Inspection on 04/05/06 for The Pines (Hindhead)

This inspection was carried out on 4th May 2006.

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

The Pines (Hindhead) 01/12/05

The Pines (Hindhead) 25/11/04

The Pines (Hindhead) 20/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 Unannounced Inspection 4th May 2006 13:00 Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 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.V292608.R01.S.doc Version 5.1 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.V292608.R01.S.doc Version 5.1 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.V292608.R01.S.doc Version 5.1 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 1st December 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. The home 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 pleasant 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.V292608.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit of the CSCI key inspection year and was unannounced. The inspection was carried out by one inspector and lasted for six hours. Discussions were held with the residents, relatives, manager and care staff. Documents sampled, included service users files, care plans, staff records, and service files. A full tour of the home took place. Verbal feedback from the resident’s at home on the day was limited, in view of their communication difficulties. CSCI would like to thank the residents, manager and staff for their hospitality and co-operation during the inspection. What the service does well: What has improved since the last inspection? No requirements were made following the last inspection. However it was positive to note that the building work to the outside of the property has been completed. In order to further develop, the organisation has recently created a new post for an existing member of the management team to review all policies and procedures. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 6 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.V292608.R01.S.doc Version 5.1 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.V292608.R01.S.doc Version 5.1 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): 2,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive needs assessments are completed prior to a resident being admitted to the home. Each resident is provided with a contract of the care service provided at the home. EVIDENCE: The home has been fully occupied since it opened and therefore has not admitted any new residents in some time. The manager stated that a community care needs assessments would be requested from the social and health care management teams. Once in receipt of these assessments the home would visit the prospective resident to carry out their initial needs assessment. The manager stated that prospective residents would be encouraged to visit the home several times prior to admission, in order to further assess their needs. Once admitted the needs assessments would be ongoing. All of the residents had a contract of the care services provided at the home, and all had been signed by residents or their representative. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Holistic care plans are in place for the residents. The staff had a good understanding of the resident’s needs and choices. Residents were encouraged and supported to help in decision making at the home. 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 were sampled, and were found to be well written, to include all daily living activities. The care plans gave clear instructions and guidelines to the reader about a residents care needs, demonstrating that the care staff would be aware of these needs. Risk assessments were clearly documented and guidelines in place to minimise the risks. All care plans and risk assessments had been regularly reviewed. Staff were observed supporting the residents in respect of decision making and choices for example: where would like to sit, would you like a drink. This support was offered in a respectful and unhurried manner. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 10 Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are encouraged and enabled 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: 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 the day, all of the residents had been out at their various day services and returned to the home at 4.00pm. Their body language facial expressions and the sounds they made gave the impression that they were happy to be home. The home is committed to ensuring that the residents maintain their relationships with their family and friends and the local community. The manager discussed various activities for example: arts and crafts, gym, multi centre activities, swimming, aromatherapy, visits to the shops and to the local pub. Residents also enjoy using the homes multi sensory room. Those residents who wish to practice their faith are encouraged and enabled to do so. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 12 Families and friends are encouraged to visit the home, some are regular visitors and some keep contact by phone. Relatives commented that the home would always go out of their way to ensure arrangements are in place for visits to the family home. The care staff stated, that 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 the majority of residents were observed to enjoy the evening meal of pasta and bolognaise sauce fresh carrots and juice. One resident who appeared not to be enjoying her meal and refused to eat it, to encourage her further a member of staff added some spices to improve the flavour, the resident then proceeded to eat it, and appeared to enjoy it. One member of staff was observed blending food for a resident’s specialist dietary needs. Discussions were had with her around the need for food to look appealing and appetizing. All of the residents required help with eating their meal. Staff were observed supporting the residents in this respect, this support was offered in respectful and unhurried manner. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff have a good understanding of the residents physical, emotional and health support needs, this was evident from the positive interactions and relationships observed. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: As discussed earlier in this report care plans included clear guidelines on any support each resident required with personal, emotional and health care needs. Daily records included visits to the doctor, various health related appointments and reviews of care. Relatives commented that some of the staff were exceptional and that the residents were well cared for at The Pines. Medication procedures and practices were observed. None of the resident’s are responsible for their own medication, and staff were observed administering the tea time tablets. This was carried out whilst the residents were eating their meal. The staff commented, that this process was less traumatic for the residents if their medication was given whilst they were eating their meals. All of the medication record sheets were checked and were found to be properly completed. Medication storage was no checked on this occasion. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 14 Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has satisfactory policies and procedures in place for dealing with concerns, complaints and the protection of the residents. EVIDENCE: The CSCI have received no complaints about this home since the last inspection. Relatives commented that they were aware of the complaints procedures and if complaints are made they are dealt with in a timely manner. One referral has been made under the Surrey Multi Agency Safeguarding Adults procedures. Meetings have been held in this respect and the issues have been satisfactorily resolved. Following this referral the homes Safeguarding Adults policies and procedures are being reviewed and updated. All staff have undertaken further training in this respect. Discussions were had with all of the staff on duty in respect of abuse and abusive situations and it was positive to note they demonstrated a good understanding of the current policies and procedures. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good and meets the needs of the residents. However some of the carpets require cleaning. EVIDENCE: The Pines is an older property and therefore presents challenges for the providers in respect of the ongoing need for updating and refurbishment. The outside of the home has recently undergone a refurbishment and maintenance programme. The building now benefits from a new roof and has been redecorated outside. The inside of the property provides a safe, homely and comfortable environment for the residents. The fabric and decoration of the communal areas was satisfactory, but will require updating in due course. The plaster on one wall was cracked and appeared to be damp. This was discussed with the manager who, commented that a problem had been identified in the bathroom and plans were in place to address it. The resident’s rooms reflected that of any other young persons room for example: pop posters on the walls, music centres, soft toys and several pieces of sensory equipment. The bedrooms were well decorated, and were bright and clean. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 17 Overall the standard of cleanliness was good, however the carpets require attention. The areas of carpet around the kitchen and dining room were soiled. A requirement was made in respect of these standards. Please refer to page 24 of this report. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment practices in this home are good. The home employs a stable efficient, appropriately trained and supervised staff team. EVIDENCE: The home has clear policies and procedures for staff recruitment. One new member of staff has been recruited since the last inspection. These recruitment records were sampled and demonstrated thorough recruitment and selection practice. The home benefits from a stable staff team, many of whom have worked at the home since it opened providing a consistent care service. The home continues to use agency staff as required but the use is minimal. The manager stated that in order to maintain continuity of care she endeavours to use the same agency staff at all times. One relative commented that at times there could be a problems with communicating with the home when agency staff are on duty. There were 3 care staff, a deputy manager and manager on duty on the afternoon shift. One to one discussions were had with all of the staff on duty. They demonstrated that they had an awareness of their individual roles and responsibilities. Work based observations evidenced competent and confident Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 19 staff 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. Staff are undertaking National Vocation Qualifications (NVQ) 1 has completed NVQ 4, 2 have an NVQ assessor awards and discussions have been had in respect of a further two staff undertaking an NVQ course. One relative commented that the staff appeared to be well trained and that they knew what they were doing. There is a formal one to one staff supervision programme in the home. Records were not sampled, however all of the staff stated that they had recently had a formal one to one supervision meeting with the manager. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experienced and competent. Residents benefit from her management approach, their views are listened to and acted upon. The health, safety and welfare of the residents is promoted and protected. EVIDENCE: The manager 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. 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, several have been returned, most of them with positive comments, for example “I trust The Pines 100 ” and, “an excellent service”. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 Page 21 Health and safety checks are routinely carried out at the home. All equipment in use on the day of inspection was properly maintained and was due to have the yearly service check. Records evidenced that water temperatures, fire drills and fire bells were regularly checked. Kitchen records in respect of fridge, freezer and food temperatures were well kept. Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 3 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 3 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 3 X 3 X X 3 X Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 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. 1 Standard YA30 Regulation 23(2)(d) Requirement The registered person(s) must ensure that all areas of the home are kept clean. The communal carpets in the hall and dining room must be cleaned. Timescale for action 04/06/06 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 Pines (The) (Hindhead) DS0000013746.V292608.R01.S.doc Version 5.1 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.V292608.R01.S.doc Version 5.1 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. 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!