Inspection on 23/07/07 for Higher Park Lodge

This inspection was carried out on 23rd July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Higher Park Lodge 06/06/06

Higher Park Lodge 09/02/06

Higher Park Lodge 19/07/05

Higher Park Lodge 03/03/05

Higher Park Lodge 01/09/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Higher Park Lodge Devonport Park Stoke Plymouth Devon PL1 4BT Lead Inspector Kim Fowler Unannounced Inspection 23th July 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Higher Park Lodge Address Devonport Park Stoke Plymouth Devon PL1 4BT 01752 606066 01752 606066 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) Higher Park Lodge (Plymouth) Limited Mrs Deborah Ann Norman Care Home 25 Category(ies) of Dementia (25), Dementia - over 65 years of age registration, with number (25), Old age, not falling within any other of places category (25) Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users may be admitted who are 60 years of age or above. Date of last inspection 6th June 2006 Brief Description of the Service: The service is a limited company called Higher Park Lodge (Plymouth) Ltd. The home is made up of a large detached building, approximately 100 years of age, overlooking Devonport park, with an attached purpose built extension to the rear of this building. The home is close to Stoke village in central Plymouth. A full range of amenities and facilities are within walking distance of the home in the Stoke village shopping area. The home can accommodate up to twenty-five residents over three floors. It has a shaft lift serving all three floors though only a few of the residents need to use this facility. The main lounge is by the front entrance of the building and is non-smoking. There is a second lounge on the first floor of the building. The dining room area is close to both the kitchen and the dining room on the ground floor. The ground floor of the extension opens onto a patio area. The home does not have a garden area but is adjacent to the large parkland area of Devonport park. There is one double bedroom in the home and all the others are single bedrooms. Due to the age of the original building many of the rooms have high ceilings. This helps the home in general to feel more spacious. There is a shaft lift that provides disabled access to all parts of the home. The service offered by the home is primarily for people with dementia or significant mental frailty needs. Some of the residents have some mobility difficulties but mostly the residents are fully mobile. The residents have a mixed range of abilities. The current fee range from £270 to £350. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 1 day and started at 10:00am and finished at 6.05pm. The registered manager Debbie Norman was available throughout the inspection. The inspector made a tour of the building and spoke to most all of the people living at the home. Documentation relating to the care planning process and the management of the home were examined. Three surveys for people living at the home, two relatives, five staff and three professional surveys were returned to the Commission. Any comments are discussed in the relevant section of the report. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendation have been made in this report. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2/3/5/6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the home can be confident that a full assessment will be completed before admission to ensure the home can meet their individual needs. EVIDENCE: Six files of the people living at the home were examined providing evidence that each person had received a contract with either the home or the paying authority. Further examination of files found that each of these files contained a completed pre admission questionnaire. These files also contained preadmission assessments and the manager confirmed that she visits prospective new admissions to complete these and all are invited to the home for several visits before moving in. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 9 The files examined showed several different assessments in place, though all contained relevant information this could be confusing for staff. The manager confirmed that she would expand these pre admission questionnaires and use one agreed pre-admission assessment to ensure continuity and consistency. All new admissions are supported by the placing authorities care plan and assessments to ensure the home have sufficient information to assess the homes ability to meet the needs of the person being admitted. All the people living at the home were spoken with during the visit. Only one person recently admitted to the home was able to inform the inspector that they had received information about the home and believed they had assisted in the completion of an assessment to inform staff of their needs. One relative also stated that they had received information about the home and had been invited for a visited before their relative had moved in. One service user wrote on her comment card under the, did you receive enough information about this home before you moved in so you could decide if it was right for you said, “my social worker brought me here”. These document are important for prospective service users to assured them that not only can their health care needs be met but also their emotional, social, cultural or religious needs. Higher Park Lodge does not offer Intermediate Care. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7/8/9/10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The staff and manager provide good personal and health care support to the people living in the home. Ensuring the promotion of privacy and dignity at all times. EVIDENCE: All six files examined held individual care plans in place and the details held on these files are needed by staff to meet individual needs. These care plans show a breakdown of the services and facilities provided by the home as well as current needs, specialist input and guidelines for staff to manage incidents of people wandering. These plans provide staff with the information on how to care for each person and ensure continuity in care and have been completed to enable staff to carry out their duties. And ensure all aspects of health, personal and social needs were met. However as per the pre-admission assessments mentioned in standard 3 several versions of care plans were held. Some hold detailed information and are supported by risk assessments other information is not always recorded in Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 11 one place. This could lead to confusion among staff. The manager confirmed that she would use one version to promote continuity and consistency. The assessments and daily care plans are easy assessable for staff on duty and risk assessments are held on individual files for the protection of all people living at the home. The manager stated that the risk assessments are reviewed regularly and updated as and when needed. All people living at the home access to all health care services and this information was recorded into designated District Nurse files held in individual bedrooms. Information was recorded into individual files that there was input from other professionals including GP’s, chiropodist and consultants based at the local hospital. All the people living at the home were spoken with and those able to confirmed that there health care needs were met and one person whose health care needs have deteriorated confirmed that, “I see the District Nurse when needed and have a pressure relieving mattresses in place”. One professional survey wrote, “Dental care is offered”. Some people were able to state that they had a General Practitioner and dentist of their choice who visited the home if requested and one person said they attend surgery appointments and confirmed that a chiropodist and optician visit the home. One visiting District Nurse interviewed stated that she was not aware of any service users with bedsores and that the home provides very good care and has a very good reputation. The District Nurse stated that she has staff support when attending to service users and the home will call for advice when needed. The District Nurse said, “They will use common sense and ask advice”. One service user wrote on her comment card under the, do you receive the medical support you need ticked sometimes and went onto say, “My deteriorating health makes it difficult for me to attend the surgery but requests for a visit from the District Nurse have not been met” Four other surveys received ticked yes when asked the same question. The Commission received two Health and Social Care Professional and one GP feedback cards. Quoted from the cards were, “I would be happy for my own parents to live in this home if the need arose”. The Registered Manager of the home talked through the medication procedure for the home. The home uses the blister pack system for administration. The manager confirmed that the staff had recently attended a medication training Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 12 update provided by the local pharmacist. The staff receives training to ensure they are aware of their responsibilities. The pharmacist had also completed a 6monthly pharmacy assessment provided as evidence. It was evident from these discussions that the manager understood the medication procedure that included administration, storage and disposal of medication. Any changes in medication were recorded, signed and dated onto the medication recording sheets. Several staff file examined held a medication training course certificate. One staff member confirmed they had attended a medication-training course with the local pharmacist. However several medications were not signed for and case tracking on blister packs provided evidence that this medication had been administered. Correction fluid had also been used on one person’s medication record sheet. The manager confirmed that she would review the medication procedure and change it needed. One professional survey returned said, “Whenever a resident expresses a desire to manage own meds they are supported in this if appropriate”. Most of the people living at the home were spoken with and those who were able to confirmed that the staff treat them with respect and protect their privacy and dignity at all times. Observed during the inspection was staff knocking on doors to promote privacy and shutting the bedroom door when a carrying out personal care. The District Nurse spoken with during the inspection confirmed that she had observed staff knocking on bedroom doors and that all people receiving treatment do so in private. One professional survey returned under the, does the care service respect individuals privacy and dignity wrote, “Knocks on doors before entering rooms”. During the inspection one person was becoming upset and distressed. Observed was the staff treating this person with sympathy and respect at all times. One person said, “The staff always help me and they are very kind”. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12/13/14/15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Higher Park Lodge can be confident that the home offers a varied choice of home cooked meals. The home welcomes and encourages families and friends to visit. EVIDENCE: The home organises activities within the home and staff are responsible for organising such activities as bingo and quizzes. However outside activities are brought into the home and several people living at the home and one visitor confirmed a “lady who plays a keyboard” had attended recently. One staff survey wrote, “Perhaps more activities would be good for residents” and one professional wrote, “Stimulated, content residents”. All activities are recorded into the homes newsletter and displayed on the homes notice board. The home is considering the employment of an activities coordinator to arrange all activities and the home has recently received a grant to purchase a craft and activities equipment. This will enable people to access craft materials and other activities at all times. One person living at the home said, “I like bingo best”. The District Nurse said, “There is always something going on”. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 14 During the inspection one visitor was spoken with and was able to confirm that they are able to visit at any reasonable time and do visit nearly every day. This visitor said they are able to see their relative in the privacy of their bedroom if they wish. One person living at the home has declined to see their family and this information is recorded and respected. One staff survey stated, “I think the home develops good relationships with service users family and friends”. Many of the people living at the home are unable to make many decisions however observed was one person going to change their clothes and stated they did not like the clothes they were wearing. People are encouraged to make everyday choices including what meals they would like this promotes peoples to have some control over their lives. All bedrooms visited contained personal possessions and items and one person living at the home said that the home encouraged them to bring in items from home. One person living at the home informed the inspectors that they go out on their own and when they wish. One survey returned to the Commission stated that their relative goes out into the park on their own. One professional survey under the, does the care service support individuals to live the life they choose wrote, “Patients are seen to have own possessions around them and can come and go as they choose, stay in their room or mix”. On discussion with the people who live at the home about the food provided the quotes received were “very good”, “a good choice”, “I can choose the food I want to eat”. All people who were able to made positive comments about the food provided and recorded into individual files were likes and dislikes. This is particularly important for people with limited communication. It was evident from the food seen served at tea time of scrabbled eggs on toast and other choices that the food was home cooked using fresh products. The meal was well presented and freshly prepared. The staff on duty confirmed that there was a choice of 5 meals served for the evening tea meal and many people spoken also confirmed several different dishes on offer. One returned professional survey under what do you feel the care service does well wrote, “Home cooking”. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16/18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home, which protects the welfare of the service users. EVIDENCE: The homes complaints procedure was displayed for all to access. The visitors spoken with during the inspection stated that they were aware of the complaints procedure and would approach the manager if they had any concerns. All felt that any complaints would be acted upon. Observation during a tour of the premises showed that the home complaints procedure is distributed to person and is included in the homes Statement of Purpose, and Service Users Guide both of which are kept in each individual bedroom. Most of the people living at the home were spoken with and those who were able to said they were aware of the homes complaints procedure and some stated that they had never had any need to use it. One said they would talk to their family and others said they would talk to the staff or owners. All surveys returned from people living at the home ticked, Yes, when asked if they knew how to make a complaint. Two relative surveys received made Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 16 comment about this and quoted, “No complaints to date” and another said, “I would always try to resolve issues with the home in the first instance” and went onto state that “Your (The Commission) address and contact details are listed in the residents handbook”. No adult protection issues have been raised by the home. The staff members on duty were interviewed during this inspection. The discussion with these staff members confirmed that those longer serving staff members had completed the Adult Protection training. It was clear from the information given to the inspector from these staff they had a clear knowledge and understanding of the Adult Protection process. Discussion with the staff confirmed that they were aware of the procedure in dealing with any issues and that the home had the alerter guide available. The homes AQAA says, “All staff attends training for POVA (Protection of Vulnerable Adult)”. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19/26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Higher Park Lodge continues to maintain a clean and suitable environment for it’s stated purpose and people living at the home can be assured that they will live in a comfortable home that is regularly maintained. EVIDENCE: A tour of the premises confirms that the home is safe and well maintained and suitable for its stated purpose. It is very comfortable, warm and light home. Both visitors and some of the people living at the home agreed that the home is always kept clean and odour free. Since the last inspection the fitted kitchen has been completed and all bedrooms have now been decorated and include new carpets, curtains, Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 18 bedding and painted and decorated. Therefore providing the people living at the home with a safe and well maintained enviroment. The home was very clean, hygienic and free from offensive odours and the laundry facilities were suitable for its stated purpose and the washing machine has a sluice facility. The process for the removal of clinical waste was discussed and was satisfactory dealt with. Several of the staff confirmed they had completed an infection control course and that the home provided disposable aprons and gloves for their protection. Further planned maintenaince included the complete refurbishment of the main lonuge and dinning room to include new chairs, carpets and curtains. The homes AQAA states, “Staff trained in infestion control and health and safety”. One relative commented on a returned survey, “My mother room is always clean and well kept”. Another said, “The furnishings could be updated and replaced as some furniture is very shabby”. One professional survey said, “Always clean and smells it! We regard this home highly”. And another said, “Provides a safe and caring environment for all residents which recognises this is their home, not a medical institution”. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27/28/29/30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Higher Park Lodge are supported by well-motivated and caring staff in sufficient numbers to meet the needs of those currently living at the home. EVIDENCE: All the staff on duty were spoken with and 6 staff files examined during this inspection. The homes rotas and the staff confirmed that there is sufficient staff employed to care for the people currently living at the home. The staff spoken with during the inspection confirmed the training they had attended and course’s planned. Staff also confirmed that the owners of Higher Park Lodge promote the staffs training and development. The staff and manager confirmed that most staff either holds an NVQ qualification or presently working toward it. One staff spoken with already holds an NVQ level 2 and some being supported to continue and gain and NVQ level 3. Those staff files examined contained the required pre-employment checks, including Criminal Record Bureau Disclosures (CRB), ensuring as far as possible unsuitable staff are not employed. The files examined showed that all newly appointed staff members had received Induction training. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 20 One newly appointed member of staff spoken with confirmed a probation period, CRB clearance and shadowing of experience staff when first employed. Staff files examined all held training certificates including course completed on Medication, Manual Handling and Food Hygiene. The deputy holds an NVQ level 4 and the Registered Managers award. All staff holds a 4-day First Aid course certificate. Many of the people living at the home made positive comments about the staff. One professional survey returned to the Commission Said, “Agreeable capable staff” and another said, “Staff always seem to have appropriate knowledge of the needs of their residents”. One visiting professional said of the staff, “Staff will always assist you and are always helpful, caring and friendly” and a relative visiting said, “The staff are wonderful”. One staff survey said, “I feel that we have a very good team here”. The homes AQAA states “We have a good staff team here at Higher Park Lodge at present with a low turnover of staff”. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31/33/35/38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of this home is very good and ensures that records are effectively maintained. The staff team are well trained to meet the needs of people living at the home. EVIDENCE: The Registered Provider and Registered Manager is Mrs Deborah Norman was available throughout the inspection. Mrs Norman owns the home with her husband and is part of a Limited Company. Mrs. Norman has completed the Registered Managers Award, the NVQ4 in care and the D32/33 NVQ assessor’s award. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 22 The Registered Manager and most of the staff at the home have completed the 4-day First Aid course to provided the people living at the home with medical assistance when required. Most of the people living at the home who were able to and the two visitors spoken with during this inspection agreed that the owner is approachable and that the home is well run. All the staff agreed that the manager ensures the home has an open, positive and welcoming atmosphere and observation during the inspection showed that there was good interaction between the people living at the home and the staff. Interviews with the staff confirmed that the management and staff have a good working relationship. The staff are well managed and motivated thus providing a better quality of care and support to everyone living at the home. One staff member stated that the manager was “approachable and assisted with any personal problems”. And another said in a survey returned, “The manager has a very good rapport with the residents and are always around if needed”. The home provided as evidence a designated quality assurance file. This file was examined as part of the inspection and showed completed quality assurance completed by people living a t the home, relatives and professionals. All comments made were positive and the owners publish the result in a newsletter. The homes AQAA records that finance is kept safe, next of kin or service users pay bills monthly in arrears, so Higher Park Lodge doesn’t keep cash for any service users if possible. The AQAA goes onto to state that a “service user bill book” is available. All staff confirmed regular supervision and staff files examined provided evidence that supervision records were held. One staff member confirmed that the home holds regular staff meetings and supervision sessions. The staff stated that they were able to express their view at these meetings. One staff commented on the returned survey, “Not many group meetings”. Regular consultation with staff ensures staff can contribute to the running of the home and are aware of the home’s aims and objectives, philosophies of care and promotes consistency and improvement. Sampling of servicing records indicated that equipment is serviced regularly and maintained in good working order, including the fire alarm system. Certificates were available on all Health and Safety equipment i.e. hoist ensuring all have been checked. Gas and electrical appliances were being routinely serviced and checked. Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 23 The fire protection system was well maintained. Maintenance checks are being carried out. Staff are receiving appropriate fire protection training to ensure they have the skills to deal with emergencies. All staff have completed manadatory training in Fire safety, First Aid and food hygenie. The staff spoken with confirmed the completion of these courses and certificate were held on individual files. Good health and safety practices reduce any unreasonable risk, affecting people living at the home, to an acceptable level. One relative survey returned to the Commission said, “I am overall very pleased with the way my mother is looked after. She appears to be settled and cared for”. A professional survey wrote, “If it came to it I’d be happy to spend my latter years here so long as I could have the double room overlooking the park! Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 25 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 OP3 OP7 Good Practice Recommendations All care plans should be signed. New risk assessments should be completed for all service users. Risk assessment should be completed for service users without thermostatic values on sinks. The Quality Assurance system should be updated. 3. OP33 Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Higher Park Lodge DS0000003537.V337005.R01.S.doc Version 5.2 Page 27 - 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. 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