Inspection on 29/08/06 for Parvale House

This inspection was carried out on 29th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Parvale House 223 Rockingham Road Kettering Northants NN16 9JB Lead Inspector Mr Steve Hunnybun Unannounced Inspection 29th August 2006 09:00 Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 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 Parvale House DS0000067628.V308583.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 Adults 18-65. 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. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parvale House Address 223 Rockingham Road Kettering Northants NN16 9JB 01536 484970 01536 513523 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) kingston@consensushealthcare.org Consensus Support Services Limited Mrs Jacqueline Jacznik Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category of MD, Mental Disorder, excluding Learning Disability or Dementia, may be admitted to Parvale House unless that person also falls within the category LD, Learning Disability ie. Dual Disability The maximum number of persons to be accommodated within Parvale House is 6 NA 2. Date of last inspection Brief Description of the Service: Parvale House is a well-appointed property in the town of Kettering. It is registered to support up to six people who have Prader Willi syndrome, which is characterised by a range of symptoms including a compulsion to eat. The home has six single rooms, all with en’suite showers and pleasant lounge and dining rooms. Located close to the town centre the home is convenient for all transport networks and a range of local facilities. A comprehensive statement of purpose is made available to prospective residents, as are inspection reports. Current fees are within the range £1391 to £1650 with extra charges being made for hairdressing, newspapers and entrance fees. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home has recently had a change of ownership and this was the first inspection under the current registration. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. Residents who spoke with the inspector were positive about the home. • • • • • ‘The staff are nice’ ‘There are plenty of trips and outings’ ‘We can help to choose and plan activities’ ‘Residents’ meetings are good’ ‘I know who to talk to if I’m not happy about something’ A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. The inspection was positive indicating good outcomes for residents. No requirements or recommendations were made. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personalised assessments ensure that prospective residents’ diverse needs are identified and planned for before they move into the home. EVIDENCE: An assessment is completed as part of the referral process, which enables staff to identify residents’ individual needs. Residents who completed comment cards stated that they were able to take part in the assessment process and were able to exercise choice over the home they moved to. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have comprehensive care plans that focus on the individual and useful risk assessments. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: Residents have a care plan completed to enable staff to support them to meet their needs. All had been reviewed and signed by the residents. Care plans cover a range of areas and each one is headed ‘identified aim/goal/need’ and ‘action required’. In addition residents have an ‘Essential Lifestyle Plan’, completed by them with support. This contains a wealth of information about their likes, dislikes and aspirations. A resident showed the inspector her plan, which was full of pictures and clear, concise writing. The home is commended for these very excellent documents. Residents stated that they are able to make choices and decisions about their lives. They have chosen the décor in their rooms and are able to plan activities in the regular residents’ meetings. Very useful risk assessments were present in the files, also reviewed and updated when necessary. Daily records indicated that risk assessments are used to enable residents to take part in activities. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 10 Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The promotion of residents’ rights, provision of activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: All residents who spoke with the inspector stated that they have plenty to occupy them. A programme of activity is offered that is tailored to meet residents’ individual needs. One resident whose file was tracked attends a local college. In conversation with the inspector he stated that he enjoys this and is enabled to make choices about the courses he completes. Residents stated that they enjoy the range of leisure activities on offer. These include pub trips, days out and holidays. Residents were due to take a holiday the week after the inspection and all spoke enthusiastically about this. Residents are enabled to access the local community where appropriate according to their risk assessments. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 12 All residents who spoke with the inspector stated that they are able to keep in touch with family and friends from outside the home. Residents stated that staff treat them with respect. Their preferred form of address is used and they are able to open their own mail. Residents are enabled to join in with domestic tasks if they wish. Menus are carefully prepared to meet the needs of residents with Prader Willi syndrome. All meals are strictly calorie controlled. Menus are designed to use seasonal ingredients and most meals are freshly prepared. Residents stated that they enjoy the food and appreciate the support they receive to manage the amount they eat. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: Files tracked contained a wealth of information about residents’ personal and healthcare needs. Where care plans need to be flexible, for instance to respond to a resident’s mental health needs, this is clearly recorded. Appointments are recorded in residents’ files along with any advice or treatment. Two residents were supported to attend appointments on the day of the inspection. Staff were observed preparing medication. All information regarding resident’s name, drug, dosage, time and route was checked before the medication was administered. Medication records were up to date and accurate and medication was stored appropriately. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home has robust complaint and protection procedures. Staff are made aware of these through induction, staff meetings and supervision. Residents who spoke with the inspector stated that they are aware of the complaints process and feel confident to express their concerns to staff. Concerns are recorded in a folder; this enables the process to be monitored. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a house that is homely, comfortable clean and safe. EVIDENCE: A member of staff showed the inspector round and four residents showed him their rooms. These were all homely, personalised and in good decorative repair. Residents had chosen the colours of the walls and furniture. The home has a pleasant lounge and dining room and well maintained gardens to the rear of the property. A programme of maintenance and regular checks ensure that the house remains safe. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff files contained relevant references and Criminal Records Bureau checks. Residents who spoke with the inspector stated that staff are ‘great’ and ‘very good’. Staff training lists indicated that the majority of staff have NVQ awards. Training is focused on equipping staff with the skills necessary to meet residents’ needs. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, residents’ views are sought regarding the running of the home and their health and safety are protected. EVIDENCE: The registered manager is experienced and qualified to run the home. Residents and staff clearly respect her judgement and leadership. Residents’ views are sought through questionnaires that are distributed annually. The most recent results were very positive. All records regarding health and safety were up to date and accurate. The inspector looked at fire records, control of substances hazardous to health records and health and safety risk assessments. Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 19 NA Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action 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 Parvale House DS0000067628.V308583.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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