Care Home: Parkvale House

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What the care home does well The management team work well together and are motivated and committed to making further improvements at the home. In addition to maintaining the home`s gardening project, the provider and his management team have developed a bicycle maintenance scheme involving both service users and staff. A member of staff has qualified as a cycling instructor and service users and staff are completing cycling efficiency training. A people carrier and mini bus provide service users with opportunities to take part in group trips. Staff support people to plan their holidays and take short breaks. What the care home could do better: No requirements or recommendations have been made. Random inspection report Care homes for adults (18-65 years) Name: Address: Parkvale House 124 Park Avenue Whitley Bay Tyne & Wear NE26 1AY one star adequate service 14/10/2009 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Elizabeth Gaffney Date: 0 4 0 6 2 0 1 0 Information about the care home Name of care home: Address: Parkvale House 124 Park Avenue Whitley Bay Tyne & Wear NE26 1AY 01912523952 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Alistair Craig Nurse Type of registration: Number of places registered: Conditions of registration: Category(ies) : Alistair Craig Nurse care home 7 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 7 7 The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Male Whose primary care needs on admission to the service are within the following categories: Learning Disability, Code LD - maximum number of places 7 Mental Disorder, Code MD maximum number of places 7 Date of last inspection 1 4 1 0 2 0 0 9 Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home The home is situated near to the sea front in whitley Bay. It is a three storey terraced house in keeping with the local community. Accommodation is provided over three floors. The home does not have a passenger lift and is therefore not suitable for anyone with a physical disability. There is a lounge, small conservatory, kitchen and dining room located on the ground floor. All bedrooms and other amenities are situated on the first and second floors. The home has a small town garden at the front of the house and there is a courtyard to the rear which is accessible to service users. The home is close to all local amenities and transport links are near by. The current scale of charges ranges from 350 to 400 pounds. The homes service user guide and statement of purpose are available on request. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We carried out this inspection to check whether the provider and registered manager have complied with requirements set following the last key inspection in October 2009. Before the visit, we looked at the providers improvement plan. We also checked information that has been shared with us by other professionals with an interest in the service, as well as any surveys returned to us. An unannounced visit was made on 04 June 2010. During the inspection we spoke with the acting manager and the deputy manager. We looked at improvements that have been made since the last inspection. The Parkvale management team worked with the inspector in a positive, constructive and open manner, and provided every assistance in facilitating the inspection. Following the last key inspection, we asked the provider to: 1. Make improvements to the homes arrangements for care planning and carrying out risk assessments. A new care plan format has been devised which focuses on peoples needs, desired outcomes and what support will be provided by staff. A new risk assessment format is being used to identify risks and record how they will be managed. This requirement has been met; 2. Improve the arrangements for carrying out pre-employment checks. A system has been introduced to make sure that the Criminal Records Bureau (CRB) Certificates of staff employed since the last visit are available for inspection. A system has also been introduced which ensures that new staff commencing work on an ISA First, but pending receipt of a CRB Certificate, are properly supervised. The senior management team have completed a Care Quality Commission staffing information form for each member of staff. Identity photographs have been placed in all staff files and there is evidence that staffs identities have been verified. Requirements 2 and 3 have been met; 3. Make sure that staffs mandatory training is up to date. All staff have completed training in infection control, medication awareness, fire safety, health and safety, food hygiene and first aid. Documentary evidence of this has been made available in staff files. Arrangements have been made for newly appointed staff to update their mandatory training; 4. Make sure that staff receive regular supervision. Staff are now receiving regular supervision. A tracking system has been introduced to monitor the delivery of supervision and supervision sessions are clearly identified on the homes rota. In response to recommendations made, a range of additional improvements have been made. For example: up to date Care Management information is now available in each persons care record. The deputy manager reported that in-house pre-admission assessments are now completed in more depth. Service users now sign their care plans. Activity plans have been introduced and are completed weekly in conjunction with service users. Improvements have also been made to the arrangements for handling medication. For Care Homes for Adults (18-65 years) Page 4 of 8 example, a new medication cabinet has been obtained. The home has sourced a new pharmacist who is willing to carry out monitoring visits. Medication is now administered by two staff. A daily medication audit takes place and new carers shadow more experienced staff as part of their in-house medication training. In addition, the home has sourced a provider to carry out eye and hearing tests. The management team have also completed a workplace risk assessments covering a range of areas such as lone working, managing the risks associated with hot water, preventing falls from first floor windows and using the kitchen. A daily health and safety checklist has been introduced and there is now a system in place to make sure that any hazards/repairs are addressed and a record kept. Staff now have access to a mobile phone to help keep them safe when lone working. Information about the service is now available at the main reception area, including the homes service user guide and complaints procedure. The homes certificate of registration has also been made available in this area. The office area and the homes filing systems have been improved. Records are now indexed and securely stored. The office has been tidied and redecorated and now has a more professional appearance. What the care home does well: 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 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 34 18 Ensure that: * A Criminal 01/04/2010 Records Bureau (CRB) certificate is obtained for each member of staff; * A POVA First check is obtained for any member of staff who commences working at the home pending a satisfactory CRB certificate; * Where staff commence work with only a POVA First, an experienced member of staff is identified to oversee their work and ensure that they do not work unsupervised. This will help to ensure that only suitable staff are employed to work at the home. 2 36 18 Ensure that staff receive formal supervision at least six times a year. A written record should be kept. This will help to ensure that people using the service are able to benefit from being cared for by staff that are properly supported and supervised. 01/02/2010 Care Homes for Adults (18-65 years) Page 6 of 8 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 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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