Inspection on 07/07/08 for Pinehaven

This inspection was carried out on 7th July 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pinehaven 31/07/07

Pinehaven 11/10/06

Pinehaven 27/02/06

Pinehaven 07/09/05

Pinehaven 08/03/05

Pinehaven 20/12/04

Pinehaven 17/03/04

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 08/11/2008.

CARE HOME ADULTS 18-65 Pinehaven 23 Parkwood Road Boscombe Bournemouth Dorset BH5 2BS Lead Inspector Martin Bayne Unannounced Inspection 7th July 2008 09:00 Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pinehaven Address 23 Parkwood Road Boscombe Bournemouth Dorset BH5 2BS 01202 427941 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) The Stable Family Home Trust Manager post vacant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service user to be accommodated in the second floor room must not be dependent on staff for means of their escape in the event of a fire. 31st July 2007 Date of last inspection Brief Description of the Service: The registered service provider is The Stable Family Home Trust [S.F.H.T] a registered charity that provides residential care, a day service and related services for adults with learning disabilities. The day and residential services are interdependent with support from specialist staff at the day service being available to the staff and service users in residential care services to provide training, guidance and help with among other things, issues such as employment; risk assessments and personal relationships. Pinehaven is a detached house converted for use as a residential care home, located in the residential area of Southbourne, fairly close to the cliff top and beach. It is within walking distance of the shopping areas and local amenities of Southbourne and Boscombe. There is good access to public transport including the railway station at Pokesdown. The accommodation provides for 9 adults and all service users have single bedrooms, which are located on the ground, first and second floor. Communal facilities include a lounge, dining room, kitchen, activity room and conservatory area. Outside there is a garden at the rear of the property and a tarmac area to the front that provides off road parking. Current fees provided on 13/11/06 are £483.00 per week; however, this does not include day care provision, which is charged separately. Fees do not include personal items such as toiletries, hairdressing, cigarettes and sweets. For further information on fee levels and fair terms of contracts you are advised to refer to the Office of Fair Trading website www.oft.gov.uk. The home keeps copies of all inspection reports that are available in the office and can be seen by service users, relatives and professionals at their request. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We, the Commission, carried out an unannounced key inspection of Pinehaven between 9 am and 4:30pm, the aim of which was to evaluate the home against key National Minimum Standards for older people and to follow up on the nine requirements made at the last key inspection in July 2007. We were assisted throughout the inspection by the home’s manager. The home has been without a Registered Manager since March 2007 and the new manager who started work in April 2008 is in the process of applying to become Registered Manager of the home. The manager provided us with records that the home is required to keep by Regulation, and informed us of how care and support was provided to residents. Further information was gathered from the Annual Quality Assurance Assessment (AQAA), returned comment cards from residents and staff, a tour of the premises and conversations we had with two residents and one member of staff. What the service does well: There are good pre-admission assessments and procedures for ensuring that the home can meet the needs of people admitted to the home. Residents receive good care at the home and are supported to have fulfilling lives with their social and emotional well being promoted through needs being met. Residents’ health needs are met at the home. Residents are fully involved in the running of the home. The home has full complaints procedures in formats accessible to residents. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The new care planning and risk assessment systems that were to be put in place at the last key inspection in July 2007 have yet to be fully actioned. We recommend that the home maintain a list of sample signatures of staff trained to administer medication to residents. The new manager must submit an application to become Registered Manager as soon as possible. The home must review the way records are maintained of money held on behalf of residents and ensure that they provide a clear record of the money held. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having their needs assessed before being offered a place at the home. EVIDENCE: At the last inspection a requirement was made that the Statement of Purpose for the home be reviewed as the document at that time provided information about the organisation and its services but did not provide sufficient detailed information about Pinehaven itself. We found that this inspection that an acting manager, employed before the appointment of the current manager, had started to review this document but had not completed this piece of work. Whilst we were drafting this report, the new manager of Pinehaven sent a copy of the revised Statement of Purpose to us, which now provides information about Pinehaven. The requirement has therefore been met. At the last inspection another requirement was made, that all residents must have a written and costed contract/statement of terms and conditions between the home and the resident. As part of the inspection we tracked the records Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 10 concerning two residents of the home. We found that residents had a signed and dated contract and a terms and conditions of residence document within their file. This requirement was therefore also met. We were told that since the last inspection one new resident was in the process of being admitted to the home. We looked into how the home had gone about assessing this person’s needs and how this person was informed and introduced to the home. We found that the home had been provided with a very thorough assessment of this person’s needs through the persons care manager and that the prospective resident had been having stays at home since Easter with a planned move to the home for long-term placement in July of this year. Residents at the home told us that they had met the prospective new resident and that they had been consulted about this person’s planned move to the home. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 679 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from being able to make decisions that affect their lives, however this will be better reflected with the introduction of the proposed new care planning and risk assessment documentation being introduced. EVIDENCE: At the last key inspection a requirement was made that each resident have an individual plan describing the services and facilities to be provided by the home, and how current and changing needs and aspirations will achieve goals. At the time of the last inspection we were told that the home was in the process of changing the care planning system. We found at this inspection that there had been some progress with the manager currently reviewing all the care plans, however this piece of work had not yet been completed. We found that each resident has a large folder containing person centred planning, Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 12 assessment information and daily recording notes. It was however difficult to see a clear coherent process of assessment leading to a plan that staff should follow to meet the outcomes agreed with each resident. Should a new member of staff start working at the home it would be difficult for them to support residents from the current files. The manager showed us the care planning format that was being introduced. Care plans will be developed with the residents from the assessment to identify agreed outcomes that the resident would like to achieve. This would then be detailed under nine headings covering all aspects of a person’s needs from personal care, health needs, medication requirements, dietary needs, communication, relationships and activities, education and employment, maintaining a safe environment and supporting a person with their money. The requirement of the last inspection has therefore not yet been met. We discussed this with the manager who said that by the end of September she will have completed this piece of work and the requirement remains with a deadline of the end of September 2008. We found that the home meets the Standards concerning their right to be supported regarding decisions about their lives. The two residents we spoke with provided us with examples of how they made decisions that were then supported by the staff at the home. One person told us how they had reduced their day activities, as they wanted to spend more time at the home. Residents told us that they were able to choose which activities they like to take part in. We also saw that the residents at one of their meetings had set the house rules to facilitate communal living. At the last inspection a requirement was made concerning risk assessments. It had been found at that time that the risk assessments were not up to date, were not signed and one was just a list of generic statements that had been ticked, without references to action that needed to take place to reduce the risk of harm. We saw within the records we viewed, that specific risk assessments had been undertaken although again the date at which they had been signed to be reviewed had lapsed. The manager told us that she planned to review how risk assessments were carried out and recorded. The manager told us that she wanted to record identified risks and how to minimise likelihood of harm within the care plans, so that staff know how to support a resident with reasons why the resident was being supported in a particular way. The requirement has not been fully met and it was agreed that a new timescale for meeting this requirement be set for the end of September 2008. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being involved in the local community and through being supported in the relationships. Their rights are respected and they are provided with food to their liking. EVIDENCE: We discussed with the manager opportunities for residents to take part in activities meaningful to them. Residents are provided with the opportunity to attend the day services provided by the Stable Family Trust at Bisterne. Here a wide range of activities are organised including; swimming, trampoline, keep fit, horse riding, gym facilities, bowling, snooker, walking, cycling, crafts, printing and pottery. Residents are encouraged to attend day services but we were provided with the example where one person had reduced their Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 14 attendance, as this was their wish. We were also given examples of residents being offered opportunities outside these day services. One resident has a job on Wednesday mornings working at Bournemouth football club. Another resident works in a coffee shop. We were also told that activities are arranged in the home. Residents can take part in yoga sessions on Tuesday evenings and outings are arranged to the beach or other places of local interest at weekends. One resident enjoys going to football matches and there are parties and barbecues arranged at the home. Residents comment cards confirmed that residents enjoy a full and active life supported by the staff at the home. We found evidence that residents are supported to maintain contact with family and friends. We were told that residents are able to arrange overnight stays of friends or relatives at the home. We discussed how residents were supported to maintain relationships. We found that residents were appropriately supported by the staff. Residents receive their mail unopened. They also have bedroom door locks so that they can lock their rooms if this is what they choose. One resident has a small safe within their room for safekeeping of money and valuables, so that they can be supported to manage their own money. Residents told us that they take part of the domestic routines of the home assisting with cooking and looking after the house. Residents also assist in maintaining the garden where fresh vegetables are grown and one resident has a window box that they enjoy looking after. We were told that residents do their own laundry and are involved in planning menus each week. Residents told us that they were provided with a good standard of food at the home and we saw that their likes and dislikes concerning food were recorded within their care plans. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being supported by the staff in maintaining good physical and emotional health and from having medication administered in line with good practice. EVIDENCE: We saw evidence within the records that we tracked through the inspection of residents’ health needs being met. Each resident is registered with a GP and assistance from other health professionals was being sought when this was required. One resident is visited each week to receive physiotherapy. We also saw records that dentistry needs, chiropody and eye care needs were being monitored and residents being supported through the staff at the home to attend appointments. Residents told us that there was a good rapport between themselves and the staff. The residents we spoke with said that they Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 16 were supported by the staff with physical and emotional needs. Comment cards also informed of this. We looked at how medication needs were managed within the home. All of the current residents have their medication administered by the staff. We looked at the medicine cabinet and found that the home has suitable storage arrangements with a new controlled drugs cabinet provided. Medicines were found to be stored correctly and we saw the medicines were being returned to the pharmacist when no longer required. We looked at the medication administration records for the residents and saw good practice of a photograph of the person at the front of their medication administration record. The records showed that medication was being administered as prescribed. We do however recommend that the home maintain a sample sheet of staff signatures of those staff trained to administer medication. We saw that all staff have been trained in safe administration of medication. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the home having all relevant policies and procedures concerning adult protection and the staff being trained in this field. EVIDENCE: The home has a full complaints procedure that is made available to the residents in three different formats to ensure that they understand how to make a complaint. We spoke with residents who told us how they would complain to the manager if they felt a need. It was evident that they felt that their complaints would be investigated and taken seriously. The manager maintains a log of complaints. Since the last key inspection there has been two complaints made to the providers of the home and we saw evidence that these had been responded to and action taken. At the last key inspection a requirement was made the registered person ensure that staff are informed through policies and procedures about adult protection arrangements. The home now has all the relevant policies and procedures that link to local safeguarding arrangements. We also learnt that all staff receive training in adult protection as part of their induction. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well-maintained, clean and ‘homely’ environment. EVIDENCE: At the last key inspection several issues were identified for improvement. Firstly, it was found that two bedrooms had kitchen sinks rather than wash hand basins. It was found at this inspection that these have been changed as required. It was also noted that one bedroom had a shower that that was out of keeping and obtrusive in the room. We were told that this had been discussed with the resident living in this room, but that they did not want it changed. We spoke with the resident at this inspection and they confirmed that they liked the facility of the shower and did not want any changes. An issue was also identified about assisting residents in maintaining a standard of cleanliness in their rooms. We discussed this with the manager, who informed Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 19 that one resident liked to collect paper and other items and that a care plan had been put in place to support this person. On the day of our visit, we found the home clean and in reasonable decorative order, providing a ‘homely’ environment for residents. We saw that improvements had been made with a new kitchen and dining area. The office has been moved downstairs, providing better facilities for the staff. On the day of our visit work was being carried out to make good the car parking area at the front of the home. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from staff being recruited in line with Regulations and their being trained appropriately. EVIDENCE: At the last key inspection a requirement was made as it was found that there were gaps within some of the records that the home is required by Regulation to maintain. At this inspection the recruitment records concerning two members of staff recruited since the last inspection were seen. It was found that all the Requirements of Schedule 2 of the Regulations had been met. We found that the residents are supported by 313 hours of care. Staff are rostered to work at the home at times needed by residents. The home provides core hours with additional funding of staff to meet individual needs of residents. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 21 We looked at the training records for the two staff tracked through the inspection and found that core mandatory training was provided appropriately. The home has achieved above 50 of staff trained to NVQ level 2 or above. As detailed earlier in the report, there is a good rapport between the staff and residents. Returned comment cards informed that residents are well supported by the staff. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home will benefit from a new manager being Registered. Residents will be better protected through improvements of records of their money held for safekeeping. Compliance with the three requirements will ensure positive outcomes for residents. EVIDENCE: The new manager who assisted throughout the inspection has only been in post since April 2008. Prior to this the organisation had appointed a previous manager, with the intention of them being Registered. It was agreed that the new manager would submit an application form for Registration within 3 Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 23 months. The new manager has achieved NVQ level 4 and told us that she was being supported by the organisation to complete the Registered Manager’s Award. She has both a business background as well as managing social care services. We found that the AQAA had been returned a week before the inspection and a copy was provided on the day of our inspection. It was clear from speaking with the residents and through documentation seen throughout the inspection that residents are fully involved in the way the home is managed. Residents have meetings when they can put forward their views. We saw that they had set the ‘House rules’ for the home and we were told that they had been consulted about the person who was soon to be admitted to the home. We were also told by one resident that they were involved in the recruitment of new staff. Some are supported with their finances and have small sums of money kept safe, locked in the office. We checked the records and balances of money held. We found that for one person their records were confusing and it was difficult to track the actual money that was being held. This was discussed and a requirement was made that accurate records be maintained by staff of all monies deposited by residents, to ensure financial transparency and good management of residents’ money. There were no hazards identified at this inspection. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 3 x x 2 3 Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 25 Yes 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 YA6 Regulation 15(1) (2) Requirement Each service user must have an individual Plan describing the services and facilities to be provided by the home, and how these services will meet current and changing needs and aspirations and achieve goals. Repeated from key inspection of July 2007 2. YA9 13(4)(a)(b)(c) Staff enable service users 30/09/08 to take responsible risks, ensuring they have good information on which to base decisions, within the context of the service user’s individual Plan and of the home’s risk assessment and risk management strategies Repeated from key inspection of July 2007 3. YA37 9 The home must apply for Registration of the new manager. DS0000003946.V363285.R01.S.doc Timescale for action 30/09/08 01/09/08 Pinehaven Version 5.2 Page 26 4. YA42 Schedule 4 (9) You are required to ensure 30/09/08 that records of money held on behalf of residents are being maintained accurately so that they provide an auditable and clear record of the money being held. 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 YA20 Good Practice Recommendations It is recommended that the home maintain a sample sheet of staff signatures of staff trained to administer medication. Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pinehaven DS0000003946.V363285.R01.S.doc Version 5.2 Page 28 - 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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