Inspection on 24/02/06 for Park Lodge

This inspection was carried out on 24th 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 28/06/07

Park Lodge 19/10/05

Park Lodge 10/02/05

Park Lodge 21/07/04

Park Lodge 25/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Park Lodge 2 Riley Street Burnley Lancashire BB11 3PZ Lead Inspector Mrs Marie Dickinson Unannounced Inspection 24th February 2006 03:00 Park Lodge DS0000009610.V273105.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 DS0000009610.V273105.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 DS0000009610.V273105.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park Lodge Address 2 Riley Street Burnley Lancashire BB11 3PZ 01282 831288 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 3 Category(ies) of Learning disability (3) registration, with number of places Park Lodge DS0000009610.V273105.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 3 adults with a learning disability. 19th October 2005 2. Date of last inspection Brief Description of the Service: Park House Riley 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. Three service users live at the home. They have their own bedroom and share a bathroom, lounge/dining room, kitchen and laundry. The service users manage the home with the help of trained staff. Park Lodge DS0000009610.V273105.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 two 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 the service users as it provides a comfortable small easy to manage living environment. The type of care planning used was very good which benefited service users. They lived their lives to the full and enjoyed various activities personal to them. They 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 ‘made welcome to the home by service users. They were invited to take part in care reviews if service users wished. Comments from relatives showed they were made very welcome and kept in touch with what was going on. They were also invited to social events at the home. Service users enjoyed their lives such as going out socially, shopping and going on holidays. They chose where they went. 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. Sufficient staff were employed who were supervised in their work. Service users said the carers treated them well. Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 6 They felt ‘safe.’ Staff were trained in caring for people with a learning disability, and given other training as part of their professional development. This included important subjects such as abuse of vulnerable adults, health and safety and principles of care and care planning. Service users also helped to train staff. The training was very good and service users showed new carers what they expected from them. The home was very nicely decorated and furnished to how service users wanted. Furniture provided for them was of a good quality. They were consulted about any changes being made in staffing and in any work carried out in the home. What has improved since the last inspection? 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 DS0000009610.V273105.R01.S.doc Version 5.0 Page 7 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 DS0000009610.V273105.R01.S.doc Version 5.0 Page 8 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 DS0000009610.V273105.R01.S.doc Version 5.0 Page 9 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): 6,7,8,9,10 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: Two service users discussed how staff helped them. They said there were no restrictions on what they could do. They talked through any problem they may come across, and staff explained how to manage difficult situations. Service users said they had a key worker that helped them. They were satisfied with how they were helped. The level of support varied for each person. Their key worker helped them with special activities. This included keeping their home nice, keeping appointments and being involved with their family. Both service users liked their carers. They discussed things with them. Carers took them on holidays and grocery shopping. Everyone in the house took turns to do this. Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 10 All service users in the home looked after their own money with the help of staff. They said ‘they had enough money and managed to save up for their holidays’. They put money away every week into their own accounts. Care plans were reviewed regularly. Service users said they had meetings to discuss what they wanted to do. They decided on goals to achieve. All the people living in the scheme had discussions about their care with their carer and other people who would help them. They had a copy of their care plan to follow. This was kept in a personal file. The information recorded was easy to follow. Who would help them was also recorded and showed who would do what to reach the intended 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 all agreed. The service users benefited from living a fairly independent life. To help them information was recorded to keep them safe. As part of care planning, restrictions on service users doing what they liked that may cause them problems was recorded and agreed with them. Service users records were kept secure. Confidentiality was included in induction training and the staff handbook. The service users at home were confident that information about them was handled correctly. Service users also had information on confidentiality given to them, which was easy to understand. Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 11 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 Service users living in the home were given opportunities to live a fulfilling lifestyle at the home and in the wider 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: Weekly planners were used to show what each service user was doing. For example when they cooked a meal, cleaned their bedroom and had a bath. Staff helped them where needed. The planner they used was easy to follow. Service users were given opportunities for personal development. All service users looked after their home. They had a routine that was agreed. Activities were special to each person. Service users said everyone pleased themselves what they did. They went to the local college, town, and out Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 12 socially to various clubs. One service user spent most of his time going out and visiting people. He enjoyed the organised activities and went to church. The service users said they liked their home. It was near to town. During inspection the service users discussed the holiday they were planning. They were excited. Everyone had chosen the holiday. They all went shopping. Service users said they had visitors who they made welcome. The visiting policy enabled service users to have visitors at any time. They were able to invite their relatives to social events in the scheme organised by staff. Keeping in contact with family was considered very important. Written comments from relatives confirmed this, and said ‘we are always made welcome’. All service users filled in a questionnaire about the way staff treat them and about their home. The results of these show staff treated them well. Service users said the food was good. They all agreed on menus and took turns to cook. Service users changed menus when they wanted a change and were ready to learn how to cook something different. They didn’t change the menu often because of this. They enjoyed grocery shopping with staff. Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 13 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): 18,19,20 Service users healthcare was monitored. Staff were given written guidelines on how to manage this properly. Medication was managed correctly. EVIDENCE: Service users in the home had preferred routines. This was recorded for staff to help them. Routines were special to them. They all did different things during the day and evening. Support with personal care was given where needed. This was recorded in care plans and given in private. Staff had good guidelines to follow when supporting service users. This covered every occasion including supporting them to access services such as optician, dentist and dietician and to purchase any aid needed. Service users said they kept all medical appointments such as going to the dentist. Staff went with them sometimes. Medication was managed properly. Policies and procedures were available for staff to use. One service user managed his own. This is reviewed during care planning meetings. Records were up to date and staff had training. Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 14 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: 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 DS0000009610.V273105.R01.S.doc Version 5.0 Page 15 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): 24,30 The service users home was very comfortable. Furniture and fittings were homely and a good quality. Service users liked their home and kept it very clean and organised. EVIDENCE: Park Lodge Riley Street is a small three bed roomed terraced property. It is within walking distance to the town and Townely Park. The home accommodates three people in single rooms. One bedroom had en suite facilities. Rooms had locks on and service users held their own keys. There was a bathroom, lounge/dining room, kitchen, laundry room and yard at the back. The home was decorated to a very good standard and furnishings and fittings were ‘homelike’ in style and a good quality. The service users did their own laundry with staff helping as part of practising life skills. The washing machines had the correct programmes to make sure laundry was washed to a proper hygienic standard. The overall standard of hygiene in the home was very high. Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 16 Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 17 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. 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 DS0000009610.V273105.R01.S.doc Version 5.0 Page 18 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. One of the service users in the home said he helped to train staff. This was excellent and the message given during this training was clear and showed qualities that makes good staff from a service users view. Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 19 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): These standards were not assessed individually for this home. EVIDENCE: The home is one of three homes managed by Sarah Casey the registered manager. These standards are not referred to in this report. Park Lodge DS0000009610.V273105.R01.S.doc Version 5.0 Page 20 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 X 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 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000009610.V273105.R01.S.doc Version 5.0 Page 21 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 DS0000009610.V273105.R01.S.doc Version 5.0 Page 22 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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