discussion took place about the documentation for medication, which is Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 14 currently administered covertly and the manager will include some more detail in the risk assessment and in the medication policy for this area. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is sufficient and adequate for the service users to feel that their individual views are listened to. Policies, procedures and training are in place to ensure individuals are protected and safe. EVIDENCE: There is a comprehensive complaints procedure in place, which states that all complaints are responded to within 28 days. A record is maintained of complaints made detailing actions and outcomes as necessary. Residents are informed and reminded about the complaints procedure, which is in a pictorial form. This is also on display within the home. No concerns or complaints have been raised with the Commission between inspections Procedures are in place to ensure that individuals are protected from abuse and harm. Staff receive Safeguarding Adult training, and a copy of the local guidance is available. The Commission is not aware of any referrals made to the Local Authority under this procedure. Checks are made on staff to ensure their suitability to work with vulnerable people is explored and the required checks on their integrity are in place. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well maintained home where good procedures for infection control help to protect service users and staff. EVIDENCE: The home is well maintained and well decorated. The spacious lounge and wide corridors compliment the space available in each person’s room. Individual rooms reflect personal interest, styles and preferences. Some individuals have specialist equipment, the use of which is detailed in their care records. Hot water delivery was checked and temperatures were at safe levels, at around 43 degrees centigrade. A broken toilet cistern lid, identified at the last inspection, had been replaced and a new mattress cover has been provided on one bed, although a new bed has been ordered. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 17 At then time of the inspection work was in progress to completely refurbish the kitchen. New flooring has been laid in the lounge and hall and is also being laid in the kitchen, bathrooms and laundry. All bathrooms contained liquid soap and paper towels as recommended in guidelines for infection control. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by sufficient numbers of well trained staff which ensure that all their individual needs can be met. EVIDENCE: Park View is currently fully staffed, using one agency worker who has been working at the home for a long time when required. Three staff are on duty in the day and at night there is one care worker on duty with another worker doing a sleep in duty to provide support if required. Turning Point also has a team of bank staff, available when required. The manager is supernumerary to the staff on duty. A selection of staff recruitment records was examined and contained evidence that appropriate checks were carried out on staff before they were employed to work with vulnerable people. Training records showed that all staff receive basic and specialised training with regular updates provided as required. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 19 Currently, three support workers have completed NVQ training at level 2 and three have completed level 3. There is also one Registered Nurse employed. Park View already meets the requirement that 50 of care staff are trained to a minimum of NVQ level 2. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a home which is well managed and where their views are taken into account and where health and safety procedures promote the welfare of both staff and service users. EVIDENCE: The manager of the home has the required qualifications and experience needed to carry out their role and is registered with the CSCI. Turning Point also has a system of peer review in place, where a manager from another service carries out an inspection. Action plans with timescales are then produced for the manager and are monitored. Staff and residents’ meetings take place in the home, and the company head office sends out quality questionnaires to relatives and visitors. Staff ensure Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 21 that the views of residents are represented and included in future planning. The annual review of the home is now produced in an ‘easy read’ format and this is shared with residents. The accident book and fire safety records were examined and were appropriately documented with all safety checks in place. A recent visit from the Environmental Health Officer awarded the home 4 out of a possible 5 stars for outcomes, and no requirements were made. Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 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 x Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkview DS0000019491.V346135.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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