Care Home: Park View Residential Home

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What the care home does well The ethos of the home is that it is the home of the residents, and the staff support them to live their lives as they wish to and to make their own decisions about every aspect of their lives in the home and in the community. There is a very good system for personalised care planning in the home. The care plans show that people make decisions about everything that they do in the home. They provide clearly written information so that the staff know what support they need, and how they like the support to be provided. The home is well managed, and the staff who we spoke to said that they are supported well by the acting manager. All the staff are positive and enthusiastic about their work and their support of the people who live in the home. The staff who we spoke to said that they have good training and support so that they can provide a good quality of care for the people in the home. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.2 What has improved since the last inspection? The acting manager has made many changes that have improved the quality of care and support for the people who live in the home. These include a new care plan format that provides excellent information on the needs of each person, an improved training programme, and improved support so that each person can be involved in the life of the home and activities in the community. More staff have been recruited, and there are sufficient staff available in the home to support the people who live there without the need for working excessive hours. The people who we spoke to appeared to be more relaxed than they were during our last visit, and to feel that Park View is very much their home. Both residents told us about the things that they like to do, and in particular the care of the chickens in the garden, and collecting the eggs. What the care home could do better: The home does not have a registered manager, and the unregistered manager is currently on maternity leave. The deputy manager is currently acting manager, and as described above has made several improvements in the outcomes for the people who live in the home. However the home cannot be assessed as providing excellent outcomes for the people who live there, and so have a rating of three stars, due to the lack of a registered manager. The Commission’s guidance states that if a provider becomes aware that their registered manager is going to be away for more than 6 months, they should seek registration of a new manager at the earliest opportunity. This service has not had a registered manager for two years, and measures must be taken to address this urgently. Key inspection report CARE HOMES FOR OLDER PEOPLE Park View Residential Home 118 Gammons Lane Watford Hertfordshire WD25 0HY Lead Inspector Claire Farrier Key Unannounced Inspection 9th September 2009 09:30 DS0000065952.V377593.R01.S.do c Version 5.3 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 homes for older people 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 Residential Home DS0000065952.V377593.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 Residential Home DS0000065952.V377593.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park View Residential Home Address 118 Gammons Lane Watford Hertfordshire WD25 0HY 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) 01923 242431 01923 240131 aubany.home33@yahoo.co.uk Mr Frank Silva Mrs Z Silva Manager post vacant Care Home 5 Category(ies) of Learning disability over 65 years of age (5), registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (5) Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. OP-5, LD(e)-5, MD(e)-5 All service users resident at the home must be fully ambulant and mobile. 17th September 2008 Date of last inspection Brief Description of the Service: Park View is a care home providing personal care and accommodation for five older people with a learning disability and mental health needs that are secondary to the learning disability. It is privately owned. Park View is a detached family style house in a residential road. It is indistinguishable from the other houses in the road. The home is located close to the centre of Watford, with its shopping malls, community health facilities and hospital. There are local shops within a short walking distance and easy access to major rail, bus and road transport. All the homes bedrooms are single. None have en-suite facilities. There is no lift and the home is not suitable for service users with mobility difficulties. The garden at the rear is mainly laid to grass with a large paved patio. The Statement of Purpose and Service Users Guide provide information about the home for referring social workers and prospective residents. The current charges are from £1,750 - £2,250 per week. A copy of the CQC inspection report will be available from the home. Park View Residential Home DS0000065952.V377593.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 stars. This means the people who use this service experience good quality outcomes. We (The Care Quality Commission) spent one morning at Park View, and the people who live there and work there did not know that we were coming. The focus of the inspection was to assess all the key standards. Some additional standards were also assessed. We looked around the home and the garden. We met both the people who live in the home, and we spoke to some of the staff. We looked at some of the records kept in the home. We also looked at the care plans so that we could see how people are involved in planning their own care and support. We talked to the acting manager about what we had seen during our visit. The acting manager sent some information (the Annual Quality Assurance Assessment, or AQAA) about the home to the Commision before the inspection, and his assessment of what the service does in each area. Evidence from the AQAA has been included in this report. The AQAA is a self-assessment document that focuses on outcomes for the people who live in the home. It also provides us with some statistical information. We have also looked at the reports of the visits that the proprietor makes to the home. What the service does well: The ethos of the home is that it is the home of the residents, and the staff support them to live their lives as they wish to and to make their own decisions about every aspect of their lives in the home and in the community. There is a very good system for personalised care planning in the home. The care plans show that people make decisions about everything that they do in the home. They provide clearly written information so that the staff know what support they need, and how they like the support to be provided. The home is well managed, and the staff who we spoke to said that they are supported well by the acting manager. All the staff are positive and enthusiastic about their work and their support of the people who live in the home. The staff who we spoke to said that they have good training and support so that they can provide a good quality of care for the people in the home. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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 Residential Home DS0000065952.V377593.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 4 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 who are considering moving into the home have sufficient information, and a detailed assessment, to be confident that their needs will be met. EVIDENCE: The Statement of Purpose, which is the document that sets out the services that the home offers, is clearly written and has been reviewed since the last inspection. It now states clearly who the service is provided for, and how the services are provided. The Service Users’ Guide is clearly written in a pictorial format so that people who are considering moving to the home have can make an informed choice about where they live. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 9 Two people live in the home, and no one has moved into the home since the last inspection. During the last key inspection we found that a full assessment was completed for each person before they moved in, to make sure that the home was able to meet their needs. The Annual Quality Assurance Assessment (AQAA) stated, What we do well is to gather information from relatives, social workers, GP/community team and anyone who is involved with the prospective service users that will help us in the assessment, planning and implementing of care according to the service user’s needs. The staff who we spoke to said that they have sufficient information and training to enable them to meet the needs of the people who live in the home. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 10 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11 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 people who live in the home are confident that they will receive a good quality of personal care and healthcare. EVIDENCE: The Annual Quality Assurance Assessment (AQAA) stated, “We formulate individual care plans with the involvement of the service users/relatives. We involve the Multidisciplinary team and other professionals, eg chiropodist, dentist, optician. We provide a good standard of care according to the choice of the service users.” During the inspection we saw evidence that confirmed this self assessment. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 11 The staff who we spoke to said that the care plans provide them with good information on each person’s needs, so that they are able to provide a good quality of care in the way that each person wishes. We looked at the care plans for both the people who live in the home, and used them to track their care and support. The care plans are clearly written, with good details of all the residents’ needs and procedures and guidelines for meeting those needs. The care plans have a person centred format. People are involved in writing their care plans, and they emphasise and encourage each person’s independence and choices. People are involved in writing and reviewing their care plans. One care plan has been completed in a new format, which relates care plans and risk assessments and provides clear and accessible information for the staff. The care plan has been written by hand, and we would suggest that the care plans could be updated more easily if they were produced on the computer. Daily recording and monthly reviews monitor the progress of the care plans. The review for one person included the comment, “Care plan fully explained to [the person] and has given their consent.” Appropriate risk assessments are in place to ensure that the people who live in the home can take part in the activities that they wish to. The risk assessments that we saw covered all aspects of each person’s life in the home and in the community. They are very clearly written, and encourage the person’s independence. For example, one person has a risk assessment for road safety. The procedure is, “To encourage [the person] to go out as much as possible so that they can use the community facilities. Encourage [the person] to use zebra crossing and allow them to press the button to stop the traffic so that they can cross the road.” The care plans and reviews showed that the staff have good information on each persons healthcare needs, and that they are proactive in ensuring that people maintain good health. There is a moving and handling assessment for each resident, and assessments for the risk of falls, for nutrition, pressure sores and for behaviour. One person has a tendency to cause broken skin, which could lead to pressure sores. The care plan is to “explain gently not to scratch,” and daily skin care. Body charts are completed to show any scratches or marks that are noticed so that these can be treated and monitored. The new care plan format includes a care plan for end of life, which has information on each person’s wishes and procedures for end of life care in the home and following a death. The acting manager is a registered nurse with experience of mental health, and the community mental health services provide support and carry out annual reviews. The care plans contain good details and guidelines so that the staff can understand and manage each person’s behaviour. The Annual Quality Assurance Assessment (AQAA) stated that the service could understand the mental health of the service users better. Training has now been organised Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 12 from an external trainer in understanding mental health for people with learning disabilities, and the care plans and reviews show that staff have good information and support so that they can meet these needs. The home has sound systems in place to manage people’s medication safely. We checked a sample of medication records, which showed that medication has been administered correctly. However the number of Movicol sachets for each person did not tally with the MAR (medication administration record) charts. This may indicate that the number recorded as carried over from the previous MAR chart was incorrect, and a robust audit procedure would ensure that this was corrected. No one has controlled drugs prescribed for them at present, but the home has appropriate procedures for storing and recording controlled drugs if they are needed. The medication cupboard will not be large enough for the medication of five people when the home is full. The manager is aware of the need for a larger medication cupboard. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 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 people who live in the home are supported to live full and active lifestyles. EVIDENCE: The Annual Quality Assurance Assessment (AQAA) states that the home provides flexible activities where the people’s choices take precedence. “We encourage service users’ choice and participating in household activities. We encourage and support our service users with learning disabilities to handle their own money, be in control, learn values and raise self esteem.” There are regular residents meetings where people are encouraged to make their views known. The AQAA stated that as a result of listening to the people in the home bedroom furniture has been rearranged to meet the people’s wishes. Each bedroom has an individual entertainment system, and people have their names on the bedroom doors. The home has also made changes by reviewing the Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 14 menus to meet people’s likes and dislikes and dietary requirements, and organised day trips to the sea side and shopping trips. Since the last inspection there has been a positive change in the daily lives and opportunities for the people who live in the home. The activities room at the end of the garden is used on a daily basis for art and craft activities and playing games. The chicken run that had been completed when we last visited the home now houses hens, and one of the residents told us how they look after them, feed them, and collect the eggs. Both the people who live in the home were keen to tell us and show us the things that they are involved with in the garden and in the kitchen. The daily activities programme and each person’s activity record show that they are very much more involved in activities and daily life in the home and in the community. One person goes out on their own every day. Good risk assessments and guidelines are in place to make sure that they are safe on their own, and that the staff know what to do if they do not return to the home when they are due. This person now spends more time in the home than they did, and they told us that they feel that Park View is their home. One person has a family member who visits them at the home every week. The menus looked varied and nutritious, and they reflect each persons individual choices. The menu is drawn up each week with the involvement of the people in the home, and there is a choice of meals each mealtime. One person said that the food is very good, and they like the salad. Most meals are prepared from fresh food (including very fresh eggs from the chickens in the garden). Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 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 people who live in the home are confident that their concerns are listened to, and that they are safeguarded from the risks of abuse. EVIDENCE: The home has a complaints procedure that explains the process and timescales for investigating any complaints. The Annual Quality Assurance Assessment (AQAA) states that complaint procedures are handed over to each person’s relatives or friends on admission and the home ensures that they are fully aware of how to make a complaint if they wish to do so. There have been no complaints to the home since it opened. The complaints procedure includes recording the response, outcome and actions following any complaint. One of the residents has a social worker, and the other has a close relative who can act as advocates if needed. The acting manager is aware of the implications and requirements of the Mental Capacity Act 2005, and training on the Act is scheduled for October to ensure that the staff support people to make decisions about their lives. An example of good practice is the support given to people to vote. Both the residents have postal votes. The staff explain Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 16 to them what to do, then allow them to mark their vote on the ballot paper in private, and to seal and post their papers. Safeguarding training has improved since the last inspection. The training is by watching a DVD, followed up with a questionnaire to ensure that participants have understood the content and implications of the training. The content of the training includes the different types of abuse, the responsibilities for whistle blowing, and procedures for reporting any allegations to the local authority and CQC. The staff who we spoke to during the inspection are aware of their responsibilities for whistle blowing, and know what to do if they have any concerns. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 26 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 and gardens provide a comfortable, attractive and safe environment for the people who live there. EVIDENCE: The Annual Quality Assurance Assessment (AQAA) stated, “We provide a well maintained, safe environment for the service users. We survey the house regularly based on any unsafe environment that may cause any injury to the service users and the staff.” Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 18 Park View is a detached family style house in a residential road. It is indistinguishable from the other houses in the road. The home is furnished and decorated in a domestic style that produces a homely, comfortable environment and that allows the residents to relax and feel very much at home. Each person has their own room, arranged and decorated to reflect their particular interests and tastes. The lounge, dining room and kitchen are domestic in style and are comfortably furnished and well equipped. There is a large activities room at the end of the garden, and a chicken run in the garden (see Daily Life and Social Activities). The home appeared to be clean and generally well maintained. The staff follow appropriate procedures to maintain hygiene and prevent the risk of infection. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 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. The people who live in the home are supported by a stable staff team who have the experience and training to understand and meet their needs. EVIDENCE: Several new staff have been employed in the home since the last inspection, and there is now a stable staff team of eight support workers. The staff rota shows that there are two support staff in the home throughout the day, and one at night. The acting manager is included in this rota. As there are only two people living in the home, and one of these spends most afternoons out of the home, this ensures that there are always sufficient staff available in the home to support the people who live there, and the acting manager has time to carry out his management responsibilities. On most days one person works a 12 hour shift, one works a morning shift and one works a late shift. There continues to be only one member of staff in the home after 7.30 in the evening. Support is available from the acting manager of proprietor if it is needed during the evening or night. The acting manager monitors everyone’s hours on a monthly basis to make sure that no-one works excessively long Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 20 hours. The rotas and shift patterns may need to be reviewed when more people live in the home, to make sure that there are sufficient staff in the home at all times. The home has robust recruitment procedures in place, to make sure that the staff who work in the home are fit to work there and to safeguard the people who live there. We saw the files for three new members of staff, and they contained all the required information, including evidence of identity, references and CRB (Criminal Record Bureau) disclosures. The Annual Quality Assurance Assessment (AQAA) stated, “We have increased our knowledge and understanding the aspect of care to the service users gained by attending courses and lectures by outside professional agencies.” The training records show that all the staff have up to date training in all the mandatory health and safety requirements, including moving and handling, infection control, food hygiene and fire safety. An external trainer has been contracted to provide certificated training in the future. Training has also been organised from an external trainer in understanding mental health for people with learning disabilities. Four of the current staff team have a qualification at NVQ level 2 or above, and two new staff were registering for NVQ2 on the day of the inspection. Staff are encouraged to continue to NVQ level 3. These changes show that the organisation is now taking the provision of training very seriously, and that there is now a good training programme for both the current staff team and new recruits to make sure that they have the knowledge and skills to support he people who live in the home. There are regular staff meetings where further support and information is provided. The staff who we spoke to during the inspection said that they have very good training and support for their work in the home. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 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 well managed. The views of the residents and other involved people are actively sought in order to ensure that a good quality of care is provided. EVIDENCE: The manager who was appointed when the home opened was not registered with the Commission when she returned to the home following an absence. In the report of the last key inspection we stated, “She needs to contract the Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 22 Registration Team of CSCI (now CQC) to ensure that she is registered again as manager of the home.” This has not happened, and she is now on maternity leave. The process and completion of registration ensures that the manager is assessed as being a fit person to run the home, and to meet the aims and objectives of the service. The certificate of registration that is displayed in the home is not the current certificate, and must be returned to the Commission to be changed. The deputy manager is currently acting as manager, and he has made many changes that have improved the quality of care and support for the people who live in the home. These include a new care plan format that provides excellent information on the needs of each person (see Health and Personal Care), an improved training programme (see Staffing), and improved support so that each person can be involved in the life of the home and activities in the community (see Daily Life and Social Activities). The home is well managed, and the staff who we spoke to said that they are supported well by the acting manager. All the staff have regular one to one supervision, so that they can discuss their work and training. The ethos of the home is that it is the home of the residents, and the staff support them to live their lives as they wish to and to make their own decisions about every aspect of their lives in the home. All the staff are positive and enthusiastic about their work and their support of the people who live in the home. The system for monitoring the quality of the care that the home provides includes weekly, monthly and annual audits in the home, and regular staff meetings and residents’ meetings, so that everyone can give their views about any changes that are needed. The proprietor makes monthly monitoring visits to the home, and the reports of these visits include the views of the residents and any actions that are needed. An action sheet shows any actions that are taken and the outcomes for the people who live in the home. The arrangements for management of residents money ensure that their financial affairs are safeguarded. Money is stored safely and adequate records are maintained in order to protect service users from financial abuse. The home maintains appropriate records for the health and safety of the residents and staff in the home, and staff follow the homes policies and procedures. All the staff have training in moving and handling, fire safety, food hygiene and infection control as part of their induction. Regular fire drills take place in the home. Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 23 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 3 X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 2 10 3 11 3 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 3 18 3 3 3 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 2 3 3 X 3 3 X 3 Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement Measures must be put in place to ensure that medication is audited effectively, and that any errors in medication are noted and rectified without delay. This will make sure that everyone has the care and medication that they need in a safe and effective way. The registered provider must ensure that a manager is appointed and registered who can take day to day responsibility for the welfare of the people who live in the home. Timescale for action 09/12/09 2. OP31 8 09/12/09 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 Park View Residential Home DS0000065952.V377593.R01.S.doc Version 5.3 Page 25 Care Quality Commission Eastern Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries.eastern@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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