Inspection on 03/04/07 for Pinewood & Hollywood

This inspection was carried out on 3rd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Pinewood & Hollywood 31/10/06

Pinewood & Hollywood 06/12/05

Pinewood & Hollywood 02/08/05

Pinewood & Hollywood 13/01/05

Pinewood & Hollywood 28/07/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Pinewood & Hollywood Smiths Field Old Heath Colchester Essex CO1 2HP Lead Inspector Jane Greaves Key Unannounced Inspection 3rd April 2007 10am Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pinewood & Hollywood Address Smiths Field Old Heath Colchester Essex CO1 2HP 01206 791455 01206 795971 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) www.rchl.org.uk Redbridge Community Housing Limited [RCHL] Mrs Patricia Marie Petrocochino Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons) 31st October 2006 Date of last inspection Brief Description of the Service: Pinewood and Hollywood is a care home providing personal care for 8 adults with learning disabilities. The home was opened in 1995, consists of two semidetached bungalows and is situated on a quiet residential development to the south of Colchester town centre close to local amenities. Each property has four single bedrooms, one bathroom, one shower room, a kitchen/dining room and a large communal lounge area. There is an enclosed garden to the rear of the property and ample car parking facilities to the front. The registered manager is Mrs. Patricia Petrocochino and the registered organisation is Redbridge Community Housing Limited (RCHL). Previous inspection reports issued by the Commission for Social Care Inspection were included within the home’s statement of purpose and service user guide. The fees charged for care and accommodation at Pinewood and Hollywood were £1234.21 per person as at 31.10.2006. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection visit took place on 3rd April 2007. On this day six of the seven residents were away from the home at colleges and day centres. There were no visitors to the home on this day; after this site visit survey questionnaires were sent to the residents and their families to obtain their confidential views of the care and facilities provided for the people living at the home. The registered manager was on a leave of absence from the home at this time, the inspection process included discussion with the acting manager and the staff team. A sample of staff and residents’ records and important paperwork was looked at together with direct and indirect observation. This report has been written using evidence gathered prior to and during the inspection. 21 of the 43 National Minimum Standards and the intended outcomes of these were assessed at this visit: • • • 19 Standards were ‘met’. These are the things the home does well for residents. 1 Standard was ‘nearly met’. These are the things that need a little improvement. 1 Standard was ‘exceeded’. These are the things that the home does very well to make the residents’ lives happier. What the service does well: • • • • • Pinewood and Hollywood is a small, clean, comfortable and homely place, with a stable, family atmosphere. One family member reported “It is kept clean and always smells lovely” As far as possible, residents had a say in how they lived their lives and were supported. Staff helped residents to be as safe as possible. Residents felt comfortable asking staff for advice or talking about the things that mattered to them. One family member reported “ My relative is very happy at the home, everyone is very kind”. Staff did the right things to keep people healthy and supported them well when they became ill. DS0000017910.V334756.R01.S.doc Version 5.2 Page 6 Pinewood & Hollywood 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. The summary of this inspection report can be made available in other formats on request. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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 Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were not admitted to the home without having a full assessment of their needs and wishes undertaken by a person trained to do so. EVIDENCE: There had not been any new admissions to this home since the previous inspection site visit. The policies and procedures for admitting new residents to the home were in place and remained subject to regular review. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive EVIDENCE: Support plans for two residents were sampled as part of the inspection process. These contained clear detail of the actions staff needed to take to support individuals to live an independent lifestyle to the maximum of their capabilities. There was evidence to confirm where individuals had been consulted and involved with developing their support plans. For those residents less able to contribute there was evidence of family involvement. Residents’ files contained support plans for all areas of daily life, risk assessments and information relating to instances where residents’ rights were infringed in order to maintain their safety and well being. Risk assessments were present for activities including accessing the community, accessing the project’s minibus, wheelchair use, trampolining, swimming and medication Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 10 amongst others. The support plans and risk assessments included evidence to confirm reviews took place; the interval between reviews was dependent on the individual needs and circumstances at the time and varied from a few days to a year for examples seen. The previous report indicated that the organisation had been in the process of developing support plans in a more ‘user friendly’ format. This had not yet been achieved however it was reported that the service now had a computer software package that would enable all documents to be produced in a format appropriate to the people the home supported. Evidence was available to confirm that advocacy services had been secured for some residents however staff members reported considerable difficulty in obtaining this resource. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were provided with support to make choices about their lifestyle and to develop their life skills. EVIDENCE: Residents at Pinewood and Hollywood were supported to enjoy a full and stimulating lifestyle with a variety of options to choose from. It was positive to note that on the day of this inspection site visit 6 of the 7 people living at the home were out and about enjoying college courses and attending day centres. Staff members were able to report that residents were supported to attend various clubs, go to the theatre, Cinema, swimming, trampolining, 10-pin bowling and many other activities. The residents had opportunities at residents’ meetings to voice their wishes regarding social events; Birthday parties, Christmas parties and barbecues always involved family members and friends. It was reported that pub meals and lunches were a regular event that Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 12 the residents enjoyed. Most of the residents had chosen and arranged their annual holidays with the support of the staff team. The service sought the views of the residents and their representatives and considered these when planning the routines of daily living and arranging activities. Routines and activities were flexible and focused around individuals’ changing needs and choices. Meals were well balanced and nutritional, catering for the varying choices and dietary needs of the people living at the home. Food stocks were of good quality and in appropriate quantities. The residents selected the weekly menu with the aid of picture books. One house had a new kitchen fitted, there were some ‘teething problems’, the acting manager reported that these were in hand and would be resolved imminently. One house had a ‘rise and fall’ sink enabling residents in wheelchairs to participate in food preparation. The sink was out of order at this visit however replacement parts were on order. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care experienced by the residents is based on their individual assessed needs. EVIDENCE: Residents’ files included clear information of individuals’ health needs and how these were to be met. The delivery of personal care was individual and flexible according to changing needs and preferences. Personal care and support was provided in private and by a person of the same gender where possible; risk assessments were in place for any instance where same gender care was not practicable. Guidance and support was provided with personal hygiene tasks where required although where residents were able to attend to their own personal hygiene needs they were encouraged to do so. Support was provided to secure Healthcare professional expertise where required by residents, for example an Occupational Therapist was involved in specifying new chairs and beds for 2 clients at the time of this visit. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 14 Residents were involved in the recruitment processes and the acting manager was able to demonstrate where one individual had taken part in interviewing a prospective staff member. Support plans contained detail of specialist support and advice obtained on behalf of the residents. Each resident had a designated Key Worker. Medications were stored appropriately in locked cabinets in both houses. Medication administration records viewed at this visit were appropriately maintained with no gaps in recording. Medication training had been provided for those staff responsible for the administration of medicines however it was noted that one experienced relief staff member had administered medications but had not received any refresher training or competency assessment. The home operated a system of three monthly competency reviews for those staff administering medications. This included answering a questionnaire relevant to the medication used within the home and a physical assessment of competency. The service operated a system of double-checking the medication administration routines to further protect the health and well being of the residents. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives were able to express their concerns and could be sure they were listened to and taken seriously. EVIDENCE: The service had an open culture, which allowed the residents to express their views and concerns through a variety of methods. Family members and representatives spoken with as part of this inspection process reported “I am very, very happy that my relative is there, it is a marvellous place, 100 !” and “They always have the residents’ best interests at heart, I am always comfortable talking to the staff/managers, there is good communication” and “they are on the ball whenever there is an issue”. The home had a clear complaints policy and procedure that was available in the hallway of each house. It was reported that the service had not received any complaints. The acting manager reported that any points raised by the residents or their representatives were addressed immediately and therefore never appeared as complaints. A discussion was held regarding the recognition of complaints and the positive way in which they could be used as tools to drive the quality of service provision forward. The home understood the procedure for safeguarding vulnerable adults and training had been provided for the staff team. The policies and procedures relating to recruitment promoted the safety of residents by including obtaining enhanced Criminal Records Bureau disclosures Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 16 and two written references before a new staff member starts work at the home. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. EVIDENCE: The physical environment of the home was appropriate for the needs and requirements of the people living there and was homely, clean, safe and comfortable. Residents were encouraged to personalise their bedrooms and the acting manager was able to report that two residents’ rooms were to be redecorated and the residents had selected the paint colours in readiness. A carpet was to be replaced in one residents bedroom, this job was to take two days and arrangements were being made for the resident to stay in a nice hotel that had the appropriate facilities to meet their needs whilst this was done. Visitors were able to meet with residents in the communal areas of the home or in their private rooms. Bathrooms and toilets in each house contained the appropriate adaptations required by the residents to promote their safety and independence. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at the home could be confident that the staff that care for them were skilled in their role and were consistently able to meet their needs. EVIDENCE: Most of the residents were away from the home on the day of this visit therefore little interaction between the staff and residents was observed. However family and representatives spoken with subsequent to this visit were very positive in their praise for the warmth and professionalism of the staff members in their dealings with the residents. Two recruitment files for staff employed since the previous inspection visit were sampled and contained all the paperwork required to promote the safety and well being of the residents. Evidence was available to confirm that residents were actively involved in the processes of recruiting new staff members to work in the home. New staff members received terms and Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 19 conditions of employment, were subject to a probationary period and undertook a comprehensive induction. Some staff training had been delivered since the previous inspection visit however records had not been completed to provide an accurate reflection of the training provision across the board, the acting manager was able to provide this information subsequent to the inspection site visit. A training plan for the year ahead had been developed ensuring that the whole staff team received training and refresher training in line with the organisation’s time scales for areas such as Moving and Handling, Medications, Fire Safety, Infection Control, Food Hygiene, the Protection of Vulnerable Adults, first aid and Health and Safety. There was no evidence provided to confirm that training directly linked to the needs of the people living at the home had been provided however staff members spoken with demonstrated good awareness of the needs of individuals and how these were met. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefited from a well managed home. EVIDENCE: The registered manager was on leave of absence from the home at the point of this visit. An appropriately qualified and experienced acting manager had been appointed. A quality assessment survey had been undertaken by the service involving the residents, their representatives and other stakeholders. A summary of the responses had been made and a copy had been forwarded to the Commission for Social Care Inspection. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 21 The organisation operated a system of monthly ‘person in control’ visits that involved a report being made that reviewed outcomes for residents in many areas of daily life and experiences. These reports were submitted to the commission monthly and contained good detailed information as to how the service achieved good outcomes for the people living at the home. The home worked to a clear Health and Safety Policy; regular checks were made to ensure that all staff are working to the policy. There was a consistent record of the home meeting relevant health and safety requirements and legislation and monitoring it’s own practice. Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 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 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pinewood & Hollywood DS0000017910.V334756.R01.S.doc Version 5.2 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!