Random inspection report
Care homes for adults (18-65 years)
Name: Address: Park Lodge 17 Stoney Street Burnley Lancashire BB11 3PT three star excellent service 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: Marie Dickinson Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Park Lodge 17 Stoney Street Burnley Lancashire BB11 3PT 01282458051 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sarah Casey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Joseph Serge Zephir,Mrs Linda Joyce Zephir care home 2 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 2 The home is registered to accommodate 2 adults with a learning disability. Date of last inspection Brief description of the care home Park Lodge Stoney Street is a small terraced property.it is near to Burnley town centre. It is owned by Mr and Mrs Zephir and managed by Sarah Casey the registered manager. Two service users live at the home. They have their own bedroom and share a bathroom, lounge/dining room and kitchen.
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home The service users manage the home with the help of trained staff. Information about the service is available from the home. Information about the weekly charges can be obtained from the manager. There are no additional costs. The residents can purchase optional extras such as hairdressing, social activities, and magazines individually. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The visit to the home was unannounced. An Annual Quality Assurance Assessment (AQAA) was received yearly at the Commission from the service, that enabled us to complete a service review. From the information and written comments we received from residents, staff and relatives the outcome of the reviews considered the service continued to provide excellent outcomes for the residents living in the home. Both residents were at home on the day of the inspection. Records maintained showed care plans was written in a person centred way. This meant the principle of individuality was respected and residents were cared for as they wished and required. Their wishes and aspirations were accounted for. Healthcare was monitored very well and an all about me work book was used. There was evidence all healthcare issues were considered and routine health checks arranged. Both residents had a key worker they were happy with to help them. This allowed them to discuss their requirements in care planning. Staff had good guidelines to follow and focus was placed on residents maintaining their independence. There was sufficient instruction to help residents according to their need and wishes recorded on assessment and reviews. All new staff employed within the scheme attends a resident induction training program. The induction covered the basic principles of care from a resident perspective, and how they expected care staff to support them. New staff were left in no doubt this was an important issue for them. All staff were very well trained to care for people with a learning disability and in other topics relevant to their work. Information sent to the commission showed staff had been trained in for example epilepsy, autism, Makaton, challenging behaviour, person centred care planning, equality and diversity. Healthcare needs had been properly assessed and both residents had health action plans included in their care plan. Daily records showed how healthcare was closely monitored. They were registered with a General Practitioner and said they had regular routine health screening appointments. There was also evidence of other professionals being involved in residents healthcare needs for example, dietitian. Healthcare plans were written for them to understand. Each area of need was considered and showed the necessary action to be taken to help them such as visits to the dentist. Aging and illness was managed very well within the scheme. Information received at the Commission for this inspection informed us staff had been trained in, Dying, Death and Bereavement to ensure they are aware of the importance of End of Life planning. This helps to make sure this is not overlooked and residents are treated with dignity and respect. They said All service users are encouraged to complete an End of Life plan and some service users have completed a plan. Records of medication were kept for one resident. Medication storage was secure and tidy. Medication administration records were up to date, and all staff responsible for this task had been trained.
Care Homes for Adults (18-65 years) Page 4 of 9 There had been no complaints received at the home and no complaints received at the Commission. Both residents said they were happy in their home and identified staff who they would speak to if they were not happy. Good quality monitoring in the scheme showed residents views were consistently sought as regards to their care and their home. Records showed residents who completed staff performance evaluation within the scheme were specifically asked how staff treated them. Responses included for example Can discuss problems with her, and I have done. And she is very helpful. Written comments from residents for this inspection showed they were satisfied with how they were treated. Staff listened and acted on what they said and they knew what to do if they had any concerns or were unhappy. Residents within the scheme who gave staff their resident induction emphasised issues that were really important to them. Topics included core values such as been given dignity, respect and being allowed to be themselves. Residents also had the opportunity to attend staff meetings, and be actively involved in staff recruitment and their appraisals. The complaints procedure was illustrated and written in plain English. Relatives were also given a copy of the procedure at every annual planning meeting they can attend. When residents move into the home they are given information on how to keep safe. It is made clear what abuse means and what safeguards are in place to protect them. They are given easy to follow instructions they keep, to help them in reporting any issue with this they may have. One resident in the home said she attended East Lancashire Service user Network (ELSUN) meetings. Various issues were discussed and one topic was in relation to dealing with bullying in the community. Staff were trained in Adult protection and Information received from the service for this inspection What the care home does well:
Residents benefited from excellent care planning. This was because they were involved in deciding how they wished their care to be managed and they made made decisions about their everyday lives. Care and support arrangements promoted independence and self awareness. For example residents developed their own health action plan to help them access health care when required, with the right level of support provided. Residents chose their carers. They interviewed staff and gave new staff induction training. The high standard of residents healthcare plan helped them to receive the correct support from medical professionals and understand what was happening. People were registered with a General Practitioner and had regular routine health screening. Aging and illness was managed well. Medication was managed safely. The home had a policy on equality and diversity, and training was provided. Staff are issued with a Code of conduct and practice to follow, and are required to comply with for example the homes philosophy of care, confidentiality, and non discriminatory practice. Staff training also includes valuing people. The homes policies and instruction for staff,
Care Homes for Adults (18-65 years) Page 5 of 9 gave professional guidance on treating people with dignity, respect, and promoting privacy. All residents who sent written comments, considered staff treated them well all the time. The complaints procedure and the way the home was managed made it very easy for residents and other people to raise any issues or concerns. There were no complaints made against the home. Staff were trained in adult protection, and were also trained to respond appropriately to physical and verbal aggression and fully understand the use of physical intervention as a last resort. They had attended further training on The Mental Capacity act and Deprivation of Liberties. Information received from the home for this inspection showed they Intend for Manager to attend training for the Investigation of Safeguarding complaints. Residents were shown how to protect themselves from abuse, neglect and self harm. They also had their own policies and procedures, information about their rights and their own house rules they agreed on. 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 6 of 9 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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 8 of 9 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
