Inspection on 07/06/05 for Pines Residential Home (The)

This inspection was carried out on 7th June 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 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 Residential Home (The) 16/02/09

Pines Residential Home (The) 29/11/07

Pines Residential Home (The) 20/02/07

Pines Residential Home (The) 14/12/05

Pines Residential Home (The) 10/12/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE The Pines Residential Home 106 Vyner Road South Birkenhead Wirral CH43 7PT Lead Inspector Beate Roth Unannounced 7 June 2005 9:00 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 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. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Pines Residential Home Address 106 Vyner Road South Birkenhead Wirral CH43 7PT 0151 653 7528 0151 653 7528 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) Hodge & Wilson Ltd Mr Peter Michael Hodge CRH PC 20 Category(ies) of OP 20 places registration, with number of places The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10 December 2004 Brief Description of the Service: The Pines is registered to accommodate 20 elderly people. Service users are accommodated in single bedrooms, most of which have en-suite facilities. Bedrooms are available on the ground and first floors. There are two comfortably furnished living rooms and a dining room available for service users. There is a bathroom on the ground and first floor. A lift and bathing aids are provided. At the front of the home is a large landscaped garden with lawns, flowerbeds and mature trees. Seating is provided. Parking is available at the rear of the building. There is access to a bus service from the home. Upton and Claughton Village provide a selection of shops and amenities and are a short bus ride away. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over half a day. During the inspection time was spent in the office examining records and policies and procedures and talking to the deputy manager. A tour of the home was undertaken. Staff were observed delivering care to service users. The inspector spoke to service users and to staff. What the service does well: What has improved since the last inspection? What they could do better: The quality assurance systems in place would be improved if the proprietor produced a written report of their findings following their statutory visits to the home. The manager needs to be in full-time, day to day control of the home in order to ensure that the service fully meets the needs of service users. Service users would benefit from new staff receiving foundation training that meets the National Training Organisation (NTO) workforce training targets. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 6 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 Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 5 New service users are fully assessed before they are admitted to the home in order to ensure their needs are met. EVIDENCE: A sample of new service users files was examined. There was evidence of appropriate assessments being carried out before new service users move to the home. There was also evidence that information is gathered from social workers and health professionals to inform the assessment. Prospective service users are visited at hospital or at home by the deputy manager. During this visit the services that can be offered are discussed and whether The Pines is suitable for the service user is assessed. Prospective service users and their relatives are invited to make as many visits to the home as they would like before deciding whether to move in for a 28 day trial period. The sample of service users files viewed contained contracts. Each service user is provided with a contract within 4 weeks of admission. The contract contains all the required information. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 9 The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 9 The health, personal and social care needs of service users are set out in an individual’s plan of care to ensure their needs are met. The medication procedures promote the well–being of service users. EVIDENCE: A sample of service users care plans were seen. These contained clear information to enable staff to meet the health, personal and social needs of the service users. The care plans seen had been reviewed monthly. Staff spoken to were aware of how to access a service users records. The records at the home indicated that referrals are made to health professionals in accordance with the needs of service users. A record is made of visits by health professionals and the outcome is documented. A sample of medications and the corresponding records were examined and found to be in order. The deputy manager and several staff have completed an intermediate certificate in the safe handling of medications. Further care staff are currently undertaking this course and it is anticipated that all staff will complete this course. In addition, all staff who administer medication have been trained by the pharmacist for the home or received instruction from the The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 11 manager or deputy manager of the home who have received appropriate training. The pharmacist who supplies medication to the home visits on a three-six monthly basis to audit the medication and ensure that the home is complying with legal requirements. A risk assessment was available for a service user who administers their medication. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 The routines of daily living are flexible and activities are available that reflect needs and preferences. Service users receive appealing, well-balanced meals in pleasant surroundings. EVIDENCE: Observations and a discussion with staff indicated that the routines of daily living are flexible. There is a list of weekly activities that has been drawn up following consultation with service users. This includes armchair aerobics, singing and some board games. The home encourages service users to carry on with the interests and activities they enjoyed whilst living in their own homes rather than providing a range of group activities. The deputy manager reported that this is in accordance with the wishes of service users. This has been confirmed by service users at previous inspections. Service users described the garden as “lovely.” Considerable work takes place in maintaining the thoughtfully designed and well-presented garden which service users are free to use at any time. Observations of the dining area at lunchtime indicated that a pleasant environment is provided for service users to have their meals. The food being served was well presented and looked appetising. Lunchtime menus are displayed in a book in the main reception for service users and their visitors to view. Visitors may eat with the person they are visiting as long as sufficient notice is provided. Breakfasts are provided following consultation with each The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 13 service user and are served in the bedrooms. A choice of evening meals are provided. The records of menus indicated that a variety of meals that would provide a balanced diet are available. Any special dietary needs are written in to a service users care plan. The cook reported that she is informed about any dietary needs and ensures these are taken into account when meal planning. Service users described the food as “excellent” and “very good.” The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Staff training and policies and procedures are in place to ensure that service users views are heard and appropriate action taken. EVIDENCE: The home has a complaint procedure that provides the required information. A leaflet advising service users and their visitors about how to make comments and complaints about the home is prominently displayed in the reception area. Staff spoken to were aware of the complaint procedure and what to do if a service user or visitor wished to make a complaint. Service users spoken with only had positive comments to make about the home. There have been no complaints made to the home and no complaints made to CSCI about the home since the last inspection. Information about advocacy services is available for service users in the complaints procedure. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home is well maintained and there is a good standard of cleanliness and hygiene, providing service users with a pleasant environment to live in. EVIDENCE: A tour of the home showed that in general the home is well maintained and decorated to a high standard. The decoration in the upstairs bathroom is showing some signs of wear. The home was clean and fresh smelling. The private garden area of the home is well tended and provides a patio area and patio furniture. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 16 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30 There are sufficient numbers of staff to meet the needs of service users. Service users are protected by the homes recruitment practices. Service users would benefit from new staff receiving foundation training that meets the National Training Organisation (NTO) workforce training targets. EVIDENCE: The rotas and a discussion with the staff and the deputy manager indicated that there are sufficient numbers of care staff to meet the needs of the service users. The rotas indicate that there are at least three care staff on duty in the morning and two on the afternoon and evening shifts. At night there is one sleeping in and one waking member of staff on duty. A sufficient number of domestic and catering hours are provided. One new member of staff has been employed since the last inspection. The records of recruitment in respect of this member of staff were examined and contained all the required information. Records of staff training indicated that a brief induction is provided which is supplemented by training days around particular aspects of care of the elderly. At the last inspection there was evidence that there was an induction programme that meets the NTO workforce training targets. The deputy manager reported that she will begin this with new care staff employed. Work needs to take place to develop foundation training that meets the NTO training targets. 5 staff currently have an NVQ Level 2. Steps are being taken to ensure that 50 of staff hold this qualification. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 and 38 The needs of service users are not promoted by there being no registered manager at the home on a consistent basis. Safe working practices ensure that the safety needs of service users are met. EVIDENCE: Since the last inspection the registered manager is no longer in day-to-day charge of the care home. The registered manager is available to provide support to the deputy manager and has made visits to the home. The manager needs to be in full-time, day-to-day control of the home in order to ensure that the service fully meets the needs of service users. There are quality assurance systems in place. There are arrangements for obtaining the views of service users and their relatives. The deputy manager undertakes spot checks on staff to ensure the quality of the service that is being provided. A member of staff said that their views are taken into account The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 18 in relation to the operation of the home. Staff meetings are held and supervision is given to staff. The service users were informed of this inspection and were encouraged to meet with the inspector. The quality assurance systems in place would be improved if the proprietor produced a written report of his findings following his statutory visits to the home. The records of fire safety checks were in order. There was an up to date electrical wiring certificate and a certificate indicating the lift is in good working order. Training records showed that staff are given appropriate training in safe working practices. The deputy manager is currently assessing which staff need to be provided with refresher training in manual handling and food hygiene. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 2 x 2 x x x x 3 The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 20 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 31 Regulation 8 Requirement Timescale for action 07/09/05 2. 33 26 The registered provider must ensure that there is a manager who is in full-time day-to-day charge of the home. The registered provider must 07/06/05 prepare a monthly written report on the conduct of the care home. A copy of this is to be forwarded to the manager and to CSCI. 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. 2. Refer to Standard 28 30 Good Practice Recommendations A minimum of 50 of staff are to hold an NVQ 2 by 2005. The foundation training is to meet all of the National Training Organisation targets. The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Liverpool Area Office 3rd Floor 10 Duke Street Liverpool, L1 5AS 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 The Pines Residential Home F52_F02_s60687_Pines_v228922_070605_Stage 4.doc Version 1.30 Page 22 - 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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