Inspection on 04/07/05 for Parkwood Lodge

This inspection was carried out on 4th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

Parkwood Lodge 09/11/06

Parkwood Lodge 04/01/06

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 Martin Bayne Unannounced 04 July 2005 10:00am 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 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 Stationary 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 v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parkwood Lodge Address 181 London Road, Waterlooville, Hampshire, PO7 7RL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 02392 268073 Truecare Group Limited Mrs Tracy Ann Clare CRH 7 Category(ies) of MD- Mental Disorder: 7 registration, with number of places Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- One named person may be accomodated in the MD (E) category. Date of last inspection 26/11/2004 Brief Description of the Service: Parkwood Lodge provides accommodation and suport to seven residents with mental health disorders. The home has a dispensation to accommodate one resident over the age of sixty. The home is a large detached property with parking at the front and a large enclosed garden to the rear. The home offers a large lounge with adjoining conservatory and kitchen dining area. Residents have single occupancy bedrooms. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The requirement of an automatic closure device being fitted to a bedroom door was found to have been met. During the visit, the inspector spoke with three of the residents of the home, all of whom gave positive accounts of what it was like to live in the home. Assessment procedures and practices were followed through with reference to residents’ personal files. Health needs and care planning were also looked at. Recommendations were made with regards to replacing the lounge carpet and the floor surface in one of the residents bedrooms, amending the staff application form and increasing the number of hours that the manager is supernumery to the rota. What the service does well: What has improved since the last inspection? What they could do better: Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 6 The organisation could attend to maintenance requests quicker. The organisation could allow more hours for the manager to devote to management functions. 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 v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 & 5 Thorough assessment processes ensure that the home meets the needs of people referred to the home. EVIDENCE: Since the last inspection three new residents have been admitted to the home. In the case of both residents tracked through the inspection assessments had been carried out prior to their being offered a place at the home. Usual practice is for a senior manager in the organisation to carry out an assessment and identify whether the organisation can meet the needs of the person referred and then for the registered manager of the particular home to also carry out an assessment. There was also evidence that the information is obtained from either social services or the referring agency on the persons needs. All of the six women living a the home with the exception of one had come from outside Hampshire and so visits to the home prior to admission had not been possible in all cases. A trail period is offered to all new admissions to the home. A contract signed by the resident and a representative of the home, detailing the terms and conditions of residence were found on file for the two residents tracked through the inspection. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 9 Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 9 Residents’ benefit from being fully involved in developing care plans as to how their needs can be met. EVIDENCE: The manager explained that usual practice when a new resident is admitted to the home, was to work from the care plan from the person’s previous placement and then to develop a new care plan with the resident over the first few weeks at the home. The care plans and personal files for the two residents tracked through the inspection were viewed and found to be very detailed and comprehensive. The residents had signed their care plans and there was also evidence that the plans were regularly reviewed. The involvement other professionals from health and social services and their role were detailed on the Community Programme Approach review forms. Detailed risk assessments were also recorded on the files. Two of the residents spoken with were able to confirm that their care plans had been drawn up with their involvement. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 11 Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14 & 17 Residents are supported to engage in activities and interests of their choosing EVIDENCE: Residents said that they were supported to maintain relationships with families and friends. One of the residents is supported to maintain her relationship with her partner. Residents said that they were involved in the daily domestic routines in the home. Within each person’s files was an up to date plan of activities, leisure interests and plans for the week ahead. On the day of the visit three of the residents were out of the home in the community. Residents said that the food was of good standards and that there was always plenty to eat. Menus for previous weeks were available and reflected a varied and wholesome diet. The manager reported that they have budgetary responsibility for the food budget and this was suitably resourced. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 13 Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 14 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 standard(s) 18, 19 & 20 Residents’ medical needs are documented and supported through involvement of health professionals. EVIDENCE: Detailed within the care plans were health assessments and risk assessments, as well as records of any input form outside health professionals. The manager reported that the Consultant Psychiatrist for four of the residents visited the home each week to support both the residents and the home. The residents spoke highly of the support they received from the staff. The medication administration records for each resident were viewed and these were completed correctly with no gaps within the recording. Residents are assessed as to whether they can manage their own medication or require assistance from the staff. In the case of one resident the staff sign that they have supervised a resident filling a weekly dosage box that this resident then takes responsibility for. A risk assessment had been carried out as required. The medication cabinet was inspected and it was found that medicines were stored correctly in the metal cabinet in the staff office. One member of staff has responsibility for the keys for each shift. The manager reported that all the staff who administer medication have received training in safe administration of medicines. It was also reported that at each staff meeting a Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 15 member of staff takes responsibility for researching a particular medication and informing the rest of the group. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 16 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 standard(s) 22 & 23 Residents are protected through an open and full complaints procedure and a staff team trained in adult protection. EVIDENCE: The complaints procedure is on display in the hallway and this included the address and telephone number of CSCI. There was also a signed document in the sampled personal files of residents that they had been given a copy of the complaints procedure. The home keeps a log of complaints and since the last inspection there has been one internal complaint that was recorded and investigated to the resident’s satisfaction. At the last inspection it was recommended that staff receive further training in adult protection issues. The manager reported eight of the staff team have now had additional adult protection training and this is being offered to all of the staff. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 17 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 standard(s) 24 & 30 Residents would benefit from a new carpet in the lounge and outstanding maintenance issues being addressed. EVIDENCE: The home is very spacious and has a large garden to the rear that is access through a large conservatory. Communal space also includes a large lounge/dining area and large kitchen with breakfast table. Resident’s bedrooms have door locks and residents reported that they had a key so that they can lock their door. The last Regulation 26 report, (visits made on behalf of the management to the directors), stated that the poor state of the carpet reflects badly, a view supported by the inspector and it is recommended that the lounge carpet be replaced. The Regulation 26 report also mentioned that there were outstanding maintenance issues. The manager said that nonurgent maintenance issues often took a long time to be addressed. During the visit one resident’s bedroom was viewed with the resident’s consent regarding the floor surface in their ensuite bathroom. It is recommended that a more durable floor surface be laid to reduce the risk of water seepage out of the bathroom. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 18 On the day of inspection the home was found to be clean. The home has a separate laundry room that is accessible without passing through food preparation areas and is equipped with commercial machines and hand washing facilities. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34 & 35 Residents are supported by an appropriately trained staff team recruited through the correct procedures. EVIDENCE: A deputy and two team leaders support the manager. In total there are 14 full time equivalent care staff employed at the home. A duty roster was available and reflected that five staff are on duty between 8am – 8pm, three between 8pm – 10pm and then two awake members of staff during the night time period. It was reported that the home receives one to one funding for one of the residents, however this is being reviewed as this person no longer requires this level of support. Both the manager and the residents spoken with said that there sufficient staff numbers. In respect of training, 10 staff have received training to NVQ level 2. 3 staff have completed the Certificate in Community Mental Health, NVQ level 3. The manager said that more staff would have undertaken this training, however the course is not being run at present due to a lack of trainers. All the staff have also received some mental health training though day courses. The inspector supported that manager’s efforts to secure specialist mental health training as the home provides a specialist service. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 20 The recruitment files for a sample of three staff were inspected and it was found that with the exception of one reference for one member of staff the recruitment checks had been carried out as required. It is recommended that the application form for the organisation be changed to request the information required through the regulations Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 The home would benefit from an increase in hours that the manager devotes to management responsibilities. EVIDENCE: At the last inspection a requirement was made that an automatic closure device be fitted to one of the bedrooms doors to meet the needs of the residents. It was found on this visit that this had been had fitted. The manager reported that she has twenty hours dedicated to management and the rest of the time she works as part of the rota. It is recommended that due to increased management responsibility with devolved budgets, health and safety and additional staff recruitment responsibility, the management hours be increased o at least thirty hours. Parkwood Lodge v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x x x Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Parkwood Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x x x v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 23 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 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 24 34 37 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 v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 24 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 v233250 h54 s55449 parkwood lodge v233250 040705.doc Version 1.30 Page 25 - 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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