Random inspection report
Care homes for older people
Name: Address: Windsor Court The Avenue Wallsend Tyne & Wear NE28 6SD two star good service 09/02/2009 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: Elizabeth Gaffney Date: 2 2 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Windsor Court The Avenue Wallsend Tyne & Wear NE28 6SD 01912635060 01912633472 windsor@ladhar.co.uk 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) : Baldev Singh Ladhar care home 45 Number of places (if applicable): Under 65 Over 65 0 0 0 dementia learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 45 3 5 The maximum number of service users who can be accommodated is: 45 The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia Code DE, maximum number of places: 45 Mental disorder, excluding learning disability or dementia - Code MD, maximum number of places: 5 Learning disability - Code LD, maximum number of places: 3 Date of last inspection Brief description of the care home Windsor Court is a purpose built three storey home which provides both nursing and residential care for up to 45 service users. The home is registered to provide care to
Care Homes for Older People Page 2 of 11 0 9 0 2 2 0 0 9 Brief description of the care home people with dementia, learning disabilities and mental health needs aged 18 and above. Windsor Court is situated in Wallsend and provides easy access to local shops, restaurants and other public amenities. Care Homes for Older People Page 3 of 11 What we found:
We carried out a random inspection on 22 March 2010 in response to concerns expressed about the quality of facilities provided at Windsor Court. Before the visit, we looked at information that has been shared with us by other professionals with an interest in the service as well as any changes that have taken place at the home. During the inspection we spoke with the manager, who was due to leave on the day of the inspection, and their line manager. We checked the premises and reviewed the management arrangements. The following concerns have been raised: * People are left to sit in pools of urine. The arrangements for managing peoples continence care needs are appropriate and there was no evidence that people are left to sit in their own urine. * Two settees have been placed in the centre of some lounges making it difficult for people with limited mobility to safely access other seating in these areas. Also, there are no occasional tables in the lounges. A check of the communal lounge areas showed that settees have been positioned in the centre of some lounges. This has reduced the amount of space that people can use to access the armchairs provided. The manager reported that this has caused problems for some people as it is very difficult to maneouver wheelchairs within the space available. The lounge areas do not contain occasional or multi-purpose tables. This means that people can only place cups and snack plates on the floor. The manager reported that occasional tables are not providd because she is concerned that people may trap their fingers when using such tables. * The homes new furniture does not comply with the fire safety regulations. The manager confirmed that all furniture used within the home is fire safe. A selection of furniture was checked and provided evidence of compliance with the fire regulations; * The carpet leading into a family members bedroom is frayed and presents a trip hazard. The carpet in this bedroom is frayed and potentially dangerous. The manager said that instructions have been given to the homes maintenance worker to address this concern. * People are being unnecessarily moved between floors which makes it difficult for people to easily access their bedrooms. The manager reported that where appropriate people are given the opportunity to spend time in other areas of the building. Mrs Hall said that this is done to enable people to mix with other people using the service. * The temperature of hot water supplied to a family members bedroom, as well as in
Care Homes for Older People Page 4 of 11 some of the bathrooms, is often cool. Also, water pressure in some areas of the building is low. The manager reported that the home has experienced problems with hot water temperatures and low water pressure in one side of the building. Mrs Hall said that an emergency call out visit is requested whenever problems are experienced. The Care Quality Commission has not been notified of any concerns regarding the homes hot water system. The hot water supplied to one bathroom was found to be excess of 50 degrees. This has the potential to place people using the service at risk. In another bathroom, the hot water temperature measured 30 degrees which is too cool to provide people with a comfortable bath. Also, although staff confirmed they are carrying out hot water temperature checks, there is only one thermometer for three floors. A contractor was immediately called out to address these concerns and visited whilst the inspection was in progress. * A security lock on a door leading from the ground floor unit to the stairwell on one side of the building is not working. The manager confirmed that an order has been placed to repair the door lock. Mrs Hall said that although the door cannot be opened from either side, they have carried out tests to make sure that it will open in the event that the fire alarm is triggered. * The homes lift is often out of order making it difficult for people to access different floors. The provider has informed the Care Quality Commission (CQC) of each occasion that the homes lift has broken down. The manager confirmed that the homes maintenance contractor is always called out to address any problems experienced with the lift. Mrs Hall reported that recent repairs have been made which it is hoped have resolved the problems that have been experienced. The lift was found to be in good working order at the time of the inspection. * The light fitting in one of the communal toilets is not working. The light fitting in the toilet concerned does not work. The manager has arranged for the homes maintenance worker to make the required repairs. * The decor on the first and second floors is not in a good condition. The walls and paintwork in the corridors on the first and second floors are marked and damaged in places. One of the bedrooms visited was also in a similar condition. The manager reported that she has recently submitted a request outlining which areas of the home are in need of redecoration. What the care home does well:
The manager and their line manager provided every assistance during the inspection and worked well with the inspector. The home is clean, warm and tidy and has a pleasant atmosphere. Care Homes for Older People Page 5 of 11 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 6 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 7 of 11 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 19 23 Ensure that all areas of the home are maintained in a suitable condition. This will help to make sure that people are able to benefit from living in a well maintained home which meets their needs. 02/08/2010 2 19 16 Ensure that all light fixtures are maintained in good working order. This will help to make sure that peoples health and safety is promoted. 26/04/2010 3 19 13 Take action to make sure 03/05/2010 that the hot water supplied to areas used by service users does not exceed 45 degrees and is maintained to a temperature of 43 degrees. This will help to make sure that people do not scald themselves when using the homes bathing facilities. 4 19 37 Make sure that the Care 26/04/2010
Page 8 of 11 Care Homes for Older People 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 Quality Commission (CQC) is notified promptly of any concerns involving the supply of hot water to areas used by service users. This will help people to feel confident that the CQC is monitoring their health and safety and making sure that the home is promoting their well being. 5 19 16 Ensure that the carpets provided in peoples bedrooms are safe and in a good condition. This will help to promote and protect peoples health and well being. 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 03/05/2010 1 6 Ensure that peoples care records reflect agreements reached with them about where they wish to spend their leisure time and take their meals. Where people do not have capacity to express their wishes, their family, or any other representative they have, should be consulted. A mental capacity assessment should also be carried out. Consider providing suitable occasional tables for use in the lounges. Carry out risk assessments where potential concerns are identified. Review the seating arrangements in the communal areas to make sure that people can safely access the armchairs provided, including those people who use wheelchairs. Make sure that peoples individualised risk assessments
Page 9 of 11 2 19 3 19 Care Homes for Older People 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 take account of any risks posed by the homes seating arrangements. Care Homes for Older People Page 10 of 11 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 11 of 11 - 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!
