Inspection on 08/11/05 for The Pines Nursing Home

This inspection was carried out on 8th 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

The Pines Nursing Home 29/11/06

The Pines Nursing Home 20/04/05

The Pines Nursing Home 29/11/04

The Pines Nursing Home 10/09/04

The Pines Nursing Home 19/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Pines Nursing Home Furze Hill Hove East Sussex BN3 1PT Lead Inspector Linda Boereboom Announced Inspection 8th November 2005 10:00 X10015.doc Version 1.40 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 The Pines Nursing Home DS0000037262.V252852.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 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. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Pines Nursing Home Address Furze Hill Hove East Sussex BN3 1PT 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) 01273 820275 joann.bendingndependentage.org.uk The Royal United Beneficient Association Janis Anne Weir Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That the maximum number of service users accommodated is thirtysix (36). That service users are over the age of sixty-five (65) years of age on admission. That one named service user under the age of sixty-five (65) years on admission may be acommodated. 17th May 2005 Date of last inspection Brief Description of the Service: The Pines provides personal and nursing care for up to thirty-six older people. The home is owned by Independent Age formerly know as The Royal United Kingdom Beneficent Association; the change of name occurred in February 2005. The Pines is purpose built and provides a passenger lift, enabling access for residents to all parts of the home. The home is situated in a residential area of the city of Brighton and Hove, East Sussex, and is within walking distance of the seafront. The home also has access at the rear to the local St Anne’s Well park. The city centre of Brighton and Hove is a short distance away, with many amenities and access to local transport. Accommodation is provided in thirtyfive single rooms, thirty of which have en-suite facilities. There is one shared room. Communal space is provided in a lounge/conservatory, quiet lounge and large dining area, and there is an Activities room on the first floor. There is a small, well-maintained garden that is accessible to residents. Car parking is available at the front of the home for approximately eight cars. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place over a six-hour period. The Inspector was introduced to almost all the residents by the Registered Manager, Mrs Janis Weir who also facilitated the inspection. The Inspector spoke with a large number of the residents in private and was also able to speak with two visitors. Nine staff were also spoken with including kitchen staff. On the day of inspection the home appeared clean, tidy and well organised; staff were extremely helpful and the inspection was a very pleasant and positive one. Feedback was given to Mrs Weir at the end of the inspection when the few requirements were discussed. The Inspector would like to thank the management and staff of the home for their helpfulness and hospitality. What the service does well: The standard of care given in The Pines is of a good standard and staff spoken to by the Inspector all gave the impression of being committed to their work and the well being of the residents. Residents all appeared well cared for and content; comments were made to the Inspector by residents that included ‘I couldn’t wish for a better life or people’, ‘I can’t fault a thing’, ’I have a visitor most days and they are always made welcome’ and ‘I’m so happy here, I’ve never been like this in my life!’ The home provides activities for the residents and on the day of inspection thirteen residents were enjoying activities with the Activities Co-ordinator who works full time and has experience in care of the elderly. There are also two house cats and a hamster that residents enjoy the company of. During a tour of the home the Inspector noted that staff interacted well with the residents and their relationships seemed comfortable and friendly. Staff spoken with by the Inspector said they feel well supported and are able to give their views freely on the running of the home, all said the Registered Manager and Deputy Manager are always available to listen to them. Residents live in a safe, homely and supportive environment that is pleasant and clean with all facilities to ensure their well being. The Registered Manager told the Inspector that in the last year £35,000 had been spent on updating and replacing pressure relieving and moving and handling equipment. All equipment in the home is serviced, and checked for use regularly by the home’s maintenance person. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 6 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 Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4 and 5. Standard 6 is not applicable. Residents receive adequate information about The Pines, prior to admission to ensure they can make an informed choice about whether or not to move into the home. Prospective residents are assessed prior to admission and the home makes sure that staff that are employed by the home are able to meet the needs of the residents. EVIDENCE: The home’s statement of purpose and service user guide are prepared and reviewed by the Head Office quality control department. On looking through both it was noted that some of the information relates to the old title of the organisation and now needs to show that the Pines is owned and run by IndependantAge Organisation that has charitable status. The Inspector discussed residents terms and conditions of residency and was told by the Administrator that they are prepared and given usually within two days of the resident being admitted to the home. Pre-admission assessments undertaken by the Registered Manager form the basis of care planning. All residents enter the home for a month’s trial period and are encouraged to visit the home themselves or ask a relative or friend to do so, prior to making the decision to move in. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 9 Staff receive training in the care, diseases and needs of the elderly. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 7,8,9 and 10. Care outcomes for residents in the home is good. Care plans that are prepared for each resident show comprehensive information and staff are knowledgeable on the diseases and conditions of old age. Policies and procedures are in place to protect residents. The home deals sensitively and empathetically with residents concerning their wishes at the end of life. EVIDENCE: Each resident in the home has an individual plan of care that include a comprehensive plan of care both for physical, social and emotional needs. Care plans also show risk assessments both personal and environmental. The Inspector was able to look at the care plans and found them to include documents relating to personal information and care needs, maintaining a safe environment, communication needs, nutrition, mobility social interaction and assessment, spiritual and religious needs, a records of professional visits, daily records and an agreement of the residents plan of care. All care plans held a photograph of the individual resident.. Following a recommendation made in the last inspection report the Inspector noted that consent forms in respect of the use of bed rails are now in place and signed by the resident or representative. Residents’ physical and medical needs are closely monitored The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 11 and specialist services are called in as appropriate. The home has recently purchased new equipment to replace old pressure relieving and moving and handling equipment. The Registered Manager told the Inspector that the sensitive subject of resident’s end of life wishes are broached at a time when the resident feels comfortable enough in the home to discuss it. All residents spoken with by the Inspector said they felt well cared for and that staff were friendly and respectful. The Inspector noted that when residents were receiving personal care from staff a ‘care in progress’ sign was placed on the closed residents door. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 12,13,14 and 15. Residents in the home find that their lifestyle meets their expectations and that their social cultural and recreational interests can be maintained. The home encourages residents to maintain friendships form their previous lives and is pro-active in encouraging relatives to visit as often as they wish. The home caters well for all dietary needs and residents receive balanced and varied meals. The dining room is pleasant and staff encourage residents to eat together. EVIDENCE: The Pines has an Activities Co-ordinator who provides a range of activities for residents. She is employed full-time and will be spending most of that time in organising activities and five hours assisting with caring duties. On the day of inspection thirteen residents were enjoying group exercises in the conservatory. The home has a residents’ message board for advertising activities. The Activities co-ordinator takes responsibility for ensuring that residents undertake activities they enjoy either in groups or individually. The home also has two house cats, and a hamster that was chosen by a resident and lives in the well equipped activities room. The Pines also has a Friends’ of The Pines voluntary group who make visits to the home, get to know the residents and also share some of the activities. Residents spoken with by the Inspector supported that they are able to go out The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 13 with friends and relatives if they so wish and both residents and two relatives said that they visitors to the home are always made welcome and offered refreshments. Residents meetings take place and one resident helps with the organisation. On the day of the inspection twenty- six residents were having lunch together, some being assisted by staff. Care is taken by both catering and care staff to make sure the dining room is pleasant and meals are well presented and unhurried. All residents spoken with by the Inspector said they enjoyed their meals and that the food is plentiful. The Inspector saw a four- week rolling programme of menus with a choice for the main meal. The chef and his assistant were able to spend time with the Inspector and explained the food ordering process, quality control measures that take place to ensure all foodstuffs are in date and system used to keep food specimens for three days. Records are kept of fridge and freezer temperatures and the temperature of all fish and meat delivered to the home. During conversation between the Chef and the Inspector it was agreed that a record would be kept of meals eaten by each individual resident for future reference. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 16,17 and 18. The home has policies and procedures ion place to protect residents against abuse and to ensure that any complaints made are acted upon. Resident’s legal rights are protected and the home operates in an open manner. EVIDENCE: The home has a comprehensive complaints procedure in place and records showed that the procedure is followed. Since the last inspection the home has received five complaints, all minor and all resolved on the same day. A recommendation will reflect in this report that complaints are signed and dated during each step of the way i.e. when received, when action is taken and at the outcome. The Commission for Social Care Inspection has not received any complaints about the home since the last inspection. The Registered Manager told the Inspector that residents either use their relatives to vote by proxy for them or go to the local polling station; some use the postal voting system. The Inspector discussed with the Registered Manager staff training in the protection of vulnerable adults and although records showed that training had taken place, some staff had not attended. A requirement will be made in this report that all staff attend training including night staff. Training is provided by a local charity and is in line with local legislation. The Registered Manager confirmed that all staff have Criminal Records Bureau checks prior to commencing employment and the ten new staff starting work at The Pines in December and January this year are currently undergoing the process. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 15 The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 16 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 the following standard(s): These standards were all assessed at the last inspection in April 2005. EVIDENCE: Although these standards were not officially assessed during the inspection the inspector noted that the home was well organised and clean and tidy. Bedrooms had been personalised by residents and many had their own pictures and furniture. The Registered Manager told the Inspector that although the flooring in residents’ rooms is not carpet, residents are offered the choice to have a carpet on admission to the home. Residents in the home seemed happy in their environment and those spoken with by the Inspector said they liked their surroundings, enjoyed sitting in the pleasant sitting room and conservatory and enjoyed the views into St Anne’s Well park. On a tour of the kitchen the Inspector found it also to be very clean, organised and tidy. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 17 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 The home has sufficient staff on duty each day to meet the needs of the residents. Staff are currently being recruited and the home’s policies and procedures ensure this is done in a way that protects residents. Staff training is ongoing and staff are aware of the conditions and diseases of old age. EVIDENCE: On the day of inspection the home was well staffed and the Inspector was able to speak with staff, the maintenance person and the chef and his assistants in the kitchen. The Registered Manager discussed rotas with the Inspector and there are generally the Manager, two Registered Nurses and seven care staff on duty during the day. The home also has four kitchen staff, three laundry and housekeeping staff and a handyman. Many of the staff are from Eastern Europe and the Inspector spoke with them about their training and work in the home. All were Registered Nurses in their own country and planning to undertake NVQ level 3 in 2006. All staff were interviewed in their own country by the Registered Manager of The Pines or it’s sister home. The home has plans in place to offer foreign staff of all nationalities English lessons if their spoken English requires improvement; currently funding is being negotiated. All staff spoken with by the Inspector spoke excellent English and residents reflected that they had no problem in communication. Staff recruitment is underway and the Registered Manager told the Inspector that all are in the process of being Criminal Records Bureau checked before commencing work. All staff receive induction and the home operates a ‘buddy’ The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 18 System during the induction period. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 19 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35,36 and 38 The home is run by a competent and pro-active Registered Manager who oversees the home and ensures it is run in the best interest of the residents. There is an emphasis on health and safety for residents and staff. EVIDENCE: The Registered Manager will be completing her Registered Managers award by January 2006. She also has a certificate in Health and Safety welfare, a certificate in Business management, is an NVQ assessor and has the ENB 998 certificate in Supervision and Mentorship Training and Assessment. In addition to this she has sixteen years experience of caring for older people and is a Registered Nurse. Residents are advised before admission to the home not to bring any excessive amounts of money or valuables with them. The home does provide a lockable facility in each room for small personal valuables and spare keys are available in the event of loss. The home does not manage any personal finances for The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 20 residents and hairdressing, chiropody and newspaper bills are included in each monthly account. Through speaking to staff and looking at staff files it was clear that supervision takes place, both whilst working and on a one to one basis. The Registered Manager and Deputy Manager undertake supervision for all staff. A budget is in place for training this includes a rolling programme of moving and handling, infection control, management of challenging behaviour, food hygiene, health and safety, first aid and fire safety. All staff have the opportunity to undertake fire safety training and all staff need to ensure that they undertake the training offered, especially night staff. Looking through the policies and procedures there is in-depth information available for staff on moving and handling, control of infection, cosh and the job responsibilities of all staff relating to health and safety matters. All maintenance is undertaken by the homes Handyman who also checks water temperatures, alarm call bells and the emergency lighting; he takes responsibility for any portable appliance testing. Regular fire alarms and fire drills take place with records kept. Service contracts are in place for fire detection and fighting equipment, and aids and equipment, including the lift shaft. Some fire doors have acoustically activated door guards, which enable them to be left open in some areas of the home. The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 21 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X X x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 3 X 3 The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 22 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 OP18 Regulation 13(6) 18(1)c(i) 18(1)c(i) 23(4)d Timescale for action All staff, with an emphasis on 15/01/06 night staff, to attend training in the protection of vulnerable adults. All staff, with an emphasis on 15/01/06 night staff, to attend training in fire safety and evacuation in the home. Requirement 2 OP38 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 OP1 Good Practice Recommendations The Organisation to ensure that the statement of purpose and service user guide reflect the correct name of the organisation in all details relating to the home and the policies and procedures. The chef or staff to keep records of meals eaten by each individual resident. Records of complaints to be signed and dated throughout the process of investigation, i.e. when recording the complaint, action taken and date the outcome is reached. 2 3 OP15 OP16 The Pines Nursing Home DS0000037262.V252852.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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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