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Care Home: Pine Park House

  • Pine Park Road Honiton Devon EX14 2HR
  • Tel: 0140442549
  • Fax: 0140442208

Pine Park House provides respite care for up to six people with physical and learning disabilities who are under the age of 65. It is a large detached house on the outskirts of Honiton. There is a garden at the back of the house. There are 6 single bedrooms, a large lounge, conservatory, kitchen and dining area. There are some car parking spaces at the back of the house, and people can also park on the road outside. People who use wheelchairs can move around the ground floor easily. There is ramped access into the home and two bedrooms on the ground floor have been well equipped with hoisting equipment leading to a specially adapted bathroom.The home is run by Devon Social Services. Fee levels will be individually assessed by each personâs care manager.

  • Latitude: 50.79700088501
    Longitude: -3.1819999217987
  • Manager: Mrs Georgia Joan Thomas
  • Price p/w: -
  • UK
  • Total Capacity: 6
  • Type: Care home only
  • Provider: Devon County Council
  • Ownership: Local Authority
  • Care Home ID: 12362
Residents Needs:
Learning disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Pine Park House.

Key inspection report Care homes for adults (18-65 years) Name: Address: Pine Park House Pine Park Road Honiton Devon EX14 2HR The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Vivien Stephens Date: 1 9 1 1 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 36 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 36 Information about the care home Name of care home: Address: Pine Park House Pine Park Road Honiton Devon EX14 2HR 0140442549 0140442208 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : http/www.devon.gov.uk Devon County Council care home 6 Number of places (if applicable): Under 65 Over 65 6 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is 6. The registered person may provide the following category of service: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection 2 1 1 1 2 0 0 8 Care Homes for Adults (18-65 years) Page 4 of 36 A bit about the care home Pine Park House provides respite care for up to six people with physical and learning disabilities who are under the age of 65. It is a large detached house on the outskirts of Honiton. There is a garden at the back of the house. There are 6 single bedrooms, a large lounge, conservatory, kitchen and dining area. There are some car parking spaces at the back of the house, and people can also park on the road outside. People who use wheelchairs can move around the ground floor easily. There is ramped access into the home and two bedrooms on the ground floor have been well equipped with hoisting equipment leading to a specially adapted bathroom. Care Homes for Adults (18-65 years) Page 5 of 36 The home is run by Devon Social Services. Fee levels will be individually assessed by each person’s care manager. Care Homes for Adults (18-65 years) Page 6 of 36 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 36 How we did our inspection: This is what the inspector did when they were at the care home We talked to the manager, Georgia Thomas, five people who were staying at the home that day, and four members of staff. We looked at some of the records the home must keep. These included care plans, medications, menus, staff recruitment and training, and records on health and safety in the home. We walked around the home and looked at all of the areas used by people who stay there. Care Homes for Adults (18-65 years) Page 8 of 36 Before the inspection an Annual Quality Assurance Assessment (AQAA) was completed by the Registered Manager. Some of the people who regularly stay at the home, care workers, and health and social care professionals completed survey forms to tell us what they think about the home. What the care home does well People told us they always enjoy staying at Pine Park House Before people stay for the first time the home will take time to get to know them well. People can visit as often as they want to, and they will be given plenty of information to make sure they are certain Pine Park House is the right place for them. Care Homes for Adults (18-65 years) Page 9 of 36 Each person has a care plan that tells the staff team exactly how they want to be supported. The care plans are clear and easy to read. The staff know what people like to eat and if they need a special diet. The menus have been drawn up to suit everyone’s likes and dislikes. People said they always like the meals. There are always plenty of staff on duty. Most of the staff have worked at the home for many years and know the people who stay there very well. They have been well trained and know exactly how each person wants to be supported with all of their health and personal care needs. The home will listen to all concerns and complaints, take them seriously, and they will do whatever they can to put things right. Care Homes for Adults (18-65 years) Page 10 of 36 Pine Park House is a nice place to stay. The home is comfortable, clean, modern and well maintained. There is plenty of space for people to move around easily. What has got better from the last inspection The house is now even more comfortable and modern. There is a new conservatory, the garden has been improved with better garden paths and raised flower beds. The house has been repainted inside and outside of the house. Some new carpets have been laid. A bathroom and a shower room have been refitted. Care Homes for Adults (18-65 years) Page 11 of 36 Some of the staff have had training on skin care. What the care home could do better There are just a few things they could do to make sure each person’s medicines are even safer. The records of cash held on behalf of those people who do not want to look after their own money should be improved. The records should show exactly how much is spent by the staff on each item, and how much change is returned to the home for safe keeping. Care Homes for Adults (18-65 years) Page 12 of 36 At least two satisfactory references must be received and a Criminal Records Bureau check before new staff are offered a job. A few staff said they would like better support and communication from the management team. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Vivien Stephens Care Quality Commission – South West Citygate Gallowgate Newcastle upon Tyne NE1 4PA Care Homes for Adults (18-65 years) Page 13 of 36 03000 616161 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 14 of 36 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 15 of 36 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their needs will be fully assessed and the home will not agree to provide a respite service unless they are certain they will be able to meet the persons care needs fully. Evidence: At the time of this inspection there were 30 people who regularly used the respite facilities at Pine Park House. Most of these had been visiting the home regularly for a number of years and were well known to the staff team. We looked at the way the home had assessed the needs of those people who had started to use the service since our last inspection. Each person had been given written information about Pine Park House including documents that use symbols to help people who have difficulty reading text. They had gathered information from other professionals involved in the persons care and also carried out their own assessment. Consent to stay had been explored. Each person had been encouraged to make at least one visit to Pine Park House before they stayed overnight. Where any restrictive practices were involved (such as the use of monitoring devices) the home had followed best practice procedures. Care Homes for Adults (18-65 years) Page 16 of 36 Evidence: The home had thought about, and planned for, whatever support will be needed by prospective new respite service users who may need additional input or treatment from external health or social care professionals. The home is run by Devon Social Services. The contract to provide the service is blockbased and therefore the home did not have details of any individual contracts between the local authority and the individual for the period of each respite. The home has considered all of the external support services that people may need as well as the support the home must provide while the person is staying at Pine Park House in order to fully meet their care needs. The home is run by Devon Social Services. The contract to provide a service is blockbased and therefore the home did not have details of any individual contracts between the local authority and the individual for the period of each respite. Care Homes for Adults (18-65 years) Page 17 of 36 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident their care needs will be fully met by a competent staff team who have the knowledge, information and experience to make sure all individual needs are met safely. The care staff respect each persons rights to make decisions and choices about all aspects of their daily lives. Evidence: On the day of this inspection there were 5 people staying at the home. We looked at their care plan files to find out how the home had liaised with each person, their families and carers and other professionals to draw up and agree a plan of the care they will need while staying at Pine Park House. Documents in each file were neatly divided and information was easy to find. This meant that care workers could find relevant information quickly. At the front of each file there was a page containing important information about the person and key people who support them including their date of birth, address, next of kin and doctor. There was also an up to date photograph. Care Homes for Adults (18-65 years) Page 18 of 36 Evidence: The main care plan document was written in a straightforward and easy to follow style giving instructions on all areas of support needed throughout the day and night. Where there were risks these were clearly highlighted, and where procedures were complicated the plans were signposted to detailed instructions elsewhere in the files. Each person has a key worker allocated within the Pine Park House care staff team who has been given responsibility to liaise closely with the person, their families and other professionals to make sure the care plans are always kept up to date between each respite stay. The files also contained daily recording sheets that provided excellent evidence that the tasks set out in the care plans have been carried out each day. The front of these sheets provided individualised tick box checklists to show that all tasks have been carried out. On the reverse of the forms there was space for care workers to complete daily reports. These sheets were used by the management team to monitor the daily support tasks carried out by care workers. During our visit we talked to, or observed, the five people staying there. We also talked to the care staff on duty to find out how people were supported to make decisions about their daily lives. The care staff had developed excellent communication skills with those people with limited speech, including the use of sign language for one person, or understanding body language for others. People talked about the things they enjoyed doing, and we saw how staff supported them to make decisions about the things they wanted to do. The home told us that people who use the service have been encouraged to participate fully in the management of the home including recruitment and selection processes and staff meetings. The care plan files contained risk assessments on many aspects of each persons daily routines including activities and outings, individual fire risk plans, healthy eating assessments, and moving and handling assessments. They told us that care workers have a highly developed sense of duty of care and they approach all tasks with a risk reducing approach. They have balanced this with an awareness of the individuals right to make decisions. All documents have been stored securely to ensure confidentiality is respected. Care Homes for Adults (18-65 years) Page 19 of 36 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has carefully considered each persons needs to lead fulfilling and interesting lives, and provided plenty of opportunities for people to do the things they want to do, and to keep in touch with friends and families. Peoples nutritional needs have been met through a varied and balanced range of appetising home cooked meals. Evidence: Most people who use Pine Park House have only stayed for a few days at a time. However, some people have stayed for longer periods, for example, while waiting to find new long term accommodation. We saw evidence in the care plan files, and by talking to the manager and care staff, to show that they have considered each persons educational and recreational needs on an individual basis. The home has worked closely with a local team known as Fulfilling Lives to make sure each person continues to participate in all their regular activities, clubs and social events Care Homes for Adults (18-65 years) Page 20 of 36 Evidence: just as they have done when in their own homes. Many people regularly attend day services during the day, and are transported to Pine Park using their usual day centre transport at the end of the day. The home has not had their own transport and this has sometimes limited the evening and weekend outings. However the manager told us they have been able to use vehicles owned by various local facilities, and they hope to have greater access to transport facilities in the near future. They also use public transport or support people to go for walks in the local area. During the evening of our visit we saw people sat with the care workers in the main lounge. One person was watching a DVD, another person was playing a game with wooden blocks, and two other people were enjoying chatting with the staff. One person preferred to sit quietly on their own and the staff understood and respected their wishes. There was a good range of games, DVDs, music, and computer equipment people could use if they wished. Most bedrooms had televisions with DVD players. People have been encouraged to bring their own activity boxes with some of their favourite things to do. The home told us that none of the people who stay there have requested to attend church regularly, although they have been supported to go to church at Christmas or Easter if they wished. They said they would support people to follow any faith and attend any spiritual services if requested. The home has liaised very closely with each persons family, friends and carers and people have been supported to keep in touch throughout their stay. Visitors have been made welcome. As Pine Park House normally provides short stays and respite breaks for people they do not usually need to consider the provision of holidays. However, those people who have stayed for longer periods have been supported to take holidays elsewhere if they wanted. We talked to people staying that day, and to the staff team about the way they plan meals. The staff had a good knowledge of each persons likes and dislikes and dietary needs. There were printed menus showing the main meals planned for each week but we were assured that they always had good stocks of food and if people wanted to choose something else they could do so. The staff told us they enjoyed cooking and liked to provide good quality and tasty home cooked meals. People have been encouraged to go with staff during shopping trips and to help choose and prepare meals if they wish. People told us they always enjoyed the meals. We also saw evidence to show that the staff team were completely flexible and provided food at times to suit each persons usual routines. Care Homes for Adults (18-65 years) Page 21 of 36 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who stay at Pine Park House can be confident the staff team are well trained and know exactly how each person wants to be supported with all of their health and personal care needs. Medicines are stored and administered safely, although there are some minor actions that could be taken to make systems even safer. Evidence: The care plans provided very good information about all personal and health care tasks each person needed assistance with. Where procedures were complex, or where there were potential risks the care plans provided excellent detail and were written in a clear and straightforward manner. The home told us in their AQAA Service users are treated with empathy at all times, this is especially important when they are dependant for help with their personal care; dignity in care principles form the cornerstone of our practice and we pride ourselves on getting these basics correct for people according to their personal preferences; these details are recorded in individual care plans by key workers; equipment is well maintained and serviced according to legislative requirements; staff are trained to operate safely; specialist provision is maintained during respite so that therapies are not neglected; Care Homes for Adults (18-65 years) Page 22 of 36 Evidence: nursing interventions are arranged and alternatives explored; service users experience a continuity of care from staff who are familiar to them. At the last inspection we found that care staff followed instructions on skin care passed to them from the persons regular carer or family. We suggested staff should have training on skin care and prevention of pressure sores. At this inspection we found that some of the staff had received this training. We received six completed questionnaires from health and social care professionals who support people who regularly use Pine Park House respite facilities. Their responses were positive about the home and the care provided. Comments included Staff at PPH have always gone to great lengths to meet the needs of individuals staying there. An excellent respite service and staff team always willing to meet the respite needs of individuals wherever possible. The manager and her staff are particularly good at highlighting any concerns and actively seeking advice from their fellow professionals. They implement any recommendations in full. They positively seek information on communication training to enable them to support their service users. Those people who have stayed at Pine Park House for shorter periods have usually had all routine health checks organised by their regular carers. The manager told us that one person who has stayed for a longer period has had all health checks organised by the home. We looked at the way medicines were received into the home each time a person was admitted, and how the medicines were stored and administered. People must take the correct medication with them on the first day of their stay. The care staff check the amounts received, and they record on a medicine chart the name, dosage and administration instructions. We watched two staff giving out the evening medications. The amount of each medicine held was checked to make sure the balances were correct. Careful checks were made to make sure the medicine was not out of date, and to make sure the amounts administered were correct. Each member of staff doubled checked to make sure each step of the administration process was correct - this demonstrated good practice. The medicines were placed in a pill pot, the staff signed the administration record and the took the medicines to the person. We advised that it is good practice to sign the records after the person has been observed taking the medicines, not before. No controlled drugs, or drugs that needed to be kept in a refrigerator, were stored or administered in the home at the time of this inspection and none have been administered there in recent years. The home did not have suitable storage for controlled drugs, or for drugs that must be kept cool, but the manager assured us she was aware that they must provide the correct storage facilities if such medicines are stored and administered by the home in the future. Care Homes for Adults (18-65 years) Page 23 of 36 Evidence: Lockable storage is provided in bedrooms for those people who are able to administer their own medicines. Care Homes for Adults (18-65 years) Page 24 of 36 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that any concerns or complaints they make will be listened to, taken seriously, and acted on correctly. Good procedures have been followed, including staff training, to make sure people are protected from the risk of harm or abuse. Evidence: No complaints or concerns have been received by the Commission in relation to the home in the last year. The home told us they had received one complaint and when we looked at the records we found the complaint did not relate to the care provided to any people who use the services and therefore was not relevant to this inspection. We were, however, able to see the process followed by the home when dealing with the complaint and we were assured the matter had been taken seriously and the home had taken action to try to resolve the matter. The home has a clear and straightforward complaints procedure that is given to every person when they are first admitted to the home in a welcome pack. We talked to the people who were staying at the home on the day of our inspection, and to the staff on duty and we were assured that people knew who to talk to and how to raise a complaint or concern, and they were certain these would be dealt with satisfactorily. We also received seven completed survey forms from people who regularly stay at the home and they also confirmed they were confident about the complaints procedures. All staff have received training on the protection of vulnerable adults. Devon County Council have a range of policies and procedures designed to ensure people are protected Care Homes for Adults (18-65 years) Page 25 of 36 Evidence: from potential abuse. Four staff completed survey forms before this inspection and they all said they knew what to do if someone has concerns about the home. We looked at the way the home has handled peoples money while they have stayed at the home. Lockable storage has been supplied in every bedroom for those people who want to hold their own cash and valuables. If people do not want to keep cash in their rooms the home has kept good records to show the amounts received and kept secure. Those people who have stayed for short periods have usually only taken small amounts of cash with them. However, those people who have stayed in the home for longer periods have had larger amounts and/or more transactions. For these people the recording systems could be improved to show each stage of any transaction, the goods purchased, and the change returned to the home. Care Homes for Adults (18-65 years) Page 26 of 36 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Pine Park House provides comfortable, spacious, clean, modern and well maintained accommodation to suit every person who stays there, including those people who may need assistance to move around safely. Evidence: Pine Park House is a two storey detached house in a residential area on the outskirts of Honiton. There are gardens to the rear of the house and some on site car parking. Visitors can also park on the road outside. There is level access to the ground floor, and two bedrooms on the ground floor bedrooms are suitable for people who use a wheelchair. There is no shaft lift or chair lift between the ground and first floors and therefore people who use the bedrooms on the first floor must be able to use the stairs safely. In a tour of the home we found it had been well maintained throughout. In the last year the outside and inside of the home has been painted. All areas appeared bright, clean and comfortable. There were many interesting period feature including attractive staircase, stained glass, and a panel with the original servants bells. A large conservatory has recently been built at the rear of the building to provide a bright additional room that can be used for activities or an additional sitting area. This room was Care Homes for Adults (18-65 years) Page 27 of 36 Evidence: close to completion on the day of this inspection. There were also some areas where new carpeting was in the process of being laid. The gardens have been well maintained and provide an attractive level area for people to use in warmer weather. There is a lawn, paths and borders with shrubs. One area of the garden had recently been relaid with wide paths, a raised flower bed and ramp to the new conservatory. One bedroom on the first floor had recently developed a stain on the wall indicating there was some damp coming from the roof. The manager, Georgia Thomas, assured us the matter was being investigated and repairs would be carried out as soon as possible. In the last year a bathroom and shower room have been re-fitted and now provide bright, clean and modern facilities with aids to help people who may need some assistance to get in or out of the bath or shower. On the ground floor there is a large bathroom between two bedrooms that has been well equipped with ceiling hoisting facilities from each bedroom. This bathroom had doors into both bedrooms. We asked the manager, Georgia Thomas, to investigate ways of protecting peoples privacy and dignity when using the bathroom. People should be confident the person in the adjoining room cannot enter while the bathroom is engaged. The kitchen and laundry areas have been well equipped and were fitted with modern units that were attractive and homely. Care Homes for Adults (18-65 years) Page 28 of 36 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good systems are in place to monitor and adjust staffing levels on a daily basis according to the needs of the people who will be staying at the home. There is a stable staff team who have been well trained to meet peoples needs. The recruitment procedures are usually good, but greater care must be taken in future to make sure adequate references are obtained to confimr the persons suitability for the job.. Most staff are well supervised and supported but more should be done to make sure all staff receive the support and guidance they need.. Evidence: We looked at the way the home plans the number of staff needed throughout each day. The number of people staying in the home varies from day to day, and throughout the day. On the evening of this inspection there were five people staying and four care staff supporting them. We saw staff sitting with people talking to them, and offering each person individual and timely support to help them follow their preferred routines. We heard that if people needed on-to-one support the staffing levels were planned well in advance to make sure there has always been sufficient staff on duty. We talked to the staff and the people staying in the home about the staffing levels and they all felt the Care Homes for Adults (18-65 years) Page 29 of 36 Evidence: staffing levels were always sufficient to meet each persons needs. The staff turnover has been very low in the three years since the last key inspection of the home. This means the staff group is stable and they know the people who regularly stay at the home very well. We looked at the files of two staff who had been recruited in the last three years. One file showed that the home had received a satisfactory Criminal Records Bureau (CRB) check and two satisfactory references. However, the second file we looked at showed that a satisfactory CRB and just one reference had been received before the person was appointed. The failure to obtain at least two satisfactory references indicated that the home had not taken adequate care to make sure the person was entirely suitable. All staff have received induction training at the start of their jobs that met nationally recognised standards laid down by the organisation known as Skills for Care. We saw evidence to show the home has provided a good range of training and updates to all staff on topics relevant to their work. The topics have covered health and safety related topics, protection of vulnerable adults, and health and personal care topics. They had computerised training records that have been checked regularly by the manager to make sure staff have received training and updates on all mandatory topics. Four care workers completed a survey form before this inspection took place. They told us they have received a good range of relevant training. Comments included Yes, we are always doing training at PPH. We received varying remarks from staff who completed questionnaires on the standard of supervision they have received. Two staff said they were well supported by their manager through meetings and supervision, one person said sometimes and one person said never. One member of staff told us that communication between management and staff could be better. Information provided by the home before this inspection showed that they employed 16 permanent care workers. 9 of these held a recognised qualification known as NVQ to at least level 2 or above. This level exceeded the recommended level of at least 50 of staff with a recognised qualification, and demonstrated the homes commitment to good qualification and training for all staff. Care Homes for Adults (18-65 years) Page 30 of 36 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed. The systems for monitoring the quality of the service are adequate, but they could be improved by better consultation with the people who regularly use the service and everyone who support them. There are good systems in place to protect the health and safety of the staff team and the people who stay at Pine Park House. Evidence: Georgia Thomas has been the registered manager of Pine Park House for approximately three years. She has worked at the home since 1995 and in that period she has held all job roles. She holds a nationally recognised qualification known as NVQ levels 3 and 4 and also the Registered Managers Award. Since her registration as manager she has completed various training courses including a health and safety qualification. There is a good management structure in the home. Before this inspection took place we asked the home to complete an Annual Quality Care Homes for Adults (18-65 years) Page 31 of 36 Evidence: Assurance Assessment (AQAA). The information we received in this document was detailed and wide-ranging and demonstrated the manager had a very good understanding of all areas of her responsibility, and of the Care Standards Act and National Minimum Standards. It also showed that there were some quality assurance procedures in place but these could be improved to include better feedback regularly from the people who use the service and their carers, other professionals, and the care staff team. All staff have received regular training and updates on health and safety topics. A health and safety audit of the home was carried out last year and the outcome was good. We looked at the fire log book and found that all fire safety equipment had been regularly checked and serviced and staff had received fire training and updates to meet the required standard. Information provided by the home before this inspection showed that all equipment in the home has been regularly serviced and maintained. Health and safety policies have been put in place. All accidents and near misses have been recorded and regularly reviewed to decide if further action is needed to prevent similar accidents happening in future. Care Homes for Adults (18-65 years) Page 32 of 36 Are there any outstanding requirements from the last inspection? Yes  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, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 33 of 36 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 Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 34 19 The home must follow robust 31/12/2009 recruitment procedures before any new member of staff is confirmed in post. The home must obtain at least two satisfactory references, one of which should be from the current or most recent employer, and a Criminal Records Bureau check that confirms the person is trustworthy and honest and has not been placed on the Protection of Vulnerable Adults list. This is to make sure that any person who has applied to work at the home is entirely suitable for the job they have applied for, and to make sure the people they will be caring for will be safe from harm or abuse. Care Homes for Adults (18-65 years) Page 34 of 36 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 1 20 Care workers should not sign medicines administration records until after they have witnessed the person taking the medication. The home should ensure adequate arrangements are in place to provide the correct storage facilities for any controlled drugs, or medicines that must be kept cool, if at any time the home admits a person who requires such medication. 2 23 Recording systems for cash held in the home on behalf of people staying there should be improved. The records should show each stage of any transaction to show amounts taken out, items purchased and change returned to the home for safekeeping. People who use the bathroom that is situated between two ground floor bedrooms should feel confident their privacy and dignity will be protected when using this room. The home should make sure there are suitable locking systems on the linking doors to prevent the person in the adjoining room entering the bathroom when it is already in use. All staff should receive regular supervision and support from a member of the management team who is competent to carry out supervision responsibilities. Quality assurance systems in the home should be improved to include regular feedback from the people who use the service, their families and carers, other professionals who have involvement with the home, and from the care staff team. 3 27 4 36 5 39 Care Homes for Adults (18-65 years) Page 35 of 36 Helpline: Telephone: 03000 616161 or 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 36 of 36 - 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. 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