Inspection on 26/07/05 for Pines

This inspection was carried out on 26th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Pines 11/11/08

Pines 27/11/07

Pines 22/05/07

Pines 10/07/06

Pines 20/01/06

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 09/07/2008.

CARE HOME ADULTS 18-65 296 Old Worting Road Basingstoke Hampshire RG22 6NX Lead Inspector Debbie Hawkins Unannounced 26th July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 296 Old Worting Road Address Basingstoke Hampshire RG22 6NX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01256 333 686 MACA to be confirmed CRH 7 Category(ies) of MD Mental Disorder - 7 registration, with number of places 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Over 45 years only. Date of last inspection 7th February 2005 Brief Description of the Service: 296 Old Worting Road is a large property set in a quiet surburban street. It is within easy reach of the local facilities with a bus route to the centre of Basingstoke. MACA is the registered provider and the home has a new manager who is currently undergoing the registration process. The home is registered to provide care and accommodation to seven service users who have mental health issues. The home comprises of seven single rooms, one sitting room, kitchen/diner and laundry facilities. The garden is well maintained, providing additional recreational space. 296 Old Worting Road encourages service users to retain their own privacy and endeavours to support them in reaching their own personal goals. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours and during the visit the staff on duty and the service users in the home assisted the inspector. An opportunity was taken to look around parts of the home, view some records and talk to staff and services users. The inspector spoke with two staff members and four service users. The manager was unavailable on the day of the inspection but the outcome of the visit was relayed to her with a telephone conversation There were no other visitors in the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The lounge must be refurbished and redecorated to ensure it is a homely environment for service users. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 6 The record for fire training must show that staff are trained twice in a twelve month period enabling them to be competent to ensure service users are safe. 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. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The home has a system of assessment, which identifies prospective service users needs and how they will be met. EVIDENCE: The inspector sampled three service user’s files and each contained an assessment, although it was discussed with the staff member on duty all the information needs to be completed using not applicable in a particular section if needed. The assessments showed that individual needs and aspirations are assessed and this information is then transferred to the plans to ensure staff give each individual the right support. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 There is a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service user’s needs. Risk assessments are in place and ensure service users are able to take risks as part of an independent lifestyle. EVIDENCE: Individual plans of care are available and three were sampled. They give detailed information on assessed and changing needs and personal goals. These are reviewed regularly. Two service users spoken to said they do not wish to look at their plans other than when they need updating but do know how to access them. Signatures are in place confirming service users know what is being written. A staff member spoken to said they assist service users to update their plans and feels it is good guidance on how to support an individual and note any changes. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 10 Risk assessments are in place and show that service users are supported to take risks. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Service users have opportunities to engage in suitable activities to meet their needs with good relations and support from friends and families. EVIDENCE: Service users continue to enjoy activities both in the home and the local community. On the day of the visit, two service users were preparing food for the evening meal and one service user was going for a walk to the shops later in the afternoon. Other service users were out during the inspection and were attending various local groups. All the service users are going to Weymouth for a two week holiday in September. Service users spoken to said they have regular contact with family members with one service user saying their Daughter visits monthly, this information is detailed in their plans. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 12 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Service user’s health and personal needs are being met to ensure they are supported in the way they prefer. EVIDENCE: Three service user’s plans were sampled and they contained clear information on each service user’s specific needs. The plans seen indicated service users are generally independent but this is constantly monitored. Service users spoken to said they felt staff are meeting their needs. Service user’s physical well being is documented in the plans. Service users spoken to confirmed they visit their doctor, opticians and dentists and this is done independently unless staff support is needed. The staff member spoken to confirmed staff build a relationship with individuals and so get to know when a service user is unwell. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Arrangements for protecting service users and responding to concerns are satisfactory. EVIDENCE: The complaints procedure was seen and contained all the relevant information. Service users said they would tell staff about any concerns and know it would be dealt with. One staff member spoken to said they would feel confident to respond to any concern or complaint and would know what to do if they had a complaint. The complaints book could not be located on the day of the inspection so will be viewed during the next visit. The home has all the relevant documentation relating to adult protection including a whistle blowing procedure, the adult protection policy and the ‘no secrets’ guidance. Not all staff have received training in abuse but the staff member agreed to pass this on to the manager. However staff spoken to were confident what to do in the event of an allegation of abuse. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,28 and 30 A comfortable and safe standard of accommodation is provided for the service users, which meet their needs, with issues being dealt with appropriately. EVIDENCE: The home is generally well maintained and suited to the service user’s needs. It is decorated to a standard that creates a comfortable and homely ambience. Since the last inspection there is now new flooring in the office and new carpets in the hallway. The staff member said the lounge is be decorated but was not sure when, it was discussed this will remain a requirement. The pipe work of the home is also being repaired and so service users are going away to Weymouth for two weeks holiday whilst this is being completed. It was noted the garden looks lovely and one service user said they have their own patch they attend to. It was discussed that the mattresses from the garden need to be removed and one staff member on duty confirmed this was happening. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 16 The laundry room was viewed and this is a separate room away from where food is prepared. A washing machine and a tumble drier is in place as well as suitable hand washing facilities. Service users spoken to said they are happy with the building and feel the environment is safe and homely. One service user said ‘This is not just a place to live but is my home.’ 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home ensures that staff are trained to meet service user’s individual and joint needs. EVIDENCE: Some staff training files were viewed and showed various training including manual handling, hearing voices awareness, food hygiene and mental health law. However there was further information that the staff on duty felt may be in personal files that are locked away so these will be viewed during the next inspection. The staff team have worked in the home for many years with lots of experience supporting people with mental health issues. Three staff are currently working towards their National Vocational Qualification. Service users spoken to said the staff are very helpful and ‘nothing is too much trouble’. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health, safety and welfare of service users is fully promoted with staff being well trained and showing a sound knowledge within the areas of health and safety. EVIDENCE: All policies and procedures relating to health and safety are available in the home and the staff spoken to knew where and how to access them and had a satisfactory understanding of health and safety. Staff have also received the relevant training in areas such as food hygiene and fire training but the records for this need to detail what training is taking place such as questionnaires, use of video and needs to be clearer to show staff have been trained twice in a twelve month period. One staff member spoken to said they have responsibility for the maintenance but there are some issues relating to the housing association, as they can be slow to respond. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 19 Service users spoken to said the house is safe with a good fire system in place that is tested once a week, the records were in place to confirm this. They also knew what to do in the event of a fire. It was seen that the relevant records and certificates are in place to ensure the environment is safe and secure; this includes portable appliance testing and annual gas checks. On the day of the visit the home was safe and free from any hazards. 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 2 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 296 Old Worting Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 21 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 28 Regulation 23 and 16 Requirement The registered person must ensure the lounge is refurbished and redecorated. Timescale for action 30/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 22 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 296 Old Worting Road H54 S12310 296 Old Worting Road 260705.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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