Inspection on 04/04/07 for Parkview

This inspection was carried out on 4th April 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkview 31/01/06

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 Andy McGuckin Unannounced Inspection 04th April 2007 13:00p DS0000011089.V333923.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 DS0000011089.V333923.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. DS0000011089.V333923.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkview Address 1 Armour Road Tilehurst Reading Berkshire RG31 6EX 0118 942 0596 0118 945 5832 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.V333923.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 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. Access to the property is through a locked and gated high fence. This is due in part to the possibility of residents wandering out into the road, but also due to the fact that members of the public have been found on the premises without permission. The home is undergoing a continuous improvement and decoration plan and is well presented and homely. The cost of a placement in this home are within the region of a minimum £896.00 and a maximum of £2166.64 DS0000011089.V333923.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced “Key Inspection”. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that the CSCI has received about the service since the last inspection. The inspection took place on a weekday afternoon and involved a visit to the home. The inspector looked at core documentation relating to the regulations and standards. The inspector spent some time with the manager and staff and had informal contact with three residents. The inspector toured the building and was shown residents living accomodation. The inspector sat in on a staff meeting and had informal conversations with staff. The homes medications systems were tested and found to be safe. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. The inspector would like to thank the manager, staff and residents for their assistance in the inspection process. What the service does well: The home is well managed by a experienced manager and a trained and experienced staff team. The home offers its residents an opportunity to experience a wide range of appropriate activities. The home presents as a homely environment. Training opportunities for staff were found to be good. The home have found ways in which to improve the communication systems within the home. DS0000011089.V333923.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. DS0000011089.V333923.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 DS0000011089.V333923.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): 1,2,3,4,5,6. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Information regarding the home is available to prospective residents in an appropriate format. EVIDENCE: The home provides information in a format, which is appropriate to the needs of its service users. Information and decisions are usually made in a one to one situation giving residents time to gain a good understanding of what is on offer and available to them. Residents files evidenced that residents are being consulted and informed where possible about changes and challenges which are available to them. The home is looking at the possibility of involving the service users in the making of a video to promote and inform prospective residents about the home. All residents have an appropriate weekly timetable, which involves a good mix of work and leisure. The initial inspection was due to be unannounced but when the inspector arrived all residents and staff had gone to the seaside for the day. The home is to be commended for the range and regularity of its activities. DS0000011089.V333923.R01.S.doc Version 5.2 Page 9 New residents are encouraged to visit the home prior to making a final decision as to the suitability of the home. This also enables the home to assess its suitability to meet the residents care needs. Regular reviews take place to ensure that this is still the case. The last resident joined the home in October 2006. The home has a transition process, which starts with initial assessment and carries through to first review. Evidence was found at inspection that prospective service users visit the home several times prior to a decision being made. Service users have individual written contracts and terms and conditions. Relatives or advocates are involved in the contracting process to assist the individual resident to be safeguarded. DS0000011089.V333923.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): 6,7,8,9,10. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Service users are encouraged to be independent and have as full a life as is possible. EVIDENCE: All seven service users care plans were seen. They included excellent information about personal care routines/how much support individuals need, and how to give it. Parts of the care plans are produced in user-friendly formats to assist service users to understand as much of it as they are able. Individual Lifestyle support plans include a short life history, what is vital for staff to know, likes and dislikes, achievements, level of support required, the best way to get to know the service user, what they like and don’t like and what worries them are all used in the residents file to enable staff to provide care and support in a way which the service user would wish to have it. DS0000011089.V333923.R01.S.doc Version 5.2 Page 11 The future needs and aspirations are noted on reviews which service users are supported and encouraged to attend. Families also attend reviews and sign the review notes. There is a description on individual files of the service user’s ability/limitations with regard to decision making and how to ensure that they are given appropriate choices, such as sampling different activities before being asked what they want their daytime activities programme to consist of. There are group meetings held at which various subjects are discussed, including activities for the week, the rotas, complaints, health and safety and any other issues arising. These meetings are recorded and were seen to be appropriate at this inspection. Staff use a variety of activities to keep service users interested and occupied. All residents are able to communicate their needs and any specialist need is identified and recorded on file staff are informed of these needs and any areas of training are identified. Evidence was found at inspection that where a resident had a specialist need or has a particular medical condition detailed information is held on file and staff sign to say they have read and understood it. Risk assessments seen were detailed and regularly reviewed. All staff has signed all other documentation held in the service user file, to evidence that they had read and understood it. DS0000011089.V333923.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): 11,12,13,14,15,16,17. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Staff accompany service users to access a wide variety of activities and community contacts. EVIDENCE: The home has a staff group in sufficient numbers to enable residents to attend a wide range of activities on a regular basis. Two days prior to the inspection on a very nice sunny day staff and residents went on a day out. During the inspection all residents had activities outside of the home. The home is to be commended for these activities. Evidence was found at inspection that thought is given to the age appropriateness of the activities and outings on offer and these are regularly reviewed to establish that they remain appropriate. DS0000011089.V333923.R01.S.doc Version 5.2 Page 13 The local community is very part of the activity programme both for leisure but also for maintaining the household, shopping and travel training. Residents are encouraged and enjoy involvement in the weekly shop both to the local shop and to the supermarket. The home has much pictorial evidence of the resident’s outings and holidays. Holidays are being planned for this year. Residents are encouraged to maintain contact with family and friends both in the local community and beyond. Evidence was found at inspection that all residents had contact with family and friends on a regular basis. Residents are encouraged to have appropriate sexual relationships and are not open to exploitation. Evidence was found at inspection that resident’s rights and responsibilities are being respected and that residents are encouraged to take calculated risks. Risk assessments are in place for those areas deemed to require them. Residents are encouraged to take an active part in the selection of the daily menu, which is presented in a pictorial way. On the day of the inspection evidence was found that ingredients were being bought in and cooked from fresh. Residents usually are out at some stage during the day, so lunch tends to be a snack with the main meal being taken as a group in the evening. DS0000011089.V333923.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): 18,19,20,21. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. All service users have regular access to mainstream healthcare services. Alternative therapies are available for those who wish to use them. EVIDENCE: Service users’ care plans are very detailed and include all the necessary information to ensure that staff can meet their individual personal support need in a manner in which they prefer to be supported is clearly noted in the plans. Health records are well kept and accurate, service users are supported to have regular health checks and attend the GP/specialists as necessary. Residents also have access to alternative therapies including massage. Incidents and accidents are recorded and immediate action is taken if necessary and appropriate. The medication administration system is robust and all staff have received training in its administration. On the day of the inspection a member of staff showed the inspector how the system worked. The staff member was very DS0000011089.V333923.R01.S.doc Version 5.2 Page 15 competent and confident. The system has very good built in safety procedures involving a second member of staff counter signing. Evidence was found in resident’s files that information on what should happen in the event of serious illness or death is being recorded and would be acted on in the event. DS0000011089.V333923.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): 22,23. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff go through the complaints process on a one to one basis. Two complaints had been dealt with in a satisfactory manner EVIDENCE: The complaints procedure is produced in service user-friendly format and is up-to-date. The home has a complaints book. Two complaints has been recorded and dealt with in a satisfactory manner since the last inspection. Evidence was found in the service users file that staff are explaining the complaints procedure in a one to one session and in a manner appropriate to the needs of the service user. The Commission for Social Care Inspection has received no information about complaints or safeguarding adult’s issues. All staff have received Protection of Vulnerable Adults Training and staff members were able to described the action that be would taken if they had any concerns about the safety or well being of service users. The inspector was assured that resident’s finances are appropriately managed and monitored by external agents on a regular basis. DS0000011089.V333923.R01.S.doc Version 5.2 Page 17 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): 24,25,267,27,28,29,30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home once inside presents a homely clean and hygienic environment for its residents. EVIDENCE: The home is a large house in an area of similar properties in a semi rural area of Reading. The home is situated opposite a park and has good links to local services and that of Reading town. Due to environmental factors beyond the homes control a large locked gate and fence have been erected. The home has the additional benefit of an outdoor heated swimming pool and a separate well equipped day centre. Once inside the home however the atmosphere and ambiance is that of a comfortable home. Some redecoration and refurbishment had already taken place with an ongoing programme of improvement planned. DS0000011089.V333923.R01.S.doc Version 5.2 Page 18 With residents permission the inspector was shown two bedrooms. Both bedrooms were individually furnished and reflected the resident’s hobbies and personality. All residents have their own room. Specialist equipment is provided to those who require it. Toilets and bathrooms in the home offer privacy and comfortable safe areas in which to bath. On the day of the inspection the home was clean and hygienic The home is able to provide sufficient space to enable quiet private areas where residents can be quiet or alone. DS0000011089.V333923.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has sufficient staff to ensure that residents are able to access the wider community and take part in activities of their choice. EVIDENCE: The inspector looked at four staff files and found evidence that staff are being recruited, trained , supervised and managed in a professional manner. Files kept in the home are limited in the amount of information they contain as the main staff file is kept at head office. The home’s files however are sufficient for their needs. The manager is supported by a her regional manager who makes random unannounced checks and does a monthly audit of the home to ensure that the home is meeting the quality standards expected of it. The regional manager sat in on the inspection feedback and undertook to address the issues highlighted at the inspection. The organisation should be commended for this initiative. Recruitment to these posts was already underway. Staff moral seemed good with the manager taking a active role in the running of the home. The DS0000011089.V333923.R01.S.doc Version 5.2 Page 20 inspector sat in on the staff handover and spoke informally to staff. The handover was both informative and professional. Staff files showed that regular support and supervision was taking place and that staff were being trained in an appropriate manner. The home has recently been informed that a long-term member of staff had supplied false documentation. This in no way deflected from the homes recruitment practice and is the subject of a Police investigation. The home had delayed informing the commission of this incident until they had more information. Future notifiable incidents should be passed to the commission as they occur. DS0000011089.V333923.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home was found to be professionally run and well managed. EVIDENCE: The manager has been in post for some time and worked in the home prior to managing it. The manager is experienced in the care of adults with a learning difficulty and is supported by a qualified staff team and senior managers. Service users are encouraged to have as active a part in the running of their lives as they are willing or able. Service users views are taken into account and are reviewed at regular intervals. All residents were assisted to fill in a questionnaire to obtain there views no negative comments were made. DS0000011089.V333923.R01.S.doc Version 5.2 Page 22 One relative of a service user made several very positive comments about the care of their relative including “ Our son is very happy at Parkview we feel blessed that we were able to find a place there for him. It’s a very friendly home from home “ A constructive comment was made about the amount of information given when relatives call in that when some staff are asked how their relative is they are told “ He’s fine “ which was felt not to be enough information. Professional feedback included the following “ The staff team respond appropriately to challenging needs while maximising the individuals potential to experience opportunities and activities of their choosing “ The home has policies and procedures, which are known to the staff and are in place to ensure the consistency of care and the safety and well being of both its staff and service users. All records requires to be kept by the commission were found to be well recorded and accurate. The home is supported by its parent organisation, which ensures that the home is competently run and is accountable. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs . No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. DS0000011089.V333923.R01.S.doc Version 5.2 Page 23 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 25 26 27 28 29 30 4 4 4 4 4 3 3 3 3 3 3 3 STAFFING Standard No Score 31 32 33 34 35 36 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 3 3 3 3 3 4 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000011089.V333923.R01.S.doc Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Version 5.2 Page 24 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. 1 Standard YA23 Regulation 37 Requirement The registered person must inform the commission of all notifiable incidents in a timely manner Timescale for action 01/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA33 Good Practice Recommendations The home should endeavour to fill the forthcoming vacancies without delay DS0000011089.V333923.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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. Extracts may not be used or reproduced without the express permission of CSCI DS0000011089.V333923.R01.S.doc Version 5.2 Page 26 - 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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