Inspection on 12/06/06 for Parkview Rest Home

This inspection was carried out on 12th June 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 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 Rest Home 22/09/09

Parkview Rest Home 23/09/08

Parkview Rest Home 19/10/07

Parkview Rest Home 27/10/05

Parkview Rest Home 20/07/05

Parkview Rest Home 17/03/05

Parkview Rest Home 02/08/04

Parkview Rest Home 13/02/04

Similar services:

Alderson Road 12

Abbey The

Grayling

Larch Avenue

Cranworth Close Registered Care Home

Muston Road (70)

The Cornerstone

John Street Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Parkview Rest Home 7/8 North Park Road Heaton Bradford West Yorkshire BD9 4NB Lead Inspector Paul Newman Key Unannounced Inspection 12th June 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 Rest Home DS0000001299.V297992.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 Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkview Rest Home Address 7/8 North Park Road Heaton Bradford West Yorkshire BD9 4NB 01274 544638 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) Mrs Susan Linda Crabtree Mr Stewart Leonard Crabtree Care Home 23 Category(ies) of Dementia - over 65 years of age (4), Learning registration, with number disability over 65 years of age (2), Old age, not of places falling within any other category (16), Physical disability over 65 years of age (1) Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 April 2006 Brief Description of the Service: Park View is a detached adapted building that provides accommodation for twenty-three residents requiring residential care. Bedrooms are located on the ground and first floors. There is no stair or passenger lift. The home is adjacent to Lister Park in the Heaton area of Bradford. It is close to local amenities and a bus route. Level access is available to the rear of the property along with a small car park. Well kept gardens are to the front of the home where service users can sit and enjoy the good weather. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection (CSCI) inspects homes at a frequency determined by the assessed quality rating of the home. The inspection process has now become a cycle of activity rather than a series of one-off events. Information is gathered from a variety of sources, one being a visit to the home. All regulated services will have at least one key inspection before 1st July 2007. This is a major evaluation of the quality of a service and any risk it might present. It focuses on the outcomes for people living at the home. All core National Minimum Standards are assessed and this provides the evidence for the outcomes experienced by residents. At times it may be necessary to carry out additional visits, which might focus on specific areas like health care or nutrition and are known as random inspections. The last inspection was on 25 April 2006. At that time the home’s quality rating was poor but improvements were noted and good progress had been made from the inspection before that in March 2006 when ten requirements had been made. This visit was unannounced and carried out by two inspectors over one day. Both inspectors had also been involved in the inspection in April 2006. The inspection started at 9.30am and finished at 4.00pm. Verbal feedback was given to the owners and management team at the end of the inspection. The purpose of the visit was to make sure the home is being managed for the benefit and well being of the residents and to see what progress had been made meeting requirements from the last inspection. Information to support the findings in this report was obtained by looking at the pre inspection questionnaire (PIQ). Examples of information gained from this document include details of policies and procedures in place and when they were last reviewed, when maintenance and safety checks were carried out and by who, menus used, staff details and training provided. Records in the home were looked at such as care plans, staff files, and complaints and accidents records. Residents, their relatives and visitors were spoken to as well as members of staff and the management team. CSCI comment cards and post-paid envelopes were left at the home to be given to residents and their relatives as well as comment cards for health care professionals who visit the home. At the time of writing this report no responses had been received. The evidence gathered at this inspection and the further progress made, means that the quality rating for this home is now good. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 7 This is a much improved service and the issues below can be resolved within short and realistic timescales. • • • Following the training audit that was conducted the registered persons must now make sure that individual staff are brought up to date in areas that were identified. The registered provider must ensure that application is made to register the manager with the CSCI without further delay. The owners provided an action plan following the last inspection. This did not address all of the requirements for that inspection and only indicated work to be carried out up to September 2006. A new action plan must now be provided that addresses all of the requirements and recommendations of this visit and plans for ongoing maintenance, redecoration and refurbishment. Any training programmes or general developments should also be included. An internal policy that links to the Bradford Adult Protection Procedures should be developed. This should give advice on the immediate actions that should be taken when abuse is alleged or suspected, who should be notified and, the procedure should have contact telephone numbers for the Bradford Adult Protection Team, the out of hours emergency duty social work team, the police and CSCI. • 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 Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and/or their relatives have the information that is needed before they choose a home. Assessments are made before people move in to the home, that give staff a clear idea of the person and their care needs. EVIDENCE: The home has a statement of purpose and a service user guide and copies of these have been made available to the Commission. From the manager’s description, no resident is admitted to the home without first being assessed and where possible, visiting the home. If that is not possible, then relatives always visit on the resident’s behalf. The manager wants prospective residents and their relatives to be as sure as possible that the home is suitable, that they know what room they will be living in and generally how the home operates. The service user guide is given at the introductory visit. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 10 As part of the evidence gathering one inspector case tracked three residents. This meant detailed checking of their files, speaking to the residents about the individual care provided to make sure that their care needs were being met, and speaking to the staff who deliver the care to make sure that they had a clear understanding of each individual’s needs. Key standard 3 requires that the home carries out a comprehensive assessment of each resident’s needs before they are admitted to the home. The home’s registration categories include people with dementia and learning disability so one resident from each of these categories was chosen at random for case tracking. The third person to be case tracked was the latest person admitted to the home. There is a standardised pre admission form that is useful and its format lends itself to providing detailed information about the individual and each of the files seen had an assessment that had been completed. There is also an assessment of daily living that gives good information to staff about the person’s personal preferences. There is an activities assessment that includes a family history. The combination of these assessments gives all the indication that the approach is person centred and the staff spoken with had a good knowledge of the residents they care for. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. 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. Care plans are agreed with residents or their relatives and give a clear picture of the person, their needs, wishes and preferences. The plans address health, personal and social care needs. Staff practices make sure that residents are treated with respect and dignity and the care plans identify ways of doing this that are specific and helpful to the individual resident. EVIDENCE: The three residents who were case tracked each had differing needs. These were clearly identified in each care plan. The plans were easy to follow and reviewed each month as required. Each plan was positive and identified specific needs, personal strengths and wishes. Having read the plan the reader has a good picture of the person and their needs. Specific health care needs were well documented and audit trails of staff observations and concerns that they document about an individual’s health problem, subsequent referral to the GP or other health care professional and the advice and treatment that followed could be made from the files. There was evidence of Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 12 regular and routine optical, dental and foot care from the records that included optical prescriptions and appointment dates and treatment. In two cases, there were good entries on the care plans of practical advice and guidance for staff in managing dementia that aimed at maintaining the residents’ awareness of their situation and personal dignity. In one case there was a behaviourmonitoring chart that showed good evidence of staffs’ response to challenging behaviour. In the case of a resident with learning disability the care plan showed awareness of and attention by staff to the promotion of the resident’s dignity, choice and general confidence. There was evidence of resident involvement in the development of the plans and in one case the resident had signed an agreement about privacy screening and there were records of meetings and joint working. Risk assessments were up to date and covered moving and handling, falls and nutrition. The advice to staff on reducing risk was clear and was as specific as identifying best footwear to avoid falls. There was a record of falls. Each of the residents had their weight checked monthly. The details of medication and of GP visits and treatments that were in the care plan were checked against the medication administration charts and medication held. The manager had implemented medication audits in March 2006 and these have been carried out monthly. The checks made during the visit evidenced sound record keeping and observations made of staff practice with medication indicate that systems and procedures are safe. Resident’s said that they were settled and comfortable living in the home. They said that staff were kind and caring and respected their privacy. The observations of the staff as they interacted with residents supported these comments and in particular the work they did with the three residents that were case tracked during the inspection. Throughout the day staff were seen knocking on doors before entering and where they were providing personal care to residents in their rooms, they made sure the door was closed. Similarly residents’ privacy was protected when bathing and toileting was taking place in communal facilities. The home operates a key worker system that is being developed. The staff spoken with had a clear picture of the needs and lifestyle wishes and preferences of the three residents who were the focus of the inspection. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. 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. Residents are positive about their lifestyles. Their social needs are assessed and documented and activities are arranged that are geared to stimulate and interest them. Residents are encouraged to make choices about what they do and enjoy contact with family, friends and visitors from the community. There is a balanced menu that residents like and they enjoy the food. EVIDENCE: The three care plans that were checked each had an activity assessment and activity sheet that showed the sorts of things the individual resident enjoyed and took part in. There was a good range and there was evidence to show that efforts are made to gear activities individually. In the case tracking it was noted that one resident attends a day centre and the key worker’s notes on the care plan identified recent activities as church, listening to music, gardening and some physical exercise activities. The same resident had completed a floristry course and attended an education centre. During the inspection he was keen to show some recent artwork and was clearly happy with the things he was doing. Another resident calls his bedroom ‘his home’ and it was identified in his care plan that when he mentioned he wanted to ‘go Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 14 home’ this was an indication he was becoming anxious and wanted to go to his room. This was good practice and attention to the social and psychological needs of the resident in a simple but practical way. In general terms the activities are planned each day and include bingo, board games, sing-along sessions, exercises, art and craft, dancing. A physiotherapist visits fortnightly and arranges exercise sessions. There are trips out and use is made of the local park that is close to the home. Spiritual needs are met through local clergy who visit fortnightly and two residents attend a Bradford church and the church arranges transport. There are numerous photographs displayed around the home that indicate some of the activities and memorable events that have been held and it was good to see photographs of the same in the residents individual files. It was clear that residents exercise choice about where they spend their time. Some residents said that they preferred to spend some time in their rooms while others spent time in the lounge areas. They said that they could choose when to get up, go to bed and whether or not to join in with the planned activities. The residents’ rooms were personalised with their own belongings and reflected their interests and some of the activities they get involved in. The care plans identified people’s preferences about what they like to wear and the residents looked well cared for. Staff spoken with talked about this and said that where a resident did not necessarity have the capacity to make choices for themselves, they were aware of preferences and always checked that the resident was happy. Care plans also identified approaches to personal care and hygiene and there was evidence of joint working with healthcare professionals and in one case a day centre to achieve a consistent approach by all of the people involved in the individuals care. Although no family visitors were seen during the inspection, the daily records in the care plans showed who had visited individuals and when. The home’s written information for relatives makes it clear that friends and relatives are welcome to visit at all times. The hairdresser was visiting at the time of inspection. She felt that the residents are well cared for, that the staff are friendly and caring and she enjoyed working at the home. There was a big ‘thumbs up’ to the food from the residents spoken with. The four weekly menu plan was seen and provides a variety of good wholesome food that is geared to residents likes and preferences. The care plans identify individuals, personal preferenecs and any special dietary needs and these were known by the cook who has worked at the home for about a year. There is a record of food provided that identifies variations to the standard menu. The lunchtime meal was observed and the staff gave good and sensitive assistance to those residents who needed it. The food was well presented and looked appetising and the residents enjoyed it. The meal was relaxed and social. There were refreshments served between meals. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 15 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): 16 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents feel safe living in the home. There are appropriate procedures in place for responding to and dealing with complaints. EVIDENCE: The pre inspection information that was provided by the home showed that there had been one complaint that had been found to be true. Records seen and discussions with the manager during the visit showed that this had been properly dealt with and there was a satisfactory outcome. The issue was to do with the heating in one room and a plumber immediately rectified this. Complaints procedures were seen on notice boards around the building and the procedure is also included in the Service User Guide. The residents spoken with said that they feel comfortable in raising concerns. Bradford adult protection procedures are available to staff at the home but there was not a suitable internal policy that linked to the Bradford procedures. This was discussed and advice given on the immediate actions that should be outlined, who should be notified and, the procedure should have contact telephone numbers for the Bradford Adult Protection Team, the out of hours emergency duty social work team, the police and CSCI. Staff said they would not hesitate to report abuse to the person in charge. Residents said they felt safe. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 16 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): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care is provided to residents in a clean, comfortable and well-maintained environment, but work must be carried out to radiator covers to minimise risks to residents. EVIDENCE: Following the random inspection made in April 2006 the owners were asked to provide an action/improvement plan. The intention was for the CSCI to be happy with the timescales for work to be carried out to outstanding requirements and to give the owners the opportunity to demonstrate how they intend to approach ongoing maintenance, redecoration and refurbishment. A plan was forwarded that outlined work to be carried out up to the end of September 2006. A full tour of the premises was made. Following improvements that had been made earlier in the year, the building presents as homely and comfortable and Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 17 in the conversations with residents they made it clear that they ‘feel at home’. Bedrooms were personalised with residents’ own belongings. The premises was found to be clean and tidy. Although odours had been noted on the previous inspection in two bedrooms, none were noted during this visit. An odour in a downstairs WC appears also to have been resolved. Two issues remain outstanding from the previous inspection report and the owners had not included this in their action plan. These were in connection with radiator covers. The way that they are currently covered does not achieve the objective of making residents safe and it would be possible for them to be in direct contact with the surface of the radiator. In discussion at the last inspection it was agreed that risk assessments would be made for each room. These were not done at the time of this visit and it was clear there had been a little confusion about who was going to do the work. A commitment was made to get these done within 48 hours of the visit and confirmation was made that this had been achieved. As far as carrying out the work to guard the radiators properly it was agreed with the owners that this would be done by the end of October 2006. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are satisfied with the care they receive and enjoy good relationships with staff. There is a commitment to staff training but some areas for some individuals need attention. Sound procedures are followed to recruit staff and to make sure they are vetted and checked. EVIDENCE: The pre inspection information provided by the home outlined the training that has taken place over the last year. This included safe working practice training as well as some more specialised sessions like dementia care, palliative care and diabetes. Progress is being made in the numbers of staff achieving National Vocational Qualifications with six staff having completed level 2 or 3 qualifications. Four staff files were checked to make sure the home carries out proper recruitment and vetting procedures. These had all the necessary documentary evidence and included the induction training records for each member of staff. Three members of staff spoken with confirmed that they also had followed induction training and spoke about safe working practice training that they had completed. The manager has conducted an audit of training needs and has identified where updates are required and these will be built into the training programme that should be kept to. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 19 The duty rotas provided for the inspection showed sufficient staff on duty at all times and at the time of inspection there were four carers on duty supported by ancillary staff. All the staff spoken with said that there was a good team spirit. They talked about regular staff meetings and about the shift handover arrangements that appeared sound with written handover sheets and all residents discussed. They appreciated that the manager was encouraging them to be more involved in care planning and this had helped motivation. They also felt that the improvements in the activities that are arranged had made a significant difference to morale in the home. Staff confirmed that a supervision system had started (one to one sessions with the manager). Although this is in its infancy, the manager is encouraged to keep this form of support and oversight going. The residents said that they felt the staff were caring and terms like ‘they can’t do enough for you’ and ‘they are happy and helpful’ were typical of the comments made. The observations made during the visit showed relationships to be good and there was a happy and jovial atmosphere in the home. It felt a good place to be. The staff were supportive and watchful of the residents and their manner with them was friendly, warm personable but also professional. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 20 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, 32, 33, 35 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is well managed and the best interests of the residents are at the heart of staff practice and checking systems that have been developed. EVIDENCE: The manager has been in post since August 2005. She is an experienced manager and carer and is currently undertaking relevant qualifications. Application for registration with the CSCI has been delayed and more protracted than it should, but must be made without further delay so that the registration process can be completed. Looking back over previous requirements and the improvements made since her appointment, it is clear from the evidence of this inspection that the Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 21 manager has made a significant impact on morale, internal record keeping and has introduced auditing and monitoring systems to make sure that things do not slip (e.g. care plans and medication). The staff spoken with said that they felt the manager was good and had introduced new systems and was encouraging them to be more involved. They made comments like ‘she is for the residents 100 ’. Regular staff meetings have been held and a supervision system has begun. Residents meetings have been held so that they can express their views about home life and make suggestions about activities and food. Quality satisfaction surveys have been used with residents, relatives and professional visitors to the home. The views expressed by residents were consistently good about all aspects of home life – the food, the staff, the activities and generally that it is a good place to live. Oversight of the home by the owners in regulatory terms has improved and monthly reports on the conduct of the home are now forwarded to the CSCI each month. There is an operations manager who is the interface between the home and the owners, and staff said that the owners were regular visitors to the home and took an active interest in the residents and what was going on. The owners provided an action plan following the last inspection. This did not address all of the requirements for that inspection and only indicated work to be carried out up to September 2006. A new action plan must now be provided that addresses all of the requirements and recommendations of this visit and plans for ongoing maintenance, redecoration and refurbishment. Any training programmes or general developments should also be included. Most residents personal finances are managed by their relatives but for three, the home keeps some money for safekeeping. Records are kept for these and one was chosen and checked and reconciliation made with the cash held. There were no problems and all was accurate and clearly recorded. From the pre inspection information provided by the home it could be established that regular and routine safety checks are made of equipment and facilities, things like fire safety equipment, gas installation, electricity installation, hoists and lifts. To be doubly sure of fire safety, the records were checked during the visit and staff confirmed that they had been involved in fire drills. Accident records were also checked. Observations during the visit showed that staff were properly equipped and wearing protective clothing to reduce the risk of cross infection and during the tour of the building no obvious health and safety hazards were note. Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 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 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 2 X 3 X X 3 Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 23 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 OP30 Regulation 18 Timescale for action Following the training audit that 01/01/07 was conducted the registered persons must make sure that individual staff are brought up to date in areas that were identified. The registered provider must 31/10/06 ensure that application is made to register the manager with the CSCI without further delay. Previous timescale 31/05/06 not met. The registered person must 31/10/06 provide an action plan that outlines areas that are to be developed and improved, how this will be done, who is responsible for the work and the target timescale for completion. The plan must include issues raised in the section referring to environment - radiator covers which are a health and safety risk. Previous timescale partially met. 31/05/06 Requirement 2. OP31 9 3. OP33 24 Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 24 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 OP18 Good Practice Recommendations An internal policy that links to the Bradford Adult Protection Procedures should be developed. This should give advice on the immediate actions that should be taken when abuse is alleged or suspected, who should be notified and, the procedure should have contact telephone numbers for the Bradford Adult Protection Team, the out of hours emergency duty social work team, the police and CSCI. The manager should maintain and develop the newly established staff supervision system as an additional management tool for the support and guidance of staff members. 2 OP32 Parkview Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Rest Home DS0000001299.V297992.R01.S.doc Version 5.2 Page 26 - 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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