Inspection on 26/07/07 for Western Park View

This inspection was carried out on 26th July 2007.

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

Western Park View 25/07/06

Western Park View 20/12/05

Western Park View 20/07/05

Western Park View 02/12/04

Western Park View 15/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Western Park View 390 Hinckley Road Leicester Leicestershire LE3 0WA Lead Inspector Kim Cowley Unannounced Inspection 26th July 2007 12:30 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 Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Western Park View Address 390 Hinckley Road Leicester Leicestershire LE3 0WA 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) 0116 2470032 0116 2544533 home@wpchl.eclipse.co.uk Western Park (Leicester) Limited Mrs Rose Anna Goddin Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60), Physical disability (60), Physical disability of places over 65 years of age (60) Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To specify the minimum age: No person under 55 years of age who falls within category PD may be admitted into Western Park View To admit a named person : To be able to accommodate in Western Park View, the named person of category DE as identified in correspondence Variation Application No. V18512 dated 15th March 2005 Service user Numbers: No person to be admitted into Western Park View in categories PD, PD(E) or OP when 60 persons in total of these categories/combined categories are already accommodated in Western Park View Service User Numbers: No one falling within category OP may be admitted into Western Park View where there are 60 persons of category OP already accommodated within Western Park View The maximum number of persons to be accommodated within Western Park View is 60 25th July 2006 3. 4. 5. Date of last inspection Brief Description of the Service: Western Park View provides residential and nursing care to 60 residents. It accommodates older people, some of whom have physical disabilities, and people over the age of 55 with physical disabilities. The premises, which were purpose built, are set in secluded grounds in a residential area close to Western Park, and a short bus ride from Leicester City Centre. There is ample car parking at the front of the home. The home is on two floors with passenger lifts for ease of access. It has fiftyfour single bedrooms and two doubles, all of which have en-suite facilities. There are four lounges and a large conservatory. The current fees range from £300 to £525 per week. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Registered Manager. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, the inspector spent half a day reviewing information relating to the home. During the course of the inspection, which lasted four hours, the inspector checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to the five residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspector also met four other residents, the Registered Manager, the Activities Organiser, and two members of the care staff team. What the service does well: Western Parks View provides a good standard of care to a diverse resident group including older and younger (over 55) people with disabilities. All residents interviewed during the inspection praised the home and the following comments were made, ‘It’s really, really good here. Everything is perfect’, ‘You would have difficulty finding a better home’, and ‘I’m not one for homes, but this place is A1.’ During the inspection the inspector sat in on a game of musical bingo. This was well attended and hugely enjoyed by the residents present. Other residents showed off their manicures and talked enthusiastically about the activities they had taken part in. Residents’ told the inspector, ‘I like the activities. They give me something to get up for’, and ‘The activities lady brings floor games in for us to play. She’s got a big mat she puts down and we throw beanbags at it. It’s good exercise.’ Residents confirmed that were given choice and control while living at the home. One resident said, ‘I like to watch telly and go to bed at 11 pm’, and another commented ‘If you want a lie-in in the morning you just tell the staff and they don’t wake you up.’ Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 6 Good nutrition is a priority in the home and residents are encouraged to eat a healthy and varied diet. Staff are aware of the importance of this and have had considerable success in promoting healthy eating and good nutrition. Fresh fruit and vegetables are served at every meal. Residents comments included, ‘The food is out of this world’, ‘I’ve put on weight since I’ve been here and that’s good’, and ‘I always have two pudding because I like them so much.’ The home employs nursing, care, and ancillary staff. Staffing hours provided exceed the recommended minimum, which means that staff have more time to spend with residents. Residents said how pleased they were with the staff team and commented, ‘The staff are brilliant, they’d do anything for you’, ‘The staff care so well for the residents who are confused’, and ‘All the staff are good. This is a very friendly home.’ 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 Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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 Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standard 3 was inspected.) EVIDENCE: The Manager or the Deputy assesses each resident who is interested in coming to the home. They are visited in their own homes or in hospital in order to do this. Relatives and health professionals are consulted to get their views on the resident’s needs. These steps help to ensure the home is suitable for the resident in question and that staff can care for them properly. Once admitted, each resident has a trial period of at least four weeks. A basic care plan prepared for each resident. This is in place once they are admitted, so they and their families can look through it and sign their agreement if they are happy with the contents. This care plan is reviewed and adjusted as necessary. All new residents have a named nurse or carer who helps them to settle in when they arrive at the home. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 10 Standard 6 was not inspected, as this home does not provide intermediate care. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Staff in the home, and in the wider community, meet residents’ health and personal care needs. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) EVIDENCE: Care plans are in place to ensure that residents’ health, personal and social needs are met. These are written by the nursing staff, and based on the Manager’s initial assessments. All residents case tracked had the necessary risk assessments in place. Care plans showed examples of good practice and provided evidence of residents improving and becoming more independent since they had been in the home. For example, some residents who were immobile when they were admitted were now walking. All residents interviewed said they were happy with the care they received at the home. Nursing residents primarily have their health care needs met in the home by the qualified nursing staff. GPs and District Nurses from local surgeries visit the home when required to provide health care to residential residents. Records Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 12 showed that all residents are referred for specialist health care when necessary. Nursing staff and senior carers are responsible for administering medication, overseen by the Manager who carries out a monthly audit of medication records. The home’s contract pharmacist carries out inspections to ensure that medication is being properly kept and administered. A few residents selfmedicate and have care plans in place for this. Arrangements for health and personal care ensure that residents’ privacy and dignity are respected at all times. During the inspection staff were observed behaving respectfully towards residents and providing care in a discreet manner. . Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. A varied and inclusive activities programme enables residents to lead full and purposeful lives. Good nutrition is a priority in the home. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) EVIDENCE: Since the last inspection the Activities Organiser, who works 25 hours per week, has implemented a full programme of activities for residents. She said she ensures that no residents are left out when activities are provided. If a resident is unable to take part in a group activity, or is confused, she sees them on a one-to-one basis for a chat or a manicure. Current activities include: • exercise classes for all abilities • sing-songs • manicures and hand massages • karaoke • bingo – traditional and musical • a visiting pet dog Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 14 During the inspection the inspector sat in on a game of musical bingo. This was well attended and hugely enjoyed by the residents present. Other residents showed off their manicures and talked enthusiastically about the activities they had taken part in. Residents’ comments included, ‘I like the activities. They give me something to get up for’, and ‘The activities lady brings floor games in for us to play. She’s got a big mat she puts down and we throw beanbags at it. It’s good exercise.’ Relatives and friends are welcome to visit the home at any time and can join residents for meals if they wish. They are also able to attend residents’ meetings and get involved in activities provided at the home. Relatives are welcome to make their own hot drinks and tea, coffee, sugar and milk are provided by the home. Residents confirmed that were given choice and control while living at the home. One resident said, ‘I like to watch telly and go to bed at 11 pm’, and another commented ‘If you want a lie-in in the morning you just tell the staff and they don’t wake you up.’ Good nutrition is a priority in the home and residents are encouraged to eat a healthy and varied diet. Records showed that residents, who needed to, have gained weight since being in the home. Staff are aware of the importance of a wholesome diet and have had considerable success in promoting healthy eating and good nutrition. Fresh fruit and vegetables are served at every meal. Residents with eating or nutritional problems received additional help in the home, with specialists called in where necessary. Residents’ comments about the meals included: ‘The food is out of this world.’ ‘I’ve put on weight since I’ve been here and that’s good.’ ‘The food’s good and I’ve put on weight.’ ‘I always have two pudding because I like them so much.’ Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents feel able to talk to staff about any concerns they might have and staff are trained in safeguarding adults. This judgement has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) EVIDENCE: The home has a complaints procedure, which is displayed in the entrance hall. All residents and their representatives are also given copies. The Manager said, ‘I tell residents and their relatives to come and tell me if there is anything wrong, but they are welcome to use the written complaints procedure if they want to.’ All residents interviewed said they would have no difficulty in speaking out if there was anything wrong. One resident told the inspector, ‘If anything was wrong I’d tell the Manager or a carer.’ There has been one complaint since the last inspection and this has been investigated and resolved. The Manager is experienced and knowledgeable with regard to safeguarding. Staff are trained in this area during their ‘First Steps’ induction and when they study for NVQ Level 2 and above. Care and nursing staff are booked to attend a safeguarding basic awareness course and the Manager and Deputy will be attending a ‘referrers’ course. Both these courses are organised by social services. These training opportunities should help staff to protect residents in the home. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. Although most areas of the home are well decorated and maintained, some fittings and furnishings are in need of repair/replacement. This judgement has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) EVIDENCE: The premises, which were purpose built, are spacious and comfortable. There are four lounges and a conservatory so residents have a range of places to sit and socialise. Bedrooms are personalised have ensuite facilities. One resident commented, ‘My room’s lovely.’ There is a good range of aids and adaptations for residents with limited mobility. The home is set in secluded grounds with lawns and seating areas. All areas inspected were clean, tidy and fresh. At the last inspected it was noted that the conservatory was very hot and this was making residents uncomfortable. Since then blinds have been fitted in this area and staff take the temperature on hot days to ensure it suitable for those residents who sit in there. Fans are also switched on when necessary. A Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 17 member of staff is also employed to tour the home with a cold drinks trolley to encourage residents to drink more fluids when the weather is hot. Although, in general, the decorative state of the home is satisfactory, some of the fittings and furnishing are in need of attention. This creates a bad impression and compromises residents’ dignity. The following was observed during the inspection: • Some carpets in communal areas and bedrooms, although clean, are stained and worn. Staff told the inspector that it was demoralising cleaning them as no matter how much effort they put in the stains wouldn’t come out. A number of bedside tables are in need of replacement/repair as they have sharp edges, which could result in skin tears. Some of the specialist nursing chairs have ripped coverings and look shabby and worn. • • An audit must be carried out of the premises and action taken to repair/replace any fittings or furnishings that are worn or damaged. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Friendly and professional staff meets residents’ needs. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) EVIDENCE: The home employs nursing, care, and ancillary staff. Staffing hours provided exceed the recommended minimum, which means that staff have more time to spend with residents. During the inspection staff were observed as being professional and caring in their approach to residents. All residents interviewed said they were pleased with staff team and the following comments were made: ‘The staff are brilliant, they’d do anything for you.’ ‘The staff care so well for the residents who are confused.’ ‘All the staff are good. This is a very friendly home.’ Recruitment procedures were discussed with the Manager. She confirmed that all staff are subject to CRB and POVA checks and references are obtained for this. Staff records were examined and found to meet requirements. This helps to ensure residents are safeguarded. Staff receive good training opportunities. The ‘Skills for Care’ induction is used and, where appropriate, staff are encouraged to study for NVQs. Additional Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 19 training courses are ongoing and records showed that staff are encouraged to develop their existing skills and learn new ones. Staff are supervised by either the Manager or senior members of the care and nursing teams. The training and supervision arrangements in the home help to ensure that staff are competent to do their jobs. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents live in a home that is safe and well managed. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) EVIDENCE: The Manager is a registered nurse with considerable experience of working in and managing large care homes. All staff and residents interviewed spoke highly of the Manager. One resident said, ‘The Manager here is good and runs the staff team well. She doesn’t suffer fools gladly.’ During the inspection the Manager told the inspector that she would soon be retiring from her post at Western Parks. It is not yet known who her replacement will be, but the Manager said staff and residents would be kept informed of any developments. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 21 The Manager said she talks to residents every day to check they are satisfied with the care provided, and also to relatives when they visit. The home’s Operations Manager visits the home once a month and, as part of her quality review of the care provided, interviews residents to get their views. Residents either handle their own financial affairs, or their relatives manage their money for them. Records showed that the Owning Body and Manager have taken the necessary steps to promote and protect the health, safety, and welfare of residents and staff. A full-time handyman is employed to oversee this area. Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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 X 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 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 3 X X 3 Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 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 OP19 Regulation 16(2)(c) Requirement An audit must be carried out of the premises and action taken to repair/replace any fittings or furnishings that are worn or damaged. Timescale for action 26/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Western Park View DS0000001932.V341361.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 - 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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