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Inspection on 14/07/05 for Pinewood Nursing And Convalescent Home

Also see our care home review for Pinewood Nursing And Convalescent Home for more information

This inspection was carried out on 14th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

According to the residents that talked to the inspector, the care given was excellent. "Always someone to help me" was said by several residents. One lady commenting on her baths said, " Staff tell me to take my time and enjoy it." The home has a team of staff who have worked at the home for sometime. They are keen to raise the levels of care they give and get good direction from the Manager. From observation and discussion, it was evident that staff and residents have built up a good relationship and that staff work hard to improve the quality of life of those in their care. Meals are well varied, balanced and nicely presented offering choice and variety. One resident told the inspector that the food "is good and I am never hungry".

What has improved since the last inspection?

Staff training has meant that all staff are able to carry out their work with the knowledge that they are "doing the right thing". Courses attended over the past two months include `Manual Handling` and `Fire`. Staff have also attended courses on `Continence` and `Funeral Awareness`. Five staff are currently completing their National Vocational Qualification (NVQ) training. The manager has also recently gained her Registered Managers Award.

What the care home could do better:

Care Plans were well written but were loose leaf and information could easily get misfiled or lost.

CARE HOMES FOR OLDER PEOPLE Pinewood Nursing and Convalescent Home Conifers, Cot Lane Chidham Chichester, West Sussex PO18 8ST Lead Inspector Mr P Barker Unannounced Thursday, 14 July 2005 V235687 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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 Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Pinewood Nursing and Convalescent Home Address Conifers, Cot Lane, Chidham, Chichester, West Sussex, PO18 8ST Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 572480 Mr Lawrence Marsh Mrs Deryl Ann Marsh Care Home with nursing (N) 21 Category(ies) of Old age, not falling within any other category registration, with number (OP) 21 places of places Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th January 2005 Brief Description of the Service: Pinewood is a care home providing nursing care and accommodation for twenty-one older people. The establishment is owned by Mr L and Mrs D A Marsh. Mrs Marsh is a first level nurse and manages the day-to-day running of the establishment. It is located in the rural setting of Chidham village four miles west of Chichester with its’ shops, banks, pubs and other amenities. The detached two storey building stands in its’ own substantial grounds with ample parking space available at the front of the premises. Seventeen rooms are for single occupancy and there are two doubles. Nine rooms have en-suite facilities. There is a passenger lift. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place from 8.25am to 12-35pm. Pinewood has performed well over the past years and at the last inspection no requirements were made. During the course of this inspection the inspector spoke to residents, staff and two visitors to the home. Some residents spoke to the inspector in their own rooms, others spoke to him when he joined them in the lounge. Records and Care Plans were looked at and a tour of the home was conducted. All the residents that were spoken to were very positive about the care they were getting at the home. One lady who had been in the home for a few months said, “It’s not like my own home but second best”. Another said, “So happy here, lots of nice people.” One resident even said that, “everything is perfect”. This was the general opinion from those residents who chose to speak to the inspector. Visitors to the home were also pleased with the care and attention that their loved ones were receiving. One even said, “I have got my name down for a room here!” Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were on training. The training records of all staff were well documented and up to date. The manager had recently completed her Registered Managers Award (RMA) and should be congratulated for doing so. The building was warm, clean and welcoming. There was one registered nurse, four care staff, one housekeeper, one domestic, one cook, an administrator and the manager on duty at the time of the inspection. At night there were two staff awake on duty with backup to the manager. The rotas showed this to be the case. The home had had an inspection from the Fire Officer and the Environmental Health Officer. No adverse comments were left. No requirements were made at this inspection. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 6 What the service does well: 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. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 6 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placing. EVIDENCE: Each resident is given a contract when he/she enters the home. Most of the residents had family or friends who were able to act upon their behalf. One resident said, “I leave all that to my son”. The manager assesses all residents before they join the home either in their own home or in hospital. These completed assessments are kept in the Care Plan. As the home is registered for nursing, it does take people who have left hospital and need some care before they are able to return home. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 The resident’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were well written and contained all the information necessary to look after the residents. They were updated regularly and reviewed at least once a month. The inspector looked at the Care Plans of some of the residents he had spoken with and felt that the care given was accurately recorded. However, he felt that they were inadequately filed and information on slips of paper could be misfiled or lost. Medication was stored safely and records were well kept in regard to the administering and disposing of them. A number of residents were receiving ‘Controlled Medication’ and these were appropriately stored and administered. Only trained nurses administer the medicines. When looking around the home the inspector noticed staff knocking before entering rooms. Residents were called by their chosen name; others preferred to be addressed as Mr or Mrs. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 10 The inspector spoke to residents in their rooms and in the lounge and privacy was observed. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Residents say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have some control over their daily tasks. Good home cooked food is provided. EVIDENCE: Some of the residents are very poorly and were in bed at the time of the inspection. Others were sitting in their room or in the main lounge. Those spoken to in their own rooms were quite happy with their current way of life. One lady was listening to some music, whilst another was waiting for a member of her family to take her out. Others were sitting in the lounge talking to relatives. The home employs an administrator who the owners call their “Girl Friday”. She currently organises activities for the residents and last weekend the home had a Garden Party raising funds for their Amenity account. All the residents able to go out enjoy the trips to the local pub or for a ride around the area. A local vicar visits at least once a fortnight. The residents enjoy sitting in the lovely gardens when the weather is warm. The inspector saw some plants that were planted by residents taking part in a ‘Tallest Sunflower’ competition. All ground floor rooms open onto the gardens so that residents can sit near to their rooms if they wish to sit outside. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 12 Family visits are important and the inspector was told that all visitors were offered refreshments. One visitor commented that he was always offered refreshments whilst another spent the whole day in the home having lunch and tea with his loved one. The residents sat down to a meal of Broccoli Quiche or Omelette, jacket potatoes, mixed salad and sauté potatoes. Five people have their food liquidised and the inspector discussed with the cook the presentation of such food. Staff assist people to feed and the inspector observed one member of staff feeding a resident in the dining room. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 Any complaint is taken seriously and staff and residents know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence EVIDENCE: All staff have attended the Adult Protection Training and the procedures are in the office. One resident said, “Sorry, I have nothing to complain about!” There have been no complaints made about the home to the CSCI. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 The home is warm and comfortable and has been adapted to meet the needs of the residents. EVIDENCE: The home is well kept and is clean and tidy. The inspector observed the cleaner doing her rounds and every room was left clean and tidy. There has been some considerable maintenance to the home since the beginning of the year. Some rooms have been redecorated and new furniture has been purchased for them. One bathroom has had a new floor and all the outside garden furniture has been cleaned and painted ready for the summer. The home has also purchased a new washing machine that has the facility for sluicing as well as a very hot wash. Some doors have had fire closures fitted and some rooms have had a new call bell system installed. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29, 30 There is usually sufficient staff employed to ensure that residents’ basic needs are met. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies of these were kept in the office. Prospective staff are invited to complete an application form and attend an interview. Staff training had been undertaken in all areas and the evidence showed that all staff are offered training relevant to their work. Six staff have a National Vocational Qualification (NVQ) at Level 2 or above and a further five are studying for the Level 2 at this time. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 38 It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. EVIDENCE: The home was constantly updating their practices to ensure that residents received the best care that they could. The home does not have any dealings with any money belonging to residents. Fire and Environmental Health Requirements had all been met and all equipment is regularly serviced. Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 4 STAFFING Standard No Score 27 3 28 x 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 18 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. 1. 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 Good Practice Recommendations Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Pinewood Nursing and Convalescent Home H60 H11 S24196 Pinewood V235687 140705 Stage 4.doc Version 1.40 Page 20 - 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!