Inspection on 23/05/06 for Pine Lodge

This inspection was carried out on 23rd May 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 Lodge 17/11/09

Pine Lodge 03/02/09

Pine Lodge 15/11/05

Pine Lodge 25/04/05

Pine Lodge 17/01/05

Pine Lodge 14/10/04

Pine Lodge 26/03/04

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

CARE HOME ADULTS 18-65 Pine Lodge Motala Close Corby Northants NN18 9EJ Lead Inspector Mrs Linda Preen Unannounced Inspection 23rd May 2006 10:00 DS0000033595.V296272.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 DS0000033595.V296272.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. DS0000033595.V296272.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pine Lodge Address Motala Close Corby Northants NN18 9EJ 01536 742043 01536 747780 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) www.northamptonshire.gov.uk Northamptonshire County Council Ms Jean Elizabeth Winters Care Home 15 Category(ies) of Physical disability (15) registration, with number of places DS0000033595.V296272.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered to accommodate 15 people in the category PD (18 - 65 years) for a maximum period of 6 months. A maximum of 4 people may be accommodated who have a physical disability and a learning disability. (PD/LD). A maximum of 1 person who has a physical disability or physical disability/learning disability and is over the age of 65 years (PD (E) & PD/LD (E)) may be accommodated at any one time. The three bedrooms in flat 3 that are less than 12 square metres must not be used to accommodate wheelchair users. The total number of service users must not exceed 15. 4. 5. Date of last inspection 15th November 2005 Brief Description of the Service: Pine Lodge is a home run by the local authority. The home currently offers rehabilitation and respite care to people with a physical disability and can accommodate up to 4 people who have a physical disability and an associated learning disability. All accommodation is ground floor. The unit is divided into three flats two designated to respite care the other to rehabilitation for a maximum stay of six months. Extensive work has been carried out to upgrade the building and the home now has accessible facilities for wheelchair users. Each flat has a lounge /dining area and kitchenette. There is a communal area used by all three flats and a main kitchen and laundry. Service users access local day/work placements or stay within the home during the day. The home is close to local amenities such as the post office, shops and library. There is a social club nearby that is used by service users. DS0000033595.V296272.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Four hours were spent prior to the inspection reviewing previous reports, and collating information provided by the service. The inspection took place over a period of seven hours as part of the statutory inspection programme. Three residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff rotas and medication records were seen, and a tour of the environment undertaken. There were no requirements made following the last inspection and none were made on this occasion. What the service does well: What has improved since the last inspection? Staff have been enabled to adapt to the new ethos of the home, with the emphasis being on self-care and rehabilitation. They have attended Promoting Independence courses and away days have also been provided where their feelings and concerns may be identified and action plans put in place to further develop the service. DS0000033595.V296272.R01.S.doc Version 5.2 Page 6 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. DS0000033595.V296272.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000033595.V296272.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. There is a thorough assessment process that ensures the right people are admitted to the home. EVIDENCE: A new brochure has been produced outlining the services offered, including the temporary nature of residence. Thorough assessments were available for the residents case tracked to ensure that their needs may be met in the home. Contracts were available for the residents tracked and these included the required information. DS0000033595.V296272.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, 7, 8 and 9 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The care planning system is good. There was evidence of service users’ involvement and clear guidance for staff on the support required by each service user EVIDENCE: Residents have individual care plans that are signed by them, and that outline plans for independence and rehabilitation where appropriate. Each resident has a weekly diary in which they plan their activities in order to make care as flexible as possible. Records were available of individual choices concerning food, activities and lifestyle. Residents are involved in the day to day running of the home, evidenced by resident meetings and suggestions box and also by their involvement in the interview process for new staff. Risk assessments had been completed for residents going out alone either to college or to activities in the community. In discussion, residents confirmed that they are enabled to live as independent life as possible and may chose such things as times of rising and retiring and where to spend their day. DS0000033595.V296272.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Residents are able to choose their own lifestyle, with assistance from staff to maintain this where needed. EVIDENCE: One resident chosen to case track is currently involved in a college course and records demonstrate her continued access to this course. A computer with Internet access is available for residents use and this is helpful when completing course work. Where possible, they are enabled to continue attendance at day and work centres during their stay. Risk assessments are in place for those residents accessing the community, and information concerning activities at the local community centre was on display in the main lounge area. The home is situated in a large housing estate and is close to local shops, library and post office. Records demonstrate that residents maintain contact with their church, and one resident was recorded as enjoying the cinema. Visitors are welcome at any time and may be seen in resident’s own rooms, one of the lounge areas or in a small quiet lounge according to resident’s DS0000033595.V296272.R01.S.doc Version 5.2 Page 11 choice. One lady said she had enjoyed a visit from her grandchildren the previous weekend, and another that her son came to visit regularly. Some residents shop, prepare and cook their own food as part of their rehabilitation and adapted kitchen equipment is provided to facilitate this. A new fridge/freezer had been delivered on the day of the inspection to provide additional storage for resident’s own food. One resident from an ethnic minority background cooks her own choice of food and this ensures that her particular needs in this respect are met. In a recent review, she had stated, “My cultural needs are being met. I have no problems here.” In discussion, staff stated that none of the current residents were on special diets other than one on a reducing diet, but that they would take advice concerning these as necessary. For example a recent resident had a range of food allergies and relatives had provided suggested menus in order that her food needs could be met safely. DS0000033595.V296272.R01.S.doc Version 5.2 Page 12 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, and 20 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Residents physical and mental health needs are addressed in the home. EVIDENCE: Clear, individual plans of care are available, to ensure that staff are able to assist in their care where needed. Residents spoken to confirmed that staff were kind and attentive, and that they were supportive in their rehabilitation. One lady was able to bathe for the first time in several years owing to the specialist equipment provided and she said she had really enjoyed it. She was immobile when she came in but had started to walk short distances with staff help and encouragement. All three residents chosen to case track had chosen to retain control of their own medication. Locked drawers were provided for the safe storage of these. Risk assessments and signed consents were in place. Systems in place for the ordering, storage, administration and disposal of medication in the home were seen and found to be satisfactory. DS0000033595.V296272.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Residents may be assured that their concerns will be addressed and that they will be protected from abuse. EVIDENCE: A complaints procedure is on display in the home, and this includes information about the County Council complaints procedure and The Commission for Social Care Inspection. There have been no reported concerns or complaints since the last inspection. A copy of the Interagency Protection of Vulnerable Adults protocols is available. Telephone numbers of the Abuse helpline are on display. Staff spoken to were aware of the areas of potential abuse and of their responsibility in reporting any actual or potential abuse. DS0000033595.V296272.R01.S.doc Version 5.2 Page 14 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, 28, 29 and 30 Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. Residents have excellent facilities to enable their rehabilitation or to maintain their independence in a homely environment. EVIDENCE: The home underwent extensive refurbishment recently and now provides excellent facilities for disabled residents. Specially adapted kitchenette areas are available, with low- level worktops, slow cookers, microwaves and fridges, to enable residents to prepare and cook their own meals. Domestic style washing machine and tumble drier facilities are provided for those residents who are able to do their own laundry. Various hoists are available to enable the most suitable choice to be made, and specialist adjustable beds with pressure relieving mattresses are provided in resident’s rooms. Bathrooms are large and equipped with various specialist bathing equipment and as stated above, this enables residents not able to access normal baths to enjoy the luxury of a bath. Resident rooms are bright, airy and well decorated and maintained. Residents are surrounded by small personal items and television, radio and music equipment. DS0000033595.V296272.R01.S.doc Version 5.2 Page 15 Accommodation is provided in single rooms that are located in three small units within the home. Each unit has its own small lounge and kitchenette so that residents may live in small family groups. In addition to this, a larger lounge is provided as well as a covered outside smoking area. The home is designated as a non- smoking home. A small garden with level access is available for those residents who like to sit outside. All areas of the home seen were clean, tidy and hygienic. Two members of housekeeping staff are employed to maintain this high standard. DS0000033595.V296272.R01.S.doc Version 5.2 Page 16 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, 34, 35 and 36. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. There is a dedicated staff team who are committed to providing good outcomes for service users. EVIDENCE: A selection of staff files was seen. These demonstrated that recruitment systems are in place to ensure residents are protected from possible harm. This includes Criminal Record Bureau checks, references and work history as well as medical clearance. Recruitment records demonstrate a commitment to equal opportunities and staff from different ethnic backgrounds and age groups are employed. The home has a commitment to staff training, with the majority of staff having completed National Vocational Qualification level 2 training. In addition one staff member holds a level 3 Qualification with a further 4 working towards this. Staff training records were seen and these demonstrated that statutory training for Fire, Moving and Handling, First aid, Health and Safety and Food Hygiene are provided, in addition to more specialised training such as Disability awareness and promoting independence. Four staff are due to attend Diabetes training in the next few weeks. Staff members spoken to confirmed that this training had been provided and were keen to expand their knowledge of other conditions in order to further assist the wide variety of residents using the service. DS0000033595.V296272.R01.S.doc Version 5.2 Page 17 Staff supervision records were seen and staff confirmed that supervision sessions are held at monthly intervals. They also reported that they felt well supported by the senior staff and that they were available at any time for support. DS0000033595.V296272.R01.S.doc Version 5.2 Page 18 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, 39, 42 and 43. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The home is well managed for the benefit of the residents. EVIDENCE: The Registered manager has worked with this resident group for several years and holds a National Vocational Qualification level 4 in care and the Registered Managers Award. Staff and residents confirmed that she was open and approachable and willing to listen to their views. Resident meetings are held, and these were evidenced by copies of minutes seen. Resident surveys are carried out in order to monitor their satisfaction. Comment made on these surveys was positive. For example: “Have enjoyed my stay and will look forward to coming again” “The whole atmosphere is very happy and I have enjoyed my stay” and “I had fantastic food from the kitchen”. Records of Regulation 26 visits by the Registered Provider’s representative were seen in the home. DS0000033595.V296272.R01.S.doc Version 5.2 Page 19 Records of testing of Fire alarms and Emergency lighting were seen. Fire alarms were tested at the required intervals but emergency lighting had not been tested for some time. This area of work had been recently delegated to a new member of staff who was unaware of the requirement to check this. This was addressed at the time of the inspection. There were no other Health and Safety issues identified. DS0000033595.V296272.R01.S.doc Version 5.2 Page 20 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 3 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 4 25 4 26 4 27 X 28 4 29 4 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 3 DS0000033595.V296272.R01.S.doc Version 5.2 Page 21 No 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 DS0000033595.V296272.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. 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