Inspection on 10/10/05 for Park Lodge (45)

This inspection was carried out on 10th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 found no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Lodge (45) 15/04/09

Park Lodge (45) 08/05/07

Park Lodge (45) 31/07/06

Park Lodge (45) 20/02/06

Park Lodge (45) 22/02/05

Park Lodge (45) 12/11/04

Similar services:

Ashlong House

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Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Park Lodge (45) 45 Carshalton Park Road Carshalton Surrey SM5 3SP Lead Inspector James Pitts Announced Inspection 10th October 2005 11:40 Park Lodge (45) DS0000007148.V254087.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 (45) DS0000007148.V254087.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 (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park Lodge (45) Address 45 Carshalton Park Road Carshalton Surrey SM5 3SP 020 8669 4252 020 8669 4252 hoozeer@beeb.net 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) Tracescent Limited Mrs Bibi Mahazabine Hoozeer Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A variation has been granted to allow one specified service user in the Mental Disorder and Learning Disability service user categories to be accommodated on condition that the risk assessment for the service user is renewed at regular intervals, or sooner should the need arise. Should the service user`s care needs become such that the home is no longer able to properly meet these or their needs cause detriment to the care of other service users, the home must request that the service user be moved to a suitable alternative placement. 22nd February 2005 Date of last inspection Brief Description of the Service: Park Lodge is a care home for younger adults with learning disabilities. It is situated on the Carshalton Road between Wallington and Carshalton and is on a bus route. The home is a traditional brick built detached house. It comprises eight single bedrooms. There is a lounge, an open plan kitchen/dining room, a conservatory and other facilities including toilets, 1 bathroom, 2 showers rooms, a laundry room and a small office. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Since the previous announced inspection there has been an additional visit that took place in May of this year. At that visit the service users were asked about their views of the home and a check was made about the progress to the 16 requirements that were previously made. The home had achieved 2 of these at that time and all but four had been met by the time of this visit. Three other previous requirements remain listed in this report, as these were not looked at in detail on this occasion to allow more time for further improvements that are underway. No new service user have moved into the home since before the previous annual inspection. The Commission sends out questionnaires to relatives and care managers before annual inspections. By the time of this visit no replies had been received, however, if any are later on then these will be commented upon in the next inspection report. What the service does well: What has improved since the last inspection? The home has improved the service user’s guide, which tells the service users what the home is like and what the staff will do to help the people who live here. The complaints procedure now says that the Commission can be contacted at any point by anyone who wishes to make a complaint. Reviews of care plans have improved and it is also positive to note that almost all of the staff have now been trained in how to respond if one of the service users suffers from a particularly bad epileptic seizure. The agreement for staff to have to control of medicines has been agreed with the service users placing authorities. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 6 The lock has now been removed from the lounge door and the service users’ have now been asked what furniture they want in their own bedrooms. 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 (45) DS0000007148.V254087.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 (45) DS0000007148.V254087.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): 1&2 Service users and other people are told what the home does and how it will do it, although the guide for service users should be written in a clear way so that everyone can understand it. The service users can feel confident that the home will only care for people that the staff are trained and able to care for. EVIDENCE: The home has a statement of purpose, which tells people what the home does and how the staff will care for the service users. The Statement of Purpose now has all of the things included in it that have to be there. It was updated in September of this year. The home also has a service user’s guide, which tells the service users what the home is like and what the staff will do to help the people who live here. At the previous inspection it was noted that this guide might not be able to be understood by all of the service users, as it did not have many pictures that may help more people to understand it. The home’s manager was told that the guide must be made more understandable for service users and this has now happened. As Park Lodge is seen as a long term home for the people who live here it is unusual for anyone new to move in. Even when this does happen it is only very infrequently. No one new has moved into the home for quite some time and so these standards will be looked at again at some point in the future at a time when a new service user comes to live here. Park Lodge (45) DS0000007148.V254087.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, 8, 9 & 10 The service users can feel confident that staff generally know what they need. Service users can also be assured that the staff will try their best to make sure that each person who lives at the home is allowed to live the sort of life that they choose. The only risk to this happening well is that staff do need to get better at recording care plans and at making sure that risk assessments properly reflect their needs. EVIDENCE: Care plans were not looked at in any great detail during this visit, but will be seen next time. The requirements that were previously made about the care plans will be repeated in this report and will be looked at again as further care plan changes are being made. Reviews of care plans have, however, improved. The service users and staff get together for a house meeting, usually each month. At this meeting everyone should talk about what it is like to live at the home and about anything that has changed or needs to get better. This meeting is somewhere that everyone can also say how they are feeling about living together and to ask for the things that they want. The minutes of these meetings could be better at reflecting the things that service users say and what choices they are offered about the things that happen in the home. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 10 The home writes a risk assessment for each of the service users. A risk assessment tells the staff how to make sure that each of the service users is kept safe from anything that might harm them. The staff are very good at doing this about very particular needs for each of the people who live here but they must also write risk assessments for more general areas of safety, for example if it is safe for particular service users to go out alone. They must then make sure that the risk assessments are looked at very regularly to make sure that these are changed if they need to be. There are, however, good risk assessments written about anything in the house or garden that might hurt anyone if it is not taken care of. The staff are very good at making sure that nobody is told anything about any of the service users unless the person is allowed to know. The staff are also very good at making sure that they tell the right people about things that are happening to the people who live here. But they only tell those people that are allowed to know. The home has a confidentiality policy that tells staff about how to make sure that they keep to this. Park Lodge (45) DS0000007148.V254087.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): 15 & 17 The service users can feel confident that the opportunity for each to develop and maintain personal and family relations is also offered and actively supported by the staff team. EVIDENCE: The staff are very good at helping each service user to keep in contact with their families and friends. Service users have confirmed this in previous discussions during inspection visits. Family and Friends are made very welcome when they visit the home. The family of one of the service users recently sent a card thanking the home for how they care for their relative. Each of the people who live at this home is allowed to make choices about what they want to eat. The staff are good at making sure that healthy food is always on offer. If anyone puts on too much weight and this might make them unwell then the staff also help them to deal with that too so they can stay healthy. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 12 Park Lodge (45) DS0000007148.V254087.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): 19 & 20 Service users can feel confident that they will get the right support to take care of their healthcare needs. Anyone who needs to take medicine regularly to help them stay well will get the proper support from staff to make sure that this happens. EVIDENCE: All of the people who live at the home usually go to see a local GP if they are not feeling well. The service users can see any local GP but most see the same one that the staff know very well and get along with. The staff are very good at writing down anything that happens if anyone becomes unwell. If any of the service users have an illness or something else is wrong with them then the staff do know what this is and how to help them to get the treatment that they need. Health action plans are also being developed with the help of local community nurses. This is a very good way of helping to make sure that everyone who lives here can remain healthy. It is also positive to note that almost all of the staff have now been trained in how to respond if one of the service users suffers from a particularly bad epileptic seizure. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 14 All of the service users need to take medicine every day and the staff are very good at making sure that this happens so that they can stay well. The fact that staff have to control these medicines has been agreed with the service users placing authorities. The staff are also good at making sure that no one can get hold of any medicine that they should not have and so they keep medicines locked away. The home does need to make sure that they update the local agreement for a pharmacist to provide regular advice about the handling and administration of medicines as this expired in March of this year. Park Lodge (45) DS0000007148.V254087.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 The service users can feel confident that the staff team at the home know what to do if there are complaints or concerns about abuse. The home has clear guidance for staff about the procedures to be followed in either of these circumstances. EVIDENCE: The service users are given clear information about how to complain and what happens when they make a complaint. No complaints have been made to the home or to the Commission since the previous annual inspection. The manager of the home was told at the previous inspection that complaints procedure must say that the Commission can be contacted at any point during the complaints procedure, and not only following conclusion of the homes complaints system. This has now happened and the procedure has been updated. The staff team are good at making sure that all of the service users are protected from abuse (this means that the staff at the home do everything that they can to stop any of the service users from being hurt by someone else). There is also clear written information for staff about what to do if they think that a service user is being hurt or abused by another person. The staff know what they then have to do to keep people safe. None of the service users who spoke with the inspector at the additional inspection visit said that they are being hurt by anyone else and no concerns have been raised by anyone else who has contact with the home. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 16 The home was told at the previous annual inspection that the lounge door lock must be put out of action and the door must be made safe in respect of fire prevention. Locking of any door (except the staff office and service users bedrooms by their own choice) must not occur unless there are documented safety reasons for doing so and that these reasons are clearly evidenced. The lock has now been removed but the door must be replaced as the hole where the lock was has been filled in with putty and is not fire resistant (A requirement has been made under standard 42). Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 17 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, 26, 27 & 30 The service users can feel confident that they are living in a well maintained and clean home, with the exception that safety checks of hot water must be recorded and the ground floor shower must not be used until the hot water is made safe. EVIDENCE: The home is very comfortable and the staff do the right things to make sure that the house is generally a safe place for the service users to live. At the previous inspection service users rooms did not contain all the furnishing items listed under standard 24.2, for example two chairs to allow the reception of visitors. Service users’ have now been asked what furniture they want, and those who have said they would like more furniture now have this in their bedroom. The hot water temperatures in the bathrooms were tested. The ground floor shower was very hot and well above the 43 degree centigrade maximum. The home’s managers were told that this shower must not be used until the mixing Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 18 valve is operating properly. Staff do not record hot water temperature checks, which must be done. (A requirement has been made under standard 42) The house is kept very clean and is free of any unpleasant odours. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 19 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): 32, 34, 35 & 36 Service users can feel confident that there is a well trained staff team to meet their needs and that these staff are safe people to support them. However, the quality of the support that is offered by the staff team could be compromised if staff are not supervised properly. EVIDENCE: The law says that half of the staff must have a proper qualification to work with adults who need support in a care home. The name of this qualification is NVQ 2. The manager of the home confirmed that over half of the staff team now have this qualification with others soon to start to do it. The home carries out checks to make sure that the people who work here are safe people to work with the service users. These checks include things like asking the police if a new member of staff has ever been found guilty of a crime, and asking people who used to employ them if their work was good and if they are the right sort of person to work with the service users and to support them. At an inspection last year all of these checks were seen for the people who work here and no new staff have come to work here since. The home keeps records that say what training courses staff have done, and when they did them. Each year staff have an appraisal that tells them and the Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 20 home how well they are doing their job. After the appraisal each member of staff is then has a personal development plan which they write with their manager. A personal development plan says thing like what the member of staff does well, what they need to improve upon and what training they need. All staff have had an appraisal in the last year. Staff supervision (this is a time that each member of staff spends talking about how they are getting along in their work) is done by the manager. Staff are supposed to meet with their manager at least 6 times a year by law. The home still cannot prove that this is happening properly. This has been talked about before at previous inspections and this must improve. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 21 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): 39 & 42 The service users cannot feel confident that they are living in a home that properly considers the need for future developments. However, the can feel confident that most of the necessary health and safety checks are properly carried out. EVIDENCE: The home was told at the previous annual inspection that they must introduce service user satisfaction surveys {standard 39.6} and an annual development plan {standard 39.2} that is open to the service users. The service users surveys that the manager said have been done were not signed or dated and there is still no quality assurance system or an annual development plan. These must be completed, as this remains an unmet requirement from previous inspections. The following health and safety checks have been carried out within the last year: Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 22 Fire Alarm System: 14/04/05 Fire Extinguishers: 19/05/05 Gas Safety Check: 06/09/05 Legionellosis: 09/12/04 Portable appliances: 15/09/05 The home is generally good at making sure that the people who live and work here are kept safe from fire and other hazards, although it is recommended that the fire alarm system be sounded and checked weekly instead of monthly. The exceptions to the usually effective safety checks and procedures are that there is a need to replace a fire door to the lounge and to carry out proper hot water safety checks and a repair to the hot water temperature control valve in the shower on the ground floor. These things are commented upon earlier in this report. Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 23 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 3 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 1 X 3 1 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 1 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park Lodge (45) Score x 3 2 X Standard No 37 38 39 40 41 42 43 Score x x 1 x x 1 x DS0000007148.V254087.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. 1 Standard YA6 Regulation 12 (1) (b) (2) (3) Requirement The daily notes need to be more detailed and reflect how needs identified in the care plan were met. (This is an outstanding requirement from the previous inspection) A record of all of a service user’s needs and how they are to be met and by whom, must be recorded in their plans of care. This must include all the elements of standard 6.2 (This is an outstanding requirement from the previous inspection) The Care Plans need to be produced in more accessible formats for the service users. (This is an outstanding requirement from the previous inspection) Risk assessments for service users must be regularly updated in all cases. This must occur at least annually and more frequently should the need arise. (This is an outstanding requirement from the previous inspection) The home must make sure that they update the local agreement DS0000007148.V254087.R01.S.doc Timescale for action 24/11/05 2 YA6 15 (1) 24/11/05 3 YA6 12 (4) (b) 24/11/05 4 YA9 13 (4) ( c ) 24/11/05 5 YA20 13 (1) (b) 24/11/05 Park Lodge (45) Version 5.0 Page 25 6 YA36 7 YA39 8 YA42 9 YA42 10 YA42 for a pharmacist to provide regular advice about the handling and administration of medicines. 17 (2) (b) Formal Supervision sessions 18 (2) must occur at least six times a year, and must be recorded, and cover all the elements of standard 36.3. (This is an outstanding requirement from the previous inspection) 24 (1), (2) The home must introduce & (3 service user satisfaction surveys {standard 39.6} and an annual development plan {standard 39.2} that is open to the service users. The home must establish a mechanism that allows for measurement of the quality of the service and aims to achieve any necessary improvements (This is an outstanding requirement from the previous inspection) 23 (4) ( c The lounge door must be ) (i) replaced with a properly constructed fire resistant door. (This is an outstanding requirement from the previous inspection) 13(4)(c) The shower on the ground floor 23(2)(c)(j) must not be used until such time as the thermostatically controlled mixing valve has been made safe and that the hot water does not exceed 43 degrees centigrade. 13 (4) ( c Hot water safety checks must be ) carried out and must be properly recorded. 10/10/05 10/10/05 10/10/05 10/10/05 10/10/05 Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 26 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 YA8 Good Practice Recommendations The minutes of the house meetings could be better at reflecting the things that service users say and what choices they are offered about the things that happen in the home. It is recommended that the fire alarm system be sounded and check weekly instead of monthly. 2 YA42 Park Lodge (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 27 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 (45) DS0000007148.V254087.R01.S.doc Version 5.0 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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