Inspection on 26/11/07 for Parkview

This inspection was carried out on 26th November 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 12/09/06

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 26th November 2007 11:30 Parkview DS0000014221.V345906.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.V345906.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.V345906.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 tonykearns@btconnect.com 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.V345906.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 12th September 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 company that owns Parkview has recently been purchased by another Company who own other registered care homes for older people in the East Sussex area. 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 en suite facilities including bath en suite. 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.V345906.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 assembled from an unannounced inspection undertaken over five and half hours and information gathered about the home. This includes discussion with relatives and health care professionals involved in resident’s care. The manager had completed an Annual Quality Assurance Assessment form prior to the inspection and the information contained in this document has been used to inform the inspection of the home. The inspection was facilitated by Janet Hardacre (Registered Manager). The inspection involved a tour of the premises, observation, examination of records and discussion with residents and staff. There were eight residents living at the home at the time of the inspection. The focus of the inspection was to look at the experiences of life at the home for people living there, this involved observing residents and their interactions with staff and examination of the homes facilities and documentation. 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 and staff for their assistance and hospitality during the visit. What the service does well: Parkview consistently provides well-tailored individual programmes of support to a wide range of resident’s needs. The home continues to provide a stable and safe environment from which residents clearly benefit, enabling them to lead more independent lifestyles. Residents continue to speak positively about their experiences at the home, a sample of their comments include: “Alright quite good at the moment”, “the way they care for patients is good” and “best bit about the home is that they look after me so well”. Comments by relatives include: “one of the better places he has been in” and “I have seen lots of improvements in him since he has been living at the home”. The home balances well the rights of residents to take reasonable risks as part of an independent lifestyle. Resident’s lives are enriched by the promotion of independence, choice and being enabled to live their chosen lifestyle. Residents commented: “best thing about the home is that I have my independence”; “I can get up and got to bed whenever I want” and “I can go out whenever I want as long as I tell staff”. The meals are good offering both choice and variety and catering for special dietary needs. Residents Commented: “very good, if you don’t like anything you can have something else instead”; “I can make myself a snack whenever I Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 6 want”; “Meal times are the best bit well prepared, well cooked with a choice of meals” and “I can make my own tea and coffee in my bedroom”. A consistent strong management approach ensures that both staff and residents are provided with a clear sense of leadership and direction. Residents live in a clean and homely environment with residents commenting: “I love my room” and “Nice bedroom it has got everything that I need”. Residents’ benefit from a staff team that are soundly recruited, know them and who are employed in sufficient numbers to be able to provide consistent good quality support. A sample of comments made about staff include: “very nice and friendly”; “ok”; “absolutely brilliant”; “reasonable”; “helpful” and “Staff very patient and understanding”. 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. The summary of this inspection report can be made available in other formats on request. Parkview DS0000014221.V345906.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.V345906.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): 1 2 3 4 AND 5 People who use the service experience good, quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides both prospective and existing residents with information about what services are provided and what to expect when living at the home. Residents are only accommodated if the home is satisfied that their needs can be met. EVIDENCE: There continues to be a range of information about the home and the services it provides. This includes a statement of purpose and service user guide, which are usually displayed at the home. Individual copies of these documents are not generally given out to prospective residents instead its contents are discussed with them prior to admission. A newly admitted resident spoke of being given essential information about the home and felt that this was sufficient for them to help them make an informed decision about moving to the home. Documents seen for a recent admission showed that the resident’s needs were fully assessed by the manager before they moved into the home. Information about their needs was gathered from a variety of sources including the resident, their representative and health care professionals. The needs Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 9 assessment then formed the basis of their initial care plan. This helps ensure that staff are aware of their basic needs before they moved into the home. A newly admitted residents spoke of being provided with the opportunity to visit the home in advance to assess the quality, facilities and suitability of the home with their family and representative. As part of the homes assessment of prospective residents much thought is given to the compatibility with existing residents. Although there had been some changes in residents, they present as a close cohesive group, which several residents said was important to them. There is a wide range of residents needs being accommodated this includes some residents who have complex mental health needs and physical support needs. Evidence showed that the home continues to balance well this range of needs with one residents commenting: “despite the mix of residents the home does quite well at making sure that we are all well looked after”. Residents continue to speak positively about their experiences at the home, a sample of their comments include: “Alright quite good at the moment”, “the way they care for patients is good” and “best bit about the home is that they look after me so well”. Comments by relatives include: “one of the better places he has been in” and “I cant praise the home highly enough” Residents are provided with a written contract of terms and conditions of residency with the home. This is used with residents and their families to make explicit the placement arrangements and clarify mutual expectations around rights and responsibilities. Parkview DS0000014221.V345906.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 9 and 10 People who use the service experience good, quality outcomes in this area. 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 practices actively promote choice for residents. The home balances well the rights to residents to take reasonable risks as part of an independent lifestyle. EVIDENCE: Four care plans were examined and these provided clear information on the needs of residents. Staff continued to demonstrate a clear understanding of the assessed needs, support techniques and the cultural and religious needs of residents. The emphasis of the care plans is the development of individual goals and the targets needed in aiding residents to achieve them, for example, independent living skills or maintaining personal care. For some residents their care plan contained clear agreed behavioural boundaries. Residents continue to state that they are aware of the contents of their care plan but expressed little interest in being involved in its review. Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 11 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; these were relevant with only essential non-judgemental events being recorded. Residents confirmed that they could request to see what is being recorded about them and that in the past this has occurred. The manager ensures that any changes in resident’s needs and preferences are identified through the regular review of care plans. Annual placement reviews are held with the placement authorities and residents families. Respecting resident’s rights to make decisions about their lives remains integral to the ethos of the home and where any restrictions are place on resident’s freedoms and choices this is agreed and documented. Consideration has also been given in resident’s care plans to new legislation (Mental Capacity Act) which affects residents’ rights to make decisions in their lives. The home continues to balance well the rights of residents to take reasonable risk as part of an independent lifestyle against the risks faced and posed by themselves or others. This is supported through the written assessment of risks and includes such areas as self-harm, suicide and sexual vulnerability and the guidance on how to reduce or manage any risks. Residents participate in the day to day running of the home in accordance with the range of their individual preferences or if it is part of their individual gaols. One resident spoke of their chore being to ensure that the smoking area was swept daily. Much importance is placed on preserving residents confidentiality as the nature of the assessment process mean that a great deal of personal information is retained about individuals and their family backgrounds. When there have been breaches of the homes policy this has been dealt with promptly by the manager Parkview DS0000014221.V345906.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 13 14 15 16 and 17 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s lives are enriched by the promotion of independence, choice and being enabled to live their chosen lifestyle. Resident’s benefited by being supported to maintain relationships with their families and friends. The meals are good offering both choice and variety and catering for special dietary needs. EVIDENCE: It was clear from reading documents, speaking with staff and from direct observations that residents are given the opportunities to maintain and develop social independence, communication and living skills. Several residents have significantly increased their independence over the previous twelve months. A staff member felt that this has been achieved through Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 13 consistent support. A relative said that: “I have seen lots of improvements in him since he has been living at the home”. Several residents spoke of attending day centres for various periods during the week, while others preferred to be based at the home and occupy their own time. Several residents had recently undertaken a back to work training programme with a view to employment in the future. All residents consulted mentioned flexibility in the daily routines and respect for personal freedom and lifestyles being respected. Several residents spoke of the importance of being able to live an independent lifestyle and how the home enabled them to do this. Residents comments included: “best thing about the home is that I have my independence”; “I can get up and got to bed whenever I want” and “I can go out whenever I want as long as I tell staff “ As part of an enabling lifestyle residents are encouraged to organise their own leisure activities. For some, who need support to do this, some meaningful occupation and leisure activities are provided. There was a range of equipment suitable for in-house entertainment, which included audio equipment, films, board games, puzzles and books. Residents have the opportunity to go on holiday and several have recently visited a holiday resort that the home has close links to. Relatives commented upon how welcomed they are made to feel when they visit, this included being offered beverages or meals and staff being friendly and approachable. A relative spoke of the Christmas party that they attended which they enjoyed. Relatives consulted felt that the home were good at communicating with them with a resident commending “always keep me informed of any changes or if she needs anything”. A resident spoke of visiting their relatives whenever they wanted while other residents use their own mobile phones to keep in contact with friends and relatives. The majority of residents spoke positively about the food provided which included such comments: “very good if you don’t like anything you can have something else instead”; “I can make myself a snack whenever I want”; “Meal times are the best bit well prepared, well cooked with a choice of meals” “alright but would like more variety” and “I can make my own tea and coffee in my bedroom”. 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 assed as safe to have open access to the kitchen on the grounds of personal safety. Instead access is either supervised or staff obtain requested items. Parkview DS0000014221.V345906.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 People who use the service experienced good, quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from personal and health care support that is individual, respects their privacy and dignity and encourages them to remain as independent as possible. The system for the administration of medication is good with clear and comprehensive arrangements in place to ensure residents safety. EVIDENCE: The majority of residents do not require direct personal care. Instead, staff provide emotional and practical support that residents continue to say is provided in ways that promote 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. Care plans showed the increased level of independence for several residents over the last twelve months. Residents consulted spoke of how staff preserved their privacy when offering support or personal care. Staff demonstrated a good understanding of the different support needs of each resident. Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 15 Residents continue to be supported to maintain control over their own health care, with one resident supported to receive alternative therapies as a means of treatment. The manager sated that regular medical reviews are undertaken with visiting health care professionals. Residents confirmed that when they have asked to see a doctor this has been sought promptly. Where staff had 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. Residents spoke of visits to dentists, opticians and chiropodists, either by themselves or with the support from staff. A resident spoke of the importance of managing their own medication and was provided with the appropriate secure facilities in their bedroom. The medicine administration practice observed was seen to be safe and the records demonstrated that systems have been established to ensure staff are appropriately trained and records are accurate and provide a history of what was given by who and when. Parkview DS0000014221.V345906.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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good, quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. An effective complaints procedure and appropriate adult protection policies protects the rights and interests of residents. 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 them at house meetings or talking directly with the manager. Without exception all residents continue to state that they felt confident to raise any concerns that they had and gave examples where they had raised issues regarding the behaviour of other residents or a homes policy and these were dealt with promptly in an open and transparent manner. Records showed that where a formal complaint has been made a record is maintained of the outcome of the complaint, which is signed by the complainant. There are written policies covering adult protection, which identifies different types of abuse, possible indicators of abuse and how to report suspected abuse. Although the staff on duty had not yet undertaken training in safeguarding adults they were aware of their roles and responsibilities under Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 17 adult protection guidelines. The manager reported that training in this area is in the process of being organised. 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 advice. Parkview DS0000014221.V345906.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 26 27 28 29 and 30 People who use the service experience good, quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and homely environment with their bedrooms furnished and decorated according to their individual lifestyles. EVIDENCE: The home is located within walking distance of shops cafes and main bus routes, which several residents said that being able to independently access these was very important to them. 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 few years. Further minor works remain necessary in order to provide a consistent environment throughout. This includes the refurbishment of the kitchen. The manager was aware of the necessary works and was in the process of discussing this with the new providers. Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 19 Bedrooms continue to be comfortable and personalised with furnishing and fittings in good condition. Residents commented about their bedrooms: “I love my room” and “Nice bedroom it has got everything that I need”. Residents spoke of being able to decorate and furnish their rooms how they wanted. Bedrooms are fitted with locks and most were locked by the resident, when they were not in the bedroom. There are sufficient number of toilets and bathrooms located around the home including all but two rooms having their own en suite. Communal space consists of a dinning room and a small link room leading to a lounge. These are decorated to a good standard with much art work on display which has been made by residents. Furniture and fittings are of a domestic character. The lounge overlooks a well-maintained rear garden, which has a patio area, seating, lawn 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. Although there is a passenger lift to all floors, this is no longer in service. 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. Written feedback was received which stated: “I think it could be cleaner”. Some residents, as part of an assessed goal, undertake light cleaning duties of their bedrooms and personal laundry. Parkview DS0000014221.V345906.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 and 36 People who use the service experience good, quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a staff team that are soundly recruited, know them and who are employed in sufficient numbers, further specialist training would enable the staff to better support residents who have more complex needs. EVIDENCE: Staff, visitors and residents felt that there was usually sufficient numbers of staff on duty for staff to undertake their roles in a timely manner and for residents to receive the support they needed, when they wanted it. The staff member on duty had a good rapport with residents, which promoted a relaxed atmosphere in the home and were knowledgeable on the individual needs and preferences of residents. A sample of comments made about staff include: “very nice and friendly”; “ok”; “absolutely brilliant”; “reasonable”; “helpful” and “Staff very patient and understanding”. There has been some turnover of staff in the previous twelve months, including some long-standing members of staff leaving. Although residents spoke of their frustrations of staff leaving and of missing them, all of the Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 21 residents consulted felt that the staff turnover had not impacted on the quality of the services they receive. A relative did however express their concern that the number of new staff did not help to provide continuity in the care that their relative received. It was observed throughout the inspection that the staff understood their roles and had good planning skills. The key tasks of the day were organised at handover and the staff member appeared confident in carrying them out. A notice board that showed the staff on duty and their roles for that shift were displayed for the information of residents. The manager reported that staff that had previously undertaken a National Vocational Qualification (NVQ) in Care had now left. However, two staff were in the process of undertaking this qualification, with plans to ensure that the new staff will also undertake this qualification in the near future. The personal files of newly appointed staff were inspected and these showed that a good recruitment process is followed which includes the use of an application form, interviews, Criminal Records Bureau (CRB) checks and written references prior to employment commencing. A new staff member said that they had completed a local induction into the home including the industry recommended minimum induction standards “skills for care”. This helps to ensure that all new staff entering into the care industry have a minimum level of initial training. Staff consulted said that they had undertaken compulsory training such as, manual handling, first aid, food hygiene and fire safety in order to work safely with residents, but had not yet had any specialist training in areas of mental health. In the past the previous providers of the home had facilitated this training and now alternative arrangements were needed. The manager reported they were in the process of identifying the most appropriate training, therefore this shortfall has not been made a requirement of the home. Staff are 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 supervision from the manager or senior staff. The manager also provides direct supervision through working directly with staff on a daily basis. Parkview DS0000014221.V345906.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 38 39 and 42 People who use the service experience good, quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s benefited from an experienced and well-established manager who promotes good care practices, strong leadership and runs the home in the best interest of residents. A range of regular health and safety checks helps to promote the health and safety of residents and staff. EVIDENCE: The manager is well qualified and experienced, as a registered mental nurse (RMN), registered nurse (RGN) and community psychiatric nurse (CPN). Without exception all persons consulted in connection with the home continue to speak positively about the manager with particular reference to the clear Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 23 sense of leadership she provides, approachability and knowledge of mental health issues. A sample of comments made include: “brilliant always rings me if any concerns very straightforward and direct no hidden agenda with her”; “very helpful”; “Janet runs a tight ship”; “No keeping anything from residents works in a open manner”; “One of the best managers I have worked with” and “always got the patients best interest at heart” The company, which owns the home, has recently been purchased by another company, this was undertaken with minimal negative impact on residents. Residents and relatives spoke of the welcoming party that was held to introduce the new owners and that they could ask any questions they wanted. Written guidance is available on issues related to health and safety. Records submitted by the manager prior to the inspection stated that all of the necessary servicing and testing of health and safety equipment has been undertaken. Systems are in place to support fire safety, which include: regular fire alarms and emergency lighting checks, staff training and maintenance of fire equipment and fire drills were reported to have been undertaken. The manager reported that a fire risk assessment had been undertaken by a fire safety expert. This records significant findings and the actions taken to ensure adequate fire safety precautions in the home. The systems for resident consultation is good with a variety of evidence that indicates that resident’s views are both sought and acted upon. Residents spoke of being encouraged to speak out if they had any concerns or ideas on improving ways of working at residents meetings. The manager has obtained a Quality Assurance tool kit in order to self assesses the quality of the services and facilities provided. They said that they were planning on undertaking a self-audit in the near future. Parkview DS0000014221.V345906.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 3 5 3 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 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 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 3 3 X X 3 x Parkview DS0000014221.V345906.R01.S.doc Version 5.2 Page 25 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 DS0000014221.V345906.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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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