Inspection on 15/09/08 for Park Lodge Care Home

This inspection was carried out on 15th September 2008.

CSCI found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Lodge Care Home 13/07/06

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 15/11/2009.

CARE HOME ADULTS 18-65 Park Lodge Care Home 249 - 251 Victoria Park Road Hackney London E9 7BQ Lead Inspector Robert Sobotka Unannounced Inspection 15 September 2008 10:15 th Park Lodge Care Home DS0000061585.V377342.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.V377342.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.V377342.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.V377342.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th July 2006 Brief Description of the Service: Park Lodge is a residential home, which is registered to provide care for up to 23 service users with mental health issues. The home is owned by Sanctuary Care Ltd, which is a non-for-profit organisation. The building has ground and two upper floors and has recently been refurbished. The home 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.V377342.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This inspection took place over one day and was unannounced. As part of this visit, the inspector spoke with some of the people who use the service, as well as care staff working in the home and one of the home’s chefs. The inspector also spoke with the registered manager who was present throughout this inspection. The inspector also viewed various documents and carried out a tour of the premises. Prior to this inspection the home was asked to complete the Annual Quality Assurance Assessment. This was returned promptly and within timescale given. Some of the information provided in the assessment has been incorporated into this inspection report. The purpose of this visit was to assess the home’s compliance with the National Minimum Standards for Adults (18-65) and The Care Homes Regulations 2001. The inspector would like to thank all service users and staff who contributed to this inspection. What the service does well: People who use this service are consulted about the way the home should be run. Staff working in the home receive regular training to enable them to carry out their jobs professionally. Complaints are taken seriously and dealt with promptly and efficiently. Visits from the responsible person were taking place on regular basis. Those working in the home ensure that the service users continue to improve their independence skills in order to move to more independent settings. Appropriate medication systems are in place. There are also good admission and care planning systems in place. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 6 The home is managed to a competent and committed manager who is committed to providing excellent quality of care to the people living in the home. Each person is treated as an individual and their potential and abilities and valued and recognised by the registered manager and staff working in the home. Those who use the service are supported by a reliable staff team. The home has good joint working relationships with Therapists, Social Workers, Consultants, General Practitioners, Advocacy services, and other supporting agencies as well as service users’ relatives, to ensure the best positive outcomes for each person living in the home. What has improved since the last inspection? What they could do better: The home has met all previous requirements and recommendations from the last inspection visit. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 7 One statutory requirement was made following this inspection visit. Improvements are required to the way some food products are stored in the home’s kitchen. 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.V377342.R01.S.doc Version 5.2 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 Care Home DS0000061585.V377342.R01.S.doc Version 5.2 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): 1, 2, 3, 4. 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 had an up-to-date statement of purpose and the service user’s guide in place. Both documents contained all relevant information relating to the home and outlined what support and services any prospective service users could expect. As part of this visit, the inspector checked personal files of three service users who have been admitted to the home since the last inspection. There was evidence that the registered manager carried out appropriate assessment and obtained relevant documentation in respect of each 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.V377342.R01.S.doc Version 5.2 Page 10 According to the home’s statement of purpose, all admissions to Park Lodge are on a planned basis and emergency admissions are not permitted. 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. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 11 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, 9, 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home had very thorough and comprehensive care planning systems in place and people who used the service are actively encouraged to take part in their care planning process and decision making. Good risk management strategies were in place. Confidential information was appropriately handled. EVIDENCE: As part of this visit, the inspector reviewed four randomly chosen care plans. Documents viewed were kept up-to-date. The home has a keyworking system in place and each resident is allocated a keyworker. They meet with their key resident to draw up their care plans, which reflect their assessed needs. Each care plan set out clear goals and objectives. Each care plan is reviewed, evaluated and updated in consultation with service users on a monthly basis, or immediately if there is a change in the resident’s mental or physical health status. Personal files also included record of any professional advice, including outcomes from any medical appointments. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 12 Care plans were signed by the relevant parties, including a service user. Staff who spoke with the inspector were aware of each service user’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. The home holds regular residents’ meetings, during which any issues about the running of the home are discussed. These meetings are chaired by the residents’ representative. This encourages the residents to be involved in the running of the home. Service users who spoke with the inspector were happy with the current arrangements. Service users’ representative is involved in shortlisting and interviewing new staff. Very comprehensive risk assessment systems were in place. Risk assessments viewed were well written and allowed people who use the service to take responsible risks. Risk assessments were reviewed on a monthly basis, or following any incidents that adversely affected the wellbeing of a service user. 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.V377342.R01.S.doc Version 5.2 Page 13 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, 15, 16, 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 and they were valued as individuals. Service users enjoyed the food in the home, however storage of some food products required improvement. 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 and some residents engaged in paid employment. Service users living in the home were able to access community independently. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 14 On the day of this inspection there were very few service users in the home, as the majority of them were out either on activities, attending colleges or working. Each resident’s file contained individual programme of activities. When a resident declines to participate in activities, this is clearly documented in his/her file. The home is commended for recognising each person’s strengths and offering appropriate support to promote and encourage independence and eventually to move on to more independent accommodation. On the day of this inspection one of the service users was moving to a supported living project. The home is allocated two flats per year allocated by Sanctuary Housing for residents moving on to independent living. Where it has been assessed as safe, people are encouraged to prepare their own meals, as a way of preparing for independence. Some residents are selfcatering from 3 to 7 days per week. 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 regularly holds consultations with residents in order to identify what they would like to change about activities. Feedback was received that they would like to have a computer installed for their use. Following this, the activities room has been redesigned into a computer room with 4 computers with internet service for resident’s use. Three members of staff have volunteered to undertake ITQ Level 3 whereby they will be able to teach/instruct residents to develop their computer skills. Residents will be able to undertake online courses for personal development at their own pace as well as keep in touch with family and friends. 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 home maintains a good rapport with relatives, encouraging their participation in resident’s care. Family contact is encouraged; however staff respect resident’s wishes if they do not want family involvement. Service users can receive visitors in the home. Care plans viewed demonstrated that families are sometimes involved in the care planning process and systems are in place to ensure good communication between the home and relatives of the people who live in the home. As part of this visit, the inspector checked kitchen premises, which were found to be clean and hygienic. Appropriate food supplies were kept in the home. The Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 15 inspector noted that some of the food products, which were kept supposed to be refrigerated were kept in a cupboard. In addition, they were not labelled when opened to ensure that they are not used passed its recommended “use within” date. The inspector viewed a sample of menus, which showed that the food is cooked from scratch, this including baking cakes. There are two chefs in the home, the one on duty when the inspector visited the home was aware of the service users dietary needs, as well as their likes and dislikes. The majority of the service users said that they liked the food offered by the home. As previously mentioned, 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. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 16 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 excellent. This judgement has been made using available evidence including a visit to this service. Staff working in the home do their utmost to ensure that service user’s emotional and healthcare needs are going to be 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 the service users received appropriate care from the healthcare professionals. Staff support residents with booking appointments to see dentists, chiropodists, opticians and ensure that residents attend these appointments. Diary of appointments is kept in the Project workers’ office, so that staff are able to prompt and remind residents of appointments. Residents are also encouraged to keep their own diaries of appointments. Record of appointments/outcomes with care professionals in kept in each service user’s file. When booking appointments for residents Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 17 whose first language is not English, staff ensure that an advocate or an interpreter is present for residents either at the GP surgery or hospital, to ensure that each person fully understands what the professionals are saying to him/her about their treatments. Support is also offered to those who would like to quit smoking. Two residents were either on nicotine patches or inhalers to help them stop smoking. Comprehensive care plans indicating levels of support needed by each resident were in place. According to the information included in the AQAA document two service users attended counselling sessions for alcohol problems and two people were attending talking therapies group to help them develop coping strategies for hearing voices. Staff regularly monitor service users’ weight, blood pressure and blood sugar levels where appropriate. Reviews with Diabetic Nurse are also undertaken. General Practitioners carry out yearly health checks and medication reviews. GP visits the home to carry out yearly checks for those service users who prefer to be seen at the home. There appeared to be a good working partnership between the home’s GP and specialist nurses to ensure better outcomes in relation to each service user’s health. Good crisis intervention systems were in place to prevent hospital admissions. This included working closely with the Home Treatment Team. Good medication systems were in place. Some of the service users were encouraged and supported to administer their own medication. Control measures are in place for people who have been risk assessed as capable of administering their own medication. Each flat has a locked drawer to store resident’s medication. At the time of this visit, 3 of the service users were selfmedicating on a full-time basis and 1 person was self-administering some of their medication. Medication spot checks are done with residents to ensure compliance. This is recorded in resident’s care files. 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. Staff receive appropriate medication training. Medication audits are carried out to ensure that staff comply with policies and procedures. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 18 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. People who use the service are free to make complaints, which are promptly and efficiently dealt with. They are also appropriately 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. Any incidents that require to be reported to the Commission are done so without any delay. 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. As part of this visit the inspector checked financial records in relation to one service user and these were found to be wellmanaged. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 19 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 good. This judgement has been made using available evidence including a visit to this service. People who use the service benefit from a homely, well-maintained and clean environment. EVIDENCE: Following extensive building works and refurbishment programme, the premises now contain 23 self-contained flats with kitchens, en-suite facilities and washer/driers. Each flat consist of a sizeable bed-sitting room (16’ x 10’), a separate kitchen (6’ x 5’6”) and a separate bathroom/toilet (6’ x 5’6”). Privacy is maintained and all residents have their own keys to their flat. The premises are wheelchair accessible and adapted shower cubicle can be used by any resident with limited mobility. There is a communal lounge, computer room and a front and rear garden. Appropriate security systems were in place. These include Closed Circuit Television (CCTV) in operation covering all entrances and exits, alarmed doors at the back of the premises to alert staff during the night and Scope alarms to Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 20 summon help from the Police in case of emergency. The home does not practice any form of restraint on the service users. The premises were found to be clean and hygienic at the time of this unannounced inspection. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 21 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. 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.V377342.R01.S.doc Version 5.2 Page 22 The inspector checked staff personnel files of 3 members of staff who have commenced their employment in the home since the last inspection. All information required by law, including enhanced Criminal Records Bureau checks was in place. According to the AQAA documents, the home employed 11 permanent care staff, 10 of who had National Vocational Qualification Level 2 or above. There were also 7 bank staff (4 with NVQ’s). In the last 12 months 5 members of staff have attained their NVQ Level 2 or 3. 2 members of staff have completed their Degree in Social Work and are awaiting certificates. 1 member of staff is undertaking a combined RMN/Social Work Degree. As previously mentioned three members of staff are to be qualified in ITQ Level 3, so that they can use their knowledge and skills to support and develop residents in computing skills. Staff receive mandatory training and any other training, which enables them to carry out their roles in a professional manner. This included training in dual diagnosis/complex needs, risk management/risk assessments of residents, and Clozapine training. There was also evidence that staff receive thorough induction, suitable to their role. The inspector was informed that interviews were planned later in the month to recruit a Deputy Home Manager as well as an additional Project Worker, Night Assistant Project Worker, Night Assistant Project Worker (Bank) and Kitchen Assistant (Bank). Staff who spoke with the inspector said that they received good support from the registered manager. Supervision sessions were taking place on regular basis, minutes from which were available for inspection. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 23 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 and checks were upto-date. EVIDENCE: The registered manager is a Registered Nurse (RN), Registered Mental Nurse (RMN) with 30 years experience in the National Health Service. During this time she worked in various managerial roles, gaining valuable experience in liaising with Social Services and working with other agencies within a multidisciplinary team setting. Prior to joining Sanctuary Care in June 2004, she was employed as a Manager of a Nursing Home for another charitable organisation. She also holds the Registered Managers Award (NVQ Level 4). Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 24 Staff and service users who spoke with the inspector during this visit were full of praises about the manager’s openness and management style. Good quality assurance systems were in place. Regular monthly unannounced visits from the responsible person were being carried out and reports from those were also forwarded to the Commission. In addition the manager completes a monthly self-audit tool to ensure adequate quality assurance in the home. Service users are also completed a satisfaction survey on an annual basis. The inspector was informed that service user’s surveys had been completed and they have been forwarded to the organisations head office for analysis. 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. Since the last inspection the home has ensured that the electrical wiring certificate is now available. The home was appropriately insured for its purpose. Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 25 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 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X 3 4 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 X 3 X X 3 X Park Lodge Care Home DS0000061585.V377342.R01.S.doc Version 5.2 Page 26 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 YA17 Regulation 16(2)(g) Requirement The registered person must ensure that all food products are stored in line with the manufacturer’s recommendations. Food product must be labelled once opened, so that they are used within recommended times. Timescale for action 15/10/08 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.V377342.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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.V377342.R01.S.doc Version 5.2 Page 28 - 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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