Inspection on 31/01/06 for Parkview

This inspection was carried out on 31st January 2006.

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

The inspector 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 04/04/07

Parkview 12/08/05

Parkview 01/02/05

Parkview 09/06/04

Parkview 27/02/04

Parkview 30/09/03

Parkview 01/08/02

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

CARE HOME ADULTS 18-65 Parkview 1 Armour Road Tilehurst Reading Berkshire RG31 6EX Lead Inspector Sally Newman Unannounced Inspection 31st January 2006 11:05 DS0000011089.V270818.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address DS0000011089.V270818.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. DS0000011089.V270818.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkview Address 1 Armour Road Tilehurst Reading Berkshire RG31 6EX 0118 942 0596 0118 946 4014 little@choiceltd.co.uk 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) Choice Limited Mrs Yvonne Little Care Home 7 Category(ies) of Learning disability (7) registration, with number of places DS0000011089.V270818.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th August 2005 Brief Description of the Service: Parkview is a residential care home which caters for the needs of 7 residents with learning disability who have associated difficulties such as sensory impairments and challenging behaviour.The home is well maintained and brightly decorated. It is situated within 2 miles of Reading town centre close to community facilities and public transport. DS0000011089.V270818.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted over the course of 3 hours over a late morning and early afternoon. Time was spent talking to the manager and two members of staff in private. Daily routines within the home were indirectly observed by the inspector at various times throughout the course of the inspection. A range of records were examined and the communal areas of the home were seen. This home continues to provide a high standard of care. The staff team is well qualified and is led by an able and competent manager. What the service does well: What has improved since the last inspection? There has been an improvement in the opportunities for spontaneous activities to take place for service users. DS0000011089.V270818.R01.S.doc Version 5.0 Page 6 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. DS0000011089.V270818.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000011089.V270818.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were inspected under this heading on this occasion. EVIDENCE: DS0000011089.V270818.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No standards were inspected under this heading on this occasion. EVIDENCE: DS0000011089.V270818.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Service users are provided with a healthy diet which takes particular account of individual needs and preferences. EVIDENCE: The home has a dedicated cook who is familiar with the individual needs and preferences of all the service users. Menus indicated the use of a variety of foods and it was noted that pictorial menus are used on a notice board situated outside of the kitchen which enables service users to see what is on offer for the day. Each individual service users likes and preferences are recorded and updated when required. A food safety inspection by the Environmental Health Department was recently conducted which led to a small number of recommendations being made which the manager had already acted upon. The lunchtime routine was observed as being conducted in a calm and relaxed manner. DS0000011089.V270818.R01.S.doc Version 5.0 Page 11 DS0000011089.V270818.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The arrangements for managing medication are particularly robust in this home and protect service users. EVIDENCE: Evidence was provided by discussion and demonstration by the manager. There is a simple but effective system for managing medication in the home which is checked by the manager or the deputy on an almost daily basis. This ensures that any errors are addressed without delay. Only one homely remedy is used in the home which has been agreed with the G.P. and confirmed in writing. Only senior staff on duty undertake the task of administration of medication and all these staff have received both external and internal training. DS0000011089.V270818.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 All complaints and concerns raised are acted upon without delay and are investigated thoroughly. Service users are protected from abuse, neglect and self-harm. EVIDENCE: The home maintains a log of concerns and complaints which cross references to more detailed information. It was clear from the records and from discussion with the manager that all concerns and complaints are taken very seriously. Investigations are thorough and outcomes are communicated appropriately. Records confirmed that there is a rolling programme of training for staff concerning protection of vulnerable adult issues. It is company policy that this training is updated on a 3 yearly basis. Staff spoken to demonstrated a sound understanding of the principles and potential for abuse and indicated appropriate responses for concerns or allegations of abuse. DS0000011089.V270818.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Service users live in a homely, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: This home is well decorated throughout and there is a rolling maintenance and redecoration programme in place. Colour charts were in evidence in preparation for redecoration of the living room. Furnishings are comfortable and are replaced when required. The home is maintained in a safe manner and regular health and safety checks are undertaken. All communal areas seen were clean, tidy and hygienic. DS0000011089.V270818.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 & 35 Service users are supported by competent and qualified staff. Service users’ individual and joint needs are met by appropriately trained staff. EVIDENCE: Evidence was provided from perusal of training records, discussion with individual staff and from talking to the manager. All staff regardless of experience receive regular one to one supervision. The home currently has 20 out of an establishment of 24 qualified in NVQ’s. The organisation has recently changed their training provider. The manager has some reservations about the accessibility of the new arrangements but recognises that only time will tell if problems will be experienced. Each staff member has an individual training profile and the system identifies training needs including required updates. This information feeds into a training review for the home which provides an at a glance overview of all staff training. All new staff receive induction training and those without prior learning disability experience are expected to undertake LDAF training. DS0000011089.V270818.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The service users in this home do benefit from a well managed home. Service users views do underpin all self-monitoring, review and development by the home. The health, safety and welfare of service users are promoted and protected. EVIDENCE: This home is managed and run by an experienced and highly competent manager. She is highly regarded by her staff and by the relatives of service users. The views of service users are captured in various ways including the regular individual 6 monthly reviews to which all interested parties are invited. Service user meetings are held on a 4 weekly basis and take the form of small meetings with each service user. These meetings are designed to discuss DS0000011089.V270818.R01.S.doc Version 5.0 Page 17 individual goals and activity programmes. The manager recognised that due to the departure of their dedicated day activity organiser the regularity of these meetings needed to be re-established. The arrangements for ensuring the health and safety of both staff and service users in this home are particularly robust. A wide range of regular checks is carried out including water outlets, fire safety, legionellosis, gas appliance checks, and electrical checks. The system is supported and enhanced by an external audit which is carried out in the home on a 6 monthly basis. These audits are extremely thorough and recommendations are acted upon promptly. These arrangements are considered to exceed the standard and ensures the health and safety of service users. DS0000011089.V270818.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 4 X DS0000011089.V270818.R01.S.doc Version 5.0 Page 19 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 DS0000011089.V270818.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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. 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