Care Home: The Victoria Parkview

Similar services:

• The Shelley
• Springfield House
• Sutton Lodge Nursing Home
• St Helier`s Residential Hotel
• St Joseph`s
• Ridgemount
• Wingham Court
• Old Hastings House

What the care home does well The Victoria Parkview is a small home with a warm and relaxed atmosphere. The staff team work well together and provide care in a sensitive manner. People living in the home say that they like it there and the staff are `very good`. One person said she could not fault the way she is cared for and that staff go out of their way to make her comfortable. Staff who returned surveys said that they have the training and support they need, although this was not clear from the records we saw. While people were positive about the care they receive there are a number of management issues that mean procedures that would keep people safe and ensure a good quality of life are not always followed. What has improved since the last inspection? The owner said in the AQAA that a key worker system has been introduced recently and that the number of bank staff available to provide cover has been increased. The home has developed links with a local church. New furniture has been purchased for the back garden. What the care home could do better: The following requirements have been made as an outcome of this inspection: The registered persons must ensure that there is a thorough pre-admission assessment process in place to ensure that the staff team have the knowledge and skills they need to meet each person`s needs. The registered persons must ensure that staff understand the guidance for administering medication for each individual and the correct procedure to follow in the event of an error. A programme of activities must be set up based on people`s interests and preferred lifestyles. A record of complaints must be kept to show that people`s concerns are listened to and addressed in a timely manner. A programme of ongoing maintenance and refurbishment must be implemented and risk assessments for the premises reviewed with any necessary action taken to ensure that people are kept safe. Records of the required recruitment checks must be kept in the home to show that a robust approach is taken to recruitment in order to protect peopole. The registered persons must ensure that all staff complete updated mandatory training as required so that they know how to keep people safe. Quality monitoring systems must be set up to ensure that the quality of the service provided is kept under review and people`s views are taken into account in the development of the service.Serious accidents and incidents must be reported to the Commission to show that the home is taking appropriate action to protect people. Key inspection report Care homes for older people Name: Address: The Victoria Parkview 7 Madeira Avenue Worthing West Sussex BN11 2AT     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Annette Campbell-Currie     Date: 2 8 0 1 2 0 1 0 This is a review of 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. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 28 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. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: The Victoria Parkview 7 Madeira Avenue Worthing West Sussex BN11 2AT 01903522022 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Victoria Care Elite Ltd Name of registered manager (if applicable) Mrs Sheelagh Tony Macey Type of registration: Number of places registered: care home 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 9 The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home Victoria Parkview is a privately owned establishment providing personal care for up to nine older people. The home is a detached two-storey property in the centre of Worthing, close to local shops, a park and the seafront. Accommodation is provided in nine single rooms, eight of which have en-suite facilities. The rooms are arranged on two floors with a passenger lift giving access to all rooms. There is a large lounge and dining room and a quiet reading room. The registered manager is Mrs Sheelagh Care Homes for Older People Page 4 of 28 Over 65 9 0 1 9 0 3 2 0 0 9 Brief description of the care home Macey and the registered provider is Victoria Care Elite Ltd. Mr Paul Burtenshaw is the responsible individual for the company. The fees range from £550 to £600 per week. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is one star. This means that people who use the service experience adequate quality outcomes. The previous key unannounced inspection took place on 19th March 2009, at that time the home was assessed as providing good quality outcomes for people living there. This key unannounced inspection was brought forward because the registered manager was absent from the home for over three years. Mrs Macey, the registered manager returned to work within the past two weeks. We (the Commission) carried out the site visit over five hours. Mrs Macey assisted with the inspection and Mr Burtenshaw, the responsible individual for the company was available by telephone. There were six people living in the home at the time of the visit. Care Homes for Older People Page 6 of 28 The owner completed an annual quality assurance assessment (AQAA) that gave us information about how the home is managed. We sent out surveys to find out what people think about the home. Three people living in the home and seven staff returned surveys. The comments that people made have been used to help make an assessment of the service. We spoke with four people living in the home and three members of staff including the cook and the person responsible for maintenance in the home. We saw the communal areas of the home, a bathroom and five bedrooms. We read the following documents: the case records for three people, pre-admission information for one person, the complaints policy and recording system, samples of policies, menus, staffing rotas, samples of medication records and storage, the recruitment records for one newly appointed member of staff, samples of Regulation 26 reports. The outcomes for people have been assessed in relation to twenty-two of the thirtyeight National Minimum Standards for Care Homes for Older People; including those considered to be key standards to ensure the welfare of people living in the home. The requirement made at the previous inspection that care plans must be available in the home has been met. Nine requirements have been made following this inspection and an improvement plan will be requested. Care Homes for Older People Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: The following requirements have been made as an outcome of this inspection: The registered persons must ensure that there is a thorough pre-admission assessment process in place to ensure that the staff team have the knowledge and skills they need to meet each persons needs. The registered persons must ensure that staff understand the guidance for administering medication for each individual and the correct procedure to follow in the event of an error. A programme of activities must be set up based on peoples interests and preferred lifestyles. A record of complaints must be kept to show that peoples concerns are listened to and addressed in a timely manner. A programme of ongoing maintenance and refurbishment must be implemented and risk assessments for the premises reviewed with any necessary action taken to ensure that people are kept safe. Records of the required recruitment checks must be kept in the home to show that a robust approach is taken to recruitment in order to protect peopole. The registered persons must ensure that all staff complete updated mandatory training as required so that they know how to keep people safe. Quality monitoring systems must be set up to ensure that the quality of the service provided is kept under review and peoples views are taken into account in the development of the service. Care Homes for Older People Page 8 of 28 Serious accidents and incidents must be reported to the Commission to show that the home is taking appropriate action to protect people. 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. Care Homes for Older People Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with information about the home before they move in however the Statement of Purpose has not been reviewed and updated to ensure that it provides detailed information about the specialist services that could be provided in the home. People have their needs assessed before they move in however it is not clear that this process is sufficiently thorough with specialist assessments sought when necessary and that there is a clear process of decision making about whether or not each persons needs could be met by the home. Evidence: We found at the previous inspection that a pre-admission assessment is carried out before a decision is made about someone moving in. Time was being spent with people interested in moving to the home and their representative to make sure their needs could be met at The Victoria Parkview. People were welcome to visit the home to help them to make a decision about moving in. Care Homes for Older People Page 11 of 28 Evidence: There are currently three vacancies in the home and on this occasion we looked at the paperwork for someone interested in moving to The Victoria Parkview. The owner has been carrying out pre-admission assessments in the absence of the registered manager. The assessment forms included some details of the persons physical and emotional needs. There were notes about the persons interests. There was some space on the assessment form to record the persons spiritual or cultural needs. This information would be important for the home to take into account to make sure that they could meet a persons religious needs before a decision was made about them moving in. There was some correspondence with a member of staff from West Sussex Adult Services department who had referred the person for admission. There were no copies of assessments from professionals who know the person well; so it was not clear how the home were making an informed decision about how the home would be able to meet the persons needs. The manager said that the Statement of Purpose has not been reviewed to include information about how the specific needs of the person the home is planning to admit could be met. The provider must ensure that there is a clear process for decision making about admission to the home to make sure that the staff working in the home would be able to meet the needs of prospective residents and that their needs are compatible with others already living in the home. The Statement of Purpose must include details of the type of care the home is able to provide and staff must be provided with the training that ensures they have the skills and knowledge they require to provide for each persons needs. A requirement has been made regarding this matter. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this 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 have their needs set out in a care plan that is kept under review and they receive the health care that they need. Medication procedures do not always protect people. Evidence: The home uses a booklet for recording care plans, reviews and risk assessments. These documents have been updated in the past twelve months and Mrs Macey is in the process of reviewing each persons care plan and risk assessments to make sure staff have up to date information. The care plans were all available in the home for inspection and for staff to read. We looked at the case records for three people. These documents included an up to date assessment of each persons physical, emotional, spiritual and personal care needs. The home uses a key worker system so that they are usually responsible for making sure that information is up to date. There was information about each persons background and previous lifestyle which would be useful in helping to plan a programme of activities for them. On one persons records it showed that they like to Care Homes for Older People Page 13 of 28 Evidence: take part in weekly communion with a visiting priest. There were notes about the way each persons life could be improved with preferred outcomes that had been agreed with them. There were notes about they way people prefer to have their care provided and details of peoples medical conditions and medication taken. People said that they are able to see a doctor when they need to and the manager said the home has a good relationship with the local primary care team. There were notes of hospital appointments and GP visits on the case records we saw. There was a visiting optician in the home on the day of the visit. The care plan booklets include risk assessments for every aspect of peoples daily lives. These had been completed and from examples given it was clear that risks for individuals are monitored and action taken to prevent the risk of harm when necessary. Care plans and risk assessments had been reviewed and feedback from staff indicates that they are kept informed of any change in need. People spoken with and those who returned surveys said that they receive the care that they need and there was a note from a relative on one persons records: The care towards my mother is excellent and she is very happy. There are policies and procedures regarding the storage, recording and administration of medication however these are not being followed at all times. The manager said that all staff who administer medication have completed training so that they are competent to do so. A senior member of staff takes responsibility for ordering medication and overseeing medication practices in the home. The storage facilities meet current requirements and a sample of records we saw were in order. In one of the bedrooms we found a tablet on the floor. It came to light that this was not the first time that a tablet had been found on the persons floor. The manager said that she would undertake an immediate investigation, contact the persons GP as a matter of urgency, review the guidance for staff in administering medication to this person and send a Regulation 37 report to the Commission. The home must ensure that there are clear policies and procedures in place regarding the administration of medication to each person and that staff understand the action they must take when an error occurs. A requirement has been made about this matter. Care Homes for Older People Page 14 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are not fully supported to have the lifestyle that they choose. People are supported in their contact with relatives and friends. People are provided with nutritious meals that they enjoy. Evidence: There was no programme of activities evident in the home. People said that there are sometimes activities and entertainment in the home and that there is a library of large print books for those who like to read. Care staff are responsible for setting up activities and the manager said this sometimes takes place on an ad hoc basis in the afternoons. There are two staff on duty during the day and it was not clear how their time is allocated to make sure that they have time to sit with people or set up interesting things for them to do. Three staff said in the surveys that they would like to have more time to take people out for walks. The care plans included information about peoples interests and a programme of activities should be drawn up based on this information. A requirement has been made regarding this matter. People said that they are able to choose when they get up in the morning and retire at Care Homes for Older People Page 15 of 28 Evidence: night. Visitors are welcome in the home and people said that they are supported to maintain contact with their family. Three cooks are employed to provide meals. They know people well and have a note of any special dietary requirements. The cook on duty said that she uses fresh produce as often as possible and is not restricted by the budget provided for food. The sample of menus we saw included a good variety of meals. The cook plans and prepares the supper and the care staff on duty deliver the meals to people in the dining room. The dining room was attractively set out and most people choose to take their meals in the dining room. There was no menu available for people to see what meal they would be having or what choice of food they had. The cook said that she would make sure this was done although she said that she had explained to people what meal she was planning. People are advised of the lunch menu at around 10 am so that they could make a choice then. People who returned surveys said that they like the food. Care Homes for Older People Page 16 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can usually feel their complaints have been listened to and would be acted upon. There are measures in place to help to protect people from abuse. Evidence: There is a complaints policy and procedure that is displayed in the home. The manager was not aware of any complaints received in the past twelve months and none had been recorded. The proprietor said in the AQAA that one complaint has been received in the past twelve months and this was resolved within twenty-eight days. One person said that she had told staff that her room is cold due to a draught through the window. This was not recorded in the complaints book and it appeared the complaint had not been addressed as the room was not warm and there was a draught through the window. Complaints must be recorded to show that peoples concerns are listened to, taken seriously and investigated appropriately. A requirement has been made regarding this matter. All staff have completed training in safeguarding procedures and the manager said that she is due to attend updated training to keep her knowledge up to date as she has been absent from the home for three years. There have been no safeguarding issues reported in the home. Care Homes for Older People Page 17 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is no ongoing programme of reburbishing and development for the home and risk assessments of the premises need updating with an action plan drawn up to ensure that people live in an environment that is safe and well maintained. The home is kept clean. Evidence: Three full time maintenance staff are responsible for the maintenance of the five homes in the group. A gardener is employed for 20 hours a week and carries out maintenance in the home in poor weather. There was no clear programme of refurbishment for the home and there were a number of areas that were in need of attention. The wall paper in the hallway and stairway was peeling from the wall in places. Three bedrooms had damp marks on the ceiling from a previous problem with a water tank in the loft. The furniture in one vacant room was in need of being repaired or replaced, it was not clear that there is a plan for this to happen or that furniture is checked on a regular basis to make sure it is safe and in good order. The window frame and ledge in one room was in need of repair. The window in another persons room was letting in cold air and she said she had raised this on several occasions as she was cold especially at night. It appeared that no action had been taken in response to the persons concerns; the manager spoke to the maintenance person who said this would be attended to without delay. Not all first Care Homes for Older People Page 18 of 28 Evidence: floor windows were restricted to make sure that people do not fall out; at least one persons window opens onto a flat roof that could present a risk. It was not evident that up to date risk assessments for the building had been carried out. The manager said that she would seek advice from the Environmental Health Officer without delay. Requirements have been made about maintenance and health and safety matters. Housekeeping staff are employed to keep the home clean and people who returned surveys said that the home is usually clean with no unpleasant odours. Some carpets are in need of a deep clean. Care Homes for Older People Page 19 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The recruitment procedure may not fully protect people in the home. The training and development programme may not provide staff with all the knowledge and skills they need to do their job. Evidence: We looked at samples of staffing rotas; there are currently six people living in the home and there are two care staff on duty during the day; at night there is one member of staff on waking duty and a second on sleeping in duty. The staff were attending to people in a timely manner and peoples needs were being met. The manager said that if additional help were needed in an emergency there is a senior person on call at all times. The staffing numbers should reflect the needs of people in the home and the manager explained that recently one person had high care needs but the staffing numbers were not increased at the time to reflect this. We asked for the recruitment records for two members of staff recently appointed to work in the home. The records for one person were not available. The manager said she would make sure that this situation is addressed as key personal details should be available in an emergency and evidence of the recruitment procedure must be available for inspection. We saw the records of another member of staff that showed that a Criminal Record Care Homes for Older People Page 20 of 28 Evidence: Bureau (CRB) check had been carried out before she began work; however there was only one written reference on file. The home must ensure that a robust recruitment procedure is followed in order to protect people from possible harm. A requirement has been made regarding the recruitment procedure and records held in the home. There is an induction and training programme although the manager was not clear that the induction programme meets the Skills for Care Standards. Samples of training records were seen although the manager could not provide evidence that staff have all completed updated mandatory training. A fire training session is due to be held in the next month but a date had not been set. Staff who returned surveys said that they have been provided with the knowledge and skills they need to do the job. Staff who returned surveys indicated that they have the training and support they need, although it was not clear from records that this is the case. Care Homes for Older People Page 21 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management and quality assurance systems in the home must be reviewed and updated to ensure that people benefit from a well run home and that the home meets the Regulations and National Minimum Standards for Care Homes for Older People. It is not clear that peoples views are sought and taken into account in the development of the service. There are systems in place to protect peoples monies that the home is responsible for. The health, safety and wellfare of people living in the home and staff working in the home is not always protected. Evidence: The registered manager, Mrs Sheila Macey has recently returned to the home after a three year absence. During this period there have been two acting managers in post and the owner has been overseeing the running of the home. Mrs Macey has been provided with a list of tasks to complete as part of her return to work. She is employed for thirty hours a week and one day and two and a half hours daily are allocated for management duties, the remainder of the time she works as a carer. Care Homes for Older People Page 22 of 28 Evidence: Following the previous inspection we were told that management hours had been increased from six hours one week and twelve the next to ensure that the acting manager at the time was allocated sufficient hours to ensure the efficient running of the home. The number of hours allocated for management tasks needs to be reviewed as eight requirements have been made following this site visit and there are a number of outstanding issues that need attention to ensure that the home meets all the Regulations and National Minimum Standards for Care Home for Older People. There was no clear training programme in place to ensure that Mrs Macey has the opportunity to up date her knowledge and skills following her three year absence from the home. There was no evidence to show that the views of people living in the home and other people interested in their care have been sought since the previous inspection; or that peoples views have been taken into account in the planning of the service. We saw samples of Regulation 26 reports following visits by the owners. The reports were not detailed and a number of issues highlighted during the site visit were not noted. There were no clear systems for monitoring the quality of the service provided at The Victoria Parkview. A requirement has been made regarding the need for quality assurance monitoring. There is a procedure for supporting people with small amounts of money. Receipts are kept and all transactions are noted and signed by two senior staff. We saw samples of records that showed peoples finances are protected. There are health and safety policies and procedures in the home. There were no records to show that staff have all completed updated training in health and safety matters. Fire safety and training in the home is the responsibility of the member of staff who carries out maintenance and he said that he is due to hold training in the next month. It was not clear from the records seen that all staff have attended fire training as required. A requirement has been made regarding mandatory training. The manager agreed to seek the guidance of the Environmental Health Officer regarding the safety of windows on the first floor and to carry out risk assessments of the premises as a matter of urgency. We noted that there have been accidents in the home that have resulted in people needing hospital treatment. The home has a responsibility to report such incidents under Regulation 37 of the Care Standards Act 2000. A requirement has been made regarding this matter. Care Homes for Older People Page 23 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 28 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, Care Homes 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 1 3 14 The registered persons must 31/03/2010 ensure that a thorough preadmission assessment and clear decision making process is in place to ensure that the home is able to meet each persons needs and that staff have the necessary skills to provide appropriate care. 2 9 13 The registered persons must 31/03/2010 ensure that staff understand the guidance for administering medication to each individual and the procedure to follow in the event of an error in order to keep people safe and ensure they take the medication prescribed for them. 3 12 16 A programme of activities reflecting the interests of people living in the home must be provided 31/03/2010 Care Homes for Older People Page 25 of 28 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes 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 to ensure that people have the stimulation and lifestyle that they prefer. 4 16 22 Complaints that are made must be recorded and investigated appropriately to ensure that peoples concerns are taken seriously and addressed in a timely manner. 5 19 23 A programme of ongoing 31/03/2010 maintenance and refurbishment must be implemented with risk assessments of the premises reviewed and any necessary action taken in order to keep people safe and to ensure that they live in an environment that is well maintained and safe. 6 29 19 Records of the required 31/03/2010 checks carried out as part of the recruitment procedure must be available in the home to ensure that it is clear that a robust approach is taken to recruitment in order to keep people safe. 31/03/2010 Care Homes for Older People Page 26 of 28 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes 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 7 30 18 The registered persons must 31/03/2010 ensure that staff complete the mandatory training sessions as required so that staff understand how to keep people living in the home and themselves safe. 8 33 24 The registered persons must 31/03/2010 establish quality monitoring systems to ensure that the quality of the service provided is kept under review and peoples views are taken into account in the development of the service so that people consistently receive a good quality of care and that Regulations are met. 9 38 37 Serious accidents or incidents must be reported to the Commission to show that the home is taking appropriate action to protect people and prevent people from coming to harm. 31/03/2010 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 Older People Page 27 of 28 Helpline: 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. Care Homes for Older People Page 28 of 28 - 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!