Inspection on 27/09/06 for The Victoria Parkview

This inspection was carried out on 27th September 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

The Victoria Parkview 19/03/09

The Victoria Parkview 25/03/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Victoria Parkview 7 Madeira Avenue Worthing West Sussex BN11 2AT Lead Inspector Ms A Campbell-Currie Unannounced Inspection 27th September 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 The Victoria Parkview DS0000058046.V314570.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. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Victoria Parkview Address 7 Madeira Avenue Worthing West Sussex BN11 2AT 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) 01903 522022 Victoria Care Elite Limited Mrs Sheelagh Tony Macey Care Home 9 Category(ies) of Old age, not falling within any other category registration, with number (9) of places The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: 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 home is managed by Mrs Sheelagh Macey and the registered provider is Victoria Care Elite Ltd. The fees range from Band B to £550 The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The provider, Mrs Burtenshaw, and staff assisted with the Key Unannounced Inspection. The registered manager was not available. A tour of the building was carried out and all the people who live at The Victoria Parkview were at home. Five people were spoken with and two people were spoken with in depth. A relative was visiting and kindly contributed comments about her experience of the home. Three members of staff were spoken with including the cook. Documents, records and other relevant information were made available as part of the inspection. All those spoken with were very positive about their home. The outcomes for service users were assessed in relation to the Key National Minimum Standards for older people. The requirements made at the last inspection have been addressed. The judgements were made from evidence gathered during the inspection, which includes a visit to the service and takes into account the views and experiences of people using the service. What the service does well: What has improved since the last inspection? The policies and procedures have been reviewed and updated. All the staff have signed to say that they have read and understood the policies. An activities programme has been drawn up and is beginning to be implemented. The lounge has been refurbished with new carpets and furnishings. New garden furniture has been purchased. Resident’s meetings have been set up. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is adequate. It was not clear that a thorough assessment had been carried out with all service users before they moved to the home. EVIDENCE: The manager or provider carries out an assessment with prospective service users before they move to the Victoria Parkview. There is a format available for a comprehensive assessment of need. There were some records available to show that assessments had been carried out, however not all case records included a written assessment. The provider said that all records are in the process of being updated to ensure that written assessments are included in all the case records. A requirement has been made in respect of this Standard. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. Some people’s health, personal and social care needs were set out in an individual plan of care. Service users’ health needs are fully met. The medication policies and practices protect the welfare of service users. People are treated with respect and their rights to privacy upheld. EVIDENCE: Samples of care plans were read; not all records were complete. Those that had been completed included guidance for staff about the way that people like their care to be provided. Mrs Burtenshaw said that the care plans and risk assessments are being updated to ensure that all the required records are in place. There should be written evidence to show that people’s needs have been assessed and a plan of their care agreed with them. There was evidence that some risk assessments had been completed and that some care plans had been reviewed. A requirement has been made in respect of this Standard. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 10 It was clear from records seen and in discussion with service users and a relative that people receive the health care that they need. The provider said that there is very good communication with the community nurses. One service user said that the input from the physiotherapist had helped in her recovery. The medication records and storage facilities were checked and found to be in order. Not all staff who administer medication have received updated training, the provider said that this issue is being addressed. The medication records should include recent photographs of service users to ensure that medication is administered to the service user for whom it was prescribed. Staff are provided with guidance about the way that personal care should be provided as part of their induction. All service users spoken with said that the staff are very kind and provide care in the way that they prefer. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Service users find the lifestyle experience in the home matches their expectation and preference. People are supported to maintain contact with relatives and friends. People are supported to make choices in their lives and to maintain their independence. People are provided with a nutritious diet and eat in pleasing surroundings. EVIDENCE: An activities programme has been drawn up and is beginning to be implemented. It is planned that in good weather a service user will have the opportunity to go out for a short walk each day with a member of staff. There is a weekly outing in a minibus for people who wish to take part. Some staff have been trained to run reminiscence sessions that the proprietor said people have enjoyed. People’s birthdays are celebrated with outside entertainment if they wish. It was evident that relatives and friends are welcomed in the home. Several people spoke of their contact with their families which is important to them. The relative spoken with said that she is always made to feel welcome in the home. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 12 People are supported to maintain and develop their independence; this was evident from comments that were made. All service users have relatives who assist them with their finances. Advocacy services could be made available if there was a need for this. The sample of menus that were seen showed that people are provided with a balanced and nutritious diet. People’s individual needs and special requests are provided for. Everyone spoken with said that they enjoy the food. The dining room was attractively set out and it was clear that meal times are relaxed and social occasions. There is a cleaning rota for the kitchen and a deep clean is now carried out once a month. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18 Quality in this outcome area is adequate. Service users, their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. People are not fully protected from abuse because the policies are being updated and not all staff have received the relevant training. EVIDENCE: There is a complaints policy and everyone spoken with said they felt they would be listened to if they needed to make a complaint. There were no complaints recorded. There is an adult protection policy that is due to be reviewed to ensure that staff have clear guidance about action to be taken in the event of a concern that abuse may have occurred. Not all staff have attended training in safeguarding vulnerable adults. A requirement has been made in respect of this Standard. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 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 the following standard(s): 19 and 26 Quality in this outcome area is good. Service users live in a safe, wellmaintained environment. The home is clean, pleasant and hygienic. EVIDENCE: The Victoria Parkview provides a comfortable and homely environment. The home and garden are well maintained and there is an ongoing programme of refurbishment. The requirements made by the fire officer have been addressed. The provider said that all hot water outlets are maintained at a safe temperature. The majority of doors have been fitted with door closures so that people can have their bedroom doors open if they wish. Those that do not yet have closures are kept shut for safety reasons. The home was clean and hygienic. The laundry facilities are accessed by a steep flight of stairs. The door is kept locked for the safety of service users. The facilities are adequate for the needs of the home. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 15 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. Service users’ needs are met by the numbers and skill mix of staff. Staff are supported to register for the NVQ award. Service users are not fully supported and protected by the home’s recruitment policy and practice. It was not clear that staff have been fully trained to do their jobs. EVIDENCE: Fifteen care staff are employed including a small core group of full time staff who cover regular shifts. The part time staff will cover additional shifts as required. A fixed rota has been drawn up so that all staff have regular shift patterns. There are four staff on duty in the mornings, two in the afternoons and two at night. There appeared to be sufficient numbers of staff on duty to meet the needs of service users. People spoken with said that staff are always available to help them and if they need to use the call bell they do not have to wait long for a response. The company offer staff the opportunity to register for an NVQ award. Five staff have achieved an NVQ level two award. The provider explained that there is a thorough recruitment process. A sample of staff records were seen and not all of them included the required information. The provider said that staff records are in the process of being re-organised to ensure that all the information is kept together. It was not evident that a clear Enhanced CRB or POVAfirst check had been received The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 16 before people began work. The provider said that this would be addressed as a matter of urgency. A requirement has been made is respect of this Standard. There is an induction programme for newly appointed staff. One person said that everyone had been very helpful when she began work recently and she had the opportunity to shadow staff to help her get to know each service user’s needs. It was evident that staff are provided with ongoing training opportunities however the training records were not up to date to show that all staff have attended all the mandatory training including medication updates and training in adult protection. A requirement has been made in respect of this Standard. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 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 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, 33, 35, 36, 37 and 38 Quality in this outcome area is adequate. The manager is suitably qualified and experienced to run the home. The quality assurance process has not been followed this year. Service users’ financial interests are safeguarded. Staff are supported through supervision. The records kept in the home should be up to date and include all the required information. The health, safety and welfare of service users is not yet fully protected as not all staff have attended the required training. EVIDENCE: The registered manager has the experience and knowledge to run the home. There is a quality monitoring policy and the provider said that a questionnaire is usually sent out annually to make sure that people have the opportunity to express their views about the home. The provider said that this has not been The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 18 sent out this year however she and the staff are always keen to talk to service users to make sure they are happy about the service. Resident’s meetings are held and minutes recorded. Most of the service users attended a meeting recently so that they could raise any issues for discussion. All the service users have relatives who assist them with their finances. The deputy manager assists several service users with their day-to-day financial transactions. The records were seen and were in good order. There is a supervision system in place and staff meetings are held on a regular basis. Staff supervisions take place twice a year at the moment. Staff spoken with said they feel well supported. There have been no staff appraisals however the proprietor has undertaken a training audit with staff during recent supervision sessions. Not all the records seen were up to date and in good order. (See Standards 3, 7 and 29) The proprietor has carried out risk assessments of the building to ensure that the health and safety of service users and staff is protected. Records showed that not all staff have completed mandatory health and safety training, the proprietor said that this issue will be addressed. Equipment is serviced as necessary and the proprietor said that the requirements made by the fire officer have been implemented. The accident reports were seen and had been appropriately completed. A requirement has been made in respect of this Standard. The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 2 2 The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation Reg 14 (1)(a) Requirement Timescale for action 30/11/06 2 OP7 3 OP29 4 OP30 The registered person shall not provide accommodation to a service user unless the needs of the service user have been assessed by a suitably qualified person. Reg 15 The registered person should (1) after consultation with the service user prepare a written plan as to how the service user’s needs in respect of his health and welfare are to be met. Reg 19 The registered person should (1) (a) (b) ensure that all the required checks are carried out before a prospective member of staff begins work. Reg18 The registered person should (1)(c) (i) ensure that staff employed to work at the care home receive training appropriate to the work they are to perform including, health and safety, medication and adult protection training. 30/11/06 31/10/06 31/01/07 The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 21 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 The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 The Victoria Parkview DS0000058046.V314570.R01.S.doc Version 5.2 Page 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!