Inspection on 13/07/06 for Park Lodge Care Home

This inspection was carried out on 13th July 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Lodge Care Home 15/09/08

Park Lodge Care Home 27/09/05

Park Lodge Care Home 12/04/05

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

CARE HOME ADULTS 18-65 Park Lodge Care Home 249 - 251 Victoria Park Road Hackney London E9 7BQ Lead Inspector Robert Sobotka Unannounced Inspection 13th July 2006 10:50 Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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 Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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 Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lodge Care Home Address 249 - 251 Victoria Park Road Hackney London E9 7BQ 020 8533 2425 020 8533 3103 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) Sanctuary Care Limited Ms Jean Hoyte Care Home 20 Category(ies) of Past or present alcohol dependence (20), Past or registration, with number present drug dependence (20), Mental Disorder, of places excluding learning disability or dementia - over 65 years of age (20), Physical disability (20) Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2005 Brief Description of the Service: Park Lodge is a residential home, which is registered to provide care up to 20 service users with past or present alcohol dependence, past or present drug dependence, mental disorder, excluding learning disability or dementia - over 65 years of age, and physical disability. The home is owned by Sanctuary Care Ltd, which is a non-for-profit organisation. The building has ground and two upper floors, and at the time of this inspection it was undergoing extensive renovation/extension. Park Lodge is situated in Hackney, near Victoria Park. It can be accessed by a number of busses from various parts of East London. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day and was unannounced. The inspector spoke to some of the service users accommodated in the home, some members of staff and the registered manager. The inspector also conducted a tour of the premises and viewed various records. The aim of this unannounced inspection was to check the home’s progress towards full compliance with the legislation. What the service does well: What has improved since the last inspection? What they could do better: Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 6 The responsible person must ensure that the refurbishment work is completed within set timescale. It is required that the registered manager submits the electrical wiring certificate to the Commission, once the building work has been completed. 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 Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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 Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need to make an informed choice about where to live. Appropriate admission system was in place. The home was meeting the assessed needs of the service users. EVIDENCE: The home’s statement of purpose has been updated since the last inspection, as required. The registered manager stated that it would be reviewed/updated following an approval of the major variation, which was being processed by the Commission. There has been one new admission to the home since the last inspection. As part of this visit, the inspector reviewed admission documents of the most recently admitted service users. The inspector was satisfied that the registered manager carried out appropriate assessment and obtained relevant documentation in respect of the service user to ensure that the home could meet their needs. Prospective users are invited to visit the home and to see the environment, meet with other service users and have a discussion with staff working in the home. The can also have a meal in the home. Overnight stays are organised. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 9 Following the review of care plans, discussion with the service users and those using the service, the inspector was satisfied that the needs of those accommodated in the home were being met. Each service user had a costed contract/statement of terms and conditions in place. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a good care planning systems in place and those accommodated in the home were actively encouraged to take part in their care planning process and decision making. Confidentiality was being maintained. EVIDENCE: As part of this visit, the inspector viewed 4 care plans, which were randomly chosen. Care plans viewed were kept up-to-date and were reviewed on regular basis. They were signed by the relevant parties, including a service user. Staff spoken to were aware of each person’s assessed needs and their long and short term goals. Care plans also included minutes from keyworking sessions and appropriate risk assessments in relation to each service user. There was also evidence that service users were consulted about the refurbishment of the premises. Care plan of one of the service user contained a letter she wrote to the builders asking them for specific work to be done in her room, which had since then been carried out. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 11 The home holds regular residents meetings, during which any issues about the running of the home are discussed. Service users spoken to confirmed that they were appropriately involved in the running of the home. Confidentiality was being maintained. All confidential documentation was kept securely locked when not in use and staff shared information about those living in the home on a need-to-know basis. Some information is stored on computers, which are password protected. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those living in the home were encouraged to pursue their education and to seek paid and meaningful employment. Appropriate level of activities was on offer. Service users enjoyed the food in the home. EVIDENCE: The review of the documentation and discussion with the service users and staff demonstrated that those accommodated in the home are encouraged and supported to take part in age, peer and culturally appropriate activities. Some of the service users also attended various further education courses (such as foreign language courses, IT training, Maths, Sewing course and Book keeping course). Some also engage in paid employment. Those who spoke to the inspector stated that there has been an improvement in the level of activities. Outings organised by the home included: picnic in Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 13 Regents Park, visit to London Aquarium, trip to Southend-on-Sea and Brighton, trip to Madame Tussaud’s, cinema and trip to the Tower of London. As previously mentioned, service users meetings are held on a weekly basis, during which those using the service are encouraged to suggest any group outings and activities they would like the home to organised. The registered manager stated that there were plans for the home to purchase a table tennis table. Service users living in the home were able to access community independently. On the day of this visit, the majority of the service users were out on activities and/or colleges etc. Staff working in the home were observed to respect the service user’s rights and were speaking to them in a friendly and professional manner. The inspector checked kitchen premises, which were found to be clean and hygienic. The home chef showed the inspector a sample of menus, which showed that the food is cooked from scratch, this including baking cakes. She was aware of the service users dietary needs, as well as their likes and dislikes. The majority of service users who spoke to the inspector said that they liked food provided by the home. One person said that the food was “too healthy” and that he would like to see more chips and “fatty” food on the menu. As part of the independent skills learning, some of the service users choose to prepare their own food on some days of the week. They are provided with budget to purchase their own food. Their keyworkers offer support in preparing shopping list and healthy eating. At the time of this inspection, 5 of the service users were self-catering. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ physical and emotional needs were being met. Good medication systems were in place. EVIDENCE: At the time of this inspection, none of the service users required staff support with personal care. Each care plan included section on how the service user should be encouraged in maintaining their personal care, this included comprehensive and clear guidelines for staff. Care plans viewed showed that service users received appropriate care from the healthcare professionals. Good medication systems were in place. Some of the service users were encouraged and supported to administer their own medication. At the time of this visit, 3 of the service users were self-medicating. Medication was appropriately stored. Appropriate records in respect of medication received by the home, administered to service users and returned to the pharmacist/disposed of were maintained. The recommendation from the previous inspection that the medication sheets are signed by a member of staff Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 15 and that the service users sign a separate sheet has now been met. Staff receive appropriate medication training. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those who live in the home were free to make complaints, which were promptly and efficiently dealt with. They were also protected from abuse and neglect. EVIDENCE: There has been one complaint made to the home since the last inspection, which was appropriately and promptly dealt with by the registered manager. Those who spoke to the inspector said that they were confident that their complaints would be investigated without delay by the registered manager. Appropriate complaints policy was in place. The home also had an Adult Protection Procedure and a Whistleblowing Policy in place. Member of staff who spoke to the inspector were aware of adult protection issues. All accidents/incidents were clearly recorded. The majority of the service users manage their finances. Where it is felt that support guidance in managing finances is needed by a service user, this is readily available form members of staff. This information is also recorded in individual care plans. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. At the time of this inspection, the premises were undergoing a major refurbishment/redecoration. Some of the standards could not therefore be fully assessed. The organisation has submitted an application to the Commission to increase the number of beds to 23. EVIDENCE: Major work has commenced in order to improve the quality of the premises and consideration has been taken to minimise the impact of the building works on the existing service users. At the time of this inspection, the refurbishment/ extension to the premises were almost completed. The inspector conducted a tour of the premises. It was noted that there has been a vast improvement in the quality of accommodation offered to those accommodated in the home. However, the inspector expressed some concerns that some of the bathrooms did have showers, which would pose a difficulty if the home accommodates a large number of the service users with physical disabilities. As a result, the inspector has written to the registered manager to Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 18 seek the consent to reduce a number on the home’s registration certificate in relation to beds for service users with physical disabilities. The responsible person must ensure that the refurbishment work is completed within set timescale. Those service users who spoke to the inspector said that they were happy with the new look of the home. The premises will be further assessed by the registration inspector who is dealing with the major variation application. The premises were clean and hygienic at the time of this inspection. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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, 33, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by an effective staff team, which is appropriately selected, managed and supervised. EVIDENCE: Following the discussion with members of staff, the registered manager and review of documentation, such as duty rosters and staff personal files, the inspector was satisfied that service users are supported by an effective staff team, which is appropriately selected, managed and supervised. There were adequate numbers of staff on duty to meet the assessed needs of those accommodated in the home. The home does not use agency staff and all shifts are covered by permanent/bank staff, all of whom are aware of service user’s assessed needs. Members of staff spoken to said that they felt that their workload was manageable and that there were sufficient staffing levels in place. There were at least 2 members of staff on each shift at all times. In addition the registered manager works flexible times. There are always 2 staff on duty at night. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 20 The inspector viewed staff personnel files of 2 recently recruited members of staff. All information required by law, including enhanced Criminal Records Bureau checks was in place. The majority of permanent staff have obtained their NVQ qualifications. Staff also receive mandatory training and any other training, which enables them to carry out their roles in a professional manner. Staff also said that they received good support from the registered manager. Supervision sessions were taking place on regular basis. Minutes from those sessions were available for inspection. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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): 37, 39, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those who live in the home benefit from a well-run service, which is managed by a competent manager. The health and safety records were up-to-date, however it is required that the registered manager submits the electrical wiring certificate to the Commission, once the building work has been completed. EVIDENCE: The home is managed by a competent manager, who is a registered nurse and has a relevant management qualification. Staff and service users who spoke to the inspector during this visit gave positive feedback about her openness and management style. Regular monthly unannounced visit from the responsible person were being carried out and reports from those were also forwarded to the Commission. In addition the manager completed a monthly self-audit tool to ensure adequate quality assurance in the home. Service users are also completed a satisfaction Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 22 survey on an annual basis. An annual report was available for inspection. The registered manager has also produced the action plan following the review of comments received from the service users. Health and safety records kept in the home were well-maintained and there was evidence that regular health and safety checks were carried out. In cases where action is required, appropriate engineers/maintenance department are promptly informed. The home’s electrical wiring certificate issued in September 2004 stated that the wiring was unsatisfactory. As the building works were being carried out at the time of this inspection, the requirement for the wiring fault to be rectified has been lifted and replaced with the requirement that the registered manager submits a new electrical wiring certificate to the Commission once the building works have been completed. The home was appropriately insured for its purpose. Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 x x 2 x Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 24 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. Standard YA24 Regulation 23(2) Requirement The responsible person must ensure that the refurbishment work is completed within set timescale. It is required that the registered manager submits the electrical wiring certificate to the Commission, once the building work has been completed. Timescale for action 15/08/06 2. YA42 23(2)(b) 15/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Park Lodge Care Home DS0000061585.V302086.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East London Area Office Gredley House 1-11 Broadway Stratford London E15 4BQ 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 Care Home DS0000061585.V302086.R01.S.doc Version 5.2 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. 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