Care Home: Park View

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home
• Henrietta House

What the care home does well People living in the home and their relatives are complimentary about the environment and the care provided. One relative said, "Service is good" and someone living in the home said, "This home is a very nice home to live". Care plans are comprehensively detailed and thorough as are the accompanying risk assessments. The home provides people with dementia with a home that caters for their particular needs. Care staff are well trained, committed warm and caring, and genuinely want the best for the people living in the home. The food in the home is of good quality and people are very happy with the choice that they are given. People are happy and content to live in Park View and have a very good experience while living there. Complaints are taken very seriously and people are well protected from harm or abuse. The home has a thorough protection procedure with all levels of the staff team knowing what must be done to protect individuals in there care. What has improved since the last inspection? Staff working in the home are following care plans and are as a result providing care that is what the person both wants and needs. To ensure people are able to call for assistance, call bells are within their reach. The home ensures that all people have their medication as prescribed and there are no delays in this being obtained. Medication instructions are clear and accurately transcribed to the medication record. Parkview now ensures that all people are able to engage in social and therapeutic activities to meet their needs. People`s rights and interests are safeguarded by records being stored securely. People live in a safe and wellmaintained environment. What the care home could do better: The service can continue to improve the good quality of life that people living in the home currently experience. CARE HOMES FOR OLDER PEOPLE Park View Kings Chase Witham Essex CM8 1AX Lead Inspector Sharon Thomas Unannounced Inspection 21st July 2008 09:00 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 DS0000028381.V368740.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. DS0000028381.V368740.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Address Kings Chase Witham Essex CM8 1AX 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) 01376 512443 01376 510137 parkview@runwoodhomes.co.uk www.runwoodhomecare.com Runwood Homes Plc Post vacant. Care Home 80 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (80) of places DS0000028381.V368740.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 80 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 21 persons) Service users under the Mental Health Act 1983 must not be admitted to the home The total number of service users accommodated in the home must not exceed 80 persons One service user aged 87 years with dementia whose name was made known to the Commission in August 2004 to be cared for in the OP unit 23rd July 2007 Date of last inspection Brief Description of the Service: Park View is a large fully detached purpose built two-story building situated in the centre of Witham and close to all amenities, facilities and public transport links. The home provides accommodation for up to 80 elderly people (over 65), within 4 self-contained units. The accommodation comprises 80 single bedrooms with 79 en-suite facilities. Communal facilities include 4 lounge/dining rooms, 2 lounges, quiet room and a smoking room. There is a large conservatory overlooking the local park. There are 9 bathrooms, all equipped for assisted bathing. Two passenger lifts provide access between floors, one of which can take an ambulance stretcher. Car parking for visitors is provided to the front of the building and there is an enclosed and accessible courtyard garden area. A local park is directly adjacent to the property providing some rooms with pleasant views. The fees range from £431 - £471 weekly. Additional costs apply for chiropody, toiletries, sundries, hairdressing and newspapers. This information was provided to the CSCI on 21 July 2008. DS0000028381.V368740.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This report includes the unannounced inspection visit to Park View on the 21 July 2008. The evidence contained in this report was gathered from discussions with the Manager, and area manager the people living in the home, staff and relatives, a visit to the home, and observation of people’s interaction with staff. We at the Commission for Social Care inspection (CSCI) also used information in the questionnaires completed by individuals, their relatives and professionals visiting the home, documentation held in the home including procedures, and information contained in the Annual Quality Assurance Assessment (AQAA), sent by the provider to us at the CSCI. Ms Claire Collins, the Manager and Kathleen Perreria the area manager assisted the inspector at the site visit. Feedback on findings was given to them during the visit with the opportunity for discussion or clarification. On the day of the inspector’s visit the atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the manager and the staff team. The inspector would like to thank the Ms Collins, the staff team, people living in the home, relatives and visiting professionals for their help throughout the inspection process. It must be noted that the manager and staff team have worked extremely hard to improve the care systems that are provided in the home and have been highly successful in doing so. The result of this is that people living in the home now have a better more positive experience of daily life. On the day of the inspector’s visit the atmosphere in the home was relaxed and welcoming and the inspector was given every assistance from the manager and the staff team. It must be noted the home had a large number of requirement identified at the previous inspection. The obvious hard work and effort of the management and staff team has resulted in all of the requirements being addressed. This is a cause of pride and achievement within the staff team and the manager is delighted with the progress that all have made. This has resulted in the development of the service and people living there are safe and well care for. DS0000028381.V368740.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The service can continue to improve the good quality of life that people living in the home currently experience. DS0000028381.V368740.R01.S.doc Version 5.2 Page 7 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 summary of this inspection report can be made available in other formats on request. DS0000028381.V368740.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 DS0000028381.V368740.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): 3 and 6: Quality in this outcome area is good. People choosing to live at Park View can be confident they will receive appropriate information about the home and their needs will be assessed before admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Written information is provided to people thinking of coming to live in the home detailing the services and facilities available to them. The home’s pre-admission needs assessment document is unchanged. This included assessment headings of: mobility, toilet needs, continence, dressing, eating/feeding, washing, bathing, speech, sight, hearing, memory, orientation, awareness, behaviour, social needs, breathing, travel needs, sleep, oral health, diet, weight, dying, personal safety, hobbies. The manager says that the DS0000028381.V368740.R01.S.doc Version 5.2 Page 10 manager or deputy manager would be responsible for the pre-admission procedure. The care files and pre-admission documents of three of the newest people choosing to live in Park View were looked at. All of these had all of the information relating to a good admission process. We found that these files were detailed and contained good quality information. This information is then used to produce the individual care plan for the person, which in turn tells staff what care the person will need. The care plans included assessments from professional agencies including the local authority funding the placement. One of the relatives spoken to during the inspection was complimentary about the skills of staff that support and care for people. The manager was approachable and if there were any concerns, staff always kept them informed. Other positive comments were made about the location of the home and that it was in an area and surroundings, which were familiar to people. Comments included in survey questionnaires completed by relatives, felt the home was a ‘real’ home rather than an institution and visitors were made to feel welcome as well as staff being respectful. Staff spoken with stated that they were happy with the information they receive when someone is admitted to the home; they said that there is enough information and that they have no problem understanding them. The manager’s AQAA states, “Thorough pre-assessments are carried out by staff prior to admission, except with emergency admissions. We offer visits to the home before admission, if this is not possible we ensure that a brochure is provided to give information about the services provided”. The home does not provide intermediate care to people. DS0000028381.V368740.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): 7, 8, 9, and 10: Quality in this outcome area is good. People can be confident that their health and social care needs will be met. They benefit from staff who are professional and respectful of them as individuals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Considerable work has been done since the last inspection to improve the care plans used in the home. The manager’s AQAA states that they “we provide access to medical, therapeutic, chiropody, dentistry and pharmaceutical services. care plans document abilities as well as needs, identifies risks and measures in place to reduce such. Order, store and administer medication as required. provide information for bereaved relatives”. All care plans include risk assessments and are reviewed on a monthly basis to record changes to DS0000028381.V368740.R01.S.doc Version 5.2 Page 12 people’s needs. Records examined confirm that care plans have greatly improved. Four care plans were examined and each has a photograph of the person. All contain a comprehensive profile of the person that includes a medical history, wishes around end of life, finances, preferences around clothing, smoking, drinking alcohol, personal hygiene, dietary requirements including likes, dislikes and allergies, where the person likes to eat meals and the level of assistance required. Care plans contain sufficient detail to make sure that staff will be able to support people in ways that they prefer. The care plans contained detailed risk assessments that direct staff how to provide care that makes sure that people are safe. The risk assessment also identified the impact that the risks may have on people. Staff that we spoke with are able to demonstrate a good awareness of people’s needs. One member of staff who spoke with us said they “Support the needs of each person individually” and “Treat everyone as individuals and not just their illnesses”. Another member of staff said, “The management and the staff do a great job to meet the needs of the service users by giving them quality care”. People living in the home are also positive about the care they receive. One said, “I am very happy. Always a good hairdresser and the chiropodist comes in”. A relative who spoke said, “It is a very friendly home and everybody seems to be very happy. My [relative] is being looked after very well and they are very happy”. The AQAA states that all those living in the home have access to relevant healthcare services, including chiropodist, district nurses, doctors, Community Psychiatric Nurses and dentists. Regular eye testing is done in the home. This is confirmed in the records examined. Evidence was examined of hospital visits, District Nurse visits and dental appointments. A visiting healthcare professional confirmed that community nursing services are informed promptly if their services are required and any advice is followed in a professional manner. People living in the home may be confident that they will receive treatment from relevant healthcare professionals according to their healthcare needs. The home had a requirement on the previous inspection relating to medication and it is noted that the management and staff team have worked hard to ensure that this aspect of care has greatly improved. The home uses a Monitored Dose System for medication that is dispensed by a local pharmacy and delivered to the home. The storage and administration of medication was examined. Medicines are stored in securely locked trolleys in secure locked facilities. The manager said that any medications requiring storage at controlled temperature would be kept in a sealed box in the fridge. Medication that is not in dispensed blister packs is clearly marked with the date that it is opened. The storage of medication is well organised. DS0000028381.V368740.R01.S.doc Version 5.2 Page 13 Medication Administration Record (MAR) sheets examined are all completed correctly and contain photographs to minimise risk of errors and protect people living in the home. The manager said that she audits medication regularly and this is confirmed by audit sheets examined. The controlled drugs in use at present are stored and administered correctly ensuring the safety of people living in the home. The manager and staff are able to demonstrate a good awareness of her responsibilities around safe storage and administration of medication. The manager states that all staff dealing with medication have completed a training course and are competent in the administration of medication. There is in-house training and competency assessments in use to make sure that staff are able to handle medicines in a safe manner. Records examined confirm that staff have received training around the safe storage and administration of medication. There are good procedures in place around the storage, recording and administration of medication, which should ensure people are protected. People spoken with were all complimentary about the care they receive and our observations confirm that people overall appear happy, and well looked after. They say that staff are respectful towards them, always knocked before entering their rooms and upheld their dignity when providing personal care. Staff were observed to interact with people in a warm, friendly and respectful way. Some comments from survey questionnaires completed by relatives were positive in that staff were unfailingly kind and were well trained. Relatives were said to be well cared for and happy; staff were said to be very caring and attentive. DS0000028381.V368740.R01.S.doc Version 5.2 Page 14 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 good. People live in a home that has flexible routines based around people’s preferences. They also benefit from a menu that is nutritional and tasty . This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the AQAA submitted before the inspection, the manager said, “provide a variety of activities to suit needs of residents. involve local church in activities. Enable residents to attend external clubs.” The previous inspection required the proprietor to improve the activities and leisure pursuits that are on offer to people living there. The manager and the activity co-ordinator explained that activities take place over 5 hours through the course of the day and most afternoons and people take part in a choice of games, quizzes and exercises. People spoken with said they like to go out for walks, either on their own or with a member of staff, when the weather is fine. One resident reported, “I try to go out in the garden most days providing it does not rain”. DS0000028381.V368740.R01.S.doc Version 5.2 Page 15 The manager said that they have improved the range of activities with more entertainment in the afternoons. A relative who we spoke with said, “Much thought is given to stimulating games, carpet bowls, quizzes, music and movement, bingo and people taken out in wheelchairs, minibus etc”. Daily records confirm that activities are taking place regularly. Two people spoken with in their rooms said they had a choice about taking part in activities and said they generally enjoyed spending time in their rooms watching television, reading the daily newspaper and completing crosswords. Someone else in the home that we spoke with completed said, “The activities are held in order to interest us and to make sure we keep alert”. Staff are very aware of the need to attempt to keep people alert and stimulated and at the same time ensuring that people have a real choice as to whether they take part in activities or not. People living in the home with dementia do not have a structured, formal programme of activity, although activity is provided it is dictated by the wishes of the individuals. The atmosphere in the home on the day was good humoured with staff supporting people to take part and residents were encouraging each other. People we spoke with say that they live in a home that is not rigid and routines are flexible and cater for their needs. People say that they are in charge of what they do with their day and staff do not make any choices for them. We observed staff taking a back seat with the people who live there and will come forward to offer assistance after assessing the situation. This has the effect that people remain as independent as possible for a longer length of time. Staff are seen observing people and chatting with them and helping with a variety of tasks when required. The previous inspection required the proprietor to improve meal and mealtimes that are provided to people living there. The menus used in the home were examined and confirm that there is always a choice of hot meals available including chicken, fish and a variety of other traditional meals. The cook working on the day said they ask people in the morning what their preferences are for lunch. There are fresh fruit and fresh vegetables available daily and food stocks are delivered weekly. Care plans contain sufficient information about peoples dietary requirements including their likes, dislikes, allergies, where the person likes to eat their meals and the level of assistance required. People spoken with said “very good cooks with a choice of menu” and “The meals are varied and of a high standard”. Food stores were examined and there is evidence of a variety of fresh and frozen food available. The dining room has an open plan layout, which ensures that meals are served up fresh and hot. We observed the lunchtime meal for people at Park View and this is strictly a social, relaxed time for people. On the day the menu consisted of :Irish stew, Pasta bake, Eves pudding and custard, and omelette and jacket potato as an alternative. We were invited to join the people living in the home for lunch; the meal was very tasty and appetising. Staff spoken with said that DS0000028381.V368740.R01.S.doc Version 5.2 Page 16 they feel that meal times are “relaxed as people do not need help” and “we have the time and luxury to make this a real social occasion on a daily basis”. DS0000028381.V368740.R01.S.doc Version 5.2 Page 17 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): 16 and 18: People living the home receive good quality outcomes in this area. People living in Park View are kept safe by the procedures around complaints and safeguarding people from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager’s AQAA states that “Have information around the home on how to make a complaint. Have an open-door policy that encourages friends and relatives of residents to speak to managers about any concerns they may have. Complaints procedure in picture form for residents who are unable to voice any concerns. Regular meetings with families and residents. Care review meetings. comprehensive records of complaints and outcomes. all staff receive training on SOVA, reported incidents are documented and investigated. Comprehensive policy and procedure on SOVA, copy in staff areas. Booklets and training provided for staff on induction. Company policy on whistle blowing available in handbook, staff room and policy files. robust financial systems in place for all residents.” DS0000028381.V368740.R01.S.doc Version 5.2 Page 18 On the day of the inspection concerns and complaints were discussed with the manager, who is able to demonstrate a good awareness of the importance of dealing with minor concerns as well as formal complaints. The complaints policy is well publicized throughout the home with notices in the front entrance and in prominent positions around the home. A complaints log is maintained that contained records of the 26 complaints received in the period since the last inspection. The complaints ranged from ‘missing teeth’ to an allegation of assault this became a Safeguarding adults referral. The complaint log contained information of the full investigation into the concerns and the outcomes of these, with the action reached, this record is routinely audited by the organisation. In all cases there are good records that demonstrated a proactive response by the service to complaints. Someone living in the home said, “The staff always listen and do their best to solve our problems” and another “Have no complaints to make”. Another person spoken with on the day said, “If l have a problem, l talk to staff who will sort it out”. The home has a thorough set of protection of vulnerable adults policies and procedures and a whistle blowing policy. The records confirmed that staff have received training in the safeguarding of vulnerable adults since the previous key inspection. There had been two allegations of abuse and the records relating to these were examined. These records reflected the professionalism of the organisation when dealing with any allegation. The records were well maintained and recorded each part of the event and showed that all the relevant agencies were contacted and the home took direction form the lead investigating agency. DS0000028381.V368740.R01.S.doc Version 5.2 Page 19 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 good. People living in Park View live in a clean warm and welcoming environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During a tour of the premises we saw that furnishings are domestic and comfortable and people living in Park View benefit from the homely surroundings. All bedrooms located on the ground and first floor are single occupancy. These bedrooms are individual and show ample evidence of personal possessions such as ornaments and photographs. Discussion with people in their bedrooms showed that each room had an easy chair and it was noted that call bell cords were within easy reach of where the person was sitting. People living in the home confirmed that the response time to call bells DS0000028381.V368740.R01.S.doc Version 5.2 Page 20 “good”. The décor in the home is neutral and makes the rooms look and feel calm and soothing, this helps create a peaceful place in which to live. The first floor of the home is accessible to people by stairs and two well maintained passenger lifts. Bathrooms, toilets and communal rooms are fitted with grab rails. Hoist slings have been purchased for people as required. The courtyard garden was accessible to wheelchairs and outdoors furniture (tables, chairs, parasols) was provided. Call systems are provided throughout all individual and communal rooms and all are within easy reach of people to enable people to call for support. Pressure relieving equipment is available and the district nursing service also provide specialist advice and equipment Laundry facilities have systems in place to control the spread of infection. Washing machines used in the home includes sluicing facilities and a high temperature programme. Staff have been provided with training on how to reduce the risk of cross infection, how to clean properly, and what materials to use. Domestic staff do a very good job of keeping both the home and people’s equipment clean and hygienic. We saw staff wear personal protective clothing when carrying out ant personal or domestic care tasks. Staff said that they are provided with good training and support to ensure that the home is clean and that they themselves feel protected providing care in this manner. The manager’s AQAA states: “we provide large single rooms with en-suite. Adapted bathrooms and toilet facilities. spacious lounge and dining areas. Well kept courtyard with decking area. Home is kept to a hygienic standard. Bedrooms, bathrooms and communal areas meet standards. Signage in all areas to assist residents to locate themselves. Adaptations throughout the home to enable all residents to access all areas. Encourage residents to furnish their rooms to their taste and to bring their own furnishings in as desired”. DS0000028381.V368740.R01.S.doc Version 5.2 Page 21 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. The staffing levels are sufficient to ensure peoples’ needs are met. Recruitment practices are thorough and promote and protection of the people living in the home. Staff are able to develop skills and qualifications through an established training programme. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is evidence on the day of inspection to indicate that the staffing levels are sufficient to meet the immediate needs of the current number of people living in Park View. Three members of staff spoken with were positive about working at Park View. One person said, “working here is very rewarding, it is a really friendly home. There are good relationships between staff and manager”. One person who had previously completed a survey said, “I find any help and advice which I want is very easily and kindly given” and a relative stated, “I can’t fault the care given to the residents at Park View. The staff are always friendly and helpful”. People spoken with also were highly complimentary about the staff team. DS0000028381.V368740.R01.S.doc Version 5.2 Page 22 Staff spoken with had a good understanding of peoples’ needs, and this is supported by the home’s documentation system. For example, staff are aware that X could undertake some personal care tasks, and information on records concerning this matter regarding this was clear. Staff have sufficient written information about peoples needs and training relevant to these needs therefore they are successfully working toward providing a holistic approach to the care they give to people. Staff spoken with during the day are friendly, helpful and cooperative. All staff spoken with said they were happy to speak with the inspector and indicated that they felt comfortable in doing so. Staff were observed to speak with people in a friendly manner and assistance given was supportive and caring. Staff recruitment files were sampled for three people. We found that the home has a thorough recruitment process and it does not employ people until all of the safety checks are carried out and they are satisfied with the results. The AQAA states that Ensuring staff numbers and skill mix are met through 24 hour period. Well trained staff who are enabled to complete their NVQs. Thorough recruitment process and checks. In-depth induction that meets the governments common induction standards and enables the staff to start to work towards their NVQs. Access to company trainers and external trainings.” The staff training planner indicates that all staff have received training around the Protection of Vulnerable Adults. Staff training certificates are kept in personnel files. Records examined confirm that staff have received training in dementia, Health and safety, medication, diabetes, pressure sore management, care planning, and continence. The manager said that dementia training is ongoing. Staff spoken with are able to demonstrate a good knowledge of their responsibilities and ensuring they follow good practices. Observations we carried out on the day of the inspection also confirm that staff carry out their roles in a caring and professional manner. People living in Park View benefit from being cared for by a competent staff team. DS0000028381.V368740.R01.S.doc Version 5.2 Page 23 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. People can expect to live in a home where some management systems are greatly improved and they can be assured that all aspects of their day-to-day care are managed robustly with care and attention. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager in post has a wealth of experience of working with older people. She is in the process of registering with the CSCI. The manager has made many improvements in the home and this has made the experience of living in the home a good one. The manager and the staff team have worked very hard DS0000028381.V368740.R01.S.doc Version 5.2 Page 24 to turn the home around and must be commended for their hard work and effort. The manager is currently studying a degree in Dementia Care and she has successfully transferred her knowledge from this into the home and the staff are very aware of the needs of all of the people living in the home. The staff that spoke with us were complimentary of the managers skills and approach they all say that she is skilled and has great leadership qualities. Staff trusted the manager and said that “you can go to her with any issue and she will know what to do”. On the day of the inspection the Quality Assurance system was discussed with the manager. Records confirm that there is a process in place for gaining the views of people using the service. Surveys are sent to relatives and are completed and returned. The manager and proprietor examine these and act upon any information that they receive that may improve the service. Records examined also confirm that staff meetings and residents’ meetings take place. Records examined show that appropriate maintenance checks are carried out. These include a Portable Appliance Testing certificate, emergency lights, electrical installation, gas certificate, lifting equipment, bath seat lifter and a current Local Authority environmental services premises inspection. Staff stated that they are provided with regular supervision but a number of the staff confirmed that these are not carried out on a regular basis. The manager’s information contained in the AQAA for this outcome group states “Management team has extensive qualifications and experience of care. There is robust quality assurance systems in place to monitor care, documentation and staff . All staff receive at least 6 supervisions each year and an appraisal regardless of their grade. The home ensures that all equipment is regularly serviced and certificates kept within the home. Residents monies are managed within the homes financial policies and procedures”. DS0000028381.V368740.R01.S.doc Version 5.2 Page 25 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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 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 DS0000028381.V368740.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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 DS0000028381.V368740.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 DS0000028381.V368740.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!