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Inspection on 18/07/05 for Park Lodge Care Solutions

Also see our care home review for Park Lodge Care Solutions for more information

This inspection was carried out on 18th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a team of dedicated staff who are keen to raise the levels of care and support they give and get good direction from the management team. From observation, it was evident that staff work hard to improve the quality of life of those in their care. Care Plans are well written and contain all the information needed to care for the resident. The Activities programme for the residents is tailor made to suit individual likes although the home does have a lot of group activity. The residents and staff have recently returned from a week in Majorca.

What has improved since the last inspection?

The building has recently undergone some major refurbishment with new uPVC windows fitted throughout. A new kitchen has been installed and one room has now the benefit of an en-suite WC.

What the care home could do better:

The Service Users Guide and Complaints Procedure have not been adapted for the use of people with a learning disability. Although the home explain what they can to the residents a pictorial form particularly around the area of `What do I do if I am unhappy` could be helpful.

CARE HOME ADULTS 18-65 Park Lodge Care Solutions 24 Goffs Park Road Southgate Crawley, West Sussex RH11 8AY Lead Inspector Mr P Barker Announced Monday, 18 July 2005 V230679 th 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 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 Stationary 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 H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park Lodge Care Solutions Address 24 Goffs Park Road, Southgate, Crawley, West Sussex, RH11 8AY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01293 548408 Park Lodge Solutions Limited Mrs Susan Rose Riding Care Home (PC) 10 places 10 places Category(ies) of Learning disability (LD) registration, with number of places Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 2004 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. Park Lodge is a large two storey detached Victorian house situated in a residential area of Southgate, Crawley. The property has ten single rooms on two floors. The property is owned by Park Lodge Solutions Ltd and managed by Mrs Sue Riding (formerly Kirkman). Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over a period of four hours. Park Lodge Care Solutions has performed well over the past four years since opening. At the last inspection no requirements were made. During the course of this inspection, the inspector spoke to the five residents present, staff, the owners and the manager. The inspector had also received one feedback questionnaire from a relative. All of the residents have a learning disability and it was difficult to talk with some of them so the inspector spent time observing them in the home. The comment from a questionnaire sums up the relatives’ viewpoint of the home; “Park Lodge is a happy place and the welfare of the residents is paramount. The staff make sure the residents can follow their dreams and wishes.” All five residents were very positive about the way they were being looked after. One said, “They are nice” when asked about the staff. Another said, “I am very happy”. The inspector had arrived at the home just before some residents went out with staff to the shops and then to a pub lunch. Some go full-time to a local College and at present are on their summer holidays, other residents attend at local day centres. All records were found to be in order and up to date. The Care Plans were excellent, well written and contained all the information needed to look after the residents. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were about to start their training. The training records of all staff were well documented and up to date. Staff were being supervised by the Manager who had made detailed notes of the sessions. The building has recently undergone some major refurbishment both inside and out. The home was warm, clean and welcoming. There were three staff on duty at the time of the inspection. All Health and Safety issues were up to date. No requirements were made at this inspection. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4, 5 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placement. EVIDENCE: Each resident is given a Service User Guide and a Contract when they enter the home. Most of the residents have family who are able to act on their behalf. The manager assesses all residents before they join the home. A proposed admission later this month involved visits to the home for tea, outings with the other residents and an overnight stay. The records of these assessments were seen and found to be very detailed. It is important to the home that new residents fit in with others living in the home. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 Residents take an important part in the running of the home and are able to make their own decisions. They are encouraged to maintain independence. EVIDENCE: Care Plans were very detailed and well presented. They contain a complete record of the individual and include all assessments from other agencies. Residents are encouraged to take part in outside activities and many go out to clubs and outings with staff support. All information is safely stored and staff are keen to maintain confidentiality. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 11, 12, 13, 14, 15, 16, 17 Residents appear happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: Activities are well planned in advance. There is a programme of events that residents participate in. These include swimming and bowling, trips to the cinema and theatre, shopping and pubs. The inspector was told of a recent visit the residents and all the staff made to a local nightclub that were putting on an evening for people with disabilities. The home has recently been to the island of Majorca with all the residents. This is the second time such a trip has been made and was a great success. The inspector had been sent Risk Assessments for each part of the trip including what to do if someone had a panic attack on the plane. Residents were about to have a barbeque, barbecued chicken being a great favourite. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 18, 19, 20, 21 The resident’s health, personal and social care needs are well met through good staff training. All procedures for medication involve a thorough assessment of the resident. EVIDENCE: Medication was safely stored and records were well kept in regard to the administering and disposing of them. Staff were well trained and the local pharmacist is on hand to offer advice and support. No service user has been assessed as able to look after their own medication. The home has not had to deal with a death as yet. However, there are policies and procedures in place should such a thing happen. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 12 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 standard(s) 22, 23 All complaints are taken seriously and staff, residents and their families know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing policy is in evidence. EVIDENCE: Staff have attended the Adult protection training and the procedures are available. The home has not received any complaints since the last inspection. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 13 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 standard(s) 24, 25, 26, 27, 28, 29, 30 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The home is well kept and is clean and tidy. The inspector walked around the home and found bedrooms were clean and left as the resident wished to leave it. All bedroom doors have locks. The home has recently refurbished the lounge and transformed it into an Activities Room. The old games room has been transformed into a very comfortable lounge. This new Activities Room is much larger than the old one and there is a snooker table, table football and other games for them. The garden also has facilities for residents to relax in or to be a bit more active. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36 There are sufficient staff employed to ensure that residents receive the support that they need. The home has a sound recruitment policy and all checks are made. There has been some considerable input into staff training and supervision. EVIDENCE: All staff have undergone Criminal Records Bureau checks and copies that these were satisfactory were kept in a locked cupboard. Prospective staff are invited to complete an application form and attend an interview. A member of staff confirmed this to be the case. Records showed that application forms and two references were always completed before staff started working at the home. Staff training had been undertaken in all areas and evidence showed that all staff were offered training relevant to their work. Files showed that staff had been trained in Health and Safety, Infection Control, Fire, Food Hygiene and Adult Protection. Several staff were hoping to attend a First Aid Course in the next three months. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42, 43 It is apparent that the needs of the residents are important and that things happen for the benefit of the people living in the home. The home does not have any dealings with personal finance. The home is a safe environment. EVIDENCE: The home is constantly updating their practices to ensure that residents receive the best care they could offer. Reviews are held at regular intervals and the home records these meetings. All records and policies and procedures are well kept. All Fire and Environmental Health requirements had been met and all equipment was regularly serviced. Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 3 3 4 3 4 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park Lodge Care Solutions Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 17 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 Regulation Requirement Timescale for action 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 Good Practice Recommendations Park Lodge Care Solutions H60 H11 S60398 Park Lodge Care Solutions V230679 180705 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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. 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