Inspection on 22/11/06 for Parkview House

This inspection was carried out on 22nd November 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 14/01/06

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 22nd November 2006 09:30 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.V319920.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 DS0000061980.V319920.R01.S.doc Version 5.2 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.V319920.R01.S.doc Version 5.2 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 January 2006 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. The home is currently charging a weekly fee up to £750 per head for the care services. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a weekday morning on 21/11/06 and at the afternoon on 22/11/06. The inspector was able to speak to seven members of staff including the registered manager. The Inspector also spoke to ten service users, three relatives and one friend. They all expressed their satisfaction with the standards of care provided in the home. 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. The summary of this inspection report can Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 6 be made available in other formats on request. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 7 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.V319920.R01.S.doc Version 5.2 Page 8 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): 1,2,3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service ensures that no service user is admitted to the home unless a pre-admission assessment of needs is carried out. Staff of the home has skills and experience to meet service users assessed needs. EVIDENCE: Parkview House has developed a satisfactory statement of purpose and a service users’ guide. Both documents included the aims, objectives and detailed information about staffing level and service they provide. The service users guide included the address and telephone number of the CSCI Ilford office. Service users files examined had included a written contract/statement of terms and condition with the home. Majority of the service users are selffunded and they have signed contracts with the home. Service users who were Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 9 not able to sing contracts their family members signed contracts on behalf of them. Evidence suggests that the registered manager always ensures that no service user is admitted to the home unless a pre-admission assessment is carried out. Pre-admission assessment tool is examined and found to be satisfactory. Either the registered manager or the deputy managers carry out pre-admission assessment of the service user. Both managers are qualified and have several years of experience of carrying out assessment of needs. The staff team has skills and experience to meet service users current assessed needs. Evidence suggests that staff were provided training to meet service users assessed needs. Staff were provided dementia awareness training to meet current nine service users complex needs. In addition to this service users have access to specialist services, for example, physiotherapist and district nurse. Staff work in partnership with health professionals to meet service users complex needs. Service users and their family members spoken to were satisfied with the standards of care provided in the home. The home doest not provide intermediate care, therefore this standard is not applicable to this home. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 10 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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have individual care plans and these are reviewed on time. Staff are capable to meet service users health care needs. Staff respect service users privacy and dignity at all times. EVIDENCE: The majority of the service users of the home are self-funded. Therefore, the care plans were developed from the information received through the assessments of needs carried out by the home. Service users who were referred by the local authorities their assessments of needs were carried out by social workers. Care files examined confirmed that the home review care plans at least on a monthly basis. In some cases the home reviewed care plans on a weekly basis. Staff accompany service users to local G.P surgery and in other medical appointments. If any service user is not able to visit the G.P surgery the doctor visit him or her in the home. Service users have access to other health professionals, for example, district nurses and physiotherapists. Staff keep Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 11 record of service users all medical appointments and monitor their health and wellbeing. Staff undertake nutritional screening on admission and service users who have dementia diagnosis their psychological health is monitored regularly. Medications are provided in blister packs from a chemist. Medications are administered from medication trolleys. Staff who administer medications were provided training. Medication trolleys are kept in a locked room on the first floor. Medication Administration Record sheets were examined and found to be satisfactory. Service users eye drops were kept in a fridge and staff maintain records of the fridge temperature. It was observed that staff shut bedroom and bathroom doors during the personal care delivery. Staff address service users by their preferred names. Staff interact with service users in age appropriate manners. Staff ensures that service users medical examination are provided in private. A large number of service users have private telephones. In addition to this the home has provided pay phones for service users. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 12 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): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have opportunities to attend individual or group activities. Family and friends are encouraged to visit service users. Choices of menus are offered. EVIDENCE: The home employs two part-time activity co-ordinators for service users. The activity co-ordinators organise individual and group activities. The group activities take place in each floor. All service users leisure, social activities and cultural interests are recorded in the care files and staff encourage them to participate in leisure and social activities. Service users are encouraged to visit to local Park, pubs and on day trips during the summer. A hairdresser visits the home in every Tuesday. It was observed that service users enjoyed their hairdressing. The home maintains open door policy to service users family and friends. At the time of the inspection the home received several visitors. Service users family and friend spoken to informed that they are always welcomed by staff. The home has developed a newsletter called ‘Care Mail’ this provided information about activities is taking place in the home. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 13 The home encourages service users to exercise their choice. Service users have opportunities to bring their personal belongings when they move into the home. It was observed that service users brought some of the small furniture items with them. Their family pictures were displayed on the walls. Service users have access to advocacy services, for example, Age Concerns. Service users are encouraged to join Dial-a-ride. The home develops a four weekly menu in consultation with service users. The menus were examined and found that the home provides a varied, appealing, wholesome and nutritious diet. Service users have choice of two meals at all times. If any service user does not like either meal he/she can choose to have different meal. All meals are cooked in the premises. The home employs two cooks. The kitchen was inspected and found clean and tidy. Staff record the fridge and freezer temperature on daily basis. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care Base Ltd. has a satisfactory complaint policy and procedure in place. Staff were provided adult protection training and they have awareness on elder abuse issues. EVIDENCE: Care Base Ltd. has a clear and effective complaint policy and procedure. The complaint procedure also included in the service users’ guide. The home also maintains a complaint folder. Since the last inspection neither the home nor the CSCI received any complaint. Care Base Ltd. has an adult protection policy and procedure in place. All staff have attended adult protection training. Staff interviewed confirmed that they have attended the training and they have awareness of the adult protection issues. The manager ensures that Regulation 37 notifications are sent to the CSCI without delay. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 15 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): 19,20,23 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is suitable for its stated purpose. 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. However, it was noticed during the tour of the premises that visible stain marks appeared on the carpets in the Nelson unit’s lounge and corridor. Therefore, it is required that the manager must replace these stained carpets. 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 Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 16 attractive garden areas, which include three secluded areas. The garden is well used by service users. The home provides single bedroom accommodation to 45 service users. Bedrooms were personalised with service users pictures, posters and personal items. Service users have adequate furniture in their bedrooms. The home employs two part-time domestic assistants. 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.V319920.R01.S.doc Version 5.2 Page 17 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): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. More than 50 care staff have completed their NVQ level 2/3 training in care. The service operates a thorough recruitment policy based on equal opportunity. The service provides staff training for its staff development. EVIDENCE: Currently there are 28 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 night duty. Evidence suggests that more than 50 of care staff have completed NVQ level 2/3 training in care. Ten members of staff have completed NVQ level 3 training in care and other five staff have completed NVQ level two training in care. The management informed that seven members of staff would commence their NVQ level 2 training in care in January 2007. The management informed the inspector that they are hoping 100 of their care staff will compete NVQ level 2 training in care in the near future. Care Base Ltd. operates a thorough recruitment procedure based on equal opportunities and ensures the protection of service users. Two written references were available in the staff files. The management carried out all Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 18 relevant checks including the Criminal Record Bureau (CRB) prior to the staff being appointed. The home has a training and development plan and training budget. All newly appointed staff received a structured induction and this is linked to the aims and objectives of the home stated in the statement of purpose. Staff interviewed confirmed that since Care Base Ltd. took over the business they attended training including NVQ level 2/3 courses. The home has introduced an ill-being and well-being tools for the service users who are diagnosed of dementia. Staff were provided training for what action must be taken if ill-being tools indicates any concern of a service user’s well being. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 19 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): 31,33,35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is available for staff support and guidance. The management ensures service users and staff’s well beings at all times. The registered manager must ensure that the results of service surveys are published on an annual basis and this is made available to all relevant parties including the CSCI. EVIDENCE: The manager is qualified, competent and experienced to run the care home and meet its stated purpose. She has completed her Registered Manger’s Award. Since the last inspection the registered manager has completed a diploma in dementia care matters. Following the requirement of the previous inspection report, the registered manager’s name was included on the staff rota for staff information and when she would be available for support and guidance. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 20 It was evident that the home has carried out service users satisfaction questionnaires. The home also seeks the views of service users family members and friends. However, it was discussed with the registered manager that she must ensure that the results of service surveys are published on an annual basis and this is made available to all relevant parties including the CSCI. Following the recommendation of the previous inspection report the team meetings are taking place on two monthly basis. The home is sending Regulation 37 notifications to the CSCI on time. The majority of the service users are self-funded. Service users family members manage their finances. Some of the service users finance are managed by the Court of Protection. The administrator of the home maintains electronic records of all financial transactions. It was evident from the examination of staff files that all staff are receiving supervision at least six times a year. Staff interviewed confirmed that they are receiving supervision from their line managers. All supervision notes are now inserted in individual staff files. The management of the home ensures staff and service users health, safety and welfare. Staff were provided training with manual handling, fire safety, first aid and food hygiene. Regular checks are carried out on gas and electric appliances. Staff carry out fire alarm tests on a weekly basis. A fire safety risk assessment of the premises is carried out. The home has a valid insurance cover against loss or damage to the assets of the property. Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 21 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 3 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 2 3 X X 3 X X 3 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 X 2 X 3 3 X 3 Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 22 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 OP19 Regulation 23 Requirement Timescale for action 28/02/07 2. OP33 24 28/02/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford London 1G1 4PU 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 Parkview House DS0000061980.V319920.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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