Inspection on 22/02/06 for Viewpark Residential Care Home

This inspection was carried out on 22nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Viewpark Residential Care Home 24/10/06

Viewpark Residential Care Home 22/05/06

Viewpark Residential Care Home 10/11/05

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 22nd February 2006 07:45 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.V279303.R01.S.doc Version 5.1 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.V279303.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Viewpark Residential Care Home Address Viewpark 685 Moston Lane Moston Manchester M40 5QD 0161 681 2701 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.V279303.R01.S.doc Version 5.1 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. 10th November 2005 2. 3. 4. Date of last inspection 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.V279303.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 22 February 2006 over a fourhour period. The inspection involved spending time talking with the manager, staff on duty at the time 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. A tour of the internal and external facilities was undertaken. 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. Other professional visitors to the home felt that the staff team supported the residents with their personal care needs appropriately and felt that residents were cared for well. The home actively involves residents in the ongoing development of the home. New carpeting was due to be fitted and residents had been involved in the selection of the carpet. Training was considered to be a high priority and staff had opportunity to attend training courses that developed their skills. The impact of this was that they were able to provide a good standard of care to the residents living at the home. Residents commented that the home was “ a nice place to live” and was “ very homely”. Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 Page 6 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.V279303.R01.S.doc Version 5.1 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 Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 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): None of these standards were inspected on this occasion. EVIDENCE: Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 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&9 Resident’s social care needs were being met and their privacy promoted and respected by the home however, further development of the care plans was required. Medication handling procedures were poor. 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. Daily record sheets also needed to contain greater information, for example some care plans viewed stated ‘ all care given as care plan’ this did not clearly demonstrate the level of care give. 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 Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 Page 10 residents weight and skin condition was recorded on the selection of residents files viewed. All residents were registered with a GP of their choice and were able to see the GP when they requested. All consultations with GP’s were undertaken in the privacy of the resident’s bedroom. At the time of the inspection one resident was receiving care and support from the district nurse. The inspector spoke with the nurse who said that the staff at the home supported the residents with their health care needs and worked in conjunction with the district nurses to provide ongoing health care. 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. The homes medication was inspected separately to the inspection by the pharmacy inspector. The issues arising from that inspection have been addressed in a separate report although the requirements made have been included in the requirement section of this report. Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 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): None of these standards were inspected on this occasion. EVIDENCE: Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 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): 18 The home had appropriate policies and procedures in place to ensure that the residents at the home were safeguarded from abuse. EVIDENCE: Staff had received appropriate training with regards the protection of vulnerable adults and were aware of the policies and procedures to follow. Copies of training certificates were maintained on individual staff files. Staff spoken to were able to demonstrate a good knowledge of the issues surrounding the protection of vulnerable adults. Residents spoken to felt that the staff supported them well. One resident said “staff look after us well and have our best interests at heart. I feel safe and secure here”. Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 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): 26 The home was clean and pleasant and created a homely atmosphere for the residents who lived there. EVIDENCE: Following the previous inspection the homeowner had supplied the Commission for Social Care Inspection (CSCI) with details regarding the refurbishment of some of the home including the replacement of all carpets. These were due to be replaced in early spring 2006. The manager said that samples of carpets had been shared with the residents and they had contributed to the choice of carpeting in the communal areas of the home. Individual bedroom carpets would be discussed with each resident to ensure that they were able to make a choice regarding the refurbishment of their rooms. Residents spoken to say that they had seen some carpet samples and were aware of the plan to replace carpeting within the home. Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 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): None of these standards were inspected on this occasion. EVIDENCE: Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 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 & 35 The home was well managed with the manager being able to demonstrate a commitment to the ongoing development of the home. Resident’s financial interests were safeguarded. EVIDENCE: The manager was able to clearly demonstrate that she had the knowledge and skills to provide a service that was appropriate to the needs of the residents living within the home. The homeowner visited on a monthly basis however, in the past few months Regulation 26 reports on those visits had not been undertaken and submitted to the Commission for Social Care Inspection (CSCI). At this inspection the finance records of the residents were examined and found to be clearly recorded with an ongoing balance sheet maintained. There Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 Page 16 was some evidence that some residents had not received their allowance from the people supporting them with their finances. The manager had ensured that the residents who had not received their personal allowance had the same opportunity to participate in social and personal activities. These were funded by the home and then the money requested on behalf of the resident. There was evidence that the manager had requested finances on behalf of the residents. She said that she would continue to monitor this. Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 1 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X X Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? Yes 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.(previous timescale of 01/12/05 not met) Timescale for action 30/07/06 2. OP7 12 Care plans require further 30/07/06 development to ensure that updated information is recorded appropriately. Daily records must reflect the care given to the residents is recorded in detail.(previous timescale of 01/12/05 not met) The Registered Person must make arrangements for the recording, handling, safekeeping and safe administration of medicines within the home. The Registered Person must make arrangements for medication is stored securely at all time including whilst being transported round the home. 14/03/06 3 OP9 13(2) 4 OP9 13(2) 14/03/06 Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 Page 19 5 OP9 13(2) The Registered Person must ensure that the procedure of secondary dispensing ceases. The Registered Person must ensure that medication is stored at the correct temperature at all times. The Registered Person must ensure that all records regarding medicine administration are accurate. The Registered Person must ensure that policies and procedures are reviewed and rewritten to ensure safe practices are followed. The Registered Person must ensure that residents medication is not used for staff us. The Registered Person must ensure that staff receive medication training. The homeowner must undertake regulation 26 visits and submit a copy of these to the Commission for Social Care Inspection. 14/03/06 6 OP9 13(2) 14/03/06 7 OP9 13(2) 14/03/06 8 OP9 13(2) 14/03/06 9 OP9 13(2) 14/03/06 10 11 OP9 OP33 13(2) 26 30/04/06 30/04/06 Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 Page 20 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 It is recommended that the home should maintain documentation regarding staff interviews to ensure that they comply with their equal opportunities policy. It is recommended that the home should have a controlled drugs cabinet to store controlled drug. It is recommended that the medication room should have a sink. It is recommended that any hand written additions to the MARs are signed and countersigned by two members of staff. 2 3 4 OP9 OP9 OP9 Viewpark Residential Care Home DS0000062168.V279303.R01.S.doc Version 5.1 Page 21 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.V279303.R01.S.doc Version 5.1 Page 22 - 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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