Inspection on 10/05/06 for Park Lodge

This inspection was carried out on 10th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Park Lodge 10/08/07

Park Lodge 09/02/06

Park Lodge 04/08/05

Park Lodge 28/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Park Lodge 42 Monks Park Wembley Middlesex HA9 6JE Lead Inspector Andreas Schwarz Key Unannounced Inspection 10th May 2006 09:30 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 Lodge DS0000017472.V291995.R01.S.doc Version 5.1 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 Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park Lodge Address 42 Monks Park Wembley Middlesex HA9 6JE 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) 020 8903 5370 Ms Avadne Kelly Ms Avadne Kelly Care Home 4 Category(ies) of Old age, not falling within any other category registration, with number (4) of places Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 Brief Description of the Service: Park Lodge is a residential care home registered for three service users. It is situated in a quiet street close to a park and about five minutes walk from shops. The Inspector was advised, that the proprietor/care manager lives on the premises and is fully involved in the care of service users. There are four members of staff employed. The ground floor consists of a service users bedroom, a lounge/diner, a kitchen, laundry and toilet. The first floor accommodation consists of two service users bedrooms and a bathroom and separate toilet. The lounge/diner opens on to a concreted patio area and garden. There is also a large garden to the front of the building. The house had undergone a major refurbishment and there are now two bedrooms on the ground floor and a new kitchen put in along with an additional shower room and toilet and utility room. The living room has also been extended at the back. The refurbishment is now completed. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place during a day in May 2006 and lasted for the whole day. The inspector spoke to all residents, two members of staff and the registered manager. The inspector was assisted by Winsome Chambers (Senior Support Worker) during this key inspection. Prior to this inspection the inspector has received a number of comment cards from Health Care Professionals, which were all very positive. The inspector viewed three care plans and other documents related to the care and the support provided to residents. The inspector would like to thank residents, staff and registered manager for being welcoming and helpful during this inspection. Current fees and charges can be obtained from the registered manager. What the service does well: What has improved since the last inspection? What they could do better: There is a need for the home to meet requirements made during the previous inspection to the home. Service users care plan files must be updated to meet Schedule 3 of Care Homes Regulation 2001. All staff must attend Protection of Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 6 Vulnerable Adults training. Some work is required in the up stairs and down stairs bathroom. 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. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 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 Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3; 6 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are involved in the assessment process and are admitted providing needs can be met by the home. EVIDENCE: The inspector viewed service users files during this inspection and sampled the assessment made for the service user most recently admitted to the home. The registered manager and senior support worker did the assessment. The assessment records are detailed and of good standard, and service users are involved within the process. The registered manager informed the inspector that the home has difficulties accessing records relating to the most recent admission and has contacted Brent Older People Services and informed care management, but no response was received. The inspector recommends writing to the social worker and request to view records held on behalf of the resident. Service users have a trial period prior to committing to moving in. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 9 The home does not provide intermediate care and standard 6 was therefore not assessed. The inspector has required applying for a variation of the homes registration, which has been complied with and the Commission for Social Care Inspection is currently dealing with this application Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7; 8; 9; 10 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All residents have a detailed care plan; care plans are reviewed with the service users participation. Residents are appropriately supported from errors, which may occur in the administration of medication. Residents are treated with respect and have the right to choose if they would like to have company or want to be on their own. EVIDENCE: The inspector viewed three care plans during this inspection, care plans are judged detailed and are reviewed on a monthly basis, this however was outstanding for April 2006 and it is required to continue regular review of care plans. Service users are involved in the care planning process and reviews have been signed or it is documented that service users have refused to sign the care plan and review. There was no evidence of annual care plan reviews with the participation of social services, families and service users representatives; this is required. All residents have a key worker allocated. The inspector viewed a number of risk assessments, which were reviewed and are Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 11 judged of good standard. The inspector noted however that there are no risk assessments in place for the resident most recently admitted to the home, which is required. The community nurse was visiting one resident during this inspection, the inspector received very positive feed back and was informed that the home is providing good health care for the residents. Service users informed the inspector that staff is assisting them with oral and personal care. The home has currently nobody at the home with pressure sores. Staff informed the inspector that residents go out for walks, which was recorded in daily records. Residents are registered with a local GP, who will visit the home if required. The dentist and optician see residents regularly. This was not so for the service user most recently admitted, which is required. The registered manager informed the inspector of difficulties regarding chiropody and recommended asking the community nurse for support in this area. The inspector viewed the homes medication policy, which is compliant with National Minimum Standards. Medication records for each service user are in place and are of good standard. The pharmacist is pre-packing medication in NOMAD boxes and staff administers medication. Staff has received training in medication administration. Medication is stored in a lockable cupboard fixed to the wall. Medications received and returned are clearly recorded and service users allergies are recorded on the MAR sheet. The bathrooms in the home are lockable and the inspector observed staff knocking before entering service users rooms, Residents informed the inspector that they can call friends and families with the portable phone provided by the home, mail is given to residents unopened and staff treat residents with respect. The inspector observed the community nurse visiting service users in the privacy of their room. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12; 13; 14; 15 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can make choices of what they want to do and their cultural background is met, there is however a need to provide more structured activities. The home is providing a range of healthy, wholesome meals to residents taking their likes and dislikes into consideration. Residents can socialise with whomever they choose to. EVIDENCE: Residents can choose if they want to eat with everybody else in the dinning room or prefer eating in their room. The home records service users activities in daily records. Recent service users feedback forms noted that the home does not provide enough activities, which must be explored and a range of suitable activities must be recommended to the residents to choose from. Residents were observed dancing, watching TV and relaxing during this visit, but no structured activities have been offered during this visit. The home has a visitors policy, which gives residents the right to welcome visitors to their home, the only restriction is that the home asks visitors contacting the home prior to visiting at busy periods such as early in the Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 13 morning or at lunchtime. Staff informed the inspector that the home respects resident’s decisions not wanting to meet visitors, this was confirmed by one resident the inspector has spoken to. The home supports residents to attend luncheon clubs, local barbers or the local church if they wish. Residents go to walks and one resident used to go to the Age Concern Club but decided that he does not wish to go there anymore. The home is managing finances for one service users; records assessed by the inspector were of good standard and have been updated as required during the previous inspection. The inspector viewed receipts of monies received for the service users, but no clear records were available and bankbooks were with the bank for up dating. The registered manager forwarded copies of the bank statement to the inspector, and service users as well as registered manager finances were in one account, which was in the registered managers name. It was however evident that monies spend on behalf of the service user was appropriate and correct. The inspector advises the registered manager, that she must set up a separate account for this resident to minimise confusion. All but one resident have regular family input and contact. Service users records are safely stored in the homes office and a record keeping policy is in place safeguarding service users documents. The inspector viewed three service users rooms during this inspection and it was evident that residents brought their own possessions when moving in. The home is providing a varied diet and service users preferences are recorded. All service users confirmed that they like the food and are happy with what the home is providing. The menu consists of a West Indian/African diet and British menu. Fruit and drinks have been available during this inspection. The community nurse confirmed that service users dietary requirements are met by the home and Diabetes is well controlled. The home is recording service users menu choices. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16; 18 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are supported appropriately to raise their dissatisfaction or complain about any issue important to them. Residents are protected and safeguarded from abuse, harm and neglect, there is however more work required in regards to training, guidelines and policies. EVIDENCE: The homes complaints policy is compliant with National Minimum Standards and is available in the service users guide, which is given to all new and prospective service users. The senior support worker informed the inspector that the home did not receive complaints since the last inspection. The home has a designated complaints folder in place as recommended during a previous inspection to the home. The homes Protection of Vulnerable Adults policy has not been reviewed as required previously. The registered manager has made contact with Brent Protection of Vulnerable Adults co-ordinator to establish if training is offered to staff, but with no success. The manager however has registered all staff for training on June with the Skills Council. Local Protection of Vulnerable Adults guidelines have been obtained as previously required. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19; 26 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a nicely decorated, homely and personalised home and feel relaxed and comfortable about their environment. The home is clean and free of any offensive odours. EVIDENCE: The registered manager showed the inspector around the home. The home has recently been decorated and a new extension, new kitchen, new flooring and the walls have been painted throughout the home. Service users were observed to be very relaxed in the home and confirmed to be happy with their room and the overall appearance of the home. The home has a number of pictures of previous and current service users displayed and ornaments and pictures are displayed throughout the home. The inspector noted that the grouting in the upstairs and downstairs bathroom was missing and the registered manager is required to re-grout the tiles. The sealant in the bathroom is damaged and the bathroom must be resealed. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 16 Soiled clothes can be laundered above 65° Celsius, which is meeting Infection Control Guidance. The home has a washing machine and dryer in the laundry room. The home has an Infection control policy in place and hazardous substances are locked away for safety. The home was clean and free of any offensive odours during this unannounced key inspection. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27; 28; 29; 30 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported by a sufficient number of staff, the majority of staff is appropriately qualified and training to meet residents’ needs is provided by the home. The home ensures that only staff which is suitable to work with vulnerable people is employed, however more work is required in this area to fully comply with National Minimum Standards. EVIDENCE: The inspector viewed the homes rota, the registered manager is fully involved within the care of the residents and is available during nights in case there is an emergency. The home has two members on staff on duty during the am and pm shift and one waking night staff during the night. All staff employed by the home is over 21 years of age. The home does not employ domestic staff and staff on duty undertakes cleaning. The inspector sampled three staffing records during this inspection; two staff has their National Vocational Qualification in Care Level 2 and currently work towards their National Vocational Qualification in Care Level 3. One member of staff is currently working towards their National Vocational Qualification in Care Level 2 and one member of staff is in the process of starting her National Vocational Qualification in Care Level 2. This means that the home has over 50 of staff qualified and is meeting National Minimum Standards. The home is not using any agency staff. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 18 The home has a recruitment policy in place, which is compliant with National Minimum Standards. The inspector viewed three staffing files during this inspection and noted that some required checks were missing in one of the files; this was discussed with the registered manager. The home is required to obtain all necessary recruitment checks and forward copies of these to the inspector. The registered manager must forward an action plan explaining how staff is supervised until they have a valid Criminal Records Bureau check. All staff has a training and development plan in place and certificates of attended training is kept in personal files. Staff has attended a variety of training such as fire training, medication, etc. But not all staff have received the same level of training, the inspector found particularly a lack in mandatory training such as First Aid, Protection of Vulnerable Adults, Manual Handling, Health and Safety, etc. The home must ensure that all staff has received mandatory training to meet service users needs. The home is currently in the process of applying for a variation of registration to Dementia category. Staff however have not received any appropriate and in depth training around Dementia Care, age related issues, etc. which is required. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31; 33; 34; 35; 38 Overall quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. An experienced manager manages the home, but formal qualifications are required to achieve full compliance. There was no clearly documented and recorded evidence if the home is run in the best interest of residents. Residents’ finances are protected and handled safely. Residents live in a safe and well-maintained home and are protected through appropriate procedures. EVIDENCE: The registered manager/provider Mrs Kelly has over thirty years experience caring for people. Mrs Kelly however has no formal management and care qualifications, which is required. Mrs Kelly demonstrated knowledge in caring and staff spoke very positive about the support they have received from Mrs Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 20 Kelly and referred to the registered manager as a very good role model and teacher. The home has started to do service users surveys and the registered manager informed the inspector that she has sent out surveys to families and outside professionals, but none of the surveys have been returned. Residents started having meetings, which must continue and records must be provided. The home does have no development plan, which is required. The inspector was unable to assess financial procedures during this unannounced inspection. The registered manager informed the inspector that she does not want to disclose here earnings to the Commission for Social Care Inspection. The home however must produce clear evidence if the home is financial viable, the registered manager is therefore required to produce an annual business plan and financial plan. The inspector viewed the homes public liability insurance and adequate insurance cover is provided. The manager is not acting as an appointee for any service users living at the home. The family, who are responsible for purchasing toiletteries, clothes, etc, manages finances of two residents. Brent Older People Services is appointee for one resident living at the home and the registered manager is recording expenditure clearly. The inspector was however not fully clear were the home is keeping monies received on behalf of this service user and records were at the bank for updating. The registered manager however forwarded a copy of the bank statement as requested by the inspector, which showed that the money is deposited in the registered managers personal savings account. The registered manager informed the inspector that she tried opening an account in the name of the resident, but was not able to do so due to the lack of documents for identification. The inspector requires setting up a bank account in the name of the service user to minimise confusion, see requirement 6 in this report. The inspector viewed the following certificates during this inspection Portable Appliances Test Certificate (Expires 15/12/06), Electrical Installation (Expires 14/07/08), Landlord Gas Safety Certificate (Expired 03/03/06). The fire equipment has been serviced on the 08/05/06;the home is testing smoke alarms weekly and is doing monthly fire evacuations, which are clearly recorded. There is however a need for having an up to date fire frisk assessment and regular fire alarm tests and servicing. The home has a Health and Safety policy in place; staff however did not receive any training as pointed out earlier. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 21 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 2 2 X X 2 Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? YES 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. 1. Standard OP7 Regulation 15(2)(c) Requirement All residents must have an annual review involving social workers, families and clinicians. (Previous Timescale of the 31/03/06 not met) All service users including residents newly admitted must have risk assessments in place. Service users weight must be monitored and recorded. All residents must have regular dentist and optician appointments. The home must provide a range of structured and appropriate activities to service users. The home must open a bank account designated only to one person. All staff must receive POVA training. (Previous Timescales of 31/05/05 & 30/09/05 & 31/03/06 has expired) Timescale for action 01/07/06 2. 3. 4. 5. 6. 7. OP7 OP8 OP8 OP12 OP14 OP18 13(4) 12(1)(a) 13(1)(b) 16(2)(m) 20(1)(a) (b) 13(6) 01/07/06 15/06/06 01/07/06 01/07/06 15/06/06 30/06/06 8. OP18 13(6) The home must review the abuse 30/06/06 policy. (Previous Timescale of DS0000017472.V291995.R01.S.doc Version 5.1 Page 23 Park Lodge 15/09/05 & 31/03/06 has expired) 9. 10. 11. OP19 OP19 OP29 23(2)(d) 23(2)(d) 19(5)(d) i Schedule2 19 Tiling in the bathrooms must be re-grouted. The sealant in the upstairs bathroom must be replaced. The home must provide all necessary recruitment checks. (Previous Timescale of 31/03/06 has expired) The registered manager must forward an action plan explaining how staff without Criminal Records Bureau checks is supervised. All staff must receive mandatory training such as Manual Handling, First Aid, Food Hygiene, Health and Safety, Protection of Vulnerable Adults, etc. Staff must receive Dementia Training. The registered manager must obtain appropriate qualifications in Care and Management. The quality assurance system must be put into effect and residents, carers and outside professionals views must be captured. (Previous Timescale of 31/07/05 & 30/09/05 & 31/03/06 has expired) 01/07/06 15/06/06 15/06/06 12. OP29 15/06/06 13. OP30 19(5)(b) 01/07/06 14. 15. 16. OP30 OP31 OP33 18(1)(c) i 9(2)(b)(i) 24 01/07/06 01/06/06 31/07/06 17. OP33 24(1) 18. OP34 25 The home must provide an 01/07/06 annual development plan and a copy of this plan must be send to the Commission for Social Care Inspection once completed. (Previous Timescale of 31/03/06 has expired) The registered person must 01/07/06 provide a financial and business plan for the home. (Previous Timescale of 31/07/05 & 30/09/05 & DS0000017472.V291995.R01.S.doc Version 5.1 Page 24 Park Lodge 31/03/06 has expired) 19. 20. OP35 OP38 20 13(4)(b) Copies of service users bank statements must be forwarded to the inspector The home must obtain a Landlord Gas Safety Certificate and forward a copy to the Commission for Social Care Inspection. The home must have an up to date fire risk assessment. The fire alarm must be serviced in regular intervals and a copy of the service certificate must be send to the inspector. The home must test the fire alarm and record the outcome weekly 31/05/06 15/06/06 21. 22. OP38 OP38 23(4) 23(4) 15/06/06 15/06/06 23. OP38 23(4) 15/06/06 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 OP8 Good Practice Recommendations The home should consider writing to social services to obtain service users information. The home should ask the community nurse for help around chiropodist appointments. Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH National Enquiry Line: 0845 015 0120 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 Park Lodge DS0000017472.V291995.R01.S.doc Version 5.1 Page 26 - 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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