Inspection on 23/08/06 for Pine Croft

This inspection was carried out on 23rd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Pine Croft 14/02/08

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Pine Croft Gloucester Road Alveston Thornbury South Glos BS35 3RG Lead Inspector Melanie Edwards Key Unannounced Inspection 23rd August 2006 09:30 Pine Croft DS0000065367.V308759.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 Pine Croft DS0000065367.V308759.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. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pine Croft Address Gloucester Road Alveston Thornbury South Glos BS35 3RG 0117 9872575 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) The National Autistic Society Mr Terry John Bryan Care Home 4 Category(ies) of Learning disability (4), Mental disorder, registration, with number excluding learning disability or dementia (4) of places Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Not applicable Brief Description of the Service: Pinecroft Care Home is operated by The National Autistic Society and is registered to provide personal care and accommodation for up to four people with mental health needs who have been sectioned under the mental health act and are between 18 and 65 years of age. At present there are three men in the Home who have lived there since April 2006 when the service opened. It is a large residential house, which blends in with the local surroundings. It is built on two floors. It is close to small local facilities and amenities, including shops and public houses. It is also close to a main bus route and near to the market town of Thornbury. The fees charged for staying at the Home are £3495.03 a week. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Please note the people who live at Pinecroft have elected to be referred too as the `occupants’ of the Home and this term will be used throughout the report. Two occupants were consulted and staff were observed supporting the occupants with their needs. Three members of staff including the registered manager were consulted about roles and responsibilities, training needs, and how they support occupants. A selection of records relating to the running and management of the Home were inspected. A sample of occupants’ care records and care plans were also reviewed. The majority of the environment was seen with the only areas not viewed being one occupant’s bedroom. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The occupants’ needs are assessed and are met by the Home. Prospective occupants are provided with the necessary information to help them to understand the service provided by the Home. EVIDENCE: To find out how the prospective occupants were helped to find out about the Home a copy of the occupants guide was reviewed. Each occupant was given a copy of the document before they moved in. One occupant kindly showed the inspector their own personal copy of the Home’s guide. The guide included information about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet occupants needs was also included. The complaints procedure was also in the document. The document included pictures of the Home. To find out how effectively occupants’ needs have been assessed, since they moved to the Home from the Hayes Independent Hospital, the assessment records of two occupants were looked at. Mr Bryan and the staff team had completed very detailed assessments of the physical, mental health and social needs of each occupant. There was also information recorded about the Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 8 occupants’ views of their care. Included in the assessments were the likes and dislikes of the occupant, and their preferred choice of social activities. There was also evidence recorded in the assessments of regular evaluation and updating having been carried out with the involvement of the occupants, Mr Bryan and the staff team. This helps to demonstrate the occupants’ needs are monitored by the Home. To find out how well the Home is meeting the occupants’ needs two care plans were reviewed (see also standard 6). There was detailed information written for each occupant clearly stating how to assist individuals with their mental health needs. The staff who were consulted conveyed in discussion and through observations that they had a good understanding of the complex mental heath needs of the occupants. Staff were also observed talking to occupants in a warm manner. This helps to demonstrate that occupants are well supported by staff. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,8,9 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The occupants’ needs are assessed and their care plans reflect how their needs are met. The occupants are well supported to make decisions and to take risks in their daily lives. EVIDENCE: To find out how effectively the occupants are being supported to meet their needs two care plans were inspected. There was a detailed personal profile, completed for each person. This gave the personal history of the occupant, information about their physical and mental health history, as well as a record of the important people such as family and friends for the individual. There was also a very detailed and informative plan of care for each occupant, which aimed to address the physical, mental, and social needs of the person. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 10 The care plans generally aimed to promote the independence of the person in their daily lives. There was also evidence written in the records of care that occupants had been consulted in the care planning process. There was evidence that the care plans had been evaluated and updated on a regular basis with the involvement of the occupants. There was detailed information included in the occupants’ care plans about potential risks the person may face, and any risk behaviour they may exhibit. The plans of care clearly recorded the preferred approaches staff should take. There was also information written in the two occupants’ records that showed staff were aiming to support the individual to maintain their independence in their daily living. The Home has guidelines for responding to challenging behaviours, and the staff had signed to verify they had read this document. Occupants were observed leaving the Home independently and informing staff where they were going. This is good evidence that demonstrates how occupants are being supported and encouraged to take some risks as part of an independent life style. In discussion with staff it is clear that one of the main aims of the Home is to actively promote occupants’ rights and independence in their daily lives. As has been referred to already the occupants have selected the term that they wish to be known by, while staying at the Home. Mr Bryan said that he is working with the occupants to encourage them to assist in the selection of new staff. There was good evidence that occupants are actively involved in the choice of meals served in the Home. These are good examples of how the occupants are being well supported to take an active role in the day-to-day running of the Home. Also there are regular `occupants meetings’ where the occupants are being encouraged and supported to set their own agenda for these meetings. Another example of how occupants have benefited from the philosophy and leadership style in the Home is that they have been involved in setting their own visitors policy. The policy sets out who they wish to have in the Home and when. These are all good examples of how the occupant’s independence and rights are being actively promoted. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,17 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The occupants are well supported to take part in a range of appropriate activities. They are further supported to be a part of the community and to have personal relationships. EVIDENCE: Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 12 There was information recorded in the two occupants records that confirmed they regularly attended a local drop in and activities centre in the nearby Town of Thornbury that is also run by the National Autistic Society. Occupants were observed leaving the Home with staff support, to go to the community for social and therapeutic activities. One occupant has recently been on a day trip to London, and they have made a list of other trips that they wish to go on in the near future with staff. In discussion with staff it was evident that one of the aims of the Home was to support the occupants to be able to access community facilities as independently as possible. This is also clearly stated in the statement of purpose document about the Home. A copy of the current menu, which is kept in the dining room accessible to the occupants, was reviewed. There was a range of dishes recorded as being available for each day. There was evidence seen that demonstrate occupants likes and dislikes are included when menus are planned. There was a varied choice of meal options available for the occupants. Evening meal options included a range of traditional, nutritional meals. The lunchtime meal options included a range of well-balanced meals and snacks. One occupant said that the food at the Home was `usually good’. On the day of the inspection one occupant had sardines and salad for lunch with a banana for desert, and another occupant had a turkey and salad baguette. This demonstrates occupants are able to have their preferred meal options. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The occupants are being supported with their needs in the way preferred by them, and their needs are being met. The occupants’ medication is being stored administered and disposed of safely. EVIDENCE: Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 14 There was a record maintained in occupants care records of the physical health needs, and appointments (see also standard 6). This is a record of the occupants’ last optician, chiropody, dental and GP appointments. This helps to demonstrate that occupants’ health care needs are being met. The Home operates a flexible `team planner system’ and the named members of staff work as an occupant’s `team planner’ and will support them with their physical and their mental health needs. One of the occupants spoke positively of their `team planner’ and the help they give them. One occupant said that they are involved in care planning meetings, with the staff and the psychiatrist, that are held to review their needs on a regular basis. As also referred to in the report, there was written evidence in the two occupants’ care records which showed the preferred day to day routine of the occupants and their particular likes and dislikes. This helps to demonstrate how occupants are being involved in the planning of their care. The plans of care also stated the preferred manner in which to assist the occupants to meet their mental health and social needs. Staff were talking with the occupants in a relaxed manner and occupants and staff looked as if they are building up close trusting relationships. The procedures for the administration storage and disposal of medication were checked to monitor if there are safe systems in place. Medication was stored in the staff office in a locked wall mounted metal cabinet. The medication administration charts of two occupants were read in detail. There was a recent photograph of each occupant kept near the chart. The charts were legible and up to date, they contained the signature of the dispensing member of staff, and the reasons for any omissions had also been recorded. There were also administration guidelines to assist staff when administering occupants’ medication that they only have occasionally if they are very agitated or distressed in mood. There was evidence recorded on a selection of the occupants drug administration charts that stock checks are being carried out. This helps to demonstrate that the occupants medication stock is being stored administered and disposed of safely. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The occupants’ views are listened to, and acted on by Mr Bryan and the staff team, and there are systems and training in place to protect them from the risk of abuse or harm. EVIDENCE: The complaints book record was looked at to see how occupants’ complaints are responded to. The complaints book showed that there had been no complaints recorded since the Home opened. The record did include the details of how the complaint would be dealt with by Mr Bryan and the National Autistic Society. Each occupant has been given a copy of the procedure to make a complaint and this includes the contact details for the National Autistic Society and The Commission for Social Care Inspection. This gives occupants the information they need to complain about the service. There are regular ‘occupants meetings’ held in the Home, and the occupants are being encouraged and supported to set their own agenda for the meetings. This is also a good opportunity for occupants to complain if they need to. One occupant also confirmed that they had been given a copy of the Home’s complaints procedure, which helps to demonstrate occupants are well supported to complain about the service if they so wish. There is a `protection of vulnerable adults’ procedure to protect occupants and to guide and support staff in the event of an allegation of abuse. Mr Bryan also said that they had been on training on issues related to abuse within the last Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 16 twelve months. This helps to demonstrate how occupants are protected form the risk of harm or abuse in the Home. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 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 the following standard(s): 24,25,26,27,28,30 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The occupants live in a Home that is suitable for their needs and lifestyles and promotes their independence. EVIDENCE: Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 18 The Home is an older building set in a quiet residential area near to the town of Thornbury. It is close to local shops and the occupants access local amenities. There are three lounges for the occupants to use, which is beneficial as this helps ensure occupants can maintain their privacy and `personal space’ if they so wish. The two occupants looked to be relaxed and comfortable in their surroundings. The bedrooms were personalised with occupant’s personal possessions. There is furniture and fittings provided, including a wardrobe a comfortable chair a bedside cabinet and a chest of drawers in each room. There were also photographs, and pictures displayed in some rooms that helped to create a more ‘personal’ feel to the rooms. One occupant kindly showed the inspector their books, music collection, and artwork in their bedroom. It was evident that the occupant valued having their personal possession around them in their bedroom. The bedrooms were clean and tidy, and the standard of the decoration and the quality of the fixtures and fittings was satisfactory. Bedrooms do not have en-suite facilities. There are toilets, and a shower or bathroom facilities located within close proximity of the bedrooms on each floor, which is convenient for occupants use. The Home was very clean tidy and well maintained in all areas that were viewed. The kitchen was located on the ground floor, leading onto the dining room. The kitchen was of a domestic style, and occupants use the room to prepare drinks and snacks with the support of staff if needed. This helps to demonstrate occupants live in a relaxed home where they can be independent if they wish to be. There is a small laundry room on the ground floor. It contains a washing machine and one tumble dryer. The occupants use the laundry to wash their own clothes with staff support if needed. This is another example of how they are supported to maintain independence in their daily living activities. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35,36 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The occupants are supported by a sufficient number of competent, qualified staff who are being well supported and supervised in their work. EVIDENCE: Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 20 The staff on duty discussed recent training that they had attended. Staff from the Home access a range of training from the National Autistic Society’s nearby Independent Hospital. Both staff had attended a range of relevant courses since the Home opened. The staff said they had attended a range of training that related to the mental health needs of the occupants in their care. There was information on display in the office that demonstrated staffs are also booked to attend forthcoming training in food hygiene, first aid and fire safety. The staff duty record for August 2006 was reviewed to find out how many staff are on duty to support occupants with their needs. There had been a very small amount of sickness recorded and the Home’s own staff had covered the shortfall in staff. The Home tries to cover shifts with staff that the occupants know which helps ensure they are given continuity of care. There are at least two staff on duty during the core hours of 9am to 5pm, to provide occupants with support during the day. There is one member of staff on duty at night, and one member of staff that works a `sleeping in’ shift and is available for support if needed. There is also an on call support system to support staff and occupants out of hours and at weekends. Based on the evidence seen during the inspection, the number of staff on duty is sufficient to meet occupants’ needs. The staff observed during the inspection conveyed they were able to communicate and support occupants in a sensitive manner. Mr Bryan, the deputy manager, and allocated senior care workers undertake the supervision of staff in the Home. The supervision records of staff were not looked at on this occasion, as records were locked in a filing cabinet securely and the member of staff who had the key was off duty. However, based on the discussions with the staff on duty it was evident that the staff feel very well supported and well motivated. This clearly benefits occupants if staff feel well supported to be able to provide the support, care, and understanding of the occupants and their needs. The staff meetings minutes record was looked at. These showed that staff meetings were recorded as having taken place on a regular basis and staff are consulted about a range of relevant matters related to the day-to-day running of the Home. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,42 Overall quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The occupants benefit from a well run Home and are confident that their views will be listened to. The occupants and staff health and safety is being protected. EVIDENCE: Mr Bryan is a qualified learning disabilities nurse. His career record showed that he has a number of years of experience working with occupants who have very complex mental health disorders, at the Hayes Independent Hospital. He is registered with the Commission for Social Care Inspection as the manager of the Home. This demonstrates Mr Bryan is considered suitable and qualified to fulfil the role of registered manager. One occupant said that Mr Bryan is, `a good manager.’ The two staff on duty also said that Mr Bryan and senior staff were very supportive. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 22 The Home ensures the occupants’ records are kept in a locked metal cabinet in the office. The occupants’ care records, and the records that were seen relating to the running of the Home were satisfactorily written, legible, up to date, and well maintained. This helps to demonstrate occupants confidentiality is being protected, and also that Mr Bryan ensures that legal records required for the effective running of the Home are being kept in order. The monthly monitoring visits of the Home that must be carried out by a representative of The National Autistic Society are being undertaken as required by law. There are records of these visits being sent to the Commission for Social Care Inspection. The records that have been seen, demonstrate that the designated individual responsible for the visits spends time consulting with occupants and their representatives and observing staff. There are allocated staff who oversee health and safety matters in the Home. There is a National Autistic Society health and safety group who meet at the nearby Independent Hospital on a regular basis to monitor and review health and safety practices and procedures. Staff are provided with regular training in health and safety matters including first aid, and moving and handling practices. This should help protect occupants’ health and safety if staff are knowledgeable and well trained in health and safety principles and practices. All staff, as well as occupants are also in the process of completing food hygiene training. One occupant has also recently obtained the award. The Home has also recently won a South Gloucestershire Council award for its high standards of health and safety practices in the kitchen. The Home is to be commended for this achievement. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. There is a record of the monthly checks of the environment. These checks were up to date and showed that a member of staff audited the health and safety of the Home environment on a regular basis. Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 23 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 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 X X X 3 X Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 24 N/A 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. 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. Refer to Standard Good Practice Recommendations Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Pine Croft DS0000065367.V308759.R01.S.doc Version 5.2 Page 26 - 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!