Inspection on 16/10/06 for Park Lodge Care Solutions

This inspection was carried out on 16th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Park Lodge Care Solutions 02/07/09

Park Lodge Care Solutions 21/08/07

Park Lodge Care Solutions 05/12/05

Park Lodge Care Solutions 18/07/05

Park Lodge Care Solutions 29/11/04

Similar services:

Southfields

Thorndene

Insight - Eastchurch

Magenta

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33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Park Lodge Care Solutions 24 Goffs Park Road Southgate Crawley West Sussex RH11 8AY Lead Inspector Mrs M McCourt Key Unannounced Inspection 16th October 2006 10:00 Park Lodge Care Solutions DS0000060398.V308828.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 Solutions DS0000060398.V308828.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 Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lodge Care Solutions Address 24 Goffs Park Road Southgate Crawley West Sussex RH11 8AY 01293 548408 01293 426831 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) Park Lodge Solutions Limited Mrs Susan Rose Riding Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Park Lodge Care Solutions is a care establishment registered to accommodate up to ten service users with a learning disability under the age of 65 years. The registered provider is Park Lodge Care Solutions Ltd and the Registered Manager is Mrs Susan Riding. The current scale of monthly charges range from £958.19 to £1,296.54. This information was obtained from the Pre-Inspection Questionnaire. Additional charges are made for personal items. Park Lodge is a large two storey, detached Victorian house situated in a residential area of Southgate, Crawley. There are ten bedrooms, with accommodation provided over two floors and includes a good range of communal areas. The property is within reach of local bus and train services. The Service Users Guide and Statement of Purpose can be located at the home, and are accessible to Service Users, staff, relatives and anyone else interested in the service. Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection was undertaken by one Inspector on Monday 16th October and lasted a total of ten and a half hours. Pre-inspection planning took approximately two days. Preparation for the inspection included review of information, the request and examination of a Pre-Inspection Questionnaire, reading of various policies and procedures, including; admissions/referral procedures, staffing rotas, menus, complaints policy and any complaints received by the Commission for Social Care Inspection. A full tour of the building took place and included the observation of Health and Safety matters, hygiene issues, decorative order and a general overview of the atmosphere created within the home. Two staff members and the home’s providers were spoken to at the time of inspection. Case tracking was carried out by examination of relevant records and information held on the staff and residents. The Inspector also spoke with several Service Users accommodated at the home. Policies and procedures were examined during the site visit. What the service does well: Service Users do enjoy a range of leisure activities and trips out. On the day of Inspection, three Service Users had returned from a mini break at the coast. It was their second holiday this year, the first having being in Ibiza. The Service Users spoke enthusiastically to the Inspector about their experiences on holiday. They had been out for meals, shopping and had attended a fireworks display. Further discussions found that some Service Users enjoys going to the cinema and shopping, whilst others prefer specific activities, such as bowling. The home has worked hard to improve the standard of meals. The Inspector looked at menus and found that meals are varied, nutritional and balanced, with the home trying to provide only fresh ingredients for all their meals, cutting down on tins, packets, ready meals, and so on. The result has had a significant affect on individual behaviour patterns. Service Users spoken with confirmed that the food was nice and that they could choose what to eat. Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 6 Staff spoken with demonstrated a good level of awareness around Adult Protection issues. Ten staff have attended adult abuse & POVA training in March 2006. Service Users live in a homely, comfortable and safe environment. It is nicely decorated throughout, with maintenance issues being dealt with as and when they arise. Service Users have access to an multi functional activity room/dining room which is a large, brightly coloured room consisting of pool table, an air hockey table, stereo, Karaoke machine, TV, therapeutic lighting and so on. Service Users regularly hold discos in the room and those spoken with said that they enjoy their discos evenings. What has improved since the last inspection? What they could do better: Risks are identified but not reviewed regularly, some have not been reviewed since November 2004 and some did not have a review date on them. The Inspector discussed the importance of regularly reviewing identified risks and the provider agreed that all risks should be properly assessed and reviewed often. A requirement has been made in respect of this situation. Medication administration and storage is in need of reviewing, details of which can be found in the main body of the report. The registered provider must ensure that appropriate steps are taken to remedy this situation and a requirement has been made in respect of this. The home was unable to locate the complaints book on the day of inspection. The Inspector was initially told that there were none recorded, but during conversation there had been some concerns and minor complaints from relatives. The Inspector was told that these had been recorded elsewhere, such as in the daily records. The Inspector advised the manager that any complaints, regardless of how minor, should be recorded, and a discussion took place regarding the importance of putting concerns in to writing, otherwise the home is not seen to be taking its own policies/procedures seriously. Supervision is not carried out as regularly as the National Minimum Standards advise and there were few records available to evidence that it does take Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 7 place. In addition, staff require updating in mandatory training in order to meet health and safety regulations. The Inspector noted that the providers acknowledge the need to improve in the areas highlighted, and were implementing changes promptly to raise standards throughout 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 Care Solutions DS0000060398.V308828.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 Solutions DS0000060398.V308828.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, 4 and 5. The quality in this outcome area is good. The judgement has been made using available evidence, including a visit to the service. Service Users’ individual aspirations and needs are assessed prior to moving into the home. Statement of Purpose and Service Users Guide are available to any interested parties. Service Users have an individual written statement of terms and conditions with the home that details breach of contract. EVIDENCE: A Statement of Purpose and Service Users Guide are available, and the Service Users Guide can be provided in large print if required. The home has its own admissions assessment in place. Assessments were seen from two placing authorities. Some Service Users have a plan of care in place, and one looked at by the Inspector had been reviewed in January 2005 and March 2006 by the care Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 10 manager. However, a care plan for another Service User was not available, although there had been a review held in July 2006, but nothing prior to this. Care reviews are carried out by social services on an annual basis. The home does not hold reviews and has never done so. It does review the paperwork using an evaluation sheet. There is an introduction period for prospective Service Users, and it was noted that the home is currently in the process of admitting a new Service User. Long-term transitional work is being done, and the home is working up to an overnight stay. Service Users have a contract between them and the home that has been signed by a representative on behalf of the individual, detailing what would constitute a breach of contract. The Inspector looked at two contracts and found that these had both been signed by representatives for the Service Users. Park Lodge Care Solutions DS0000060398.V308828.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 and 9. The quality in this outcome area is adequate. The judgement has been made using available evidence, including a visit to the service. Service Users do have individual care plans and risk assessments in place, but they have not been reviewed or updated on a regular basis. EVIDENCE: Service Users care plans are in the form of a ‘communication passport’ which details strengths, likes, dislikes, assistance required, health issues, personal care and so on. There is evidence of specialist needs being met, with Service Users accessing occupational therapy, psychiatry, physiotherapy, psychology and transport. However, on the day of inspection there was a Service User who had developed an infection and their health had been affected significantly. The Service User was confined to bed and staff were having to manually handle them in order to assist with sitting up or turning over whilst in bed. The home Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 12 had a no lifting policy in place, and therefore the matter was causing a conflict between the home’s own policy and caring for the Service User concerned. Care plans are not currently reviewed, but the provider said that they will alternate in-house reviews with the one held by social services, thus ensuring care packages are reviewed at least every six months. Risks are identified but not reviewed regularly, some have not been reviewed since November 2004 and some did not have a review date on them. The Inspector discussed the importance of regularly reviewing identified risks and the provider agreed that all risks should be properly assessed and reviewed often. One member of staff will be given the task of looking through all the risk assessments and ensuring that they are still relevant, and/or updated where required. A requirement has been made in respect of this situation. The home does have written procedures for unexplained absences and photographs of each Service User are available. Park Lodge Care Solutions DS0000060398.V308828.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): 11, 12, 13, 14, 15, 16 and 17. The quality in this outcome area is good. The judgement has been made using available evidence, including a visit to the service. Service Users are able to take part in age, peer and culturally appropriate activities, and are encouraged to access the local community. Service Users are offered a healthy diet and enjoy their meals. EVIDENCE: Out of the nine Service Users accommodated at the home, 3 attend college and 5 go to day centres. Activities covered include cooking, horticulture, IT, life-skills, pottery and music and rhythm. The Inspector noted that there is little available for those Service Users with more complex needs, although the staff team do try to create meaningful activities for them to take part in. Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 14 On the day of Inspection, three Service Users returned from a mini break in Selsy, on the coast. It was their second holiday this year, the first having being in Ibiza. The Service Users spoke enthusiastically to the Inspector about their experiences on holiday. They had been out for meals, shopping and had attended a fireworks display. Further discussions found that some Service Users enjoys going to the cinema and shopping, whilst others prefer specific activities, such as bowling. Some services, approximately 3 or 4 attend drama/dance sessions on a weekly basis, where there are opportunities to meet other people. The Inspector looked at menus and found that meals are varied, nutritional and balanced. The menus are planned in advance, with Service Users putting forward their requests for favourite meals. The provider told the Inspector that the home has recently changed menu planning. They now try to use only fresh ingredients for all their meals, cutting down on tins, packets, ready meals, and so on. The result has had a significant affect on individual behaviour patterns. Service Users spoken with confirmed that the food was nice and that they could choose what to eat. One Service User said her favourite food is Chinese, and another said he likes pies, sausages and spaghetti. The home does keep a record of meals eaten. Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 15 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 and 20. The quality in this outcome area is adequate. The judgement has been made using available evidence, including a visit to the service. Service Users’ physical and emotional needs are generally met, however the home must ensure that when a specific case requires specialist care, that it is sought as soon as possible to ensure the safety of both Service Users and staff. EVIDENCE: The home endorses flexible regimes for getting up. Meal times then depend on what time people get out of bed. The Inspector was given an example of what happens at the weekend, with those who choose to get up later joining the ‘early-birds’ for a brunch mid-morning. The home uses a keyworker system with two staff assigned to each Service User. Each resident has a health professional visit form that records dates of appointments and an attached detail sheet on which staff record information Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 16 about the appointment. An in-house diary is also used for recording individual health and general appointments. As previously highlighted, a Service User living at the home had become unwell and it was clear from discussions with staff and the acting manager, that the home was unable to care for her appropriately. The Inspector was concerned that staff were endangering their own physical health in trying to care for her, and advised that an immediate referral be made to social services. Following the concerns of the Inspector, the provider arranged for the Service User to be admitted to hospital the very next day via A & E, prior to being allocated a bed on one of the wards. The home uses the Boots MDS system for medication. Medicines are stored in a moveable metal cabinet that is lockable. MAR sheets looked at by the Inspector contained many gaps in signing. There were large quantities of paracetamol tablets that had not been logged. Norethisterone tablets were also held in large quantities with no stock control in place. In addition there were three bottles of Ibuprofen for one Service User and all three had been opened and were in use. They had not been dated on opening either, so there was no way of knowing which had been opened first and so on. There were also two bottles of Piriton open, again for the one Service User only, and not dated. The registered provider must ensure that appropriate steps are taken to remedy this situation and a requirement has been made in respect of this. Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 17 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. The quality in this outcome area is adequate. The judgement has been made using available evidence, including a visit to the service. All concerns, regardless of how minor, should be recorded in order to track outcomes. Staff are well trained in matters of Adult Protection, and therefore Service Users are protected from abuse, neglect and self-harm. EVIDENCE: The Commission for Social Care Inspection has not received any complaints in respect of this service. The complaints procedure is in a format suitable for the client group, using an easy to read, clear language that incorporates pictures and symbols. However, the provider told the Inspector that there was a complaints book available, but the home was unable to find it. Initially they said there were none recorded, but during conversation there had been some concerns and minor complaints from relatives. The Inspector was told that these had been recorded elsewhere, such as in the daily records. The Inspector advised the manager that any complaints, regardless of how minor, should be recorded, and a discussion took place regarding the importance of putting concerns in to writing, otherwise the home is not seen to be taking its own policies/procedures seriously. Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 18 Staff spoken with have a good level of awareness around Adult Protection issues. Ten staff have attended adult abuse & POVA training in March 2006. There is one copy of the West Sussex County Council Adult Protection procedures available, although it was kept in the office, which is usually only accessible when the manager or provider are in the home. The Inspector advised that it should be kept down stairs where all staff can access it at all times. Park Lodge Care Solutions DS0000060398.V308828.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, 25, 26, 27, 28 and 30. The quality in this outcome area is good. The judgement has been made using available evidence, including a visit to the service. Service Users live in a homely, comfortable and safe environment. It is nicely decorated throughout, with maintenance issues being dealt with as and when they arise. EVIDENCE: The Inspector conducted a tour of the building that started on the ground floor. There are five bedrooms on the ground floor. Five bedrooms are en suite with the remainder having a washbasin in them. Bedrooms were nicely decorated and had been personalised to suit individual taste. Currently some individual rooms were in the process of being redecorated. Service Users have access to an multi functional activity room/dining room which is a large, brightly coloured room consisting of pool table, an air hockey table, stereo, Karaoke machine, TV, therapeutic lighting, mirrors, sofa, table & Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 20 chairs. Service Users regularly hold discos in the room, approximately every fortnight. There are two sets of patio doors leading into the garden. There is a patch of water damage on the ceiling, caused by lose flashings on the roof. The provider told the Inspector that it was due to repaired in the next week or two. The kitchen is nicely decorated and was modernised last year. The fridge was clean, although there were no labels on jar/bottle foods, such as mayonnaise. Also raw meat (sausages and bacon) were stored very close to the salad produce at the bottom of the fridge. The downstairs bathroom is due for redecoration. The Inspector noted that the seal around the bath needs renewing. There was a strong odour in the room, probably caused by the soiled carpet and there were some old damp patches on the ceiling. Service Users have access to a large, well maintained garden area. Park Lodge Care Solutions DS0000060398.V308828.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 and 36. The quality in this outcome area is adequate. The judgement has been made using available evidence, including a visit to the service. Staff should be suitably qualified and competent to take on the role of support worker. Service Users would benefit from a well supported and supervised staff team who have a clear understanding of the communication and physical needs of the client group. EVIDENCE: The home employs thirteen staff members. Four hold NVQ and two are due to start NVQ. The staffing rota shows that there are three staff working between 7am and 11am, two until 7pm with three staff then working until 11pm. Twice a month an extra member of staff will work to enable some Service Users to go dancing. There is one waking night staff member covering the night shift. Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 22 Recruitment records were looked at and were found to contain all the necessary documents to ensure the safety of Service Users. Supervision is not carried out as regularly as the National Minimum Standards advise and there were few records available. One staff member had a supervision session on 14.7.06, but there was no evidence of any other sessions. Another staff member had supervision records for April 2003, November 2004 and July 2006 only. There are no supervision contracts in place. The provider and manager said that they aim for bi-monthly supervision, but realistically this is more like once every four months. The Inspector found that this was optimistic, as it is more like once a year. The home was able to produce a training and development plan for the Inspector to look at. Although most staff have attended mandatory training, there are still a significant number of staff who have not. In addition, apart from epilepsy training, none of the staff team have attended specific training. For example there is a Service User with autism, four Service Users have Downs Syndrome, plus other complex needs and yet there is no relevant training available to staff. Discussions with the provider also found that the home does not carry out an annual training needs assessment for the staff and/or service users. Park Lodge Care Solutions DS0000060398.V308828.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, 41 and 42. The quality in this outcome area is adequate. The judgement has been made using available evidence, including a visit to the service. The home should develop a quality assurance tool to ensure the views of people involved in the home are sought. Specific health issues must be properly assessed to ensure safe working practices and the registered person must ensure that all staff are up-to-date with Mandatory training, such as; food hygiene and infection control. EVIDENCE: The Registered Manager, Ms Susan Riding is currently on maternity leave and the home is being managed by the Acting Manager; Mrs Sandra Fitzpatrick. Mrs Fitzpatrick has worked in the home since it opened and has been deputising since May 2006. In addition, the providers work from the home on Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 24 a daily basis, holding regular Monday morning meetings with the manager to discuss pertinent issues. There is no use of satisfaction questionnaires, and there have been no regulation 26 visits carried out by the home for almost a year. On discussion to find out how the home seeks the views of relatives, Service Users and so on, the Inspector was told that the home holds parties where relatives are invited, giving them an opportunity to discuss the home and any issues. The parties are held approximately every four months. The provider told the Inspector that she has recently implemented a Newsletter that she sends out to relevant people. It is done on a monthly basis and the Inspector advised the provider to date it, which would then enable it to be used as a quality assurance tool. Although mandatory training is provided, many staff have not attended and almost all of the courses that staff did attend, are due to be re-done. Also the home does not provide food hygiene training. The providers told the Inspector that they are looking into putting one member of staff on a food hygiene course, and then getting them to cascade the training to the remaining staff team. A food hygiene video is watched as part of induction, but the Inspector was concerned that this was not a robust way of ensuring every one had been trained. Staff do receive fire warden training, which according to the provider, supersedes having to attend as many drills. The Inspector was of the opinion that agreement is sought from the Fire Department on this issue. Park Lodge Care Solutions DS0000060398.V308828.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 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 1 x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 1 x 3 x 2 x 2 2 x Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA20 Regulation 13 (2) Timescale for action The registered person shall make 31/12/06 suitable arrangements for the recording, handling, safekeeping and safe administration and disposal of medicines received into the care home. The registered person shall 31/12/06 ensure that the assessment of the Service User’s needs is – (a) kept under review; and (b) revised at any time when it is necessary to do so having regard to any change of circumstances. (3) – Visits under paragraph (1) 31/12/06 or (2) shall take place at least once a month and shall be unannounced. Requirement 2 YA7 14 (2) 3 YA39 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations 6.10 – The Plan is reviewed with the Service User (involving significant professionals, and family, friends and DS0000060398.V308828.R01.S.doc Version 5.2 Page 27 Park Lodge Care Solutions 2 YA19 3 4 YA32 YA35 5 6 YA36 YA39 7 YA42 advocates as agreed with the Service User) at the request of the Service User or at least every six months and updated to reflect changing needs and agreed changes are recorded and actioned. 19.1 – the registered person ensures that the healthcare needs of Service Users are assessed and recognised and that procedures are in place to address them. 19.3 - Service Users’ health is monitored and potential complications and problems are identified and dealt with at an early stage, including prompt referral to an appropriate specialist. 32.6 – 50 of care staff (including agency staff) in the home achieve a care NVQ 2 by 2005. 35.6 – A training needs assessment is carried out for the staff team as a whole, and an impact assessment of all staff development is undertaken to identify the benefits for Service Users and to inform future planning. 35.7 – training and development are linked to the home’s service aims and to Service Users’ needs and individual Plans. 36.4 – Staff have regular, recorded supervision meetings at least six times a year with their senior/manager in addition to regular contact on day to day practice. 39.6 – Feedback is actively sought from Service Users (with support from independent advocates as appropriate) about services provided through e.g. anonymous user satisfaction questionnaires and individual and group discussions, as well as evidence from records and life plans; and informs all planning and review. 42 – The Registered Manager ensures so far as is reasonably practicable the health, safety and welfare of Service Users and staff. (see section 42.2) Park Lodge Care Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Solutions DS0000060398.V308828.R01.S.doc Version 5.2 Page 29 - 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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