Care Home: Park View

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• Clover House
• Parkside
• Park Lodge
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• Hudson Road
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What the care home does well People`s needs were assessed before admission. Interaction between people who live at the home and the staff were positive. Care plans had been written in a person-centred way. They have a programme of staff training. Recruitment procedures were robust. What has improved since the last inspection? This is the first inspection of this service. Park View DS0000072655.V376858.R01.S.doc Version 5.2 What the care home could do better: Information in the support plans included documentation from a previous placement. A recommendation was made that only current information is kept in support plans and that the plans be sectioned and indexed to make them easier to read. One care plan referred to activities undertaken whilst living at another home. It is recommended that support plans be reviewed and updated support plans be developed so that they fully reflect the current placement. Medication administration records were handwritten. To make sure there are no mistakes when MAR sheets are handwritten two people should check the details. This is to make sure that the correct information about the dose and frequency has been copied from the medication container onto the MAR sheet. They kept two records of peoples finances one was a full record and the other a check of that record against the cash balance. We saw that they did not tally for three days. A recommendation is made that allowance sheets be audited on a regular basis to make sure that they tally with the actual balance of cash. The safeguarding policy should give clear direction to staff on how to refer incidents to the local authority safeguarding unit. Tablet soap was used in the two communal toilets. A recommendation is made that the soap dispensers be fitted as soon as possible. Staff should receive training specific to peoples` identified needs. Key inspection report CARE HOME ADULTS 18-65 Park View 2A Seedley Park Road Salford Manchester M6 5WR Lead Inspector Susan Jennings Key Unannounced Inspection 27th July 2009 09:00 Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought 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. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Address 2A Seedley Park Road Salford Manchester M6 5WR 0151 651 1716 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) Potensial Limited Mr Kevin Martin Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only- Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability- Code LD The maximum number of people who can be accommodated is: 9 Date of last inspection New registration Brief Description of the Service: Parkview is a care home providing accommodation and support for a maximum of 9 people. The home is owned and run by Potensial Ltd trading as Potens. The home is situated in a residential area of Salford, which is south of the City of Manchester. There is easy access to public transport systems within walking distance of the home. Salford shopping precinct is easily reached by car and there are local shops within walking distance of the home. The home is newly built and provides domestic style accommodation over two floors. There are three bedrooms on the ground floor of the property and six on the first floor. All the bedrooms have an en-suite bathroom with toilet and there are an additional two communal toilets on the ground floor. Charges for accommodation range from £735:00 per week depending on an individuals level of support. Park View DS0000072655.V376858.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 two star. This means the people who use this service experience good quality outcomes. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by us (the Commission for Social Care Inspection) in relation to this home prior to the site visit. We also looked at other information we had about the home. Before the visit the home manager was asked to complete an Annual Quality Assurance Assessment (AQAA) to provide up to date information. We sent our questionnaires out to people who live in the home in order to find out their views. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. The visit took place over the course of 7 hours on Monday 27th and Thursday 30th July 2009. During the course of our visit we spent time talking to the people living at the home, the manager and a member of staff to find out their views of the home. Time was spent examining maintenance records, the care files of people living at the home and staff files. We also walked around the building. Health and Safety checks take place to make sure people are kept safe and records are kept of these. What the service does well: What has improved since the last inspection? This is the first inspection of this service. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 6 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People had an assessment of their care needs before being offered a service. EVIDENCE: The home provides support to people who have a learning disability. We saw a sample of support plans and needs assessments. Needs assessments were carried out by a multi-disciplinary team of professionals. We saw that the assessments gave clear guidance about how to meet the person’s needs. This means that the staff can provide support in the way the person wants to receive it. We saw copies of the needs assessment and any specialist health assessments on people’s files. This means that staff are made aware of all aspects of the person’s support needs. They told us that they also carry out their own needs assessment. This is to make sure they have the skills and experience required to meet people’s support needs. The pre-admission assessment carried out by the home is a 35 page document. We saw that this gave information about the person’s medical, educational and work history. It also gave a personal profile written Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 9 as though the person had written it themselves. The pre-admission assessment also lists the person’s identified support needs. This document was kept in the manager’s office and not held with the support plan. A recommendation is made that all assessment documents be stored in the support plan for staff to access. We saw that people were able to visit the home. They told us they offer short visits or overnight stays so that people can make an informed choice about moving into the home. One person told us “I didn’t visit I just wanted to move in”. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s support needs were identified in the support plans and people are encouraged to make decisions and choices about their day to day life based on a risk assessment. EVIDENCE: We saw the support plans of the people living at the home. We saw that they were comprehensive and gave a great deal of information about the person and their care needs. The support plans were large documents with no particular order to the way information was stored. This means that it was difficult to find information quickly without reading through the whole file. A recommendation was made that only current information is kept in support plans and that the plans be sectioned and indexed to make them easier to read. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 11 We saw that support plans were written in a person-centred way. This means that it is written as though the person was writing it themselves. One person’s support plan identified what they preferred to be called and what their future goals were. We saw that staff worked closely with the person and their representatives to find out what the person likes and dislikes in terms of food, social activities and communication. We spoke to support staff and saw that they had a great deal of knowledge about people’s needs and preferences. This means that staff are able to offer people choices and encourage people to make decisions about their day-to-day life. We saw that some restrictions were placed on people’s choices. We saw that this was done in the best interests of the person to safeguard them from harm and based on a risk assessment. For example we saw in one support plan that the person could not go out unless they were supported by two staff. This was to make sure the person was safe and they had the support they needed whilst they were away from the home. We saw that risk assessments were carried out for social and community activities. These detailed what staff should do to keep people safe. We saw that support plans gave details about people’s preferred routines and detailed information about the person’s likes and dislikes. For example one persons support plan told us that they prefer to watch their favourite DVD’s or play with their games console. We also saw that support plans detailed people’s specialist healthcare, social and emotional needs. This included how the person wanted to be supported. One support plan read as though the person was telling us how they wanted to be helped. This shows us that people were being asked how they wanted to be supported. We saw that there was a system for reviewing support plans. These reviews were carried out by support staff and the person using the service on a two monthly basis. The manager told us that the reviews will be carried out monthly when staff had completed care planning training. We saw that where reviews are carried out the support plan was signed and dated on the reverse. Where a person’s support plan had been altered they removed the old sheet and replaced it with a new sheet detailing the changes. This means that staff should have access to the most up to date information. We saw that this information was not fully updated in every support plan we looked at. We saw one support plan that gave good detailed information about activities the person liked to do. This included going for a walk to a specific Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 12 place. This information was from a previous placement in another area and was not relevant to the current support plan. It is recommended that support plans be reviewed so that they fully reflect the current placement. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 14, 15, 16 and 17 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported and encouraged to participate in community activities within a structured routine based on peoples’ needs. Families and visitors are encouraged to take an active role in peoples’ lives and meals are based on peoples’ preferred choices and offer choice and are nutritionally balanced. EVIDENCE: People are encouraged to maintain their independence skills by carrying out domestic tasks based on their abilities and needs. These tasks include housework, menu planning, shopping and preparing and cooking meals. We saw one person going out to the local shops with staff. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 14 One person living at the home told us that they can visit their family on a regular basis and that their friends and relatives are welcome to visit. They told us they can go out when they want to. We saw that people had their own mobile telephone so that they could maintain contact with family and friends whenever they wanted. Another told us “I can eat when I want and play my Xbox in the lounge”. We saw that mealtimes were flexible. One person told us that they were able to prepare and cook meals with the support of the staff. We saw people making hot drinks as and when they wished. We saw menu plans in peoples support plans. This means that staff sit with people to discuss what meals they would like to eat. We saw that staff encouraged a balanced diet including fresh fruit and vegetables. The menu plans were done on a weekly basis and used when shopping for the weeks meals. We saw in each of the support plans that people were encouraged to socialise within the local community. This included eating out at local cafés and restaurants and going to the local pub. One person told us they liked to go to the local pub and play pool. We saw one person going out to the local shops with staff. They told us that they had been to buy DVD’s. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were supported to maintain their personal and healthcare needs. They had medication administration systems in place to keep people safe. EVIDENCE: Each person who comes to live at the home had his or her own personal care checklist and support guidance. This sets out clearly the skills the person has and what help they need to maintain their personal care. We saw that peoples’ healthcare needs were identified before they come to live at the home. We saw that health needs and the support needed to meet them were clearly identified. People had access to the healthcare services they need. Each person had a medication profile that lists all current medication. Changes to the medication regime have to be notified to the home prior to the person’s stay. All medication is recorded on a MAR sheet. The Medication Administration Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 16 Record (MAR) sheets seen were accurate in recording the dosage of medication given. MAR sheets were regularly audited by the management team. All staff have received training in administering medication. Training was carried out in the induction period. Additional training for any specialist medication administration techniques would be provided if and when needed. Medication administration records had a photograph of the person. This is to reduce the risk of medication being given to the wrong person. They had a list of signatures and initials of those people trained and responsible for administering medication. This is so that they could identify who had given medication when it was due. We saw that there were no gaps in the medication administration records. We checked the medication records against the medication in stock and saw that the numbers tallied. We saw that one person’s medication was prescribed to be taken when needed. We saw information recorded that identified when the person needs the medication. This included any physical or emotional signs that the person may show. We saw that medication administration records (MAR sheets) were usually preprinted by the pharmacist. The MAR sheets in use for July 2009 were handwritten. The record had been completed by one member of staff and did not record the amounts of medication or the date it was received. This means that it is difficult for the manager to fully audit the medication systems. To make sure that all medicine brought into the home can be accounted for there should be a robust system in place to record the receipt of all medication brought into the home. To make sure there are no mistakes when MAR sheets were handwritten two people should check the details. This is to make sure that the correct information about the dose and frequency had been copied from the medication container onto the MAR sheet. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place to enable people to raise concerns and procedures are in place to safeguard people from harm. EVIDENCE: We received completed survey forms from people living at the home. People told us that the staff always listened to and acted on what they had to say. There was a system of recording peoples’ monies and spending. The system shows clearly what has been spent on what and how much returns home with the person. They kept two records of peoples finances one was a full record and the other a check of that record against the cash balance. We saw one person’s financial record. This shows the dates, amount of money withdrawn from the bank, the amount spent and the balance booked into petty cash. They also have an allowance sheet that details what money has been spent. These sheets are signed by the person and the member of staff on sleep-in duty. The member of staff on sleep-in duty is responsible for keeping a daily check of the balance. We saw that one person’s balance on the allowance sheet had not been amended for three days even though the financial record showed that some money had been spent. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 18 To make sure that allowance sheets tally with the actual balance of cash they should be audited on a regular basis. There has been one safeguarding incident which had been appropriately reported and investigated using the local safeguarding procedures. We asked staff what they would do in the event of an allegation of abuse being made. They told us “I would tell the manager and would expect any member of staff to tell the manager or a senior member of staff” and “I would also listen to people and look for any changes in their behaviour”. One person told us “if the manager was not available I would ring the local authority safeguarding team”. The safeguarding policy identifies what constitues abuse but does not give clear direction about how to make a referral using the local safeguarding polices and procedures. We did see that staff knew the correct procedure to follow. To make sure staff are aware of the referral process. The safeguarding procedure should be reviewed to make sure it gives clear direction to staff on how to refer incidents to the local authority safeguarding unit. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, clean and well-maintained environment. EVIDENCE: The home is a newly built property situated in a residential area. There is a small garden to the front and side of the property. The building is accessible for people with limited mobility. There is a lounge, kitchen, dining room with a small conservatory. There were 3 bedrooms on the ground floor and 6 bedrooms on the first floor. One of the bedrooms on the ground floor was being used as a team office and sleep-in room for staff. All bedrooms have en-suite baths or showers. This means that people are given a choice. We saw that the home was decorated and furnished to a good standard. The furniture was modern and provided a homely environment. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 20 We saw that there were two communal toilets on the ground floor. The home had a separate laundry with adequate washing and drying machines to cope with peoples’ needs. Staff have been given training in infection control and had access to protective gloves and aprons. The toliets on the ground floor had paper towels and a waste disposal bin but they were using tablet soap. Liquid soap should be used to help minimise the risks of cross infection. The manager told us that they have the soap dispensers and are waiting for the maintenance person to fit them. To help promote good infection control measures the soap dispensers should be fitted in the toilets as soon as possible. There is an emergency call system that staff carry around with them so they can call for help in case of emergency. This means that people are kept safe. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in the best interests of the people who live there. EVIDENCE: We saw a sample of staff files. We saw that these were well maintained and contained all the necessary checks including written references. All staff have an enhanced Criminal Records Bureau (CRB) check and checks had been made against the Protection of Vulnerable Adults list (POVA). We saw that a member of staff was having a supervision meeting with the manager. We spoke to staff who told us that regular staff supervision was provided and a record kept of the meetings and the discussion. We saw that all staff completed a structured induction and we saw copies of training certificates on staff files. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 22 We saw that staffs training needs are identified through the home’s one-to-one supervision process. In addition to the core training, specific training relating to peoples’ support needs are identified and provided through the relevant training provider. We spoke to staff. They told us that they had good access to training. We saw that training in relation to challenging behaviour, medication, fire safety, first Aid, and Protection of Vulnerable Adults had been provided. We saw a training matrix this showed that staff received training in moving and handling, food hygiene, adult protection, first aid, recording, eating and swallowing. To make sure people’s needs were met staff should receive training specific to how schizophrenia effects people with a learning disability. They told us that they have made application to vary the home’s conditions of registration to include Mental Disorder MD. We discussed the need for all staff to have general mental health training and then specific training in the area of each person’s needs should the application to vary the conditions of registration be agreed. They told us that as part of the recruitment of new staff people living at the home were introduced to potential new employees. This is to make sure that people are involved in the decision making process. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management systems and practices make sure that people live in a safe environment. EVIDENCE: The manager had the necessary knowledge, skills and experience needed to manage a care home. We saw that policies and procedures were in place with regard to managing people’s finances. We saw a sample of financial records. These showed us that people’s financial interests are safeguarded. Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 24 We saw that a health and safety policy was in place and risk assessments of the premises and safe working practices had been carried out. This was to make sure that both the people living in the home and staff had relevant information for them to live and work in a safe environment. We saw that they carry out a monthly health and safety audit. This looks at whether all areas of the home are in good repair. Checks are made that electric sockets, cables and plugs are safe. It also looks at whether windows and doors close properly and that window restrictors are fitted. Information given in the Annual Quality Assurance Assessment (AQAA) showed that fixed gas and electricty appliances had been checked. They also carried out a periodic test of portable appliences and lifting equipment. This means that the safety of people living at the home, staff and visitors was a priority. We saw that they hold bi-annual reviews and monthly meetings with people living at the home. Care manager and multi-disciplinary team reviews are held to look at the support people receive. We saw that they have regular one-toone sessions between people living at the home and their keyworkers. They also told us that information about the service is gathered on an informal basis. This is done by listening to people and their relatives experiences of the service. They told us that they promote an open house where people are encouraged to say how they feel. People living at the home told us that staff listened to what they said. People are told they can look at their own files. There is a policy on access to personal records. This tells staff how they can support the people in this area. They told us in the AQAA that they will be carrying out annual surverys. These will be conducted on a one to one basis and promote the use of advocates. This is a new service so there were no annual surveys to look at. We will look at these at the next key inspection. We saw that staff listened to people and their family about the service they receive. We saw that the review process is used as a means of getting people’s views and opinions about the service. They also have a monthly meeting with people living at the home to get their views on the support they receive. Staff are not invited to attend this meeting. This is so that people can speak freely about any concerns they may have. They told us that any feedback from people is used when planning the day-to-day running of the home. We saw that regular staff supervision was being provided. This is to make sure that standards are being maintained and to identify any training needs. Park View DS0000072655.V376858.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 Adults 18-65 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 1 2 3 4 5 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 26 Park View DS0000072655.V376858.R01.S.doc New registration Are there any outstanding requirements from the last inspection? 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. 1. Refer to Standard YA6 Good Practice Recommendations A recommendation was made that only current information is kept in support plans and that the plans be sectioned and indexed to make them easier to read. It is recommended that support plans be reviewed and updated support plans be developed so that they fully reflect the current placement. A recommendation was made that where MAR sheets are handwritten two people should check the details to make sure there are no mistakes. This is to make sure that the correct information about the dose and frequency has been copied from the medication container onto the MAR sheet. A recommendation is made that allowance sheets be audited on a regular basis to make sure that they tally with the actual balance of cash. 2. 3. YA6 YA20 4. YA23 Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 27 5. 6. 7. YA23 YA30 It is recommended that the safeguarding procedure gives clear direction to staff on how to refer incidents to the local authority safeguarding unit. A recommendation is made that the soap dispensers be fitted as soon as possible. A recommendation was made that staff receive training specific to how schizophrenia effects people with a learning disability. YA32 Park View DS0000072655.V376858.R01.S.doc Version 5.2 Page 28 Care Quality Commission North West Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 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) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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