Inspection on 03/02/09 for Pine Lodge

This inspection was carried out on 3rd February 2009.

CSCI found this care home to be providing an Good 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

Pine Lodge 17/11/09

Pine Lodge 23/05/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Pine Lodge Motala Close Corby Northants NN18 9EJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Andy Green     Date: 0 3 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Pine Lodge Motala Close Corby Northants NN18 9EJ 01536742043 01536742043 jwinters@northamptonshire.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Northamptonshire County Council care home 15 Number of places (if applicable): Under 65 Over 65 0 physical disability Additional conditions: 15 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. A maximum of 4 people may be accommodated who have a physical disability and a learniing disability. (PD/LD). The home is registered to accommodate 15 people in the category PD (18 - 65 years) for a maximum period of 6 months. 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. Date of last inspection Brief description of the care home 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 Care Homes for Adults (18-65 years) Page 4 of 26 Brief description of the care home 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. Care Homes for Adults (18-65 years) Page 5 of 26 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We, the Commission for Social Care Inspection, carried out an unannounced inspection of Pine Lodge on 3rd February 2009. The manager completed an AQAA (Annual Quality Assurance Assessment) which is a self audit document giving the home an opportunity to assess how they meet standards and regulations. We inspected a range of documents including; assessments, care plans, recruitment and training files and health and safety records. We also carried out a tour of the premises. We received a number of surveys from residents and staff regarding their opinion of ther home. Care Homes for Adults (18-65 years) Page 6 of 26 Care Homes for Adults (18-65 years) Page 7 of 26 What the care home does well: What has improved since the last inspection? 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a thorough assessment process that ensures that the home can meet the needs of the residents. Evidence: The home produces a range of information for prospective residents and professionals. The Statement of Purpose and Service User Guides have been recently reviewed to ensure that information is accurate and up to date. Thorough assessments are received from social work teams. Evidence of assessments were seen on care plans that were inspected. The manager and a senior carer visit prospective residents where possible. Contracts were in place which had been signed by the resident where possible. Care Homes for Adults (18-65 years) Page 10 of 26 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. There was evidence of residents involvement and clear guidance for staff on the care and support required by each resident. Evidence: Residents have individual care plans which they have signed. Care plans are detailed and are recorded in a person centred style with clear evidence of participation of the individual resident. Four care plans were inspected and they were up to date and clearly written. Examples of areas covered included family history, daily routines, day care, moving & handling needs, risk assessments and continence. Each resident continues to have a weekly diary in which they plan their activities in order to make care as flexible as possible. Individual choices are promoted regarding food, activities and lifestyle. Care plans are reviewed regularly where required. Care Homes for Adults (18-65 years) Page 11 of 26 Evidence: Residents stay in the home for up to a maximum of six months before moving on to a permanent placement/accommodation. Emphasis is placed upon individuals becoming independent as possible and they receive assistance from staff in improving domestic and life skills prior to moving on. Residents receiving respite care usually stay up to two weeks. Residents are involved in the day to day running of the home and there continues to be resident meetings. residents also continue to be involved in the interview process for new staff. Risk assessments are completed for residents for accessing the community eg, going out alone either to college or to activities inthe community. Residents spoken to confirmed that they are encouraged and assisted to live as independently as possible and are encouraged to choose such things as times of getting up or going to bed and how and where to spend their day. Care Homes for Adults (18-65 years) Page 12 of 26 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. Residents are able to choose their own lifestyle, with assistance from staff to maintain this where needed. Evidence: A computer with internet access continues to be available for residents use and this is helpful for those who are involved in college courses. Residents continue their attendance at day and work centres during their stay to aid continuity when they move on from the home. Risk assessments are in place for those residents accessing the community. There is an information board in the main lounge area, which displays activities at the local community centre. Residents have access to the local shops, pub, social club, church and library. Personal activity and social contact preferences are recorded in Care Homes for Adults (18-65 years) Page 13 of 26 Evidence: individual care plans. Visitors continue to be welcome at any time and may be seen in residents own rooms, one of the lounge areas or in a small quiet lounge depending upon the residents choice. Residents are involved in shopping, preparation and cooking of their own food as part of their transition to independent living and there is an adapted kitchen with appropriate equipment to facilitate this. None of the current residents were on special diets and the manager stated that she has access to nutritionist and dietitians regarding dietary needs as necessary. Cultural diversity is respected regarding food choices and an interpreter or advocate is available to assist this process where required. Care Homes for Adults (18-65 years) Page 14 of 26 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents physical and mental health care and support needs are addressed in the home Evidence: Residents receive a variety of ongoing input from local healthcare professionals. Examples included regular appointments at the local surgery, district nurses, community psychiatric nurses. Care plans ensure that staff provide personal care where needed. Residents spoken to confirmed that staff were respectful, friendly and supportive in their rehabilitation Three residents retain control of their own medication and risk assessments and signed consents were in place. Locked drawers are provided for safe storage. The administration and disposal of medication in the home were seen and found to be satisfactory. However one of the rooms, used to store medication, seemed to be quite warm due to heating pipes adjacent to the medication cupboard. The manager was advised to install a thermometer to monitor temperatures to ensure the safe storage Care Homes for Adults (18-65 years) Page 15 of 26 Evidence: of medication. If the temperature rises above 25c an alternative storage area should be used. The manager stated that she would monitor the situation and take appropriate action as required. Care Homes for Adults (18-65 years) Page 16 of 26 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. 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. Residents have their concerns and complaints appropriately dealt with in the home addressed and they are protected from any potential abuse. Evidence: A complaints procedure is on display in the home, and this includes information about thelocal authority complaints procedure. There have been no reported concerns or complaints since the last inspection. A copy of the local authoritys Protection of Vulnerable Adults protocols is available. Training regarding adult protection is organised for staf on an ongoing basis. Staff met during the inspection were clear about their responsibilities regarding the areas of potential abuse and of their responsibility in reporting allegations of abuse. Care Homes for Adults (18-65 years) Page 17 of 26 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. Residents are provided with a comfortable and homely environment in which to live. The premises are suitable to assist in residents rehabilitation and the maintainance of their independence. Evidence: The home provides excellent facilities for the residents. The home has been redecorated since the last inspection. Accommodation is provided in single rooms that are located in three units within the home. each with its own small lounge and kitchenette. There is a specially adapted kitchenette with low level worktops, cookers, microwaves and fridges so that residents can prepare and cook their own meals. Domestic style laundry facilities are provided for those residents who are able to do their own laundry. Bathrooms are suitably equipped with specialist bathing equipment so that residents can safely enjoy bathing. A variety of hoists are available along with specialist adjustable beds with pressure relieving mattresses for residents as necessary. Resident bedrooms rooms are well decorated and personalised to ensure that the Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: residents stay is more enjoyable. Residents bring a variety of personal items including television, radio and music equipment. There is also a large lounge provided as well as a covered outside smoking area. A small accessible garden available for those residents who like to sit outside. The housekeeping staff maintain the home to a high standard and the premises were presented in a clean, tidy and hygienic manner. Care Homes for Adults (18-65 years) Page 19 of 26 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. There is a dedicated staff team who are committed to providing good outcomes for service users. Evidence: Three staff files was seen and they evidenced that a robust recruitment procedure is in place to ensure residents are protected from any possible harm. This includes Criminal Record Bureau checks, two references, application form and medical references. Any gaps in employment are pursued during the interview. The home continues with an ongoing programme of staff training, with the majority of staff having completed National Vocational Qualification in training at level 2 and above. Mandatory training is organised for all staff and it was noted that refreshers and updates are now due for a number of courses. The manager and a senior carer are in the process of booking training to ensure that staffs knowledge and skills are up to date. Staff members spoken to confirmed that they had received training and regular supervision sessions and that they felt well supported by the manager and senior staff, who were available for support and guidance. Care Homes for Adults (18-65 years) Page 20 of 26 Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. 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 (NVQ) level 4 in care and the Registered Managers Award. She has also recently completed an NVQ level 5 in Management. Staff and residents spoken with also confirmed that she was approachable and would listen to their issues and concerns. A sample ofsurveys received were positive. For example, Staff are always helpful and listen The staff are first class as is the food and the service. Pine Lodge is a well run centre Regulation 26 visits are made by the Registered Providers representative and records are kept in the home. Accurate fire testing records were seen during the inspection. Care Homes for Adults (18-65 years) Page 22 of 26 Care Homes for Adults (18-65 years) Page 23 of 26 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 Adults (18-65 years) Page 24 of 26 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 Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 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!