Inspection on 05/01/07 for Pinehurst Resource Centre

This inspection was carried out on 5th January 2007.

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 05/01/06

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 Key Unannounced Inspection 5th January 2007 09:45 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.V326578.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 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 Tina.Lawton@surreycc.gov.uk Surrey County Council - Adult & Community Care Mrs Linda Amero Care Home 50 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (30), of places Physical disability (2), Sensory impairment (6) Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Amber Unit will provide intermediate care for up to 10 service users. The home may provide day care for 7 persons. Date of last inspection 5th January 2006 Brief Description of the Service: Pinehurst Resource Centre is a single storey property accommodating up to 50 older people, some of whom have dementia. 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 is situated in its own grounds with good-sized gardens and ample parking. The weekly charge at Pinehurst is £547 per person. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit of a key inspection and was unannounced. The inspection took place over six and a half hours. The inspection was carried out by Helen Dickens, Regulation Inspector. The Deputy Manager represented the establishment. A partial tour of the premises took place. Discussions were held with five residents and one staff member, and a number of other residents were 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, including three staff files, were examined during the day. The CSCI would like to thank the residents, relatives, deputy manager and staff for their hospitality, assistance and co-operation during the inspection. What the service does well: What has improved since the last inspection? Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 6 All three Requirements made at the last inspection have been met. Care plans are now reviewed regularly every month; a copy of the latest pharmacy inspector’s report was sent to CSCI as requested; and water temperatures in places accessible to residents are now regularly monitored. One recommendation, to send a copy of the Residential Forum matrix calculation to CSCI, was also met. Since the last inspection some internal decorations have been carried out including decorating of some resident’s bedrooms, and the overall appearance of the external areas has improved. The gardener has made a big difference to the look of both the larger outdoor areas and to the individual unit gardens. These now look well kept with neatly pruned bushes and short grass. The deputy manager stated that residents will be asked about their favourite flowers and plants which will go into the garden for this spring and summer. Some residents have already had some involvement with the new vegetable patch and the home grew their own tomatoes last year. Menus have improved since the last inspection, especially the cooked breakfasts which are now mainly grilled rather than fried – this is discussed in more detail under Standard 25. And in response to requests from residents, outings have changed and now offer more local and specific trips rather than long coach journeys which some residents had found difficult. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 7 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. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 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.V326578.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective resident’s individual aspirations are assessed and they are assured their needs can be met. EVIDENCE: Three resident’s files were sampled and all three were found to have appropriate pre-admission assessments clearly documented. All had the social services care manager’s community care assessment on file. Some had specialist assessments from other professionals such as occupational therapists. Some residents have a full day pre-admission assessment and where this had happened, details were noted on their file. Though few preinspection comment cards were returned from residents themselves, those spoken with on the day of the inspection were all happy with their placement at the home. One ‘thank you’ letter on the home’s ‘compliments file’ said Pinehurst was the next best thing to being at home. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 10 The home usually provides intermediate care but this facility had been closed over the Christmas period and had not reopened by the time of this inspection. Therefore this Standard was not examined during this visit. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s care plans set out their health, personal and social care needs, and these needs are met at Pinehurst. The administration of medication is well organised and residents are treated with dignity and respect. EVIDENCE: Care plans were well documented and contained a good overview of residents needs. They covered all the relevant sections and in addition the residents with dementia have extra sections including a risk reduction plan and a special section on the strengths and abilities of each resident. The inspector was told that 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 had regular monthly reviews. Part of one the care plans requested was temporarily unavailable for inspection as staff said it was being revised; this was discussed with the deputy manager for further action and the missing section was later faxed to CSCI. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 12 Resident’s health needs are recorded on their files. A variety of health professionals visit the home and community eye care staff were visiting on the day of this inspection. The deputy manager said they come when requested as well as visiting the home every 3 months. There is also Community Psychiatric Nurse input for those residents who require this intervention. Comment cards received from health professionals prior to this inspection contained a number of positive comments including one from a doctor who said they would recommend this home to a relative. Psychological health is also attended to at this home by a combination of suitable activities and support to keep residents occupied and their minds active; regular exercises are provided by a qualified EXTEND tutor commissioned by the home. Medication administration is well organised at this home and the community pharmacist’s report from one year ago was satisfactory. Three medication records were sampled and there were no unexplained gaps on those records. Medication was securely kept both in the central store and on individual units within the home. Residents were observed to be treated with dignity and respect by staff. Staff were observed to knock on doors before entering rooms and to offer support in a discreet way, for example during the lunchtime period on the dementia units where some residents needed assistance with their meal. Those residents spoken to were complimentary about staff, including one who had lived in another home before moving to Pinehurst and said this home was ‘excellent’ in comparison. No negative issues were raised by residents on the matter of privacy. It was noted that the home also has a large and comfortable telephone booth where residents can make and take outside calls in private. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s social interests are catered for and contact with family and friends is encouraged. Residents are encouraged to exercise choice and control over their lives. Mealtimes offer a pleasant experience and a balanced diet for residents. EVIDENCE: Pinehurst provides a range of activities throughout the week for residents and they employ an activities co-ordinator. They have an EXTEND tutor who provides regular activity sessions at the home. There is a small library area with a collection of large and small print books, and a collection of jigsaws. There is also a small shop at Pinehurst for residents to buy small items such as toiletries and cards. Day care is offered from the central concourse in the middle of the home mainly for non-residents though all residents are welcome to join in any of the activities and some of them do. On the day of the inspection there were activities throughout the day including a quiz and card games and the activities co-ordinator outlined the arrangements over the previous month which had Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 14 included Christmas activities such as a carol concert, Christmas bingo, and decorating Christmas cakes on each unit. Residents in one unit later told the inspector how much they had enjoyed decorating (and eating) these cakes. The two dementia units have their own activities – for example quizzes and painting are favoured on one unit where residents are more able. On the unit where residents are more disabled there is more movement to music, work with the bean bags, and the deputy manager stated that all these residents had coloured in the Christmas motif on the front of their song sheets for the carol concert. Other residents had individual interests for example one had made a place mat for her place at the dining table, and another had been helping in the garden. The deputy manager stated that in the dementia units the TV is not left on unless there is something specific which residents wish to see, or where the TV is part of a group activity. One unit had written to the Queen inviting her to visit Pinehurst and the written response was displayed on the wall. They were also sponsoring a guide dog and his picture had been framed and was also hanging on the wall with their sponsoring certificate. The deputy manager stated that outings have changed over the last year following feedback from residents who did not necessarily wish to go on the longer coach journeys to the seaside. Recent outings have been to more local destinations and have included two separate trips to the pantomime at Camberley Theatre and a visit to the Milestones Museum, a reminiscence centre in Reading. Family and friends are encouraged to visit the home and visiting times are flexible. 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. Staff spoken to were knowledgeable on family involvement and those visitors to the home on the day of the inspection had a friendly and relaxed relationship with staff. Four comment cards were returned from relatives with some very positive responses; ‘The standard of care at Pinehurst…is exceptionally good and the care home is very well managed.’ Another spoke of being ‘…very, very impressed’ by the standard of care. Residents have outings in the local community and can choose to go shopping with their key worker if they wish. They also use local health and leisure services. As they have their own library and shop at Pinehurst, there is less need to use outside facilities. Pinehurst offers a very pleasant mealtime experience for residents. The dining areas were set with matching cotton tablecloths and napkins which resident’s told the inspector were changed daily. Help was on offer for those residents who needed it and the cook was able to cater for special diets as well as individual’s likes and dislikes. There is a choice of main course at lunchtime and all those spoken to on the day of the inspection were enjoying their food. The homemade fish pie was a particular favourite and came in for praise from Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 15 some residents who said it was very tasty. Some residents also outlined the arrangements for breakfast (including cooked breakfast on two mornings) and supper to the inspector and said they were very satisfied. The deputy manager stated that healthier menus were in operation since the doctor had picked up that some residents had rather high cholesterol levels – cooked breakfasts for example were now limited to two mornings per week but contained more items, which were almost all grilled. The latest environmental health officer’s report relating to the kitchen at this home was examined and there were no outstanding issues or concerns. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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, including directly with staff or the manager, or at resident’s meetings. Two new complaints had been received since the last inspection and these were discussed with the deputy manager and found to have been dealt with satisfactorily by the home. The home has a copy of the Surrey multi-agency procedures for the protection of vulnerable adults and a staff member interviewed on this matter was knowledgeable on her responsibilities should a suspected safeguarding issue arise. One situation at the home during the last year was properly reported and dealt with by Pinehurst. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 17 Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe and well maintained environment, which is clean, pleasant and hygienic. EVIDENCE: A partial tour of the building took place and included all communal areas including the kitchen and laundry, and Crystal and Blue John units. Pinehurst offers a homely environment which is comfortable, secure, and well maintained. Dining areas had matching table clothes and napkins, communal areas had colour co-ordinated chairs, cushions and curtains, and furniture and fittings were domestic in character and comfortable for residents throughout the home. Suitable areas were set aside for social activities, dining, sitting, and reading, and the outside areas offer extra space and a pleasant environment Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 19 outdoors. The two dementia units had self contained secure garden areas giving residents outdoor space for them to enjoy. The deputy manager stated the home now had a vegetable patch outside and some residents had been involved in growing their own vegetables including tomatoes in the summer. A number of maintenance and safety certificates were sampled during the inspection and found to be satisfactory including the environmental health officer’s report, the electrical appliance testing certificate, and the annual gas safety check. During the tour of the building some minor decorative issues were highlighted as needing attention including two assisted baths where the paintwork and floor area along the bases needed attention, and some boxes and a bag which were being stored in the outside seating area on one unit, which spoilt the otherwise well kept appearance of this area. This home is clean and hygienic with all communal areas, including bathrooms, smelling fresh and clean. There was individually dispensed anti-bacterial hand soap and paper towels in all communal hand washing areas including in the staff facilities. The laundry room was examined and found to have two machines and two dryers. As the home currently had only 30 plus residents, this was considered sufficient for the time being. A third machine which has broken down will need to be replaced and this is being kept under review as the intermediate care unit re-opens and the home starts to move towards full occupancy again. A new laundry disinfection system has been installed which guarantees disinfection even at lower temperatures. Though the laundry is quite separate from those parts of the home occupied by residents, the deputy manager was asked to ensure that the risk assessment for the laundry area included the possibility that residents might find their way in, as it is currently unlocked during the day. One resident’s bedroom had a very faint malodour and the deputy manager said she would look into this straightaway. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by the numbers and skill mix of staff and they are in safe hands. Recruitment procedures are generally good but more work needs to be done to meet this Standard in full. Staff are trained and competent to do their jobs. EVIDENCE: Staffing numbers and the skill mix of staff are appropriate to the needs of residents. Staff rotas were examined as part of the pre-inspection information sent to CSCI and on the day of the inspection there were sufficient staff on duty to meet resident’s needs. No residents raised any negative issues in relation to staff numbers though there was a comment on the useage of agency staff at the weekends which was raised with the deputy manager. The home has used fewer agency staff over the month prior to the inspection as the intermediate care unit has been closed and permanent staff from the unit redeployed throughout the home. It was noted that 83 of care staff at Pinehurst are trained to NVQ Level 2 or above, which exceeds the target of 50 having this qualification by December 2005, as set down in the National Minimum Standards. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 21 Recruitment procedures at this home are clearly set down. Applicants are given an application form and a separate equal opportunities monitoring form. Criminal Records Bureau and protection of vulnerable adult list checks are carried out on all staff, and two written references taken up. The recruitment policy is that staff can be taken on prior to full CRB clearance as long as a POVAfirst check has been completed and is satisfactory, and the new recruit does not have direct unsupervised access to vulnerable adults. Three recruitment records were sampled and there were some minor shortfalls. The registered person must review the staff records (especially with regard to a full employment history) to ensure they comply with all aspects of Standard 29 and the Care Homes Regulations 2001 (as amended). Three staff files were examined with regard to induction and two of these were for care staff. They were found to have a good record of each worker’s induction with the individual sections signed off by the manager. The deputy manager stated that the latest induction pack had been designed by the County Council to incorporate the Common Induction Standards recommended for all new care staff. Staff training is good at this home and training records and certificates were available for examination. The staff member interviewed stated that the home was keen to provide relevant training and in addition to mandatory courses, any training she had identified for herself had also been arranged. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home is managed by a person who is fit to be in charge, and run in the best interests of residents. The financial interests of residents are safeguarded, and their health and safety are promoted and protected. EVIDENCE: The Registered Manager has been in post for some time and is supported by a committed team of staff. She has many years experience working with older people and there are clear lines of accountability within the home. She is well supported by a deputy manager who also has many years experience of Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 23 working with older people. The registered manager and deputy manager have both achieved the Registered Manager’s Award. Quality assurance arrangements at this home are good and they have a Surrey County Council in-house system whereby they work with another similar home and send staff to each other’s service to look at specific areas. Over the year they cover the quality of care; the quality of management and organisation; the quality of the environment; and the quality of staff. The deputy manager stated they are currently recruiting new staff members to the team to provide a fresh approach for the work in 2007. Following a discussion on this with the inspector, the deputy stated they will be trying to dovetail this work with the new Annual Quality Assurance Assessment document which is expected from CSCI. Pinehurst has a number of ways of seeking resident’s views including questionnaires given to residents and respite clients, and discussions at resident’s meetings. Some of the recently returned questionnaires and letters from the compliments folder were sampled and found to be very positive about the service offered at Pinehurst. The system for residents meetings at Pinehurst is excellent. There is an annual meeting where an independent Chair is chosen each time – this is usually a relative of a resident on that unit. Staff are not present at the meeting, except at the end to answer questions. The management team then responds on the issues raised and this is also properly documented. This is usually followed by a social event/get together for residents, relatives and staff. The deputy manager said that an action plan is now always done following the annual meeting so that residents can see what difference their input has made. In addition there are quarterly meetings on each unit – run by a senior care officer. Notes are kept at these meetings so that actions can be followed up. There is an annual business plan for the home which has input from senior staff and residents via their respective meetings. The manager takes feedback from residents meetings into account when working on the plan. There are also ad hoc opportunities for residents to contribute and the home is about to re-do the food questionnaire for all residents; this will give them the chance to vary current menus and introduce some new ideas to cater for new residents and the changing tastes of existing residents. 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. Two Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 24 records were sampled during the inspection. 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 is well managed at Pinehurst. There were records of staff training on health and safety, and risk assessments on issues highlighted as potentially hazardous such as moving and handling were found on resident’s files. An addition to the laundry room risk assessment is dealt with earlier in the report under Standard 26. Records and certificates relating to water temperature monitoring and legionella testing were in place and up to date. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 3 X X X 3 Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP26 Regulation 13(4)(a) (b)(c) Requirement Timescale for action 06/01/07 2. OP29 19(4)(b) (i) The registered person(s) must ensure all parts of the home to which service users have access are so far reasonably practicable free from avoidable risk hence a risk assessment must be undertaken to ensure the welfare and safety of service users who may gain access to the laundry room unsupervised. The registered person(s) must 05/02/07 ensure that all the information required in Schedule 2 of the Care Homes Regulations 2001 (as amended) is obtained for each employee; in particular a full employment history and exploration of any gaps for all those who commenced employment since July 2004. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 27 No. 1. Refer to Standard OP19 Good Practice Recommendations Minor decorative maintenance is needed for the bath sides/bases of two assisted baths, and storage boxes should be moved from one outside sitting area as they spoil the otherwise comfortable and welcoming appearance of this space. The CRB website should be consulted regarding the storage and retention period for CRB certificates. 2. OP29 Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Pinehurst Resource Centre DS0000033540.V326578.R01.S.doc Version 5.2 Page 29 - 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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