Inspection on 24/02/06 for Parkview Lodge

This inspection was carried out on 24th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 22/11/05

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 24th February 2006 10:10 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.V283735.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 Lodge DS0000014946.V283735.R01.S.doc Version 5.1 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.V283735.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2006 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.V283735.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on 24th February 2006, an interpreter specialising in the Italian language assisted the inspector when communicating with the residents at the inspection. The Registered Manager Mr. Tramunto was present throughout the visit. 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? Written records known as care plans have improved since the last inspection at the home. They now have more information in them so staff can be clearer on how they need to care for the residents by explaining each need that they have and the support that must be offered. The home also knows that these documents always need reviewing and improvement made to them all the time. Also the information that the home gathers about new residents so that they can make a decision on whether they will be able to meet their needs has Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 Page 6 improved. These assessments now contain information about all the needs of a new resident from medical needs to their social needs. 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.V283735.R01.S.doc Version 5.1 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.V283735.R01.S.doc Version 5.1 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): 3 Assessment of needs undertaken at this home are sufficient for the home to make an informed decision on whether they are able to meet a residents needs prior to their admission. EVIDENCE: Written care records were examined and noted to contain comprehensive assessments. Assessments included the physical, social and emotional needs of the resident. Information from social services was also seen and this gave additional information specifically relating to the past history of the resident. Further assessments were also noted to be in place and included nutritional, moving and handling and pressure care needs. Staff were able to describe the needs of the residents that matched the information contained within the written assessments. Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 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, 9 & 10 Systems for the ordering, storage and administration of medication in this home are sufficient to ensure residents receive all prescribed medication and safe practice takes place. EVIDENCE: Through the examination of residents care notes it was noted that recent changes had resulted in an improvement to the standard of care planning. The format had changed and the content of these documents had improved. The needs of the resident had been identified and the information to staff in how they should support the resident in meeting their need was clear and informative. This new standard needs to be implemented for all residents and was discussed with the manager at the time of the inspection. Medication ordering, storage and administration was examined and noted to follow best practice guidance. Records were up to date and accurate and Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 Page 10 training in the administration of medicines had been provided for staff responsible for this area. Several residents and relatives spoken with commented on concerns that they had relating to some of the staff at the home. They felt that when the management of the home were not working some staff would speak to some residents differently and that they would not always help the residents if they needed assistance. Information form these conversations were shared with the manager at the time of the inspection. Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not assessed at this inspection. Parkview Lodge DS0000014946.V283735.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): The management of complaints at the home is not sufficient to ensure residents feel that their concerns are listened to, acted upon and responded to. EVIDENCE: The homes complaints procedure was examined; elements of this had been included in the homes statement of purpose. In addition records of complaints made or concerns raised by residents and relatives were also seen. These did not record the investigation undertaken or the outcome and response to the complainant in full. The need to demonstrate and retain formal responses to all concerns and complaints made must be undertaken and was discussed with the manager at the time of the inspection. The homes policy on abuse was noted to contain information on the different types of abuse including physical and financial. In addition a copy of the local protocols for the protection of vulnerable adults was in place. Staff when questioned were able to accurately describe how any suspicion of abuse should be reported to and had received training in this subject. Parkview Lodge DS0000014946.V283735.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): 26 The standard of cleanliness at this home is good and provides a pleasant environment for the residents too live in. EVIDENCE: Residents own rooms and communal areas were noted to be clean and free of odours. Waste disposal at the home followed guidance within the clinical waste policy of the home. Observations made of staff confirmed that they wore protective clothing where appropriate and were also seen to follow safe and hygienic practices. Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 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): 30 The organisation of training in the home is good so staff receive the necessary training for them to carry out their roles effectively. EVIDENCE: Training records showed that staff had attended a range of statutory training including fire safety, moving and handling and food hygiene. In addition further training had been undertaken including National Vocational Qualifications in care. Staff through discussion confirmed that they had the opportunity to attend a variety of training courses. Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 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): 31 & 38 Management of Health and Safety in the home is sufficient to provide a safe environment for the residents to live in. EVIDENCE: Records of safety checks were maintained in the following areas, fire, moving and handling equipment, water temperatures and gas and electrical equipment. These demonstrated that sufficient checks were being carried out and servicing by approved contractors to ensure these areas were safe. Staff had also undertaken training in fire safety, food hygiene and moving and handling. Observations of staff at the inspection showed that they carried out safe practices in food handling, hygiene and the transfer of residents whilst using specialist equipment. Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 Page 16 The home had also been inspected by the Fire service and Environmental Health Department and had written confirmation that they had assessed the home as having met all their requirements at that time. A previous requirement made relating to the manager undertaking a qualification in both management and care had not yet been met therefore this requirement remains with an extended timescale given for compliance. Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 Page 17 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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 1 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 3 Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 Page 18 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 OP28 Regulation 12,18 Requirement Staff must be given guidance, training and supervision in communicating with residents so that interaction occurs between staff and resident’s.(Previous requirement timescale not yet passed) The registered person must achieve the minimum qualification to manage a care home at NVQ 4 in Care and Management. (Previous requirement timescale of 31/12/05 not met) Timescale for action 10/03/06 2. OP31 9,18 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 Page 19 Parkview Lodge DS0000014946.V283735.R01.S.doc Version 5.1 Page 20 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.V283735.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. 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