Inspection on 05/05/05 for The Victoria Parkview

This inspection was carried out on 5th May 2005.

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 27/09/06

The Victoria Parkview 06/10/05

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 Philip Barker Unannounced 5th May 2005 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. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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 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 anyother category registration, with number (OP) 9 of places Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2004 Brief Description of the Service: Victoria Parkview is a privately owned care 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 and the sea front. 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 property is managed by Mrs Sheelagh Macey. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place from 9-30am to 1-45pm. The Victoria Parkview has been the subject of concern since August 2004 when a complaint around the mis-use of medication was made against the home. The CSCI visited the home on a number of occasions, making Immediate and short-term requirements. Subsequent meetings were held with the Providers to ensure that the home met and continued to meet these. During the course of the inspection the inspector was accompanied by the Pharmacy inspector. Residents and staff were spoken to, records and care plans were looked at and a tour of the home was conducted. Residents spoken to were very positive about the care they were getting at the home. They said that “nothing was too much trouble for the girls”, and that “ bath time was a pleasurable experience”. Two of the residents told the inspector that they had only been at the home for a short while but felt quite settled. One visitor to the home had written “………….we were lucky to find such a suitable home”. The Medication Records were checked and practices had improved considerably since the last inspection. Medication Charts were complete and correctly signed, medicines were appropriately labelled and stored and there was evidence that staff training had begun. There was an issue over the administration of a Homely Remedy that had not been included on the list. However, this was rectified at the time of the inspection and included. Care plans were in the process of being re-written and the inspector was able to see some of the part-completed ones. The manager felt that the new care plans, more user-friendly than those in current use, would be available for use by July. Staff training was on-going although it was disappointing to see that no-one was engaged in NVQ training a the present time and that the home was failing to meet the required ratio of 50 . Staff supervision sessions had started but there was no written evidence to show how these sessions were being used. The building was warm, clean and welcoming. There were two care staff on duty with a cook. A new cleaner had been employed but she had failed to turn up on the day. The rotas showed this to be the case. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 6 All Health and Safety issues were up to date including Fire. 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. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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 Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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) 2, 3 and 6 Residents have the information they need to make an informed choice about where they live and are suitably assessed before placing. EVIDENCE: Each resident is given a Contract when he/she enters the home. However, the inspector spoke to one resident who had only been admitted last week and had not been given a contract as yet. Another resident told the inspector that she had left “those arrangements to my family”. One resident had been admitted after the manager had visited her in her own home to make an assessment. Records of this assessment were seen but were not very detailed. The inspector in the course of conversation with the resident found out that she was well known to the home as she had been receiving care from the Company’s own Registered Domiciliary Care Agency. Other assessments were complete. The home does not take anyone in for intermediate care. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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 The resident’s health, personal and social care needs are met. Some improvements have been made in medicine handling but there remains a need for staff to have appropriate medication training, to ensure that residents’ needs are met. EVIDENCE: Care plans were in the process of being re-written. Old care plans were unfriendly to users and were contained in ring files that paper fell out of. The new care plans are contained in books that will ensure that all information is kept together and safely stored. The new books are very detailed and will be completed for all the residents by the end of July 2005. District nurses visit the home when requested and records are kept of all such visits. A GP had recently reviewed a resident’s medication and this had been written into the care plan. A chiropodist was visiting at the time of the inspection and she said that she was a regular visitor. A review of medication handling was undertaken by a CSCI pharmacist inspector. Homely remedies, as on the agreed list, were stored separately to prescribed medicines and a record kept. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 10 A resident had received two doses of antacid, not prescribed and not on the homely remedies list. The last medication training session for staff, by a local pharmacist was on 20th September 2004. Training records had not improved since the previous inspection. The registered manager said that it had been difficult to get a place on a medication training course, at local college but efforts would continue. When looking around the home the inspector noticed staff knocking before entering rooms. Residents were called by their chosen name…. some preferred their Christian name, others preferred to be addressed as Mrs. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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 are happy with their lifestyle, are able to keep in contact with their family and friends and able to have some control over their daily tasks. Good home cooked food is provided. EVIDENCE: Some activities are planned in advance like the regular Saturday morning Bingo sessions and visits from Musical entertainers. Other activities just happen. For example there recently was an Easter bonnet competition which arose from a resident talking about what she used to do when she was younger. A local volunteer takes three residents to church on Sunday mornings. Residents said that they were waiting for the summer to come as they loved sitting out in the garden or being taken out by family or staff for walks along the seafront or around the park. One resident said that she liked sitting in the lounge and talking to other residents and “having a laugh”. Family visits are important to them and one visitor present at the time of the inspection was offered coffee and biscuits on arrival. “This is the norm”, he said. One resident said “I have only one small grumble……. I would like to eat my breakfast in the dining room, not in my bedroom”. She had never discussed this with the staff and said she would now do so. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 12 Residents were able to get up and go to bed when they wanted providing that staff were able to help them at that time. The residents sat down to a meal of Chicken Curry and Rice or Poached Fish and potatoes with mixed vegetables and green beans. There was a choice of sweets on offer too! Freshly baked cakes were available for afternoon tea. None of the residents had any complaints about the food that they were offered. They said that it was always tasty and there was plenty of choice. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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 All complaints are taken seriously and staff and residents know how to complain. Staff were aware of the Adult protection procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: After the last inspection the majority of residents and their families were aware of Procedures. There is a Complaints Book that contains only small matters around daily issues. For example, one resident had not received their daily paper. All staff have attended the Adult Protection training and the Procedures are in the office. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The home has recently employed a new cleaner who decided not to turn up on the day of the inspection. The inspector was told that she had only begun two days earlier. Care staff were having to do basic cleaning tasks as well as care. This is not satisfactory or hygienic and the manager was aware of the situation and dealing with it at the time. However, the home was clean and free from unpleasant odours. The Care Group have maintenance staff who work at the home when requested. The manager said that they were often in and out doing odd jobs. A resident was waiting for a shelf to be put up in her room so that she could display some of her treasures. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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 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) 27,28,29,30 There are sufficient staff employed to ensure that residents’ basic needs are met. When staff are busy call bells can remain unanswered for a time and visitors are kept waiting to enter. The Registered Person is advised to review the staffing levels in light of these findings. The Company has sound recruitment policies and all checks are made. There has been an increase in staff training since the beginning of the year. EVIDENCE: A resident said that “…call bell takes a long time to get answered sometimes…they are all so busy”. There are two staff on duty to attend to the needs of currently eight residents. Whilst this is in a range agreed by the previous registration authority, two staff operating on two floors with some highly dependent people can sometimes lead to a breakdown in the system. The manager said that she was on hand to answer call bells if staff were otherwise engaged. All staff have undergone Criminal Records Bureau checks and copies that these were satisfactory were kept in staff files. Prospective staff are invited to complete an application form and attend an interview. A member of staff confirmed this to be the case but did not know whether her two referees had been approached. The file showed that two references were obtained for her. Staff training had been undertaken in Health and Safety and Care issues but there was no evidence to suggest that NVQ training was being undertaken. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 16 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) 33,35,38 It is apparent that the needs of the residents are paramount and that things happen for the benefit of the people living in the home. The home has no dealings with any personal finance, preferring to leave that to families or other professionals. Fire procedures are up to date and the home is considered a safe environment. EVIDENCE: The manager said that she was only interested in change if it were for the benefit of the residents. She was always willing to listen to staff and residents before making any changes. The home does not have any dealings with any money belonging to the residents. One resident was worried that she had no-one to help her with her finances but was aware that she would have to seek the help of her solicitor and could not ask any one in the home to help her. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 17 All Fire and Environmental Health requirements had been met and all equipment was regularly serviced. Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 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 3 x 3 x x 3 Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 19 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 OP28 18(1) Regulation Requirement A minimum ratio of 50 trained members of staff (NVQ) is achieved by 2005. Timescale for action Training must commence by September 2005 Within one month of the date of this report 2. OP9 18(1)(a,c) The manager must attend a substantial Safe Handling of Medication training course before administering medication 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 Good Practice Recommendations Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Name H60 H11 S58046 The Victoria Parkview V221749 050505 Stage 4.doc Version 1.20 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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