Inspection on 21/08/07 for Park Lodge Care Solutions

This inspection was carried out on 21st August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 1 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 16/10/06

Park Lodge Care Solutions 05/12/05

Park Lodge Care Solutions 18/07/05

Park Lodge Care Solutions 29/11/04

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Southfields

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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 A Peace Unannounced Inspection 21 August 2007 10:00 st Park Lodge Care Solutions DS0000060398.V343042.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.V343042.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.V343042.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 Fitzpatrick Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th October 2006 Brief Description of the Service: Allied Care has recently taken over the home operating as Park Lodge Care Solutions, the home is registered to accommodate up to ten service users with a learning disability under the age of 65 years. The registered provider is Allied Care and the Registered Manager is Mrs Susan Fitzpatrick. The current scale of monthly charges range from £958.19 to £1,296.54. This information was obtained from Mrs Fitzpatrick. 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. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Ann Peace on 21st August 2007. During this visit the intended outcomes for 41 standards were assessed; these included the key standards for care homes providing a service to Young Adults aged 18-65. The majority of standards were met or exceeded. Prior to the visit to the home the inspector reviewed information provided in a Annual Quality Assurance Assessment completed by the provider prior to the visit and other information received from the provider since the last visit to the home on the 16th October 2006. The inspector arrived at 10.00am and throughout the visit met eight of the nine residents who currently live at the home and the staff who were supporting them. We visited residents in he communal areas and in their bedrooms with their permission. A case tracking exercise for three of the five residents was undertaken to see how their assessed needs had been used to form care plans which residents and their relatives were happy with and which staff followed. Residents were encouraged to provide feedback about what it is like to live at the home by completing pictorial satisfaction surveys, five were retuned to us and all were positive about the home and the staff. Four relatives had also completed satisfaction surveys and again were positive, there was only one comment where things could be improved and this was discussed with the manager during the visit. During the visit we concluded that residents live in a well managed home and are looked after by a caring staff team who provide a good level of care. What the service does well: Residents regard Park Lodge as their own home and feel that they are consulted and participate in all aspects of life at the home. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 6 Residents are encouraged to retain an independent lifestyle, accessing local communal facilities and maintaining relationships with their families and friends. The provision of activities and outings are good and staff support residents to take part. Care records are of a good standard and clearly show residents individual and diverse needs and what approach to care is needed to meet those needs. Residents indicated that they are satisfied with the standard of food and have plenty of choice. Management systems within the home are good and the residents and their relatives are confident that the home is run in the best interests of residents. Residents are looked after by a caring staff team who provide a good level of care. What has improved since the last inspection? A ramp into the house has been built to take into account resident’s disabilities and allow for any future deterioration in their mobility. A new fire alarm system has been installed and a large new conservatory has been built which has added to resident’s communal space. Since the new providers have taken over the home other improvements have started to be made to the environment. A new computer system for record keeping has been implemented which ensures a individual tailor made approach to care planning and risk assessments, this also identifies when updating and reviews should be carried out. There have been improvements to the medication procedures, the home have reduced the amount of stocks stored. There is a new procedure for ensuring medication for home visits is signed for on distribution and again on receiving it back into the home. Staff have received medication training. Activities have been re arranged to take into account resident’s requests. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 7 Staff supervision sessions have started to be carried out and a quality assurance system has been started. Regulation 26 visits to monitor the conduct of the home have been re commenced by the provider. 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. The summary of this inspection report can be made available in other formats on request. Park Lodge Care Solutions DS0000060398.V343042.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.V343042.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. 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. Residents are assessed prior to moving into the home to make sure that the home can meet their individual needs. Prospective residents and their families are provided with the information they need to make an informed choice about the home. They are invited to visit the home to meet other residents and staff and to see the facilities available at the home so that they can make a choice about moving in. EVIDENCE: A statement of purpose and service users guide was not available in the home, the manager told us that Allied Care who have recently taken over the home were in the process of updating the documents. All of the surveys sent to us said that residents, relatives and their representatives had received sufficient information to be able to make a decision about moving into the home. Full assessments take place both in the residents current home and day placement and all of the their individual aspirations and needs taken into consideration before any trial visits are undertaken. Two or three teatime visits and one or two overnight visits are offered at the home before residents are offered a placement. The registered manager Mrs Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 10 Fitzpatrick told us that this gives time for the residents presently accommodated and the prospective resident to get together to ensure that everyone is happy with the arrangement and that needs can be met. The manager and staff maintain good care records which are updated on a regular basis Park Lodge Care Solutions DS0000060398.V343042.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans give clear information so that staff can support residents with all aspects of health, personal and social care needs. Residents and their relatives/representatives are included in decisions made about life in the home so that they have opportunities to exercise choice and have a fulfilling life style. EVIDENCE: All residents have an up to date care plan which shows their assessed needs and any changes. Personal goals are reflected in the plans. The surveys sent to us said that residents where able and their relatives/representatives have the chance to be involved in the care plan. The care plan is generated from the assessment and showed how current and anticipated specialist requirements would be met. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 12 The care plans describe individual restrictions and choices and any planned interventions needed to meet care needs. Differing format are available on the home to meet any specialised communication needs. The care plans are reviewed regularly with residents, significant professionals, family and representatives. Residents were noted to be offered choices about their day-to-day activities. One resident was having a lie in because he had been late night shopping with care staff the evening before. Staff are able to demonstrate how individual choices have been made and do record instances when decisions are made by others and why. Where there are limitations on a resident’s choice to prevent self-harm, this is well documented. The surveys sent to us said that residents have the opportunity to participate in the day to day running of the home; this was also seen during the visit. Regular residents and relatives meetings are held and minutes of these were available, where feedback was necessary this was also documented. Residents do have some minor kitchen chores to do in the home; they were noted to be gently prompted to carry these out during the visit. Resident’s are supported to take risks as part of their daily living plan to promote independence. Full risk assessments are recorded with details of identified risks and hazards. Records are securely maintained. A relative said, “that their son is extremely happy at Park Lodge and they have seen such an improvement in him particularly his language”. “We cannot speak highly enough of Park Lodge and are so very grateful for all of the care they give”. Park Lodge Care Solutions DS0000060398.V343042.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents living at the home take part in a variety of activities and have opportunities for personal development so that they feel valued and have opportunities to develop skills. Staff support residents to maintain contact with their families and friends so that they can maintain and develop relationships outside the home. Residents are offered a varied diet and can have alternatives if they wish. EVIDENCE: Care plans record what residents like to do in their leisure time, who their friends are and what contact they have with families. The detail was supported by surveys received. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 14 All of the residents have various placements either full time or part time for personal development and for learning practical life skills for the new term in September. The home has a full activity program for the residents and surveys said that this was what the home does well. Residents have recently been on their holidays with the staff, some to Benidorm and some to Selsey where they all went on day trips and took part in various activities. Those residents that could tell us said they had a good time. It was a resident’s birthday in the week of the visit and a trip to the bowling alley and a pizza meal was planned during the day and then a party in the home at night so the residents out during the day did not miss the fun. The resident was very exited and told us about her birthday cake that one of the staff was going to make for her. A number of the residents had recently been to London on a trip and for a meal. Records seen said that during a resident’s meeting there were requests from residents for swimming, cooking and bingo. Following this the planned activity program was amended to accommodate these and they are now regular events. Residents are encouraged to go out and about into the community with staff support when needed and on the day of the visit two residents had been out shopping with a carer. Surveys told us that family and friends are encouraged to visit the home and take part in any activities, staff told us that relatives are very supportive to the residents and staff which adds to the homely and relaxed atmosphere in the home. The home distributes a monthly newsletter to relatives telling them what has been going on in the home and with residents and staff. In June 2007 the home held a fundraising event at the local British Legion and collected a large donation which is being used to supplement resident’s pocket money to provide more activities. All surveys said that the home communicates well with them if something arises but one survey said they would also appreciate a two weekly phone call just to update them. This was discussed with the manager at the end of the visit who said this would be arranged. All of the bedroom doors can be locked if residents wish and staff do knock and wait to be invited in before entering. The staff induction programme covers all aspects of living within the home including respecting the rights of residents. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 15 Residents have unrestricted access to a nice garden planted with fruit trees, shrubs and flowers. There is an ornamental pond and various areas to sit. It is planned to try to involve residents in growing their own vegetables so that the home can improve their group skills and let them eat their own produce. Over the last few months residents have been on a healthy eating plan and due to this all of them have lost excess weight which we were told has benefited their health and behaviour. Although, residents do still have favourites treats such as waffles, beef burgers and pizzas. The menus for the main meal of the day are decided by residents with the help of staff on a weekly basis and those at home at lunchtime can decide what they would like on an individual basis. Staff prepare and cook the meals, on the day of the visit most residents were having beans on toast in the dining room and one resident had requested soup and toast. Residents are encouraged to eat in the dining room but are able to eat in their rooms if they wish. Residents had decided on Lamb curry for their main meal which is in the evening when they all come in from their daily activities and can sit down together. Although staff do cook, residents do have the opportunity and are encouraged to take part in cooking and baking. There is plenty of fresh fruit available for residents to help themselves. One relative said “the home offers a secure happy environment where their son is allowed to follow the activities they enjoy and is encouraged to participate in others”. “There is always a friendly atmosphere”. Another relative said, “The home offers stable living conditions which is of paramount importance to their son and offers them a social life”. Park Lodge Care Solutions DS0000060398.V343042.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. 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. Residents receive personal support in the way that they want so that they can maintain individual levels of independence. A variety of healthcare professionals are involved in maintaining the physical and emotional needs of residents. There are robust medication administration procedures in place. EVIDENCE: Since the last inspection the home has introduced a very efficient and effective computer system which helps make a tailor made care package showing individual needs and requirements. This also provides a clear concise map of each resident. From this, care plans detailed what care the residents needed from the assessments and how staff were to carry out the care, these records are regularly updated. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 17 Daily care records are maintained to ensure staff are up to date on the present condition of all of the residents. The manager said this is to monitor their health and wellbeing and identify any potential problems so they can be dealt with at an early stage. There is a key worker system in operation where each resident is allocated a designated key worker who has in depth knowledge of them; in addition there is a back up key worker system. All residents and relatives reported through the surveys that residents see the doctor and other health professionals. It was noted that these visits are recorded and any changes made in the individual persons care plan. Relatives and residents said in the surveys that they feel the staff care for them well and listen to what they say. Residents are able to get up and go to bed when they wish and daily routines are flexible, subject to restrictions agreed in their individual care plans. The in house routines vary from the working week where residents do need to get up early to go out to their day placements, however at weekend or days off they can choose to have a lie in. On the day of the visit one resident was having a lay in because he had been late night shopping with staff the night before. It was noted that the specialised needs of a resident was being met by staff because they were buying specific special creams and hair preparations for them. They had also been taken to a specialist hairdresser. Since our last visit there have been improvements to the medication procedures in the home, the home have reduced the amount of stocks stored. There is a new procedure for ensuring medication for home visits is signed for on distribution and again on receiving it back into the home. Staff have received medication training. The home uses a monitored dosage drug system and has an agreement with a local pharmacy for advice. Staff receive training in the handling of medication during their induction period and there is a list of medication handlers signatures on the front of the medication cabinet. There is a photograph of all residents in the medication administration charts to minimise the risk of mistakes. A random check of medication was made and was in order. There is a policy re dying and death and this is covered in the induction. The manager said she is planning to go on bereavement course and would cascade the training down to other staff. Park Lodge Care Solutions DS0000060398.V343042.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. 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. The complaints procedure is clear and in an accessible version so that those using the service understand the process and have the confidence that their views will be listened to. The registered person has provided training to ensure new staff know how to protect residents from being placed at risk of harm or abuse although records could be clearer. EVIDENCE: The home has a clear complaints procedure in place and it is also in a pictorial format in the dining room of the home so that residents can understand it. A new system of Complaints, Comments and compliments has been introduced in the home. The manager was advised that it would be better to split the compliments from the complaints record so that it is easier to audit, also that complaint and concerns should be numbered for audit purposes. This would also protect confidentiality for the complainant. As Allied Care has recently taken over the home the manager did think that a corporate complaint format would soon be introduced. Where there have been complaints these were minor issues and from the records it was noted that they had been investigated and action taken where necessary and feedback given. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 19 All surveys said residents and relatives knew who to complain to. The manager told us that relatives and had been informed of how to contact the new providers. A copy of The West Sussex Guidelines for the protection of vulnerable people was available in the home, however records could be improved to make it clearer when staff have received training. The manager said new staff had been told during induction about the procedure but that she would ensure they were updated and this was signed for when they were next on duty. All other staff have received up to date training. The financial records of three residents were checked against the moneys held by the home and were in order. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,252,6,27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Park Care Lodge Solutions provides a comfortable, safe clean home for residents to enjoy living in. Bedrooms are personalised to suit resident’s needs and lifestyles and the communal areas are airy and comfortable. EVIDENCE: Communal areas within the home are furnished in a homely manner. There is a large lounge with a large screen television and leather settees, a large games/dining room with a television and a pool table and a large conservatory which has recently been completed. There are plans to move the television into the conservatory where there is comfortable seating and a relative has offered to give the home a snooker table which will be put in the games/dining room. Surveys said that the home is always fresh and clean. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 21 Resident’s bedrooms have been personalised to reflect their interests and hobbies. One resident had been taken to a large superstore the evening before the visit to pick some new furniture. Residents seem happy with their rooms and are able to choose colours of the walls and furnishings and also have posters and pictures on their walls. There is a pleasant garden for residents to use, it is planted with fruit trees, shrubs and flowers and there is plenty of seating. There is also an ornamental pond with fish. Since the new provider took over the home, maintenance and decoration has been started which we were told has already improved the environment. On the day of the visit a bathroom was being retiled. Maintenance checks are carried out on systems within the home and records kept. A relative said, “the home is very much like any family home clean and comfortable but not clinical”. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. In the majority of cases the staff are well trained and are aware of their roles and responsibilities within the staff team and receive the appropriate supervision. There is not clear evidence that all staff have received training in safeguarding vulnerable people and specific training related to the resident’s conditions is not provided. EVIDENCE: There is a well-managed duty rota that accommodates resident’s needs and also take into account evening group and individual activities. There are thirteen staff employed at the home and at present 32 have a National Vocational Qualification (NVQ) of level 2 or above. The manager told us that another two staff are starting their NVQ shortly. There is one waking member of staff covering the night shift. The records of three new staff that had recently started work at the home were viewed. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 23 All records seen included a job description, evidence of identity, two references and evidence that CRB and POVA clearance had been received. There is a minimum 12 hours induction being given before a contract is offered to ensure the staff are considered suitable for the work. Induction records are available but it is not clear if the new staff had been inducted in how to safeguard vulnerable people although the manager said they are talked through the procedure while awaiting formal training. A requirement was made that all staff who have not got records to evidence recent training are given up to date training in safeguarding vulnerable people. The manager told us that prospective staff are invited to an informal interview at a teatime when all the residents are in and the home is lively. We were told that this gives the residents the opportunity to meet the person and gives the person an insight into how the home is. We were told that residents are asked afterwards for their views. Mandatory training is provided in fire safety, moving and handling, food hygiene, infection control, medicine management and first aid and records are available. Since Allied Care has taken over the home, staff have been given a list of further training they can undertake. Also a three-year food hygiene course had been pre planned for all staff starting July 2007. Since the last inspection a staff supervision programme has started and records kept. The manager said it is planned to provide staff training on Autism and Downs Syndrome in the near future, this was a recommendation at the previous inspection and has not been carried out so is now a requirement. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run for the benefit of the residents it is well managed, providing leadership and guidance for staff and residents benefit from an inclusive open management approach. EVIDENCE: The home has recently been taken over by Allied Care, unfortunately the previous providers did not tell either the staff or the residents and their relatives. However the new providers held a meeting for the relatives, residents and staff as soon as possible following the takeover. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 25 Mrs Fitzpatrick and the staff are to be complemented by ensuring that the take over did not affect the running of the home or the care of the residents. Mrs Fitzpatrick has experience of managing the home. She has achieved the NVQ Level 4 Registered Managers Award and can demonstrate that she has undertaken further training and development to maintain and update her knowledge and competence. Since the last visit Mrs Fitzpatrick has been registered as manager by The Commission. Residents said in the surveys that they like living at the home, that staff treat them well and that staff listen to them. Relatives said they are happy with the way the home is managed. Generally they say communication is good, only one relative said it could be improved and this was discussed with the manager during the visit. A quality assurance system had just been started at the home when the new providers took over; this has now been put on hold so that a corporate one can be implemented. The home had started gathering qualitative information from social gatherings, from residents and relatives, residents and relatives meetings, resident’s reviews, comments, compliments, complaints and monthly newsletters. This information had not yet been collated to enable the home to review or to make a development plan. Mrs Fitzpatrick said that the plan was to extend the surveys to visiting health professionals. We saw evidence by the way of cards and other records that the home receives many compliments from the families and others in the community. The home is monitored on behalf of the organisation by an area manager who provides reports of the visits, these were available. The majority of records viewed at this visit were in good order and up to date. Records show that the environment and equipment at the home are regularly maintained. Residents are encouraged to take part in any fire evacuation drill but a record is made if the refuse so staff are aware of who may not know the procedure in the event of a fire. No heath and safety hazards came to the attention of the inspector at this visit. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 26 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 2 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 2 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 3 2 3 2 2 3 Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 27 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 YA32 Regulation 18 (1) c Requirement The registered provider shall provide staff training related to the disabilities and specific conditions of residents. Timescale for action 31/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA39 YA23 Good Practice Recommendations The present quality assurance system should be expanded to include other stakeholders. The training records should be better organised to clearly evidence when staff have attended training. Park Lodge Care Solutions DS0000060398.V343042.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V343042.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. 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