Inspection on 14/01/06 for Parkview House

This inspection was carried out on 14th 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 House 24/07/07

Parkview House 22/11/06

Parkview House 14/07/05

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Parkview House 208-212 Chingford Mount Road Chingford London E4 8JR Lead Inspector Harun Rashid Unannounced Inspection 14th January 2006 10:00 X10015.doc Version 1.40 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 House DS0000061980.V277605.R01.S.doc Version 5.1 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 Older People. 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 House DS0000061980.V277605.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parkview House Address 208-212 Chingford Mount Road Chingford London E4 8JR 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) 020 8524 9234 020 8559 3115 Parkviewhouse@tesco.net Carebase (Parkview) Ltd Ms Ann Marie Crane Care Home 53 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (0) of places Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To Include one (1) named service user aged 64 years. The home can provide care for a named service user with dementia need. 14th July 2005 Date of last inspection Brief Description of the Service: Care Base (Park View) Ltd. is the part of Care Base Ltd. registered to accommodate 53 elderly people. The home is situated in South Chingford, in the London Borough of Waltham Forest. Care is offered in four units, each comprising a combined lounge/dining area plus near-by bedrooms designated for each unit. In addition, there is a quiet room to entertain guests. Most of the bedrooms are single but four are doubles, each shared by two people. All bedrooms have en-suite facilities of wash hand basin and lavatory with some also having a step-in shower. There are separate offices for the manager and administrator and a hairdressing room. Meals are prepared and cooked in the central kitchen by catering staff, then passed through a hatch to one unit and transported in heated trolleys to the other three units. Each unit has a small kitchen area for serving meals or preparing drinks and snacks. There are central laundry facilities. The home is on a main road has a good parking area and is near to public transport and shops. There are several attractive courtyard gardens accessible to service users that are well used in the good summer weather. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a weekend morning on 14/1/06. The Inspector was able to speak to six members of staff including the senior carer. The Inspector also spoke to a number of service users and one relative. They all expressed their satisfaction with the standards of care provided in the home. The home is awarded a major variation for dementia care for nine beds situated on the top floor known as ‘Larkswood’ unit. What the service does well: 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. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4 and 6 The home ensures that prospective service users’ needs are assessed prior to admission. Staff are provided training to meet assessed needs of the service users. EVIDENCE: The newly admitted service users are assessed before they are admitted to the home. The registered manager who has completed her Registered Manager’s Award usually carries out pre-admission assessments. The assessment of needs tool is comprehensive. The Inspector spoke to a number of service users, a relative and six members of staff. They all expressed their satisfaction with the standard of care provided in the home. Care files suggested that service users assessed needs are met, staff are provided training and they seek specialist advice as and when required. Evidence of referral letters was available in the files. Sixth standard is not applicable to this service, as the home does not provide intermediate care. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 The home can demonstrate that service users’ health and personal care needs are met adequately. Staff respect service users privacy and dignity at all times. EVIDENCE: Care files were inspected which suggests that care plans were generated from comprehensive assessments of care managers/health professionals. For service users who are self funded their care plans were developed from comprehensive assessments carried out by the home. The assessments covered all aspects of health, personal, social, cultural and religious needs. The majority of service users required staff escort to all medical appointments for example G.P, optical and dental. If any service user does not wish or is not able to attend G.P surgery the doctor visits them in home. Medications are provided in blister packs from a local chemist. Staff members follow the medication procedure of the home. Staff keep records of all medication received, administered and disposed of, to ensure there is no mishandling. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 9 Staff respect service users privacy and dignity during the delivery of personal care and at all times. From the observation it was clear that bedroom doors, toilets and bathroom doors were closed during the delivery of personal care. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Social activities for service users are well arranged. Staff welcome and encourage service users’ relatives and friends to visit them. Choices of menus are offered. EVIDENCE: The home employ two part-time activity co-ordinators for service users who organise individual and group activities on each of the floors. Service users are encouraged to visit local parks, theatre and seaside during the summer. They are also encouraged to join Dial-a-ride. Service users family and friends are encouraged and welcomed to visit them. Visitors can be received in private in their bedrooms or in a visitors’ room. All service users are registered on the electoral register. The manager advised that some service users visited a local polling station to cast their votes in the last general election. Staff encourage service users to handle their finances and keep personal allowances in cash tins, which are kept in a safe at the home. Information regarding access to independent advocacy services was displayed on the notice board. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 11 From the examination of weekly menus and discussion with service users it was evident that they receive a varied, appealing, wholesome and nutritious diet, which is suited to individual, assessed and recorded requirements. The weekly menu offers choices of at least two main meals at each mealtime. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The complaint policy and procedure of Care Base Ltd. is simple, clear and was made available to all relevant parties. Adult protection policy and procedure contain sufficient guidance for staff to enable to protect service users from abuse. EVIDENCE: Care Base Ltd. provides a simple and clear complaint policy and procedures for service users, their family members and for other relevant parties. A record of complaints was kept by writing in a complaint book including details of investigation and action taken by staff. The complaints received were in minor in nature and those were investigated and resolved accordingly. All members of staff attended adult protection training. The adult protection policy and procedure of Care Base Ltd. contains sufficient guidance for staff to protect service users from abuse. The registered manager knows her responsibility to refer staff who harm service users in their care to the POVA list. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 and 26 The home is safe and well maintained. There are several attractive courtyard gardens accessible to service users. EVIDENCE: The building had been extended over time and meets mobility standards. It is well maintained and well decorated. There is a rolling programme for maintenance and a record of works carried out. The use of CCTV cameras is restricted to entrance areas for security purposes only. Each unit has a combined sitting and dining area. In addition, there is a shared quiet room, which can be used for entertaining visitors. There are several attractive garden areas, which include three secluded areas. The garden is well used by service users. The premises were clean, fresh and bright with no offensive odour. There was a sluice facility incorporated in the communal washing machines. The home has an infection control policy which staff adhere to. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 14 The Inspector also visited the kitchen, which was found to be very clean and tidy. The cook kept the fridge and freezer temperatures. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28 and 30 The service provides training for staff development and more than 50 of care staff attended NVQ level 2/3 training in care. EVIDENCE: Currently there are 36 care staff (full and part-time) including 4 senior carers employed in the home, in addition to the registered manager. The service also employs 8 (full and part-time) ancillary staff. The staff rota confirmed that 10 members of staff are on duty during the day and four staff are on waking duty at night. Evidence suggests that more than 50 of care staff attended NVQ level 2/3 training in care. The foundation training had been developed to TOPPS specifications and delivered within six months of the appointment of staff. Staff interviewed confirmed that since Care Base Ltd. took over the business they attended training including NVQ level 2/3 courses. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,36 and 38 The home ensures that service users health, safety and welfare are well maintained. The CSCI is now receiving Regulation 37 notifications. The registered manager’s name must be included on the staff rota and it is recommended that staff meetings should take place on a two monthly basis. EVIDENCE: The management must ensure that the registered manager’s name is included on the staff rota for staff and service users to be aware when she would be available for support and guidance. The home obtains service users and relatives satisfaction survey questionnaires on a periodic basis. These were found satisfactory and made available for all relevant parties. At the time of the last announced inspection, the Inspector received 38 feedback cards from service users, their relatives, staff, care managers and health professionals. They all expressed their satisfaction with the high standard of care provided in the home. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 17 Staff interviewed confirmed that regular supervision takes place as required by the National Minimum Standards. The minutes of supervision were available in the filing cabinet. However, the Inspector advised that supervision notes should be placed on the staff files instead in order to maintain confidentiality. From the examination of staff meeting minutes it was evident that the last two staff meetings took place on 7/9/05 and 7/12/05 respectively. However, it is recommended that the management ensure that staff meetings take place on two monthly basis. Following the recommendation of the previous inspection report, the registered manager delegated a task to a senior carer (who was present at the time of the unannounced inspection) to send Regulation 37 notifications to the CSCI without delay. The management of the service ensures so far as is reasonably practicable the health, safety and welfare of service users and staff. Staff attended moving and handling, fire safety, first aid, infection control and food hygiene training. A fire risk assessment of the premises was carried out. The service ensures that regular fire equipment; gas and electric appliance checks are carried out. Copies of certificates were available for inspection. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x x 2 x 3 Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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 OP31 Regulation 18 Requirement The registered manager’s name must be included on the staff rota in order for staff and service users to be aware when she would be available for consultation. Timescale for action 31/01/06 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. 2 Refer to Standard OP36 OP36 Good Practice Recommendations The manager should ensure that staff meetings take place six times a year. It is recommended that staff supervision notes are kept in staff files in order to maintain confidentiality. Parkview House DS0000061980.V277605.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 House DS0000061980.V277605.R01.S.doc Version 5.1 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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