Care Home: Park View (14)

What the care home does well Two people have been admitted to 14 Parkview since we last inspected this service. The admissions process was a gradual one where the service users had the opportunity to visit the home on a number of occasions before they finally moved in. The manager and staff also look at the assessment information they have received from other health care professionals and arrange for a number of meetings to take place. In these meetings information is shared, involving the service user, before the final agreement for the admission to take place. We looked at the case files of the two service users who have recently been admitted to the home. Assessments had been completed with them. These included a skills assessment, which covers all aspects of an individual`s daily living skills. From the skills assessment goal plans are developed. The service user chooses three goals to work towards and staff support them in achieving them. Each goal is broken down into easily achievable steps and photographs are used to help people understand the information. There was also a care profile completed for each new service user. They included information about the person`s social history as well as their abilities in relation to communication, behaviour, health, medication, and safety of self and others. They provide staff with detailed information about the support each person needs in relation to their health and personal care. Detailed behaviour profiles had also been completed as well as risk evaluations. In the hallway the activities timetable was on display. Pictures are used to help the service users understand what activities will be taking place each day. We spoke to service users who told us some of the activities they enjoyed. They said they liked the "farm" where they are able to go horse riding, shopping, going out for meals, gardening, as well as shows and trips further away to places like Flamingoland. One service user said they were particularly looking forward to a short trip to Blackpool later this year. Throughout the year the home puts on productions for family, friends and the local community. Last Christmas it was a performance of Cinderella and one service user proudly showed us photographs of the event as well as the costumes, which a member of staff had hand made. Service users told us that they still used incentive charts which had really helped them take control and responsibility of their actions. One service user said that if it had not been for Calvin and Ashley they would not have any money to go shopping and buy nice things. Not everyone uses the incentive charts, it is their choice to do so. Service users also told us that they continue to take turns cooking and clean their bedrooms with staff support. There is a healthy option available on the menu. We did not have lunch with service users on this occasion but one service user said that they had enjoyed their meal so much they had had three helpings. The manager told us how they continue to work closely with other health care professionals such as GP`s, community nurses and psychiatrists, to ensure the health care needs of the service users is fully met. Recently staff noted that one person`s behaviour had deteriorated quite significantly. This person does not have the capacity to make decisions regarding medical intervention, consequently, the home advocated on their behalf, involving other health care professionals, to make sure that they received the treatment they needed. One service user requires as and when medication for epilepsy. It was excellent to note that a detailed plan was in place about this. There have been no complaints since we last visited this home. Service users told us that they would talk to Ashley is they had any concerns. All staff have completed training in safeguarding adults. The home has its own policy and procedure documents about abuse. There have been no safeguarding referrals made since we last visited this home. The manager told us that she has arranged refresher safeguarding training for all of the staff. She is also soon to undertake an advanced qualification in safeguarding. During our visit the handyman was in the home re-decorting a service user`s bedroom. Most of the home is in the process of being re-decorated. This will include hallways, bathrooms, lounges as well as the service users bedrooms. The manager said that they were also going to provide new carpets for the corridors. One service user proudly showed us their bedroom. They said they had chosen the colour and furniture and that they really liked their bedroom. Staff training is excellent and there is much planned for staff in the next few months. This includes senior staff completing an NVQ qualification in "team leading". In order to achieve this qualification it has been necessary for them to organise and provide training sessions for the care staff. One such training session was called "the six basic values of life" to help staff further understand the importance of valuing people. Some of the support workers are completing an NVQ level 2 qualification in customer care, a three day training course about control and restraint was provided in February 2009 and in March 2009 training is being provided about autism. The manager continues to provide in-house training for staff. Recently this has included general knowledge about the organisation, as well as reminding staff about key policies and procedures. When we visited the manager, deputy manager and two support workers were on duty. The good staffing levels mean that service users can enjoy a range of activities in the community as well as being provided with the support they need to develop their independent living skills. There has been a low turnover of staff which is excellent in terms of continuity of care for the service users. Service users said "the staff are good". A new manager has recently been appointed. She has many years management experience as the deputy manager of this home. It was evident in our discussion with her that she is committed to ensuring that the service users rights are respected and promoted. Service users clearly saw the manager as someone they could come and talk to if they had any concerns. Service users told us that they had regular fire drills and recently have been taught about control of substances hazardous to health ( known as COSHH). They said " we learn about everything here". Service users said: "the staff are there for me when I What the care home could do better: There was nothing we found during this inspection that the service needed to improve upon. Inspecting for better lives Thematic inspection report Care homes for adults (18-65 years) Name: Address: Park View (14) Park View (14) Hetton-le-hole Houghton-le-spring Tyne And Wear DH5 9JH three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a thematic inspection of this care home. A thematic inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Nicola Shaw Date: 1 6 0 3 2 0 0 9 Information about the care home Name of care home: Address: Park View (14) Park View (14) Hetton-le-hole Houghton-le-spring Tyne And Wear DH5 9JH 01915268565 P/F01915268565 selfparkview@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Ashley Dixon Type of registration: Number of places registered: Conditions of registration: Category(ies) : S.E.L.F. Limited care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 8 The home is registered to provide residential care for 8 adults under the age of 65 years, it does not provide nursing care. Any health needs are addressed by the use of community health services. It specifically offers services for adults with a learning disability who are ambulant and are able to manage the stairs in the building. It cannot provide accommodation for people who have a physical disability. The house is semi detached and stands in its own grounds in what could be described as being in the centre of Hetton le Hole. It is only a short walk to the local shops. The busy shopping parade at Hetton, which has a range of facilities, including a swimming pool, is within easy reach. The building is 2 storeys high and has bedrooms on both the ground and Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home first floor. Its design and layout ensures that it blends in with the neighbouring houses and there are no features that would indicate that it provides a residential service. The adjacent house is also owned by the same company and offers a similar service. The house like the adjacent has its own entrance a separate staff team and registered manager and is run independently. There is a large enclosed rear garden and patio area and parking which is shared between the 2 homes. The weekly baseline fee per service user is #1072.00. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This random inspection showed us that this home still provides service users with an excellent service. What the care home does well: Two people have been admitted to 14 Parkview since we last inspected this service. The admissions process was a gradual one where the service users had the opportunity to visit the home on a number of occasions before they finally moved in. The manager and staff also look at the assessment information they have received from other health care professionals and arrange for a number of meetings to take place. In these meetings information is shared, involving the service user, before the final agreement for the admission to take place. We looked at the case files of the two service users who have recently been admitted to the home. Assessments had been completed with them. These included a skills assessment, which covers all aspects of an individuals daily living skills. From the skills assessment goal plans are developed. The service user chooses three goals to work towards and staff support them in achieving them. Each goal is broken down into easily achievable steps and photographs are used to help people understand the information. There was also a care profile completed for each new service user. They included information about the persons social history as well as their abilities in relation to communication, behaviour, health, medication, and safety of self and others. They provide staff with detailed information about the support each person needs in relation to their health and personal care. Detailed behaviour profiles had also been completed as well as risk evaluations. In the hallway the activities timetable was on display. Pictures are used to help the service users understand what activities will be taking place each day. We spoke to service users who told us some of the activities they enjoyed. They said they liked the farm where they are able to go horse riding, shopping, going out for meals, gardening, as well as shows and trips further away to places like Flamingoland. One service user said they were particularly looking forward to a short trip to Blackpool later this year. Throughout the year the home puts on productions for family, friends and the local community. Last Christmas it was a performance of Cinderella and one service user proudly showed us photographs of the event as well as the costumes, which a member of staff had hand made. Service users told us that they still used incentive charts which had really helped them take control and responsibility of their actions. One service user said that if it had not been for Calvin and Ashley they would not have any money to go shopping and buy nice things. Not everyone uses the incentive charts, it is their choice to do so. Service users also told us that they continue to take turns cooking and clean their Care Homes for Adults (18-65 years) Page 4 of 9 bedrooms with staff support. There is a healthy option available on the menu. We did not have lunch with service users on this occasion but one service user said that they had enjoyed their meal so much they had had three helpings. The manager told us how they continue to work closely with other health care professionals such as GPs, community nurses and psychiatrists, to ensure the health care needs of the service users is fully met. Recently staff noted that one persons behaviour had deteriorated quite significantly. This person does not have the capacity to make decisions regarding medical intervention, consequently, the home advocated on their behalf, involving other health care professionals, to make sure that they received the treatment they needed. One service user requires as and when medication for epilepsy. It was excellent to note that a detailed plan was in place about this. There have been no complaints since we last visited this home. Service users told us that they would talk to Ashley is they had any concerns. All staff have completed training in safeguarding adults. The home has its own policy and procedure documents about abuse. There have been no safeguarding referrals made since we last visited this home. The manager told us that she has arranged refresher safeguarding training for all of the staff. She is also soon to undertake an advanced qualification in safeguarding. During our visit the handyman was in the home re-decorting a service users bedroom. Most of the home is in the process of being re-decorated. This will include hallways, bathrooms, lounges as well as the service users bedrooms. The manager said that they were also going to provide new carpets for the corridors. One service user proudly showed us their bedroom. They said they had chosen the colour and furniture and that they really liked their bedroom. Staff training is excellent and there is much planned for staff in the next few months. This includes senior staff completing an NVQ qualification in team leading. In order to achieve this qualification it has been necessary for them to organise and provide training sessions for the care staff. One such training session was called the six basic values of life to help staff further understand the importance of valuing people. Some of the support workers are completing an NVQ level 2 qualification in customer care, a three day training course about control and restraint was provided in February 2009 and in March 2009 training is being provided about autism. The manager continues to provide in-house training for staff. Recently this has included general knowledge about the organisation, as well as reminding staff about key policies and procedures. When we visited the manager, deputy manager and two support workers were on duty. The good staffing levels mean that service users can enjoy a range of activities Care Homes for Adults (18-65 years) Page 5 of 9 in the community as well as being provided with the support they need to develop their independent living skills. There has been a low turnover of staff which is excellent in terms of continuity of care for the service users. Service users said the staff are good. A new manager has recently been appointed. She has many years management experience as the deputy manager of this home. It was evident in our discussion with her that she is committed to ensuring that the service users rights are respected and promoted. Service users clearly saw the manager as someone they could come and talk to if they had any concerns. Service users told us that they had regular fire drills and recently have been taught about control of substances hazardous to health ( known as COSHH). They said we learn about everything here. Service users said: the staff are there for me when I need them I like living here Im really happy in myself I love the productions we do If Im upset I talk to Ashley (the manager) there is loads to do we all have a Nintendo game I have made friends since I have been here and I can go out on my own shopping, I have my own mobile phone. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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