Inspection on 19/07/07 for Parkview House

This inspection was carried out on 19th July 2007.

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

The inspector 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 House 10/01/07

Parkview House 13/07/06

Parkview House 09/02/06

Parkview House 23/10/05

Parkview House 08/02/05

Parkview House 23/07/04

Parkview House 24/02/04

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

CARE HOMES FOR OLDER PEOPLE Parkview House 12 Houndsfield Road London N9 7RQ Lead Inspector Tom McKervey Key Unannounced Inspection 8:00 19th & 22nd July 2007 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 DS0000010566.V341833.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 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 DS0000010566.V341833.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkview House Address 12 Houndsfield Road London N9 7RQ 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 8805 7031 020 8805 4374 2 Care ** Post Vacant *** Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2007 Brief Description of the Service: Parkview House is managed by 2 Care who operate other care homes nationally. The home is a two-storey building with a car park at the front of the premises. The building is leased from Sanctuary Housing Association, which is responsible for maintenance and repairs. This home is registered to care for forty-five older people who have a diagnosis of dementia. The home is purpose built and opened in 1993. Residents live in five units, called clusters, which each house nine people. The units are self-contained to provide a more homely environment, each with its own lounge, dining room and small kitchen for preparing drinks and snacks. There is a central laundry and the central kitchen caters for the main meals. Although the living accommodation is in separate units, the residents are able to move around the whole building, and do so quite safely, as the entrance and exits are protected by a coded keypad. There are three internal garden areas with attractive water features and there is a long internal ramp and a passenger lift, to provide access to the first floor. In addition, there are spacious communal areas and a Snoezelen room for providing sensory stimulation and/or relaxation for the residents. The home aims to provide a high level of support to residents to maintain their independence and quality of life. The home is located in Edmonton, opposite a public park. The fees for the service are £508 per week. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of six hours and fifteen minutes. The new manager was on leave on the scheduled inspection day, but a team leader who was in charge, fully cooperated with the inspection process. I visited the home on a second day to meet with the new manager. I was assisted by Regulatory Inspector Daniel Lim on the first day. The visits were part of the Commission’s inspection programme to check compliance with the key standards. At the time of the inspection, there were three vacancies. The inspection consisted of a tour of the premises, including speaking to residents and individual staff. These interviews were conducted independently of the manager. There were no relatives visiting the home while the inspectors were there. As part of the inspection process, residents’ and staffs’ records and other documents relating to the efficient running of the home were examined. What the service does well: The home is purpose-built and provides spacious individual en-suite and communal facilities. The design of the building enables residents who are confused to move around safely without the need to be accompanied, and entry to the home is secure. The layout of the gardens provides opportunities for residents to relax and be involved in gardening if they wish. There is good information about the service and visits to the home are encouraged to enable people to decide whether the home will meet their needs. No-one is admitted until a thorough assessment of their needs is carried out. Each person who lives in the home has a care plan and the residents receive a good range of healthcare from professional services. Medication is stored and administered safely. The people who live in the home say that the staff treat them with respect and dignity. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 6 There is an open visiting policy and contact with relatives and friends is encouraged. The food in the home is of satisfactory quality, well presented and meets the dietary needs of people who use the service. Staff are trained in the protection of vulnerable people and know how to respond when concerns need to be reported. There is a programme to improve the decoration and to replace old furniture. The toilets and bathrooms for the use of people in the home are appropriately located and accessible, and the residents can personalise their rooms. There are good systems in place for recruiting and screening new staff, and there is a comprehensive staff training programme. The new manager is a good role model and provides clear leadership to the staff. Team morale is good and the staff are involved in the running of the service. Regular meetings are planned for relatives of the residents. Senior managers monitor the quality of the service and there are good systems in place to safeguard the health and safety of the residents. What has improved since the last inspection? A care plan prepared for all new residents on admission. The administration of medicines has improved by accurate records being kept. Old wheelchairs have been replaced and there is less clutter in assisted bathrooms. In some clusters, new furniture has been provided and there are plans to replace the remaining old furniture. Staffing levels have been improved and team leaders spend more time in resident areas. The cleaners now provide some service in the clusters, which relieves care staff from some of these duties. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 8 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 DS0000010566.V341833.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 & 5 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. The home provides a Statement of Purpose and Service user Guide that is specific to the home, and clearly sets out the objectives and philosophy of the service. Admissions are not made to the home until a full needs assessment has been undertaken. New residents are provided with a Statement of Terms and Conditions and/or a Contract as appropriate. Prospective service users are given the opportunity to visit the home. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 10 EVIDENCE: There is a Statement of Purpose/ Service User Guide which is provided for potential service users. The document gives detailed information about all aspects of the service, including how to complain if there are any concerns. The home has a block contract for service users who are funded by the local authority The records of four new residents were examined at random. The case files contained licence agreements with the landlord, and a service agreement is provided for those whose care is funded by the local authority. One other resident who is self-funding, had a contract issued when they became a permanent resident. There was evidence in the case files to show that the residents had a comprehensive needs assessment by the referring agencies and senior staff from the home, before they were admitted. An ongoing assessment of their needs is carried out in the first few weeks following admission as these become known. There was evidence in the records of service users or their representatives having visited the home prior to moving in. On the day of the inspection, I observed that a relative of a potential service user was being shown around the home. At the time of the inspection there were three vacancies. The manager said that she had assessed people and expected the vacancies to be filled soon. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 &10 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. Each person who lives in the home has a care plan that includes a comprehensive risk assessment, both of which are reviewed regularly. Residents receive a good range of care from health professionals and they say the staff treat them with respect and dignity. Medication is stored and administered safely. EVIDENCE: Two care plans from each cluster were examined, including those belonging to the new residents. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 12 Each person admitted to the home has an “interim care plan” that contains important information about them and their immediate needs. This also includes a risk assessment about health and safety issues, mobility and degree of confusion. A more comprehensive care plan is then prepared which is reviewed monthly to reflect any change in needs and to monitor the resident’s progress. There were further risk assessments documented in these care plans, including risks of falling, pressure ulcers, choking, wandering and aggressive behaviour. There were good records of healthcare appointments, which were recorded in a “healthcare tracking form”. These included appointments with the G.P., psychiatrist, chiropodist, dentist and optician. One resident who had a pressure ulcer received regular treatment from the district nurse. The majority of residents had pressure relieving mattresses and pads, and for people who had periods of bed rest, turning charts were used to prevent pressure ulcers developing. Residents appeared well cared for, clean and appropriately dressed. Those who were spoken to, said the staff treated them with respect and dignity. I observed that personal care was carried out in the residents’ rooms or in bathrooms and toilets with the door closed to protect residents’ dignity. The medication standards were examined in each cluster. The administration of medicines was found to be safe and there were no gaps in the records. The medication was safely stored in locked cupboards and a record was kept of medication that was disposed of. There is a small fridge available for storing medication as appropriate. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards were assessed. People who use this service experience adequate outcomes. This judgement has been made using available evidence including a visit to this service. Some residents are involved in stimulating activities and their interests are supported by staff, but this is not always the case. There is an open visiting policy and contact with relatives and friends is encouraged. The food in the home is of satisfactory quality, well presented and meets the dietary needs of people who use the service. EVIDENCE: All clusters were visited. A volunteer comes to the home once a week and goes to each cluster to engage in activities with the residents. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 14 There is a large communal room that is used for group activities and there is a “Snoezelen” room, which is equipped to provide sensory stimulation or relaxation. There has been some improvement in the level of engagement by staff with the residents. People’s likes and dislikes are recorded when they are admitted to the home, for example what time they like to go to bed and get up; also any particular interests and pastimes. The manager told me that she is seeking funding to employ an activities coordinator for the home. We observed some one-to-one activities in Pymms and Jubilee clusters where residents were having manicures for example. In Montague cluster, a singalong was taking place. Some group activities, including outside entertainers, were posted on the notice board in the main hallway, and coach outings were planned to Southend this summer. There was some evidence that some residents’ interests as identified in their care plans, were being supported by staff, but this was not always the case. We were told that other one-to-one activities were provided, but these were not obvious nor were recorded in the residents’ notes. We found instances during the inspection, where staff in some clusters were sitting together in the dining area and were not engaging with the residents who were seated in the lounge. This was a disappointing finding in view of the fact that there is very good training in dementia care provided by the organisation. I discussed these issues with the manager who assured me that she intends to implement further workshop-based training for staff to increase engagement between staff and residents and to develop the service as a model of excellence in dementia care. A requirement is made for all resident activities to be recorded as evidence that their social, cultural and recreational needs are being met. There were no visitors during the inspection, but the visitors’ book showed that relatives and friends are able to visit the home at any time. The menus were examined and they indicated that well-balanced and nutritious meals were provided. The residents said there was plenty to eat and they could choose alternatives to the planned menu. There were ample supplies of food in the main kitchen, and hot and cold drinks were available at any time from the small kitchens in each cluster. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 15 The cook showed me records of residents who were on special diets, or who had particular preferences for meals. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. Residents and their relatives say that they are happy with the service and feel safe in the home. Staff know how to respond when concerns need to be reported, including external agencies to refer incidents to. EVIDENCE: The complaints record showed that two complaints had been made in the past year, both of which had been addressed promptly and appropriately. On the day of this inspection, a group of staff were being trained in adult protection procedures, including “whistle blowing”. There were records to show that the majority of staff had been trained in these procedures. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 17 Residents told us that they were well cared for and felt safe in the home. The staff who were spoken to, were knowledgeable about their responsibilities regarding reporting suspected abuse and prompt action was taken when an incident of poor practice was reported. There was a complimentary letter on the notice board to the staff, from relatives of a recently deceased resident, which said; “Thank you for your care and support to our mum over four and a half years. You all made hers and our lives bearable”. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24, 25 & 26 People who use this service experience adequate outcomes. This judgement has been made using available evidence including a visit to this service. The home is comfortable, and has a programme to improve the decoration, fixtures and fittings. Toilets and bathrooms for the use of people using the service are appropriately located within the home, are easily accessible and in sufficient numbers. People who use this service can personalise their rooms. The home is generally clean and tidy, but there is concern about the poor state of cleanliness in one bathroom which could result in an outbreak of infection. EVIDENCE: Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 19 Although the living accommodation is in separate units, the residents are able to move around the whole building, and do so quite safely, as the entrance and exits are protected by a coded keypad. All areas of the home were inspected, including many residents’ bedrooms. The home has a maintenance person who also tends the gardens and ponds, which were particularly attractive at the time of the inspection. All bedrooms are single and have en-suite shower facilities. There are also communal assisted bathrooms and toilets in the clusters. At the last inspection, a requirement was made to provide new dining furniture in Jubilee cluster. This has been complied with, and new dining furniture has also been provided in Pymms. New lounge furniture was provided in Montague cluster. However, the dining furniture is old and some chairs were loose. A requirement from the last inspection to redecorate Grovelands cluster was still outstanding. However, the manager informed me that Enfield Council is providing funds this year that will pay for the redecoration of all the lounges and dining rooms in the home and for replacing the carpets in all the communal areas. The manager was currently obtaining quotes for these items. At the time of the inspection, one of the two washing machines was out of order for about a month and this was causing some difficulty for the laundry staff. The manager had been busy trying to get this resolved. At the time of writing this report, I was informed that a new machine had been installed. The home employs cleaners who are responsible for all the communal areas and provide some cleaning in the clusters. The care staff do the majority of cleaning in the clusters. The bedrooms have restrictors on the windows for the protection of the individual, and there was evidence that the residents were able to bring personal items of furniture and artefacts with them when they moved in. There are sufficient bathroom and toilet facilities in each cluster and appropriate equipment is available for people with mobility problems, for example assisted baths and hoists. At the inspection, the home was generally clean and smelled fresh. However, in Grovelands, my colleague found that the assisted bath was very dirty, which Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 20 was also a finding at the last inspection. There was also an old dressing lying in the bath. I visited this area myself some time later and found that the bath had still been cleaned. I was told by a member of staff that the night staff responsible for cleaning the clusters, by which I inferred that it would be until the night shift came on. This is unacceptable and I reported this to manager. This requirement is restated in this report. not are left the Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): All these standards were assessed. People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. There are enough staff available to meet the needs of the people using the service, with more staff being available at peak times of activity. The service ensures that all staff receive relevant training that is focussed on delivering improved outcomes for people using the service. The service has a good recruitment procedure that clearly defines the process to be followed. EVIDENCE: At the last inspection, a requirement was made to review the staffing levels because of concerns that there were insufficient numbers of care staff on duty to meet residents’ needs. The manager informed me about the changes she had made to staffing levels to address this issue. It was evident that this has improved somewhat, by Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 22 altering the duties of the senior staff whereby, when the manager is on duty, they remain in the cluster, along with two care staff. The overall staff complement of care staff has also increased by providing two “floating staff” to help in the clusters at busy times of the day. In addition, the cleaning staff hours have been increased to provide some cleaning in the clusters, although the care staff are still expressing discontent that they still have to do cleaning duties. This is mainly done by staff during the night when residents are in bed. Forty two percent of the staff have attained a minimum of National Vocational Qualification level 2 and others are currently on this course. The staff records showed that they attend training courses relevant to their duties as carers. These include health and safety subjects, listening skills, report writing and dementia care. The inspector was satisfied in discussions with the staff that they were knowledgeable about their roles as carers and keyworkers. The staff files contained application forms and interview notes. There were documents confirming that references had been obtained and they had been screened by the Criminal Records Bureau before starting work at the home. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 & 38 People who use this service experience good outcomes. This judgement has been made using available evidence including a visit to this service. The manager is able to describe a clear vision of the home based on the organisations values and priorities. Spot checks take place and quality monitoring systems provide management with evidence that practice reflects the home’s and organisation’s policies and procedures. There is a strong ethos of being open and transparent and involving residents and staff in all areas of running of the home. There are clear health and safety policies and staff are fully aware of these and are trained to put theory into practice. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 24 EVIDENCE: Mrs Rockliffe was appointed as the manager in March 2007 and was registered with the Commission for Social Care Inspection in August 07. She had previously managed the home some years ago. At the time of the inspection, the manager was studying for National Vocational Qualification level 5. There was a discernable improvement in the organisation of duties and the atmosphere in the home. Records were also better structured and more easily obtainable. The manager demonstrated an openness about the problems the home had endured in the past, which were not helped by the frequent changes of manager. The manager also impressed me with her enthusiasm to develop the service as a centre of excellence for dementia care. The staff who were spoken to, were very complimentary about the new manager and approved the changes she was introducing. They said that the manager set very high standards and was very approachable. The staff described their morale as very good. The manager met with all the relatives of the service users when she started in the home and intends to hold regular meetings to keep them informed about service developments. Regular meetings are also held with staff. A senior manager from 2Care visits the home unannounced on a monthly basis to monitor the service and sends a report to the Commission. Staff have been trained in health and safety and there are identified first aiders on duty at all times. There was evidence that accidents and incidents involving residents were clearly documented and appropriate action was taken. There were records showing that fire alarms were tested weekly and drills carried out. A fire risk assessment of the home had been completed. In the pre-inspection questionnaire, the manager stated that all the major household and emergency systems and equipment had been serviced in the past year. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 25 No hazards to health and safety were identified during the inspection. Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 26 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 3 X 3 X 3 X 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X 3 Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? Yes Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 28 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 OP12 Regulation 16(2)(n) Timescale for action More stimulating activities must 31/08/07 be provided for the residents, particularly on an individual basis. This requirement is restated from the last inspection. The previous timescale was 28/02/07 2. OP26 23(2)(d) The assisted bath in Grovelands 31/08/07 cluster must be thoroughly cleaned after each use. This requirement is restated from the last inspection. The previous timescale was 31/03/07 Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkview House DS0000010566.V341833.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Harrow Area Office 4th Floor, Aspect Gate 166 College Road Harrow London HA1 1BH 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 - 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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