Inspection on 28/11/05 for Pine Park House

This inspection was carried out on 28th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 23/11/06

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 Unannounced Inspection 6.30pm 28 November 2005 th Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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.V260973.R01.S.doc Version 5.0 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.V260973.R01.S.doc Version 5.0 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 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) Devon County Council 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.V260973.R01.S.doc Version 5.0 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 April 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. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the evening, and lasted 2 ½ hours. There were five service users staying at the home at the time of this inspection. The inspector was introduced to all of the service users and spoke to one at length. Georgina Gillingham was the Senior Care staff in charge of the home at the time of the inspection, and she explained in detail some of the procedures in the home including care plans, policies and procedures and recording of routines. The inspector looked at the communal areas of the home, and one bedroom. What the service does well: Excellent care plans are in place. Staff have given lots of thought about the information needed to ensure all needs are met. They have liaised with other services to try to make sure they are all working in the same ways. The plans clearly reflect the views and wishes of the service user about how they want to lead their lives, and how they want to be supported. There are a good range of activities, outings and interests catered for. Service users can continue to go out and about, attend clubs, and enjoys hobbies and interests in the same way as they do when they are living in their own homes. Menus are varied and provide plenty of choice to meet all dietary needs and preferences. A service user talked about the meals she has enjoyed, and how she likes to help with meal planning and preparation. Good systems are in place to ensure service users can speak out if they have any concerns or complaints. Staff have received training on the protection of children and adults. The home is spacious, warm, clean, and comfortable throughout. The decorations and furnishings are of a good standard and are stylish and homely in appearance. Good systems are in place to ensure all areas are safe. There is an effective and well-trained staff team. The staff were welcoming and demonstrated a very good understanding of their roles and responsibilities. A service user commented “I like the staff here – they are very helpful.” Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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 Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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): EVIDENCE: These standards were not inspected. See last inspection report for information. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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 Service users’ needs are properly recognised and supported by good care planning arrangements EVIDENCE: Care plans are detailed while at the same time easy to read and give good information to staff about the care needs of each service user. The plans cover all relevant aspects of care needs and clearly express the service users’ views, needs and aspirations. They set out how the staff will help the service user meet their goals. The staff have consulted other care providers and relevant persons in the drawing up of the plans in order to make sure that everyone is working in the same way. The plans now include risk assessments Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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): 12, 17 Service users have opportunities to lead fulfilling lives. Menus are varied and balanced and meet service users’ dietary needs and preferences. EVIDENCE: During the evening the service users were engaged in a variety of activities including playing games, watching television and attending clubs. These have been identified in the care plans, and systems have been put in place to make sure that the home is able to support the service users in their chosen lifestyles. Service users are able to continue to meet friends and family, attend clubs and activities, and take risks in just the same way as they would when they are in their own homes. Service users and staff talked about the wide range of activities and opportunities provided by Pine Park including gardening, minibus outings, cooking, games and puzzles and going for walks. The home has a games room Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 11 Menus are drawn up on a daily basis according to the likes, dislikes and dietary needs of the service users staying at Pine Park that day. Dietary needs and preferences are identified in the care plans. Special diets are catered for. The menus were varied and balanced and showed the individual choices offered. Service users talked about the foods they like to eat. They are encouraged to help with meal preparation and clearing up afterwards as far as they are able and wish to do. Fresh fruit and vegetables are provided each day. The store cupboards were well stocked and there are good procedures in place for ordering and stock rotation. The kitchen is bright, modern and well equipped. All parts of the kitchen were spotlessly clean. Cleaning rotas were in place to ensure all routine tasks are carried out. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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 Service users’ personal support needs are satisfactorily met. EVIDENCE: The care plans clearly set out the personal support needed by each service user and gave detailed instructions to staff on how those needs are to be met. The staff talked about the way they care for some of the service users and how the care plans have helped them to make sure they are all working in the same way. The plans explain the service users’ preferred usual daily routines, including such details such as getting up/going to bed, moving around, and help with aids and equipment. Staff talked about how they regularly review the plans and adjust them to ensure that all needs are met. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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): 22 Good systems are in place to ensure service users feel safe. Concerns and complaints are listened to and acted upon appropriately. EVIDENCE: The Devon County Council complaints procedure is displayed in the hallway. It is also provided in the ‘Welcome Pack’ for all new service users and their families. The home also has a complaints form that has been drawn up using symbols and straightforward language to enable and encourage service users and their families to raise concerns and complaints. One service user said she would be able to speak to any of the staff if she had any concerns. Since the last inspection one relative has raised a concern about the personal support provided by new or agency staff. The home was able to demonstrate how they had listened to the concerns and acted promptly to put systems in place to address the concerns. The home received the concern in a positive manner and has used this to help them improve the care to all service users. Staff training records showed that many of the staff have received training on the protection of vulnerable children and adults in the last year. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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, 30 The accommodation is well maintained, comfortable, clean and safe. EVIDENCE: The home has been decorated and furnished to a high standard throughout. The furnishings are of a good quality and comfortable. Attractive lighting, pictures and ornaments make it feel homely and welcoming. The house has a number of period features that give it character and style. All areas have been well maintained. On the evening of the inspection it was snowing outside, but inside the house all areas were warm and cosy. Service users are able to choose which bedroom they want to stay in, depending on availability. During their stay they can personalise their rooms as far as possible, including putting their own name plate on the door. One bedroom seen during the inspection was spacious, with a good range of modern and stylish furniture and fittings. All areas of the home appeared spotlessly clean and fresh. The laundry was tidy and clean and equipment was in good working order. Protective gloves and aprons are provided. Cleaning rotas were on display to show when all routine cleaning tasks should be carried out, and by whom. Comprehensive Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 15 policies and procedures are in place covering infection control and health and safety topics. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 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): 31, 32, 33 Service users are supported by an effective, competent and experienced staff team. EVIDENCE: On arrival at the home at 6.30pm there were 3 staff on duty. Later during the evening there were 2 staff on duty for the late evening and overnight. The staff were able to carry out the required care tasks in a relaxed but efficient manner. They demonstrated a clear understanding of their duties, and talked about how they work together efficiently as a team to discuss any issues and reach solutions. Records of staff training were seen during the inspection. These included photocopies of certificates. In the last year staff have received an excellent range of training covering all required health and safety topics plus topics on health and disabilities, NVQs and protection of children and adults. One service user said “I like the staff here – they are very helpful.” Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 17 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): 41, 42 Good recording systems are in place. Service users’ safety is protected by well-trained staff and comprehensive policies and procedures. EVIDENCE: Records seen during the inspection included – Care plans, daily reports and risk assessments Menus Staff training records Cleaning rotas Policies and procedures Risk assessments These records have been well maintained. Comprehensive risk assessments have been drawn up on all aspects of the environment. Where necessary these have been cross-referenced with Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 18 individual care plans. Staff have received training on health and safety topics. Policies and procedures are in place on all health and safety related topics. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 19 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 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pine Park House Score 4 X X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X X X DS0000039273.V260973.R01.S.doc Version 5.0 Page 20 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. 1 Refer to Standard YA39 Good Practice Recommendations 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. Pine Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Park House DS0000039273.V260973.R01.S.doc Version 5.0 Page 22 - 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. 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