Inspection on 06/12/05 for Pinewood & Hollywood

This inspection was carried out on 6th 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

Pinewood & Hollywood 03/04/07

Pinewood & Hollywood 31/10/06

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 Unannounced Inspection 6th December 2005 09:30 Pinewood & Hollywood DS0000017910.V270927.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 Pinewood & Hollywood DS0000017910.V270927.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. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 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) 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.V270927.R01.S.doc Version 5.0 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) 14th June 2005 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). Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place 6th December 2005 over 2 ¾ hours. 16 of the 43 national Minimum Standards were assessed at this inspection visit and all were met. For the purpose of this inspection report the people living at Pinewood and Hollywood prefer to be referred to as ‘residents’. During the course of this visit the inspector met with 2 residents, one visiting family member, 3 support staff members, the RCHL housing manager and the registered manager. A physical tour of the premises was undertaken and records relating the residents’ health, personal and social care needs were scrutinised as part of this inspection process. Overall the standard of care, support and management was good with staff and residents interacting in a warm, professional and positive manner. The inspector appreciated the cooperation received with this inspection process from all parties concerned. What the service does well: What has improved since the last inspection? What they could do better: Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 6 The registered manager had made good progress with the development of the Quality monitoring system at the home, efforts should be continued and a report of actions taken to address any identified shortfalls in the service provided should be forwarded to the Commission for Social Care Inspection. Although the National Minimum Standard relating to residents’ contracts were not specifically assessed at this inspection the registered manager reported that she was in the process of producing a contract for each resident at Pinewood and Hollywood including a statement of terms and conditions of residency. 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. Pinewood & Hollywood DS0000017910.V270927.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 Pinewood & Hollywood DS0000017910.V270927.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): 4 Prospective residents were encouraged to visit the home on trial visits before making the decision to move in permanently. EVIDENCE: The registered manager demonstrated the procedures surrounding prospective residents’ initial introduction to the home. All residents were referred to the home by the Care Management approach. A copy of the Care Management assessment was provided for the registered manager to make an initial judgement as to whether the home and its facilities could meet the needs of the prospective resident. The applicant was invited to the home, accompanied by family/representatives, for visits lasting from a couple of hours building up to an overnight stay. Assessments of risk to the prospective residents’ health, safety and well being were made during these trial visits identifying any extra staffing requirements and any adaptations needed to promote the individual’s independence. Applicants were encouraged to interact with established residents and staff members at these trial visits. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 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): 7 and 9 Residents were supported to make decisions about their lives and to take risks as part of an independent lifestyle. EVIDENCE: The residents of Pinewood and Hollywood were involved in the running of the home. Any decisions made about every day living choices were made by the individual with support provided as necessary. The home operated a key worker system meaning that each resident had a nominated staff member to provide support. The system of menu planning had not altered since the previous inspection; the residents chose the meals eaten in each house in turn on a weekly basis. The meals were selected from a ‘picture’ library, the residents were then involved in shopping for the ingredients and the meal preparation as far as their disabilities permitted. Persons of the same gender provided personal care, thus protecting the dignity of residents. The registered manager had developed a residents’ satisfaction questionnaire to assess areas where the care home, its facilities or the care provision could improve. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 10 The registered manager reported that the residents’ key workers from the day centre attended liaised with the key workers from Pinewood and Hollywood and some residents had really benefited from this two pronged approach. The staff and management team supported residents to take responsible risks ensuring they had good information on which to base decisions. One resident used exercise machinery to assist with mobility and fitness however had fallen whilst using the equipment. Risk assessments were in place allowing the resident to continue with this activity but with staff in attendance to minimise the risk of falling whilst mounting or dismounting the apparatus. The registered manager reported that a management strategy was in place involving the Outreach Team and private 1:1 support worker to facilitate the development of a sound risk assessment strategy for a resident with complex behavioural issues. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 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): 12,13,14,15 and 16 Residents were encouraged to live an independent lifestyle in the community and at the home, taking part in appropriate activities and enjoying appropriate personal relationships. Residents’ rights were respected and their responsibilities recognised in their daily lives. EVIDENCE: No residents at Pinewood or Hollywood undertook paid work outside the home. Most visited a day centre, which provided educational and social stimulation. Other activities enjoyed by the residents included swimming, attending a weekly evening disco, the cinema, library, aqua aerobic sessions, going to the pub/out for meals, visiting family, attending parties and three of the residents were participating in the Duke of Edinburgh Award Scheme. The project had taken delivery of a replacement vehicle large enough to transport the three wheelchairs and all the residents. The registered manager reported how much easier it would be for both houses to go out together and to go on holidays with the new vehicle. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 12 Residents were supported to maintain contact with friends and family. Visiting family members and friends were often invited to stay for meals with the agreement of the other residents. Families were invited to functions at the home such as the Christmas party. If residents required support in order to visit family the home provided it. As part of the quality assurance survey developed by the registered manager families had been asked to complete a questionnaire to measure their satisfaction with care provided for their loved ones at Pinewood and Hollywood. RCHL had developed a system whereby some holiday provision was included in the care home’s budget. The registered manager reported that each resident at Pinewood and Hollywood had been allocated £150 towards the holiday of their choice. One resident had been horse riding this year and was eager to go again whilst another intended to go on an ‘activities’ long weekend to do such pastimes as archery. The registered manager reported that this was a new development from RCHL and that it was to be reflected in the Service user contract and the Service User Guide. The registered manager was able to report and observation on the day of the inspection confirmed that residents were treated with respect and dignity. Residents were involved in the day to day running of the home and one house had a specially adapted sink and work unit to enable residents in wheelchairs to take part in the preparation of meals. All residents were involved in housekeeping tasks in varying degrees. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 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 and 19 Residents received personal support for both physical and emotional needs in the way they preferred and required. EVIDENCE: Staff members were observed to provide sensitive and flexible personal support to maximise residents’ privacy, dignity, independence and control over their lives. Routines were flexible around individuals’ activities and residents chose when to retire to bed and when to rise. Residents chose their own clothes, hairstyles and make up; one resident was supported to access the hairdresser they had used prior to admission to the home. Residents’ healthcare needs were assessed during the ‘trial’ visit period and then more rigorously once the resident had moved into the home permanently. Health care needs of residents were kept under continuous review, where needs were identified a referral was sought from the GP for specialist care. The Outreach team were involved in providing some specialist care for residents. One resident attended a ‘personal relationships’ workshop whilst another enjoyed exercise sessions in a hydrotherapy pool. Evidence was available to confirm regular appointments with dentists, doctors, opticians, chiropodists etc. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 14 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): 23 Residents were protected from abuse, neglect and self harm. EVIDENCE: The previous inspection of this service identified that support staff had not received current training in the Protection of Vulnerable Adults from abuse. All staff had attended this training at the point of this visit with the exception of one member who had been on annual leave. Protection of Vulnerable Adults from abuse guidance was accessible to all staff at the home. RCHL Induction training included abuse awareness. Recruitment practices within the home included the registered person obtaining a Criminal Records Bureau enhanced disclosure for each successful applicant before they started working at the home. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 15 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): 30 The home appeared clean and hygienic on the day of the inspection. EVIDENCE: The previous inspection identified that support staff had not received current training in the control of infection. All staff had received this training at the point of this visit. On the day of the inspection the home appeared clean, bright and fresh with no offensive odours present. There had been some redecoration of communal areas since the previous inspection, this contributed to the fresh appearance of the unit. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 16 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 and 35 Appropriately trained and competent staff members met residents’ individual and joint needs. EVIDENCE: 50 of the support staff at Pinewood and Hollywood had achieved their NVQ level 2 in care. The registered manager reported that Redbridge Community Housing Limited had temporarily suspended the NVQ training programme in order to prioritise the Learning Disability Framework Award training and induction training specific to the needs of individual projects within the organisation. Individual staff member training records confirmed that training in the mandatory areas had been attended plus service specific training such as managing challenging behaviour. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 17 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 and 39 Residents benefited from a well run home and could be confident their views underpinned the self monitoring and development of the home. EVIDENCE: The registered manager had three years experience at this service and was also responsible for two further ‘supporting people’ low care projects. The manager’s qualifications to date included the Registered Managers Award, a Diploma in Management and City and Guilds 32503. The registered manager undertook mandatory training alongside the support staff team and in areas identified for personal development at appraisal meetings. The previous inspection raised a requirement for the registered manager to continue to develop and maintain a system of quality monitoring within the home. Completed residents’ questionnaires were available for scrutiny at this inspection. A further survey had been developed for families and other interested parties to measure the satisfaction in the services provided by the Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 18 home. The registered manager reported that a summary was to be made of the findings of this survey and a report issued identifying areas for improvement and actions to be taken. It was reported that the report would be forwarded to the Commission for Social Care Inspection and be placed in the home’s Statement of Purpose and Service User Guide. A system for ‘networking’ the residents’ key workers at the home and their key workers at the day centre had provided good communication and feedback further protecting the residents’ best interests. Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 19 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 X X X 3 X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pinewood & Hollywood Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000017910.V270927.R01.S.doc Version 5.0 Page 20 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. Refer to Standard Good Practice Recommendations Pinewood & Hollywood DS0000017910.V270927.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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