Inspection on 01/12/05 for The Pines (Hindhead)

This inspection was carried out on 1st December 2005.

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 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

The Pines (Hindhead) 04/05/06

The Pines (Hindhead) 25/11/04

The Pines (Hindhead) 20/04/04

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Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

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

CARE HOME ADULTS 18-65 Pines (The) (Hindhead) Whitmore Vale House Churt Road Hindhead Surrey GU26 6NL Lead Inspector Pauline Long Announced Inspection 1st December 2005 02:00 Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 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 Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 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. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Pines (The) (Hindhead) Address Whitmore Vale House Churt Road Hindhead Surrey GU26 6NL 01428 604477 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) rebeccas@whitmorevale.co.uk Whitmore Vale Housing Association Ms Rebecca Janet Slinn Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (1), of places Physical disability (5) Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 5 persons in category LD/PD (Learning/Physical Disability), of which one may also be in category MD (Past or present Mental Disorder) The age/age range of the persons to be accommodated will be: 19-50 YEARS OF AGE 21st June 2005 Date of last inspection Brief Description of the Service: The Pines is a large detached house providing accommodation and care for up to five service users with physical and learning disabilities. The existing service users are young adults. The home is situated in a rural area on the outskirts of Hindhead and shares its premises with the association’s main office, and another care home which is owned by the Whitmore Vale Housing Association. However, The Pines has maintained its own separate identity and has it’s own entrance. All bedrooms are single rooms with washing facilities. The communal facilities compromise of a large lounge with plesant views over the large garden and into the valley below. There is a nicely decorated separate dining area, a large kitchen and a laundry room. The bathrooms are quite large, and it has been well adapted to meet the needs of the residents. Service users have access to a well- equipped sensory-room. The fenced and walled terrace to the front of the house is easily accessible for wheelchair users. The home has its own transport and there is ample car parking. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of this home under the Care Standards Act 2000 and the CSCI year April 2005- March 2006 and was announced. The inspection was carried out by one inspector and lasted for five and a half hours. On the day the outside of the home was undergoing major works, and was surrounded by scaffolding. The service had a homely cosy, and welcoming atmosphere. All of the rooms at the home were occupied, and all of the residents were at home during the inspection and were included in the inspection process. Discussions were held with the manager, care staff and residents. Documents sampled, included service users files, care plans, staff records, policies and procedures, pre-inspection paperwork and feed-back from a number of comment cards and service user satisfaction survey. A full tour of the home took place. Feedback from the resident’s at home on the day was limited, in view of the their communication difficulties. However, it was pleasing to note that the manager and staff encouraged the residents to be involved in the inspection process. The resident’s facial expressions and body language indicated that they were comfortable with this. CSCI would like to thank the residents, manager and staff for their hospitality and co-operation during the inspection. What the service does well: This home presents a homely environment and atmosphere for the residents. The manager’s approach was open and inclusive. The care staff team is a stable one, and they demonstrated a good understanding of the residents care needs. This was reflected in the wellbeing of the residents who were at the home on the day. The home is committed to ensuring that the residents maintain contact with family/friends and the local community. There are many various activities offered both in and outside the home. On the day all of the residents had planned activities out side the home and did not return until 4pm. The care plan documentation, service user guide, statement of purpose and complaints policy have been developed in written and in some cases pictorial format, to ensure residents are able to access as much of the information as possible and in view of their communication difficulties. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 6 It was positive to note that residents’ rights were promoted well within the service. There is a well equipped sensory room and many colourful pieces of sensory equipment placed through out the home, which were good for the residents with communication difficulties. The staff should be commended on the attention they have paid to sensory stimulation through out the home. What has improved since the last inspection? 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. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4,5 Resident’s needs are well met in respect of this area of provision. Prospective residents had the opportunity to “Test Drive” the home. Resident’s contracts are not routinely signed by either a service user or representative, however the manager is addressing this with all concerned. EVIDENCE: It was pleasing to note, that the home has developed the Statement of Purpose and Service user guide in written, and pictorial format. These documents were comprehensive and would enable the prospective service user and their relative to make an informed choice as to whether or not the home could meet their needs. The manager stated that the home would encourage prospective service users to take the opportunity to visit the home several times prior to admission, in order to further assess their needs. All of the residents had a contract of the care services provided at the home, and all but two of the resident’s contracts were signed. The manager has worked hard since the last inspection in order to ensure that these contracts are signed. Discussions were had around a residents understanding of what signing a contract would mean. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 9 Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 6,8,9,10 The manager and staff had a good understanding of the resident’s needs and choices, these were well met. Residents were encouraged to help in decision making, and to participate in all aspects of life in the home. Information is handled and stored confidentially. EVIDENCE: The staff on duty on the day had a good understanding of the resident’s personal care needs. This was evident from the positive interactions and relationships observed. Care plans included all aspects of personal support and health care needs. Some of the residents had an individual communication dictionary, which shows how an individual would communicate with others. One resident’s care plan had been dictated on to a compact disk. The manager commented that the resident found it quite amusing to listen to this. Various risk assessments were in place and had been reviewed. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 11 There are regular house meetings in which the care staff support the residents to air their views. It was pleasing to note that the residents were provided with an independent advocacy service. Through out the inspection staff were observed accessing residents records, all were treated confidentially and stored securely. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 12,13,14,16,17 The Manager and staff enable the residents to maintain fulfilling lifestyles in and outside the home. The home promotes contact with family, friends and the local community. The meals offered in the home are good. EVIDENCE: On the day of inspection, all of the residents were out at their day services activities. The routines in the home were determined only by the timings of the visits to and from the day services and to other appointments. On their return form their day services resident’s were observed as being relaxed although somewhat tired. One resident was encouraged to play with a tambourine, another was playing with a soft toy snake, he was particularly enjoying it being pulled backwards and forwards around his head and neck. The home is committed to ensuring that the residents maintain their relationships with their family and friends and the local community. Staff were observed reminding the residents of their trips to the local pubs and shops, one resident was heard to giggle and agree with the staff member. Families Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 13 are encouraged to come to the home, and some of the families keep contact by phone. The care staff stated that, the residents are encouraged to choose their meals from pictorial and written menus. The manager explained that whilst the home has proposed menus, they are not always adhered to, depending on resident’s likes and dislikes on a given day. On the day of inspection all of the residents were observed to enjoy the evening meal of lasagne, peas, broccoli and carrots. The food was nicely presented, special diets were arranged for residents with specific dietary needs. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 19,20,21 The manager and staff have a good understanding of the service users support needs, this was evident from the positive interactions and relationships observed. The health needs of the residents are well met. Service users are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Care plans were comprehensive, included clear guidelines on any support each resident required with personal and health care. Physical and emotional needs were also detailed in the care plans and daily records, which included visits to the doctor and reviews of care. The home has clear medication policies and procedures. None of the resident’s are responsible for their own medication. All of the resident’s medication record sheets were checked and were found to be properly completed. Discussions were had around the administration / non-administration and recording of PRN medication. Since the last inspection the home has notified the CSCI about a medication error. This was discussed with the manager. It was pleasing to note that the home’s medication policy was adhered to in respect of these errors and that the situation was being monitored in accordance with the policy. The manager also commented that the medication policy was constantly under review. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 15 Discussions were had around ageing, illness and death. The manager recounted incidences where resident’s relatives had passed away. She described the challenges in respect of dealing with these issues, however there was evidence to suggest that these issues had been discussed with some of the residents. A recommendation was made in respect of PRN medication. Please refer to page 24 of this report. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 22,23 The home has satisfactory policies and procedures in place for dealing with concerns, complaints and the protection of the residents. EVIDENCE: CSCI have received no complaints about this home since the last inspection. The manager explained that she had dealt with a families concerns through the homes complaints policy, and this was evidenced in the complaints records. It was pleasing to note that complaints policies and procedures were developed in both written and pictorial format. The manager and deputy aware of and have attended the Surrey Multi Agency Abuse Procedures training course. All of the staff with the exception of one have undergone Protection of Vulnerable Adult abuse training. The most recently recruited member of staff is booked on a training course on the 8/12/05. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 17 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 the following standard(s): 24,30 The standard of the environment within this home is good and meets the needs of the service users. EVIDENCE: On the day of inspection the home was warm, comfortable and cosy and clean. The outside of the home is undergoing a maintenance programme, and has scaffolding erected all round the building. The Chief Executive, managers and building contractors had met prior to the building work being started, in order to address any and all health and safety concerns. Subsequently the manager has developed a comprehensive risk assessment, which all have agreed to adhere to, the manager commented that this risk assessment would be regularly reviewed. She was hopeful that the work would be completed by the end of the year. It was pleasing to note that hard hats had been supplied for the resident’s and staff, to ensure their safety leaving and entering the home. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Recruitment practices in this home are good. The home employs an efficient, trained and supervised staff team in sufficient numbers, who provide a good quality of care to the residents EVIDENCE: The home has clear policies and procedures for staff recruitment. Three new members of staff have been recruited since the last inspection. Staff files seen on the day demonstrated thorough recruitment and selection practice. All staff had satisfactory references and Criminal Records Bureau and Protection of Vulnerable Adults checks. There were 2 care staff, a deputy manager and manager on duty on the afternoon shift. The home benefits from a stable staff team, many staff have worked at the home since it opened. The manager stated that the home was almost fully staffed, however some of the permement staff had recently gone on to care bank contracts. The home continues to use agency staff as required. The manager stated that in order to maintain continuity of care she endeavours to use the same agency staff at all times. On the day the inspector did not have a group or one to one discussions with the staff. However work based observations demonstrated that they had an awareness of their roles and responsibilities. They appeared to be competent Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 19 and confident carrying out their various tasks. Staff training is given a high priority in this home, and training records demonstrate many statutory and current good practice training had been undertaken since the last inspection. There is a formal one to one staff supervision programme in the home. The manager is able to achieve formal supervisions on a two monthly basis. Team meetings are also held on a regular basis, the most recent one being on the 7/10/05. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 Residents benefit from the ethos and management approach of the home. Their views are listened to and acted upon. Policies and Procedures were in place to safeguard service users and the standard of record keeping was good. The Manager is experienced and qualified to run the home. Health and safety checks are routinely carried out at the home. EVIDENCE: The manager has been in post since the home opened. She demonstrated an open and inclusive approach and management style. From observation of her interactions with the residents and staff it was clear that there was an atmosphere of openness, understanding and respect. There are comprehensive policies and procedures in the home. Residents and staff can access them when they wish. Health and safety checks are routinely carried out at the home. All equipment in use on the day of inspection was properly maintained. Records evidenced Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 21 that water temperatures, fire drills and fire bells were regularly checked. Kitchen records in respect of fridge, freezer and food temperatures were on the whole well kept, a few days had been missed. The home holds resident’s meetings in which the care staff support the residents to express their views. Service user questionnaires are routinely sent to families and other health and social care professionals, the most recent being 26/11/05. Several have been returned, most of them with positive comments, for example “you are a very caring service, and make us very happy” and, “an excellent service”. Two were noted to have some negative comments for example 1 of the staff would benefit from some more training. These were discussed with the manager, who gave a satisfactory explanation as to why the comments were made. Throughout this inspection the home records were accessed. The recordkeeping was of a high standard. Records are stored appropriately, securely and confidentially. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 22 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 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pines (The) (Hindhead) Score X 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000013746.V263432.R01.S.doc Version 5.0 Page 23 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. Standard Regulation Requirement Timescale for action 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 YA20 Good Practice Recommendations The manager should ensure that resident’s who are prescribed PRN medication have the procedure for offering /administering/non administering clearly recorded in their care plan. Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Pines (The) (Hindhead) DS0000013746.V263432.R01.S.doc Version 5.0 Page 25 - 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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