Inspection on 04/03/09 for Parkbrook Lodge

This inspection was carried out on 4th March 2009.

CSCI found this care home to be providing an Good service.

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 21/03/07

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Parkbrook Lodge Stubwood Lane Denstone Uttoxeter Staffordshire ST14 5HU     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Joanna Wooller     Date: 0 4 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Parkbrook Lodge Stubwood Lane Denstone Uttoxeter Staffordshire ST14 5HU 01889591778 01889591778 parkbrookelodge@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Voyage Ltd Name of registered manager (if applicable) Joanne Lesley Sidwell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 10 Date of last inspection Brief description of the care home Parkbrook Lodge is registered for 10 younger adults with learning disabilities, some may have Autistic Spectrum Disorders, challenging behaviour and complex healthcare needs. 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 Care Homes for Adults (18-65 years) Page 4 of 28 care home 10 Over 65 0 10 Brief description of the care home 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. Local doctors, consultant psychiatrists and pharmacists visit the home. The home has its own multi-seat vehicle, which is extensively used for the people living in the home. Suitable activities and events are organised and appreciated by the people using the service. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that that people who use this service experience good quality outcomes. This unannounced inspection took place over one day between 0900 to 15:00 hours. The Manager was in the home and participated in the inspection process. The inspection included the following elements, a walk around the building, observation and inspection of records relating to provision of care, discussions with people, who use the service, case tracking whereby we select several people who use the service, chat to them and look at their care plans and lifestyle in the home. discussions with several of the staff members on duty, observation and sampling of other services Care Homes for Adults (18-65 years) Page 6 of 28 provided such as catering and laundry, and an inspection of the managerial aspects such as staffing issues, training, recruitment and health and safety. We were made welcome in the home and all assistance was given to gain the evidence required for the report. The comments from relatives that are included in the report are taken from Have your Say feedback documents issued by us. We had dealt with no complaints since the last inspection. The home manager sent us their annual quality assurance assessment (AQAA) when we asked for it. This document was completed to a good standard and gave us all the information we asked for. The fee information within the Statement of Purpose was correct at the time of the inspection; persons may wish to obtain more up to date information from the service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People that plan to move into the home are fully assessed prior to admission to ensure their individual needs can be met. Evidence: The AQAA told us All service users have detailed assessments prior to moving into Parkbrook Lodge and we involved all relevant individuals, including the person who may have moved into the service and all are given the opportunity to visit the home as many times as they need to help make a decision as to whether the home would be suitable for them. Families are also fully involved in this process where appropriate and with the individuals permission. We have comprehensive assessments and these are carried out regularly so we can be certain we are aware of assessed and changing needs at all times, thus able to adopt the necessary support approach.We provide service user guides and the services statement of purpose to the relevant individuals and support each person to understand the contents of these documents in whichever way best suits their needs. We ensure that the latest CSCI Inspection report is available. We also ensure that a Residency/Service Agreement is available in each Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: service users file.We encourage all service users to utilise local advocacy services and discuss their choice of home at regular intervals, using this opportunity to remind/explain that they understand their right to let us or somebody else know their wishes in relation to their personal circumstances, choices and lives. We saw that people were admitted to the home following an extensive assessment process. The manager met with the prospective person to be admitted, any relatives and health professionals, to assess the individuals aspirations and needs, ensuring that the staff at the home are trained to meet them. We saw that the manager and her staff develop an extensive care plan from the initial assessment including their aspirations and preferences of the individual and their lifestyle choices. A relative commented My Daughter seems happy and settled at Parkbrook and this is a great relief for parents as its not easy placing your child in the care of someone else. A parent commented They make sure our sons welfare is of up most importance, they are caring carers, who genuinely care about the clients they look after. My son has a brilliant social life. We like the fact that we can phone him or visit whenever we want to, at anytime. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home know that their personal needs and goals are recorded in a care plan and they are able to make decisions about their lifestyle with assistance as needed. People are supported to take risks whilst living an independent lifestyle. Evidence: The AQAA told us We provide an individual plan of support based on each persons assessment of need, clearly indicating individualised approaches that are necessary in order to support the individual and provide the best possible outcome for them. This plan is devised with the involvement of the service user, their family/friends/advocate and other relevant agencies / professionals as appropriate. It covers all areas of and individuals life, needs and rights. Through regular re-assessments, observations and service user consultation, we are able to identify and recognise how each individual needs to be supported to make their choices and also how they convey these choices to other people. This allows us to effectively offer choice to all service users in a Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: manner they can comprehend and involve everyone in the day to day running of their lives, their long term goals and the way in which the service operates.Service users are enabled and supported to make decisions in all areas of their lives, be these short, medium or long term goals. Staff support service users to take responsible assessed risks, carefully weighing the risk versus the benefit of the activity or task, this encourages and maintains independence and responsibility wherever possible. We have comprehensive procedures, including confidentiality, risk management, equal opportunities, decision making, mental capacity act and all staff are fully inducted into these policies and procedures during their initial induction, via training and through staff meetings / supervision. We saw that the individuals changing needs and personal goals were reflected in their individual plans, including the assistance required and the assessed risk in taking part in lifestyle choices and activities. The care plans were accurate and held in secure office. We saw that risk management strategies were documented and signed and risk assessments were in place for all daily routine activities and personal choice activities also. Care records evidenced preferred daily routines, interest and hobbies. Communication skills and personal health details were considered and used as part of the care planning process and risk assessment recording. We saw evidence of this risk process within the care plan as several persons living at the care home attended riding lessons at a local stable, appropriate risk assessments were in place for each individual. A relative commented The care staff keep us informed about all matters. Every effort is made to meet my sons needs, the staff are helpful and supportive. They ensure my son can talk to me on the telephone and they arrange transport when he comes home for the weekend. One relative commented The care home provides a stable, happy environment. It helps the people they care for to participate in sports and other activities to enjoy life more. Our son is very happy, all his needs are met. The care that is given is more than we expected. A visiting professional commented They offer a caring and personal service and appear to have the individuals best interest at heart. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home take part in appropriate activities, and are aware of the events in the local community. Their personal relationships are encouraged and independence is promoted. A healthy diet is offered at flexible mealtimes. Evidence: The AQAA told us We work with service users and the people they value to implement a structured and varied lifestyle in line with each persons interests and needs. Activities cover a range of any persons needs rather than focusing on one particular area such as leisure or education. The staff team are fully aware of their role within the service and are respectful of service user rights - we ensure that staff dont enter private rooms without permission, respect the service users right to privacy and time alone and respond to any needs as required. All service users have the opportunity to keep the key to their bedroom. When considering each persons needs and lifestyle, Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: we maintain vigilant to their background, experiences, preferences, ambitions, health needs - both mental and physical, spiritual, cultural, sexual and relationship needs. We have developed a number of external learning opportunities in addition to supporting the service users at Parkbrook Lodge to develop their independence and skills through informal educational sessions and opportunities. We support each service user to manage their finances, including any benefits they may be entitled to and finances are monitored on a daily basis by the senior staff team, with the operations manager completing audits on a monthly basis. Each service user takes the holiday of their choice at least annually and we work with them and he people who are close to them to identify where theyd like to go, when, who to go with them and so on. The menus are devised in consultation with service users and take into account everyones preferences. We saw that each individual had an home activity plan and activities in the community were arranged on a regular basis. The individuals were able to choose which activities they attended. Some people were going swimming on the day of the inspection and others were shopping with the assistance of some staff members. Relationships within the home were built on trust and friendship which was evident throughout the visit. We saw that each individual had their own preferred daily routine which was based on personal preferences and lifestyle choices. Some people were attending college courses, others were completing household duties in the home or cooking. Each individual was seen to interact well with the staff team in the calm, relaxed atmosphere. Meals were planned each Thursday by the people living in the home, the menu is signed to evidence their individual input. Meal times were flexible depending on the individuals day, however the evening meal was generally organised for everyone to sit together and enjoy their dining experience. A member of staff told us The home has a nice relaxed atmosphere. Clients have a range of activities and opportunities for personal development. The home is well organised with good leadership and professional staff members. A relative told us The care home looks after the clients as individuals and they are treated with respect. I feel our son is loved and taken care of equally as well as his family cared for him. The house has a very homely feel to it. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive support as they prefer, their emotional and physical health needs are met. Medication administration conforms with the homes policies and procedures and the personal preferences of the individuals. Evidence: The AQAA told us When assessing each individual, we are able to identify their health and support needs and deliver support in the manner that they prefer. Each person has a comprehensive plan of support that clearly defines how staff are to support each individual, what services and checks need to accessed and used, which facilities we need to make accessible to each person and how each person will be supported in the event of ageing, illness and death. We regularly review our assessments of need and health action plans, which identify any health related issues and the support needs of the individual. We can then be certain we always have the correct and up to date information relating to somebodys wishes, preferences and interests and can therefore respond appropriately. We make referrals to health services, speech and language services, behavioral support services and social related services as needed. Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: We saw that personal support plans were in place and they were used as part of the individuals daily plan. Their emotional and physical needs were considered and assessed as part of the plan. Medical intervention was evidenced to be requested should the need arise and this was documented within the plan to ensure that health needs were being monitored and good health maintained. Access to professional psychological support was available for those who required it offering personal support and staff guidance when dealing with certain conditions. We saw that the staff were open to seeking advise from other professional bodies to ensure high standards of care and good practice to be delivered in the home. Staff were seen to be attentive to the individuals needs and preferences. The calm atmosphere assisted the people to be relaxed and enjoy their home. We saw that the staff were sensitive to the persons individual habits and choices, one lady was becoming agitated, waiting to go shopping but the staff member was able to reassure the individual that they would go and have a nice time, and this calmed the situation instantly. A relative told us The home provides a warm, safe environment with caring friendly staff who genuinely seem to care about the clients. Staff are always happy and this surely reflects on the clients too. The home is also kept to a high standard of cleanliness. We are happy with the support given. Our son is encouraged and supported in all aspects of his choice of activities and care. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home feel they are listened to and their views are acted upon. They are protected from abuse and neglect. Evidence: The AQAA told us We have a clear and effective complaints policy that is available in a range of formats We supply copies of this policy along with POVA policies and whistleblowing policies to all staff members, service users, family members and any professionals that are involved. We have devised a help card entitled I am worried, which are given to service users to keep in the place of their choosing. Should a service user feel worried or concerned about something and feels unable to discuss it with somebody at Parkbrook Lodge, they can send this card confidentially to an identified individual at our head offices, who will in turn deal with the complaint / concern in a sensitive and confidential matter and involve the relevant individuals as appropriate.We keep full records of any complaints received, as well as compliments. These records are available for inspection and allow us to learn more about the support we provide - whether this is what were doing well or whether its because we need to improve an area of our service delivery. We take all complaints seriously and all details are passed to both the operations manager and CSCI. All staff are aware of these policies and procedures and their understanding is monitored throughout their working hours as well as during team meetings and supervisions.We have in depth organisational procedures in relation to complaints / compliments / POVA as well as a Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: pictorial flow chart that can be used by both service users and staff members. All staff receive training about POVA during their induction and this training is updated at regular intervals. We also retain copies of local inter-agency vulnerable adults procedures within the service. We feel that this has been achieved through regular meetings with service users where they are encouraged to give their opinion and contribute to the things that matter to them. Should an individual voice any concern, then we investigates the concern appropriately, providing an appropriate and satisfactory outcome for the individual. We saw that the staff ensured that the home was run in the best interest of the individuals living there and their opinions were listened to. Persons were seen discussing with staff their views and choices throughout the day. We had dealt with no complaints or protection issues since the last inspection. The home had received one complaint and this was now resolved. People spoken to told us that the staff do listen to them and respect them. One gentleman told us The staff are my friends and I trust them, we all do. They are very kind to us and they make sure we are all happy in the home. We saw that staff are trained to look for signs of abuse and have completed appropriate training. A staff member told us We are all aware of the need to protect the people living in the home and the training we have had supports us in using the policy and procedures in the home such as whistleblowing. One relative told us There has never been a need to complain, as any issues are dealt with straight away, however we are aware of the complaints procedure and the manager has always been happy to respond to any queries in an informative and professional manner. We saw that individuals money was stored safely and transactions were recorded and checked. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people live in a homely, comfortable and safe environment that is clean and hygienic. Evidence: The AQAA told us Provide an accessible, homely, clean, hygienic, safe, well maintained, and comfortable environment to meet individual service users needs and current legislation. Provide a home that is well located to access local facilities and transport networks and is fit for purpose.We complete regular audits of the service to quickly identify any areas for improvement and to take the necessary action.Provide all service users with their own personal space in a self contained single room, with suitable furniture and fittings and encourage/support to add their own personal belongings that reflect their culture, beliefs and personalities. Ensure that fire and safety requirements are adhered to.Provide service users with adequate lockable and suitable toilet/bathroom facilities that provide privacy and meet with current requirements - service users have the right to hold their own keys and we encourage this.Ensure those service users with specialist needs have their needs assessed by the appropriate professional and we work in partnership with other agencies to achieve the best possible outcome for the individual.Provide appropriate accessible laundry facilities that meet with current requirements. Provide comfortable and fully accessible Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: communal facilities that reflect service users needs and preferences, with aids and adaptations as necessary. Review the standard of the environment as part of an ongoing process to maintain and achieve high standards - this is also done more formally via the annual service review. We saw that home was well maintained, clean and hygienically presented. Communal areas and private areas were homely and clean. Bedrooms were well personalised and inviting. People living in the home enjoy their personal space and most had their own room key which was kept in the office for convenience and safety. We saw that an area of carpet outside the kitchen was in a poor state and we were told that this is to be replaced with a more suitable flooring. One person living at the home told us The staff make sure the home is clean and tidy and we do some household tasks with the staff. The staff help us to do our washing and keep our own space tidy. We saw the homes maintenance records that were up to date and well recorded. Cleaning schedules were in place for staff and persons living in the home to follow and safety was considered at all times. A relative told us The home is always clean and tidy whenever we visit, and its very homely. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staff and competent and suitably qualified to support the people living in the home. They are protected by the homes recruitment policy and procedure. Evidence: The AQAA told us Staff have clear roles and responsibilities as defined in their job descriptions. All staff are appropriately trained and qualified, have a comprehensive induction and training program and receive regular supervision and appraisals. We have robust recruitment policies and procedures and all staff are recruited in line with equal opportunities and are CRB checked prior to commencing their employment. The staff rotas reflect a needs-led service and remains flexible to accommodate the needs and plans of the people living at Parkbrook Lodge. The staffing levels are maintained as appropriate to ensure the smooth running of the service and to ensure the safety and well being of service users.Staff records are kept up to date and are accurate personnel files hold all relevant information i.e. recruitment information, supervision records, sickness/absence monitoring and other leave records.We value the staff team and actively encourage staff to gain more skills and knowledge in order to provide the best service possible, this is achieved via structured training and induction programmes as well as through informal training and supervision provided at the service. Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: The ratio of staff to people living at the home demonstrated to us that the team were able to meet their individual needs. We saw that regular staff meetings were recorded and and any issues raised were actioned and signed by the managers. We saw that the home were committed to maintaining staff competencies through appropriate training and updates. The staff files that were seen were in good order and contained all the relevant information to demonstrate a rigorous recruitment process. We saw that training needs assessments were recorded during staff supervision with the manager. Staff development was based on ensuring the needs of the people living at the home could be met through the training given. Staff attitude was very relaxed and friendly, persons living in the home were responsive to the staff team and obvious bonds were noted. The staff spoken to were professional and knowledgeable about the care being given and the needs of the individuals. Staff comments included: Its a happy home and I like working here. The manager always willing to discuss any problems and help deal with them or advise. The residents needs are put first and the home has a relaxed, friendly atmosphere. The residents have many opportunities for activities, study and outings. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a well run home, where their views are listened to. The health, safety and welfare of people are promoted and protected. Evidence: The AQAA told us The manager oversees the delivery of support, the staff team, the implementation of support approaches and other systems. The manager leads the team by setting a positive example, setting achievable targets, mentoring staff members and arranges training, meetings, supervisions and feedback sessions with service users, staff and s.user associates. The manager is fully conversant with all policies, procedures and legislative requirements and ensures that the service is managed in line with all requirements. These include health and safety requirements, employment law, Care Standards, service user needs, managing concerns and complaints, ensuring that the statement of purpose and aims&objectives of the service are complied with at ll times. The manager takes an active role in monitoring and recording quality, health and safety and support needs, taking appropriate action as needed. All certificates are displayed as appropriate and there is clear evidence that all Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: necessary checks and appointments are scheduled in an organised manner. We saw that the people living at Parkbrook Lodge lived in a well run home, which has an experienced and competent registered manager in charge. The manager had completed the AQAA comprehensively and this was returned within the timescale given. One man living at the home told us The home is run in their best interest and the staff make sure we are all happy. We saw that support plans had been used as part of the personal review process with the social worker which the individuals attend, and they can sign the support plan if they are able to do so. We were introduced to the persons living at the home and they were aware of the purpose of the visit. We saw that the health, safety and welfare of the individuals was promoted and protected by safe working practices, staff training and knowledge and compliance with the relevant legislation. We saw that suitable risk assessments were in place for all eventualities and actions. Accidents and incidents were recorded, reported to head office and reviewed as part of the individuals support plan. Relatives commented Parkbrook is friendly and welcoming. The atmosphere is always calm and the staff maintain excellent relationships with all the residents. We have always been made welcome when we visit and nothing is too much trouble. The home is always clean and well maintained. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!