This inspection was carried out on 23rd August 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.
CARE HOME ADULTS 18-65
The Pines (Birmingham ) Ltd 29 Bishopton Close Shirley Solihull B90 4AH Lead Inspector
Joe OConnor Announced 23 August 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. The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service The Pines (Birmingham) Ltd Address 29 Bishopton Close Shirley Solihull West Midlands B90 4AH 0121 744 3945 0121 744 3945 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) Care Through The Millennium Mrs Mary Read Care Home 6 Category(ies) of Younger Adults, Learning Disability (6), Mental registration, with number Disorder (6) of places The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Care may be provided to people, subject to appropriate assessment, who have both a learning disability and a mental disorder. 2. That Mary Teresa Read undertakes a recognised accredited training programme in physical intervention by 30th September 2005. Date of last inspection 2 March 2005 Brief Description of the Service: The Pines is a detached property located in the Shirley area of Solihull in a quiet residential area. It is close to local bus routes for Solihull, Kings Heath and Birmingham City Centre. The service is also in close proximity to local amenities including the GP surgery, library, Shirley shopping centre and places of worship. It provides a permanent accommodation for service users with a learning disability who may have also complex needs including challenging behaviours and mental illness. The accommodation comprises on the ground floor a spacious lounge with kitchen and separate dining room. There are two groundfloor bedrooms one with en-suite shower facilities. The other bedroom has a dedicated bathroom. An office is located on the ground floor that is also used as a sleep in room. There is a separate laundry area with an activity room as part of a conversion of the garage. There are four bedrooms on the first floor of which three have shower facilities. There is a large well maintained garden with a patio area and there is some off road parking. The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was announced and took place over a day. All four service users were present and three were able to convey their views about life in the home. A tour of the premises was undertaken. Service users care plans and risk assessments were inspected. Staff recruitment and training records were also sampled. A number of health and safety records were also examined. The Inspector spoke to two members of staff and the manager. Observations of care practices were also undertaken. What the service does well:
Service users live in premises where its external features are similar in design and structure to that of neighbouring properties and its purpose as a care home is not distinguishable. Service users were observed to receive friendly and professional support from care staff. Comments received from service users were generally positive about life in the home. One service user stated, “ I like living here, we can choose what we want to do”. Another stated, “Staff are friendly and polite, they listen to me”. Comments received from the service users before the inspection found that two wanted to have their own flat. The atmosphere was found to be relaxed and friendly that benefits service users. Service users appeared well care for and dressed in clothing that reflected the climate of the day. Staff showed an awareness and understanding of the service users needs. The staff have completed most of the mandatory training such as first aid, food hygiene, fire safety and manual handling. Service users have the opportunity through monthly meetings to communicate their wishes and feelings about the food being provided as well as planning future activities. It was good to see that the service users were informed about this inspection and were given information about the CSCI. Service users are able to participate in meaningful activities in the community. Two service users attend a centre that provides employment in what is called a therapeutic environment and they receive a small salary. One service user works in a charity shop at the weekend. A range of leisure activities are available including cinema, swimming, gym and trips to Stratford Upon Avon, Wellsbourne Market and Cadbury World. The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better:
Service users care plans must provide more detail with regard to how service users manage their daily routine and be more detailed in identifying their leisure interests. Service users must be given a wider choice of holidays and should be able to choose when not to go together. Service users must not have to pay for any bedding and furnishings, which should be provided by the Registered Provider. Any items of bedding and furnishings purchased by service users must be re-imbursed. Service users daily recording must refer in more detail their responses to care and support received from staff. The management of medication while of a good standard was found to require some improvement. The Medicines Administration Records or MAR sheets they are known must indicate where any surplus medication is being carried over. The menus must be more specific in identifying the choices of sandwiches and soup available for service users at lunchtime. Any incident that affects the health and welfare of service users must be notified to the CSCI without delay.
The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 Page 7 There must be suitable facilities in place for the sluicing of any soiled bed linen and clothing. Staff must wear protective aprons when preparing food. One of the service users’ must have a shower facility that is more accessible and meets his mobility needs. This is an outstanding requirement from the previous inspection. Service users must have lockable facilities in their bedrooms so they can securely store their monies and valuables. Staffing levels have improved to a certain extent but there is a need for the senior care post vacancy to be filled which has been vacant for over three months. There is also a need for staff working relationships to be improved and for them to undergo team building training. 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 (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, 5 Service users have information available to them about the service being provided. Service users needs are not met in full, as one requires showering facilities to meet his mobility requirements. Service users have a statement of terms and conditions that needs amending to inform them of the fees being charged by the service. EVIDENCE: Samples of comments received from service users prior to this inspection were generally positive. Three of the comments seen stated that they liked living in their accommodation and that they felt well cared for. Two did state that they would like one day to live in their own flat. Four service users were present at the time of this inspection and three stated that they found the staff to be helpful, polite and that they felt listened to. One stated, “ I can choose what want to eat and when to get up and go to bed”. Another service user said, “It’s nice here”. One service user did comment that sometimes there was not enough staff on duty. Staff interaction with service users was observed to be positive and friendly. The atmosphere during this inspection was found to be relaxed and friendly. While service users needs were to a certain extent being met. It was noted that one service user did not have a fully accessible shower cubicle. This was an issue raised at the previous inspection. Grab rails had been installed in the cubicle but no action had been taken for it to be level access to assist the individual’s mobility needs. Standard 2 not assessed as there were no new
The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 Page 10 admissions. One service user stated that he had his own copy of the service user guide and a copy of the last inspection report. Copies of the service user guide and the last inspection report were found in service users’ bedrooms. Each service user has a statement of terms and conditions although these were found to require improving to include a breakdown of costs paid by the service user and whether service users are expected to contribute their DLA Mobility Component towards transport costs. The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 Service users are encouraged to make decisions about their lives through service users meetings. Care plans while detailed require some improvement as to how service users’ daily routines are managed and what exactly are their leisure interests. Service users have risk assessments in place concerning any limitations on their independence. EVIDENCE: Two service users care plans were sampled and one referred to one service user preferring to use facial expressions to communicate his needs rather than talk. It also referred to the service user requesting not to be disturbed during the night. Another service user’s care plan referred to among his goals that he wanted to stop swearing but there was no reference as to how this will be achieved. The care plans were found to require additional information as to what exactly were service users leisure interests and how these would be met. For example one care plan sampled referred to a service user enjoying watching DVD’s and going to the cinema but there was no reference as to what kind of programmes, films the service user enjoyed watching. The care plans must have a breakdown of the service users’ daily routine over a twenty four hour period. Two service users stated that they had care plans and that their keyworker had worked with them in their development.
The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 Page 12 Risk assessments were in place covering areas such as when service users go out in the community. Among the risk assessments sampled were those that covered how individual service users difficult behaviour was to be managed. There were also risk assessments in place for falls. There was evidence to confirm that the care plans and risk assessments had been reviewed since the last inspection. Two service users stated they participated in monthly meetings where they talked about future activities and the menu. Minutes for these meetings were examined and it was noted that the service users had been informed of the inspection and given information provided by the CSCI about future events for The Pines (Birmingham ) Ltd E54 S4514 The Pines V238423 230805 Stage 4.doc Version 1.40 Page 13 - 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!
