Inspection on 25/07/07 for The Pines Residential Home

This inspection was carried out on 25th July 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The Pines Residential Home Nr Colebatch Bishops Castle Shropshire SY9 5JY Lead Inspector Mike Moloney Draft Unannounced Inspection 25th July 2007 07:45 The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 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 Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 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. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Pines Residential Home Address Nr Colebatch Bishops Castle Shropshire SY9 5JY 01588 638 881 01588 630 233 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) Ms Rachel Jane Hicks Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate one person with a Learning Disability aged 17 years old. Date of last inspection Brief Description of the Service: The Pines is a home for 4 people with learning disabilities. Is owned by Rachel Hicks who lives, with her family, on the premises. The building is set, surrounded by fields, about ten minutes walk from the centre of the town of Bishops Castle in South Shropshire. The gardens for the home are set in the larger grounds of the complex that also houses day activity facilities that are used by homes operated by other members of the proprietor’s family during the week. The complex and therefore the home has extensive car parking for use by both staff and visitors. This is an older style building that has been renovated and converted to its current use. Further information is available within the home’s service user guide. Fees currently range from £1,350 a week to £1,800 a week The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, the registration report and talking with as well as observing the care experienced by people using the service. What the service does well: What has improved since the last inspection? What they could do better: To make this a better service for the people who live there the manager must give the staff the chance to talk to her in private by setting up supervision sessions regularly. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. Prospective people to use a service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two people have been admitted to the home since it opened; one from a home owned by the family of the proprietor and was therefore known to them. The preadmission records of the service users both contained information about their potential needs and the manager and the staff confirmed that this was obtained from previous placements, families and by direct observation by the home’s staff during the introductory visits to the home. These visits were initially on a day basis and then as the individual started to settle overnight visits were introduced until it was clear that the person concerned was happy to stay long term. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive but not enough attention has been given to evaluating the level of risk in any activities involved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans for both service users were looked at and it could be seen that those needs that had already been identified also had ways of meeting them outlined within the document. The manager and the staff explained that further development of the plans was ongoing. The service users have communication difficulties therefore their views have to be identified by staff and other interested parties interpreting their actions and reactions. Although a number of needs had been identified for each person at the time of the inspection the manager confirmed that none of the ways of meeting those needs had been formally risked assessed to identify any potential dangers and how to manage them. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 10 The manager explained that it is intended that formal care reviews will take place when each individual has been at the home for six months. The manager also said that it is intended that the care plans would be further developed into an easy read format. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. People who use services are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of both of the service users were looked at and both care plans identified various likes and dislikes for each service user. Both service users have communication difficulties but staff were seen to interpret moods and signs and checked their understanding by asking simple questions. Staff were always aware of where each service user was but were seen to ensure that they had their own space. The manager and staff explained which activities each service user took part in and how the differing preferences of each one was met. One of the service The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 12 users showed her enthusiasm about attending the day service next door as well as going out for regular walks, attending the local Gateway Club and going out to a local hairdresser. The manager explained that challenging behaviour can be an issue for one of the service users when going out in cars, however, as the town is only a short walk from the home he can access the local community on foot under the supervision of a member of staff. Behaviour management programmes were seen in the files and it was clear from the records that these had been devised with the help of appropriate specialist professionals. Throughout the inspection staff were seen to treat the service users with sensitivity and respect. The names by which the service users like to be known were seen in the files and these were what the manager and the staff were heard to use. Menus were looked at and these showed that service users are offered a varied and balanced diet. The service user spoken to about the meals appeared to be quite enthusiastic about them. Individual preferences were seen to have been recorded within the individuals’ records and the menus reflected them. The manager stated that should the service users require any special diet for medical, cultural or religious reasons the home would endeavour to meet their needs. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was clear from looking at the records that the service users have access to healthcare professionals should they need it. Within the files notes were kept of when and why appointment were made as well as the details of results of the consultations and any actions necessary. The administration and storage of medication was looked at with storage consisting of a purpose made medication trolley that was kept securely in the office. At the time of the inspection no controlled drugs were kept in the home. One of the staff was observed giving a service user their medication and this was seen to done discreetly and recorded properly. The staff confirmed that they receive training in the safe handling of medication. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that the home has received no allegations of abuse or complaints. The home had a copy of the local policies and procedures for the protection of vulnerable adults as well as a copy of their own complaints procedure both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of the disabilities of the service users means that they are unlikely to be able to access these formal policies, observation of the staff interacting with them and communicating between themselves indicated that they, the staff, would be aware of any dissatisfaction expressed by a service user and it was seen that a whistle blowing policy is available to be used. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: This home is part of a larger building that it shares with a day activity centre used by the other homes owned by the family of the proprietor and the upstairs is used as private accommodation by the her and her family. Staff estimated that it is located 10 minutes walk from the town of Bishops Castle. Each bedroom is designed for one person and is equipped with en-suite facilities. There are separate lounge and dining rooms and a number of bathrooms equipped with a choice of bath or shower. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 16 There is a private courtyard garden that is set within the much larger gardens of the complex. The home has a small laundry facility that is appropriate to the current needs of the service users. Staff confirmed that infection control training is routinely required of them. There is plenty of car parking for staff and visitors. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. Staff in the home are trained, skilled, in sufficient numbers, although not fully supervised to support the people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were seen to be treating the service users in a friendly, respectful and dignified manner. The service user seen with them appeared more than comfortable with their presence. At the time of the inspection staff records were not being kept at the home but arrangements were being made to keep the copies of the records required by law on the premises. The staff records were seen in the central office in Bishops Castle. The files of a number of the newly recruited staff were looked at and these were seen to contain evidence of the checks necessary to ensure that people who are employed by the home are fit to work with vulnerable adults. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 18 Talking with the Manager and the staff as well as observation during the inspection and looking at the staff rota confirmed that staffing levels are appropriate to the needs of the service users currently living in the home. The manager confirmed that professional recorded supervision of staff had yet to be started. Talking with the staff and looking at the training records showed that they are encouraged to undertake training with a large proportion of the staff team having either attained NVQ2 in care or above or were working towards it. They also confirmed that they receive training in infection control, food hygiene, fire safety, manual handling, first aid, the safe handling of medication and the protection of vulnerable adults as well as undergoing appropriate induction and foundation skills training when they are first appointed to their job. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. The management and administration of the home is based on openness and respect and creates a safe home for the service users to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager confirmed that she has the Registered Managers Award and should soon have achieved an NVQ4 in Care which are the qualifications that are considered appropriate to a person who manages a service of this kind. As she lives on the premises she has close contact with the service users and can monitor their wellbeing first hand. As the home is so recently established a more formal quality assurance process has yet to be established. Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and activities. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 20 A variety of records that showed that the safety of the environment in which the service users live is monitored were looked at and found to be up to date. These included records of the monitoring of fridge and freezer temperatures, fire equipment test logs, hot water temperatures and the portable appliance test records. The home was also seen to have secure storage for hazardous materials as well as risk assessments that outlined their safe use. As stated elsewhere in this report the staff team receive appropriate safety training in infection control, the safe handling of medicines, first aid, food hygiene, manual handling and fire prevention. The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 21 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 4 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 X LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA9 Regulation 13(4)c Requirement Timescale for action 31/10/07 2 YA36 18(2) Assessments of the risks involved in the activities in which the service users are involved must be carried out and the results recorded in writing. Professional supervision sessions 30/09/07 must be started for staff so that they can discuss issues of practice and care privately and in confidence. 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 The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 The Pines Residential Home DS0000069429.V340030.R01.S.doc Version 5.2 Page 24 - 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. 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