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Inspection on 18/08/10 for Park Lodge Care Home

Also see our care home review for Park Lodge Care Home for more information

This is the latest available inspection report for this service, carried out on 18th August 2010.

CQC found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The organisation and acting manager are working closely with the local authority where the service is located to help make improvements at the home. They are monitoring the service people receive and are taking action to identify and address concerns. We wrote to the home in July 2010 and asked them to make sure they kept people safe and comfortable during the hot weather. They have introduced a procedure which staff follow to monitor people`s health and wellbeing in the hot weather. They have provided equipment to help cool and check room temperatures. People who are particularly vulnerable have their fluid intake monitored. The area manager told us that senior staff made regular checks to make sure the staff were following hot weather procedures. The area manager said that she had seen an improvement in the way staff monitored people`s health and wellbeing and they had improved their communication about people`s needs with each other and medical professionals. The organisation arranged for all staff to attend a training course on their roles and responsibilities in caring for the people who live at the home. At the time of our visit nearly all the staff had completed this course. The staff have started to put together information on people`s lives before they moved to the home and their social interests. There are a team of senior staff who work closely with the manager. Four of these staff have been qualified to provide moving and handling training. They are in the process of providing this training to all staff and they regularly assess how staff are supporting people to move safely.

What the care home could do better:

There is no registered manager in post. The acting manager has been employed on a temporary contract. The organisation must make sure they appoint a suitable manager and this person must apply to be registered with the Care Quality Commission. The staff need to have clear and stable management so that they can make changes to improve the service. There needs to be further improvements to the social activities at the home to make sure everyone has their individual needs and preferences met. The staff need to work in a more person centred way making sure people`s individual needs and preferences are recorded, met and monitored. The way in which people`s meals are served, their personal care needs are met and they way in which they spend their time and use the environment needs to improve to make sure they are given more informed choice and have an experience they would want. The organisation does not always notify us of all the things that effect the wellbeing of people who live at the home. They need to make sure they do this. Some areas of the building had an strong smell of urine. These areas need to be thoroughly cleaned to eradicate the smell. This may indicate that people`s continence needs are not being appropriately managed. Each person`s continence needs must be appropriately assessed, met and monitored. Their care plans should reflect their individual needs and how these should be met. We found that one person who had recently moved to the home had been placed in a room which had an unpleasant strong smell of urine. The area manager agreed that this person should be offered an alternative bedroom. This should be done without delay and the organisation should only offer people rooms which are clean and do not have unpleasant odours when they move to the home. We saw that a bottle of cleaning fluid had been left on a bed in a room where the door was left open. This room was accessible to anyone and the substance could be potentially harmful. The area manager asked staff to remove this immediately. The staff need to be aware that they must keep potentially dangerous substances safely locked away at all times.

Random inspection report Care homes for older people Name: Address: Park Lodge Care Home 6 Victoria Drive Wimbledon London SW19 6AB two star good service 20/10/2008 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: Sandy Patrick Date: 1 8 0 8 2 0 1 0 Information about the care home Name of care home: Address: Park Lodge Care Home 6 Victoria Drive Wimbledon London SW19 6AB 02087895822 02087857449 park.lodge@fshc.co.uk www.fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Marilyn Roque Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is: 60 The Registered person may provide the following categories of service only: Care home only - Code 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 - Code OP (maximum number of places: 20) Dementia - Code DE (maximum number of places: 40) Date of last inspection Care Homes for Older People care home 60 Over 65 0 20 40 0 0 1 0 7 2 0 1 0 Page 2 of 10 Brief description of the care home Park Lodge is a registered home providing nursing care for up to twenty older people and residential care for up to forty older people, ten of whom may have dementia. The home is owned and managed by Four Seasons Health Care, an organisation that has similar services across the country. The home is situated in a residential area on the borders of Wimbledon and Wandsworth, close to local shops, churches of a number of denominations and regular bus services. Accommodation is provided over three floors with the home split into four single units. Each unit has a lounge, dining room, bathrooms and toilets. All bedrooms are single. Service users have access to a large garden around the home. The home is serviced by two lifts, one lift for service users and the other being a service lift. Fees range from £455 to £590 per week. Care Homes for Older People Page 3 of 10 What we found: We made an unannounced visit to the home on 18th August 2010. We met the area manager, staff on duty, some of the people who live at the home and some visitors. We spoke to the area manager about recent concerns identified through safeguarding alerts and by the local authority. We spoke about the management of the home and things that were going well and things that needed to be improved. We looked around the building at th environment and how people were being supported and cared for. We did not look at records during this inspection visit. The acting manager was on leave and the area manager was managing the home in his absence. What the care home does well: What they could do better: There is no registered manager in post. The acting manager has been employed on a temporary contract. The organisation must make sure they appoint a suitable manager and this person must apply to be registered with the Care Quality Commission. The staff Care Homes for Older People Page 4 of 10 need to have clear and stable management so that they can make changes to improve the service. There needs to be further improvements to the social activities at the home to make sure everyone has their individual needs and preferences met. The staff need to work in a more person centred way making sure peoples individual needs and preferences are recorded, met and monitored. The way in which peoples meals are served, their personal care needs are met and they way in which they spend their time and use the environment needs to improve to make sure they are given more informed choice and have an experience they would want. The organisation does not always notify us of all the things that effect the wellbeing of people who live at the home. They need to make sure they do this. Some areas of the building had an strong smell of urine. These areas need to be thoroughly cleaned to eradicate the smell. This may indicate that peoples continence needs are not being appropriately managed. Each persons continence needs must be appropriately assessed, met and monitored. Their care plans should reflect their individual needs and how these should be met. We found that one person who had recently moved to the home had been placed in a room which had an unpleasant strong smell of urine. The area manager agreed that this person should be offered an alternative bedroom. This should be done without delay and the organisation should only offer people rooms which are clean and do not have unpleasant odours when they move to the home. We saw that a bottle of cleaning fluid had been left on a bed in a room where the door was left open. This room was accessible to anyone and the substance could be potentially harmful. The area manager asked staff to remove this immediately. The staff need to be aware that they must keep potentially dangerous substances safely locked away at all times. 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 Older People Page 5 of 10 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 6 12 The registered person must make sure peoples care needs are individually assessed, recorded and monitored. To make sure they are getting the right support to stay well, healthy and comfortable. 08/07/2010 Care Homes for Older People Page 6 of 10 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 1 8 12 The registered person must 30/09/2010 make sure people who live at the home have their continence needs fully assessed, recorded, monitored and met. Because people may be at risk if they are not getting the support and care which is right for them. 2 12 16 The registered person must 30/09/2010 make sure everyone at the home has opportunities to participate in social activities and interests which they have chosen and enjoy. Because everyone has different social needs and interests and these need to be met to make sure they are being well cared for. 3 15 12 The registered person must 30/09/2010 make sure everyone is given an informed choice about their daily lives including their mealtimes and what they eat, how they receive Page 7 of 10 Care Homes for Older People 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 support to meet personal and health care needs and what they do each day. Because people have the right to make an informed choice about the things that they do and that affect them. 4 27 23 The registered person must make sure all parts of the building are kept clean and free from offensive odours. People moving to the home must be offered a clean and fresh place to live. Because the people who live at the home have the right to live in a clean and fresh environment. 5 31 37 The registered person must 30/09/2010 make sure the Care Quality Commission is notified of any events are described in Regulation 37. Because the provider needs to give us evidence of how the event was managed so that we can monitor the service is being compliant with other regulations. 6 31 9 The registered person must make sure that the home is managed by an individual who is registered as a manager in respect of Park Lodge. Because the service needs to Care Homes for Older People Page 8 of 10 31/08/2010 30/09/2010 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 have stable and suitable management. 7 38 13 The registered person must make sure all potentially harmful COSHH substances are stored safely and securely. Because people may be at risk if they have access to potentially harmful substances. 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 31/08/2010 Care Homes for Older People Page 9 of 10 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 Older People 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. 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