Care Home: Park Lodge

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Prince Bishop Court
• Park View (15)
• Craigmore House
• 1 Lanark Close

What the care home does well Each person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. Information is available to help people make an informed choice about the service before they decide to use it. All of the people have care plans which give information to staff about how to support them and meet their needs. The staff at the home treat the people as individuals and support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. People who live at the home experience a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The home is clean, warm and pleasantly furnished so the people who use the service have a comfortable place to live. Staff support the people to use local services so they are part of the community. The home has procedures for staff for the administration and recording of medication. This is to make sure the people who live at the home receive their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly so good relationships are maintained. The home has adult protection policies and procedures for the staff to follow. At the time of this visits to the service staff knew how to safeguard and protect the people who live at the home. What has improved since the last inspection? The standard of care planning has improved and now gives a good level of information to staff to more effectively met residents` needs, while minimising risk and keeping them safe. What the care home could do better: When recruiting staff, any gaps in a person`s work history should be explored and the information recorded. This would demonstrate that the agency has made sure that they only employ suitable people to work as care workers and therefore safeguard the people who use the service. If all risk assessments had the date and were signed staff would know if the information was accurate and up to date. This means they would know that this was relevant instruction for them to follow, to minimise risk when providing care to the people at the home. CARE HOME ADULTS 18-65 Park Lodge Park Avenue Roker Sunderland SR6 9PU Lead Inspector Hilary Stewart Key Unannounced Inspection 2nd December 2008 10:00 Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Lodge Address Park Avenue Roker Sunderland SR6 9PU 0191 5490321 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) Autism North Limited Michael Winter Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2008 Brief Description of the Service: Park Lodge is a very large detached domestic house, which was built during the turn of the 20th century. Park Lodge was opened in May 2005 and prior to that Autism North had completed considerable refurbishment works to the building. Park Lodge, which was registered in May 2005, provides personal care for young people and young adults who have a learning disability. Each person’s social services department pays the majority of the weekly fee. The home has three floors. The eight en-suite bedrooms, lounges, dining room, large kitchen and laundry are located on the first two floors. A sloped drive leads to the main entrance to the home and a yard is at the rear. The building is spacious with two lounges and sitting areas for the people who live here to choose from. It also has access for the person who has a physical disability. The adjacent house is also owned by the same organisation and offers a similar service. The house like the adjacent has its own entrance and separate staff team and is run largely independently. Park Lodge is located about one hundred metres from the main road running along the sea front at Roker, Sunderland. It is opposite a large park and close to shops and local entertainment. Bus routes to Sunderland and South Shields are located on the main road close to the home. The fees range from £2202.00p and £6250.00p per week fully inclusive. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 10th,15th and 22nd January 2008. • How the service dealt with any complaints, concerns and safeguarding issues since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff. The Visit: An unannounced visit was made on 2nd December 2008. During the visit we: • • • • • • • Talked with the staff and the manager. Observed the people who live at the home. The people who use the service have autism and some do not use speech as their main means of communication. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked to see if the staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager what we found. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future if a requirement is repeated it is likely that enforcement action will be taken. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The standard of care planning has improved and now gives a good level of information to staff to more effectively met residents’ needs, while minimising risk and keeping them safe. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 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 Lodge DS0000063966.V373572.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2 and 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Comprehensive assessments are carried out before people receive the service, and plans are made to ensure that they get the care and support they need. Information is available about the home so people can make an informed decision about whether the service is the right one for them. EVIDENCE: The home has a Statement of Purpose and Service User Guide, which provides people with the information needed to make an informed decision about whether the home is where they would like to live. It is in an easy to read format for people and is up to date. The manager said that all of the people at the home have been given this information. The manager said that the people who live at the home have had their needs assessed before and after they move in. A person can only move into the home if they are certain that their needs can be met there. The manager said that the assessment of the peoples’ needs is on going, they evaluate them every month and up date the care plans if necessary. If a person decides to move into the home they can visit before they move in Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 10 permanently, so they can be gradually introduced to the other people who live there. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Care planning records have improved and now give a good level of information to staff in meeting peoples’ needs, while at the same time minimising any risk. People who use the service get the personal support they require and are supported to be more independent. At the same time staff make sure that their privacy, dignity and independence is respected. EVIDENCE: All of the people who live at the home have an individual care plan. The manager said that people are involved as much as possible in writing them, but most may not understand the concept due to their disability. Staff said that they consult the people at the home as much as possible. Care plans included information about what care each person needs, such as their social relationships, their independence and what type of support they need. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 12 The plans were easy to read and contained enough detail. One described very clearly how to meet the needs of one person and how staff should support them when out in a vehicle. Some risk assessments were general and about the home, as well as each person having individual ones. Records showed that the risk assessments were reviewed and up to date. Each person has behaviour guidelines for staff to follow. Some were not dated or signed so it was not clear if they were recent and up to date. Staff could describe how they work consistently with the people at the home. Staff said that people are given choices as much as possible. All of the people who live at the home were doing different activities on the day of the visit. Some were out at a day centre, another was about to go out to use a trampoline. Their timetable showed that they all had different individual activities. Staff said that they were aware of the different needs of the people and the different ways they communicated. They said that they had all had training in Makaton, which helps them communicate with some people. There was more detail in the care plans about peoples different communication needs. Communication boards were observed in some people’s bedrooms, which the staff were using. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The people who use the service experience healthy, stimulating activities, supported by staff who value them, while maintaining links with their families and friends. This means they can have new experiences and interests and do not become isolated. EVIDENCE: The manager said that the meals served at the home are the choice of the people who live there. Adequate amounts of fresh fruit and vegetables were stored in the kitchen. The home employs a cook. They said that they consult the people at the home as much as possible about what they would like to eat. Meals served at the time of visit looked appetising and nutritious. One member of staff said “ yes they are encouraged as much as possible to cook meals” and another said “ some people get involved in choosing and making meals”. The Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 14 people can have a meal which is different from that displayed on the menu if they choose. Food served is recorded in each person’s individual diary. The people at the home are supported to maintain contact with their families. Records showed that people have regular trips out and visits from them. People’s families are encouraged to use a diary, that the person takes with them, so they can write down how the visit went. All of the people have individual timetables and some were out during the visit. The people were unable to confirm what they thought of their activities. Daily recordings by staff showed that people go out most days. Records showed that people attend a day centre, go swimming, and go out to restaurants and the pub. The manager said that people at the home are supported and encouraged to improve their personal and social skills so they have a better quality of life. All of the people go on at least one holiday every year, which is as much as possible, their own choice. The daily routines within the home are structured around the people who live there. Sufficient staff were on duty to enable the people at the home to take part in activities individually. The activities are based upon what the people like to do. The manager said that people are supported to go out into the community. One member of staff when asked what they though the home did well said “ we get people out into the community”. There were three to four staff in the living room, with two people during most of the visit. Staff and the manager said that the people are involved in domestic routines. Records showed that people have a daily routine, which included things like tidying their room or helping prepare meals. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People have personal support when they need it so they can be as independent as possible. Healthcare needs are met, which ensures that people stay healthy. Adequate medication systems are place to make sure that residents are not put at risk. EVIDENCE: The care plans identify the personal support that each person needs with everyday tasks. One person needs help with their personal hygiene and relevant details were in their care plan. Records showed and the manager said that each person has a health care plan. All of the people in the home receive yearly health care checks. Specialist support is available from psychologist/psychiatric services when required. Records are in use to monitor the administration of prescribed medicines. They were up to date and had been signed by staff when they have administered medication to people. Staff who are authorised to administer medicines are listed in the file and there is a copy of their signature. The manager said that Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 16 staff have received training in the safe administration of medication. They do not administer medication unless they have completed this training. Staff said that they had been trained and could describe the procedures that are followed in the home. There are photographs of each person who lives at the home on the medication records as a safety measure so staff can identify people. All of the people have a key worker and they are responsible for ensuring that people have regular health checks. Also that they have an annual health check and every health appointment or review is carried out and is accurately recorded. Each person has a risk assessment or an explanation about why they do not control their own medication. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place. This means that complaints should be dealt with effectively so people know that their comments are taken seriously. Satisfactory protection procedures are in place to help protect the people at the home from risk of harm. EVIDENCE: Policies and procedures are in place that describe how the home responds to complaints. The manager said and records showed that the home had not had any complaints since the last inspection. All of the people receive a copy of the complaints procedure when they move into the home. There is a version in pictures that is easier for people to understand. Complaints forms are available at the home. Staff said they would support the people who live at the home to make a complaint. The manager said that all staff are trained in how to protect the people at the home. There are policies and procedures on safeguarding adults to inform staff what to do if they think a person at the home could be suffering from abuse. A copy of the Local Authority safeguarding adult’s procedures is kept in the office. Staff and the manager could describe what actions they would take to Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 18 safeguard the people who live at the home from potential abuse. Records showed that staff had received training in safeguarding adults. One member of staff said “ the people come first” and “ I would always report something that concerned me”. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is comfortable, warm and clean so the people have a pleasant place to live. EVIDENCE: Each person has their own single bedroom that is well in excess of minimum space requirements. All of the rooms have their own en suite toilet and bathing facilities. The bedrooms looked comfortable and the people who live at the home had personalised them. They had been made very individual. The rooms are furnished to suit individual’s needs and personal equipment such as televisions, DVD players and music systems are in place in most rooms. One room did not have much furniture, however this had been risk assessed and the person had a care plan in place, which aims to introduce more furniture gradually to the room as their tolerance increases. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 20 A radiator guard was not secured to the wall in the upstairs landing, however the manager agreed to deal with this immediately. On the third floor a keypad lock has been fitted to a corridor door that divides two bedrooms, in order to restrict access and protect people by ensuring people cannot enter each other’s rooms. The building is generally well maintained and it is clean and hygienic. Overall the premises were in good order, clean and tidy. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff have opportunities for training, to give the people who live at the home good care and meet their needs. Sufficient numbers of staff are in post to meet their diverse needs. The home has recruitment procedures in place, which help to prevent risk of harm to the people who live there from unsuitable carers. However, some gaps in staff members work history had not been thoroughly explored. . EVIDENCE: Staff said that they receive training, which helps them with their work. All new staff complete induction training and one member of staff said, “ yes I did get induction training”. The manager said that there is now a training schedule, which makes sure they get the training and support they need. Staff said and records showed that they all have mandatory training, such as first aid; food hygiene and Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 22 safeguarding adults training. The manager said that some staff have vocational qualifications and others are working towards one. Sufficient staff were on duty at the time of the visit. Records showed that sufficient staff had been on duty in the home the previous week. One member of staff said, “ yes there are sufficient staff, sometimes less would be better” another member of staff said “ we have enough cover but we could do with more at night so people could go out more”. The manager said that all staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. All staff go through a recruitment process and they cannot start to work at the home until this is completed. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records showed that checks had been carried out. The records looked at did not show that gaps in work history that had been explored during the recruitment process. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37.39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager is suitably experienced and qualified to run the home and seeks the views of the people who use the service, as much as they can. This means that they know their opinions are valued and that this information is used to improve the service. EVIDENCE: The manager has the relevant experience to run the home and has a recognised vocational qualification. They also manage the home next door so their working time is split between the two homes. Staff said that they felt supported by the manager and they would be able to approach them with any worries or concerns. The manager and staff said that Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 24 staff meetings are held every month. They discuss all matters relating to the running of the home. The manager stated that they also contain a range of topics that are related to fire safety and risk assessment of the home. Records showed that meetings had taken place. One member of staff said, “ It is a good happy team”. Another member of staff said about the management team, “if you come up with an idea they will support you and give you a chance”. Fire safety risk assessments had been completed. The fire logbook showed that fire drills and fire instruction take place. Staff said that they have fire drills and instruction. Records showed that regular training is provided for staff in fire safety and first aid. The accident books looked up to date. The manager said that regular monitoring visits are carried out by their line manager to check on the welfare of the people who live at the home. The manager writes a report about the visits and copies of the reports are sent to them. Records showed that most of the reports are lodged at the home. The manager said that the people who live at the home are “at the centre of everything that we do and we encourage feedback from them in order that we can continually review and improve our service”. The home has a quality assurance system and people at the home are asked their views about the running of the home as much as possible and they also have a yearly improvement plan. Records showed that the company has a quality assurance system and a copy of the improvement plan was in the office. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA34 Regulation 19 Requirement Gaps in peoples work history must be explored during the recruitment process so the agency can make sure that only suitable people are employed. Timescale for action 31/01/09 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 Refer to Standard YA9 Good Practice Recommendations Risk assessments should be signed and have the date on so staff know which is the latest up to date and accurate information about how they can minimise any risk to the people they care for. Park Lodge DS0000063966.V373572.R01.S.doc Version 5.2 Page 27 Care Quality Commission North Eastern Region PO Box 1255 Newcastle upon Tyne NE99 5AS National Enquiry Line: Telephone: 03000 61 61 61 Fax: 03000 61 61 71 Email: enquiries.northeastern@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 Lodge DS0000063966.V373572.R01.S.doc Version 5.2 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. 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!