Inspection on 19/03/09 for The Victoria Parkview

This inspection was carried out on 19th March 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Victoria Parkview 25/03/08

The Victoria Parkview 27/09/06

The Victoria Parkview 06/10/05

The Victoria Parkview 05/05/05

The Victoria Parkview 13/09/04

The Victoria Parkview 22/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Victoria Parkview 7 Madeira Avenue Worthing West Sussex BN11 2AT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Liz Palmer     Date: 1 9 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: The Victoria Parkview 7 Madeira Avenue Worthing West Sussex BN11 2AT 01903522022 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Victoria Care Elite Ltd care home 9 Number of places (if applicable): Under 65 Over 65 9 old age, not falling within any other category Additional conditions: 0 The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Victoria Parkview is a privately owned establishment providing personal care for up to nine residents in the category of older people. The home is a detached two-storey property in the centre of Worthing, close to local shops, a park and the seafront. Accommodation is provided in nine single rooms, eight of which have en-suite facilities. The rooms are arranged on two floors with a passenger lift giving access to all rooms. There is a large lounge/diner and a quiet reading room. The registered manager is Mrs Sheelagh Macey and the registered provider is Victoria Care Elite Ltd. The fees range from 600 to 650 pounds per week Care Homes for Older People Page 4 of 23 Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The inspection included a site visit to the home over a period of three and a half hours. During this time three staff were interviewed and the acting manager assisted with the inspection. Three service users were met and spoken to privately, others were observed and spoken to during the inspection. Care plans, medication records, policies and staff records were sampled. Other information used to make judgements about the standard of care in the home included the homes Annual Quality Assurance Assessment (AQAA) that they completed and returned to us. Care Homes for Older People Page 6 of 23 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are assessed to ensure that only those whose needs can be met are admitted to the home. Evidence: The AQAA states that a pre-admission assessment is undertaken before each admission. Time is spent with prospective residents and their representatives to ensure all aspects of an admission are considered. People are able to visit the home prior to moving in. On the day of inspection a prospective resident was looking around the home and stayed for coffee. A pre-admission assessment was sampled. It included full details of care needs and other relevant information about the person including their medical history, mental health needs, care needs, religious preferences, hobbies and interests, a social history, next of kin and the general practitioners (GPs) name and address. Care Homes for Older People Page 9 of 23 Evidence: Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service have their health and personal care needs met. Care plans must be available in the home at all times. Arrangements are in place for the safe handling of medication. Evidence: Three care plans were sampled. The care plans contain detailed information and are kept under regular review and changes are made as necessary. There was written evidence that medical assistance is sought when needed and residents confirmed they can ask to see a doctor if the need to. They said they felt well cared for and in safe hands. Through speaking to residents it was evident that the details in their care plans are followed through with staff. For example one care plan states that a resident should have their table next to them with their call bell placed on it when left alone. This was seen and the resident said staff always come promptly when she calls them, day and night. Risk assessments were seen to be in place for falls, manual handling and mental health needs. These are regularly reviewed. Care Homes for Older People Page 11 of 23 Evidence: One care plan was not available in the home on the day of inspection. The acting manager had taken it home to update it. She said that on the day she was planning to update it she had been called in to work in the home to cover for staff sickness, because of this she had forgotten to bring it back. The deputy stated that there were no changes to that residents care and all the staff knew her well enough to ensure her care continued as per the plan. However, in an emergency situation that resident would not have had a care plan available to be referred to. Daily records were looked at, there is a separate sheet for each resident. There was evidence of night checks being made and staff responding to calls at night and giving the care needed. The requirement we made at the last inspection for care plans to be reviewed and daily records to be more detailed has been met. The administration, storage and recording of medication was observed during lunchtime. The medication cabinet was seen to be suitably secure, clean and organised. No errors or omissions were seen on the records. Staff have been trained in the safe handling of medication and the member of staff observed administering the lunch time medicines was seen to be confident and competent. The home holds a record of staff specimen signatures and initials. There is a risk assessment for the management of each persons medication on the file. There is suitable controlled drug storage although none is currently being held. No one in the home currently self administers their medication. The residents spoken to all said they are treated with respect by staff that are always caring and polite. They felt their privacy is respected and their dignity upheld when receiving personal care. Staff were observed on the day speaking in a polite and friendly way to residents. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a wide range of activities on offer in the home and they are happy with the choices. The home provides wholesome food to suit the needs and tastes of residents. Evidence: A range of activities is available in the home. A notice board in the home lets people know whats on offer. There is usually an activity every day. The AQAA states that they provide a homely, non institutionalised environment to live in. They say they welcome visitors with refreshment and meals where required. Residents spoken to comfirmed this. The entertainment programme includes musicals and films sessions, bingo, reminiscence and quizzes. Mini bus outings are also available. Wheelchair walks or shopping trips are arranged on request. A choir from a local primary school visits and church visits are catered for. Residents can air their views and request activities at their regular meetings or via the questionnaires given out by the home. People spoken to said they had enough to do and they always have the choice whether to join in or not. People are also encouraged to pursue their own hobbies and remain independent as far as possible. Lunchtime was observed to be calm and relaxed. Residents said they enjoyed the food and there was always two choices and plenty to eat They said it Care Homes for Older People Page 13 of 23 Evidence: was all home cooked and always tasty and well presented. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to complain and are protected by the homes policies for safeguarding them. Evidence: A complaints procedure is displayed in the home. Residents spoken to say they know how to make a complaint and feel that any concern they may have would be dealt with by the staff or the manager. Residents were observed making requests and expressing their views during the inspection. There was an open and relaxed atmosphere and staff dealt promptly with requests. Staff were asked about the homes procedure for safeguarding adults. They have received training and were confident about their responsibilities if they suspected any abuse or were told of any. There are no ongoing safeguarding issues in the home. Care Homes for Older People Page 15 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from a clean and homely environment, which is well maintained. Evidence: The inside and outside of the home are maintained to a high standard. The garden is accessible to residents. Risk assessments are in place to promote the health and safety of residents and staff are trained in issues relating to health and safety. A resident commented on the high standard of hygiene promoted in the home. Their AQAA states that regular regulatiion 26 monitoring reports are recorded monthly to ensure safety of the environment i.e. radiator covers, clear fire escapes, window locks in place, heating and ventilation satisfactory. Care Homes for Older People Page 16 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The improvements in recruiting staff better protects the people who use the service. The training and support enables staff to carry out their roles confidently and competently. Evidence: The homes AQAA tells us that they have a very low staff turnover. The home attracts more mature staff group due to its small size. The recruitment procedures for new staff were sampled and shows that requirement made at the last inspection regard criminal record (CRB) checks is now met. They do not use agency staff ever, if necessary, staff are drafted in from other homes in the company. Rotas were sampled and sufficient numbers of staff were seen to be deployed. Usually five each morning and four during the afternoon. Residents spoken to said there were enough staff on duty during the day and night to meet their needs. They said call bells were answered promptly. Staff were observed interacting in a positive and respectful manner at all times. They responded to requests from service users and were caring and polite. The staff spoken to during the inspection were confident and competent at their jobs. They spoke confidently about the needs and preferences of service users. They said there is on going training provided including mandatory courses such as, first aid, food hygiene, infection Care Homes for Older People Page 17 of 23 Evidence: control, health and safety, safeguarding adults and fire training which are provided to all staff. Care Homes for Older People Page 18 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Improvements need to be made to the management arrangements in the home to better ensure the smooth running of the home. Evidence: The registered manager has been on extended leave for three years. There is an acting manager in the home who is responsible for the day to day running, she started in October 2008. Staff say the home is well run and the acting manager is supportive and approachable. They say they receive regular supervision and records seen confirmed this. The acting manager completed and returned their AQAA, after we reminded them it was overdue. The AQAA gave us all the information we asked for and was detailed and clear. During the inspection one care plan was not available in the home as the acting manager had taken it home to update it. She said that on the day she was planning to update it she had been called in to work in the home to cover for staff sickness, Care Homes for Older People Page 19 of 23 Evidence: because of this she had forgotten to bring it back. The acting manager told us that six hours one week and twelve hours the next week are allocated to her management role. The rest of the time she works hands on in a caring role. Since the inspection we have been informed that these management hours have been increased. The issue of the registered manager not being present in the home for over three years is being dealt with separately from this report. At the last inspection we made requirements regarding health and safety checks including; recording fire checks and training and recording checks on water temperatures. These were seen to be met. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 All people living in the home must have a care plan available to them. To ensure everyone is aware of their care needs. 30/04/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!