Inspection on 11/11/08 for Pines

This inspection was carried out on 11th November 2008.

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

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

Pines 27/11/07

Pines 22/05/07

Pines 10/07/06

Pines 20/01/06

Pines 26/07/05

Pines 07/02/05

Pines 06/09/04

Pines 03/03/04

Pines 06/02/03

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Pines 296 Old Worting Road Basingstoke Hampshire RG22 6NX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Peter McNeillie     Date: 1 1 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: Pines 296 Old Worting Road Basingstoke Hampshire RG22 6NX 01256333686 Telephone number: Fax number: Email address: Provider web address: pm-pines@together-uk.org Name of registered provider(s): Name of registered manager (if applicable) Mr Antony Leo Wingrove Type of registration: Number of places registered: Together Working for Wellbeing care home 7 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: either, whose primary care needs on admission to the home are within the following category: Mental disorder, excluding learning disability or dementia - Code MD. The maximum number of service users who can be accomodated is: 7 Date of last inspection Brief description of the care home 296 Old Worting Road (The Pines) is a detached house located in a in a quiet residential area within walking distance of some local facilities and on a bus route to the centre of the North Hampshire town of Basingstoke. The home is registered to provide care, support and accommodation for up to seven residents who have mental health issues. Residents who are accomodated in their own rooms are encouraged to retain their own privacy and are supported in reaching their own personal goals and in the regaining their independance. Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 7 Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This report was written after taking into consideration a number of sources of information and evidence. These included, the previous report, a site visit to the service, information obtained from examining residents and staff records, personal observations, talks with staff and management, results from an in house quality survey and responses by the manager to a CSCI Annual Quality Assurance Assessment (AQAA) prior to the inspection. This key unannounced visit took place on 11/11/08 between the hours of 08.45 am and 12 noon. During the inspection at which all of the key standards for care homes for younger adults were assessed. Care Homes for Adults (18-65 years) Page 6 of 26 The results and findings contained in this report will determine the frequency and type of future inspections. At the time of outr visit fees ranged from six hundred and eighty five pounds and eight hundred and thirty five pounds per week. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a well-developed system of assessing and identifying residents needs which ensures residents safety and assessed needs can be met. Evidence: A Corporate admissions policy and procedure is in place that requires that no resident be admitted into the home without a full assessment of need and risk being undertaken. The manager is responsible for producing the assessment in consultation with the resident or their representative taking into consideration other available assessments by any health or social care professional during a pre admission visit to the home and in the course of an initial trial period of residence. The trial period is then followed by a multidisciplinary review of the placement during which a final decision is made whether a permanent placement would meet the individuals needs. Pre admission assessments of three residents were viewed. All of the records seen were presented in a clear well laid out manner and confirmed Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: that the residents were admitted in accordance with the admissions policy and procedure, which included a visit to the home and consultation with other residents. Both the care and risk assessments which were reviewed on a regular basis were very detailed and contained information that included personal care, communication, social and health needs and any other issues that could affect the manner in which care was delivered. Care Homes for Adults (18-65 years) Page 11 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a clear and consistent care planning system in place, which ensures residents needs are met within a risk management policy that involves residents in decisions that affect them in compliance with a requirement made following the last inspection. Evidence: At the last inspection a requirement was made that, Risk assessments must be undertaken for residents who go out of the home alone to ensure they are safe to do so. As part of our inspection we viewed four residents files. All contained plans on how assessed needs were to be met within a risk taking environment and confirmation that residents were consulted when the plan was formulated. Topics covered included personal daily routines, showering, bathing, cleaning teeth, cooking skills, kitchen hygiene, using domestic appliances, personal Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: appearance, finance, medication, getting up routine, travel (Including residents going out alone) safety in the home environment and financial abuse. From evidence seen we were satisfied the above requirement had been complied with. When a risk assessment is carried out, should any type of restriction be indicated, this would not be implemented without the full consent of the resident and a record made in the care plan. When we spoke with residents all confirmed that they had full control over their day to day lives and were fully consulted about all matters this was also confirmed by residents and responses to the CSCCI pre inspection satisfaction survey. To ensure equality and diversity are promote within the service we were informed in the AQAA Together has a comprehensive equal opportunities policy (available on request). All staff inducted into core values according to Skills for Care and so reflect anti-discriminatory practice. Care Homes for Adults (18-65 years) Page 13 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The social activities family, contacts and the provision of varied and nutritious meals were well managed and reflected residents interests and choices. Evidence: The home views residents activities as very important to the individuals wellbeing, consequently, staffing is arranged to ensure residents are supported by people familiar to them and whenever possible no activity is cancelled due to lack of staff. We observed staff interacting with residents in a positive, respectful non-patronizing manner. It was evident that caring for the residents was more than a job for the staff who expressed and demonstrated a total commitment to their residents. When asked about living in the home all of the residents responded in a positive manner. Their comments included Very much respected, I feel wanted and respected, Happy, Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: Would recommend the home to anyone, Home is what its all about. Residents families and friends are encouraged to visit at any time.Residents who are free to make and receive telephone calls, receive visitors in private and choose who they wish to see, are supported in maintaining family contacts and establish friendships by staff. Residents are encouraged to participate in the choosing, buying and preparation (with assistance) of the meals and contribute in the drawing up of a daily menu. Tea, coffe and other drinks were available at all times. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. Evidence: The manager and staff informed us and residents confirmed, that they could exercise choice in respect of all aspects of their lives, these would include providers of personal services, bedtimes, clothes, food, gender of carer, GP, dentist optician and key worker. Records seen indicated that any special medical or health or social care needs would be provided following consultation with the appropriate professional, these might include the community mental health care team,a community phychiatric nurse, doctors, district nurses, physiotherapists, occupational therapists, speech and language therapists, and care managers. Records were kept of appointments with all health and social care professionals and included details of any advice and treatment given Information in the AQAA verbally confirmed by the manager told us that all residents Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: were able to attend to their personal care independently apart from the need for occasional prompting. This was documented in their care plans. Residents spoken with said that they did not need any assistance with personal care. All drugs are which securely stored are administered, disposed of and recorded in accordance with a medication policy and procedure by trained staff. Records of the administration and disposal of unwanted drugs and medicines seen were complete and accurate. A policy and procedure is in place for residents to be responsible for and the administration of their own medication. Currently three residents are self-medicating following a detailed risk assessment which was included in individual care plans. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has clear policies and procedures in place which ensures residents are able to complain and are protected from abuse. Evidence: A whistle blowing and safeguarding policy and procedure have been implemented to work in tandem with the procedure produced by Hampshire County Council. All management and staff spoken to demonstrated they were aware of the procedure to follow should they witness or suspect the abuse of a resident. The complaints procedure, which was also included in the service users guide included information on how to contact The Commission for Social Care Inspection (C.S.C.I), was seen, as was record of complaints. CSCI has received no complaints since the last inspection. Residents who went to great pains to assure us they had no complaints also told us they felt comfortable in discussing any concerns they had with the homes manager or staff and were sure any issues raised would be dealt with quickly and fairly. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A safe, well maintained, clean and suitably furnished home is provided for residents which meets their needs. Evidence: The home, which blends in with neighbouring properties and has no stigmatising signage, is situated in a pleasant residential area with good public transport links to the nearby centre of Basingstoke allowing easy access to shops and other communal resources including cinemas, sports centres and theatres. All areas of the home were clean and free from unpleasant odours and obvious hazards. Furniture was comfortable, homely and in a good state of repair, in keeping with the decor and met the residents needs. All communal areas were accessible by the residents including the garden. There is a rolling programme of maintenance to ensure that the building is kept in good order, well maintained, decorated and kept safe for the resident and staff. Since the last inspection the kitchen area has been refurbished, the lounge redecorated and new curtains and carpets provided. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all residents. Evidence: At the time of out visit in our view the number of staff on duty was adequate to meet the needs of the residents. We were informed that the planned daily staffing levels for the home each at least two members of staff on duty at all times during the daytime hours and one member of staff and one on call sleeping member at night. The daytime deployment of staff being dependant on the individual daily programmes of residents and the needs of residents in the house. As part of our inspection we viewed three staff recruitment and training files selected at random. All files viewed included evidence that staff are employed in accordance with a robust corporate recruitment and selection procedure, which is designed to protect residents. This involves the completion of an application form, the signing of a rehabilitation of offenders declaration, an interview, and satisfactory Criminal Record Bureau (CRB) disclosure, Protection of Vulnerable Adults (POVA) and reference checks. Following their appointment, records seen also confirmed that all staff are subject to a Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: comprehensive induction and compulsory training programme that include first aid, handling medication, food handling, moving and handling, POVA, and infection control as well as subjects that were client specific. Following induction all staff are expected to undertake a National Vocational Qualification (N .V. Q.) Course. Information provided by the manager indicated that 83.3 of staff has been trained to at NVQ level three well in excess of that expected in the National Minimum Standards Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of the home ensures the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents whose views about living in the home are formally sought through their representatives. Evidence: The service is well managed by the manager who has been registered since the last inspection and is currently involved in a training course leading to an NVQ level four qualification. A quality monitoring process was in place that seeks the views of residents their representatives staff and external health care professionals. Care staff informed us that they had regular staff meetings and supervision, felt well supported by the manager who they described as available and approachable and open to ideas that might improve the service. A health and safety policy was in place to ensure the day-to-day safety of staff and residents. Procedures include, weekly health and safety checks, the regular servicing Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: of equipment, staff training in the techniques of moving and handling infection control, control of substances hazardous to health (C.O.S.H.H.) first aid, health and safety, reporting accidents and procedures to follow in the event of fire (including evacuation). As part of the health and safety arrangements and to protect residents we were informed all of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade and all radiators and hot pipes covered. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!