Inspection on 04/01/06 for Parkbrook Lodge

This inspection was carried out on 4th January 2006.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Parkbrook Lodge 04/03/09

Parkbrook Lodge 21/03/07

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 Park Brook Lodge Park Brook Lodge Hollington Road Stubwood Uttoxeter Staffordshire ST14 5HX Lead Inspector Mrs Sue Mullin Unannounced Inspection 4th January 2006 10:55 Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 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 Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 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 Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Park Brook Lodge Address 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 Brook Lodge Hollington Road Stubwood Uttoxeter Staffordshire ST14 5HX 01889 591778 01889 591778 Voyage Ltd inc. Thelma Turner Homes Miss Sarah Louise Williams Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Park Brook Lodge is registered to provide personal care only, for 10 younger adults with learning disabilities. A registered care manager and a team of care workers organise and deliver all 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 is a large Victorian detached house located in a rural setting between Rocester and Hollington. 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 two offices. The premises would not be suitable for persons with a severe physical disability as there are no passener lifts available. Suitable activities and events are organised for the resident group. The home has its own multi-seat vehicle, which is extensively used for the residents. Car parking facilities are available and in the grounds, suitable outdoor furniture is provided. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector conducted this unannounced inspection on the 4th December 2005. The registered care manager and deputy manager were present throughout the inspection. The Statement of Purpose, Service Users’ Guide, two care plans, the training and Health and Safety records were examined. A sample tour of the Home was undertaken, medication administration was observed and the relevant procedures were checked. All the residents approached were complimentary of the care, service and attention they received from a willing, attentive care team. There were 9 residents on the day of inspection, 6 categorised with high dependency needs and staffed on a one-to-one basis during the early and late shifts. Two residents were case tracked and care plans were examined. The home was well run, comfortable with a ‘homely’ feel. Everyone appeared comfortable and at ease with their surroundings. There were no poorly residents in the home on the day of the visit, no regular incontinence and no requirement for the use of the hoist. Verbal feedback was given at the end of the inspection. What the service does well: The Home is well organised, with a committed care team. Emphasis goes into involving the residents and their families in the delivery of care, ensuring a holistic approach to meeting identified needs. Provision of care is of a high standard with named key workers intensely involved and the emphasis is on creating a family environment. The housekeeping and support services all contribute to the team approach. Staff know the residents well and help them to make choices about their lifestyle and ensure they receive the health care treatment they need. Staff state they like their jobs and get on well with the residents and the residents told the inspector that they like the staff and feel they are well cared for. Residents have full lives; they attend a range of educational, occupational and leisure activities and go out most days. The residents take part in tasks such as making their bed, cleaning, shopping and helping to prepare meals. They are encouraged to choose the social activities they want to do. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 6 Maintenance of satisfactory staffing levels, staff training and supervision are well established in safeguarding the interests of residents. What has improved since the last inspection? What they could do better: Although the manager has started work to address previous requirements, there is further work needed to meet all the National Minimum Standards. Some of the of the improved areas still require development. Care planning documentation must be further developed to ensure that all long term care plans are reviewed monthly or more frequently if required. The kitchen was seen to be clean, well organised and with modern equipment. However the cooker was in need of a service as the middle ring did not work properly and some of the front controls were pushed into the panel. Parts of the kitchen floor were in need of attention to avoid and accidents. Knives must be kept locked away safely when not in use. The home does acknowledge that residents should be able to develop and maintain intimate relationships in a discrete and sensitive fashion. However, the Home needs to develop a policy on sexuality so that it is dealt with in a more professional manner. Some bedrooms are beginning to show a need for redecoration Staff reported difficulty in accessing some locked rooms. When staff are undertaking a one to one supervision with residents they do not have the time to seek the housekeeper or care manager for the keys to locked areas as this may result in a resident being left alone for a short period. A recommendation has been made to use a master key and ensure all staff has a key that operates all locked doors. Some of the residents in the home display challenging behaviour and there is a need for control and restraint training along with the protection of vulnerable adults awareness. A requirement has been made in this regard. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 7 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 Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 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 Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 The Statement of Purpose offers residents and their relatives the opportunity to make an informed choice about where to live. Following a full pre admission assessment, the care manager determines the suitability of the application in view of the facilities available and current resident group, to manage the individual and any special needs. The Home has demonstrated their commitment to meet individual needs. EVIDENCE: The Statement of Purpose still requires some amendments to clearly define all the aims and objectives, management and staffing, facilities and services that Park Brook Lodge can offer. However, this is currently in hand and will be checked on the next inspection. The service users guide provides residents and their relative’s information about the home and what they can expect when in residency. The care manager explained that all residents are admitted to Park Brook Lodge following a comprehensive pre-admission needs assessment, carried out by herself. This is then followed by the implementation of individual plans of care. This was confirmed by speaking to staff and evidenced in the body of the care plans. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 10 The management style is open and inclusive, producing a warm, friendly and reassuring environment. Relatives are encouraged to view the facilities and participate in the planning, assessment and delivery of care. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 The home had care plans in place that ensured that staff had the relevant information to meet the needs of the residents. The home encouraged decision-making and participation in household activities providing residents with choice, some control over their lives and the opportunity to influence aspects of the running the home. The risk assessments in place provided residents with the support to take reasonable risks as part of their lifestyle. EVIDENCE: The sample of resident documentation examined confirmed that care plans covering the required areas were in place. Plans covered the areas were residents needed support, including health and personal care and social and educational activities. No residents had specific cultural needs. Care plans were also in place to support residents with financial management. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 12 Residents that could be aggressive had procedures in place that focussed on positive behaviours. However, care-planning documentation must be further developed to ensure that all long term care plans are reviewed monthly or more frequently if required. Residents were encouraged to take decisions over their lives and over issues relating to the running of the home. A resident confirmed that he had choice over what to do and how and where to spend his time. Residents are encouraged to choose whether to go out or to spend time in the home and supported to go shopping including buying their own clothes. Advocates were involved when required to support residents in the decision making process. Those that were able were involved in budgeting and managing their own money. Whilst there were no formal resident meetings discussions take place regularly on an ad hoc basis both as a group and individually. Staff were observed asking residents what they wanted to do. Staff spoken to were aware of individual residents abilities to make decisions and different strategies that they could use to encourage choice. Residents were involved in a range of independent living and household tasks such as food preparation, household tidying and cleaning, gardening and shopping. Resident’s individual differences and wishes were respected. A range of individual relevant risk assessments were on file and these showed evidence of being reviewed. Two residents smoke and staff are careful to ensure this activity is carried out safely. All records are stored securely. During the inspection it was noted to be a very lively environment full of cheerful banter. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,14,15,16,17 The regular access to the community and the opportunities for educational, social and leisure activities provided residents with a full and varied lifestyle. The meals provided the residents with variety and catered for special dietary needs. A flexible open visiting policy was encouraged reflecting the importance placed upon family or friends’ regular contact. EVIDENCE: Routines are flexible to acknowledge individuality, yet maintain a focal point for residents to feel comfortable with without dictating events. Staff were observed delivering care in a friendly, sympathetic and confident manner throughout the inspection. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 14 Residents’ life-styles and interests are recorded in their care plans, discussed with their relatives prior to admission, and documented as far as possible to develop independence. The recording of social activities was seen to be a valuable part of care reporting and planning. Residents have a front door key and a key to their bedroom if requested. The management demonstrated the strength of protecting resident’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 revealed a high degree of personal taste in each of the bedrooms inspected. Residents are encouraged to prepare and cook their own meals, supported by their key worker. A varied menu is available for residents and includes a wholesome, appealing and varied balanced diet. The kitchen was seen to be clean, well organised and with modern equipment. However the cooker was in need of a service as the middle ring did not work properly and some of the front controls were pushed into the panel. Parts of the kitchen floor were in need of attention to avoid and accidents. Knives must be kept locked away safely when not in use. An effective cleaning schedule was seen to be in operation. Fridges/freezers temperature were seen and in line with environmental health regulations. The home does acknowledge that residents should be able to develop and maintain intimate relationships in a discrete and sensitive fashion. However, the Home needs to develop a policy on sexuality so that it is dealt with in a more professional manner. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The home supported the residents to maintain their personal care needs in a manner that considered their dignity and preferences. The health care needs of the residents were being met through the home supporting residents to access a range of relevant health care services. The procedures in place for the administration of medication were in line with requirements. EVIDENCE: Relatives are actively involved and have free access at all times as desired by the individual. The health and personal care needs were identified in the care plans. Most residents needed support and encouragement to maintain their own personal care and staff were well aware of the specific individual needs of the residents. Residents were involved in buying and choosing clothes. Observation showed residents to be appropriately dressed for their age and that their hair and nail care was attended to. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 16 Discussions confirmed that residents received specialist health care when needed. This included community nurses, and psychological and psychiatric specialists. Staff confirmed that all residents had a key worker and explained the role they had in ensuring that their needs were met. The residents were registered with a GP and all NHS entitlements were accessed. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The home had a robust complaints policy in place identifying the details of CSCI as a resource to approach with a complaint or grievance that had not been satisfactorily resolved within the homes procedures. 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: There were no complaints made to the home since the last inspection and on discussions it was evident that any small matters were handled immediately and local resolution was always sought. 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 i.e. the complaints procedure. The management showed satisfactory evidence of a protocol and response to anyone reporting any form of abuse, to ensure effective handling of such an incident. Staff induction and in-house training programmes clarified the responsibilities of all staff in their daily contact with residents from abuse, of all natures. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 The premises were suitable for the residents needs and were satisfactorily maintained and generally well decorated throughout. The home’ provided residents with adequately furnished communal areas where they could meet with others and private accommodation which they could make their own and where their privacy was respected. The home’s cleaning and hygiene procedures reduced the opportunity for the spread of infections and provided the residents with a clean environment. EVIDENCE: Park Brook Lodge is well appointed to meet the needs of residents with learning difficulties, in providing a safe, inviting and comfortable environment. 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. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 19 Each bedroom offers single accommodation with adequate fixtures and fittings all en suite. Some bedrooms are beginning to show a need for redecoration. Each resident is encouraged to bring their own personal possessions and furniture if they so wish. The laundry area was clean and organised, with industrial washing machine and dryer. Procedures were in place for coping with soiled/infected linen. The housekeeper confirmed that appropriate cleaning products were used throughout the home and when not in use all products were seen to be secure and under COSHH recommended practices. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36 The quality of the home’s staff and the level of staffing provided the necessary support to meet the needs of the residents. The home has a robust staff induction programme, which is followed by in house training sessions in line with the client group of the home. Formal staff clinical supervision has been established and mandatory training completed. EVIDENCE: The care manager was in charge supported by the deputy manager, a senior development worker and 6 development workers. There were 10 residents in the home, and the ages ranged from 20 to 57 yrs. The duty rosters seen evidenced that the following staffing levels had been maintained to meet the assessed needs of the residents. Early shift 7.15 – 2.45 8 development workers Late shift 2.30 – 10.00 8 development workers Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 21 Night shift 9.30 – 7.30 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 and laundry duties. The levels were adequate to meet the needs of the current client group. Evidence from discussion with staff and from the records seen indicated that mandatory staff training had been completed. Following discussion with the manager it was confirmed that all care staff have received two monthly supervision. Recruitment procedures were not checked on this visit. Staff spoken to reported ‘ I love it here, it is just like a big family.’ ‘It is a superb building with approachable management we have job satisfaction’ ‘ we are content in our work’. No negative comments from staff were made. Some of the residents in the home display challenging behaviour and there is a need for control and restraint training along with the protection of vulnerable adults awareness. A requirement has been made in this regard. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43 The management arrangements were adequate to provide residents and staff with the support they required to receive and deliver an effective service. The health and safety issues checked were all found to be in order. EVIDENCE: The manager had been approved as the registered care manager for the home, and had previously provided evidence of appropriate qualifications and training. The home had Health and Safety procedures in place for the maintenance of a safe environment. Staff confirmed that regular checking of hot water temperatures took place. Individual risk assessments were in place where necessary. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 23 Staff had received the necessary mandatory training including fire safety and drills and moving and handling awareness. Records relating to fire safety indicated that weekly fire alarm tests were carried out, along with emergency lighting checks and monthly fire drills. Staff views are actively sought and all members of staff are encouraged to participate fully in the operation of the home. It was pleasing to see good working relationships that exist not only between management and staff, but also between staff and residents. Suitable accounting and financial procedures were found to be satisfactory. Records were kept of all transactions entered into by the senior staff and made available for inspection. Small amounts of residents’ pocket monies were accounted for, and kept secure, these were made available and seen to be accurate and up to date. The appropriate insurance cover was in place. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 24 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 4 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 4 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 4 4 3 3 LIFESTYLES Standard No Score 11 4 12 3 13 X 14 4 15 4 16 4 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 3 3 3 3 3 3 Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 25 YES 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 YA1 Regulation Requirement Timescale for action 04/02/06 2 YA6 4(1)(a,b,c) The Statement of Purpose still requires some amendments to clearly define all the aims and objectives, management and staffing, facilities and services that Park Brook Lodge can offer 15(1)(b) Care-planning documentation must be further developed to ensure that all long term care plans are reviewed monthly or more frequently if required. 17(2) The Home needs to develop a policy on sexuality so that it is dealt with in a more professional manner. Kitchen knives must be kept locked away safely when not in use. Parts of the kitchen floor were in need of attention to avoid and accidents. The cooker was in need of a service as the middle ring did not work properly and some of the front controls were pushed into the panel. Some of the residents in the home display challenging DS0000061073.V275732.R01.S.doc 04/02/06 3 YA15 04/02/06 4 YA42 13(4)(a) 04/01/06 5 YA17 13(4)(a) 04/02/06 6 YA35 18 (1)(c)(i) 04/02/06 Park Brook Lodge Version 5.1 Page 26 behaviour and there is a need for control and restraint training along with the protection of vulnerable adults awareness. 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 YA26 YA42 Good Practice Recommendations Some bedrooms are beginning to show a need for redecoration and this should be incorporated into a refurbishment plan. A recommendation has been made to use a master key and ensure all staff has a key that operates all locked doors. Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Park Brook Lodge DS0000061073.V275732.R01.S.doc Version 5.1 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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