Inspection on 04/01/06 for Parkwood 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 Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Parkwood Lodge 09/11/06

Parkwood Lodge 04/07/05

Parkwood Lodge 26/11/04

Parkwood Lodge 04/05/04

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

CARE HOME ADULTS 18-65 Parkwood Lodge 181 London Road Waterlooville Hampshire PO7 7RL Lead Inspector Eamonn Kelly Unannounced Inspection 4th January 2006 10:45 Parkwood Lodge DS0000055449.V274809.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 Parkwood Lodge DS0000055449.V274809.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. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Parkwood Lodge Address 181 London Road Waterlooville Hampshire PO7 7RL 023 9226 8073 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) Truecare Group Limited Mrs Tracy Ann Clare Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 named person may be accommodated in the MD (E) category. Date of last inspection 4th July 2005 Brief Description of the Service: The home supports up to seven service users who have mental health disorders and/or learning disabilities, including people with disabilities within an autism spectrum. This support comprises assisting them to live comfortably within the community and to find ways of recognising and coping with their disabilities and challenges. The premises are a detached property with parking at the front and enclosed garden at the rear. There is a lounge, conservatory and kitchen/dining area. Each service user has a single bedroom with full en-suite facilities. Three of the bedrooms are on the ground floor and seven are on the first floor. A passenger lift connects the 2 floors. Twenty-four hour care is provided with two members of staff on duty at night. The home is owned by an organisation (“Choice Organisation”) that has a number of other similar residential homes in the county. The manager therefore has the support of additional professional services eg. an operations manager, a clinical services manager and human resource services. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection (unannounced, between circa 10.45 am and 16.30 pm) consisted of meeting with the manager and deputy manager, members of staff, Truecare’s operations manager and all service users. Some of the home’s records were seen eg. care plans and some pre-admission information including a service user’s guide. All bedrooms and communal areas were visited. The focus of the inspection was on meeting all residents of the home with an emphasis on discussing profiles of service users and some assessment of how their needs are being met. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 6 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 Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 7 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): 2 Prospective service users and their supporters can be confident that their support needs are assessed properly before admission and that they are likely to receive the care and support they require. EVIDENCE: The manager is liaising with the acting manager of another Truecare residential home (Woodlands) in reviewing and improving the home’s service user’s guide. This update is intended to have available to new service users and their advocates a service user’s guide, incorporating a statement of purpose that is specific to the home and meets current regulations (particularly as required under Schedule 1 of Care Home Regulations). Great care is currently being taken in assessing prospective residents to fill the remaining place at the home. There is extensive knowledge amongst staff of the needs of service users and of how their needs and aspirations can best be met. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 8 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. Service users receive the level of support and guidance they need in order to meet their specific requirements. EVIDENCE: Care plan records indicated that up-to-date information is identified for each service user and goals of care/support are agreed. The biographical information about each service user was concise and informative. An example of review and plan change was observed, this related to the need either to have better arrangements planned for some types of visits to GP/hospital or, as the option adopted, to request regular visits to the resident at the home from a member of the hospital ‘Clozeril’ team. There is close involvement by service users in all aspects of life at the home, where more rigid frameworks are required for the well-being or safety of a resident, for example these instances are identified, recorded, agreed and reviewed. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 9 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, 14, 16. Service users are helped to have opportunities for personal development and leisure activities based on their specific abilities and aspirations. EVIDENCE: The range of mental health difficulties and learning disabilities (including syndromes and conditions that need constant attention to prevent or minimise what would be regarded as “challenging” behaviours elsewhere) requires an up-to-date knowledge of each service user by each member of staff. Individual patterns of support are agreed with no dependence on attendance at local authority or private day centres, depending on service user’s abilities, limitations and aspirations. On the day, some service users were at home under the guidance of two members of staff: others were out with members of staff. The service users are supported to carry out some household activities such as food preparation, laundry, cleaning/tidying. All bedrooms have a commendable range of audio/visual materials and the types of possessions reflected each service user’s specific and general interests. Routine activities agreed for and with service users are implemented and plans are amended from time to time or at short notice depending on the disposition, health and continuing abilities/aspirations of service users. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 10 Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Service users’ healthcare needs are known, kept under review and met. EVIDENCE: A central focus of the inspection was to discuss profiles of each service user and assess in a broad way if their needs were being met. The range of needs is wide including mental health difficulties and/or learning disabilities including Asperger’s syndrome, some severe depression leading to particular identified syndromes, self-harm and obsessive compulsive behaviour. There is access to GP’s, CPN’s, hospital and psychiatric services and other healthcare services. Care plan records detail how mental and physical healthcare needs are identified and met. The manager and assistant manager outlined how personal development support for staff enables them to continue to monitor complex conditions and to obtain healthcare input to complement their support activities. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users can be confident that their views are known to staff and are fully taken into account. EVIDENCE: The home’s complaint’s book provided a suitable example through which to assess the level of participation by services users in being able to confidently act on their perceptions of how they are treated. The examples given indicated that emphasis is given to assessing service user’s complaints as a form of therapeutic activity and the process/outcomes contribute to quality assurance measures. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The premises are suitable for the care of service users. EVIDENCE: Some refurbishments discussed at the previous inspection have been implemented or are close to implementation. The premises are well maintained, clean and tidy. All residents have single bedrooms with en-suite facilities, 3 bedrooms are on the ground floor, four are on the 1st floor and there is a passenger lift. There are good internal and external facilities. Communal areas enable service users and staff to have space, comfort and privacy. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 33 Service users are well looked after by an effective staff group. EVIDENCE: Apart from professional support available within the wider organisation, the staffing structure provides a broad spread of experience and professionalism: manager, assistant manager, two team leaders, senior support workers. Current vacancies are being filled. The duty rota showed how staff are at the home and accompany service users to many locations (4/5 members of staff on duty between 08.00 am – 20.00 pm). The previous report stated that 10 members of staff have achieved NVQ Level 2 in Care and 3 have achieved the Certificate in Community Mental Health. The manager is committed to securing specialist mental health training for all members of staff. The training matrix that is maintained indicated that all members of staff are encouraged to achieve training in topics relevant to residential care eg. safe moving/handling, understanding reasons why people become agitated or upset, food hygiene and first aid. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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, 39, 42. The home is effectively run with service users placed at the centre of good service delivery. EVIDENCE: The manager has achieved NVQ Level 4 in Care, the Registered Manager’s Award, Certificate in Community Mental Health and HND/BTEC Managing Health and Care. She is undertaking a course to enable her to assess progress of students undertaking NVQ qualifications. The assistant manager has achieved NCRGSA (national control & restraint general services association) accreditation (with further training imminent). She is completing NVQ Level 4 in Health & Social Care and is shortly to undertake the Registered manager’s Award. During the inspection visit, it was clear that service users’ needs were identified and individual programmes of care were agreed and in place. Their needs and aspirations were an important part of personal development. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 16 Please refer to Standard 22 for reflection on how service users can be confident that their views underpin self-monitoring, review and development of the home. Whilst the Commission has not carried out an announced inspection in the current year which would have entailed a declaration by the manager that all necessary safety checks and associated certificates were in place (via the preinspection questionnaire), it was clear that a file is maintained in which such safety certificates/information are kept. The manager was confident that all safety checks have been carried out. There was evidence of risk assessment procedures being in place and training standards are such that the vulnerabilities of service users are known and addressed in operational activities. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 17 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 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 3 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x x x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 3 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 x x 3 x 3 x x 3 x Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 3. Refer to Standard YA24 YA34 YA37 Good Practice Recommendations It is recommended that the carpet in the main lounge be replaced and the floor surface in one resident bedroom be changed. It is recommended that the staff application form be changed it is recommended that the management hours be increased. Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Parkwood Lodge DS0000055449.V274809.R01.S.doc Version 5.1 Page 20 - 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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