Inspection on 15/02/06 for Pinta

This inspection was carried out on 15th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Pinta 19/02/08

Pinta 02/02/07

Pinta 24/11/05

Pinta 14/03/05

Pinta 02/08/04

Similar services:

Kestrel House, St Anne`s Opportunity Centre,

The Farmhouse

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Pinta 548 Reading Road Winnersh Berkshire RG41 5HA Lead Inspector Stewart Mynott Unannounced Inspection 15th February 2006 14:45 Pinta DS0000011362.V283784.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 Pinta DS0000011362.V283784.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. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Pinta Address 548 Reading Road Winnersh Berkshire RG41 5HA 0118 978 3246 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) Atlas Project Team Limited Mr Grahame Lawrence Dillon Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: Pinta offers twenty-four hour residential care to three adult service users, of both sexes, who have learning and associated behavioural difficulties. The building is owned by a housing association and the care is provided by The Atlas Project Team Ltd. The house is a single storied building with all the accommodation on the ground floor. It is situated a few miles from the towns of Wokingham and Reading and there are facilities within walking distance of the home. The home has its’ own vehicle and there is easy access to public transport. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection occurring during the weekday lasting for 2 ½ hours. Mr Jim McLean (regulation manager) was also present with the lead inspector and assisted by assessing some of the standards. The purpose of this visit was to examine the personal healthcare, support and protection of service users and the staffing and management arrangements at the home. Time was spent with service users and staff on duty throughout this inspection. One staff member assisted by facilitating conversations with service users. Time was spent with the registered manager and a regional manager who were also present during the inspection. Records relating to the operation of the home and care of service users were examined to further evidence observations and conversations made during the inspection. 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. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 6 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 Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 7 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): Standards 1 to 5 were not assessed during this inspection. EVIDENCE: Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 8 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 and 7 Service users benefit from their assessed needs and personal goals being recorded in detail in individual plans of care. Staff assist service users to make decisions about their everyday life. EVIDENCE: Staffs on duty were able to demonstrate an excellent understanding of service users individual needs. Care plans for service users were examined with the staff on duty who provided explanations about the mechanisms to record, monitor and evaluate each individual plan of care. Care plans were highly detailed and staff explanations and observations revealed that their content is both relevant and realistic. During the inspection staff were seen to communicate and provide support as detailed in service users individual plans. Staffs were able to demonstrate the support given for service users to enable them to make decisions during the inspection. One staff member is a key worker for one of the service users and was able to explain how information is collected and recorded. Monthly key worker reviews of service users progress and needs are recorded and this information is used towards formal reviews of individual plans on a regular basis. Reviews including relevant people supporting service users were seen to have occurred. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 9 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): 17 Service users have a varied menu that reflects their personal choices and dietary requirements. EVIDENCE: A staff member and service user in the kitchen showed the menu for the week. This was varied and revealed that fresh produce is purchased and prepared. It was explained that service users choose the week’s menu a week in advance each Sunday with staff assistance. Service users are encouraged to prepare meals with the staff and one service user was able to indicate this occurs and is an enjoyable activity. Staff on duty were able to describe the particular dietary requirements of two service users and how these are met. Individual choices are also recorded on the menu. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 10 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 and 20 Service users receive personal support in a flexible and sensitive manner by a knowledgeable and motivated staff team. Service users healthcare and medication needs are appropriately met. EVIDENCE: The staff on duty were able to demonstrate an excellent and detailed understanding of the support required by each service user. Guidelines, preferred daily routines, likes and dislikes are recorded for each service user to include all elements of their personal support requirements. One key worker also further demonstrated that each service users daily routines are recorded in their daily diary, which confirmed that personal support is provided flexibly in accordance with individual requirements. One service user uses a communication board to help sequence events during the day and uses a staff board so they know what staff are on duty for a given week. This preference and support was clearly recorded in their records. Staff on duty explained the records seen for the healthcare needs of service users. Key workers monitor routine appointments and information is well recorded in both monthly reports and in service users medical diaries. There is access to all relevant NHS healthcare facilities in the area. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 11 The staff on duty described the medication system and policies. There are clear procedures for the ordering, administration and return of any unused medicines. Medication sheets examined were clear and appropriately signed by staff. Staff confirmed that they had completed the training program provided by the Organisation. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 12 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 and 23 The manager and care staff contribute well to the safety and protection of service users, and there are mechanisms and procedures in place to ensure that concerns and vulnerable adult issues would be recorded and appropriately dealt with. EVIDENCE: There has been the positive development of a pictorial tool to assist in communicating with service users, and this includes identifying any concerns or unhappiness that someone might have. The complaints procedure is drawn up in this manner, as is the “Passport for Communication” which includes pictorial descriptions of the likes and dislikes of service users, and their preferred routines. These pictorial tools are also in place at the other Atlas Homes, and therefore provide a degree of consistency for staff, and the means for carrying out quality audits by area managers, or regional managers. Regular staff supervision is carried out, and staff training is provided in the subject of Vulnerable Adult protection. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 13 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): Standards 24 to 30 were not assessed during this inspection. EVIDENCE: Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 14 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 The Organisation has well-developed mechanisms for ensuring staff are trained and competent. All staff are either on a course of study, or have completed this. EVIDENCE: Of eight staff looked at in Pinta, three have completed NVQ qualifications, 1 is currently undergoing this training and 4 are planned. In addition to this, there are also managers and other staff who have undertaken courses to suit their career development such as adult protection training, and training in applied behavioural analysis, including the current manager. The staff team were observed to carry out their day to day work in a caring and competent manner, and discussions with staff indicated that they were familiar with the care planning, recording and other methodology used in the home to care for service users. Conversations with service users were limited due to language communication barriers. However, from the conversations which took place with two of the three service users, it indicated that planned activities took place, on schedule, and to the satisfaction of the service users, and that support was available when required. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 15 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 and 42 The systems and methods used by the service to measure their success are service-user focussed and are applied throughout the organisation, which assists in a consistent approach. Adequate precautions are taken to ensure that the health and safety of all individuals in the home is promoted EVIDENCE: The methods of care planning and organisation have an emphasis on ensuring the involvement and understanding of service users. Staff also engage individually with each service user and ensure that the individual view is not lost amongst a “group” decision. This is reflected in different activities and holidays for different service users, for example. From the evidence available at the time of the inspection, there appears to be a consistent line through the training offered to staff, the methods and tools used to record and plan for care and the behaviour and conduct of the staff towards service users which was relaxed, professional and knowledgeable. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 16 The safety of service users was being promoted at the time of inspection through a good staff ratio and careful monitoring of the arrival and departure of people from the home. The front door is locked as a matter of course, but without adversely affecting choices of service users. Consistent with the design and layout of the home, an ordinary approach to health and safety was observed at the time of inspection – for example proper care being taken with regard to chores like ironing, food preparation and activities. Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 17 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 X 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 4 X X 3 X Pinta DS0000011362.V283784.R01.S.doc Version 5.1 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. 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 Pinta DS0000011362.V283784.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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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