Inspection on 21/03/07 for Parkbrook Lodge

This inspection was carried out on 21st March 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Parkbrook Lodge 04/03/09

Parkbrook Lodge 04/01/06

Parkbrook Lodge 23/08/05

Parkbrook Lodge 28/02/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Parkbrook Lodge Stubwood Lane Denstone Uttoxeter Staffordshire ST14 5HU Lead Inspector Mr Keith Jones Key Unannounced Inspection 21 March 2007 09:00 Parkbrook Lodge DS0000061073.V326647.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 Parkbrook Lodge DS0000061073.V326647.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. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parkbrook Lodge Address Stubwood Lane Denstone Uttoxeter Staffordshire ST14 5HU 01889 591778 F/P 01889 591778 parkbrookelodge@tiscali.com 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) Voyage Limited Vacant Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: Park Brook Lodge is registered for 10 younger adults with learning disabilities. Service Users with Autistic Spectrum Disorders, challenging behaviour and complex healthcare needs are accommodated. The home is a large Victorian detached house located in a rural setting between Rocester and Hollington. The building is set in well-maintained grounds and there is a large car park. The house is on 3 floors and has 10 bedrooms all with en-suite facilities, either baths or shower. There is a lounge, conservatory, dining room, activities room, kitchen, laundry, sleeping in room and office. The premises are fit for purpose but would not be suitable for persons with a severe physical disability. Suitable outdoor furniture is provided. A registered care manager and teams of development workers provide care. Health service professionals such as community psychiatric nurse, learning disability nurses, and physiotherapist are accessed when required. Two local GP practices, consultant psychiatrists and pharmacists visit the home. The home has its own multi-seat vehicle, which is extensively used for the service users. Suitable activities and events are organised and appreciated by the residents. Parkbrook Lodge DS0000061073.V326647.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 conducted in a professional and cordial atmosphere with the Care Manager designate, Deputy Care Manager and senior care staff. The last inspection report was discussed, and it was noted that all of the requirements made at the last inspection have been dealt with satisfactorily. On the day of inspection there were 9 service users in residence, with one potential new person on pre-admission assessment. A tour of the Home allowed free and open access to all areas for inspection. The opportunity was taken to speak with a number of service users with members of staff. A total of 15 comments were received from professionals, relatives and residents, mainly complimentary. Throughout the entire inspection a sense of homeliness and familiar confidence pervaded into all aspects of daily activity expressed by those people met. A sampled review of the administration arrangements confirmed solid practice and effective management. The inspector thanked all concerned for their contribution to a pleasing and constructive inspection. A verbal report was offered at the end of the inspection to the Care Manager designate and deputy. What the service does well: The home presents a high standard of care and service, is well organised, with a committed care team. Emphasis goes into involving the residents and their families in the process of care, ensuring a highly personal approach to meeting individual needs. The Inspector was impressed with the depth of knowledge and understanding demonstrated by competent carers interviewed. Assessment procedure and care planning is of an excellent standard, offering detailed information on each resident’s progress in the meeting of objectives. The staff and residents all contribute to the team approach. Maintenance of good staffing levels, staff training and supervision are well established in safeguarding the interests of residents. Overall the attitude in meeting caring and organisational demands is highly commendable, with forward thinking, involvement and application contributing to an excellent service. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had in place a revised, updated and meaningful Statement of Purpose with a Service Users’ Guide that provide information to prospective residents and their relatives about the services the home is able to offer. There have been no recent admissions to determine the effectiveness of admission policy, but the staff maintained that pre- admission assessment is conducted by the senior care manager at the point of referral, with a full multidisciplinary and a community assessment. At the time of inspection this process was underway with a prospective resident. The Care Manager designate was determined to ensure a careful decision procedure and a measured outcome to the benefit of Service User, family and the Home. EVIDENCE: During the course of the inspection there were opportunities to sit and talk with residents and staff. It was evident that much care had been taken in involving residents and family in the caring process. A resident expressed his pleasure at the easiness of the daily routine, and the general friendliness around. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 9 The revised Statement of Purpose was discussed and found to provide an informative description of Park Brook Lodge’s aims, and the way it operated. Some discussion took place regarding the user-friendly style of presentation in meeting diverse needs. Examination of resident’s care records and plans clearly demonstrated the extensive efforts to see through the admission procedure and assessment, notwithstanding the difficult referral and admission. Each record showed the attention to individuality and their unique needs. Evidence was seen of that assessment process being applied following admission and in continuing care. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 The quality in this outcome area is good Residents spoken to were keen to show the extent of independence and the degree of involvement in their care, a person centred planning approach of care. Service users are made aware that their assessed and changing needs and personal goals are included within their individual plan of care. There were ample evidence that a personal centred planning approach focused on positive behaviour, ability and willingness of the individual, showing that service users freely make decisions about their life in the home, based on a detailed risk assessed basis. The philosophy of care, as laid out in the Statement of Purpose, promoting a home environment that will afford service users greater security, choice, independence and a good quality of life. This judgement has been made using available evidence including a visit to this service. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 11 EVIDENCE: Assessments, care plans and risk assessments were examined and found to offer an excellent record of daily living, which were comprehensive, and included a provider assessment; a person centred plan, a health profile and assessment, and a planned intervention, rehabilitation and therapeutic programme based on a 24 hour support plan. Care plans were individualised and supported with a full assessment, including a life story record. Monthly reviews were evidenced, although there had been some inconsistency in frequency. All staff evidenced that they were actively engaged in the process and seen to actively encourage family involvement. It was noted that each day had a different schedule of events encouraging therapeutic and social activities geared to meeting service users sense of belonging and personal goals. Daily records were thorough and meaningful. Makaton sign and picture communications were evident. Two residents were case tracked with an examination of care records, health records including risk assessments, records of reviews and action plans. Records inspected showed that residents freely make decisions about their life in the home. Altogether the communication ‘package’ offers a comprehensive appraisal of resident’s needs and aspirations. A separate ‘day file’ records personal care given, incidents, events, activities and domestic duties performed. Risk assessments were carried out on an individual basis and reviewed. Those residents spoken with were freely outspoken of the love and attention received, complementary of the lifestyle offered to them. An activity room is being developed with resident’s involvement. During the inspection the inspector was impressed with the friendly environment and cheerful atmosphere, it was most encouraging to see how much work had gone into promoting personal awareness and a sense of belonging. Residents were seen to be involved in day centre attendances, college, family visits and visits to local amenities. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. 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 excellent. This judgement is based on the examination of the Home’s policies, procedures, practices and discussions with management. Throughout the inspection residents were seen to be enjoying a high degree of encouragement to express themselves in positive and meaningful ways. Bedrooms were seen to demonstrate that individuality, each different to match personal outcomes. A fully flexible open visiting policy was seen to be in operation with some visitors present throughout the inspection, reflecting the importance placed upon family or friends’ regular contact. Residents are supported by their key workers and the management to take risks as part of an independent lifestyle in the Home. Encouragement is given to use social and sporting facilities in the community, as well as routine shopping trips and eating/drinking at local pubs. There is a constructive collaboration with local Colleges. The residents and staff are engaged in setting, planning and preparing varied menus. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 13 EVIDENCE: Park Brook Lodge’s main objective is to respect the individual, thus delivering care in a relaxed and easy environment, with routine flexible to accommodate needs, and not dictate daily life of service users. Personal choice and relative self-determination are respected in policy and action. Those who wish to bring in personal possessions were seen to be encouraged to do so. The Home’s policy on sexuality is dealt with in a sensitive and professional manner acknowledging that residents are able to develop and maintain intimate relationships in a discrete and sensitive fashion. Sexuality was seen to be an important element of care planning and assessment. Domestic activities were in evidence on the inspection day and a programme of in-house routines was available. Choices were available for aspects of daily living and menus provided a varied and good choice of food available on a flexible, resident orientated programme. Residents were freely expressive over the love and care they enjoy in the Home. Service users’ life-styles and interests are recorded in their care plans, discussed with their relatives prior to admission, and documented as far as possible to enhance a position of supported independence. Comments received were complimentary with residents quoted “fantastic place” as well as “would have liked staff to have bought me a drink in the pub!” Relatives comments cited “ he has thrived” “excellent care”, although one would have liked more privacy. The management demonstrated the strength of protecting service user’s rights, which was secured through the robustness of the procedures in place. This was confirmed on examination of records. The tour of the Home demonstrated a high degree of expressed individuality in each of the bedrooms inspected. The dining area was pleasant, offering a conducive ambience for a social meal. The kitchen was seen to be clean, well organised and with upgraded equipment. Care plans were examined and found to offer an excellent record of daily living, which were comprehensive, and included a provider assessment; a person centred plan, a health and safety assessment, and a planned intervention, rehabilitation and therapeutic programme. Evidence of health care professional visits showed an attentive awareness to service user’s needs. It was noted that each day had a different schedule of events encouraging therapeutic and social activities geared to meeting service users sense of belonging. Supervised use of kitchen and laundry services were evident. Staff and service users chose a variable menu between them each week. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 14 Two residents were case tracked with a full examination of care records, health records including general practitioners and consultant visits, risk assessments, dependency charts, records of reviews and action plans. Records inspected showed that residents are informed and involved in making decisions about their life in the Home. Risk assessments were carried out on an individual basis and reviewed. Included in the care records were applications of established monitoring systems following a process of goals, care and evaluation models. Parkbrook Lodge DS0000061073.V326647.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 and 21 Quality in this outcome area is good. The health and personal care needs of the residents are clearly identified and monitored. The Home operates an environment conducive in support of individual physical and emotional needs. The routines involving medication was inclusive whenever possible, yet safe, secure and efficiently administered. Staff had a very good understanding of the residents personal, emotional and physical support needs. EVIDENCE: It was pleasing to see that the administration of medicines adhere to procedures to maximise protection to service users, the storage was secure. The Care Manager designate was advised to ensure secure storage for CDAs in the event of a resident being prescribed them. A senior member of staff completed MAR sheets accurately, with accountability recorded throughout the process. The process would be enhanced with a more descriptive divider between MAR sheets. The philosophy of promoting individuality and self-determination, as laid out in the Statement of Purpose, continues to be seen to be exercised in many Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 16 aspects of care. The general atmosphere throughout the home was one of family, confidence, warmth and contentment. Staff were observed in addressing service users in a respectful and dignified way. The service user’s spiritual needs are attended to with respect. Relatives are involved and have free access at all times as desired by the service user. At the time of inspection there were no visitors to speak with. It was noted that an appraisal of any special preferences or observances is recorded on admission, and is regarded as integral in the assessment process. All the residents have a keyworker, and have individual working records that outline preferred routines, likes and dislikes. Parkbrook Lodge DS0000061073.V326647.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. The home had a meaningful complaints policy, clearly identifying the CSCI as a resource to approach with a complaint or grievance. Service users’ legal rights are protected by the systems in place in the home to safeguard them, including their contract, the continual assessment of care planning and policies in place. EVIDENCE: The complaints policy was seen and records examined. There were few minor complaints assessed, all dealt with at the source, usually with the resident. On discussions it was evident that any small matters were handled immediately, discretely and to the satisfaction of all concerned. Case tracking confirmed the effectiveness of a Care Manager and staff sensitive to service users needs and readiness to test the robustness of their information and report structures. Initial problems if integration of the latest admission have been resolved through patience and discrete involvement in Home activities. Residents’ legal rights are protected by the systems in place in the home to safeguard them, including their contract, the continual assessment of care planning and policies in place i.e. the complaints procedure. This process was evidenced on examination, and case tracking as previously reported upon. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 18 Staff induction and in-house training programmes clarified the responsibilities of all staff in their daily contact with service users, especially their privileged position in protecting service users from abuse, of all natures. Parkbrook Lodge DS0000061073.V326647.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 Quality in this outcome area is good. The facilities in the Home are effective, yet domestic in style, and afford the residents with a comfortable, homely environment. Attention is given to ensure a safe, comfortable and secure residence. Bedrooms were well maintained to meet service user’s personal preferences, expressing a highly personal presentation in décor and furnishings. Facilities for toilet and bathrooms are adequate, with up dating presently taking place. Lounges, activity centre and dining room were well-appointed and popular areas for socialisation. All areas throughout the Home were clean and hygienically presented. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 20 EVIDENCE: Park Brook Lodge is suitable for it’s stated purpose and provides single bedroom accommodation for each resident. External access is satisfactory for service users access and visitors parking, fire escapes were kept free of obstruction and well maintained. There was however, some evidence of previous altercations with neighbours with a resident throwing litter over fencing. A temporary wire fence is in place, which is unsuitable for spring and summer access to the garden. It was advised that a more permanent, practical use be made of the section of garden. A tour of the Home with the Care Manager allowed free access to all service areas and personal rooms with permission of the resident. During the course of the inspection there was an open exchange with residents on their living domain and facilities available. Nine residents are presently living at the home, all bedrooms are personalised and reflect the personality of the individual occupying the room. There are communal lounges/conservatory and dining/kitchen facilities that are shared by all, and of a high quality. A quiet room has been converted into an activity/craft room, and a staff station adjacent to the lounge, enhancing discrete supervision and staff communications has been established. The kitchen has been recently upgraded as part of an ongoing programme of refurbishment. The fridge/freezer and cleaning schedule are well maintained. The laundry area was appropriate with good standards, which would be enhanced with more poster-type COSHH notices. Procedures were in place for coping with soiled/infected linen. The Inspector was impressed with a clean comfortable and odour free environment that residents appeared comfortable in. Individuals had personalised private space as they wished. Each resident is encouraged to bring their own personal possessions and furniture if they so wish. External access is satisfactory for resident’s access and visitors parking, fire escapes were kept free of obstruction and well maintained. The home is situated in a lovely rural environment, which is particularly pleasant for residents and staff alike. Parkbrook Lodge DS0000061073.V326647.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36 Quality in this outcome area is good. Staffing levels were seen to be satisfactory, the daily care staffing rota showed adequate balance between skills, qualifications and numbers to provide a good standard of care. The thoroughness of staff selection has a significant effect upon the provision of cares to ensure protection of service users. Records show a very broad spectrum of clinical and allied subjects covered, ensuring that staff fulfil the aims of the home and meet the changing needs of service users. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 22 EVIDENCE: There were 9 service users receiving care at the time of the inspection. Staffing has stabilised and maintained consistent levels to ensure equilibrium between numbers, skills and qualifications, with a strong presence of experienced staff. Three weeks of off-duty were examined, providing evidence that the home is suitably staffed in numbers, skills and qualifications to ensure the needs of the service users are met. The duty rosters seen evidenced that the following staffing levels had been maintained to meet the assessed needs of the residents. Early shift 07.15 – 14.45 Late shift 14.30 – 10.00 Night shift 21.30 – 07.30 8 development workers 8 development workers 2 development workers (1 sleeping) This time pattern allowed for constructive hand over periods. 1 housekeeper (20 hours), and 1 maintenance man (20 hours) are employed. There are no administrative hours. Care staff and residents undertake catering, housekeeping and laundry duties. The levels were adequate to meet the needs of the current client group. Two staff files were examined and found to protect equal opportunities, and provide satisfactory evidence that promoted protection of vulnerable service users. The process of appointing new staff was well organised, consistent and safeguarded the interests of residents. Staff spoken to confirmed that a detailed and structured induction programme is in place at the commencement of employment. Each were very complimentary regarding their position, and the standards of care. All staff receives appropriate induction. Regular supervision takes place with staff at the Home, using the opportunity to address their personal and professional concerns with an immediate senior. All staff receive training specific to their post. Records confirmed that 25 of staff have achieved NVQ level 2, with a further 50 working towards it. 21 staff hold a first aid certificate. Parkbrook Lodge DS0000061073.V326647.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43 Quality in this outcome area is good The Care Manager designate has applied for Commission for Social Care Inspection registration, and has demonstrated a commitment to maintaining the high standards in the Home. She offers 15 years experience in working in the learning difficulties arena, has a level 3 and level 4 NVQ and the Registered Managers Award. The deputy Care Manager is presently working towards her Level 4 NVQ and offers extensive and wide experience. All staff demonstrated an awareness of their roles and responsibilities, ensuring that the health, safety, and welfare of residents were observed. Policies are meaningful, supported with up to date procedures and skilled application of good practice. Each presents a safe and secure environment in protection of rights, interests, health and safety of the residents. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 24 EVIDENCE: There is a confidence apparent in the interaction of staff, and of the Home’s management, that demonstrated a positive relationship that pervades throughout the Home. This open style of management was mentioned by several service users, which provided a source of trust and mutual respect. Quality assurance complements this arrangement with extensive monitoring in areas as care planning, staff meetings, staff training and resident’s suggestions. The case tracking undertaken reinforced the effectiveness of resident’s involvement in their care and environment. The financial arrangements were examined and found to be uncluttered in dealing with relatively small sums of resident’s money. All monies are checked by 2 staff every day. A sample of administrative, maintenance and care records were examined and found to offer an accurate reflection of a service committed to providing a safe and comfortable environment. Random examination of servicing to fire equipment, oil heating system and water supplies were satisfactory. Staff training programmes included relevant aspects of Health and Safety, first aid, moving and handling and fire training were recorded. All accidents and incidents were recorded for staff and service users, including provisions for Riddor should the need arise. Examination of procedures allied to absconding, COSHH, Code of Conduct and physical intervention policies were in order. Widespread use of variations of Makaton communication styles were evident. It was noted that an extensive review of systems has taken place since the last inspection. The administration and management of the home was seen to be efficient, uncomplicated and sensitive to the needs of service users. Parkbrook Lodge DS0000061073.V326647.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 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 3 LIFESTYLES Standard No Score 11 4 12 3 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 3 3 3 3 3 Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 26 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. 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 2 YA24 3 YA20 Refer to Standard YA42 .3 Good Practice Recommendations COSHH notices be in situ in the laundry area. That suitable safeguards to privacy are established in the garden area. It is recommended that risk assessments be reviewed on a consistent and regular basis. Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiriesCare Manager designatecsci.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 Parkbrook Lodge DS0000061073.V326647.R01.S.doc Version 5.2 Page 28 Parkbrook Lodge DS0000061073.V326647.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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