CARE HOME ADULTS 18-65
Pineapple Road (9-9a) Amersham Bucks HP7 9JN Lead Inspector
Gill Gentles Unannounced Inspection 22nd February 2006 10:45 Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 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 Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 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. Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Pineapple Road (9-9a) Address Amersham Bucks HP7 9JN 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) 01494 765079 h3001@mencap.org.uk www.mencap.org.uk Royal Mencap Society Care Home 6 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 6 people with a learning disability, including one with a physical disability 28th November 2005 Date of last inspection Brief Description of the Service: Pineapple Road is a home for adults with a learning disability and is managed by Mencap. The home is situated in a quiet part of Amersham not far from local shops and a walk to the town centre. The home is registered for six people, being accommodated on two floors. There are four bedrooms on the first floor and two on the ground floor. One room has an en-suite. The home has a lovely garden to the rear of the property. Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. What the service does well:
Appropriate documentation is in place to ensure prospective service users are aware of the service provided. Documentation evidences that an adequate assessment procedure is in place for ensuring the home is able to meet prospective service users needs. Contracts/ terms and conditions are in place ensuring service users receive the service they are paying for. Risk assessments are in place and individuals are supported to take risks as part of their independent lifestyle. All documentation relating to individuals is handled appropriately ensuring services users know their confidences are maintained. Services users are supported and encouraged to have the opportunity for personal development, to take part inappropriate activities, to become part of the local community and build relationships, ensuring individual independence and choice is maintained. Services users are supported and encouraged to be involved in the daily routines of the home, promoting personal independence and growth. The home provides a supply of nutritious and balanced foods ensuring services users are supported and encouraged to maintain a healthy diet. Clear written guidance and training is available to all staff in relation to complaints or Protection of Vulnerable Adults ensuring service users are protected from harm. The home is located within easy access of the shops and leisure facilities offering the young people the opportunity to access local community. The home is appropriately designed and located and generally well maintained, to provide suitably equipped, decorated and furnished accommodation for the young people Health and safety procedures are carried out ensuring residents are free from harm.
Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 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. Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 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 Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 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): 1, 2 & 5 Appropriate documentation is in place to ensure prospective service users are aware of the service provided. Documentation evidences that an adequate assessment procedure is in place for ensuring the home is able to meet prospective service users needs. Contracts/ terms and conditions are in place ensuring service users receive the service they are paying for. EVIDENCE: The home has a Statement of Purpose in place that is written in large print and contains photographs. It was found to be easy to read and written with service users in mind. The document complies with Regulation 4 schedule 1 of the Care Homes Regulations. The home is in the process of re-writing the Service Users Guide in a similar format and this will be looked at during the next inspection. Mencap has a thorough assessment procedure in place for all new service users; however there have been no new service users for a couple of years. All service users are issued with a licence agreement and terms and conditions for living in the home. They were found to be in each service users file and signed by the appropriate people.
Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 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, 7, 8, 9 & 10 Risk assessments are in place and individuals are supported to take risks as part of their independent lifestyle. All documentation relating to individuals is handled appropriately ensuring services users know their confidences are maintained. EVIDENCE: The home maintains individual files on each service user which incorporate essential information required such as:• Service users essential information, including names and addresses of important people. • Health care information • Medication • Day care • Likes and dislikes
Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 10 • • • • • • Preferred leisure activities Weekly routine Support needed Things to do and things to avoid Bathing support Monthly weight charts Information was found to be detailed and pertinent to current needs. The home is in the process of developing Person Centred Plans for all service users. One service user has, with his key-worker, developed a fantastic Person centred Plan on DVD. The service user was pleased to show this during the course of the inspection and was evidently very proud of it. It is acknowledged that this format is only for one service user as it meets his needs, the other staff are developing plans in other formats suitable to each individual. The home must be commended for this work, well done. Service users are encouraged and supported to make decisions about their lives and participate in the day-to-day running of the home. During the past 12 months the previous and present managers and staff team have strived very hard to ensure the service users living in this home are ready for changing the status of the home from registered to supported living. The services of Talkback, an advocacy group, have been involved preparing service users for the change and involving the group in decisions about their lives and how the home should be developed. The home has ensured that individual service users are supported to take risks in their lives with the appropriate Risk Assessment being in place and strategic management plans. The home maintains all documentation relating to service users and staff in compliance with the Data Protection Act 1998, being locked in cabinets and the office. Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 11 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, 13, 14, 15, 16 & 17 Services users are supported and encouraged to have the opportunity for personal development, to take part in appropriate activities, to become part of the local community and build relationships, ensuring individual independence and choice is maintained. Services users are supported and encouraged to be involved in the daily routines of the home, promoting personal independence and growth. The home provides a supply of nutritious and balanced foods ensuring services users are supported and encouraged to maintain a healthy diet. EVIDENCE: Each individual service user has their own weekly activity plan that is developed with the individual with the support of a member of staff. There is evidently a range of education and, personal development, community links and leisure activities available. Plans identified the organised day-time activities such as day centres, out reach days, college, home days and a variety of outings, shopping trips and visits from friends and families.
Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 12 Services users are encouraged to be involved in the daily routines of the home, staff support independence and promote individual choices. Entrance into resident bedrooms and bathrooms only occurs with the individuals permission and normally in their presence maintaining privacy and dignity for all services users. Services users are encouraged to undertake some responsibility for getting involved in the cooking and cleaning of the home. The staff strive hard to promote a nutritious, balanced and varied diet. Breakfast and lunchtime meals are taken as and when required with a range of drinks and snacks being readily available throughout the day. The evening meal is prepared for everybody in the home. Services users select a weekly menu and the home shops twice a week with service user participation. Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 13 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): These standards were not assessed during this inspection as they were found to be met at the previous inspection. EVIDENCE: Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 14 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 & 23 Clear written guidance and training is available to all staff in relation to complaints and the Protection of Vulnerable Adults ensuring service users are protected from harm. EVIDENCE: The home has a complaints policy that was found to be clear and concise and incorporated CSCI information. The policy clearly identifies the timescales given in response to each complaint received. The home or the Commission have not received any complaints or concerns regarding this service. The home has a Vulnerable Adult Protection policy in place, which was dated 2002. Five permanent Staff have received the appropriate training. Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 15 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): The home is located within easy access of the shops and leisure facilities offering service users the opportunity to access the local community. The home is appropriately designed and located and generally well maintained, to provide suitably equipped, decorated and furnished accommodation for the service users. EVIDENCE:
Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 16 Pineapple road is a small six bedded home. Accommodation is provided on both the ground and first floor. The ground floor consists of a kitchen, lounge/dining room, hall, laundry room, toilet and two bedrooms one with an en-suite. The home is owned by the council and was previously two semi-detached houses, which have been knocked into one with two separate staircases leading to the first floor. At the top of each flight of stairs there are two bedrooms and a bathroom and either an office or sleeping in room. The staff are able to access both sides of the home as the two staff rooms have been opened up in to one larger room. Communal areas are of a domestic, homely relaxed style. Bedrooms were not inspected during this visit apart from the en-suite bathroom to the downstairs bedroom as there had previously been requirements issued. It was clear that they had been met. However, some work needs to be carried out. It is required that the broken tiles are replaced, and the radiator is covered, as there were temperature readings of 54.1°c. It is also required that the home installs a call bell in the event of an emergency. Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 17 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): These standards were not assessed during this inspection. EVIDENCE: Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 42 Health and safety procedures are carried out ensuring residents are free from harm. EVIDENCE: An acting manager and an acting deputy are managing the home at present as the manager is on maternity leave. Therefore this standard was not assessed during this inspection. The acting manager ensures that the health, safety and welfare procedures for service users and staff are adhered to. Good records are maintained and appropriate checks carried out in relation to fire. Gas safety and portable electrical appliance testing, are carried out annually and certificates were available in the home. Generic risk assessments were found to be in place and reviewed November 05. Hoists were serviced in December 05. First Aid equipment is evidently checked regularly.
Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 19 Regular monthly water temperature checks are completed and recorded. The acting manager also ensures that monthly health and safety audits are carried out on the home. Portable Appliance testing is carried out annually and the last one was January 06. COSHH data was found to be in place and all staff were aware of their location. Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 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 3 25 X 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 3 X Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA32 Regulation 19 Requirement The manager should ensure that staff are supported to obtain the National Vocational Qualification in Care at Level 2 or above. 50 of staff should hold this qualification. Timescale for action 31/03/06 2 YA27 23(2)(b) It is required that the broken 15/04/06 tiles are replaced, and the radiator is covered, as there were temperature readings of 54.1°c. in the en-suite bathroom. It is also required that the manager ensures installation of a call bell in the event of an emergency. 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 Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Aylesbury Area Office Cambridge House 8 Bell Business Park Smeaton Close Aylesbury HP19 8JR 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 Pineapple Road (9-9a) DS0000023051.V284065.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
