Inspection on 10/11/05 for Viewpark Residential Care Home

This inspection was carried out on 10th November 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

Viewpark Residential Care Home 24/10/06

Viewpark Residential Care Home 22/05/06

Viewpark Residential Care Home 22/02/06

Viewpark Residential Care Home 21/01/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Viewpark Residential Care Home Viewpark 685 Moston Lane Moston Manchester M40 5QD Lead Inspector Sarah Oldham Unannounced Inspection 09:30 10 October 2005 th 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 Viewpark Residential Care Home DS0000062168.V251823.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. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Viewpark Residential Care Home Address Viewpark 685 Moston Lane Moston Manchester M40 5QD 0161 681 2701 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) Viewpark Care Home Limited Elizabeth Ann Smith Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home only operates within its conditions of registration relating to service user category and numbers. The home may accommodate a maximum of 27 service users who require personal care only by reason of old age (OP). That care staffing levels do not fall below the minimum levels as specified in the Residential Forum Guidelines for Staffing in Care Homes for Older People. That dependency levels of service users are assessed on a continuous basis and staffing levels adjusted where appropriate to ensure continued compliance with the Residential Forum Guidance for Staffing in Care Homes for Older People. The service should,at all times,employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. 3. 4. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 5 Date of last inspection 21st January 2005 Brief Description of the Service: Viewpark is an established care home providing accommodation for 27 older people requiring personal care. The home is in Moston, Manchester. This is situated to the North of the city centre, near to local shops, post office and pubs. Viewpark is a two storey detached property set within its own grounds. The home overlooks Moston Park. There are ample parking facilities to the front and the rear of the property. The gardens are extensive and well maintained with outdoor seating areas for residents and their visitors. The gardens are accessible via paths and ramps to enable easy access. The accommodation is provided on both the ground and the first floor with lift access to the first floor at both ends of the building. All bedrooms are single and a number of these exceed the minimum standard in terms of size. The majority of bedrooms have en suite facilities. The communal area of the home comprises of a large lounge and two smaller lounges, one of which is a designated smoking area. There are two dining areas located near to the kitchen. The large windows provide a high level of natural light and pleasant views into the garden. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 10th October and the 15th October over a six and a half hour period. The inspection involved spending time talking with the manager, the responsible individual, staff on duty at the time, visitors and a number of residents who wanted to say how they found living in the home. Some time was spent looking at files, records and the home’s policies and procedures. The inspector also had a look around the inside of the home as well as having a walk around the outside of the building. Not all standards were checked at this inspection and it is strongly advised that this report should be read together with the last inspection report and any future inspection reports to get a full picture of how the service is meeting the needs of the residents living there. What the service does well: The manager and staff team of the home have worked hard to provide residents with a comfortable and safe place to live. Watching staff at work gave a good indication of their commitment to providing residents with a pleasant atmosphere in which to live. Staff were observed interacting appropriately with the residents and supporting them to maintain their independence and dignity. Staff were very enthusiastic about their role and responsibilities to provide care and support to people as well as to maximise independence, preserve dignity and respecting the individual residents wishes and feelings. They felt that the manager was very supportive and that the staff were encouraged to expand their knowledge to ensure a higher delivery of care to residents. The home had had a change of ownership some twelve months ago and although there had been some initial anxieties staff were very pleased with the support and regular visits made by the responsible individual. Residents’ views of the home were very positive and they felt that the home was “their home”. A number of residents spoken to confirmed that they were able to see their doctor or other healthcare professionals in the privacy of their own rooms and Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 7 that they were happy for staff to remain with them as they found it helpful for someone else to hear what the GP was saying and to support them in clarifying any issues. A number of visitors were also spoken to and the general feeling was that they were always made to feel welcome and kept informed of any changes that concerned their relative. 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. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 8 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 Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 9 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): 1,3, 5, 6 Prospective residents were being assessed prior to admission to the home to ensure that the home could meet their needs. Visits to the home were offered to enable the prospective service user an overview of the home and the facilities available. Information regarding the home was also given in the form of the Statement of Purpose and the Service Users Guide. EVIDENCE: The Statement of Purpose and Service Users’ Guide contained had been updated and reviewed following the purchase of the home by new owners in October 2004 All residents who live at the home had an assessment of their care needs. The manager ensures that prior to admission to the home she or one of the senior carers visits the resident to ensure that the home is able to meet the needs of the individual. The manager stated that at this time a pre admission assessment is completed with the resident, which along with assessments from other professionals forms the basis of the active care plan. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 10 A file of a new resident was viewed and contained relevant pre-admission assessment, community care assessment and relevant health professional details. Prospective residents were encouraged wherever possible to visit the home prior to moving in. If they were unable to do so the manager took a copy of the Statement of Purpose and the Service User’s Guide when the pre admission assessment was undertaken. Relatives of potential residents were encouraged to visit the home and bring items to personalise rooms prior to their relatives admission. The home does not provide intermediate care Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 11 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, and 10 Resident’s health and social care needs were being met and their privacy promoted and respected by the home however, further development of the care plans were required to ensure that areas of risk were assessed to enable the care needs of the service users to be met. EVIDENCE: All residents have an active care plan. The care plans viewed contained basic details of care needs and how these needs will be met. The care plans need to be recorded in greater depth to ensure that the residents’ care needs were clearly identified. Speaking with staff, the manager and residents it was evident that their needs and wishes were discussed. Greater details regarding nutritional risk assessments and pressure area risk assessments needed to be completed, however, regular monitoring of residents weight and skin condition was recorded on the selection of residents files viewed. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 12 The manager stated that residents were registered with a GP of their choice and were able to see the GP or other health professionals in the privacy of their own room and if they requested a member of staff to be present this would be facilitated. Clear records were maintained of health professionals’ visits and the outcome of these visits to ensure that the home provided the correct level of support to the residents. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 13 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 Residents have choice and support to meet their expectations and preferences regarding their daily lifestyle. EVIDENCE: The routine of the home was very relaxed and informal. Residents had the opportunity to spend time socialising in communal areas or in the privacy of their own rooms. There were clear indications that the residents who occupied these rooms had been given support to participate in activities of their choice and, in the privacy of their own rooms. Visitors spoken to felt that the home was welcoming and that the manager and staff were friendly and provided information about the health and wellbeing of their family member that they had come to see. They confirmed that they were able to see their relative in the privacy of their own room or within the communal areas of the home. One visitor stated that they preferred to make use of the communal areas as this enabled them to speak with other residents and staff. It was evident that the visitors were comfortable and had a good rapport with the staff and other residents. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 14 Activities were arranged on a daily basis in consultation with the residents although the manager stated that some days it was difficult to engage some residents with activities. Menus were planned with the full involvement of the residents. Evidence of residents meetings held was available and this included discussions about meals and menus as well as day-to-day activities and social events. The minutes of these meetings were available by the main notice board at the home. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 15 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 The homes complaint policy and procedures was known to the residents and they were aware who they could discuss any concerns with. EVIDENCE: A record of complaints was kept. No complaints had been recorded since the previous inspection and the manager confirmed that no other complaints had been received. The Commission for Social Care Inspection had received no complaints. Discussion with residents demonstrated that they were clear about how and who to make a complaint to. Visitors also spoken to were aware of how to make a complaint and to whom. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 16 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, 23, 24, 25 26 The home provided a warm, clean and comfortably furnished environment that met resident’s needs and wellbeing. EVIDENCE: A tour of the communal areas of the home was undertaken and some of the residents’ rooms were viewed. Residents’ rooms were personalised and reflected their individual choices and character. The manager said that when a new resident moved into the home the room was decorated in a neutral colour but that this could be changed to meet the residents personal wishes. One resident spoken with confirmed that they were able to have their own colour scheme and personal furnishings in their room. Since the previous inspection the small lounge by the front room, that is the identified smoking area at the home, had been redecorated. The manager said that there were plans to redecorate the other lounges over the next twelve Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 17 months. Discussions had been held with the residents regarding the colour scheme and there were plans to bring in sample books to enable residents to be fully involved with the redecoration plan for the home. Carpeting was also due to be replaced throughout the building, this was confirmed by the owner of the home both verbally and in writing. The dining room chairs had been reupholstered to provide additional comfort to the residents. Several of the residents spoken to commented about the dining room chairs and how comfortable they were. The bathroom and toilet facilities were appropriate to meet the number of residents at the home. The manager discussed with the inspector plans to make them feel more homely. An inspection of the external property was undertaken. A number of flagstones had lifted slightly causing the ground to be uneven. This was discussed with the homeowner as a matter that required addressing due to the fact that if residents wished to access the gardens of the home independently the uneven pathway could result in residents tripping and falling. It was also noted that a glass bottle had been thrown over the fence and had broken. This was cleared up immediately and the manager was going to ensure regular external spot checks were undertaken to eliminate this hazard. There was an external greenhouse and residents that enjoyed gardening were encouraged to participate in planting and growing flowers for the garden. The home also employed a handy person to undertake maintenance and gardening. The home was clean and free from odours. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 18 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. The home’s recruitment and training policies and procedures provided details to support the employment of sufficient, well trained staff. EVIDENCE: The staffing rota reflected that enough staff had been deployed throughout the week to meet the needs of the residents. The high standard of cleanliness in the home indicated that sufficient domestic staff was employed. A new member of staff had been recruited but a current CRB had not been completed. The member of staff had not started work. It was discussed with the manager the need to undertake a CRB before commencement of duties within the home. The manager was aware of this and was addressing this. Two staff files were viewed and they contained all relevant documentation required in accordance with Schedule 2 of the Care Homes Regulations 2001. It was found that interview notes were not taken or maintained. It is recommended that these records be maintained. There was evidence of ongoing staff training and development. Staff spoken to was very positive about the access to training courses that were being promoted. The manager was completing a staff training matrix to ensure that all staff had completed core training. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 19 The homeowner was also keen to ensure that staff had access to a wide range of training in addition to core training and NVQ training. This would, she felt enable the staff to deliver a higher standard of care to the residents. There was evidence of planned training with details of the course and the staff attending. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 20 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, 38 The home was well managed with the manager being able to demonstrate a commitment to the ongoing development of the home. EVIDENCE: Through discussion it was clear that the registered manager had a good understanding of the conditions and illnesses that are associated with old age and was able to address such issues quickly, benefiting the residents. Her background also clearly demonstrated that she had the knowledge and skills to provide a service that was appropriate. This was her first experience of managing a home and she acknowledged that it had been very demanding but that the care and the wellbeing of the residents was her priority. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 21 Residents were involved with residents meetings on a regular basis and their wishes and views discussed and action taken in response to these. The minutes of the meetings were available to read on the residents’ notice board. The homeowner visited on a monthly basis and completed Regulation 26 visits and forwarded a copy to the Commission for Social Care Inspection. A health and safety policy was in place and risk assessments of the premises and safe working practices had been carried out. This was to ensure that both residents and staff had relevant information to enable them to live and work in relative safety. Relevant certificates were on file to show that appropriate servicing of equipment used by residents in the home had been carried out. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 22 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 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x x x x 3 Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 23 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 OP7 Regulation 12 Requirement The care plans of residents must be further developed to include risk assessments regarding nutrition and pressure areas. Care plans require further development to ensure that updated information is recorded appropriately. Timescale for action 01/12/05 2 OP7 12 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP29 Good Practice Recommendations The home should maintain documentation regarding staff interviews to ensure that they comply with their equal opportunities policy. Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Viewpark Residential Care Home DS0000062168.V251823.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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