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Inspection on 06/10/05 for The Victoria Parkview

Also see our care home review for The Victoria Parkview for more information

This inspection was carried out on 6th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Despite problems in the past the home has always had a good reputation for kind and caring staff. It was evident at this inspection that staff work really hard to ensure that all the residents have a safe and comfortable life.

What has improved since the last inspection?

There has been considerable input into staff training in the past few months particularly around NVQ training.

CARE HOMES FOR OLDER PEOPLE The Victoria Parkview 7 Madeira Avenue Worthing West Sussex BN11 2AT Lead Inspector Unannounced Inspection 6th October 2005 9.30am 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.V250413.R01.S.doc Version 5.0 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.V250413.R01.S.doc Version 5.0 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.V250413.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 05-05-05 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, 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 property is managed by Mrs Sheelagh Macey and the registered provider is Victoria Care Elite Ltd. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection of The Victoria Parkview following a substantiated complaint made in August 2004. There had also been an additional visit made to the home on 13th September following an unsubstantiated complaint. The report on this visit has not been published but can be made available to members of the public or other enquirers. This inspection took place at 9-30am and lasted three hours. During the course of this inspection the inspector spoke to residents and staff, looked at records and care plans and a tour of the home was conducted. The manager was not present at the time of the inspection so the inspector was aided by the deputy manager and the proprietor. Two requirements were made at the last inspection. The inspector is happy that both these matters have now been addressed. The manager has attended the appropriate training course and five staff have enrolled on National Vocational Qualification (NVQ) training. However, a further two requirements were made at this inspection. The proprietor and the inspector discussed the requirements and both will be attended to as quickly as is possible. Residents spoken to were very positive about the care they were getting at the home. One said “I am totally dependent on the staff and they take great care of me”, and that “mealtime 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. The Medication Records were checked and practices had improved considerably since the last inspection. However, the Medication Charts were incomplete on a number of occasions and a requirement was made. Medicines were appropriately labelled and stored and there was evidence that staff training had begun. Care plans had been re-written and the inspector was able to see some of the completed ones. The manager had told the inspector that they would be completed by the end of July 2005 but the inspector noted several areas not completed and suggested that these are finished by the end of November 2005. A requirement was not made at this time. Staff training was on-going and it was pleasing to see that staff were now engaged in NVQ training at the present time and that the home was striving to meet the required ratio of 50 . The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 6 The building was warm, clean and welcoming. The inspector toured the home and found the kitchen in urgent need of a deep clean. The proprietor agreed to have the kitchen cleaned within two weeks. A requirement has been made to this effect. There were three care staff on duty with a cook, a cleaner and a handyman. The rotas showed this to be the case. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 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.V250413.R01.S.doc Version 5.0 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): 1, 4, 5, 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. Most of the residents had family or friends who were able to act upon their behalf. The manager assesses all residents before they join the home either in their own home or in hospital. These completed assessments are kept in the Care Plan. The home does not take anyone in for intermediate care. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 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, 10, 11 The resident’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were well written and contained most of the information necessary to look after the residents. One or two care plans had gaps and the inspector agreed to extend the deadline for completion till the end of November 2005. They were updated regularly and reviewed at least once a month. The inspector looked at the Care plans of some of the residents he had spoken with and felt that the care given was accurately recorded. District nurses visit the home when requested and records are kept of all such visits. Medication was stored safely and records were. On the whole, well kept in regard to the administering and disposing of them. However, medicines given in the early morning were not always recorded as having been given. A requirement was made on this point. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 10 When looking around the home the inspector noticed staff knocking before entering rooms. Residents were called by their chosen name; others preferred to be addressed as Mrs. The inspector spoke to residents in their rooms or the lounges and privacy was observed. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 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, 15 Residents say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: The majority of the people in the home are frail but still enjoy a trip out to the park or seafront with staff or relatives. One resident told the inspector that he is taken to the park in a wheelchair where he meets up with an old friend. Another said that her daughter “takes me out once a week.” There is a small but very pleasant garden at the back and there was evidence that residents use it when the weather is warm. Family and friends are welcome at any time but on this occasion the inspector did not see any visitors. Food is well prepared, cooked and presented. On the day of the inspection residents sat down to Pork Chops or Fish and Parsley sauce, with potatoes, carrots and cabbage. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 12 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, 17, 18 Any complaint is taken seriously and staff and residents know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: All staff have attended the Adult Protection Training and the procedures are in the office. There has been one complaint made about the home to the CSCI. This was investigated thoroughly and the complaint was found to be unsubstantiated. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 13 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, 20, 21, 22, 23, 24, 25, 26 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The home is well kept and is clean and tidy. An issue was raised about the kitchen that has been dealt with in another part of this report. A requirement was made. The inspector observed the cleaner doing her rounds and every room was left clean and tidy. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 14 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, 30 There is sufficient staff employed to ensure that residents’ basic needs are met. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies of these were kept in the office. Prospective staff are invited to complete an application form and attend an interview. Staff training had been undertaken in all areas and the evidence showed that all staff were offered training relevant to their work. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 15 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): 33, 34, 35, 36, 37, 38 It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. The home is considered a safe environment. EVIDENCE: The home was constantly updating their practices to ensure that residents received the best care that they could. The home does not have any dealings with any money belonging to residents. Fire Requirements had all been met and all equipment is regularly serviced. The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 16 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 3 x x 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 2 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 3 3 3 3 3 The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 17 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 2 Standard 9 26 Regulation 17.3 16.2.j Requirement Medicines must be signed for at the time of administering them. The kitchen needs a deep clean to remove grease and bacteria. Timescale for action 06/10/05 31/10/05 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 7 Good Practice Recommendations The time for completing the care plans to be extended till end November 2005 The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Worthing LO 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 The Victoria Parkview DS0000058046.V250413.R01.S.doc Version 5.0 Page 19 - 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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