Inspection on 04/06/08 for Park Lane Residential Home

This inspection was carried out on 4th June 2008.

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

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

Park Lane Residential Home 30/05/07

Park Lane Residential Home 13/07/06

Park Lane Residential Home 11/08/05

Park Lane Residential Home 28/04/05

Park Lane Residential Home 17/11/04

Park Lane Residential Home 02/08/04

Park Lane Residential Home 01/03/04

Park Lane Residential Home 20/11/03

Park Lane Residential Home 09/01/03

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Park Lane Residential Home 7-9 Park Lane Congleton Cheshire CW12 3DN Lead Inspector Bronwyn Kelly Key Unannounced Inspection 4 June 2008 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 Park Lane Residential Home DS0000040963.V362736.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. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lane Residential Home Address 7-9 Park Lane Congleton Cheshire CW12 3DN 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) 01260 290022 F/P 01260 290022 wc-parklane@btconnect.com Winnie Care (Park Lane) Ltd Wendy Joan Gregory Care Home 42 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (18), Old age, not falling within any other of places category (42) Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 42 service users to include: Up to 42 service users in the category of OP (old age not falling within any other category Up to 18 service users in the category of DE(E) (dementia, over the age of 65 years) One named service user in the category of DE (dementia, over the age of 50 years) 30th May 2007 Date of last inspection Brief Description of the Service: Park Lane is a care home owned by Winnie Care [Park Lane] Ltd. It is close to Congleton town centre and is near to all community facilities and public transport. There is a small number of car parking spaces available at the home. Park Lane has been purpose built to provide care for up to 42 older people. The home is divided into five wings, one of which is designed to provide a more safe and secure area for those who have dementia. The building is threestoreys with accommodation on the lower ground, ground and first floors. Six people who are more able to care for themselves have rooms on the lower ground floor. Access between floors is via a passenger lift or the stairs. Accommodation consists of 38 single rooms, 36 of which have en-suite facilities and two twin bedrooms both with en-suites. There are 5 lounge/dining rooms available for people living in the home to choose between. The main entrance to the home and a number of internal doors are opened by a keypad system. There is a seating area outside the entrance and an enclosed garden at the rear of the home. The current weekly fees range from £367.54 to £488.00. Further details regarding fees are available from the manager. Additional charges are made for newspapers, hairdressing, private chiropody, holidays and taxi fares. Prospective residents are able to read the latest CSCI inspection report, which is normally available in a copy of the Service User Guide in the entrance hall. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that people who use the service experience good quality outcomes. An unannounced visit to the home by one inspector took place on 4 June 2008 and lasted six hours. This visit was just one part of the inspection. Before the visit, the manager of the home was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for people who live in the home, families, and health and social care professionals such as doctors, nurses and social workers to find out their views. Other information received by CSCI was also reviewed. During the visit, various records and the premises were looked at. A number of people who live in the home, visitors and staff were spoken with. They gave their views about the service, and these have been included in the report. What the service does well: People living in the home, who were spoken with, all said they were happy with the care they received at Park Lane. The surveys received from relatives also spoke highly of the care, and one relative wrote, “I feel the home looks after my mother as well as they can”. Another wrote, “All the staff seem to genuinely care about the clients and treat them with respect.” This shows that people are receiving the care they need. People living in the home told us they enjoyed the food and had choices about what they ate. Relatives also mentioned in surveys that they thought the food was good. This shows that people that live in the home are satisfied with the food they receive. People living in the home have the benefit of en-suite bedrooms (all except two) enabling them to have more privacy and dignity in their lives. People are cared for by a committed staff group, who are trained and supervised to make sure they provide good care to people living in the home. CSCI has not received any complaints about Park lane since the last inspection. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Care plans and any reviews should be written with people that live in the home and/or their relatives so that their wishes and views regarding their care are clear. Staff should have updated training in safeguarding and the protection of vulnerable adults. This is so people living in the home are protected as far as possible. The gardens/grounds of the home should be kept tidy and made attractive and accessible to people living in the home so that they have facilities in which to sit and enjoy the garden. Consideration should be given to the internal layout of the home so that people living in Chatsworth have easier access to their bedrooms and the garden. Training for staff in equality and diversity issues would further enhance their understanding of this topic. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 7 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. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 8 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 Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 9 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): 3 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Peoples’ needs are fully assessed before they move into the home, which means they and their family can be sure these needs will be met when they move into Park Lane. EVIDENCE: The information sent to us before the visit took place states, “The home manager visits prospective service users and carries out a full assessment ensuring all needs can be met”. The manager told us she likes to visit every person who is interested in moving into the home and carry out a full assessment herself as well as other assessments that may have been made by Social Services or the Health Authority. This is so that she can be sure the person’s needs can be met in the home and the staff have the skills to meet these needs. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 10 She also encourages people to visit the home and see it for themselves before making up their mind about moving in. Staff told us that a gentleman had visited and stayed for lunch on the previous day. The statement of purpose was seen and it has recently been updated to provide people with accurate information about the home and the care and service they can expect to receive. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 11 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 and 10 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The people who live in the home receive good health and personal care. This means that care is based on their individual needs and provided with respect, to maintain their dignity. EVIDENCE: Since the last inspection there has been some improvement in the care planning, although the paperwork tends to focus on people’s ‘problems’ rather than strengths. The area manager plans to alter and improve this. There is no evidence in the care plans that people living in the home or their carers/ relatives are consulted about the care plan and this should be developed. Care plans now contain more information about people’s life history and preferred lifestyle, which enables care staff to have a greater understanding of their needs and provide better care. Care plans contained a lot of other evidence to show that peoples’ health care needs were well met. These included forms for recording risk assessments, Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 12 moving and handling, background history and many other health related aspects of people’s lives. Care staff told us they are each a key worker to two people who live in the home. They undertake a monthly review of the two care plans and document this fully. However, there was no evidence of including people who live in the home or their relatives in this review. During the inspection, a visiting community nurse told us that, “The standard of care at the home is good. Staff are kind and there is good team coordination between the home and the nurses.” She also told us that “staff speak to the residents in a respectful way” and that the home makes good use of the training facilities provided by the district nurses in areas such as diabetes and other health related issues. A visiting GP told us there is good care given from what he could see and that the GPs are called in appropriately. The medication system was seen in the ground floor large medication room, but not the smaller room upstairs. A blister pack system is used, with no large stocks of medicines held. The medicine administration records were all in good order. Medication is counted and signed into the home and a returns book kept, signed for by the pharmacist. There is a controlled drugs cupboard and register but these are not being used at present because nobody who lives at the home receives any controlled drugs. The medication policy document was in the office, but a copy should also be in the medication room for reference. This level of management of the medicines in the home means that people are receiving their medication safely and as prescribed by their GP. Park Lane Residential Home DS0000040963.V362736.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 and 15 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The activities and food choices have improved so that people who live in the home have a better quality of life. EVIDENCE: There has been considerable improvement in this area since the last inspection. A new activity co-ordinator has been employed who works two days a week and has been in post for 2 months. She is still planning with people living in the home how best to meet their social needs. She has lots of plans for the future, but meanwhile, in-house activities such as ladies nail beauty, hand massages, painting, drawing, making cards for families, collage, music and videos are taking place. The provision of meaningful individualised activities for people with dementia could be improved. A garden party is being planned for the summer and a musical entertainer visits monthly. Religious services are held monthly. People living in the home told us they enjoyed the activities. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 14 In Chatsworth House (dementia unit) observation throughout the day showed that there was not much interaction between staff and people sitting in the lounge apart from caring duties. The TV was on the whole day. With regard to food, people who live in the home told us, without exception, that they enjoy the food at Park Lane. New menus have recently been devised, using dishes that people who live in the home have said they like. There is a choice at breakfast and the late afternoon ‘tea’ meal, with lunch being dish of the day. The menu states a number of alternatives available to this meal. The cook told us that she has flexibility within the menu to cater for individual needs and will make something different on request even if is not on the menu that day. Cooked breakfast is available, and a number of people who live in the home enjoy that at weekends. Pieces of cut up fruit are often taken round with the tea trolley. The diabetic foods (puddings and cakes) are cooked to look the same as ordinary food on the menu. During the inspection, one person told us, “The food is great.” A relative wrote in a survey, “The meals are always very good.” Park Lane Residential Home DS0000040963.V362736.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 and 18 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Arrangements for making complaints and protecting people who live in the home from abuse are satisfactory, so they are not at risk from harm or poor practice. EVIDENCE: The complaints procedure is displayed in the hall with updated details of how to contact CSCI. The information we were sent before this visit took place states two complaints were received by the home in the last twelve months, although CSCI has not received any complaints about the home since the last inspection. An improvement in the way complaints/ concerns are recorded was seen during this inspection visit, following a recommendation made at the previous inspection. Two safeguarding referrals have been made to Social Services, and the home followed the correct procedures for this, and worked to resolve the situation so that vulnerable people were protected. Staff told us they had not received training in safeguarding adults for over a year. The manager told us she is aware of this and is planning some update training for the care staff. People living in the home told us they are happy to speak with the manager if they have any concerns, saying she is very approachable. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 16 It was noted that some relatives commented in the home’s QA survey that they were unsure about the complaints procedure, even though it is displayed in the hall. One relative wrote in a survey, “The staff are always helpful if there is a problem.” Park Lane Residential Home DS0000040963.V362736.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 and 26 People who use services experience adequate care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The facilities and equipment available for people living in Park Lane provide only a satisfactory place for them to live in but there are plans to improve the facilities further so people will live in more comfortable surroundings. EVIDENCE: Since the last inspection, there is evidence of expenditure on the home in order to provide a better environment for the people living in Park Lane. New lounge furniture has been bought and new dining tables and chairs. New curtains and bed throws have been purchased and are going to be put into use as and when bedrooms are decorated. Chatsworth and Capesthorne are the next two areas planned for redecoration in the near future. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 18 A number of bedrooms were seen to have worn carpet, but the manager and area manager told us that there are plans to replace these. The information we were sent before the inspection states they plan to redecorate the home as a result of listening to what people who live in the home have said in surveys. Chatsworth unit is a specialist part of the home where people receive dementia care. This is an enclosed unit, with a keypad control on the door, where residents spend most of their day. The design of the unit within the home is not ideal, and does not enable best practice care in smaller groups. There are only 5 bedrooms in this unit – the rest are on another floor reached through locked doors and a lift. This means that people living in Chatsworth unit cannot freely choose to use their bedrooms in the day without having to ask staff to let them through locked doors and accompany them. As this unit is on the first floor, access to the garden is also difficult – down a steep flight of external concrete stairs or the lift, and residents have to be accompanied by a member of staff. This unit only has one lounge for up to 18 residents. The television or music was playing all day during the inspection. There was no other small lounge where people could go for some peace and quiet, and be away from the large group. Those people with bedrooms nearby could use those, but the other 13 people have their bedrooms in another part of the home behind locked doors. The manager and area manager told us there is little they can do due to design of the building. However, ideas were discussed, such as turning the lounge and the dining room into two lounge/diners. People would then have a choice of sitting areas – one of which could be designated as a quiet area. Gawsworth unit contained a number of bedrooms, lounges and dining areas. Bedrooms seen were satisfactory, and contained a number of residents’ own possessions. All except two bedrooms had en-suite facilities. The lower ground floor contained six bedrooms. The hairdressing room is also on this floor, and the kitchen storage room/pantry. This means that the cook has to travel a considerable distance, using the lift, to obtain cooking ingredients and access the freezers and fridges. The garden area is small and not easily accessible to people, and not a particularly inviting area in which to sit. Some discussion took place about ways of providing a better area for people to enjoy being outside. The home was clean and with no noticeable odours. Park Lane Residential Home DS0000040963.V362736.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 and 30 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. There has been an improvement in staffing and staff training so people living in the home are receiving better quality care. EVIDENCE: The care staff work in a different parts of the home each day according to the needs of the people who live at the home, which can vary. Staff rotas showed that many staff undertake 12-hour shifts from 8.00am to 8.00pm, which is not an ideal situation. The manager said this was the staff preference. There are six care staff on duty in the mornings, then five in the afternoon and evening until the three night staff come on duty at 8.00pm. This is quite early in the evening for a home of 42 residents, including 18 people who have dementia, to be cared for by three members of staff. However, people living in the home told us they could go to bed at what time they choose. Equality and diversity within the home can be seen in the way the staff treat the residents as individuals with different needs. The home strives to meet these needs as appropriate, and provide the necessary care to enable people to live their chosen lifestyle. However, some further staff training in this area would raise the staffs’ awareness of equality and diversity issues. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 20 Good policies and procedures are in place for the recruitment of staff, which ensures that people who live in the home are protected and cared for by the right people. Four staff files were seen and each contained evidence of an interview, two references and the necessary Criminal Records Bureau (CRB) checks having been obtained before the staff member started working in the home. Induction training is provided for all new staff. Observation during the inspection showed examples of staff treating people with respect and dignity and communicationg appropriately. Staff spoken with said the training provided for them over the past year had improved, and gave some examples. Staff also confirmed that they are supervised and have annual appraisals of their work. Staff gave some good examples of the ways in which they enable people to make choices in their lives. In reply to the question that asks what the home does well, one relative wrote, “The staff are very friendly. They are considerate to our feelings. You are actually made to feel welcome”. Another relative wrote, “The staff do their best in helping my mother in difficult times”. One person that lives in the home told us, “Everyone is very patient and that is an important thing living here”. Park Lane Residential Home DS0000040963.V362736.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 and 38 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The quality of the service provided to people that live in the home is improving so that there are better outcomes for people and the home is being run in their best interests. EVIDENCE: The manager is qualified and experienced, and observation and discussions with people in the home and visitors showed that she communicates well. The staff group spoken with described her as approachable and said they could talk to her about anything. Since the previous inspection a quality assurance system has been put into place to ensure the views of the people that live in the home are heard. A Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 22 questionnaire has been given to people who live in the home and their relatives, and the results of these have been collated and made available to people, with a copy displayed in the hall. Redecoration of the home is one of the areas where the management have taken action in response to comments made by people that live in the home. There is evidence that team meetings are taking place regularly and staff are being supervised. The manager receives good support from her line manager. Staff do not handle any of the personal allowances of the people that live in the home. If people require any money, they are given some from the home’s petty cash, then families are sent an invoice three monthly. Records and receipts are kept. The home employs a handyman who attends to maintenance issues such as checking fire equipment, water temperatures and other health and safety matters, providing a safe environment for staff and residents. Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 23 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 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 3 X 3 X 3 X X 3 Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 3 Refer to Standard OP7 OP18 OP19 Good Practice Recommendations Care plans and any reviews should be written with people who live in the home and/or their relatives so that their wishes and views regarding their care are clear. Staff should have update training in safeguarding and the protection of vulnerable adults. This is so people living in the home are protected as far as possible. The gardens/grounds of the home should be kept tidy and made attractive and accessible to people living in the home so that they have facilities in which to sit and enjoy the garden. Consideration should be given to the internal layout of the home so that people living in Chatsworth have easier access to their bedrooms and the garden. Training for staff in equality and diversity issues would further enhance their understanding of this topic. 4 5 OP19 OP30 Park Lane Residential Home DS0000040963.V362736.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston PR2 2YQ 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. 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