Inspection on 22/02/06 for Park Lodge

This inspection was carried out on 22nd February 2006.

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

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

Other inspections for this house

Park Lodge 20/06/07

Park Lodge 19/10/05

Park Lodge 09/02/05

Park Lodge 21/07/04

Park Lodge 25/02/04

Similar services:

Clover House

Parkside

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Griffin Lodge

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

CARE HOME ADULTS 18-65 Park Lodge 17 Stoney Street Burnley Lancashire BB11 3PT Lead Inspector 8Mrs Marie Dickinson Unannounced Inspection 22nd February 2006 03:00 Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 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 DS0000009533.V272422.R01.S.doc Version 5.0 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 Adults 18-65. 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 DS0000009533.V272422.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park Lodge Address 17 Stoney Street Burnley Lancashire BB11 3PT 01282 458051 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) Mr Joseph Serge Zephir Mrs Linda Joyce Zephir Mrs Sarah Casey Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The care home must at all times, employ a suitably qualified and experienced manager, who is registered with the Commission for Social Care Inspection. The home is registered to accommodate 2 adults with a learning disability. 19th October 2005 2. Date of last inspection Brief Description of the Service: Park Lodge Stoney Street is a small terraced property.it is near to Burnley town centre. It is owned by Mr and Mrs Zephir and managed by Sarah Casey the registered manager. Two service users live at the home. They have their own bedroom and share a bathroom, lounge/dining room and kitchen. The service users manage the home with the help of trained staff Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on 22nd February 2006. It is the second statutory inspection carried out this year. During the inspection, time was spent talking to the people who live at the home and one staff on duty. Information from discussions with the manager and written records was used for the inspection. This information included staff records, care records and policies and procedures relating to the entire scheme. The home was assessed against the National Minimum Standards for Younger Adults. Not all standards were assessed and this report should be read with the inspection report dated 19th October 2005 for the reader to have a complete overview of the home. What the service does well: The home is ideal for both service users as it provides a comfortable small easy to manage living environment. The type of care planning used was very good which benefited them both. They lived their lives to the full and enjoyed various activities personal to them. They both had the opportunity to make decisions about their lives. Although staff helped them, they had control over the management of their care and their home. Relatives were kept informed of progress service users made and were invited to take part in care reviews if service users wished. Relatives were made very welcome. They were also invited to social events at the home. Comments made in quality audits by relatives praised staff for their professionalism in care. Service users enjoyed their lives such as going to work, college, also going out socially and going on holidays. They chose where they went. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 6 The high standard of residents care plan enabled them to receive the correct support from medical professionals. Care staff had clear guidance in what each person needed. Service users benefited from having their own policies and procedures. They also had information on their rights. They received guidance in how to keep safe and had their own house rules to follow. Service users took part in recruiting staff. They had enough staff support to assist them daily. Staff were supervised in their work. Service users said the carers treated them well. They felt ‘safe.’ Relatives comments included ‘everyone is friendly’, ‘the care is excellent ‘.Staff were trained in caring for people with a learning disability, and given other training as part of their professional development. This included important topics such as abuse of vulnerable adults, health and safety and principles of care and care planning. Service users in the Park Houses scheme training staff was excellent and benefited everyone by helping staff to understand the important principle of ‘staff are not in charge, we are working together.’ The home was very well managed and run in the interests of the service users. Both service users liked the manager and felt they could have their say in how the home was managed. What they said was considered important. The home was very nicely decorated and furnished to how both service users wanted. Furniture provided for them was of a good quality. They were both consulted about any changes being made in staffing and in any improvement work carried out in the home. Their home was kept very clean. Guidance was given to the service users on how to keep safe within the home. They were given procedures to follow to help them achieve this. The health, safety and welfare of service users was considered by staff carrying out regular safety checks around the home. What has improved since the last inspection? What they could do better: Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 7 There were no identified areas that could be improved on. The home meets all standards assessed in this and the previous inspection and were commended in some. 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 DS0000009533.V272422.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed. EVIDENCE: The service users in the home are permanent. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Service users benefited from good assessments that looked at all their needs. Being involved in writing their own care plans meant they could have personal aims that staff knew about and helped them achieve safely. Service users had their own policies and procedures. They attended staff and management meetings, and made decisions about the running of their home. EVIDENCE: Both service users said staff knew how to help them. This was recorded in their plan of care. Service users said there were no restrictions on what they could do. Staff discussed any problems they may come across, and explained how to manage situations. Service users benefited from being involved in writing their own care plans. A member of staff referred to as a key worker helped them with special activities. This included keeping their home nice, keeping appointments and being involved with their family. This type of help was extra to staff helping Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 11 everyone each day. Both service users liked their carers. They discussed things with them. Carers took them on holidays and grocery shopping. Both service users looked after their own money with the help of staff. This was recorded in their files. They said ‘they were ‘saving up for their holidays’. They put money away every week. They enjoyed shopping. Care plans were reviewed regularly. Service users said they sometimes discussed changes needed in meeting needs or achieving goals. They decided on goals to achieve. This was recorded and easy to follow. Who would help them was also recorded and showed who would do what to reach the desired outcome. The service user said that they were involved in staff and management meetings. They had weekly house meetings. They also had their own policies and procedures and ‘house rules’ they both agreed. Both service users benefited from living a fairly independent life. To help them information was recorded to keep them safe. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Both service users living in the home were given opportunities to live a fulfilling lifestyle at the home and in the community. This included social activities and learning new skills for personal development. They were helped to keep in touch with their families and friends. Relatives and friends who visited were made welcome Service users were helped to plan and prepare a nutritious and varied diet that suited them. . EVIDENCE: Service users said they knew what they would be doing every day. Weekly planners were used to show what they both did. For example, when they cooked a meal, cleaned their bedroom and where they both went. Staff helped them where needed. The planner they used was easy to follow. Service users were given opportunities for personal development. Both service users looked after their home. They had a routine they both agreed. During inspection one service user was doing her washing and they both discussed their job sharing. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 13 Activities were special to each person, although they said they enjoyed doing things together, such as social outings. One service user went to work part time. She said she was busy at work and was able to be more involved with the people such as serving meals. During inspection the service users discussed the holiday they were planning. They were going to Bulgaria. Everyone had chosen the holiday. It was to a place they had never been. They also had outings, holidays and went to concerts. These were thoroughly enjoyed. They both went shopping. Service users said they had visitors who they made welcome. They said they had held a party at the home for their friends. The visiting policy enabled both service users to have visitors at any time. They were able to invite their relatives to social events in the scheme organised by staff. Both service users discussed their families. They had frequent contact with them and went to stay with them on occasions. Both service users said they filled in a questionnaire about the way staff treat them and about their home. They said staff treated them well. The service users said the food was good. They both agreed on menus and took turns to cook. One service user said they had recently changed their menu. When they shopped, menus helped them know what to buy, although sometimes they felt like something different and this was ‘ok’. . Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 Service users healthcare was monitored. Medication was managed correctly. EVIDENCE: Both service users said they kept all medical appointments such as going to the dentist. Staff went with them sometimes. They both said they would talk to staff if they had any concerns that worried them. Medication was managed properly. Records were up to date and staff had training. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Service users felt their interests were protected. They were confident in the manager and staff to deal with complaints properly. By alerting service users of what abuse can include, they were able to speak up if they were in a difficult situation. Good practice in employment, safe guarded resident’s financial interests. EVIDENCE: Both service users in the home were aware they had the right to make a complaint should the need occur. They commented they had ‘no complaints’ and knew who to speak to if they were unhappy about their care’. They both said they usually talked to their carers about matters. The complaints procedure was written and illustrated in a way to show service users their complaints would be taken seriously. Service users were given written and illustrated information to help protect themselves from abuse. Staff followed guidance from policies and procedures. They had also signed a declaration as a condition of their employment that prevented them benefiting any financial gain from residents. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30 The service users home was very comfortable. Furniture and fittings were homely and a good quality. Both service users liked their home and kept it very clean and organised. They had their own bedrooms that were private and furnished and decorated to their liking. EVIDENCE: Park Lodge Stoney Street is a small two bed roomed terraced property near to Burnley town centre. Accommodation includes a comfortable lounge, bathroom, kitchen and small back yard. Bedrooms are single and decorated and furnished to the service users choice. The home was decorated to a very good standard and furnishings and fittings were ‘homelike’ in style and a good quality. Service users were consulted about home improvements such as decorating. They chose colour schemes they liked. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 17 Both service users described their home as ‘nice’ and ‘I like it here, it’s my home’. The home was very well maintained and they kept it very clean. The service users said they had a new tumble dryer. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 The level of staffing was right for the service users. Good staff recruitment procedures were followed. Service users had confidence in the staff working at the home. They benefited from staff they helped to recruit and liked. Training provided and attended by staff was good which helped them to develop proper skills in caring. Service users were involved in staff training. Staff received regular supervision. EVIDENCE: Staff worked in the home only when service users need support. The number of staff present in the home at any time was linked to their needs, and meant to be the least intrusive. Both service users said they were happy with the staff in the home. They confirmed they had opportunities to be part of the interview panel when people came for interview, although no new staff had started work for a long time. Staff files for staff currently working in the scheme showed recruitment checks to be complete. Satisfactory references and Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) register check had been applied for, prior to employment. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 19 Staff had a job description to work to that outlined their responsibilities of care duties. They were also given a contract of employment. All staff had attended basic training. The percentage of staff having completed a national vocational qualification in care level 2 and above was 50 . The staff member on duty said she enjoyed training. The manager was supportive and she received supervision regularly. Service users in the scheme helped to train staff. This was excellent. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 Service users, relatives and staff were happy with the way the home was managed. The running of the home was well organised, and everyone had an opportunity to say what they wanted to improve services. Guidance and support was given to staff, which helped towards service users quality of life experience in the home being good. The health, safety and welfare of service users were considered daily with good practice in keeping safe. EVIDENCE: The home is owned by Mr and Mrs Zephir and managed by Sarah Casey the registered manager. The manager holds the right qualifications for this position. The owners carry out monthly-unannounced visits to the home and send a copy of the record they make to the Commission. Service users and staff had confidence in her management skills. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 21 Service users had regular house meetings and could also speak to Mr and Mrs Zephir any time they wanted. A representative from the service users in the scheme attended staff and management meetings to put forward their ideas and views of how the home was run. These ideas are discussed to see how they can work to the benefit of everyone. The member of staff on duty said she had the opportunity to discuss work issues on a day-to-day basis with the manager and also in supervision. Service users take part in staff supervision. What they say is considered very important to help staff to work as professionals. This was recorded in easy to use picture illustrated forms, designed for everyone to understand. Staff worked to a code of conduct and practice they received. Confidential records were locked away. Both service users had the benefit of up to date relevant policies and procedure. These included their ‘house rules’, which they discussed and could change if needed. Service users views were listened to. Anonymous questionnaires were used. The views of service users and relatives from these regarding the care and facilities are published and made available for people to look at. Comments received at the Commission included ‘the home is the best choice for my daughter’, and ‘very homely’. Another comment read ‘a very good team’. Other professional people describe the team at Park Houses as ‘professional and caring’, and ‘the service promotes independence’. The health, safety and welfare of both service users were considered. They were involved in keeping safe. This included knowing what to do when someone called at the house, regular fire drills and who to contact in an emergency. They could contact the manager on the telephone that was linked to the office. Records showed the manager and staff did regular safety checks around the home. Training in health and safety is also provided for staff to help them at work. All senior carers were qualified in first aid. Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 4 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 4 4 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 4 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park Lodge Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 4 4 4 X X 3 X DS0000009533.V272422.R01.S.doc Version 5.0 Page 23 x Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 24 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. Refer to Standard Good Practice Recommendations Park Lodge DS0000009533.V272422.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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. 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