Inspection on 27/07/05 for Pinegrove

This inspection was carried out on 27th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pinegrove 03/07/07

Pinegrove 28/06/06

Pinegrove 01/11/05

Pinegrove 20/12/04

Pinegrove 21/06/04

Pinegrove 03/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Pinegrove Main Road Nether Padley Nr Grindleford S32 2H Lead Inspector Susan Richards Unannounced 27 July 2005, 9.00 am th 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 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 Stationary 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. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Pinegrove Address Main Road Nether Padley Nr Grindleford Derbyshire S32 2H 01433 639784 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Home Farm Trust Stephanie Ane McDonald PC Care Home Only 9 Category(ies) of 9 places - LD Learning Disability registration, with number of places Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None stated Date of last inspection 20th December 2005 Brief Description of the Service: Pinegrove provides care and support for up to younger adults with learning disabilities. It is located nr the village of Grindleford within extensive attractive gardens, which are well maintained and also provide car parking spaces. Accommodation is over three floors, with separate dedicated living accommodation for up to three service users to each floor. Individual living accommodation comprises of single bedroom, kitchenette facilities and en suite wc and bathing facility. There is also a communal lounge, dining and kitchen facility to each floor. A shaft lift provides access to the upper floors. Service users are supported by the Manager and a team of care support staff. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 6 The registered person must ensure that staff rotas are properly recorded and include the full names and designation of staff on duty at any time. 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. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4 & 5. Service users are provided with appropriate information about the home and its service provision. There are satisfactory arrangements in place to ensure that admissions to the home are in accordance with service users assessed needs and choices and the care and services that the home is registered to provide. EVIDENCE: The Inspector examined the statement of purpose for the home and service user guide and spoke with some service users about choosing the home and aspects of their lives there. The statement of purpose and service guide was openly available in the home. Individual care records were examined for two service users, including their recorded needs assessments and care plans. This included pre-admission assessment summary and care-planning information as provided by way of care management arrangements for the purposes of organising admissions to the home. These were comprehensive and up to date and were reflective of the involvement of service users and significant others. Individual terms and conditions were also provided. Written information for service users was provided in suitable formats. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9 & 10. Service users are supported to make decisions about their lives and the care they receive and their participation in all aspects of life in the home is properly promoted in accordance with their risk-assessed needs. Information about service users is properly handled. EVIDENCE: The care plans of two service users were examined and aspects of care were discussed with service users. Care plans included service users individual lifestyle preferences and choices, the interventions prescribed by outside healthcare professionals (where appropriate) and were formulated within a recognised framework of risk management. Individual personal goals were detailed well accounted for. Care planning documentation examined was regularly reviewed and up to date. The arrangements for those service users who were able, to handle and manage their own monies were examined and were satisfactory. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 10 Service users spoke about their participation in home life and their care records detailed their individual daily living arrangements and involvement in daily living routines. Service users records were well maintained and kept safely and securely. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15 & 16. There were satisfactory arrangements in place to enable service users to maintain and develop appropriate relationships and to regularly participate and engage in activities both in and outside the home, which were in accordance with their lifestyle preferences and risk-assessed needs. EVIDENCE: The Inspector spoke with some service users about the activities they engaged in and the arrangements for these. Discussions with also held with staff about these. The care records examined for two service users, provided detailed needs assessment and care planning information regarding their social, recreational, educational and occupational activities, both within and outside the home. Personal goals, choices and individual lifestyle preferences were identified and there were properly recorded risk assessments in place for each service user in relation to aspects of activities they engaged in, with care and support planned accordingly. The arrangements for supporting service users to maintain contacts and links with their families and friends were also examined, which were satisfactory. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20 & 21. There were satisfactory arrangements in place to promote the health and welfare of service users in accordance with recognised guidance and their identified needs and individual choices. EVIDENCE: The arrangements for the personal and health care support of service users were examined. Discussions were held with staff about the personal support needs of service users and interventions required and also with service users about some aspects of their care. One service user spoke about recent specialist healthcare interventions received via outside health care services and how the home had supported them during this period of treatment. Individual care records examined for two service users detailed their personal and healthcare support needs by way of well-recorded needs assessment and care planning information, which was regularly reviewed. Individual consent issues were recorded. The arrangements for the access of service users to regular routine health care screening (for example, dental, chiropody and ophthalmic care) and also to general and specialist medical practitioners were examined. These were satisfactory. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 13 The arrangements for receipt, storage, administration and disposal of medicines in the home were also examined and were satisfactory. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 standard(s) Standards in this section were not assessed on this occasion. EVIDENCE: Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29 & 30. Service users live in a safe, clean, attractive, homely and well-maintained environment, which provides a good standard of private/individual and communal accommodation EVIDENCE: A tour of the building was conducted. All communal areas were inspected together with staff facilities and the individual bedrooms and en suites of some service users were inspected with their agreement. Individual service users bedrooms were highly personalised. All areas of the home seen were well maintained and clean. The premises were decorated and furnished to a high standard and properly equipped. Sufficient space was provided in all communal and individual accommodation. Kitchens to each floor were properly equipped and clean and there were recorded environmental and individual risk assessments in place in relation to access and use of the kitchen by service users. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 16 Gardens were well-maintained and attractive and provided areas of seating and a patio/barbeque area and level access. Details of the most recent visit from the Fire Authority were provided – October 2004. The Fire Officer conducting the visit had confirmed in writing to the home and the Commission, that all matters appertaining to fire precaution were satisfactory. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 & 34, There were generally satisfactory arrangements in place at the time of the inspection to ensure that staff was able to meet the needs of service users, although staff rotas did not clearly reflect this in terms the information recorded. The recruitment procedures followed in respect of the most recent staff starter were reflective of the home’s recruitment and selection policy and national guidance. EVIDENCE: Staff spoken with was conversant with the home’s aims and values and key policies and procedures as discussed with them. Staff job descriptions were in place. There was a key worker system in operation and staff spoken with was conversant with the needs of service users case tracked. Details of staff duty rotas were provided and discussions held regarding staffing arrangements, including external management support. (The Manager was not present for the inspection as she was on annual leave). Staff rotas did not detail the full names or designation of staff on duty. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 18 The Inspector spoke with a new staff starter about their recruitment procedure, which was satisfactory and also arrangements for their induction. Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) The standards in this section were not assessed on this occasion. EVIDENCE: Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pinegrove Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 21 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. 1. Standard YA33 Regulation 17(2) Schedule 4 Requirement Staff duty rotas must record the full name and designation of staff on duty. Timescale for action 31.08.05 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 Good Practice Recommendations Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection South Point Cardinal Square Nottingham Road Derby DE1 3QT 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 Pinegrove C52-C02 S20073 Pinegrove V241802 270705 Stage 4.doc Version 1.40 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. 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