Inspection on 17/08/05 for Purley View Nursing Home

This inspection was carried out on 17th August 2005.

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

Purley View Nursing Home 27/03/07

Purley View Nursing Home 15/12/05

Purley View Nursing Home 20/01/05

Purley View Nursing Home 02/09/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Purley View Nursing Home 20 Brighton Road Purley Surrey CR8 3AB Lead Inspector Alison Ford Unannounced 17 August 2005 10.45 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 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. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Purley View Nursing Home Address 20 Brighton Road, Purley, Surrey, CR8 3AB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8645 0174 020 8763 2456 Glancestyle Care Homes Limited Mrs Anna Marie Cunningham Care Home 39 Category(ies) of OP Old Age (39) registration, with number of places Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20 January 2005 Brief Description of the Service: Purley View is a care home registered with The Commission for Social Care Inspection to provide nursing care for up to thirty nine older people. It is situated in Purley with easy access to both road and rail links and close to the centre of town.The rear of the property offers off street parking for up to eight cars and there is metered space around the home. The home offers accomodation over three floors, in twenty-seven single bedrooms and three shared rooms all of which have en-suite facilities.A passenger lift ensures acessibilty to all parts of the home.There is a large communal lounge, on the ground floor, which also provides a dining area and a pleasant rear garden where residents can sit in the fine weather. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection of the year 2005/2006 and was an unannounced visit taking place over three and a half hours. The Registered Manager was on holiday however her deputy was on duty and is thanked for his assistance. At this inspection a partial tour of the premises was undertaken along with an examination of a sample of care plans and staff files. Certificates of worthiness of equipment were also seen. Many of the thirty-two residents currently living in the home and one relative, who was visiting, were spoken to and the lunchtime meal was served during the visit. Prior to the inspection, comment cards had been received from seventeen residents, seventeen relatives and four others including a healthcare professional who all regularly visit the home. The vast majority of the comments reflected a high level of satisfaction with the home, its staff and the care and services being delivered. Since the last inspection no complaints have been received by the Commission and examination of the homes complaints records revealed that two minor complaints had been dealt with by the home What the service does well: The residents in this home consider that they live in a safe well-managed environment and all of those that were spoken to were appreciative of the care that they receive, the homes manager and her staff team. Some of the residents have advanced stages of dementia and comment cards reflected their relative’s satisfaction with the home. All the residents, met during the inspection process looked clean and well cared for. Comments were made by both residents and relatives that “staff were very friendly” “they were very happy here” “ “staff treat the residents well ”and that “residents always look well cared for.” A comprehensive pre-admission assessment ensures that the physical healthcare needs of residents will be met and care plans accurately reflect the care that is currently being delivered although it was felt that these would be enhanced by the addition of more personal information. Activities suitable for the needs of the residents are provided and birthdays and other festivals are celebrated. Residents expressed their satisfaction with the meals served in the home and alternative choices would always be made available. All of those spoken to were confident that the management team would deal with any concerns that they might have promptly and appropriately. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 6 Staff training has a high priority in the home and the majority of the care staff have undertaken an NVQ qualification in addition to various other training courses. Safety practices were generally of a good standard and recruitment policies and procedures were robust. 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. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 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 standard(s) 3,6 A comprehensive pre-admission assessment, undertaken by a senior staff member, ensures that resident’s physical, healthcare needs can be met in an environment, which will promote their independence and wellbeing however more attention could be given to ensure that psychosocial needs are being met. This home does not offer intermediate care. EVIDENCE: The care plans of six residents were seen and all of them contained full and comprehensive assessments of their physical needs. These then form the basis for subsequent care planning. Staff training within the home is given a high priority to help to ensure that these needs will be met. Insight into the problems experienced by residents, especially those with dementia, would be enhanced if more emphasis were placed on their psychosocial needs and past lives. It is recommended that relative’s help should be enlisted to try and produce a “life history “ of residents. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 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 standard(s) 7,8,9,10 Each resident has a care plan, regularly updated, however the use of a standardised format may mean that it is not always tailored to meet the healthcare needs of the individual so that interventions may not be the most appropriate. Residents can be confident that they will be treated with respect and that measures are in place so that their privacy and dignity will be maintained. EVIDENCE: The care plans of six residents were seen. Identified healthcare problems are subject to a standardised care plan and these are not always tailored to suit the needs of the individual. Care must be taken to ensure that their views and feelings are taken into account and the Registered Manager must ensure that the care plans reflect resident’s individuality. There was evidence that care plans are regularly reviewed and that assessments are undertaken to identify indicators, which highlight those at risk of developing pressure sores, and appropriate interventions are taken. Photographic evidence is used to support the treatment of wounds within the home. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 10 Concerns were raised with the deputy manager about one resident left without the means to summon assistance and another without a drink. The senior nursing staff must ensure that carers leave residents in a comfortable state and able to access anything that they might require in their rooms. Staff were observed treating residents in a kind and respectful manner. The majority of residents, who were able to express an opinion, agreed that staff are always kind and polite. Personal care is always delivered in resident’s own rooms, which benefit from en-suite facilities and relatives could always be received in private should they wish it. The medicine disposal policy was discussed with the deputy manager and this is now in the process of being implemented and will be monitored at a later visit. A recent pharmacy visit had been undertaken and no problems had been highlighted. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 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 standard(s) 12,13,14,15 Residents in this home would be supported to exercise choices in their lives, as far as they are able, so that they can maintain their independence and they would be encouraged to maintain contact with their families and friends so that they have interest and variation in their day. Meals are well generally well prepared and varied to ensure that nutritional needs are met. EVIDENCE: The deputy manager explained that residents are able to choose what they wear, when they get up and go to bed and whether or not they wish to join in any activities and residents that were spoken to confirmed this. Some organised activities are held including bingo and exercise sessions. Residents confirmed that birthdays and other occasions are celebrated. Relatives and friends are encouraged to visit and participate in activities with residents if they wish to. Local priests visit regularly and two of them completed comment cards, prior to the inspection, which were very favourable. The menus were seen and were varied and nutritious. Lunch was served during the visit and looked well cooked and presented although two residents complained that the meat was tough. Others spoken to agreed that they were always happy with the food that was served. Records are kept of the food Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 12 consumed however these would benefit from more detail and this was discussed with the deputy manager and one of the senior nurses. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 13 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 standard(s) 16,18 Residents in this home are confident that any concerns or complaints that they might raise would be dealt with promptly and so they feel reassured that they are protected from abuse and neglect. EVIDENCE: There is a simple and clear complaints procedure in place and a copy was seen in the entrance hall. The complaints book was seen and two entries detailed minor complaints that had been dealt with appropriately. No complaints had been received by The Commission. There is a vulnerable adults procedure in place and several staff members have received training in theses issues. All staff that are working in the home have received satisfactory Criminal Records Bureau Clearance. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 14 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 standard(s) 19,26 This home provides a clean and comfortable environment with specialist adaptations, however it would benefit from redecoration, which would make it brighter and more pleasant for its residents. EVIDENCE: The home provides comfortable accommodation for its residents, which is in keeping with the surrounding area, however communal areas would benefit from redecoration. This has already been started in resident’s bedrooms and the exterior of the home has been painted. Specialist adaptations have ensured that all areas of the home are accessible to residents and assisted baths and toilets suitable for wheelchair users are throughout the home. Door wedges were seen in use in the home, and in one instance the door was held open with a rubbish bin. If residents wish their doors to remain open they must be fitted with an automatic closer, which operates in the event of a fire. All areas of the home were clean and free from odour on the day of the inspection. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 15 Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 Residents in this home can be confident that there are sufficient well-trained and qualified staff on duty so that their healthcare needs will be met and that robust recruitment procedures will help to support and protect them. EVIDENCE: Off duty rotas were seen and showed that there are always sufficient staff, both trained nurses and carers, on duty in the home. Domestic and ancillary staff are also in sufficient numbers. Training is given a high priority and documentary evidence had been provided outlining all the recent training that had been undertaken. The majority of care staff have attained an NVQ level 2 qualification and are gradually undertaking level3. Both matron and her deputy have completed the Registered Managers Award. Personnel files of four members of staff were seen and all contained all of the requirements of the Minimum Standards. Criminal Records Bureau clearance has been received on all staff members. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Safe working practices employed by the home ensure that the health and safety of staff and residents is protected. EVIDENCE: Documentary evidence had been submitted to show that all policies and procedures had been recently reviewed. Recent training had included mandatory sessions in manual handling and fire training. Certificates of worthiness for equipment and services were seen and were in order. Kitchen records were seen and were in order although there was only one blue plaster in the first aid kit. This was rectified during the visit. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 3 Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 19 yes 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. 1. Standard OP7 Regulation 12(3) Requirement The Registered Manager must ensure that care plans reflect residents individual healthcare needs. The Registered Manager must ensure that care staff are monitored to ensure that when residents are left they have everything that they need to hand. The Registered Manager must submit a plan to the Commission outlining the timescale for future redecoration and refurbishment. The Registered Manager must ensure that if residents wish their doors to remain open they are fitted with a closing device which operates automatically in the event of a fire. Timescale for action 1/12/05 2. OP8 12(1)(a) 1/12/05 3. OP19 23(2)(d) 1/12/05 4. OP19 13(1)( c ) 1/12/05 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 OP3 Good Practice Recommendations It is recommended that a greater emphasis be placed on G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 20 Purley View Nursing Home 2. OP15 residents psychsocial needs and their past lives in order to understand their present healthcare needs. It is recommended that nutritional records contain more detail of the food that was actually consumed by residents. Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 21 Commission for Social Care Inspection Croydon, Kingston & Sutton Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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 Purley View Nursing Home G53-G53 S19039 PurleyViewUI V211393 250705.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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