Inspection on 18/02/10 for Pinetum Nursing Home

This is the latest available inspection report for this service, carried out on 18th February 2010.

CQC found this care home to be providing an Excellent 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

Pinetum Nursing Home 06/01/06

Pinetum Nursing Home 03/08/05

Pinetum Nursing Home 16/12/04

Pinetum Nursing Home 08/06/04

Pinetum Nursing Home 11/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/05/2010.

Key inspection report Care homes for older people Name: Address: Pinetum Nursing Home Valley Drive Countess Of Chester Health Park Liverpool Road Chester Cheshire CH2 1UA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Diane Sharrock     Date: 2 6 0 2 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 32 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 32 Information about the care home Name of care home: Address: Pinetum Nursing Home Valley Drive Countess Of Chester Health Park Liverpool Road Chester Cheshire CH2 1UA 01244380731 01244380789 manager.pinetum@careuk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Community Health Services Limited Name of registered manager (if applicable) Miss Tracey Lynne Simpson Type of registration: Number of places registered: care home 48 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The registered person may provide the following category of service only: Care home with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. Physical disability - Code PD. The maximum number of service users who can be accommodated is: 45 Date of last inspection Brief description of the care home The Pinetum Care Home provides nursing care and accommodation for up to 48 older people and up to 5 people over 48 years of age with a physical disability. The Pinetum Nursing Home is a detached, purpose built property situated within the grounds of the Care Homes for Older People Page 4 of 32 0 45 Over 65 45 0 Brief description of the care home Countess of Chester Health Park near to the centre of the city of Chester and local shops and amenities. There is good access to public transport. The home was first opened in 1991. Bedroom accommodation is provided in single rooms that have hand washbasins. The complex care unit has been refurbished with lots of furniture and equipment such as electirc beds, air flow mattresses and en-suite bathrooms. Bedrooms are on two floors with a passenger lift and staircases to both levels. There are two main communal lounge areas with two additional sitting areas and a dining room on each floor. The latest inspection report, statement of purpose and service user guide can be provided and made accessible to everyone at the home. Fees range from 539 pounds to 706 pounds per week. Care Homes for Older People Page 5 of 32 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This visit was unannounced and was over 2 days, the 18th and 26th March 2010. We also looked at information we had received about the home. This included information we had been sent from the home in an annual questionnaire. This gives information about how the manager and owners see the services strengths and weakness and future plans and developments at the home. A selection of questionnaires were also sent out for people living at the home, families staff and health and social care professionals to find out their views about Pinetum. To date we have not received any back however the manager confirmed that a large number had been sent to our head office but unfortunately we had not received them. Care Homes for Older People Page 6 of 32 During our visit to Pinetum, we looked at various records and walked round the home. We spoke with people living in the home and some of the staff. We watched how staff interact with the people who live there and how they provide care and support for people. We also looked at various records to see what care and support was being provided for people. Care Homes for Older People Page 7 of 32 What the care home does well: What has improved since the last inspection? People that we met told us they were happy with the staff and felt that they could always talk to the staff if they needed anything. Relatives made positive comments about the home including, I can visit the home at any time and have always been made to feel welcome and the staff always offer me a cup of tea. The home does not act as appointee for any of the people living there and peoples relatives or representatives manage their finances with or for them. This is an example of good practice and helps people to have individual choices as to how they manage their own personal money. Staff provided detailed care plans which covered a diverse range of needs such as, eg eating and drinking, diabetes, skin integrity,social needs and abilities, manual handling, communication, behaviour, dying and hygiene needs. the plans provided enough information and guidance for staff on how to support the person safely and contained details on how the person wanted to be supported. Care Homes for Older People Page 8 of 32 On the day of our visit the activities organiser had arranged a quiz and had printed quiz sheets for people to read at the dining table. She had also published alot of posters about forthcoming events like the St Patricks day party, and the music afternoon. The home has their own activities room which had alot of resources and games to provide a wide variety of things to do. The staff had taken alot of opportunities to develop activities and alot of pictures in the corridors displayed alot of topics and occasions to encourage discussions and reminiscence of the past. The company had provided a very specialised 4 bedded complex care unit. This unit had been refurbished to a very high standard offering ensuite bathrooms, modern furnishings with colour co ordinated fabrics and an open plan kitchen available to everyone to use including visitors. 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 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 Older People Page 9 of 32 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 32 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are checked before they move into the home and information is available about the home so that people can be confident the home is right for them when they move in. Evidence: The homes aqaa told us that, Cheshire west primary care trust (pct) fund 15 beds, for people with high specialised needs such as ventilators,dialysis, pegs,etc....We try to see the world from the point of view of our service users and customers. We aim to fulfill the lives of those we care for and those who provide the care. We always look to improve what we do and develop and implement new ideas which will enhance the lives of our residents. We recognise that every one of us can make a difference.... Current up to date Statement of Purpose, welcome pack and brochure. Our statement of purpose is an ever-evolving document which can be updated quickly to reflect any and all changes. All families are offered this within the welcome pack. This information was well evidenced during our visit to show that people are assessed in Care Homes for Older People Page 11 of 32 Evidence: the right way and given the best support in making choices about the home. We looked at a sample of 3 care plans of people living at Pinetum, including the records of one person who had recently moved to the home. Staff had completed checks about this persons needs before they moved in, using the homes paperwork to record all the persons health needs and wishes. They also get a copy of any other assessments that have been completed such as social work assessments. This helps them to assess whether the persons needs can be met at Pinetum, before they move in. All the information gathered is then used to make a plan of care for the person so that when they move in, staff have information on how to provide care in the way the person prefers. It also ensures that the staff can arrange for the right type of equipment to be in place for each person so they have everything they need. One person told us that ...its the best home I have ever been to. This person had lots of belongings and staff said they would help them to bring more of their stuff in and would help him move to a big bigger and brighter room. This person said they had quickly settled into the home and gave alot of postive comments about the staff and they felt that the food was lovely and that the staff were all lovely, everyone of them. We met a relative who told us that they were very happy with their relatives care, that the home was lovely, clean and tidy. they also explained that their relative had all the equipment they needed, including an air flow mattress and electric bed to help with their care. They felt in their opinion they could visit at any time and that staff always make her feel welcome and offer her a cup of tea. The staff told us that they provide people with a copy of information about how the home works and who it is for. These documents are called the service users guide and statement of purpose and they provide details about the home, including the facilities and services provided for people living there. This document would benefit from being updated to include our head office address so that people easliy had our updated contact details. This document should also have enough information to let people know how many staff they can expect to see throughout the day and be shown the companies commitment to the minimum amount of staffing levels that they commit to, to meet peoples needs. Care Homes for Older People Page 12 of 32 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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 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 Pinetum have a plan of care so that their care needs are identified and staff know what to do to make sure these needs are met in the way the person prefers. Evidence: The homes aqaa told us that over the last 12 months they feel they have developed and improved with,eg, Personalisation of care plans and documentation has improved. The aqaa also told us they had plans over the next 12 months to include, Continued training for record keeping and documentation to maintain the improvements made. To continue with the ethos of our core values. All residents have an individualised care plan that reflects them and their choices. The starting point for this is using the heath needs assessments and pre-assessment form. The care plan is developed in conjunction with the resident, relatives and any outside agencies who may have been involved in the delivery of care and has information regarding the resident. Care plans are held electronically and access is limited to those with a legitimate need to consult them. Plans are printed off the computer and residents and family can access them to sign them in agreement with nursing staff. Care Homes for Older People Page 13 of 32 Evidence: This information was well evidenced during our visit to show well planned and informative care plans explaining how staff meet peoples needs. We looked at a sample of 3 care plans of people who live at Pinetum to see what care was provided to them to meet their needs. Each one had been reviewed by staff. This ensures the plans provided enough information and guidance for staff on how to support the person safely and contained details on how the person wanted to be supported. This is good practice and necessary to include people in how they want to be cared for. The care plans covered a diverse range of needs such as, eg eating and drinking, diabetes, skin integrity,social needs and abilities, manual handling, communication, behaviour, dying and hygiene needs. We saw that there was a large amount of specialised equipment such as electric beds and pressure relieving mattresses and a number of hoists in the home. Staff told us that every person is supplied with an electric style bed to offer the best comfort and support with sleeping. This is very good practice and shows a good commitment from the company to invest in the best of equipment and facilities for the people they support. Staff felt that they are always supplied with the best equipment to help them to care for people in the right way and to give the best care possible. This comment was also made by a visiting relative who felt that the best of equipment was supplied which they felt enhanced the care given. We chatted generally to people living at the home and they told us they were happy with the staff and felt that they could always talk to the staff if they needed anything. People told us that they were happy living at the home. Staff described how they support people to see health professionals such as their GP, speech therapist, opticians and dentists when needed. The records and care plans also showed how the staff plan for regular contact with these medical professionals to help keep people healthy and safe. We looked at how the medicines are managed in the home. We checked a sample of the medication records and the storage and management of the medications. The manager explained that they had good contact and support from their local pharmacy who also provides training for staff and medication audits regarding medications. We looked at a sample of the managers audits and checks on the medications carried out by senior staff. These checks help to make sure that the medicines in the home Care Homes for Older People Page 14 of 32 Evidence: continue to be well managed so that the people living there receive their medicines safely. Care Homes for Older People Page 15 of 32 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. 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 are supported to stay active and socially included in what they want to do. Evidence: The homes Aqaa told us that, We encourage individual bedrooms to be personalised to reflect the resident and involve them in decision making regarding carpets and colours etc We have an open visiting policy and encourage families and friends to visit often. We support residents to enjoy going out, whether to the local shops for a pub lunch, a walk to the park, or just to enjoy the beautiful garden. We have regular entertainment and activities - this includes music groups, cinema screenings, pet therapy, quizs, painting, board games, gardening, ball games, reading/books, beauty treatments. There is a menu choice which is reviewed seasonally by the head chef and second chef. Staff and residents set the dining tables prior to meals and staff provide sensitive assistance for residents where necessary. All special diets are catered for. Residents have individual finance accounts and most families manage the financial affairs of our residents. Residents are assisted by staff in going out to spend their money - this is often done on a one to one basis, going out to the shops, the pub or for a coffee. Residents have access to hot and cold drinks and snacks 24hrs a day. This information was well evidenced during our visit showing good support to people Care Homes for Older People Page 16 of 32 Evidence: living at the home to meet their social needs and requests. We met various people living at the home who told us they were very happy at the home and felt they had various things to do. There were various notice boards in the home which helped to keep people up to date with various things such as menus and activities. On the day of our visit the activities organiser had arranged a quiz and had printed quiz sheets for people to read at the dining table. She had also published alot of posters about forthcoming events like the St Patricks day party, and the music afternoon. The home has their own activities room which had alot of resources and games to provide a wide variety of things to do. The staff had taken alot of opportunities to develop activities and alot of pictures in the corridors displayed alot of topics and occasions to encourage discussions and reminiscence of the past. We looked at a sample of minutes of meetings that people living at the home had attended. These meetings are held regularly and they provide an opportunity for the people who live at the home to be included in developments about Pinetum and they are able to make suggestions for activities they would like to do. Staff told us about a recent trip they had arranged to a local football club which was something one person had requested. We looked at menus being used at the home. There are choices available and staff help people to choose their meals. Menus are displayed on the individual dining tables so that people who live at the home and visitors know what choices are available each day. The chef said that snacks and special diets are also provided. The kitchen was well stocked and organised however we noted there was alot of stock of frozen stock including, vegetables, baked potatoes, chips and pies and fish. Staff felt that in the past they used to have alot of homemade pies and cakes but they had seen changes to this with the use of frozen alternatives. This was discussed with the manager who agreed to review the menus and to take advice and guidance from the community dietitian, the staff and people living at the home. Care Homes for Older People Page 17 of 32 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 are supported to be safe with well trained staff to safeguard them. Evidence: The homes aqaa told us that, We have a complaints procedure in place which is easily accessible for all who choose to use it. We are very open and transparent and deal with any issues promptly. We look on any complaint as an opportunity to learn and improve. Where a complaint may be upheld, we will apologise for our failings and discuss our improvement plan with the team and the person who has raised the complaint. We discuss our complaints procedure with families, on admission or prior to it if possible. We promote the importance of letting us know as soon as possible, if there is any dissatisfaction with the service we provide, no matter how small the concern may be. We have a suggestion box available for anyone to use. We advocate good practice and challenge poor practice. We provide safeguarding training for all staff and discuss this important issue in supervision. We have a whistle-blowing policy in place which is actively promoted within the company and the home. The Policy includes a help line managed by public concern at work. This information was well evidenced during our visit and shows good management in keeping people safe at the home. On the day of our visit, people told us they were confident that the staff would deal with any concerns they may have. Relatives were also positive about the way staff at Care Homes for Older People Page 18 of 32 Evidence: the home deal with concerns and told us, The staff are very good and I can go to them about anything. The information available about how the home works includes information about the complaints procedure. This tells people how to make a complaint and how these would be dealt with in the home. We spoke to some of the staff on duty on the day of our visit and they all had a good understanding about safeguarding adults. The training records showed that staff had been on safeguarding adults training so they would know how to recognise the signs of abuse and what they would have to do to protect the people living at the home. Staff told us they would report any concerns they had and were confident and knowledgeable about their safeguarding policy. Care Homes for Older People Page 19 of 32 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, 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. 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. Pinetum is well maintained, with a continuing refurbishment programme, so that people living there do so in comfortable, attractive and safe surroundings that are equipped to meet their needs. Evidence: The homes aqaa told us that, Pinetum was purpose built and opened in 1991. The Home accommodates 45 residents over 2 floors. All rooms are single occupancy,4 of the rooms make up our Complex Care Unit and these rooms have en-suite facilities including a wet room due to the needs of the Complex care residents......there is an on-going re-decoration programme - which allows for additional emergencies. There are sufficient bathrooms and toilets with assisted bathrooms and shower rooms. There is a dedicated hairdressing salon. We promote and encourage the bedrooms to be personalised.....We have created a garden which is both safe and inviting for the residents and their families. There are several different areas to sit, providing different views, there are flowers and plants to stimulate the senses. We have specialist equipment for residents who need this --airflow mattresses, moving and handling equipment etc The aqaa also told us about their developments over the last 12 months such as, Gardens have been further improved. We have developed a complex care unit. We have had several bedrooms refurbished. We have had the main reception area Care Homes for Older People Page 20 of 32 Evidence: refurbished. We have had several rooms floor covering replaced. We have had both dining areas refurbished. We have albac mats in place for evacuation. All residents have a personal evacuation plan. This information was well evidenced during our visit and shows good management in provide a safe and comfortable home to live in. The home has a maintenance person who keeps detailed records of how they manage the building and equipment, making sure that it is always safe with any necessary actions taken to reduce any risks. Their records showed regular checks and risk assessments for eg, small appliances, water temperatures, and fire protection system checks. These records and practices showed good management of the environment. We walked round the home during our visit and looked at a number of areas including all the communal spaces such as the lounges, dining rooms and complex care unit. We found a lovely homely atmosphere in the home and the building was well maintained. People living there told us they liked the home, that they were very comfortable and had everything they needed. Everyone living at the home has their own bedroom which they can personalise as they choose to help to make it more homely. We looked at some of the bedrooms and saw they were all kept clean and tidy. Various rooms had evidence of lots of personal belongings such as pictures, televisions, radios, personal phones, computers, ornaments and some personal furniture that people had brought with them when they moved into Pinetum. This helped people to settle into their room and feel more comfortable with their personal belongings around them. Relatives made positive comments about the home including, I can visit the home at any time and have always been made to feel welcome and the staff always offer me a cup of tea. We noticed that some parts of the home were beginning to look worn. However the manager had already organised a major refurbishment to commence in March to the May 2010. She felt they would achieve the same high standards already provided on the ground floor by the complex care unit. This unit had been refurbished to a very high standard offering modern furnishings with colour co ordinated fabrics and an open plan kitchen available to everyone to use including visitors. They told us they had plans and budgets in place to replace carpets, curtains, some of the bathrooms, linen, chairs and furniture and some bedroom furniture. The home has a laundry with staff that are employed for laundry duties daily. It was Care Homes for Older People Page 21 of 32 Evidence: equipped with industrial style machines and was found to be very organised, clean and tidy. However for the size of the home it was noted to be compact with no way to separate clean and dirty linen especially when ready for pressing. Ideally a separate area for the storage and pressing of linen would be advantageous and would reduce risks to potential airborne infections. Care Homes for Older People Page 22 of 32 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. 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 are supported by well trained staff who know the needs of the people they support. Evidence: The homes aqaa told us that, Currently 52 per cent of our carers have NVQ level 2 or above. We have more carers working towards this. We are accredited by Chester University as placements for students. We regularly receive excellent feedback from students as well as from the audit process carried out by the universities. There are both key worker and named nurses ensuring that residents are known individually to staff...There is a quarterly company newsletter which is sent to all staff.....The Staff Voices magazine is compiled quarterly and sent to all staff..... We have a Care UK monthly newsletter dedicated to improving practice. Project Rainbow aims to celebrate the diversity of people and talent within the company. Fulfilling Lives represents our core standards and promotes three main goals that we uphold - to view the world through the eyes of our customers, to improve and innovate, to recognise that each one of us can make a difference. They also told us that they are planning to eventually have over 70 per cent of staff with an nvq qualification. Over half of the staff currently working at the home have already obtained a qualification in care called a national vocational qualification (NVQ) and there are plans in place for other staff to obtain this award. This is an example of good practice as it exceeds the basic standards which suggest that at least 50 per cent of workforces should have an NVQ Care Homes for Older People Page 23 of 32 Evidence: qualification or equivalent. These are nationally recognised qualifications for staff working in care and show they have been assessed as competent to provide good quality care. This information was well evidenced during our visit and shows good management of recruitment and the training needs of staff. We looked at a sample of 3 staff files which showed us that before anyone starts work in the home a series of checks were carried out. These include obtaining a completed application form with employment history, two references and a criminal records bureau disclosure. These checks help to ensure that staff are suitable and safe to work with the people living at Pinetum. The homes training records showed evidence of a lot of regular mandatory training covering diverse topics including, eg,health and safety, fire safety training, moving and handling, wound care, catheters, tracheostomy, protection of vulnerable adults, customer care, coshh, food safety, care UK induction, medications, dementia and infection control. This training helps to ensure staff are aware of how to safely support people especially with their individal needs. We met a lot of the staff on duty on the day of our visit and they told us that most of them had been working at the home for some time. Staff said they were very happy working at the home and felt they had a really good atmosphere. They all felt well supported and fully trained and were regularly offered training to help them do their job. They were very enthusiastic and motivated to do their best. We noted alot of good practice, such as staff knocking on doors before entering and some were seen sitting next to people quietly chatting to them. During day 2 of our visit the staff had organised a dignity day. Staff had displayed alot of posters with pictures which gave information about what this meant and how they would support people with thses standards of care. People that we met spoke highly about the staff and they all said they had no problems. During day 1 of our visit one person had phoned in at short notice so the staffing levels were 1 less than usual. Discussion took place regarding how the company should calculate the necessary numbers of staff needed to provide the right type of care. Some people at the home have additional funding to supply additional 1 to 1 support for them due to their needs. The ongoing staffing levels provided should be openly displayed for peoples information. This would ensure they are aware of the companies commitment to the staffing levels provided to meet their needs and so they know how staffing levels are reviewed and managed Care Homes for Older People Page 24 of 32 Evidence: Care Homes for Older People Page 25 of 32 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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. Pinetum is well managed to make sure that it is a safe place to live and work and that it is run in the best interests of the people living there. Evidence: The homes aqaa told us that, The Manager has been in post since September 2008 and is a experienced RGN. She has worked in the care of the elderly for years, 5 of those as the deputy manager here at Pinetum and she is currently working towards the LMC and is just waiting for confirmation she has passed. She currently holds a certificate for moving and handling and is able to carry out training for our staff. She also holds a fire warden certificate. She has completed an IOSH course on health and safety management. The deputy manager has been in post since October 2008 but has worked here for 6 yrs as a senior Nurse . She is an RGN with a vast amount of experience for caring for the elderly. She holds a certificate in NVQ assessing and is very proficient in complex care Nursing. She has also completed an IOSH course. The aqaa also states they have, Regular Audits from Head Office, we had a recent Medicines audit and were praised for our medicines management. The aqaa also told Care Homes for Older People Page 26 of 32 Evidence: us that they want to develop and introduce inhouse staff surveys to elicit peoples opinions about the home. This information was well evidenced during our visit and shows appropriate and safe management of Pinetum. The registered manager for the home works with a management team consisting of an administrator and a deputy manager. The manager is a registered nurse and is experienced at running care services for older people. She has worked at the home for over 5 years and knows the people who live there and the staff very well. The administrator told us that the home does not act as appointee for any of the people living there and peoples relatives or representatives manage their finances with or for them. This is an example of good practice and helps people to have individual choices as to how they manage their own personal money. We looked at a sample of certificates and records which showed us that a series of health and safety checks are carried out on the building and equipment at Pinetum to ensure the home is safe. These include regular checks and risks assessments of eg, fire protection equipment and facilities, the gas and electrical installations. In addition, regular health and safety audits are carried out by the homes maintenance team, such as water temperatures and small electrical appliances. The manager ensures there are other checks such as regular reviewing of health and safety within the home, reports on falls, incidents and accidents and monthly recorded checks are also carried out by the visiting manager. The manager carries out regular inhouse audits and reviews all of the information on computer. The manager advised that this information is also audited and reviewed on line by head office personnel who also carry out company audit checks on the information collected. These records help to show that the home is very well managed and that consistently good standards are maintained throughout the year. Surveys are carried out each year by the company to obtain the views of the people living at the home and also include their relatives opinions. We saw a selection of the surveys that had been done most recently before our visit. The findings from them had been summarised and the results had been published and shared with people. The companys published document overall was very positive and the company had been very thorough and in included a cross section of comments made by people. These checks and surveys help to ensure that the home is being run to the satisfaction of the people who live there and their relatives. They can be used to quickly identify and resolve any problems or concerns that arise as well as helping plan future Care Homes for Older People Page 27 of 32 Evidence: improvements. We saw samples of recent minutes of meetings of both staff, relatives and people living at Pinetum. Regular meetings for people who live at the home, their relatives/representatives and the staff home help achieve good communication about the home, how it is running and helps include them with planned developments. The records about staff supervision that we saw showed that staff receive supervision six times per year as recommended by the national minimum standards. This helps to make sure that staff have opportunities to discuss their practice and development needs and receive guidance so they can continue to provide good quality care for the people living at Pinetum. Care Homes for Older People Page 28 of 32 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 Older People Page 29 of 32 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 1 1 To review the homes statement of purpose. This document would benefit from being updated to include our head office address so that people had our updated contact details. This document should also have enough information to let people know how many staff they can expect to see throughout the day and be shown the companies commitment to the minimum amount of staffing levels that they commit to, to meet peoples needs. To review the menus and to take advice and guidance from the community dietitian and the staff and people living at the home about their opinions regarding the use of frozen stock. To revew the current laundry facilities. Ideally a separate area for the storgage and pressing of linen would be advantageous and would reduce risks to potential airborne infections. Information about staffing levels should be available for people who live in the home so they know how these are reviewed and managed. They should also be aware of the minimum amount of staffing levels that the company always commits to, to meet their standards of care. Page 30 of 32 2 15 3 26 4 27 Care Homes for Older People 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 Older People Page 31 of 32 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 32 of 32 - 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!