Inspection on 16/07/08 for Parkview Nursing and Residential Home

This inspection was carried out on 16th July 2008.

CSCI found this care home to be providing an Good service.

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 Nursing and Residential... 09/08/07

Parkview Nursing and Residential... 12/05/06

Parkview Nursing and Residential... 25/07/05

Parkview Nursing and Residential... 24/01/05

Parkview Nursing and Residential... 09/01/05

Parkview Nursing and Residential... 04/08/04

Parkview Nursing and Residential... 25/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Parkview Nursing and Residential Home 54 Chorley New Road Bolton Lancashire BL1 4AP Lead Inspector Mike Murphy Unannounced Inspection 16th July 2008 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 Nursing and Residential Home DS0000005693.V367956.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 Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkview Nursing and Residential Home Address 54 Chorley New Road Bolton Lancashire BL1 4AP 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) 01204 363105 01204 361779 Jewelglen Limited Ms Angela Williams Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (6) of places Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 41 service users, to include Up to 35 service users in the category of OP (Older People): Up to 6 service users in the category PD (Physical Disabilities under 65 years of age), one of who is a named service user. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 9th August 2007 2. Date of last inspection Brief Description of the Service: Parkview is owned by Mr M K Raja and is managed by Mrs A Williams. Care services are provided in a large adapted property built on three levels with a passenger lift to all floors. The home provides 41 places for the care of elderly people including six places for people with a physical disability. The home which has garden areas to the front and rear, is situated on Chorley New Road about one mile from Bolton town centre, is close to main bus routes and there are shops within walking distance. 29 residents were being accommodated and cared for at the time of this inspection. The current fees for residential care is £355.00 (with nursing fees being structured in accordance with PCT banding assessment) - information supplied by the provider. Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This inspection which included a site visit that the home did not know was going to take place was carried out over a ten hour period on the 16th July 2008. The process of inspection included observing what went on in the home, talking to residents, relatives, staff, the owner of the home and the registered home manager, looking round the home, and examining some important records. Before the inspection, we also asked the manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home sees the service they provide the same way that we see the service. We felt this form was completed in well. What the service does well: What has improved since the last inspection? The requirements made at the last inspection have been complied with. The process for recruiting staff has improved as has the way staff training is organised and recorded. Such improvements help to improve the quality of support provided and keep residents safe. Also the leisure activities provided have been reviewed and the programme of activities is prominently displayed in the home. There is an ongoing programme of re-decoration and refurbishment in operation. Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Parkview Nursing and Residential Home DS0000005693.V367956.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 Nursing and Residential Home DS0000005693.V367956.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): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents admitted to the home have their care and support needs assessed appropriately prior to admission. EVIDENCE: Before residents are admitted to the home the registered manager (a qualified nurse) carries out an assessment of their resident’s care and support needs. The assessment includes the involvement of the resident, their relatives and relevant health (such as doctors) and social care professionals (such as social workers). The reason for the assessment is to help the prospective resident (and their relatives) in considering how suitable living at the home would be and enable the person doing the assessment to judge if the home will be able to meet the resident’s care and support needs properly. 3 (recently admitted) residents pre-admission assessments were inspected at this inspection. The records identified that pre-admission assessments had Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 9 been carried out by the home and were supplemented by assessments conducted by Social/health Services professionals. The pre-admission assessment conducted by the home is now recorded in a way that clearly identifies it as such as recommended at the last inspection. Parkview Nursing and Residential Home DS0000005693.V367956.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): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents were being appropriately met. EVIDENCE: The care records of three residents were inspected. Care plans addressed the health and personal care needs of residents in a clear, detailed, well-organised way and were evaluated at least monthly. Risk assessments, that aim to protect resident’s health, welfare and safety are also recorded in respect of residents skin (assessing the risk of pressure sores), mobility (including the risk of potential falls and fractures), nutrition, (including regular weight monitoring) and other areas of potential risk for individual residents were also assessed at least monthly (for example the need for bed rails to be used). All residents are registered with a local GP and all were able to access dieticians, opticians, chiropodists, and dentists, district nurses and other specialist services as individual residents needed. Pre-inspection surveys completed by relatives and discussion with relatives on the day of inspection Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 11 indicated that they are kept informed of any changes in their relative’s health. The practices for the receipt, recording, storage, handling, administration and disposal of resident’s medicines were appropriate and in the main safe. However a record of all medicines disposed of at the home needs to be maintained. The qualified nurses are responsible for all aspects of managing medication in the home. Discussion with residents and staff (and responses in Pre-inspection surveys completed by residents and relatives) revealed that residents were treated with respect and that their right to privacy was upheld. Comments made included; ‘I am looked after really well’, ‘ I visit regularly and all the staff are kind, considerate and very caring’, ‘my relative is very well cared for, they are really good here’. On the day of inspection staff were observed to talk to residents positively and show them respect, protect their dignity and assist them properly throughout the day. Residents appeared to be well cared for and content in their environment. Parkview Nursing and Residential Home DS0000005693.V367956.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): 12,13,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are enabled to make choices in their daily life and there was a general satisfaction with the meals provided. EVIDENCE: Discussion with residents and relatives (and observations made on the day of inspection) indicate that the routines of daily life in the home are as reasonable as they can be in a home setting. Residents said that they are able to choose what time they get up and go to bed, and feel that staff inform and consult them about the care and support they need (this was supported from the comments made by relatives of residents in pre-inspection surveys and in person to us at the time of inspection). This is very important in enabling residents to control their daily life as much as possible. The arrangements, for providing social and leisure activities have improved. Care records reflect resident’s social and leisure interests and the activities they have participated in. A programme of activities was prominently displayed in the home at the time of this inspection. Activities included gentle exercises, singing, board games, listening to music and crafts. Residents expressed their satisfaction with the activities available. Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 13 Residents wishing to maintain their religious links are encouraged to do so. The home has an open visiting policy. There are no restrictions on the time people visit. The only time restrictions would be imposed is when requested by residents. Relatives spoken to during the inspection said they were always made welcome at the home and were able to see their relatives in the privacy of their own room or in a quieter area of the home. Residents spoken to said they were satisfied with care and support provided and organisation of life at the home. Observation of care practice and information in care plans indicated residents are encouraged to make choices. For example in respect to where they spend their day. While some residents chose to sit in the lounge a number were observed to spend their time in their own rooms. At the time of this inspection four residents were being nursed in bed due to their illnesses. Meals are cooked in the home’s kitchen. Menus are varied and balanced and provide choice. Meals are served in a spacious dining room. This is an appropriately furnished room that provides a comfortable and pleasant area for residents to have their meals. Residents’ meal times are as reasonable and as flexible as they can be in a home setting. Discussion with residents and relatives indicated satisfaction with the meals provided. Parkview Nursing and Residential Home DS0000005693.V367956.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. Appropriate arrangements were in place to ensure residents are safe and their concerns can be addressed. EVIDENCE: The complaints procedure was prominently displayed in the home and included details of how to contact the CSCI if it was felt necessary by the complainant. Residents and relatives spoken to on the day of inspection (and in responses contained within pre-inspection surveys) said issues brought to the manager’s attention are always responded to quickly and properly. The registered manager keeps a complaint record – there were no complaints recorded since the last inspection. Policies and practices aimed at safeguarding residents from abuse were in place. Also Bolton’s inter agency protection procedure is held on site. Staff were provided with appropriate protection training. Parkview Nursing and Residential Home DS0000005693.V367956.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): 19,20,24,26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A programme of refurbishment and redecoration continues that seeks to improve the environment for residents. EVIDENCE: The home was free of malodour and very clean on the day of this inspection. Residents and relatives said this is usual at the home. The programme of re-decoration/ floor covering replacement in resident’s bedrooms has continued since the last inspection. Bedrooms inspected (9 in total) were clean, warm and suitably equipped/furnished and a number were quite personalised. Most had been redecorated over the last 12 months. The four residents who needed to be ‘nursed’ in bed appeared to be comfortable and well cared for. Residents and relatives spoken to expressed satisfaction with bedroom provision. Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 16 The dining room was clean and adequately decorated/furnished and tables were appropriately set for meals. The main lounge area has been decorated. However it is in need of a new carpet. The manager informed us that this was planned. The designated smoking lounge was clean and was suitably decorated/furnished and separate from other communal areas. There is a separate room for hairdressing room on the ground floor. Bathrooms were clean and appropriately equipped/adapted. Suitable arrangements for cleaning, hand washing, laundry and disposal of waste materials have been made that aim to minimise the risk of the spread of infection. Staff are provided with disposable gloves and aprons when caring for/supporting residents. Parkview Nursing and Residential Home DS0000005693.V367956.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. The recruitment, provision and training of staff employed at the home are suitable and protect residents. EVIDENCE: Staffing records indicated that a qualified nurse was on duty at all times and that, in addition to care staff, the home employs cooks, kitchen assistants and a maintenance worker to ensure that residents needs can be met appropriately. Inspection of staffing records, discussion with residents, the manager and staff revealed the care and support needs, of the 23 residents living at the home at the time of this inspection were being met. The home continues to make good progress in the provision of NVQ 2 and 3 training. At the time of inspection well over 60 of the care staff had received such training. Three staff recruitment files were inspected (the number recruited since the last inspection). They contained evidence of CRB checks (including POVA first checks), 2 written references, criminal convictions declarations, proof of identity, fully completed application forms and a declaration about the prospective employees health status. Checks are made and recorded in respect of the status of registered nurses with their registered body. Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 18 Discussion with staff indicated that they were provided with induction training on commencing employment. There was also evidence that staff had been provided training in moving and handling, safeguarding, first aid, fire safety, basic food hygiene and other relevant topics. Parkview Nursing and Residential Home DS0000005693.V367956.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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was being effectively managed and allows residents, their relatives and staff to feel that they are being supported properly. EVIDENCE: The registered manager is a very experienced registered nurse. Residents, relatives and staff spoken to on the day of inspection stated that the manager is very supportive and makes herself very accessible to all. A quality assurance system has been developed to measure residents and their relative’s satisfaction, with the level of care and accommodation provided. This has been further extended to seek the views of others who visit the home such as doctors, nurses and social workers. This is very useful and will enable a Parkview Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 20 quality improvement plan to be fully developed and implemented to further improve the quality of life for residents. The arrangements for the management of residents personal allowance monies, where these are looked after by the home, were secure and properly documented. The health, safety and welfare of residents and staff is promoted and protected. For example staff are provided with training and appropriate equipment to ensure resident’s moving and handling needs are met. An example of this would be for a resident who needs to be safely moved with the aid of a hoist. Fire safety training is provided. The local fire safety officer recently inspected the premises and made some requirements and recommendations in respect of fire safety. The home needs to formally inform us what actions have been taken to comply with them. Information provided by the home indicates that electrical, gas and other equipment safety inspections and servicing have been conducted regularly. Parkview Nursing and Residential Home DS0000005693.V367956.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 X X X 2 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 3 X 3 X X 3 Parkview Nursing and Residential Home DS0000005693.V367956.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. 2. 3. Standard OP9 OP20 OP38 Regulation 13(2) 16(2)c 23(4) Requirement That a record of all medicines disposed of is maintained That the floor covering in the main lounge is replaced That the CSCI is informed in writing of what action has been taken to comply with the fire safety requirements/recommendations made by the fire safety officer in his report dated the 4th of March 2008. Timescale for action 31/08/08 31/08/08 31/08/08 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 Nursing and Residential Home DS0000005693.V367956.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Nursing and Residential Home DS0000005693.V367956.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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