Inspection on 09/11/05 for Park Lodge

This inspection was carried out on 9th November 2005.

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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Lodge 10/01/08

Park Lodge 08/03/07

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Park Lodge Park Avenue Roker Sunderland Lead Inspector Trevor Jarvis Announced Inspection 9th November 2005 12:15 Park Lodge DS0000063966.V253406.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 DS0000063966.V253406.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 DS0000063966.V253406.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Park Lodge Address Park Avenue Roker Sunderland 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) 0191 5490321 Autism North Limited Michael Winter Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Park Lodge is a very large detached domestic house, which was built during the turn of the 20th century. Park Lodge was opened in May 2005 and prior to that Autism North had completed considerable refurbishment works to the building. Park Lodge, which was registered in May 2005 provides personal care for young people and young adults who have Learning Difficulties. The current age range is from 17 – 25 years. The home has three floors. The eight en-suite bedrooms, lounges, dining room, large kitchen and laundry are located on the first two floors. Facilities for one young person with complex needs is currently located on the third floor. A sloped drive leads to the main entrance to the home and a yard is at the rear. The building is spacious with two lounges and sitting areas for the people who live here to choose from. It also has access for the person who has a physical disability. The adjacent house is also owned by the same organisation and offers a similar service. The house like ithe adjacent has its own entrance and separate staff team and is run largely independently. Park Lodge is located about one hundred metres from the main road running along the sea front at Roker, Sunderland. It is opposite a large park and close to shops and local entertainment. Bus routes to Sunderland and South Shields are located on the main road close to the home. Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of Park Lodge and was carried out as part of the routine yearly programme. An inspector visted and spent half a day at the home talking with people and staff. Service users find it very difficult to express their views due to their disabiliites, therefore an understanding of their views and feelings of the home was interpreted through observations, interactions with staff members, discussions with staff and the examination of records. A sample of case files were looked at. The staff were asked about the care plans, the complaints procedure, medication systems, access to training, any changes to working practices and the progress of the service. Time was spent observing staff and service users. The general maintenance of the building was checked. Park Lodge also provides a service for younger adults with an Autism Spectrum Disorder. People at the home have difficulty understanding abstract thoughts and emotional context. Also people find changes in routine very difficult to deal with and other people’s needs and feelings difficult to understand. A number of the residents find meeting strangers extremely challenging and if given the option would not like to spend time talking to new people. These people’s wishes were respected. A part of the inspection however does look at staff practice and attitude. This type of observation did form a part of the inspection process as well as what people said and was backed up through the examination of records, comments made by residents and the staff. What the service does well: Park Lodge has now been open for just over five months and in that time the service has been well managed. The manager has demonstrated a range of competencies in many areas and has helped staff develop similar skills. The service users have been readily assisted to work through the natural anxieties they face during transition and all have been supported to successfully settle into agreed routines. The staff have an enthusiastic, friendly and respectful approach towards service users. The high staffing levels at Park Lodge means that people can be readily supported in all situations. Thus when people have complex and challenging needs they can still go out and join in activities they like because several staff are available to accompany them. Service users are given access to a very wide range of activities and experiences and benefit from having stimulating life styles. Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 6 Pre-inspection questionnaires sent by relatives to CSCI were very complementary of the home and the staff team including comments such as, ‘Autism North pulled out all the stops and developed what can only be described as a dream package……I cannot praise the organisation enough. Their professionalism in all areas from managers, care staff and those that maintain the practical everyday running of the home is excellent……The accommodation is spacious and well looked after; and I cannot express how pleased we are with the team of carers.’ Another family member said, ‘an excellent standard of care from outstanding staff’. During a telephone conversation with the inspector this parent said, ‘ he has come on leaps and bounds’. Autism North has recently opened a day centre, Gorse House, which has rock climbing facilities, cinema, a swimming pool, cafe and craft workshops. This means that even people with extremely challenging behaviour can try something new and experience things many take for granted. Autism North has provided a care service for people who have an Autism Spectrum Disorder and have an excellent understanding of these people’s needs. Autism North constantly strives to ensure their services improve and that staff continue to develop their practice. The company employs a range of health care professionals including a psychiatrist and these professionals actively assist staff to meet the needs of the people who use the service. Park Lodge is a converted private residence but Autism North has provided facilities above those required in the standards. Thus all of the bedrooms are well in excess of 12m² and are equipped with an en suite bathroom. Also large and spacious communal areas are provided. Park Lodge is decorated to a high standard and already plans are in place to up grade parts of the home. What has improved since the last inspection? What they could do better: Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 7 The staff are working hard completing information in the comprehensive assessment tool. Thus files are being developed that give extremely pertinent and full information about the service users and their needs. Staff have a good understanding of what needs to be in the file. Park Lodge has been open for less than six months and the majority of the staff team are developing the skills required for record keeping. Staff are beginning to write informative assessments and starting produce appropriate care plans and risk assessments. The staff are in the process of continuing to develop the behavioural guidelines for each service users. Also work is being conducted to ensure that local authority placing authority contracts are available at the home so staff can be confident that they are meeting all contractual requirements. Staff were positive about the NVQ course work they had been completing. Also the manager continues to work towards the Registered Managers Award. The change in recent practices means that the manager is now responsible for organising training and this is proving satisfactory. He is moving towards making sure that all of the staff stay up-to-date with their mandatory training and can also access specialised training such as sign language courses. The manager is trying to ensure that staff are also supported by holding regular supervision and appraisal sessions that needs to focus upon their individual work and any training that they require to satisfactorily do their work. Fire doors should not be propped open by furniture, as this would make a potential fire spread swiftly through the home. 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 DS0000063966.V253406.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 DS0000063966.V253406.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): 2 The way in which the assessment material is collected and recorded means service user’s needs can be met at Park Lodge. The service user guide is available and useful. EVIDENCE: Autism North has developed a full and comprehensive assessment tool for the home, which service users can complete with staff. The assessments tools are designed to be extremely detailed, well written in plain English and outline all aspects of the individual needs and aspirations. Before anyone moves to this home a full assessment of their needs is carried out to make sure the service is suitable for them. The people involved in the assessment include health professionals, social workers/care managers, Autism North staff, the prospective service user and their representatives. In this way, everyone involved in the service user’s care can help decide how if the service at Park Lodge is right for that person. The staff have been working hard to produce detailed reports and outline all aspects of the individual needs and aspirations. Park Lodge DS0000063966.V253406.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 and 7 Planning systems ensure that staff work to meet the needs of the service users. The manager reviews plans. Service users are encouraged to make everyday decisions about their daily lives. EVIDENCE: Support plans are in place for all the service users who live here. The plans are written in plain language but the service users would benefit from pictorial clues in the plans to help understanding. These provide staff with good information about people’s individual specific needs and show how staff should support them. Service user’s case files also contain daily records and a monthly summary of each service user’s wellbeing in terms of health, activities, behaviour and relationships. The service users are encouraged by staff to make their choices wherever their capabilities allow. Service users make menu choices, choose what to wear each day, what activities to do and colour schemes in bedrooms. These decisions are recorded within daily and monthly records so it can be seen what people have chosen. Park Lodge DS0000063966.V253406.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): 12, 13, 16 and 17 The staff are demonstrating a wide range of skills and the opportunities offered both by Autism North and Park Lodge have encouraged service users opportunities to take part in a range of activities and raise their expectations. Here is always a range of good quality food provided at the home and service users enjoy their meals. EVIDENCE: Since coming to live at Park Lodge service users have been encouraged to widen the range and types of activities they join in. People can choose what they do during the day and regularly go to the pictures, shops, and local pubs as well as the Gorse House a day centre Autism North has recently opened. Gorse House has rock climbing facilities, a swimming pool, cinema, art and crafts facilities and café. This will give service users the opportunity to develop the skills necessary to use these facilities in the community. Staff work in a sensitive way with the people who use the service on routines ensuring these routines have an element of flexibility and tailored to each person’s needs. The atmosphere and ethos of the home is family life and the home is run like a large family house. Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 12 Also Autism North employs an activities co-ordinator who works with staff and service users in each of the homes to design and tailor-make a programme of activities that will be stimulating and enjoyable. For one young person activities are a particularly important objective and this is reflected in his support plan. Staff are developing a photo board of this person’s activity programme so that he can see what activities he will be doing. The staff are not entrenched in common assumptions about people within the Autism Spectrum Disorder not liking or being able to change routines. They have skilfully worked with this young person to work with to find out their preferred routine and gradually introduce different activities. Staff realise that people with Autism Spectrum Disorders find it difficult to form meaningful relationships and understand other people’s needs. However, staff have worked within the boundaries of each person’s social and emotional skills so that they can live with the other people in the home. The cook stated that menus are designed around the known likes and dislikes of the people who live here and are used as a shopping lists rather than for rigidly set meals. Because of the small numbers she and staff confirmed that they knew what service users liked to eat, what they did not like, therefore meals were arranged around their preferences. There are lots of different types of food at Park Lodge and choices include healthy, varied and nutritional foods, eaten in a relaxed and pleasant environment. Most service users will accompany staff to the local supermarket for a grocery shop and they also enjoy using local shops for sweets and snack foods. Park Lodge DS0000063966.V253406.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 Staff make sure service users receive support in ways that meet service users’ needs. EVIDENCE: The service users require different levels of support and help with daily living tasks. Some of the people require one-to-one support from staff throughout the day whereas other people can lead fairly independent lifestyles. Staff are very aware of how to meet those needs. Also people with an Autism Spectrum Disorder find routine helps them cope with the challenges of daily living and staff respect this need. The service users can become very overwhelmed if they are presented with sudden changes to their routine or too many choices. Thus staff have been trained to assist people make choices. The staff throughout the visit worked with people in sensitive and supportive ways. Staff were very aware of the approaches people prefer and the routines they like. Park Lodge DS0000063966.V253406.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 and 23 A robust complaints procedure is in place. The manager has demonstrated a firm understanding of the importance and value of information people provide about how to improve the service. People with learning difficulties and/or disabilities are protected from abuse and exploitation. EVIDENCE: Autism North has information about how people can complain about the service, which complies with the requirements of both the national minimum standards and Care Home Regulations 2001. This is reproduced in the service user guide and made available to residents or their representative. One relative said she was not aware of the home’s complaints procedure. The manager is to forward a copy. There have been no complaints made since the home opened. The manager recognises the importance of dealing with minor concerns in a proactive manner. Since the opening of Park Lodge the manager has actively encouraged service users and relatives to make their views known. This was confirmed through a relative questionnaire. The home has information on abuse and on what staff should do if they think someone is being harmed. Most staff have had training about this. The numbers of physical interventions are quite high but reducing as staff have become more aware of triggers to aggressive behaviour. Staff have been able to use a range of approaches to ensure incidents have not escalated to the Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 15 point where physical intervention has needed to be used. This type of approach has reduced levels of stress for all concerned. The organisation needs to re-examine its methods of physical intervention that requires minimal restraint, and is used only to prevent harm to the service user or to others if service users need support to manager their behaviour. This is very important when responding to young people and only approved methods should be used and staff need regular training again from an accredited person. Park Lodge DS0000063966.V253406.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 and 30 Park Lodge has been thoughtfully up graded and refurbished to meet the needs of this service user group. It is safe and well maintained. EVIDENCE: Park Lodge is a converted private dwelling. Autism North have completed extensive works to up grade the home. Eight places are currently offered. All of the bedrooms are in excess of 12m² with one bedrooms layout making it ideal to use almost as a bed sit. All of the bedrooms have en suite bathrooms. Park Lodge has a homely feel and is attractively decorated with good quality furniture that suits the age and lifestyle of the people who live there. Service user’s bedrooms are personalised in keeping with their age and individual interests and to what they will tolerate. The home has two comfortable lounges, one is used as a quiet area and service users were seen to make good use of these sitting areas and also of their own bedrooms for privacy. All areas of the home examined were seen to be clean Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 17 Park Lodge is compliant with the Disability Discrimination Act Part III, as visitors with a physical disability can gain access to the building and a suitable toilet has been provided. Park Lodge also caters for the needs of a service user with a physical disability and currently a proposal to meet a blind person’s needs is being actively considered. The kitchen was clean and all cookers and cooking utensils were clean and well maintained. The cook has asked for additional bench space for storage of ingredients or meals before serving. Park Lodge DS0000063966.V253406.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, 33, 35 and 36 Service users are supported by competent trained staff. There are sufficient staff on duty to meet the needs of the six people who live here. Supervisors are not routinely supervising staff so that skills they use to support service users can be developed. EVIDENCE: The staff team consists of the Manager, deputy and 38 care staff. There is a good mix of age and experience in the staff team. The manager determines how the staffing hours will be allocated throughout the day and for the majority of time during the day six staff are on duty. Waking night staff are employed. Many of the service users have very complex needs and without these levels of support they would not be able to participate in the range of activities they do. Also to help people deal with the extreme stress they experience when dealing with daily life a higher staffing ration is often needed so that one-to-one support can be readily offered. Plus some service users need to have several staff accompany them when they go out so that they remain safe when navigating traffic and in crowded areas. Only one member of staff has left since the home opened and the reason for leaving given was that she was unable to work shifts. Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 19 Of the 38 care staff, 22.58 have completed NVQ Level 2 and others are about to commence training towards this qualification. It was clear from discussions with staff that they understand service user’s individuality, capabilities and needs. Staff indicated that they were not receiving regular supervision sessions. However, the manager reported that staff have received awareness training in child and vulnerable adult protection. Park Lodge employs a cook, who prepares the meals. She is very knowledgeable about people’s needs and has ensured that the menu is tailored to each person’s nutritional requirements. The manager is supernumerary. Park Lodge DS0000063966.V253406.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 and 42 Park Lodge is well-managed and service users benefit from a well-run service. Staff training and home procedures promote the safety and welfare of the people who live here. EVIDENCE: The manager has been a Registered manager for the organisation for over a year and has 13 years experience of working with people with a learning disability. The operational director has over recent months delegated much of the tasks needed to operate the home to the manager. He is now able to organise training for the staff team and has found that this makes it easier to ensure all of the staff have received mandatory training. He also manages more of the budget. All of these recent developments were seen to be working well and actively assisted the staff to continue to develop the service. The manager is now registered for the adjacent home (Eastcliffe) and gives general management support. A deputy manager runs the day-to-day operation of the adjacent home with regular contact from the manager. The Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 21 buildings are conjoined and access is gained through a gateway between the two homes. Some fire doors were propped open during this visit, which is a health and safety issue. Consideration is being given to fitting doors with electronic holding devices that would close the door in the event of a fire. Park Lodge DS0000063966.V253406.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 3 X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X 3 X 3 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park Lodge Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000063966.V253406.R01.S.doc Version 5.0 Page 23 N/A 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 2 3 4 Standard YA23 YA26 YA36 YA24 Regulation 13(7) 13(4) 18 13(4) Requirement Timescale for action 31/03/06 All care staff must receive accredited physical intervention training. Flooring to one bedroom must be 31/12/05 replaced with a covering suitable for the service user Staff must receive formal 31/03/06 supervision at least 6 times a year Fire doors must not be wedged 31/12/05 open as this is a potential fire risk 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 3 Refer to Standard YA6 YA22 YA24 Good Practice Recommendations Further development of care plans and recording systems should continue The manager is to redistribute a copy of the home’s complaints procedure to all relatives of service users The organisation should provide ventilation in the laundry to allow heat from adjacent boiler room to escape and some external works should be completed (painting to DS0000063966.V253406.R01.S.doc Version 5.0 Page 24 Park Lodge 4 YA32 windows and clearing guttering) Consideration should be given as to how 50 of care staff will achieve a NVQ Level 2 qualification by the end of 2005 Park Lodge DS0000063966.V253406.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 DS0000063966.V253406.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!