Inspection on 24/11/05 for Pinta

This inspection was carried out on 24th November 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

Pinta 19/02/08

Pinta 02/02/07

Pinta 15/02/06

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 24th November 2005 2.15 Pinta DS0000011362.V271485.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 Pinta DS0000011362.V271485.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. Pinta DS0000011362.V271485.R01.S.doc Version 5.0 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.V271485.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 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.V271485.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection during the afternoon lasting for 3 hours. The house manager and respective service users facilitated a tour of the premises. Time was spent talking to service users who had limited verbal skills and staff and to gain their views and to observe the afternoon routines and lifestyle in the home. Time was also spent with the house manager and registered manager reviewing standards. The inspection concentrated on choice of home, lifestyle, the environment and staffing. Some of the homes records and some care records were examined to evidence and illustrate discussions and observations 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.V271485.R01.S.doc Version 5.0 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.V271485.R01.S.doc Version 5.0 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): 2 The home has a clear admission and assessment process to ensure prospective service users needs would be fully met, this also includes gaining the views of existing service users. EVIDENCE: The service users at the home are an established and settled group having been resident in the home for a long period of time. The registered manager described the arrangements for referrals, assessment, admission and transition planning for prospective service users. The process described was comprehensive and demonstrated a coordinated approach, including several visits and gaining the views of existing service users. There is an admissions policy within the home and further information is provided in the statement of purpose. Pinta DS0000011362.V271485.R01.S.doc Version 5.0 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): 9 Service users everyday activities and choices made are supported through a good risk management strategy. EVIDENCE: Service users have as independent lifestyle as possible as evidenced through observation and discussion during the inspection. Risk assessments for two service users were viewed on their care file. These risk assessments have a straightforward and easy to understand format. Risk assessments for both service users were individual and covered a range of daily life activities including hobbies and interests and referred to additional guidelines as required. All risk assessments had been reviewed regularly and signed by staff as having read and understood them. One staff member spoken to had a good understanding of the risk assessments viewed. Pinta DS0000011362.V271485.R01.S.doc Version 5.0 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): 12, 13, 14, 15 and 16 Service users are offered a good range of appropriate activities to suit their individual tastes. There is an inclusive daily routine supported by a dedicated staff team. EVIDENCE: Service users have a good range of activities planned to suit their personal preferences. Amenities in the local community are well used and include the use of leisure centres, including specialist resources and visits to pubs and shops and for one service user attendance at their chosen church. A daily plan for service users is accessed on the homes computer and includes all day-today plans, which staff could access and service users could view. The plan for the day of the inspection and the following day were viewed. This system was very organised and maximized the opportunities and choice given to service users. Service users also write their own daily diaries of activities each evening and staff spend time with service users reflecting on their time spent. One service user showed their diary which contained daily entries as described. Service users are able to undertake hobbies and interests to include arts, crafts and music. One service user’s pottery was viewed next to the garden Pinta DS0000011362.V271485.R01.S.doc Version 5.0 Page 10 pond. One to one days are planned each week with service users who choose what activity they wish to pursue with the staff member. Evidence of this was also seen on the computer system. One service user with the assistance of a staff member was able to confirm some of their leisure pursuits and satisfaction with their daily life in the home. The daily routines were observed during the afternoon and time was spent in the lounge. Staff treated service users with a friendly and warm inclusive manner. Service users had access to all areas of the home and staff were seen to support service users in their choices such as making drinks in the kitchen. One service user had enjoyed some DIY with staff members, which had been risk assessed and further evidences the inclusive approach the staff take to the daily life at the home. Each service user opportunities and engagement in daily life, occupational and recreational activities are further carefully monitored by the staff team and recorded on the “keeping tracks” document. Two service users “keeping tracks” documents were examined which revealed the opportunities and engagement in a variety of daily activities. This information is further collated so progress can be assessed and assistance in planning future individual activities for service users can be developed. Staff were able to describe the support given to service users to maintain relationships with their family members. One service user had been supported during the day by staff for an important event (due to confidentially, details cannot be recorded). The staff tam had gone to great lengths to support this service user and help make the necessary arrangements and support for visits. There are also arrangements for visits to and from a nearby home so service users can maintain their friendships with other individuals. Pinta DS0000011362.V271485.R01.S.doc Version 5.0 Page 11 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): Standards 18 to 21 were not assessed during this inspection. EVIDENCE: Pinta DS0000011362.V271485.R01.S.doc Version 5.0 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 The home has a comprehensive complaints policy, which staff understand and service users feel their views are listened to and acted upon. EVIDENCE: The home has a complaints policy within the home and in the statement of purpose. Although service users have limited verbal skills, it was confirmed and observed that staff are able to understand service users and would be clear if they were dissatisfied and would take appropriate actions. The homes compliment and complaints record was examined and revealed no complaints having been received since the last inspection. Staff confirmed an excellent relationship with service users friends and relatives. Pinta DS0000011362.V271485.R01.S.doc Version 5.0 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): 24, 26, 28 and 30 Service users clearly benefit and enjoy a clean, cheerful, comfortable and homely environment, which has been decorated to a high standard. EVIDENCE: The house manager and service users facilitated a full tour of the premises. The home has a warm, comfortable and homely appearance. The décor throughout the home was of a high standard. The home also contained plant and cut flowers that added to the bright and cheerful appearance. The house manager and staff described further planned enhancements to include developing an external outbuilding for a dedicated art and crafts area. The communal space was seen to be enjoyed by service users and consisted of a well decorated lounge and dining room with an open plan kitchen which adds to the domestic, comfortable and homely setting. There has been new furniture provided in the lounge and further enhancements to the décor in the lounge were in progress. Each respective service user facilitated a tour of their individual bedrooms. These were decorated and furnished to each individuals taste and choice to a high standard. Service users had their own personal belongings and were able to communicate their satisfaction with their rooms. The home was clean and hygienic throughout without exception. Pinta DS0000011362.V271485.R01.S.doc Version 5.0 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): 34 and 35 The home has a comprehensive recruitment procedure, which protects service users. Staff at the home receive the appropriate training and support to meet service users needs. EVIDENCE: The registered manager described the recruitment process at the home. The process of staff recruitment is coordinated by the registered manager, regional manager and head office to identify vacancies and successfully recruit new staff as needed. The registered manager confirmed that potential new staff are invited to meet the service users as part of the interviewing process. Three staff records were examined. Staff files were well organised and contained all the required information including appropriate references, identification and evidence of CRB checks to safeguard service users. A regional manager provides the home with up to date information of each staffs training that has been undertaken. This was examined and revealed that the home has clearly identified staff training needs and provided a good range and availability of training. Staff working within the home had completed all necessary mandatory training as evidenced in conversation and records. The arrangements and records for induction and the LDAF were also seen to be in place. Pinta DS0000011362.V271485.R01.S.doc Version 5.0 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): Standards 37 to 43 were not assessed during this inspection. EVIDENCE: Pinta DS0000011362.V271485.R01.S.doc Version 5.0 Page 16 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 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X 3 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 X 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pinta Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000011362.V271485.R01.S.doc Version 5.0 Page 17 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.V271485.R01.S.doc Version 5.0 Page 18 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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