Inspection on 25/05/06 for Park Lodge

This inspection was carried out on 25th May 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 19/02/06

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 D Jinks Unannounced Inspection 25th May 2006 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park Lodge DS0000036623.V291711.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.V291711.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.V291711.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. 19th February 2006 5. Date of last inspection Brief Description of the Service: Park Lodge is registered 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. The home is situated close to the centre of Aspatria and the local amenities. Accommodation consists of twelve single bedrooms and one double room, which two people can choose to share. Accommodation is arranged over two floors. There is a passenger lift to assist residents to access the accommodation on the first floor of the home and there are appropriate bathrooms and toilets close to all the areas used by residents. A range of equipment is available 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. The home produces a guide to the services and facilities provided by the home and this is available on request from the manager. The scale of charges is £363.00 per week (May 2006). Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of this service included an unannounced visit to the home, a meeting with the senior person in charge of the home on the day and discussion with some of the staff working at the home. The views of some of the people living in the home were obtained through discussions and the completion of questionnaires. Comments from relatives and social workers were also received via questionnaires and telephone calls. The manager of the home completed a detailed questionnaire about the home and the services that it can provide. What the service does well: What has improved since the last inspection? What they could do better: The range of activities and the limited times that these are available should be reviewed by the manager. People living at the home should be given more opportunities to participate in recreational and leisure activities. One of the comments received from people using this service indicated that the home was superb and that the only improvement would be to the recreational activities. Storage is a problem at the home. Wheelchairs and hoists are kept in bathroom areas. The manager should give consideration to providing alternative facilities for storing some of this equipment. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 6 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.V291711.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.V291711.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 & 3 (Standard 6 is not applicable to this home). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are given sufficient information and time in order for them to make an informed decision about moving into the home. Admissions to the home are not made until a full needs assessment had been undertaken. EVIDENCE: People living at the home and their relatives, said that they were provided with enough information about the home. The Statement of Purpose and Service User Guider were also available on the general notice board in the home, together with a copy of last inspection report. Prospective service users are able to visits the home for day care visits, short stays and trial periods before permanent residence taken up. This helps to ensure that the home can fully meet the needs of the service user and a review of the care is undertaken, again before permanent residence is taken up. Detailed care needs assessments are carried out and additional assessments are obtained from either the social service department or the hospital prior to Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 9 admission to the home. Assessments include information about the health and personal care needs as well as information relating to the service users social interests and leisure activities. Assessments are kept under regular review. The home does not provide intermediate care and therefore Standard 6 is not applicable. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home have detailed care plans, which helps to ensure that their care needs, are met appropriately. EVIDENCE: The people living at the home are involved in the development of their care plans. The plans are detailed and are kept up to date in line with their changing needs. The information included in the care plan identifies what the person is able to manage for themselves and the tasks they require help with. The care plans are reviewed monthly and updated where necessary. Staff supervision sessions include discussions on the importance of reading care plans to help ensure that service users needs are appropriately met. The care plans include details of risk assessments, general health monitoring and daily notes in relation to the care that the service users receive. The people living at the home have access to opticians, chiropodists, doctors, district nurses and when necessary the home could access the services of the occupational therapist for advice, assistance and equipment. The home has a comprehensive medication policy and procedure. Staff have received training in the administration of medication. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 11 The lunchtime medication round was observed during the visit to the home. Two members of staff carry out this task to help ensure that medication is administered correctly and safely. Both members of staff sign the medication record chart. A sample of the charts were looked at as part of the inspection and were found to have been completed appropriately. The majority of the medication is administered from a NOMAD system, which is ordered from the pharmacy. There are other medicines, which are administered from the containers in which they were dispensed. The home did not have copies of the patient information leaflets that would normally be supplied with medication. It is advisable for the home to obtain these to help check that medicines are being administered correctly. Medication is generally stored securely and records are kept of medicines entering and leaving the home. The home has a dedicated fridge for the storage of medication that needs to be kept at low temperatures. The temperatures of the fridge are recorded on a daily basis and are maintained within the recommended range. At the time of the inspection there were no service users responsible for their own medication. The home has a policy and an assessment process for people who wish to manage their own medication. Topical creams and lotions are kept in the service users own room. These had not been stored securely and their application had not been recorded on the medication record charts. During the visit to the home staff were seen working and talking to the people living at the home. Staff were respectful and were careful to preserve the dignity of service users, especially during moving and handling operations. Service users said that the staff are lovely and one person said that you would have to go a long way to find a place as good as this one. The people living at the home indicated that they get the care and support from staff that they need and that staff are usually available when they need them. They indicated that staff usually listen and act on what they say and a relative commented on the care and respect that people get in the home from the staff. One resident at the home is partially sighted. A large clock has been provided by the side of the bed and a telephone with an adapted keypad is available to help maintain the independence of the service user. Another person had moved into the home and had been able to bring her pet budgie. He was situated in the hall so that everyone could enjoy his company! Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides some social and recreational activities which helps to stimulate the people living at the home. EVIDENCE: The supervisors at the home have started to introduce some social and recreational activities. The supervisor was keen to develop these activities further for the benefit of the people living at the home. A list of the activities available was posted on the notice board. Times are arranged for three afternoons per week and at the weekends. Activities are limited to games such as dominoes, board games, carpet bowls and bingo. Coffee mornings have been held and religious services are held in the home on a monthly basis. A hairdresser attends the home once a week and is available to both men and women at the home. Discussions with service users indicate that there are not many social and leisure activities available at the home and on the day of the inspection there were no activities taking place. One of the comments received as part of this inspection said that the home was superb and that the only improvement would be an improvement in the recreational activities. The home has Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 13 televisions in each lounge and a small selection of reading books are available in the home. Service users are able to have visitors at anytime and may choose to see them in the privacy of their own rooms or in one of the communal areas. Visitors were seen coming into the home during the inspection visit. Staff were very welcoming, friendly and helpful towards them. Care plans indicated what service users could and could not do for themselves and their likes and dislikes were recorded together with some leisure and social interests. Although there is a bath rota service users are able to choose when they would like to bathe. Discussions with people using this service confirmed that they were able to choose when they would like to get up or go to bed and although the main mealtimes of lunch and evening meal are fairly set, breakfast can be taken between 8am and 10am. Details of advocacy services had been placed on the general notice board in the hallway. The four weekly menus were looked at during the inspection. Menus indicate that service users are able to choose their food at each meal. If they do not want anything on the menu, the cook will prepare an alternative for them. When menus are reviewed, service users are asked to contribute ideas for inclusion on the menus. People living at the home were pleased with the quality and amount of food they had. One person described the food as ‘good home cooking. The meals served at lunchtime were nutritious and served in an appealing manner. Fresh fruit and vegetables were included in the diet. Where service users require adapted cutlery to assist them with eating, this is provided. During the inspection a visit to the kitchen was made. The storeroom indicates that high quality brands of foods are purchased. Fridges and freezers are well organised, food is wrapped, dated and stored appropriately. Temperatures of the cold storage and cooked food products are taken and records maintained. The kitchen is clean and well organised by the cook. Two people at the home were on special diets and the cook has been supplied with special instructions in relation to the dietary requirements of these people. In addition to the main meals, hot and cold drinks and snacks are available throughout the day. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has a complaints process that is easy to understand and is accessible to service users. EVIDENCE: The home has a complaints procedure. A copy is available in the service user guide and a copy is attached to the main notice board in the hallway. The service users spoken to or completing comment cards indicated that they had not made any complaints. However, they knew who to speak to if they were not happy about something and thought that the staff would listen to them and act on their comments. The home has not received any complaints in the last twelve months. A formal record of comments, complaints and suggestions is not kept at the home but notes would be made in the office diary in respect of comments. The supervisor said that any formal complaints would be investigated under the home’s procedure and a formal record would be kept in these circumstances. Staff at the home have received training in adult abuse and adult protection. The home has policies and procedures in relation to adult protection including a copy of the local authoritys procedures and guidance for reporting such matters. Records have been kept of the personal possessions brought into the home by each service user. Where service users have chosen to, their personal allowances are kept safe and records are maintained by the home. The manager of the home notifies the Commission of any events in the home that adversely affect the well-being of service users and the home is visited Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 15 monthly by the responsible person who reports their findings to the Commission. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained. The people living at the home live in pleasant surroundings. EVIDENCE: The home is kept very clean and well maintained. Comments on the high standard of cleanliness at the home were received as part of the inspection process. The garden areas are tidy, well maintained and accessible to service users. There are two communal lounges, a dining room with a conservatory area and several toilets and a bathroom on both floors which are accessible to service users. The furnishings and decoration at the home are of a good standard and new windows have recently been fitted. On the day of the visit the home was warm, clean, tidy and free from odours. The care staff at the home also cover the domestic duties including the laundry. There were three members of staff on duty at the home in the morning and the cook. The majority of people living at the home require help with their personal care needs. Although staff talked to the residents whilst Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 17 carrying out their tasks, there was very little social stimulation seen during the inspection visit. Staff felt that they worked as a team to ensure that all the tasks were completed and said that the people living in the home came first. The inspector felt that there should be dedicated domestic staff employed at the home to ensure the maintenance of the high standards of cleanliness and hygeine whilst releasing the care staff to spend more time with the people living at the home. The rooms at the home are quite small but they are bright and airy. The size of the rooms can provide some challenges to staff in respect of moving and handling residents especially where equipment is used. Risk assessments have been carried out and the staff appear to manage very well. The home has a passenger lift for less able service users living on the first floor. There is a problem with storage space, particularly for wheelchairs and hoists. This equipment was being stored in the bathrooms at the home. There are handrails in the stairs and corridors throughout the home. Bathrooms and toilets are fitted with suitable aids and adaptations to assist both service users and staff access them. Service users are able to bring some of their possessions with them from their own home when they move into Park Lodge. Again there is a limit on this due to the size of the rooms. The laundry at the home is equipped with suitable appliances and has a sluicing facility. Cupboards containing cleaning fluids are kept locked when not in use. Systems are in place at the home with regard to infection control. Gloves, aprons and colour coded laundry and refuse bags are in use where necessary. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staff are trained, this helps to ensure that they are competent to meet the needs of the people living at the home. EVIDENCE: Comment cards received indicate that service users and their relatives consider there to be enough staff on duty at the home to meet their needs. There were three staff on duty and the cook during this inspection visit. Staff are expected to carry out domestic duties in addition to care duties. It is possible that at times the resources are stretched. The home has robust recruitment processes to follow and include criminal record bureau checks (CRB), obtaining written references and the completion of comprehensive application forms. A sample of staff files were looked at during this inspection. One file was found not to have a CRB check available. Volunteers are involved with the home. Their recruitment records were not available at the time of the inspection. The manager said that references would be obtained for volunteers, followed up with a criminal record check where indicated. Staff training records generally indicate that staff undertake appropriate training, although the most recently recruited member of staff did not have a completed record of induction training. Over 50 of the staff at this home have gained a National Vocational Qualification (NVQ) in care. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the people living at the home. EVIDENCE: The manager was not on duty on the day of the inspection. Mr Tyers is currently studying for a management qualification and was attending a study day on this occasion. It is evident that the manager and staff at the home are trying to improve services for the people living at the home. A recent quality survey had been undertaken and the comments were being analysed by the manager prior to producing the results of the survey. Any comments requiring attention would be acted upon as part of the improvement process. Systems are in place to monitor staff practice and training needs. There are health and safety policies and procedures at the home and staff were seen to be generally complying with the requirements. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 20 Storerooms were kept locked and cleaning fluids had been stored safely away when not in use. The home has procedures for dealing with any risk of infection and processes were in use to ensure any risks were managed and controlled. Records kept at the home were of a good standard. The records indicated that the fire detection systems, fire-fighting equipment are regularly checked and maintained. The maintenance log kept at the home also included general health and safety checks, service records for the lift, heating and electrical appliances. The home does not act as an appointee for any of the service users finances. Where service users may require assistance with their personal allowances, the home has safe storage facilities and records are in place to ensure that they are kept safely. Staff have undertaken various training courses in respect of health and safety. This includes, fire training, manual handling and food hygiene. There are no staff at the home with a current accredited first aid certificate. First aid was said to be covered by the emergency action training provided by the local authority. The sample of staff files looked at did not indicate that these staff had undertaken this training. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X 2 X X X 3 STAFFING Standard No Score 27 2 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 22 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 2 Standard OP22 OP29 Regulation 13 (4a) 23(2l) 19 Requirement Suitable storage facilities must be provided for wheelchairs and hoists. The manager must ensure that the recruitment and selection process for any volunteers involved in the home is thorough and includes CRB/POVA checks. The manager must ensure that suitable arrangements are in place for the training of staff in first aid and must provide a qualified first aider at all times. Timescale for action 30/09/06 31/07/06 3 OP38 13 (4) 31/07/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP27 OP9 Good Practice Recommendations It is recommended that designated cleaning hours be made available to cleaning/domestic staff. It is recommended that patient information leaflets be obtained in respect of all the medication prescribed to service users. This information will help to facilitate a DS0000036623.V291711.R01.S.doc Version 5.1 Page 23 Park Lodge 3. OP12 review of the administration and storage of medicines. It is recommended that the arrangements for leisure, social and recreational activities are reviewed and updated to suit the needs, preferences and capacities of the people living at the home. Park Lodge DS0000036623.V291711.R01.S.doc Version 5.1 Page 24 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.V291711.R01.S.doc Version 5.1 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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