Latest Inspection
This is the latest available inspection report for this service, carried out on 19th May 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Pine Heath Nursing Home.
What the care home does well We spoke to a healthcare professional prior to our visit to the Home and they said that they felt that relationships between themselves and the Home have improved. They have provided training with regard to pressure care and feel that the staffs skills have improved in this area. We spoke to the Manager after our visit and she confirmed that all staff, apart from two, have attended Moving and Handling training recently and that a date is booked for the last two staff to attend in June 2010. This was an action agreed at the meetings. What the care home could do better: The other two agreed actions that we looked at during our visit have not yet been achieved. Staff have not yet attended Safeguarding training but we saw confirmation from the training provider that this is booked for June 2010. As a result of the safeguarding meetings it was identified that the care plans were of a poor quality - they did not include information about how to meet the residents needs, nor adequate risk assessments. The Manager has started to use a new care plan system. However, at the time of our visit only 19 of these had been started and none actually include a care plan. Therefore, there are no care plans providing clear guidance for staff about how to meet residents needs. We also looked at the daily records and fluid/turn charts that are currently in use. These are not being completed accurately, or in some cases, at all. Random inspection report
Care homes for older people
Name: Address: Pine Heath Nursing Home Cromer Road High Kelling Holt Norfolk NR25 6QD one star adequate service 24/09/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Lella Hudson Date: 1 9 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Pine Heath Nursing Home Cromer Road High Kelling Holt Norfolk NR25 6QD 01263711429 01263711488 diane.varrall@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Diamond Care (UK) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 42 Number of places (if applicable): Under 65 Over 65 42 42 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 2 4 0 9 2 0 0 9 Pine Heath is a care home providing personal care and accommodation for older people, some of whom may have dementia. The home is located on the main road between Holt and Cromer. The home consists of a two-storey building. Most of the rooms are single and of a good size. There is a passenger lift to allow easy access to all communal areas and private space. Communal space is limited, with the lounge accommodation half of what it should be for the number of registered places. However a large room just off the registered accommodation has been made into an activities
Care Homes for Older People Page 2 of 8 Brief description of the care home room and is bright and airy. Activities take place in there every day. The grounds are attractive and extensive though would benefit from some concrete walkways so service users could enjoy them more. The fees depend on the level of care provided and on the size of accommodation accepted. A copy of the last inspection report and service user guide can be obtained on request. Care Homes for Older People Page 3 of 8 What we found:
We carried out an unannounced visit to the Home on the 19th May 2010. During this visit we spoke to staff and looked at a selection of records. Neither the Manager, nor the deputy manager were on duty during our visit. The Home was inspected in September 2009 and was rated as an ADEQUATE quality rating. In February and March 2010 safeguarding strategy meetings were held to discuss concerns about care. The purpose of this visit to the Home was to check on their progress towards meeting actions agreed at the safeguarding meetings. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 8 13 The safety and welfare of 30/11/2009 people must be safeguarded by full risk assessments being developed. These must contain clear directions as to how any risk can be minimised. Particularly with regard to the use of bed rails. 2 19 13 The registered person shall 28/11/2008 ensure that all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. An environmental risk assessment to be completed to support the health and safety of all persons in the home. 3 37 26 The registered provider must 13/02/2008 ensure that visits to the home are made monthly and that a copy of the visit report is sent to the Commission. Where the registered 06/11/2009 provider is an individual, but not in day to day charge of the care home, the person shall inspect the premises, records and complaints and
Page 5 of 8 4 38 26 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action prepare a written report on the conduct of the home. The completed report for these monthly visits are to be sent/emailed to the Commission for the next three months. 5 38 13 The registered manager 30/11/2009 provides a written statement of the policy, organisation and arrangements for maintaining safe working practices. That an environmental risk assessment is completed. (Particularly with regard to worn/frayed carpet that may pose a risk to people) Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 It is required that the care plans contain detailed guidance about individuals needs To ensure that staff have clear guidance about how to meet residents needs 30/06/2010 2 7 15 It is required that the daily records are completed accurately To ensure that an accurate record is kept of the care each resident receives 31/05/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
