Inspection on 06/06/06 for Pine View Care Home

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 View Care Home 14/09/07

Pine View Care Home 22/09/05

Pine View Care Home 13/05/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Pine View Care Home 418-420 Hinckley Road Leicester Leicestershire LE3 0WA Lead Inspector Kim Cowley Unannounced Inspection 6th June 2006 11:50 X10015.doc Version 1.40 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 DS0000064266.V298114.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 Older People. 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. DS0000064266.V298114.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pine View Care Home Address 418-420 Hinckley Road Leicester Leicestershire LE3 0WA 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) 0116 2855868 0116 2547343 Pine View Care Homes Ltd Mr Dinesh Raja Care Home 15 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (15) of places DS0000064266.V298114.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No Service users in the category DE(E) shall be admitted to the home where there are already four service users in this category accommodated there. 22nd September 2005 Date of last inspection Brief Description of the Service: Pine View is a 15-bedded residential care home situated on the Hinckley Road close to a range of local amenities. The home caters for older people, some of whom have dementia. There are nine single and three double bedrooms. The first floor is accessed by a passenger lift. On the ground floor there are two lounges, a dining room, and a conservatory. To the rear of the home is a large terraced garden with a patio and seating areas. DS0000064266.V298114.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by talking with the residents themselves; talking with the Manager and staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home including health and safety and management issues, were inspected. Four other residents, three members of staff, and the Owner/Manager were interviewed. The staff team and the Owner/Manager were commended for their work in the home. The cleanliness of the home was also commended. What the service does well: Residents who live at Pine View can expect a homely environment with good quality care given by friendly and experienced staff. The home is well decorated and maintained, clean, and fresh. Residents are lively and contented. One resident said, ‘Being here is the happiest time of my life. This is a very friendly place. We all – staff and residents - get on so well together.’ The staff team is established (some have been at the home for 15 years) and turnover is low. This means residents have continuity of care and get to know the staff well. Staff members were observed as being warm and professional and to have excellent relationships with residents. All residents interviewed spoke highly of the staff and the Owner/Manager. Comments included, ‘I rate the staff as very good’, ‘I love the staff’, and ‘I like the boss (the Owner/Manager). He’ll listen to you, and he’s a happy person.’ The home treats all residents as individuals. The Owner/Manager said, ‘We don’t stereotype our residents. Not all older people like bingo, just as not all younger people like football. We find out what our residents want and then try and provide it.’ All residents interviewed said they were offered choices about their lifestyles. One resident commented, ‘It doesn’t matter when you come down for breakfast. You can come down at 10am and still have breakfast then if you want. They let us do our own thing here.’ DS0000064266.V298114.R01.S.doc Version 5.2 Page 6 This was an unannounced inspection and the home was notably clean and fresh throughout. One resident commented, ‘It’s very clean here. It must be the cleanest place in Leicester.’ What has improved since the last inspection? Since the last inspection the following improvements have been made to the home: • • • • • Dining room refurbished and re-decorated with new carpets laid Two hallways redecorated Two bedrooms refurbished Covers fitted to radiators in the dining room Framed ‘reminiscence’ photographs displayed in the hallway Hoists are serviced every six months in line with health and safety guidance. 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. DS0000064266.V298114.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000064266.V298114.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. EVIDENCE: The Owner/Manager explained the home’s admission policy to the inspector. Most admissions begin with a telephone enquiry and at this stage basic details about the prospective resident are taken. The Owner/Manager or Care Manager then visit the prospective resident in their own home or in hospital to carry out a written assessment of their needs. Other parties, including friends/family/social workers/nurses, etc, are consulted where necessary and asked to contribute to the assessment. Staff also get information about the prospective resident’s medication, contacting their own pharmacist if they need any further information about this. DS0000064266.V298114.R01.S.doc Version 5.2 Page 9 The prospective resident is then invited to look round the home with, if they wish, their relatives/friends. The Owner/Manager said, ‘They are welcome to look round as many times as they want. When they come I spend time talking to them and I show them the home’s inspection reports and also advise them to look at the CSCI website where they can research all homes in the area.’ Prospective residents are then invited to spend a half or full day in the home to help them decide if they want to move in permanently. During this time they have a meal and are introduced to the other residents and staff. If they do choose to move in, there is a four-week trial period. The home provides care for both private and social services residents. The Owner/Manager said ‘We have to be able to meet prospective residents’ needs and we also have to be sure that they’ll fit in with out existing resident group.’ DS0000064266.V298114.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ health and social care needs are met. EVIDENCE: Care plans are of good quality, being comprehensive and containing appropriate risk assessments. Residents are encouraged to take an interest in their care plans, which are subject to regular review. Residents’ health care needs are documented in their care plans. District Nurses visit the home when required and provide advice to staff on request. All residents are registered with local GPs. Since the last inspection the medication system has been improved. Blister packs are now used and medication is stored centrally and securely. The system is inspected annually by a representative of the PCT (Primary Care Trust). The Owner/Manager said the inspection is thorough and includes reviewing each resident’s medication, and observing of staff when they administer medication. The last PCT inspection was carried out on 24.02.06. DS0000064266.V298114.R01.S.doc Version 5.2 Page 11 The Owner/Manager also oversees medication administration and monitors records on a weekly basis as part of quality control in the home. One of the seniors has responsibility for ordering, booking in, and returning medication. The contract pharmacist trains staff in medication administration in-house, and medication is also covered in NVQ Level 2. Those residents interviewed said they were happy with the way their medication was managed. One resident said ‘The staff sort out my medication for me and I’m happy for them to do that.’ At present no residents selfmedicate, although the Owner/Manager said they are encouraged to do so wherever possible. The Owner/Manager said staff are trained to treat residents with dignity and respect during their ‘First Steps’ induction. This last six weeks and has sections on privacy, dignity, choice, prejudice, etc. In addition the staff personal care manual contains guidelines for delivering care sensitively, and the home has policies and procedures in place to emphasis the importance of this. The home has four beds for residents with dementia. The Owner/Manager said, ‘We take residents with mild dementia. They are integrated with our other residents and take part in all the usual activities. We find their needs are slightly different, in that they may need more reassurance and one-to-one time, and those needs are addressed in their care plans.’ DS0000064266.V298114.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 The quality outcome for this area is good. This judgement has been made using the available evidence including a visit to the service. Daily life and social activities enable residents to lead full lives. EVIDENCE: The home has a lively and sociable resident group whose members get on well with the staff and each other. Residents are offered a range of recreational and social activities including: Keep fit every two weeks Bingo every week (residents take it in turns to call out the numbers) Sing-a-longs every six weeks Hairdresser every week Occasional pub lunches Walks in the local area Monthly church services in the home Visitors are made welcome at the home and see residents in their own rooms or in one of the lounges. DS0000064266.V298114.R01.S.doc Version 5.2 Page 13 A full-time cook is employed and most of the food is home cooked. Menus showed that a varied and wholesome diet is provided with plenty of fruit and vegetables. There is a cooked breakfast every Thursday and Sunday. All residents interviewed praised the food and their comments included: ‘The food is good.’ ‘At breakfast you can have as many rounds of toast and marmalade as you want, or you can have something like egg on toast. There’s no shortage of food here.’ ‘The food’s lovely – we do have some nice things here.’ ‘My favourite dinner is steak and kidney pie.’ ‘Meals are very important here and the food is excellent.’ The home has a policy on diversity and treats all residents as individuals. The Owner/Manager said, ‘We don’t stereotype our residents. Not all older people like bingo, just as not all younger people like football. We find out what our residents want and then try and provide it.’ All residents interviewed said they were offered choices about their lifestyles. One resident commented, ‘It doesn’t matter when you come down for breakfast. You can come down at 10am and still have breakfast then if you want. They let us do our own thing here.’ DS0000064266.V298114.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents feel able to talk to staff about any concerns they might have. EVIDENCE: The home has a simple, clear, and accessible complaints procedure and records showed that any complaints, however minor, are listened to, and acted upon. The Owner/Manager said, ‘I make a point of sitting down with anyone who has a complaint and trying to get to the bottom of what is bothering them. I find that if I do that, residents are much more likely to come to me if they have a problem in the future because they know they will be taken seriously.’ One resident said ‘I’d tell the staff if I wasn’t happy about something.’ Another commented, ‘Dinesh asks us every day if everything’s ok and I’d tell him if it wasn’t.’ The home has a policy on abuse, which explains the different forms abuse might take, and advises staff on how to respond to allegations of abuse. Staff are trained in-house to protect residents from abuse. DS0000064266.V298114.R01.S.doc Version 5.2 Page 15 The home has made suitable arrangements for the security of residents’ personal property and money, and appropriate records are kept. If there are concerns that a service user is not getting the money they are entitled to the home follows this up and involves a social worker if necessary. DS0000064266.V298114.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in an environment that is safe and well maintained. EVIDENCE: All areas of the home inspected were decorated and maintained to a good standard. The Owner oversees the care of the premises and is quick to act should any area need attention. Residents’ bedrooms are homely and individual to their occupants. One resident said, ‘I’ve got all my things in my bedroom – it looks lovely’. Since the last inspection the following improvements have been made to the home: • Dining room refurbished and re-decorated with new carpets laid • Two hallways redecorated DS0000064266.V298114.R01.S.doc Version 5.2 Page 17 • • • Two bedrooms refurbished Covers fitted to radiators ain the dining room Framed ‘reminiscence’ photographs of historical displayed in the hallway A cleaner is employed four days per week and follows a cleaning schedule supplied by the owner/Manager. This was an unannounced inspection and the home was notably clean and fresh throughout. One resident commented, ‘It’s very clean here. It must be the cleanest place in Leicester.’ The cleanliness of the home is commended. The home has terraced rear gardens with accessible seating areas for residents. The Owner/Manager said the gardens attract a range of wildlife including squirrels, foxes, and birds, which the residents like to watch. DS0000064266.V298114.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Friendly and professional staff meets residents’ needs. EVIDENCE: The staff team is established. Some of the staff have worked in the home for 15 years. The Owner/Manager is committed to providing quality care and supporting his staff team by offering them good training opportunities and supervision. All the residents interviewed spoke highly of the staff and the following comments were made: ‘I rate the staff as very good.’ ‘The staff are respectful.’ ‘If I ask for something to be done it’s done that day.’ ‘I couldn’t fault the staff.’ ‘I like all the staff here.’ ‘The staff get on really well as a team.’ ‘The staff are very nice, I get on well with all of them.’ ‘I love the staff.’ The staff team are commended. DS0000064266.V298114.R01.S.doc Version 5.2 Page 19 Staff were interviewed and all said they were happy in their work at Pine View. Their comments included: ‘Training opportunities are good here.’ ‘I’ve learnt more here than at previous homes I’ve worked in.’ ‘Most of us have been here a long time. It’s a lovely place to work.’ ‘It’s home from home for the staff and the residents.’ Staff are advertised for locally and have an equal opportunities interview with the Owner/Manager prior to commencing work. The Owner/Manager insists that staff having two satisfactory written references and CRB checks before they start work permanently in the home. If they start without these they work under supervision at all times, have a verbal or fax reference, and sign a criminal records declaration. Staff have a four weeks probationary period and all have a contract. The Owner/Manager oversees staff training. The majority of staff have NVQ Level 2 or 3. The Owner/Manager is doing NVQ Level 4 and the Registered Managers Award. Records showed that staff have taken a range of courses including Challenging Behaviour, Fire Safety, First Aid, Moving and Handling, and Food Hygiene. A First Aid course for staff was being held in the home during the week of inspection. As part of the home’s quality assurance system staff are evaluated every three months while carrying out a practical care task. In addition the Owner/Manager carries out six monthly appraisals. DS0000064266.V298114.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a home that is safe and well managed. EVIDENCE: Since the last inspection the home’s Responsible Individual has undergone the fit person process and been registered by CSCI as Manager of Pine View (jointly with Groby Lodge, Pine View’s sister home). He is in the process of completing his NVQ Level 4 Registered Manager’s Award, has attended a wide range of training courses, and is up-to-date with developments in care. He works approximately 30 hours per week at Pine View and appears to have an excellent relationship with residents, visitors and staff. All residents and staff interviewed spoke highly of the Owner/Manager. One resident said, ‘I like the boss. He’ll listen to you, and he’s a happy person.’ Staff comments included, DS0000064266.V298114.R01.S.doc Version 5.2 Page 21 ‘Since Dinesh took over this home been much better’, ‘We are consulted about changes to the home’, and ‘If I’ve got a problem I go straight to Dinesh.’ The Owner/Manager is commended for his role in the home. The home looks after small amounts of money for some residents who are not able to look after it themselves. Appropriate records are kept and statements issued every six weeks. The Owner/Manager said residents are occasionally reminded that they do have money so they can spend it and enjoy it if they wish. Other residents have their money looked after by their relatives or solicitors. Social workers are informed if there are any concerns about how a residents’ money is being managed. A senior member of staff is in charge of health and safety in the home. She carries out an audit of the building every month and keeps records of this which are passed to the Owner/Manager who takes action where necessary. Contractors do the servicing and maintenance of appliances in the home. In discussion the Owner/Manager confirmed that all requirements are met with regard to health and safety, and that the Fire Officer and the Environmental are satisfied with the home’s performance in this area. Hoists are serviced every six months. Since the last inspection the home’s Quality Assurance system has been improved. A ‘live’ file is kept and all aspects of service delivery are included. Six monthly meetings are held for both residents and relatives and annual questionnaires are sent out to both groups. The Owner/Manager makes a point of talking to residents every day to see if they are satisfied with the care they receive. DS0000064266.V298114.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 4 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 DS0000064266.V298114.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations DS0000064266.V298114.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI DS0000064266.V298114.R01.S.doc Version 5.2 Page 25 - 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!