Care Home: Parkview Home

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue

What the care home does well This home provides a clean, well maintained, safe and homely environment for the people who live there. There is sufficient space so that a flexible approach can be made to the use of rooms, ensuring that people can be accommodated in a way which meets their needs. There are good records which means that staff know what support people need and the way they prefer to be helped. People are helped to receive the right services to maintain and improve their health. People are helped to live full lives, maintaining contact with people in the community and going on outings. People are involved in decisions about their care and life in the home. The staff are well qualified and receive ongoing training so that they continue to provide the right support to people in the home. This home is well managed and there are good arrangements for making sure that the standards are maintained. What has improved since the last inspection? This is the first inspection of this service.Parkview HomeDS0000072797.V378274.R01.S.docVersion 5.3 What the care home could do better: The responsible individual needs to submit an application for the registration of a manager for the service. The manager should make sure that files are better organised so that historical information is clearly separated from current information. Key inspection report CARE HOME ADULTS 18-65 Parkview Home Parkview Home 2 Eastgate Edgbaston Birmingham West Midlands B16 0EY Lead Inspector Chris Lancashire Key Unannounced Inspection 2nd November 2009 10:00 Parkview Home DS0000072797.V378274.R01.S.doc 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 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. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 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 Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Parkview Home Address 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) Parkview Home 2 Eastgate Edgbaston Birmingham West Midlands B16 0EY 0121 566 5907 Bellview Ltd Vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing (code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disabiltiy (LD) 8 The maximum number of service users to be accommodated is 8 2. Date of last inspection N/A Brief Description of the Service: This home is situated in the Edgbaston district of Birmingham. It is a large house which borders a park. There is a rear garden with patio, lawn and flower beds. This care home with nursing caters for up to 8 people whose primary needs are related to their learning disability. The home’s aim is ‘To provide personal and social skills and nursing care to adults with learning disabilities and autism of both sexes between the ages of 18-65’. The fees are available on application to the home. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. We visited this home on a weekday, without telling anyone that we would be coming. Before the inspection, the owner had completed a questionnaire call and Annual Quality Assurance Assessment (AQAA). This provided details of the running of the home. During the inspection we met the owner, who is currently acting as manager, and three members of the staff team, the person who lives in the home and a visiting professional. We looked at the policies and procedures, the records relating to the person in the home and staff records. We also looked at records of safety checks and looked round the building. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. What the service does well: What has improved since the last inspection? This is the first inspection of this service. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 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. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 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 Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 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): 1,2 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 know that the home will be able to meet their needs because their needs are assessed prior to admission. EVIDENCE: The manager told us that the home has a brochure and service user guide, both of which can be translated into accessible formats depending on the needs of the person concerned. We saw these documents and they provide good details of the home and the services provided. The manager told us that a comprehensive assessment is carried out on people’s needs prior to them being offered a place. We looked in the files and found that the home had sought assessments from other professionals, such as nurses and dieticians. There were also notes which had been gathered from family members and photographs of relevance from the person’s past. The home had also carried out their own assessment, so that they could be sure that they could meet the person’s needs prior to offering a place. The person Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 9 who was being assessed had been involved in the process. A care plan had been in place before the person was admitted. The manager told us that people are encouraged to visit the home prior to admission and we saw details of the visits for someone who may be admitted soon. This would involve spending time at the home and preparing their room with items and decorations of their choice. This means that people are involved in the admission process and can be confident that the home can meet their needs. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 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): 6,7,9 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. Peoples needs and personal goals are reflected in their care plans. People are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: We looked at the files and saw that the care plans have been developed using the information gained through the assessments. These are detailed and provide staff with clear information about how to support individuals. There is a personal profile which is written in the first person and there are details of the preferred and most effective methods of communication as well as the person’s capacity to make choices and decisions. We saw are instructions for Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 11 staff about how to manage certain aspects of the person’s behaviour which staff may find challenging. These records also contain very clear instructions for night staff. We saw that each area of the care plan has a date for review. The files which we saw contained historical as well as current information and we discussed with the manager, the need to ensure that information is better organised to make it easier for anyone reading the file to find the current information. The manager told us that people are encouraged to make decisions about their lifestyle and how the home is run. We found examples of people being consulted and their preferences respected. These included the person choosing the colour of furniture in their sitting room. People are encouraged to have new experiences and to take reasonable risks. We saw risk assessments for each element of the care plan and on various activities and daily living situations, which clearly set out the control measures to be taken. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 12 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: 12,13,15,16,17 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 to take part in appropriate activities and to maintain links in the local community. They have appropriate relationships and their rights are respected. They are supported to have a healthy diet and enjoy their mealtimes. EVIDENCE: We sampled the files and found that people are supported to take part in a variety of activities. There are photographs which show the person participating in recent activities including a walk in the park, local shopping, Sandwell valley farm, the Safari park and a ball game in garden. The home has Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 13 its own transport. The manager told us that there is a resource folder with ideas for activities and outings in the local area. The records show that the person is involved in planning on a regular basis. There are plans to hold regular meetings of people in the home when there are more people living there if this is possible. Staff and the manager are aware that, because people may have complex needs in terms of communication and difficulties with socialising with others, it may be necessary to keep this consultation on an individual basis. The care plans provide staff with details of the routines which the person prefers to follow. However, staff are encouraged to respond to communication from the person concerned so that they make choices throughout the day. For example, when there are visiting professionals or contractors in the home, the person who lives there may choose to spend time away from the main communal areas and in their smaller sitting room, where they can have more privacy. This happened on the day of the inspection. The home’s literature states that the home encourages people to follow their religious beliefs and helps them to attend places of worship. There are policies about discrimination, equal opportunities and sexuality. People are helped to maintain relationships with their family and people in the community. We saw nutritional assessments and advice from a dietician about the nutritional needs of the person in the home. There are instructions for staff about meeting specific needs in this area and the menus show that these have been followed. The home has facilities for staff to prepare meals as well as a smaller area where people can be helped to prepare food for themselves as they are helped to develop living skills. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 14 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): 18,19,20 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 receive personal support in the way they prefer and require so that their physical and emotional needs are met. They are protected by the homes practices in dealing with medicines. EVIDENCE: The manager told us that the home makes efforts to make sure that people can retain their usual GP if possible. When this is not possible, people will be supported to register with a local practice. The records which we examined contain good details of the person’s health and personal care needs. There are records of the person’s medical history. They also include a personal health action plan, which has been completed with the local nurse. There are details of visits made and planned to a range of health professionals, such as hospital specialists, speech therapists, leaning disability community nurses, psychologists and physiotherapists. When there have been reasons why the person could not leave the home, professionals have visited the home. This Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 15 includes an optician. Recommendations and care instructions from these professionals are included in the person’s care plans. There are secure arrangements for the storage of medication in the home. We looked at the administration records and found that they had been completed appropriately. Staff who administer medication are trained to do so. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 16 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): 22,23 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. People living in this home are well protected by the home’s practices which include good arrangements for listening to people and handling complaints. EVIDENCE: The home has a complaints procedure, which is explained to people and their representatives at the time of admission. There are details of this in the home’s service user guide. There is a record where complaints will be recorded, but the home has recently opened and there have been no complaints. The home has a copy of Birmingham’s vulnerable adults policy and its own policies and procedures in relation to protection. Staff displayed a good level of awareness of the need to protect people. Staff are trained in recognising the possible signs of abuse and in the action to take should they suspect that someone has been abused. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 17 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): 24,30. 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, comfortable and clean environment, where they are kept safe. EVIDENCE: Parkview is a large, three storey, converted house which has an enclosed rear garden and backs onto a park. There is no off road parking, but parking is available in the small road adjacent to the house, which leads to the park. There is a communal living room on the ground floor and two kitchens, in addition to an office. The accommodation on the upper two floors comprises several rooms on each floor. These rooms may be used as bedrooms or small living rooms, depending on the needs of the people in the home. The person Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 18 who lives in the home has a bedroom and small sitting room, both of which are decorated and furnished to her taste. The manager is aware that, due to the specific needs of some of the people who may move into the home, it may be necessary to provide several rooms where people can be alone with their members of staff and the building is big enough to do this. The areas which are used have domestic furniture and fittings and are homely. There are suitable adjustments to fittings, such as Velcro to secure curtains, where the behaviour of people in the home has indicated that this is needed. There are several bathrooms and WCs, all of which are easily accessible from the bedrooms. The rear garden is accessible, with a ramp on one side of it. The manager hopes that some of the people who move into the home will become involved in gardening. On the day of the inspection, the whole building looked in a good state of repair and there were no unpleasant odours. The building is fitted with a staff call system and the facility for various parts of the building to be alarmed according to the needs of the people in the home. We saw risk assessments relating to the building and policies and policies and procedures for controlling the risk of the spread of infection. This means that there are arrangements for making sure that people who use the building are protected. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 19 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): 32,34,35. 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. People are supported by adequate numbers of appropriately trained and competent staff so that their needs are met. They are protected by the homes recruitment practices. EVIDENCE: The manager told us that staff are recruited through a standard process which includes taking up references and checks through the Criminal Records Bureau. The records show that staff do not start work until the checks are completed and they receive induction training which meets the current requirements. The records show that the staff team is well balanced in terms of gender and ethnic background. This means that people in the home are protected by the home’s recruitment practices. Staff undertake NVQ training and in addition they attend various courses which are relevant to their roles. We looked at training records which show that staff Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 20 have received training in areas including food hygiene, diabetes, autism awareness and the Mental Capacity Act. There are good arrangements for making sure that people update training in various areas and we saw that several dates had been booked for the future. The records show that all staff except for two have at least NVQ level 2 and one is undertaking level 3. There is at least one qualified nurse on each shift. The manager told us that new staff receive supervision on a two weekly basis and the records show that more established members of the staff team are supervised on a monthly basis. There are regular staff meetings, the minutes of which show that staff are kept informed about developments and tasks are clearly delegated. The staff rotas show that there is adequate cover to meet the needs of the people in the home. Rotas are changed to take account of activities taking place. The manager told us that there is minimal use of agency cover and we saw that there has been some use to maintain nursing cover. As there is only one person living in the home at the moment, there has been no need for a large staff team. However, the company is currently recruiting staff in anticipation of more people moving in. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 21 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): 37.39.42. 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 people who live in this home benefit from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected. EVIDENCE: There is currently no registered manager in this home, but the owner has performing the role while a suitable replacement has been recruited. He is suitably experienced and has a detailed knowledge of the systems, staff and the person living there. We discussed, with the owner, the need for an application to be submitted for the registration of the new manager. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 22 The records show that the person who lives in the home is consulted about many aspects of her life, such as daily routines, menus and outings. The staff told us that they communicate with people directly to obtain their views. There are systems, such as checklists to make sure that the high standards of service are maintained and we saw from the records that there are suitable arrangements for making sure that policies, procedures and other systems are kept up to date. We saw risk assessments for the building, fire, people and tasks. These are clear and provide details of the measures which have been taken to reduce risks. Before the inspection, the manager provided us with information about the dates of the servicing and checking of equipment in the home. We checked a sample of dates against the records and found them to be correct. This shows that there are good arrangements to make sure that people who use the building are kept safe. Parkview Home DS0000072797.V378274.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 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 Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 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 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 5.3 Page 24 Parkview Home DS0000072797.V378274.R01.S.doc N/A 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 2 Refer to Standard YA6 YA43 Good Practice Recommendations The manager should make sure that historical and current information are clearly separated in the files. The Responsible Individual should submit an application for the registration of a manager for the home. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 25 Care Quality Commission West Midlands 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. Parkview Home DS0000072797.V378274.R01.S.doc Version 5.3 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!