Inspection on 19/02/06 for Park Lodge

This inspection was carried out on 19th February 2006.

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

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

Other inspections for this house

Park Lodge 25/05/06

Park Lodge 14/11/05

Park Lodge 13/09/04

Park Lodge 07/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Park Lodge Outgang Road Aspatria Cumbria CA7 3HD Lead Inspector Mrs Margaret Drury Unannounced Inspection 19th February 2006 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 Lodge DS0000036623.V283678.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 DS0000036623.V283678.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park Lodge Address Outgang Road Aspatria Cumbria CA7 3HD 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) 016973 20636 016973 20636 www.cumbriacare.org.uk Cumbria Care Mr Geoffrey Tyers Care Home 16 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (14) of places Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. A maximum of sixteen older people (OP), including 2 people with dementia (DE(E) may be accommodated. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Two service users may share a bedroom of at least 16 sqm usable floor space only if they have made a positive choice to do so, and when a shared space becomes vacant the remaining service user must have an opportunity to choose not to share, by moving to a different room if necessary. 5. Date of last inspection Brief Description of the Service: Park Lodge is registered with the Commission for Social Care Inspection to provide accommodation and care for up to sixteen older people, two of whom may have dementia. The home is run by Cumbria Care, an internal business unit of Cumbria County Council, with Mr Geoffrey Tyers the registered manager responsible for the day-to-day running of the home. Park Lodge is situated close to the centre of Aspatria and is near to all of the local amenities. Accommodation for residents is provided in the form of twelve bedrooms for single occupancy and one double room which two people can choose to share. The accommodation is arranged over two floors and there is a passenger lift to assist residents to access the accommodation on the first floor of the home. Two bedrooms have en-suite toilet and bathing facilities and there are appropriate bathrooms and toilets close to all the accommodation used by residents. The home has a range of equipment to assist people to maintain their independence including a call bell system, assisted baths and handrails. There are pleasant garden areas to the front and rear of the home with seating areas for residents. Park Lodge provides permanent accommodation and short-term respite care. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and took place over one Sunday morning. It was the second inspection of the yearly cycle and those standards not assessed on this occasion were inspected and met during the previous inspection that took place on the 14th May 2005. During the visit the inspector spent time with the supervisor on duty and talking to the residents, visitors and staff. Documentation to do with the running of the home and care of the residents was discussed and some parts of the home were inspected. What the service does well: What has improved since the last inspection? There have been no major changes since the last inspection although one of the lounges has been decorated and new curtains are awaited. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 6 What they could do better: 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 DS0000036623.V283678.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 DS0000036623.V283678.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): 1, 2 & 5 The home’s statement of purpose and resident guide provide prospective residents and/or their families with sufficient information to enable them to make an informed choice about moving into the home. EVIDENCE: The home’s statement of purpose and other information outlining the facilities on offer at the home is made available to all prospective residents and their families. There are also copies on display in the hall. All residents are given a contract and terms and conditions. The home has a full admission procedure, which means all residents have a full assessment prior to admission to ensure all the needs can be met and the correct level of care delivered. Family members and/or friends are invited to the home to meet the staff and look around before any resident is admitted. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 9 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): 9 & 11 The healthcare needs of the residents are understood and well met. Medication records are well maintained to ensure the protection of the residents. EVIDENCE: The home has a full medication policy and procedure provided by Head Office and responsible staff have received adequate training. Extra staff hours have been allocated to provide the availability of a second member to act as a “checker” for the dispensing of medication. The home has a comprehensive policy outlining the procedure to follow on the death of a resident and the wishes, wherever possible, are noted on the care plans. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 10 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): All of these standards were assessed and met at the previous inspection. EVIDENCE: Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 11 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 & 17 A clear complaints procedure is in place allowing residents and/or their families to raise concerns at any time. EVIDENCE: The home has an up to date complaints procedure and residents and visitors were happy they would be listened to when raising an issue with the manager or staff. There is a copy of the procedure on display in the hall. All those currently living in Park Lodge have a family member or friend that is able to assist with personal and/or financial matters. The supervisor on duty was aware of the use of advocates should this ever be required. Any resident who wishes to vote in any of the elections do so via the postal voting system. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 12 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): 20, 23, 24 & 25 The environment is homely and meets the residents’ needs. EVIDENCE: Park lodge has the advantage of having two lounges as well as a dining room and a small sitting area on the first floor. All the communal areas are bright and airy, one of the lounges being recently decorated by members of the senior team. There are twelve single and one double room that is currently occupied by a married couple with the room next door used as a lounge. Some of the rooms are a little small but all are suitable for their stated purpose. It was noted by the inspector that the home no longer employs separate cleaning/domestic staff and that two hours a day Monday to Friday have been delegated to care staff for this purpose. Although the home is only registered to care for up to fourteen residents the inspector felt that designated cleaning hours should again be available. This would ensure that all areas of the home could be thoroughly cleaned at least once a week. A recommendation was made in respect of this. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 13 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): 28 & 29 Staff are well trained to ensure they have the competencies to meet residents’ needs. The recruitment policies are robust providing safeguard and protection. EVIDENCE: Cumbria Care has a full recruitment and selection policy with all the necessary checks being completed prior to the start of employment. Staff training is up to date with over 50 of staff already qualified to NVQ level 2. All members of staff have a personal development file that evidences all the completed training. This includes, moving and handling, adult protection, safe handling of medication and infection control. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 14 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, 36 7 37 The home is well managed and run in the best interest of the residents. EVIDENCE: Although the manager was not on duty on the day of the inspection it was evident that the staff were appreciative of his help and support. Discussions with the supervisor and visiting families evidenced that the home is run in the best interests of the residents. Residents and family members who spoke with the inspector were complementary of the attitude of the staff and the care given to those living in the home. Management supervision motivates the staff to undertake training, which assists in the improvement of their skills and knowledge. The financial procedures that are in place are suitable and safeguard the residents, whilst the viability of the home, is in the hands of the organisation’s head office. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 15 The home has a full set of policies and procedures provided by the organisation. These are updated on a regular basis. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 16 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 3 3 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x X 3 X X 3 3 3 x STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 3 X 3 3 x Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP26 Good Practice Recommendations It is recommended that designated cleaning hours be made available to cleaning/domestic staff. Park Lodge DS0000036623.V283678.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 DS0000036623.V283678.R01.S.doc Version 5.1 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!