Inspection on 27/11/07 for Pines

This inspection was carried out on 27th November 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Pines 11/11/08

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 09/07/2008.

CARE HOME ADULTS 18-65 296 Old Worting Road (Pines) Basingstoke Hampshire RG22 6NX Lead Inspector Marilyn Lewis Key Unannounced Inspection 27th November 2007 10:00 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 296 Old Worting Road (Pines) Address Basingstoke Hampshire RG22 6NX 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) 01256 333 686 pm-pines@together-uk.org www.together-uk.org Together Working for Wellbeing Post Vacant Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd May 2007 Brief Description of the Service: 296 Old Worting Road opened in 2004 and is a detached house in a quiet suburban street. It is within walking distance of some local facilities and on a bus route to the centre of Basingstoke. The home is registered to provide care and accommodation to seven residents who have mental health issues. The home has of seven single bedrooms, one sitting room, a kitchen/diner and laundry facilities. There is a large garden at the back and front of the house. 296 Old Worting Road encourages people who use the service to retain their own privacy and supports them in reaching their own personal goals. The manager stated at the time of the visit on the 27th November 2007 that fees for six places are paid through a block contract with the Primary Care Trust for six places with residents’ contributions varying dependent on income. One place is funded through spot purchase with fees approximately £925 per week. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information provided by the manager including an improvement plan for the home and information from survey questionnaires from a resident, a relative and a community psychiatric nurse, was taken into account when completing this report. Further information was obtained during an unannounced visit to the home that took place on the 27th November 2007. During the visit the inspector met with all five residents but mainly talked with three of them. The inspector also talked with a project worker, the deputy manager and the new manager, toured the home and looked at records including care plans, risk assessments, medication, staff training and recruitment. What the service does well: What has improved since the last inspection? 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 6 A requirement was made at the last inspection regarding care planning, as not all care plans had been reviewed to reflect the changing needs of the residents. Care plans seen during this visit provided staff with the up to date information they required to support the residents. At the last inspection the home did not look clean and was poorly maintained. On this visit all areas of the home looked very clean and new carpets had been purchased and rooms redecorated. The gardens had been cleared of rubbish and plans were in place for garden areas to be provided for the residents to maintain if they wished. Two residents said that they were looking forward to having part of the garden to tend. Residents said that they were supported and encouraged by staff to go out into the local community such as going shopping and the bank. The residents said that they were able to do what they wanted to do and could go out or stay in their rooms as they wished. Feedback from residents at the last inspection indicated that although they knew how to make a complaint, they felt it was not worth it, as nothing would be done. Residents spoken to on this visit said they felt this had changed and if they voiced a concern or complaint the manager and staff would respond. Residents and staff said that they felt life at the home had improved since the new manager had started. Staff said they now felt supported and staff morale had greatly improved. Many of the requirements issued at the last inspection have been met at this inspection. Since the last inspection staff had received training in fire safety including the use of fire extinguishers and evacuation of the home to ensure they were aware of the procedures to follow to protect the safety of the residents should an incident occur. Hand towels in communal bathrooms and toilets have been replaced with disposable paper towels to minimise the risk of cross infection. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No one is admitted to the home without a care needs assessment to ensure the home can meet their care needs. Prospective residents are able to visit the home before they make a decision about living there. EVIDENCE: Two new residents have been admitted to the home since the last inspection. One of the new residents spoken with during the visit said that he had liked visiting the home to see his room and meet the other residents prior to moving in for a trial period. The manager said that during the visit to the home assessments of needs were undertaken and the wishes of the person discussed to ensure the home is able to meet their needs and aspirations. The manager commented that he had completed an assessment for another prospective resident but felt the home was not best placed to meet their needs and a place was not offered. The manager said that he took into account the needs and wishes of the permanent residents and how they would be able to accept a new resident before making a decision about offering a place to prospective residents. One resident said that they had met the new residents when they had visited the home and had agreed to them coming to live there. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 10 Assessments seen for the two new residents were detailed and included information from health professionals and care managers. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care planning has improved, with residents involved and their changing needs reflected in the documents. Risk assessments must be completed to minimise the risks for the residents who are being supported to participate in an independent lifestyle. EVIDENCE: At the last inspection care plans seen had not been reviewed to reflect the changing needs of the residents. The manager said that during the new residents trial period at the home the initial assessments were reviewed and updated as the resident settled into life at the home. Care plans for the two new residents and one resident who had lived at the home for a number of years, showed improvement in the recording of the residents’ needs and wishes. However the assessment for one resident stated that they would like to go swimming at a sports centre but this was not followed through in the care plans. The manager said that he thought the 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 12 resident had changed his mind about going swimming but would discuss it with the resident again and record this. Care plans seen had been reviewed regularly and reflected the changing needs of the residents. The residents said that they discussed their care plans with staff during one to one meetings. The manager showed the inspector a copy of a new format for person centred care planning that he was going to introduce in the New Year. He said that he had asked staff to look at the document and it was then to be discussed in one to one staff meetings. The manager said that the document entitled ‘About Me’ provided an opportunity for staff to talk with residents about their care and life at the home in a more positive way with sections about who they are and what they can do well, helping to work towards fulfilling their aspirations. During the visit residents were observed discussing what they wanted to do with staff such as going out to the shops, how they were going to get there and back and what they wanted to buy when out. One resident helped himself to a late breakfast while another made a cup of coffee and took it to the lounge to drink. A resident said that they felt they took part in the decision making at the home including changes to the décor and furniture. The resident said that they liked the new colour of the lounge and had gone with a staff member to choose new carpets for the home. The resident also said that they had chosen the colour scheme for their bedroom and were very pleased with the room. The manager said that the residents had been involved in his recruitment as manager of the home when they were asked to give their opinions following his visit to the home . Risk assessments were contained in the care plans including those for smoking and self- medication while away from the home. However one care plan indicated that the resident could be verbally or physically aggressive but there were no risk assessments in place to guide staff to support the resident through these episodes. Assessments had also not been completed for residents going out alone. The manager said that the residents were encouraged to live an independent life and when they felt confident enough to go out without a staff member they were able to do so. Staff accompanied residents initially to ensure they were aware of aspects such as road safety but this was not documented. The manager said that in future this would be recorded to ensure all staff were aware of the abilities of the residents regarding their safety when out alone. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and encouraged by staff to participate in appropriate leisure activities and to maintain contact with relatives and friends. Residents enjoy the choice of meals provided at the home. EVIDENCE: Records seen for two of the three residents case tracked indicated that they accessed the community frequently with visits to the shops, garden centres, and social clubs. One of the residents visited friends locally and sometimes stayed overnight. The second resident said that they often went out for a walk or spent time in the garden. The third resident was feeling anxious and did not want to go out of the home at present. Staff said that they were waiting until the resident felt at ease before encouraging them to go out. During the visit two residents went out shopping and for coffee, one stayed around the home and garden, which he said was what he wanted to do. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 14 Another resident spent some time in their room again saying that this was what they wished to do and the fifth resident was unwell and spent time in their room or in the kitchen/dining area. The wishes of the residents regarding their leisure activities were documented in their care plans. One of the residents wanted to go to watch trains at a station further away from town and the goal had been broken down into sections including the resident finding out how much it would cost to get to the station and how often the trains ran. The resident had said that in the short term he would watch trains at the local station until he felt able to undertake the journey to the other station. The manager said that residents had been given information about activities in the community but apart from one resident who attended a social club and the resident and another going to a clinic/day centre for medication the residents had declined to participate in community activities. Each resident has an allocated ‘home day’ on one day of the week when they tidy their room and do their laundry. A staff member said the day is changed if they wish to participate in a leisure activity away from the home on that particular day. One resident said that he had recently had a visit from his brother, which he had enjoyed. Another resident said that his friend had visited him at the home. Staff said that relatives and friends were able to visit at any time provided the resident agreed. There is a pay phone in the hall that residents are able to use and some residents have mobile telephones of their own. Residents said that they decided what they would like on the menu for meals and they enjoyed the meals provided. A staff member said that one resident liked to help prepare meals and the resident confirmed this. The main meals were agreed between the residents and staff and choice was always available. During the visit residents were seen to help themselves to snacks and drinks as they wished. Residents also went with staff to purchase the groceries and during the last resident meeting records showed that discussions took place as to what they would like for meals and snacks over the Christmas period. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer and their health care needs are being met. Residents are able to retain, control and administer their own medication where appropriate and they are protected by staff adhering to the home’s clear procedures for dealing with medication. EVIDENCE: The manager said that currently the residents were able to attend to their personal care independently apart from the need for occasional prompting. This was documented in their care plans and residents spoken with said that they did not need any assistance with personal care. One resident was prompted to wash and change their clothes during the visit. Staff prompted the resident in a very sensitive and friendly manner and the resident chatted easily with staff and agreed to go and attend to his personal care. Records seen indicated that residents were supported to attend appointments with GPs, psychiatrists and community psychiatric nurses plus hospital 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 16 outpatients. One resident said that staff gave would remind him of any appointments he had so that he did not miss them. Survey information from a community psychiatric nurse said that staff passed on information regarding the residents’ health care needs quickly. One resident chatted to the inspector about giving up smoking. The resident said that staff had offered advice when she said she was going to give up, such as going to the GP for support but she had declined as she wanted to do this on her own. She was very pleased that she had not smoked for four months. A staff member said that only staff who had received training in medication were able to administer the medicines and records seen confirmed this. All staff were due to attend a training session on the safe handling of medicines later in the week. The deputy manager said that when staff had attended the training for the first time, they would be supervised administering the medicines to ensure they felt competent to do so. Medication records seen had been completed appropriately and medicines were stored safely. The home uses the Dosette box system as this is felt by staff to be the best method of supporting the residents, some of whom are hoping to live independently when they move from the home. Information from the community psychiatric nurse also stated that the resident whose care he was involved with found it a helpful way to deal with his medication. The residents are involved in the administration of their medicines and sign the medication records with the staff member. One resident administers his own medication when away from the home for visits to friends. Risk assessments were seen to be in place for this. The home has systems in place for recording medication brought into the home and for the disposal of unwanted items. A staff member said that changes to the medication are only made when a new prescription is provided and not made through telephone messages from the GP unless it is an emergency. Procedures are in place for the use of medicines given PRN (as needed). The reason for giving the medication is recorded and records audited. If the resident requires the PRN medicine on a regular or frequent basis, the staff member said that the GP or Psychiatrist is contacted for advice. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are listened to and acted upon and residents are protected by staff awareness of the need to protect vulnerable people from abuse. EVIDENCE: At the time of the last inspection residents said that they could complain but it was not worth it. During this visit residents said that they felt this had changed and if they were not happy they could talk with staff and ‘something would be done’. The three residents spoken with said that they would speak to a staff member if they wished to complain. A staff member said that if a resident wanted to put a complaint in writing they would assist them to do it as it ‘was their right to complain if not happy’. Staff spoken with knew the procedures to follow should abuse be suspected. Records seen confirmed that staff had received training in the protection of vulnerable adults. The home has clear procedures in place for handling residents’ money. Small amounts of personal money are held at the home for residents. The monies are stored in individual containers in a safe place. Records are kept of all transactions. Money checked for one resident matched the amount held. Records showed that staff checked the money held for each resident at the change over of every shift. During the visit one resident asked for money to go shopping. Staff discussed with the resident what they wanted to buy and how much they would like to 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 18 take. The support was given in a sensitive manner and the staff member encouraged the resident to make his or her own decisions. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The house is clean and safe and improvements are being made to the environment to provide residents with a more comfortable and welcoming home. EVIDENCE: At the time of the last inspection areas of the home did not look clean and were poorly maintained. Rubbish including old furniture was stored in the garden. On this visit all areas of the home seen looked clean. The home has instigated a cleaning system and staff said that they found this was working, with different tasks allocated each day of the week. Staff said that it had been hard work initially but now keeping the home clean was much easier. Residents also had a list of tasks to do such as laying dining tables and keeping their own rooms tidy. One resident asked said that they did not mind joining in with the tasks. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 20 New carpets have been provided through the hall and stairs and the lounge and the lounge was also being redecorated. Bathroom flooring is due to be changed shortly but staff said that there was a possibility that new baths were being provided and so the flooring was delayed until the decision was made regarding the baths. A new kitchen had also been ordered and was due to be fitted after Christmas. Residents said that they had been able to choose which units they wanted. Since the last inspection communal hand towels in the bathrooms have been replaced with disposable paper towels to reduce the risk of cross infection. The garden has been tidied and a staff member said that as some of the residents were interested in gardening, discussions were taking place with them about them having their own plot to tend. During an ‘Open Day’ flowers had been placed on tables in the dining room. Following this, residents said that they liked flowers on the tables and one resident is responsible for arranging the flowers now purchased on a regular basis. Three residents spoken with said that they liked their rooms and one commented ‘I like it, its my space’ and another said that ‘I have all I need and I really like my room’. All the residents have keys to their rooms and have a locked drawer to keep personal items securely. A chair lift is fitted on one of the stairways. A staff member said this was used occasionally by one of the residents. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust procedures are in place for the recruitment of staff to minimise the risks to the safety of the residents. Staff receive supervision and the training they require to do their jobs. EVIDENCE: The home employs the manager, deputy manager, two senior project worker, a relief senior project worker and three project workers. At the time of the visit one of the project workers was on sick leave. The manager said that the organisation employed relief workers who worked in the homes in the local area and these were called on to cover staff sickness and holidays. The manager said that this ensured that staff working at the home knew the residents and their care needs and employing staff through outside agencies was not necessary. Two staff members were on duty for each shift and at night there was one sleep in staff member. Staff said that this level of staffing worked as three of the residents were fairly independent and were able to go out on their own and another was able to go alone for some outings. The manager said that an 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 22 additional staff member would be put on duty to support the resident who did not currently wish to go out felt able to do so. During the visit it was evident that staff had a very good rapport with the residents. The three residents spoken with said that the staff were ‘lovely’, ‘really good’ and ‘they help me to do what I want to do’. The deputy manager holds NVQ3 in care, one of the senior project workers has just completed level 2 and another is completing the final unit. One of the project workers is interested in undertaking the training but has not yet started the course. Staff said that the organisation has a good training programme and they are readily able to access training. Records seen confirmed that staff had received training in mandatory topics such as infection control, first aid, food hygiene and moving and handling. Staff had also attended training relevant to the needs of the residents including human rights and mental health; approach to care planning and personality disorders. All staff were due to attend training in the safe handling of medication later in the week and training in risk awareness had also been arranged. A staff member said that they received regular one to one supervision and records seen confirmed this. The manager said that he was doing supervision for all staff at the moment but the deputy manager was due to attend training in providing supervision shortly and would then share the supervision of staff. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ views are taken into account in the running of the home. The manager needs to concentrate on the improvements that have been made in order to ensure they are sustained, whilst continuing to ensure further quality needs of the service are addressed. EVIDENCE: The manager has been in post since mid August 2007. He has been employed by the company for eleven years and has experience in caring for people with mental health needs in a residential setting. The manager said that he had forwarded an application to the commission for registration as manager of the home and is awaiting an interview. The manager said that he is due to start training for NVQ4 in care at the beginning of 2008 but does not have a date as yet. 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 24 As stated in standard 9, the manager needs to ensure further improvements are made to ensure risks taken by the residents are assessed. Two staff members said that since the new manager had taken up his post staff morale had improved and they felt they were now getting the guidance and support they needed. Two residents also said that life at the home had improved since the new manager had arrived. It was evident during the visit that the manager had a good rapport with both residents and staff. Three residents said that they had been to residents meetings where they could discuss ‘what they liked and did not like’ about the home. One resident said that the last meeting had been on a one to one basis, as they did not want a group meeting that month. A staff member said that staff meetings had started again with the new manager and records seen confirmed that a meeting had been held at the beginning of November. During the meeting the care of residents was discussed and also health and safety training and general issues. The area manager for the organisation visits the home at least monthly to monitor the quality of care provided, looking at records and meeting with residents and staff and also following up on issues from the previous visit. The manager said that he received good support from the area manager. The manager said that the Open Day held in October gave relatives an additional opportunity to discuss the care provided at the home. Records seen indicated that staff received training in health and safety issues and since the last inspection all staff had received training in fire safety. Paper towels have been provided in communal bathrooms to minimise the risk of cross infection. 296 Old Worting Road (Pines) DS0000012310.V349768.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 3 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 3 3 x x 3 x 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 26 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. Standard YA9 Regulation 13 (4)(b) Requirement Risk assessments must be undertaken for residents who go out from the home alone to ensure they are safe to do so. Timescale for action 30/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 296 Old Worting Road (Pines) DS0000012310.V349768.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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