Inspection on 22/11/05 for Parkview Lodge

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 Lodge 23/08/07

Parkview Lodge 08/03/07

Parkview Lodge 11/08/06

Parkview Lodge 24/02/06

Parkview Lodge 14/09/04

Parkview Lodge 26/04/04

Parkview Lodge 02/01/04

Similar services:

Claremont House

Oak Ridge

Coopers Mill Ltd

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Paradise Lodge

Bilney Hall

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

CARE HOMES FOR OLDER PEOPLE Parkview Lodge 2 Park Avenue Bedford Bedfordshire MK40 2JY Lead Inspector Katrina Derbyshire Unannounced Inspection 22nd November 2005 10:20 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 Lodge DS0000014946.V267902.R01.S.doc Version 5.0 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 Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Parkview Lodge Address 2 Park Avenue Bedford Bedfordshire MK40 2JY 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) 01234 219620 Mr Gaetano Tramunto Mrs Antonietta Tramunto Mr Gaetano Tramunto Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Learning registration, with number disability over 65 years of age (14), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (14), Old age, not falling within any other category (14), Physical disability over 65 years of age (14) Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2004 Brief Description of the Service: Park View Lodge was originally registered in 1986 to provide care for people over 65 years of age. The home catered predominantly for Italian speaking people, and older adults with learning disabilities. The home is located in a pleasant residential area of North Bedford, opposite Bedford Park and within walking distance of small local shops, pubs and places of worship. The building has been converted from a three storey Victorian House and provides communal living space on the ground floor and bedrooms are provided across all three floors. A passenger lift has been installed to access the varying levels in the home. Parking is available at the rear of the home this is located next to a smallenclosed garden that maybe accessed by the residents from the living/dinning area. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on 22nd November 2005, an interpreter specialising in the Italian language assisted the inspector throughout the inspection. The Registered Manager Mr. Gaetano was present during most of the inspection. Many of the areas within Park View Lodge were visited the inspector and interpreter spent time with many of the residents’ in the lounge and dining areas of the home. The care of three residents’ was examined in depth by looking at their records and interviewing the residents’ and staff who look after them. Observations of care practice and communication between the residents’ was also made at the inspection. What the service does well: What has improved since the last inspection? The home has made changes to a document called the statement of purpose, this is for residents and other interested parties to read about what services the home can provide. This document is now a lot clearer and gave a description of the management of the home, training that staff had undertaken and the needs that the home could meet. This is better for residents and their families because they can check that what the home says that it should offer matches the actual service that they receive. They have also been increasing the amount of activities available in the home and are now providing activities in the afternoons. Several residents confirmed that this was taking place and said that sometimes quizzes were held or board games. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 6 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 Lodge DS0000014946.V267902.R01.S.doc Version 5.0 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 Lodge DS0000014946.V267902.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 & 6. Information available to prospective residents is sufficient to enable them to make an informed decision about admission to the home. EVIDENCE: The statement of purpose was examined and was seen to have been updated since the previous inspection. Information on the owners/manager was included alongside the type and level of service the home could provide. Within the individual records of residents a contract outlining the terms and conditions of residency were in place. This had been a previous requirement and all contracts seen were noted to have been signed. Fees payable, room to be occupied and services to be provided were included. Documents were also in place to confirm residents had been given the opportunity to visit the home prior to them making a decision on admission. One resident said, “ l visited here with my daughter to make sure l liked it”. Intermediate care is not offered at the home. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 9 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, & 10. Recent improvement in the standard of care planning failed to ensure sufficient guidance, accuracy and instructions to ensure continuity of care for the residents. EVIDENCE: Care plans examined showed that recent changes had taken place and the home had made attempts to improve in this area. However further changes and development is still required as inaccuracies and insufficient guidance was provided in several cases, one example was one resident had been diagnosed with a mental health condition within the pre admission assessment and transfer records; the care plan stated ‘ hasn’t got any mental health problems’. This put the resident at risk, a plan must be in place for all assessed needs, the guidance to staff must be clear so that the resident receives the care they require. A previous requirement was made to ensure that a nutritional risk assessment be carried out and reviewed in a timely manner on all residents, this remained unmet and was discussed with the manager at the inspection. Therefore this requirement remains with an extended timescale for compliance. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 10 Observations were made throughout the inspection and staff were seen to knock on doors before entering, when resident’s were assisted to the toilet doors were kept closed to maintain privacy. However on the wall above each resident’s armchair were name labels, these need to be removed as they are not consistent with a homely environment and visitors to the home should not be able to have access to this information on residents. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 11 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 & 15. Care in this home is arranged to a level, which meets the cultural and religious interests of the resident’s. EVIDENCE: Information within the homes statement of purpose described the services available at the home as ‘specialising in care for the Italian community’. The home was noted to provide a diet that reflected the cultural tastes of the resident’s and television in the home shows Italian-speaking channels. Several residents confirmed that the home arranged for them to continue to practice their chosen faith, through arranging for representatives of the local church to visit. Visiting times at the home are set, information on visiting arrangements is provided prior to a decision on any admission to the home. Residents are able to receive visitors within their bedrooms or in the lounge areas. One visitor said, “ l am always made to feel welcome” and resident’s confirmed that their friends and families were able to visit them. Meals at the home reflect the cultural tastes of the resident’s and the lunch served at the time of the inspection-included protein, carbohydrates and vegetables. Residents said that the meals at the home were “tasty” and “nice” and they felt that they had a sufficient amount. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 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): EVIDENCE: These standards were not assessed at this inspection. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 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): EVIDENCE: These standards were not assessed at this inspection. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 14 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): 28 & 29. Communication between the residents and staff is not to a satisfactory level so residents do not receive the benefits from this essential interaction. EVIDENCE: Throughout the inspection observations were made of the interaction between the staff and the residents. A good level was seen between the management at the home and all the residents, management were seen to instigate conversations and talked to residents when they assisted them with any care. However other staff did not engage in conversation with any of the residents at anytime, even when assisting residents to visit the toilet and using a hoist to assist the resident in moving, no conversation took place. This is both unsafe as residents at times were not aware of what was happening and impolite to each individual. Staff files were examined for evidence of the homes recruitment practices. Application forms, references and criminal record bureau checks were seen within the files, these showed that the required checks had been carried out prior to the appointment of staff for the protection of residents. Through discussion the manager confirmed that all staff were interviewed to ascertain their suitability for their role prior to the appointment, staff when questioned also agreed that this had taken place. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: These standards were not assessed at this inspection. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 16 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 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 1 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? YES 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 OP4 Regulation 12,15,18 Requirement Timescale for action 30/11/04 2 OP7 15 3 OP7 15(1)(2) 4 OP12 16 The registered person must demonstrate that the staff can meet the needs of those with dementia or learning disabilities by providing training, in-house briefing and written guidance for personnel. (Previous requirement not assessed at this inspection) The provider must ensure that 15/02/06 residents care plans are reviewed at least monthly with the involvement of the resident and updated to reflect changing needs. (Previous requirement timescales of 31/07/04 and 30/11/04 not met) A resident’s plan of care 15/02/06 generated from a comprehensive assessment is drawn up with each resident and provides the basis for the care to be delivered. A record of all care delivered is maintained in the individuals personal file. (Previous requirement timescale of 31/08/04 not met) The registered person must 31/08/04 provide activities that meet the resident’s preferences and DS0000014946.V267902.R01.S.doc Version 5.0 Parkview Lodge Page 18 5 OP24 16,23 assessed needs. Residents must be supported to access professional hairdressing services. (Previous requirement not assessed at this inspection) The registered person must: 1. Replace the chair with split upholstery and exposed foam in bedroom 7. 2. Remove additional beds and other furniture from bedrooms that are not in use in bedrooms that had previously been used for double occupancy. 3. Provide each room with a bedside locker or similar adjacent to the bed. 4. Provide appropriate door locks that will allow staff access in the event of an emergency to each bedroom. 5. Provide a lockable facility in each room. 6. Redecorate and refurnish each bedroom to meet this standard. (Previous requirement not assessed at this inspection) 31/12/04 6 OP25 13,23 7 OP28 12,18 8 OP31 9,18 The registered person must fix radiator covers firmly in place. (Previous requirement timescale of 31/08/04 not met) Staff must be given guidance, training and supervision in communicating with residents so that interaction occurs between staff and resident’s. The registered person must achieve the minimum qualification to manage a care home at NVQ 4 in Care and Management. (Previous requirement not assessed at this inspection) DS0000014946.V267902.R01.S.doc 15/02/06 10/03/06 31/12/05 Parkview Lodge Version 5.0 Page 19 9 OP33 12 10 OP35 13,20 The registered person must introduce formal strategies to demonstrate an open, positive and inclusive atmosphere that enables residents and staff to influence the service delivery. (Previous requirement not assessed at this inspection, timescale of 31/08/04 not met) The registered person must introduce the following in relation to monies managed on behalf of residents: Resident’s income paid into the homes accounts must be transferred to residents individual saving accounts within five working days. Receipts of income must be recorded in total on individual records and before any expenditures have been deducted. Expenditures must be recorded in sequence at the time of transaction and detail item, date and substantiated with a receipt. Monies given in cash to residents must be recorded and where possible signed by the resident. Records of transactions must be signed and witnessed by two persons. Records must indicate any cash balances held on site and balances in resident’s savings. (Previous requirement not assessed at this inspection) Moving and handling assessments must be standardised and up to date. (Previous requirement timescale DS0000014946.V267902.R01.S.doc 30/11/04 26/04/04 11 OP38 13,18 15/02/06 Parkview Lodge Version 5.0 Page 20 of 11/10/04 not met) 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 OP10 Good Practice Recommendations The name labels should be removed from the walls in the lounge. Parkview Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Lodge DS0000014946.V267902.R01.S.doc Version 5.0 Page 22 - 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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