Inspection on 25/04/05 for Pine Lodge

This inspection was carried out on 25th April 2005.

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 23/05/06

Pine Lodge 15/11/05

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 Sara Morrison Unannounced 25 April 2005 15:00 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Pine Lodge Address Motala Close Corby Northants NN18 9EJ 01536 742043 01563 747780 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Northamptonshire County Council Ms Jean Elizabeth Winters Care Home 15 Category(ies) of PD Physical Disability (15) registration, with number of places Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to accommodate 15 people in the category PD (18 65 years) for a maximum period of 6 months. 2. A maximum of 4 people may be accommodated who have a physical disability and a learniing disability. (PD/LD). 3. 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. 4. The three bedrooms in flat 3 that are less than 12 square metres must not be used to accommodate wheelchair users. 5. The total number of service users must not exceed 15. Date of last inspection 17.1.05 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 who may have 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. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4 hours during the afternoon and early evening and was carried out as part of the regular inspection visits required by law. During the visit all service users were spoken to and 4 were interviewed in greater depth. Discussion took place with the manager and three of the staff on duty. A tour of all the communal areas and some bedrooms took place and staff, fire and accident records were inspected. No requirements or recommendations were made at this inspection. What the service does well: What has improved since the last inspection? Since the last inspection the building work has been completed, the standard of the rooms, facilities and decoration is very high. This is now a comfortable and homely place to live. There are good facilities for wheelchair users, the kitchens have low-level cupboards, sink, cooker and fridge, and there is an accessible laundry. The bathrooms provide plenty of space for staff to assist people who use a hoist and baths that are suitable for all levels of physical need. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 6 An open day is planned for May 2005 to officially mark the completion of the building work. Additional staff have been recruited as the numbers of service users has increased there are extra staff that the home can call on in emergencies. 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 Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) No standards in this section were inspected at this visit. EVIDENCE: Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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 standard(s) 7 & 9 The attitude and approach of the staff team is to create an environment where service users are responsible for their own lives, empowering people rather than taking over. EVIDENCE: Service users said that they are able to make decisions about their lives and staff are available to support them if they request assistance. Everyone said that they choose what time to go to bed and what time to get up, where they wish to take their meals and when they want a bath or shower. One service user said that he felt like a prisoner in the last home he used for respite care however went on to say that things are completely opposite at Pine Lodge where he feels fully involved in all aspects of his care. Service users and staff confirmed that service users take risks as part of everyday life. All risks are assessed and action taken to reduce these wherever possible. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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 standard(s) 12, 13 & 16 &17 The service puts the rights and preferences of service users at the heart of the service, however the staff must be mindful that some preferences of service users for example eating together in the communal area may create an ‘institutional’ feel which the staff have worked so hard to eradicate. EVIDENCE: Service users said that they continue with their usual daily activities when they spend time at Pine Lodge. They said they feel part of the community and go to the shops and local club. Where service users require staff assistance to go out due to their physical needs then this is arranged. The improvements to the environment particularly the bathrooms and toilets have greatly improved the privacy and dignity for service users. Access for wheelchair users is now very easy and there is sufficient room for people to be comfortably assisted with their personal hygiene. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 11 Service users said that the food is very good. One person sent written comments and said that during their stay they found the food was excellent offering a choice of three different options at every mealtime. During the inspection the majority of service users ate their evening meal in the central communal area and were not using the dining areas in their own flats. Staff confirmed and service users said that it is individual choice as to where they take their meals. A member of staff said that she was concerned that those service users who are staying at Pine Lodge for rehabilitation and access into the community were not benefiting by taking their meals in the communal area. A service user who is new to the home and who arrived that day said that she would ‘go along with’ wherever anyone else sat to take their meals. Staff should ensure that it does not become custom and practice for service users to take their meals together in the central communal area, but encourage the expectation that meals are taken in individual flats in the usual domestic way with people coming together for particular occasions. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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 standard(s) 18 Personal support is delivered in accordance with service users’ preferences and in a way that protects the dignity and privacy of service users. EVIDENCE: Service users said that staff are sensitive and discreet when they assist them with their intimate personal care needs. It was evident that those service users who are not able to carry out their own personal care are well supported by staff, who pay attention to detail. For example one service user appeared well turned out, had been shaved that day; his hair had been brushed, he was clean and was wearing clothes that were fresh and had been ironed. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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 standard(s) The standards from this section were not inspected at this visit. EVIDENCE: Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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 standard(s) 24 & 30 Recent major investment has significantly improved the standard of the building and the environment is now very good, the home provides service users with a comfortable and homely place to live. EVIDENCE: The building work that was carried out throughout 2004 has now been completed and all three flats are in use. All areas are contemporary and create a modern and pleasant environment. Curtains, furniture and soft furnishings have been used thoughtfully to create a variety of areas for service users use. The bathrooms are now easily accessible by wheelchair users; there is plenty of room for staff to comfortably assist those who use a hoist and specialist baths that are suitable for people with all levels of physical needs. Each bath has a shower attachment for those who prefer this facility. Service users said they are very pleased with the facilities. Each flat has a kitchen that is suitable for use by a wheelchair user. Again fixtures and fittings are modern and of good quality. Service users now have Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 15 the opportunity for preparing meals drinks and snacks in a usual domestic environment. Wheelchairs have marked some of the walls in the corridors. The manager is implementing an ingenious idea and the lower parts of the corridor walls are being covered in MDF that has been routed and very effectively creates the look of tongue and groove panelling at a fraction of the price. This is not only protecting the walls but enhancing the domestic/contemporary style throughout the home. The manager said there are some finishing touches such as pictures that are not yet in place however these are in the process of being bought. There is a high standard of cleanliness throughout; service users commented that they are pleased with the levels of hygiene in the home. One service user who made written comments raised the issue of service users smoking in the central recreation area; they are not a smoker and did find this unpleasant during their period of respite. It is acknowledged that this is a problem, however as the numbers of service users at any one time increases and people are encouraged to use the communal areas in individual flats then this may alleviate the problem. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 There is a good staff team who are committed to providing a good service and keen to participate in regular training both in-house and externally. EVIDENCE: As all three flats are now functioning additional staff are rostered to work on each shift. There is now 3 or 4 care staff on duty throughout the day and evening and two staff at night. In addition to this there is a senior member of staff throughout the day and evening, the manager, domestic staff and the cook. Care staff have been recruited over recent months in anticipation for all flats to be in use. The home also has a bank of relief staff to call on in emergencies. Records demonstrated that there is a robust recruitment process that ensures all relevant checks are made on new staff and have the right qualities and competencies for the job. Two away days are planned in the near future for staff to attend in two groups where training will be delivered. The relief member of staff confirmed that she is included in all training and has completed training in fire procedures and moving and handling and has recently done a course in the Protection of Vulnerable Adults (POVA). Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 17 Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 & 42 The manager is supported well by the senior staff in providing clear leadership throughout the home, everyone is aware of their roles and responsibilities and work to the visions and values of the service. EVIDENCE: Staff confirmed that they are enabled and encouraged to express their views through regular staff meetings and supervision. A service users meeting is planned and service users said that they would have no hesitation in speaking to staff or the manager if they had any concerns. One service user said that they had written to the manager after their stay, some suggestions they made were acted upon and changes have been made. A new service manager is now in post and will be overseeing the running of the home on behalf of Northants County Council. The registered manager said she has met her new line manager and considers they will have a good working relationship. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 19 The records showed that the health, safety and welfare of service users and staff are promoted and protected. Fire, accident and incident records were complete and up to date. Where issues had been highlighted action was taken to resolve matters. All required checks are carried out and staff confirmed they had received training in matters around health and safety. Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pine Lodge Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 3 x C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 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. 1. Standard Regulation Requirement None made Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard None made Good Practice Recommendations Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 22 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Pine Lodge C51 S33595 Pine Lodge V223010 250405 .doc Version 1.30 Page 23 - 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!