Inspection on 23/11/06 for Pine Park House

This inspection was carried out on 23rd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Park House 28/11/05

Pine Park House 28/04/05

Pine Park House 09/02/05

Pine Park House 24/06/04

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 Park House Pine Park Road Honiton Devon EX14 2HR Lead Inspector Vivien Stephens Key Unannounced Inspection 21st and 22 November 2006 14:30 nd Pine Park House DS0000039273.V316765.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 Park House DS0000039273.V316765.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 Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pine Park House Address Pine Park Road Honiton Devon EX14 2HR 01404 42549 01404 42208 sdrobins@devon.gov.uk http/www.devon.gov.uk/adoption.htm Devon County Council 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) Mr Stephen Douglas Robinson Care Home 6 Category(ies) of Learning disability (6), Physical disability (3), registration, with number Sensory impairment (3) of places Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Any new respite service users aged 16 or 17 years can only be admitted if there are no service users aged 25 years or over in residence at the same time 28th November 2005 Date of last inspection Brief Description of the Service: Pine Park House provides respite care for up to six service users with a physical and learning disability, up to the age of 65. The home also caters for age groups from 16 and upward within a condition of registration. The home is a large detached property on the outskirts of Honiton. There is ramped access to the unit, a substantially adapted bathroom and WC, and a soft area with sensory stimulation equipment. It has 6 single bedrooms, a large lounge, kitchen and dining area. The unit is not intended to accommodate long-stay residents. Devon County Council operates Pine Park House. Fee level vary according to the financial circumstances of the service user. These will be determined through a financial assessment. A copy of this inspection report summary will be circulated to all service users by the home. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Several weeks before this inspection took place the home completed a preinspection questionnaire. From this information comment cards were sent to 43 carers of service users who regularly use Pine Park House. 22 responses were received. A few weeks before this inspection Stephen Robinson, registered manager, was promoted. A new manager has been appointed and an application for registration is pending. In this report she will be referred to as the ‘Acting Manager’. This inspection took place over two days and lasted approximately 6 ½ hours in total. On the first day the inspection began at 1pm and finished at 6.30pm. During this period interviews were held with two care staff and three service users. A Community Nurse working with the Learning Disabilities Team who visited the home during the afternoon also contributed towards this inspection. A tour of premises took place. Systems for the receipt, storage and administration of medicines were checked. Arrangements for meals were discussed and during the evening a meal was served to the service users. On the second day discussions took place with the Acting Manager. Staff recruitment procedures and training were checked. The management of the home, including systems for monitoring and improving the service, were discussed. What the service does well: The home takes care to ensure that they get to know new service users well before they are admitted. They will not agree to provide a service to anyone whose needs they feel they cannot meet. Verbal and written information about the home is given to service users and their family before their first stay at Pine Park House. Records seen during this inspection showed that staff have a very good understanding of the health and personal care needs of each service user. Care plans set out clearly how each service user should be assisted, and what their likes, dislikes and preferences are. The care plans also set out clearly how service users should be supported in any activity where there may be a possible risk. During the inspection staff were observed consulting with the service users and offering choices in all aspects of the daily routines including meals, choice of activities, and choice of room. A Community Nurse visiting the home at the time of this inspection said she was very happy with the standard of care provided by the home. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 6 Service users are offered a range of activities while they are saying at Pine Park House. Many attend their regular day care services during the day and therefore often choose more relaxing activities in the evenings, such as watching television. When transport is available a range of outings are provided. The home offers a variety of home-cooked meals to suit each individual service user. On the day of this inspection a service user was encouraged to choose what she wanted to eat. The staff know the individual likes and dislikes and dietary needs of the service users. Good measures have been put in place to protect residents from abuse, including training for all staff. No concerns or complaints have been received since the last inspected. The complaints procedure is given to new service users in written form, and is also explained. In a tour of the home all rooms appeared comfortable, safe, clean and wellequipped. The property is spacious and provides good access on the ground floor for people who use wheelchairs. A maintenance person has recently been recruited to ensure that routine maintenance tasks are carried out. Staff files seen during the inspection showed that careful recruitment procedures have been followed – this ensures that service users are in safe hands. A good range of training has been provided and most staff have achieved a nationally recognised qualification. Records showed that the staff have received regular supervision, ensuring that there are clear lines of communication and consistent standards of care practice. An application to register the Acting Manager is likely to be submitted to the Commission n the very near future. Staff, service users and relatives confirmed that the home is well managed. Comments from carers included – “My son was well and happy after a two week stay at Pine Park House. Good quality service was provided. This is an essential service and our only respite and is much appreciated.” Health and safety is given a high priority. Regular checks are carried out on all equipment. Staff have received training on all health and safety related topics. What has improved since the last inspection? What they could do better: The home has a service user guide/statement of purpose. However, these documents haven’t been reviewed for some time and some information is now Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 7 out-of-date. It is recommended that the home considers the information that service users would want to see, and the best way of presenting the information. Some carers said that transport between Pine Park House and day care services can sometimes be a problem. The home does not have any transport although a minibus can be loaned from a day centre when not used for day services transport. As a result transport into the local community for service users when they are staying at Pine park can also be a problem at times. It is recommended that transport facilities are considered . 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. The summary of this inspection report can be made available in other formats on request. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 8 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 Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good admission and assessment procedures in place, although service users would benefit from better information about Pine Park House and the services it provides. EVIDENCE: The home gathers as much information as possible about prospective new service users in order to ensure that the home is suitable to meet the needs of the service user. An assessment carried out by the care manager is forwarded to the home. At least one visit to Pine Park is encouraged wherever possible, and a representative from Pine Park will go and visit them in their own home. The home has a service user guide and statement of purpose but these documents have not been revised for some time and may include information that is out-of-date. Service users haven’t recently been consulted over the content of these documents to find out what information would be useful to them. Georgia Thomas said the home will look at the information given to service users before they stay at Pine Park to ensure it is a format that is accessible, and to ensure the information not only meets the legal Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 10 requirements but also tells service users everything they want to know about the home. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate a very good understanding of the health and personal care needs of service users through good care planning systems. Service users are consulted and involved in daily life at the home. Service users are supported to take responsible risks EVIDENCE: The care plans for two of the service users who were staying at the home of the day of this inspection were seen. The plans contained a wide range of information covering every aspect of care needs. Time has been spent liaising with the service users and their carers to ensure that the staff have a very clear understanding of how they want to be assisted. Most of the care staff have worked at the home for many years and know the regular service users well – for these staff there is a quick reference checklist that is held with the Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 12 daily reporting sheets. These checklists contain almost all of the tasks to be carried out, and if care workers need greater detail, particularly about tasks where there is an identified risk, they can turn to the main care plan file for thorough and detailed instructions. The main care plans show how the home has looked at goals and how these might be achieved. The care staff said that some service users now have their own care plans (the document is known as ‘My life, My plan). These have been drawn up by the service user with assistance from their care manager. One service user visiting Pine Park House at the time of this inspection said that she didn’t have a ‘My life, My plan’ style care plan yet. She did, however, confirm that she was satisfied that the staff at Pine Park House understood her care needs, and that they consulted her on all aspects of her daily life when drawing up her care plan. During the inspection staff were seen consulting with the service users and actively encouraging them to participate in all aspects of daily life in the home. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents lead interesting and fulfilling lives, although transport to the local community can sometimes be a problem. The home enables service users to keep in contact with friends and family during their stay at Pine Park House. Service users’ rights are respected by the staff. The nutritional needs of residents are met through a varied and appetising range of meals to their individual liking. EVIDENCE: Many of the people who regularly use Pine Park House attend day services and therefore are out during the daytime. On the day of this inspection one service Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 14 user was at the home during the afternoon, and two others arrived at tea time. The staff said they try to provide a range of activities based on the things the service users enjoy doing. Some service users who have been at day services during the day prefer to relax during the evenings, some enjoy watching television, while others like to go out to clubs, pubs or social events. One service user said she would like to go out more while she stays at Pine Park House. The staff said they try to take service users out as much as possible, but transport can be a problem. The only vehicle available to them is a minibus based at the Axminster day centre – this is many miles away and is time-consuming for staff who have to go to collect and return the minibus. Care staff said they try to take service users out as much as possible, and talked about trips to see the Christmas lights, trips to a local garden centre, and trips to the pantomime. It is recommended that transport facilities are considered to ensure that service users can go out and about at times to suit them. Two relatives commented that transport to and from day care services can be problematic. The Acting Manager gave assurances that they try to minimise the disruption to day care services as far as possible but at times this cannot be avoided. When this occurs the home seeks to provide a similar range of activities and services to those of the day care centre. The home maintains good communication with the families and regular carers, ensuring that care plans, medications, and transport arrangements and any other important issues are updated every time the service user stays at Pine Park House. Regular carers meetings are held. There are no fixed menu plans – meals are cooked according to the likes, dislikes and dietary needs of the service users staying at the home that day. On the day of this inspection a care worker talked to the service user about the food they had in stock and allowed the service user to choose what she wanted. The staff knew what other service users liked and disliked and were prepared to adapt the meals to suit each individual. Fresh fruit and vegetables are provided each day. Care staff sat and ate with service users, making meal times feel relaxed and homely. Where service users need assistance with food and drinks care staff were observed providing assistance in a careful and attentive manner. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users’ personal and health care needs are met by well trained staff and safe systems of working, although staff would benefit from training on skin care and prevention of pressure sores. EVIDENCE: The care plans set out clearly how each service user must be assisted by the care staff with their personal and healthcare needs. The plans explain in detail all moving and handling tasks and intimate care. The home has a range of equipment including level access shower facilities and overhead hoists. Where care needs change the home requests that the regular carers notify them in advance of their stay. The home liaises closely with the regular carers to ensure that any health care tasks are attended to. Care staff talked about the care provided to service users with skin problems, including pressure sores. In these cases they normally follow instructions passed to them by the regular carers. In order to ensure that staff are aware Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 16 of current good practice in relation to skin care it is recommended that they receive training on this subject. Due to the short periods of stays at Pine Park House routine health checks would normally be arranged by their regular carers. One service user confirmed that the staff provide the help she needs, and in a sensitive and professional manner. Service users are expected to take any medications with them when they stay at Pine Park House. Care staff record the exact amounts received at the time of admission. Medicines are stored securely and good records have been maintained of all medicines administered including creams and lotions. A second member of staff signs the records to confirm they have witnessed the medicines being administered, and to confirm they have been administered correctly – this demonstrates excellent practice, ensuring the highest standards of safety. All staff have received training on the safe administration of medicines and also on any specialist care tasks such as the administration of Stesolid. Some service users administer their own medicines and lockable storage is provided in bedrooms for this purpose. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are assured they will be listened to and their concerns and complaints acted upon. Good measures have been put in place to protect service users from abuse. EVIDENCE: No complaints have been received by the home or by the Commission since the last inspection. The home has a clear and simple complaints procedure that is explained to new service users when they first stay at the home. There are leaflets in the hallway of the home explaining the Devon County Council complaints procedure. The complaints procedure is also included in the ‘welcome pack’ for all new service users. Most families and carers said they are aware of the home’s complaints procedure. All of the staff have received training on the protection of vulnerable adults. In the past they have also received training on the protection of vulnerable children, although there are no longer any regular users of the service who are under 18. Devon County Council have a range of policies and procedures designed to ensure service users are protected from potential abuse. Staff were able to demonstrate a very good understanding of good practice in relation to the prevention of abuse. Lockable storage is provided in bedrooms for money and valuables. The home has good procedures in place for those service users who are unable or do not want to hold their own cash or valuables during their stay. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are accommodated in a comfortable, safe, clean and wellequipped environment. EVIDENCE: On a tour of the home all rooms were found to be comfortable, spacious and attractively decorated and furnished. The house has some interesting period features that helps to create a homely atmosphere. All rooms are spacious. The service users are encouraged to choose which room they want to stay in (according to availability) and to personalise the room with their name plaque and any other personal effects they bring with them. One of the service users staying at the time of this inspection confirmed that she likes the room she had chosen and she always sleeps well when she visits Pine Park House. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 19 Devon County Council is responsible for the regular maintenance of the property through their property department. Good arrangements were found to be in place to ensure all repairs are carried out promptly. Rooms on the ground floor are suitable for service users who use wheelchairs. There is a good range of equipment including overhead hoists and level access shower facilities. All areas of the home were warm, bright, clean and fresh. Cleaning rotas were displayed in the kitchen, ensuring that all regular cleaning tasks are carried out. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good systems are in place to monitor and adjust the staffing levels on a daily basis according to the needs of the service users. Service users are protected and their needs are met by a staff team that has been carefully recruited, well trained and regularly supervised. EVIDENCE: On arrival at the home on the first day of this inspection there were four staff on duty including the Deputy Manager. The arrival time coincided with a staff handover period when staff were receiving a thorough briefing about the care needs of the service users due to stay that day. The staff rotas for the coming week were also being discussed to ensure that sufficient staff will be on duty according to the needs of the service users booked to stay in the coming week. 19 carers who responded to surveys sent out by the Commission prior to this inspection said they were satisfied with the staffing levels. However, three carers said they did not feel there are always sufficient staff on duty. This Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 21 was discussed with the Acting Manager who gave firm reassurances that staffing levels are very closely monitored and adjusted on a daily basis, and that the staff team very rarely experience any difficulties. Records seen during this inspection showed that all staff have received a good range of training. Most staff hold a relevant nationally recognised qualification, including specialist training and qualifications on the needs of people with a learning disability. In the last year staff have received training on all mandatory health and safety topics including first aid and moving and handling. Most staff have received training on epilepsy and specialist emergency tasks relating to this health problem. All staff have received training on the protection of vulnerable adults, ‘gentle teaching’, total communication, and basic food hygiene. Some staff have attended a short course on sign language. Care staff who were present at the time of this inspection said they felt they have received a good level of training. No staff have received training on skin care or prevention of pressure sores – this is recommended. (See standard 19). Three files were checked of staff recruited since the last inspection. These showed that the home has carried out all required checks before new staff have been confirmed in post. Files contained application forms, at least 2 satisfactory references, contracts of employment and copies of training certificates. Files also contained records of supervision sessions and regular staff meetings. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. Good systems are in place to ensure there is a continuous improvement of services and facilities, although this could be improved by greater consultation with service users. The health and safety of residents and staff are protected by staff training and the provision of well-maintained equipment. EVIDENCE: At the time of this inspection the registered manager had recently been promoted a new manager has been appointed. An application to register her Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 23 as manager is pending. Two care staff and two service users said they felt the current management arrangements were working well and they felt the home is running smoothly. The home has a range of methods in place to check the standard of the services provided. Questionnaires have been sent out to all carers to seek their views. While there was good evidence to show that the home consults with service users informally on a daily basis it is recommended that the home also consults with them on a more formal basis as part of the regular monitoring and improvement of the service. Information submitted to the Commission prior to this inspection showed that all equipment has been regularly serviced and maintained. Health and safety checks have been carried out. Records checked during this inspection included the fire log book and accident book. These provided evidence that the safety of residents and staff have been given a high priority. Staff have received regular training and updates on health and safety topics including fire protection and first aid. Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 24 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 3 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 4 25 X 26 X 27 X 28 X 29 x 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 x 3 x 2 x x 3 x Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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. 1 Refer to Standard YA1 Good Practice Recommendations Service users should be consulted over the information that is provided to service users when they are considering using Pine Park House in order to ensure that the information is useful and easy to understand. Transport facilities should be reviewed. Staff should receive training on skin care and the prevention of pressure sores. The homes quality assurance plan should be developed further to include the standards used and time scales to make it clear for all staff to follow. The home should seek the views of the service users as part of this process. 2 3 4 YA13 YA32 YA39 Pine Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 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 © 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 Park House DS0000039273.V316765.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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