Inspection on 15/10/09 for Park Lodge

This inspection was carried out on 15th October 2009.

CQC found this care home to be providing an Poor 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 Lodge 23/09/08

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 17/02/2010.

Key inspection report CARE HOMES FOR OLDER PEOPLE Park Lodge 18 Ridgeway Broadstone Poole Dorset BH18 8EA Lead Inspector Martin Bayne Key Unannounced Inspection 15th October 2009 09:00 DS0000071521.V378162.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Park Lodge DS0000071521.V378162.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lodge Address 18 Ridgeway Broadstone Poole Dorset BH18 8EA 01202 694232 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) Mrs Vimla Heeroo Mr Kevin Arjoon Heeroo Manager post vacant Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Park Lodge DS0000071521.V378162.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service usersof either gender whose primary care needs on admission to the home are within the following category: 2. Old age, not falling within any other category - (Code OP) The maximum number of service users who can be accommodated is 17. 23rd September 2008 Date of last inspection Brief Description of the Service: Park Lodge has been a residential care home for many years. Mr and Mrs Heeroo became the Registered Providers in March 2008. Mrs Heeroo is also the Registered Manager. The home is registered with the Care Quality Commission to provide personal care (not nursing care) for to up to 17 people. Park Lodge is a large Victorian house, standing in mature grounds in the residential area of Broadstone, Poole. The home is located close to local shops, churches, doctor surgeries, the library and the Post Office. The main bus route into Poole passes the end of the road. The cost of placement at the home is between £465.00 - 475.00 and is dependent upon assessed need. Additional costs will be made for a range of items and these are detailed in the homes brochure and Service User Guide, available from the home. Park Lodge DS0000071521.V378162.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 0 star. This means the people who use this service experience poor quality outcomes. We, the Commission, carried out a key inspection of Park Lodge residential home between 10am and 4 pm. The inspection was carried out by one inspector, but throughout the report the term we is used, to show that the report is the view of the Care Quality Commission. The aim of the inspection was to evaluate the home against key the National Minimum Standards for older persons, and to follow up on three requirements and four recommendations that were made at the last key inspection of the home in September 2008. We were assisted throughout the day by the Registered Provider and Manager Mrs Heeroo, and the deputy manager. They provided us with records and evidence of how residents are supported cared for at the home. Throughout the inspection we used a sample of three residents personal files to track the records and paperwork that the home is required to maintain under the Care Homes Regulations 2001. We spoke with seven of the residents about their experience of living at the home. We also spoke with a relative who was visiting the home at the time of our visit and to another member of the staff team. We were shown around the building and had the opportunity of speaking to some of the residents within their own bedrooms. Additional information that helped form to the judgements contained within this report was obtained from the Annual Quality Assurance Assessment AQAA document completed by the home. What the service does well: Prospective residents are fully informed of the services provided at Park Lodge through the homes literature. They are invited to view the home before making a decision about whether they wish to move there. The home also carries out a detailed pre-admission assessment of prospective residents needs, to make sure that these can be met at the home. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.2 Page 6 Residents health needs are met through the homes assessment and care planning systems. Residents are treated with respect and dignity. There is a range of activities provided within the home and the occasional outing away from the home to meet residents’ recreational and social needs. Residents are able to receive visitors when they choose and there are no restrictions. Residents are provided with a good standard of food. The home is a well-publicized complaints procedure. Residents were confident that any complaint would be managed fairly. Staff have been trained in adult protection and the home has all relevant policies and procedures. Park Lodge provides a homely, comfortable and well maintained environment for residents. The home employs sufficient staffing to meet the needs of residents. Staff are recruited in line with best practice and legislation. Staff receive core mandatory training to ensure that they are competent. Generally we found that the home is well managed and run in the interests of the residents. What has improved since the last inspection? There has been an improvement in the reviewing and monitoring of care planning, making sure that the staff work consistently to meet agreed objectives with residents. The care staff are aware of how to report suspected abuse through training in adult protection. Staff now receive regular supervision. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.2 Page 7 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Park Lodge DS0000071521.V378162.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 Lodge DS0000071521.V378162.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from being fully informed of the services and facilities provided at Park Lodge and by having their needs assessed to make sure that these can be met at the home. EVIDENCE: Since the last key inspection in September 2008, two people have moved into the home; one of whom was still living at Park Lodge at the time of our inspection. We looked at how this persons admission had been arranged. We found records in place documenting the initial referral information, the visit that the person made to view the home and the pre-admission assessment of Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 10 their needs that Mrs Heeroo had carried out. We spoke with this resident, who told us that they had been fully informed of the services provided at Park Lodge and that they had visited the home for afternoon tea to meet the residents before having to make a decision about moving to the home. We saw that the pre-admission assessment of need that Mrs Heroo had carried out covered all of the topics that are detailed within the National Minimum Standards for older persons. At the last inspection the home was found to have an up-to-date Statement of Purpose and Service User Guide that were available to prospective residents and their relatives. The home does not provide an intermediate care service. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 People using the service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from their health care needs being met through the homes risk assessment and care planning systems. However, there must be improvement in medication administration with monitoring by the management to make sure that the homes policies and procedures are being carried out by the staff team. Poor medication administration can pose a serious risk to residents’ health. EVIDENCE: We looked at the personal files for the three residents we tracked through the inspection. At the last key inspection a requirement was made that the care plans should be effectively reviewed and updated each month or when necessary. We found that each persons personal file had their photograph on Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 12 the front so that new members of staff could easily identify each resident. The files contained a key information sheet, copies of the pre-admission assessment, other more detailed assessments, the care plan and daily recording notes. The care plans were typed, concise and had been signed and dated by both manager and the resident concerned. We saw that there was a process of a six monthly review with the resident when a formal updating of the care plan was made, but that each month there was a review by the residents key worker to make sure that the care plan was up to date. We also saw examples of where needs had changed in between these times and written information had been added to the care plan. Generally we found that the care plans reflected the needs of residents. We found one instance where the care plan had not yet been updated; however, a work allocation sheet that informs staff on a daily basis of required tasks was in place to meet this resident’s changing needs. We were therefore satisfied that the requirement had being met. We saw within care plans that potential risks were identified. Steps to minimize these risks were expanded upon in separate detailed risk assessments in another section of the residents file. We also saw that there were detailed risk assessments concerning peoples moving and handling needs and the risks of their developing skincare problems. We were told that where a resident’s BMI (body mass index) was outside of the normal range, the Malnutrition Universal Screening Tool (MUST) would be completed. We also saw that where any resident sustained an injury or bruising this was recorded on a body map. We saw within each persons file, details of their GP, dentist, optician and chiropodist. We saw that a record was kept of any visits made by health professionals. One of the residents we tracked through the inspection had deteriorating health problems and we saw that appropriate referrals were being made for GP visits and a request to have this residents medication reviewed. The residents we spoke with told us that the health needs were met at the home. All of the residents we spoke with had high regard for the staff. They told us that the staff were kind, courteous and were respectful of residents privacy and dignity. We looked at how medication was being managed within the home. We looked at the medication administration records for all of the residents. We found that on the day of our visit the person administering medication had made a number of errors. The records concerning one resident had been completed twice so that the records read that medication had been administered for the following day as well as the day of our inspection. Two residents records had not been signed that day; however, with the manager we looked at the unit dosage system for these two residents and found that their medication had been administered. We also found that earlier in the week, a calcium Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 13 supplement medicine for one resident was still within the unit dosage container but the record had been signed that this medication had been given. We also found a more serious error in the medication administration records that had occurred earlier in the week. A member of the night staff had recorded on one persons medication administration records that they had given the wrong medication to one person. On discussing this with Mrs Heeroo we found that the staff member had observed and checked on the resident through the night but had not telephoned a GP or contacted the manager for advice on what to do. Mrs Heeroo told us that she had had a meeting with this member of staff and asked her to submit a report on the incident but this member of staff had now handed in their notice. This incident should have been reported under Regulations 37 to the Commission and further comment is reported in the management section of this report. We found that the home has purchased a controlled drugs cabinet to meet new regulations, however, this had not yet been bolted to the wall, as we were told that the home was hoping to re-site medication cabinets to the room that is currently the laundry room, (the home has applied for planning permission to move the laundry outside of the home). At the time of our visit no resident had been prescribed a controlled medication but we recommend that the cabinet is bolted to the wall in the event that controlled drugs are prescribed. We also recommend that a controlled drugs register is bought for the recording of any controlled drugs that may be prescribed to residents. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 14 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from their social, religious and recreational needs being met; through being able to maintain contact with friends and family and from being provided with a good standard of food. EVIDENCE: Many of the residents of the home are still fairly independent. They told us that they were free to come and go as they wished, and to get up and go to bed when they chose. On the residents notice board we saw a list of some of the activities to be provided during the month. On the morning of our inspection a ladies painting group had been arranged that was well attended. The day of our inspection was also the start of Diwali celebrations and Mrs Heeroo had brought in a range of Indian sweets and exotic fruits for residents to sample, to mark the beginning of this festival. One of the residents told us Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 15 about other activities that were provided, such as a gentle exercise group, games, arts and crafts and visiting entertainers. Occasional trips out from the home are also arranged. Mrs Heeroo told us that during the summer a barbecue and tea party had been organized for residents and relatives and that later in the year a trip to a show in Bournemouth was being organized. She also told us that residents would be taken out to a Christmas Service, and that an event would be arranged for Halloween. The home has a mobile shop selling small items to residents on Fridays, which also provides stimulation for residents. The residents we spoke with much appreciated the activities that are arranged in the home. Residents told us that their visitors were made welcome and that there was no restriction on visiting times. During the inspection we saw that three different relatives were visiting the home. We spoke with one relative who told us how pleased they were with the way that the home was looking after them their mother. They told us that they were kept well informed and that they had peace of mind when they left the home. Residents spiritual needs are assessed when they are admitted to the home. We were told that each month there is a Holy Communion service carried out in the home by a local vicar. Another resident told us that they went out to attend a church service on Sundays each week. All of the residents we spoke with told us that the food was of a good standard, and that their likes and dislikes were known by the cook. We saw that the menu for that day was displayed on residents notice board with the choice of meals on offer that day. As mentioned earlier in the report, should there be any concerns concerning a residents dietary needs a nutritional assessment is carried out. We saw that one resident was having their dietary intake monitored through staff completing a food chart, on account of concerns regarding this residents loss of weight. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well-publicized complaints procedure and through the staff being trained in the protection of vulnerable adults. EVIDENCE: The homes complaints procedure is well publicized, being detailed within the Service User Guide and the terms and conditions of residence. Information about how to complain was also displayed on the residents’ notice board. Residents we spoke with told us that if they had complaints they would see the manager. They told us they had faith that any complaint would be managed fairly and looked into. Since the last key inspection there have been no formal complaints made to the management of the home and none had been brought to the attention of the Commission. At the last key inspection in September 2008 a requirement was made regarding the staff being trained in the protection of vulnerable adults. We saw at this inspection from looking at staff training records, that all staff had now been provided with this training. We also saw that information about Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 17 whistle blowing and reporting of abuse was displayed on the notice board within the home. The home has full policies and procedures relating to the protection of vulnerable adults. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a clean, homely and well maintained environment. EVIDENCE: Park Lodge provides a homely, comfortable and well maintained environment for the residents. On the day of our visit the home was very clean with an absence of any odours. We found that furniture and fittings were in a good state of repair. We were told that all the carpets within the communal areas were going to be replaced within the next two or three weeks and that there were plans to have all of the chairs in the living room replaced. During the inspection we were able to visit some of the residents within their bedrooms Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 19 and we saw that they were able to bring their own possessions to personalize their rooms. We saw that the home provides a range of disability equipment. Grab rails are sited around the home, a passenger lift is available to assist residents to access bedrooms on the first floor and a walk-in shower is also provided. One of the bathrooms has a swivel seat to assist residents in and out of the bath safely. We tested the water in one of the communal bathrooms and it was agreed that an engineer would be called to check the thermostatic mixer valve on the hot water outlet of this bath, as the water temperature felt a little hot. We saw that liquid soap and paper towels were provided in communal bathrooms to minimize the risk of cross infection. We recommend that foot operated, lidded bins are provided in all communal bathrooms. We were told that planning permission was being sought to move the laundry room into an outhouse behind the home. This would provide better laundry facilities than now provided. We saw, however, that the laundry area did provide hand washing facilities and the walls and floor surfaces were impermeable so that they could be cleaned easily. We saw that there were supplies of protective aprons and gloves for use by the staff. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from staff being deployed in sufficient numbers to meet their needs, through the staff being well-trained and recruited in line with the regulations. EVIDENCE: We were told that between 8 a.m. and 2 p.m. there were three care staff on duty and that from 2 p.m. until 8 p.m. there were two care staff on duty. In addition to the care staff, there is also a cook and a deputy manager, who works from 9 a.m. to 3 p.m. we were told that the Registered Manager works in the home most days. During the night-time period there is one member of staff on an awake night duty with another person who carries out a sleep in duty. We saw duty rosters that reflected this level of staffing and on the day of our visit the rostered staff were working at the home. Both the residents and the staff member we spoke with told us that the above level of staffing met the needs of the residents living at the home. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 21 We were told by the residents that since Mr and Mrs Heeroo had taken over the management of the home in March 2008, there had been quite a high turnover of staff but that now there was more stability in the staff team. We looked at the recruitment records for two members of staff had been employed to the staff team since the last key inspection in September 2008. We found that all the necessary recruitment checks as detailed within Schedule 2 of the Care Homes Regulations 2001 had been complied with. We would recommend however that the staff application form be changed. The current version requests a reference from the persons last place of work rather than the applicant’s last place of work when working with children or vulnerable adults of not less than three months duration, as required by the Regulations. We saw that new members of staff are provided with induction training that meets the common induction standards of Skills for Care. We also saw that staff are provided in core mandatory training and that there were systems in place to monitor staff development and refresher training. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 22 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 36 37 38 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally the home is well managed and run in the interests of residents, however, management must make sure that medication administration is improved and that incidents and events are reported to the Commission. EVIDENCE: At the last key inspection in September 2008 it was reported that Mrs Heeroo would be started an NVQ level 4 course in management. Mrs Heeroo told us that since that time she had enrolled with two training providers and paid fees Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 23 to undertake this training, however, both training agencies had gone into administration. She has now enrolled for a third time and will soon be starting her NVQ level 4. At the last key inspection a recommendation was made that the staff receive regular supervision from a line manager. From looking at the sample of staff recruitment files we saw that supervision sessions were now taking place to the timescales required. At this inspection we found that the home was generally being well managed and run in the interests of the residents. Management, however, must monitor how medication is being administered by the staff to make sure that the policies and procedures for the home are being followed. At the last key inspection a requirement was made that the Commission be notified of events and incidents occurring in the home as required under Regulation 37. At this inspection we found several instances, such as residents being admitted by ambulance to hospital and the error in medication administration reported upon earlier, that should have been reported. This was discussed with Mrs Heeroo who was not aware of the Commission’s guidance for the reporting of such incidents, believing that these incidents need not be reported. The requirement is therefore repeated. We stress the importance of meeting this requirement as failure to comply could lead to enforcement action. We were told that the home does not look after any monies on behalf of residents. We looked at the fire logbook and saw that the home had a fire risk assessment in place. We also saw that tests and inspections of the fire safety system were taking place to the required timescales. The returned AQAA provided information on servicing and testing of other equipment within the home. Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X X X X 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 3 1 3 Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 25 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. 1. Standard OP9 Regulation 12 (2) Requirement The medication administration records must accurately reflect medication that has been administered to residents. The registered person must ensure that the Commission is notified of all incidents and events that occur in the home as detailed in Regulation 37 and associated guidance. The requirement is repeated from the Sept 2008 inspection. Timescale for action 23/10/09 2. OP37 17(2) 23/10/09 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 26 1. OP9 We recommend that: • The management monitors the staffs compliance and adherence to the homes policies and procedures concerning medication administration. • The controlled drugs cabinet is bolted to the wall to meet storage of controlled drug legislation. • A controlled drugs register is purchased to record any controlled drugs administered to residents. We recommend that foot operated, lidded bins are provided in all communal bathrooms. We recommend that the staff application form be changed to seek information required within Schedule 2 of the Care Homes Regulations 2001. 2. 3. OP26 OP29 Park Lodge DS0000071521.V378162.R01.S.doc Version 5.3 Page 27 Care Quality Commission Care Quality Commission Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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