Inspection on 07/09/05 for Parkview

This inspection was carried out on 7th September 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Parkview 26/11/07

Parkview 12/09/06

Parkview 13/02/06

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 Unannounced 7 & 8 September 2005 th th 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 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 Stationary 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 H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Parkview Address 70 Old Shoreham Road Hove East Sussex BN3 7BE 01273 720120 Telephone number Fax number Email 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 (MD), 10 of places Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of service users accommodated must not exceed ten (10). 2. The service users accommodated will be aged eighteen (18) years or over on admission. 3. The services users accommodated will have a past or present mental illness. Date of last inspection 8 February 2005 Brief Description of the Service: Parkview is a residential care home for up to ten adults with past or present mental health needs. The Home has been privately owned by Parkview Care Homes Limited since 2000. The organisation also own a further five registered care homes plus supported housing within the Southeast region. 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 ensuite facilities including bath ensuite. 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 its aim is to create a safe environment in which residents can achieve the maximum degree of independence, practice new skills for life and function to their full potential. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced routine inspection, which was undertaken over two days. This was in order for the inspector to speak to all residents who wanted to participate in the inspection process. Two residents requested not to be involved in the inspection process and this was respected. The inspection was undertake with Mrs. Janet Hardacre (Manager). There were seven residents living at the home. The inspection involved a tour of the premises, examination of the homes records, consultation with three staff on duty, four residents and a relative. The focus of the inspection was to look at the experiences of life at the home for people living there. In order that a balanced and thorough view of the home is obtained, this inspection report should to be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their assistance and hospitality during the inspection. What the service does well: What has improved since the last inspection? Some progress has been made towards addressing previous areas of shortfalls in practices. This has improved resident’s safety in relation to self-medication and fire safety. A training and development plan has been implemented providing staff with opportunities to undertaken specialist training in mental health, and general care related topics. The provider has started to complete a record of monthly visits to the home. This enables them to monitor and support the home in achieving its aims and objectives. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 6 What they could do better: Standards of record keeping needs to be improved in order to underpin and evidence the good practices operated at the home. Written risk assessments need to include clear guidance on how to manage risks faced and posed by residents. Some minor redecoration is needed to parts of the home to ensure that standards are consistent throughout. Following the draft inspection report no action plan was provided by the provider, within the timescales set, detailing the action to be undertaken to address the shortfalls in practices noted in this inspection report. 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. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 standard(s) 1,2 and 3 Additional information is needed to the homes literature to ensure that prospective residents and their representatives are provided with clear information about all of the services offered. Resident’s needs are assessed prior to any admission. There was appropriate evidence to confirm that the home meets the assessed needs of residents. EVIDENCE: There is a range of information about the home and the services it provides, this includes a statement of purpose and service user guide. These are displayed at the home and made freely available to residents or interested parties. It has been required for several inspections for this information to reflect more fully the aims and objectives of the home, in particular the emphasis on rehabilitative programmes, the arrangements for short term care placements and emergency placements. All referrals to the home are from social services or health authorities. For most referrals the prospective resident is known to the home through the organisations other homes. In these cases the manager is able to obtain comprehensive details of prospective residents needs. During the assessment process advice is also sought from health care professionals and others who know and understand the needs of prospective residents. An emergency admission had been undertaken since the previous inspection and through looking at the assessment documents provide to the home and Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 9 through discussion with the resident it was clear that this had been managed effectively. Residents consulted described the home as “Excellent” “A second home” “I am looked after well” and “I feel safe here”. Examination of residents documentation and through discussion with residents it was clear that residents assessed needs are being met at the home. Where residents needs have changed or increased prompt advice and support has been obtained from from health care professionals or support provided to obtain a alternative placement. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 and 9 The arrangement for care planning is generally good ensuring that resident’s needs are being identified. Further work is however still needed to ensure that residents have clearly identifiable goals to work towards. Clear actions must be provided for staff on how to manage identified risks faced and posed by residents. Residents are helped to exercise choice and control over their lives. EVIDENCE: Of the sampled care plans seen generally a good standard of information is gathered about each resident. The emphasis of the care plans is the development of goals to help equip residents to move onto more independent living or maintain a quality of life. It was previously required that all care plans include clearly identifiable goals and the targets leading to their achievement. This had not yet been fully implemented for all residents and is repeated in this report. The home continues to balance 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. All residents consulted said that they have seen their care plan and are involved to the level of their personal preference in its development and review. The home continues to work positively with residents and staff to ensure that the tone and style of recording is respectful and nonParkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 11 judgmental. This has involved staff training and residents being present during the recording of some incidents. Residents are encouraged to take reasonable risks as part of an independent lifestyle and written risk assessments are completed on core risks including smoking, sexual vulnerability and self-harm. However, not all identified risks faced and posed by residents included the actions to be undertaken to manage these risk. This must be undertaken in order to ensure residents safety. Integral to the ethos of the home is ensuring and respecting resident’s rights to make decisions and residents gave many examples where appropriate support had been provided by staff when helping them to make decisions. Residents spoke of their involvement in some aspects of the daily running of the home, including meal times, activities and light domestic chores. All residents consulted felt that they are involved in the running of the home to the extent of their personal wishes. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15 and 17 Staff support residents to spend their time usefully, but balance this with the understanding that they have the choice to become involved or not as they wish. EVIDENCE: Residents are encouraged within the range of their strengths and wishes to become involved in education or employment. One resident spoke of attending college and the support provided by staff in deciding what courses to undertake. Residents spoke in the main of the importance of self-occupation and how this was respected by staff. Staff spoke knowledgeably about the continuing support needed to motivate some residents to find and maintain suitable occupation. Some residents use mobile phones relatives. Several residents spoke of preferred to meet up outside of the regarding residents vulnerability restrictions have been made. to keep in contact with their friends and their friends visiting them but in the main home. Where concerns have been noted within a friendships agreed contact Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 13 The manager/staff continue to demonstrate sensitivity to the potential areas of conflict regarding relative’s views on residents needs and suitable mechanisms were in place to take on board all parties wishes. The Kitchen was clean and well-equipped, and there remains plans to refurbish it in near future. There are set kitchen opening times, which is to enable supervised access for safety reasons. Residents have kettles in their bedrooms and a drinks tray and fruit bowl is permanently available. The manager/staff prepare all meals, some residents are involved in the preparation of some light meals and snacks, and others preferred not to have any involvement. Weekly menus are displayed which have been developed based on the likes and dislikes of Residents. Mixed feedback was received on the standard of meals with the majority of residents saying that they were good but the quality was dependent on which staff was cooking. All residents said that there was sufficient choice of meals on offer. Within reason, mealtimes are flexible to allow for individual preferences with meals eaten in a pleasantly decorated dinning room. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 The health needs of residents are well met with evidence of good multi disciplinary working taking place on regular basis. The system for the administration of medication are good with clear arrangements in place to ensure residents medication needs are met. EVIDENCE: Residents are supported to maintain control over their health care needs. Residents stated that they largely decide when they want any medical intervention. Support is given to attend appointments and staff accompany residents to consultations only upon the invitation of the resident. It was clear that when medical intervention has been requested by a resident, then this has been sought promptly by staff. Procedures relating to medicines management are available which also include guidance on the management of over the counter medication and PRN medicines. Where residents self-administer their medication then they have been assessed as safe to do so and provided with lockable facilities. All actions in relation to medicines movement (orders, receipts, administration and disposal) are recorded. In line with previous recommendations the manager undertakes a regular audit of medication open to potential misappropriation. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 15 Good practices were noted in the management of PRN medication including the individual requirements for when this medication is prescribed. All care staff are responsible for the administration of medicines as part of their role for which training is provided. The supplying pharmacist undertakes quarterly monitoring visit to the home. Staff were knowledgeable regarding residents medication regimes and their function and side effects. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 There is a satisfactory complaints system in pace with residents feeling able to air any concerns. There are procedures and practices in place that supports the protection of vulnerable adults and staff know what to do if abuse is suspected. 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 record any concerns in an easily accessible complaints book, where the actions taken to address their concerns are also recorded. Residents said that they feel confident to record any concerns in this book or raise them during meetings. Suitable mechanisms are also in place for relatives to raise concerns directly to the provider and where this has been done prompt action has been taken to investigate. There are written policies covering adult protection, which identifies different types of abuse, possible indicators of abuse and whistle blowing. A procedural flow chart is used to guide staff on the reporting of adult protection issues. Staff also undergo adult protection training and staff consulted were clearly aware of their roles and responsibilities under adult protection. The manager 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 ranges from weekly allowances being given in total at the start of the week to individual daily allowances. Residents said that they were all happy with their individual arrangements for accessing their personal monies and once given are free to spend it how they wish. However support is provided to some vulnerable residents on issues of value for money, and Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 17 budgeting. Residents have access to the organisations “patient advocate” who supports them to access appropriate benefits and offers general money advice. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28 and 30 Generally residents live in a comfortable and clean environment, however some minor redecoration and repairs are needed to some parts to ensure that standards are consistent throughout the home. EVIDENCE: The building is in keeping with the local community. The home is close to transport links and local amenities. Several residents stating how important the homes prime location was to maintain their individual lifestyle. The premises are comfortable, clean with appropriate domestic style furnishing, fixtures and fittings. Due to the high level of smoking amongst some residents there are inevitably some signs of wear and tear on both fabric and furnishings around the home. The providers were previously required to develop a plan of redecoration to address the areas of minor decoration and repair previously noted. This had not been undertaken at inspection but was due to finalised in the near future. This is now a priority in order to ensure consistent standards throughout the home. Communal space consists of a dinning room and small link room leading to a lounge. New flooring has recently been laid in the dinning room and along with art work displayed which has been completed by residents, make this a bright and modern environment. The lounge overlooks a well-maintained rear Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 19 garden, which has a patio area, seating, lawned area and a water feature, making this a very attractive social space. The garden is regularly used by most residents and staff. All areas inspected were observed to be clean with a good standard of hygiene maintained. There are sufficient numbers of domestic staff to ensure that standards of cleanliness can be maintained. As part of an assessed goal some residents are responsible for part cleaning their own room and laundry, with support from domestic staff. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33 and 35 The home employs sufficient number of staff to meet the current needs of residents. Staff were observed to operate with a clear sense of direction and are suitable trained to undertake their roles effectively. EVIDENCE: Residents described staff as “fine” “No problems” “Friendly” “give good advice” and “Someone to talk too”. Staff demonstrated an understanding of their roles and responsibilities and how these contributed towards meeting the needs of residents. The homes records state that there are two care staff on duty between 8am and 8pm. During office hours these are supported by management and ancillary staff. At night there are two care staff on waking duty between 8pm to 8am. There is an established management on call rota for staff to seek advice in the absence of the manager. Both staff and residents felt that the staffing structure was sufficient to enable resident’s needs to be met and individual time to be spent. Staff stated that when residents needs change staffing levels have been temporarily increased in order to provide additional support. The home employs an appropriate balance of staff with regard to age and gender reflecting the diversity of residents. In the absence of the manager the rota must state the person in charge. This is to ensure accountability and Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 21 evidence that in the manager’s absence suitably qualified and competent people are left in charge. There is generally a low turnover of staff and residents clearly benefit from the stability that this offers. There has been no staff recruited since the last inspection and therefore this standard will be inspected at future inspections. An organisation training and development plan has been developed, which lists the training available to staff. Staff felt that they are provided with sufficient training to undertake their roles effectively and to understand the needs of residents. This is confirmed in the interactions observed by the inspector and in the homes documentation. The organisations providers undertake most of the specialist training in mental health and can therefore tailor the training to suit the needs of staff. Training provided by Brighton and Hove council is also planned to be accessed. Some residents have often attended mandatory training held at the home, which has included fire safety, first aid and food safety. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39,41 and 42 There is a strong sense of leadership and direction provided by a manager who is experienced and well qualified. Some further work is needed to ensure that the manager has sufficient time and senior management support to improve some areas of administration. The health, safety and welfare of residents and staff are generally promoted and protected. EVIDENCE: Residents and staff described the manager as “Can’t fault her” “Very supportive” “Can go to her with any problem” “Always available” “Tough love approach”. The manager is well qualified and experienced, as a registered mental nurse (RMN), registered nurse (RGN) and community psychiatric nurse (CPN). The manager demonstrates an in-depth knowledge of resident’s needs through working closely with residents and staff. However, there is a need to improve some areas of management administration and record keeping. This is in order to underpin and evidence the working practices at the home. With the departure of the deputy manager some management administration tasks have been delegated to staff. It is recommended that a review of the Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 23 management structure be undertaken in order to provide sufficient senior management in the home to support the manager in improving standards of record keeping. The strong sense of leadership provided by the manager is often challenged by some residents. It is clear however, that they respect the manager’s leadership style and state that they have ultimately benefited from their strong style of management. There are many informal mechanisms in place for residents and staff to effect the way the service is delivered and all are encouraged to voice any concerns or suggestions that will enhance the running of the home. It has been required for some time for the home to develop a system of obtaining feedback on the services provided from resident’s representatives and other stakeholders. Although feedback has been requested from individuals none has yet been received. The manager was further advised to develop a more structured system for obtaining feedback in order to self monitor whether the home is meeting its aims and objectives. Practices that were noted that promote the health and safety of resident’s, staff and visitors include: • A clear account of accidents is maintained, with no specific patterns identified. • Radiator covers have been fitted as well as window restrictors to those windows that pose risk from falls or security. • Regular servicing and testing of fire safety equipment is undertaken. • Portable Appliance testing of electrical equipment. • Mixer values have been fitted to some baths. Residents state that they do not wish to have hot water regulated and risk assessments are undertaken on the risk of accidental scolding. Regular hot water checks are undertaken to ensure that the temperature remains safe. A fire procedures checklist is used as the homes risk assessment, which provides basic information on fire safety at the home. The provider was advised that this should be expanded to fully evidence the fire safety precautions being undertaken at the home. It was previously required that an external fire escape stairway be repainting to ensure a none slip surface. Although not completed within the agreed timescales it was being addressed at the point at inspection. Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score 3 x 2 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parkview Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 2 2 x H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 25 YES 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 1 Regulation 4(1)(c) Sch 1 Requirement That the Statement of Purpose includes the full aims and objectives of the service. (First made at inspection of 27/7/04 with timescales of 30-4-05 not met) That care plans include clearly identifiable goals and the targets leading to their achievement. (First made at inspection of 8/2/05 with timescales of 30-405 not met) That comprehensive written personal risk assessments are completed for all service users, which are regularly reviewed and includes the actions needed to manage or reduce identified risks. That a plan of re-decoration and repair is developed and forwarded to the CSCI, which addresses the areas identified during the inspection. (First made at inspection of 8/2/05 with timescales of 30-4-05 not met) That the rota indicates the person in charge in the absence of the manager. That a system for obtaining Timescale for action 30-10-05 2. 6 15(1) 30-11-05 3. 9 13(4)(b)& (c) 30-10-05 4. 24 23(2)(d) 30-10-05 5. 6. Parkview 33 39 17(2) sch 4(7) 24(1-3) 30-10-05 30-11-05 Page 26 H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 7. 42 23(2)(b) feedback from service users representative and other stakeholders on the services provided by the home is developed. (First made at inspection of 27/7/04 with timescales of 30-4-05 not met) That the external fire escape is repainted. (First made at inspection of 8/2/05 with timescales of 30-4-05 not met) 30-10-05 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 37 Good Practice Recommendations That a review a the management structure be undertaken in order to provide sufficient senior management at the home as to enable the manager to fulfil their legal obligations and responsibilities. That the fire risk assessment be expanded to include all areas of fire safety undertaken at the home. 2. 42 Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 27 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Parkview H59-H10 S14221 Parkview V240024 070905 Stage 4.doc Version 1.40 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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