Inspection on 05/01/06 for Pinehurst Resource Centre

This inspection was carried out on 5th January 2006.

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 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

Pinehurst Resource Centre 05/01/07

Pinehurst Resource Centre 01/08/05

Pinehurst Resource Centre 07/12/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Pinehurst Resource Centre 141 Park Road Camberley Surrey GU15 2LL Lead Inspector Helen Dickens Announced Inspection 5th January 2006 10:00 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 Pinehurst Resource Centre DS0000033540.V266782.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 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. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pinehurst Resource Centre Address 141 Park Road Camberley Surrey GU15 2LL 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) 01276 686778 01276 676092 Surrey County Council - Adult & Community Care Mrs Linda Amero Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50), Physical disability (2) of places Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. Accommodation and Services may be provided to named persons aged 60 - 65 years with the prior written agreement of the CSCI. Amber Unit will be used exclusively for the provision of Respite Care and/or Intermediate Care to a maximum of 10 Service Users. In addition to Service Users accommodated at the Home, Day Care may be provided on the Day Care Unit to a maximum of 7 persons. Emerald unit will be used for the provision of respite care and/or intermediate care for up to a maximum of 10 Service users. Accommodation and services may be provided for up to six (6) persons with sensory impairment. Crystal Unit will be used exclusively for up to 10 Service Users with dementia. That the 4 `essential` recommendations given by the specialist consultant in August/September 05 should be completed before the unit becomes That the 4 `essential` recommendations given by the specialist consultant in August/September 05 should be completed before the unit becomes operational. That the home send an action plan to CSCI with regard to the timescale for completing the 6 `desirable` recommendations. 1st August 2005 8. Date of last inspection Brief Description of the Service: Pinehurst Resource Centre is a single storey residential care home accommodating up to 50 older people. It is managed by Surrey County Council and is close to Camberley town centre, giving easy access to local facilities. All rooms are single occupancy and the home is divided into smaller units to give a more homely arrangement. Each unit has its own kitchen/dining room and lounge area and there are additional quiet areas throughout the home. The home hosts a day care facility which operates five days a week, with residents free to join the activities if they wish. The home has now changed its category of registration with CSCI to take up to ten people with dementia in their special dementia care unit. The home is situated in its own grounds with good-sized gardens and ample parking. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over five and a half hours and was the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. The inspection was carried out by Helen Dickens, Lead Inspector for the service. Linda Amero, Registered Manager, and Caroline Ballard, Deputy Manager, represented the establishment. A partial tour of the premises took place. Five residents and two staff were interviewed, and more than a dozen other residents conversed with during the inspection. Returned ‘comment cards’ from residents, relatives and professionals involved with the home were also used to write this report. Three resident’s care plans and a number of other documents and files were examined during the day. This was a very positive inspection. The inspector would like to thank the residents and staff for their time, assistance and hospitality. What the service does well: Pinehurst is a well run home with a committed staff team and strong management. The home is clean and tidy throughout and the general décor and furnishings provide a very homely environment for residents. Residents were complimentary about the home, its staff, and the care they received. Comments such as ‘they can’t do enough for you here’ summed up the opinion of all those residents spoken with. One resident told the inspector he couldn’t have got a better home. The food came in for particular praise (both from residents and staff) and this Standard is covered later in the main report. It was nice to see some staff in almost all units sitting down and enjoying a meal with residents at lunchtime. The home was commended by the inspector for the work they are doing on the new dementia care unit and this is highlighted under ‘Improvements’ below and later in the report. This home has particularly impressive arrangements for residents with regard to getting their input and comments on the service they receive; this is also discussed later in the report. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: On the day of the inspection some water outlets needed to be regulated; whilst none were hot enough to burn, they were in excess of the ‘around 43C’ set down in the Standards. The care plans sampled needed further work to ensure that monthly reviews were carried out and documented. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 7 The home have been unable to access the Residential Forum Matrix CDRom from the computers in the home and have carried out this exercise manually; they were asked to forward the results of the staff to resident ratio calculation to CSCI. The home should also forward the report from the last community pharmacist’s visit made to the home in November. And they were also asked to add to their medication administration policy that medication errors should be reported to CSCI under Regulation 37 reporting, as potentially these errors may adversely affect the wellbeing of residents. 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. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 8 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 Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 9 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 Needs of prospective residents are assessed prior to, and during, the early days of admission and assured that these needs will be met. EVIDENCE: Two recently admitted resident’s files were sampled and found to contain a good deal of information on residents needs. Both were admitted through care management arrangements and copies of the community care assessments were on file. The resident’s with dementia have the new style assessment and care planning documentation, which was recommended by the specialist consultants prior to the new unit opening. Care plans were generated from these initial assessments. Residents interviewed confirmed their needs were well met at Pinehurst. Comments (taken from the home’s quality assurance questionnaires) such as ‘care and assistance are amazing’, ‘very good indeed’ and ‘always very happy with the arrangements made for me here’ were typical. One resident who had just transferred from respite to being a permanent resident said this home was ‘Perfect – I didn’t want to go home.’ Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 10 Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 11 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 and 9 The systems for managing resident’s personal social and healthcare needs at this home ensure residents needs will be met and their wishes taken into account. The administration of medication is well organised at Pinehurst ensuring the safety of residents. EVIDENCE: Care plans were well done and contained a good overview of residents needs. They cover all the usual sections one would expect to find and in addition, the dementia care residents have additional sections including a risk reduction plan and a special section on strengths and abilities of each resident. The consultants who provided these templates also provided a resource pack explaining how to use this new format with case studies as examples. Those care plans sampled had not had monthly reviews noted throughout the year and the home is currently reviewing how this information should be recorded. Resident’s health needs are recorded on their files and those residents spoken to on this subject confirmed they had access to opticians, dentists and the chiropodist. The home had even identified a denture repairer for residents who needed this service from time to time. Psychological health is also attended to at this home by a combination of suitable activities and support to keep Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 12 residents occupied and their minds active, and by community psychiatric nurse input for those residents who require this service. Opportunities for regular exercises are provided by the home who employs a qualified EXTEND tutor to organise and lead their activities. Medication administration is well organised at this home and the community pharmacist has visited recently to advise the home on its procedures. A medication ‘round’ was observed on one unit and medication was seen to be safely administered and record keeping was up to date and clear. There were no unexplained gaps on those medication administration records sampled. The staff member administering the medication was doing so in a supportive and sensitive way, especially with one resident who was re-learning how to selfadminister medication, prior to discharge. The community pharmacist’s report from the recent visit was not available on the day of the inspection and the home was asked to forward this to CSCI. They were also asked to notify medication errors to CSCI. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 13 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): 13 and 15 Resident’s are encouraged to maintain and develop links with the local community. Meals and mealtimes at this home are particularly enjoyable for residents. EVIDENCE: Visitors are welcome at any time at this home though the manager said she prefers them to avoid mealtimes unless they are staying for a meal. Visitors are able to join their relatives for meals and a special table would be set up on the concourse to offer privacy on such occasions. One resident had a birthday party at Pinehurst for 65 invited guests for her 100th birthday. Residents have outings in the local community and can choose to go shopping with their key worker if they wish. One unit had been to the pantomime at the local theatre and there are good facilities locally for residents to enjoy. It is worth noting that Pinehurst has provided a small shop and a library (including a collection of large print books) so there is less need for residents to venture outside for these services. Meals at the home were frequently commented favourably upon by residents. All dining rooms were small and cosy, with co-ordinated linen tablecloths and napkins, providing very congenial settings for meal times. Residents had three meals per day and could have a cooked breakfast every day if they wished. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 14 The manager said this was very popular though some residents went for the lighter poached egg on toast rather than a full English breakfast – breakfasts are cooked to order in the kitchenette on each unit. Meals were observed in three units and found to be very nicely presented and vegetables in serving dishes were put on each table for residents to help themselves. Staff offered very sensitive support to those residents who needed assistance. Vegetable dishes were returned to the hotplate to keep warm before being taken back to each table for anyone who wanted second helpings. It was very nice to see some staff joining residents at the table and having their meals together. Comments on the food from residents included ‘perfect’ and ‘excellent’. The inspector sampled the main meal of the day and found it to be tasty, nutritious and well presented. The acting cook has been standing in for a permanent colleague but was found to be knowledgeable on resident’s dietary needs, and the kitchen was very clean and tidy with good food handling and hygiene practices in place; this is discussed later under the health and safety standard. Special diets were catered for, for example the home has a number of diabetics. The cook said she is able to prepare liquidised or soft diets though none were required at present. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 15 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 and 18 Complaints are taken seriously at this home and residents are protected from abuse. EVIDENCE: The Surrey County council complaints procedure is in place in this home and the home has a number of less formal ways for residents to raise concerns. There was evidence from residents meetings that some residents choose to raise issues in this forum – the management team responds to all issues raised at these meetings and there was a good record of how they had been addressed. No new complaints had been received. The home had records of recent protection of vulnerable adults training for staff, and also demonstrated that they had copies of relevant guidance at the home. This included the POVA list and ‘No secrets’ guidance from the Department of Health, and the local Surrey multi-agency procedures for the protection of vulnerable adults. No protection of vulnerable adults issues have been raised since the last inspection. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 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 Pinehurst offers a safe and well-maintained environment for residents to enjoy. EVIDENCE: Pinehurst provides a very comfortable and homely environment for its residents. The layout is suitable for its purpose and it is safe, accessible and well maintained. Staff adapt the environment to better meet residents needs and this was most noticeable on the new dementia unit. For example, the registered manager explained how one resident who had moved from another part of the home to the dementia unit had had their belongings and furniture transferred into exactly the same positions that they had occupied in the old room. Photographs of the old room were taken to ensure that even china ornaments in a cabinet were placed in exactly the same order to reduce confusion as a result of the move. The grounds at this home are now exceptionally tidy and well maintained and the registered manager said this was entirely due to the hard work of the new gardener/handyman. The debris on the roof of the Crystal Unit has been removed and the home has taken advice on the moss which is growing on the roofs throughout the site. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 17 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 and 28 Resident’s needs are met by the numbers and skill mix of staff, and residents are in safe hands at all times. EVIDENCE: Staffing numbers and the skill mix of staff are appropriate to the needs of residents and the deputy manager said the recently adopted system for calculating staff to resident ratios confirms they have sufficient numbers of staff per shift. The Residential Forum Matrix has been used and worked out manually as the CDrom could not be loaded onto the home’s computer. A copy of the manually calculated version will be sent to CSCI. On the dementia unit, the home has followed the advice from the dementia consultants regarding the numbers and skill mix of staff for this special needs group. Staff rotas were available for inspection and showed that the dementia unit and the rehabilitation units each had two members of staff per day, with the other units having one each. There were also two floating members of staff throughout the day each. There are three waking night staff on duty in the home, and arrangements in place to pay particular attention to the residents in the dementia unit. Out of 49 care staff, 28 have NVQ2 or above which means the home meets the standard regarding having 50 of care staff with NVQ2 or above by the end of December 2005. In addition both the registered manager and the deputy have completed the Registered Managers Award and they employ a qualified EXTEND tutor for the organisation of activities in the home. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 18 Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 19 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): 33, 35 and 38 The home is run in the best interests of residents; their financial interests are safeguarded; and the health and safety of residents and staff are promoted and protected. EVIDENCE: The home has now re-started the SCC in-house quality assurance system and has already made and received a monitoring visit to its sister home. Pinehurst has a number of ways of seeking resident’s views including questionnaires given to residents and respite clients and residents meetings. Three of the recently returned questionnaires were sampled and found to be very positive about the service offered at Pinehurst. The system for residents meetings at Pinehurst is excellent. An independent Chair is chosen each time – this is usually either a resident or a relative of a resident on that unit. The meetings are held quarterly and staff are not present, except at the end to answer questions. Notes are taken and action points recorded. The management team then responds on issues raised and Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 20 this is also properly documented. There are many examples of residents concerns being raised and then properly dealt with. On day to day issues for example food, the deputy manager and the cook approach residents on a regular basis to get their opinions on the food, what they did and didn’t like, and any suggestions for improvements. Surrey County Council has a standardised system for supporting residents with their finances and this system operates at Pinehurst. A bursar, employed on a part-time basis, and working separately from the care staff at the home, operates the system. Records are kept of all incoming and outgoing monies. Residents can choose to have an account with SCC and use it to deposit money, which can then be used to pay for items available within the home such as hairdressing and newspapers, and to withdraw cash. All residents receive their own personal expenses allowance to spend as they wish. Each resident also has a lockable drawer in their own room, and there are lockable facilities in the office for residents wishing to deposit small amounts of money or valuables. Health and safety are well managed at Pinehurst and there were many instances of good practice. Good records are kept of staff training on all issues, including health and safety; risk assessments were available and appropriate; the hazardous substances cupboard was locked and no hazardous substances seen to be left unattended. The cleaner on one unit was observed to keep the receptacle of cleaning materials within her sight as she worked, and when she moved, the cleaning materials were also moved. The legionella testing has been carried out and there was plenty of evidence of monitoring water temperatures throughout the home. Assisted bathing equipment was labelled with the date of recent maintenance checks. Resident’s have wireless emergency call boxes which means they move with the resident so there is less chance of them being out of reach when needed. The Health and Safety Executive booklet on safety in care homes was kept with the home’s other policies on this topic. The kitchen at this home was particularly clean and tidy, as were the fridges and freezers, and regular temperatures were taken and recorded. All items of food opened and placed in fridges was properly covered and labelled. The hot food was probed before serving and temperatures regularly recorded. The dry food stores were also clean and very tidy. The inspection in the kitchen was carried out straight after lunch when even the washing up was being done in a tidy and orderly fashion. The kitchen-cleaning rota with daily cleaning duties was posted on the wall. The inspector asked the cook to review the current arrangements whereby eggs are not stored in the refrigerator. The manager said past environmental health officer advice had been to remove eggs from the refrigerator and this will need to be checked again. Fridges on two units Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 21 were also examined and found to be clean and tidy and perishable items which had been opened were properly labelled. Some water temperatures sampled had crept above the recommended 43C, and one had reached 54C. The registered manager said she would have all the water temperatures checked and call the plumber to attend to these. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 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 2 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 4 X 3 X X 2 Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 23 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. 2. Standard OP7 OP9 Regulation 15(1)(2) 13(2) 37(1)(e) Requirement Resident’s care plans should be reviewed monthly, and this review must be documented. The home must send a copy of the latest pharmacy inspectors report to CSCI, and should notify CSCI of any medication errors as these potentially adversely affect the well being of residents. Water temperatures in areas accessible to residents must be monitored and maintained at around 43C. Timescale for action 05/03/06 12/01/06 3. OP38 13(4)(a) (b)(c) 12/02/05 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 OP27 Good Practice Recommendations The home should forward to CSCI, a copy of the Residential Forum Matrix calculations on staff to resident ratios at Pinehurst. Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Pinehurst Resource Centre DS0000033540.V266782.R01.S.doc Version 5.1 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. 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