Inspection on 12/07/07 for Bingley Wingfield Nursing Home

This inspection was carried out on 12th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bingley Wingfield Nursing Home 27/07/09

Bingley Wingfield Nursing Home 23/06/09

Bingley Wingfield Nursing Home 04/03/09

Bingley Wingfield Nursing Home 02/06/08

Bingley Wingfield Nursing Home 19/07/06

Bingley Wingfield Nursing Home 21/03/06

Bingley Wingfield Nursing Home 13/10/05

Bingley Wingfield Nursing Home 18/05/05

Bingley Wingfield Nursing Home 12/01/05

Bingley Wingfield Nursing Home 26/08/04

Bingley Wingfield Nursing Home 30/04/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Bingley Wingfield Nursing Home Oakridge Court Off Priesthorpe Road Bingley West Yorkshire BD16 4ED Lead Inspector Mary Bentley Unannounced Inspection 12 July 2007 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bingley Wingfield Nursing Home DS0000029135.V341196.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bingley Wingfield Nursing Home Address Oakridge Court Off Priesthorpe Road Bingley West Yorkshire BD16 4ED 01274 567161 01274 566809 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) Dr A T Ghoneim Mrs Jennifer May Oetgen Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48) of places Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home can admit up to a maximum of two people between the ages of 60 and 65. 19th July 2006 Date of last inspection Brief Description of the Service: Bingley Wingfield is registered to provide personal and nursing care for a maximum of 48 people. The majority of people living in the home are over the age of 65. The original Victorian building has been extended to incorporate a wing of single en-suite accommodation. The home offers both single and shared accommodation, en-suite facilities are provided in twenty-five of the single rooms. There are communal rooms on the lower ground floor, the ground floor, and the first floor. The home is situated near Bingley and is on a local bus route. The area has many shops and local amenities. The home has pleasant gardens that are accessible to residents. Car parking is provided at the front of the building. The home has a second entrance via a ramp for wheelchair access. The home has a no smoking policy. In July 2007 the weekly fees ranged from £374.71 to £588.40. Additional services such as hairdressing and chiropody are not included in the fees. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. I did this unannounced inspection in one day and spent approximately 8 hours in the home. The purpose of this visit was to assess how the home is meeting the needs of the people who live there. During the visit I spoke to people living in the home, staff and management. I looked at various records relating to care, staff, and maintenance and looked at some parts of the building. Before the visit we sent a number of comment cards to people living in the home, relatives and health care professionals who visit the home. Comment cards give people the opportunity to share their views of the service with us. The information we get is shared with the home without identifying who has provided it. In total 27 cards were returned and 2 two people contacted me about the home. Bradford Social Services carried out a survey of relatives of people living in the home earlier this year. The home provided us with a copy of the information they received following that survey. Before the visit the home provided us with a completed quality assurance selfassessment form. We have used some of that information as well as the information from the surveys in this report. What the service does well: People are encouraged to visit the home before making a decision about moving in. The manager or a senior nurse visits people before they move in to find out about their needs and to give them information about the home. The home is clean and comfortable. People can bring some of their personal belongings with them when they move in which helps to make their rooms feel more homely. There is good access for people with disabilities, there is a ramp at the front of the home, and there is a passenger lift to all floors. Generally people were satisfied with the care provided. People’s choices about how and where to spend their time are respected. The following are some of the comments made about the service: • • “I get a good feeling that my father is well looked after and that they try their very best to look after him well” “In general a very pleasant and friendly environment to visit with a high quality of care delivered.” DS0000029135.V341196.R01.S.doc Version 5.2 Page 6 Bingley Wingfield Nursing Home • • • • “I don’t get involved, I am comfortable in own room.” “Let me mother stay in her room which is what she wants. See to her every wish or need. Caring lovely attitude.” “Always enjoy meals” “Very satisfied and comfortable” What has improved since the last inspection? What they could do better: We asked people what they thought the home could do better. One person said, “This home could be extremely well run if there were more well trained carers provided. It is a very caring home and they do their very best for the patients” Other people made similar comments saying staff were not always available to help them as quickly as they would like. Some people said the food could be better. The home needs to do more to make sure that people have clear information about the complaints’ procedure so that they can be confident that their concerns will be listened to, taken seriously and acted on. The home must make sure that people are given information about the fees at the time of admission. So that people know how much they will have to pay and what they are paying for. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 7 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. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. Standard 6 does not apply to this service. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Information is available about the range of services offered and people are encouraged to visit before making a decision about moving in. However, the home must try to make sure that everyone involved is satisfied that they have all the information they need to make an informed decision. EVIDENCE: The Statement of Purpose has been updated and copies are provided in every bedroom. We asked people if they had been given enough information about the home before moving in. Twelve of the fifteen people living in the home who answered said they had. Of the ten relatives who responded three said they were fully satisfied with the information provided. There were signed contracts in four of the five files looked at. In the case of the one person who did not have a contract the manager said some of the Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 10 information about the fees had not been available at the time of admission. This has since been dealt with. One of the nurses spoken to had a good understanding of the importance of doing a detailed pre-admission assessment before offering people a place in the home. She said the information obtained during the pre-admission assessment is discussed with staff before new people move in so that they have some information about their needs as soon as they arrive. The home does an initial care plan to show how people’s needs are to be dealt with in the first 48 hours following admission; this gives staff time to draw up more detailed care plans. There were pre-admission assessments in the care records looked at. Some people said they had visited the home before moving in and others said the manager had visited them at home or in hospital to explain about the move. One person said “We also went to the home without an appointment; we were shown around different rooms and lounges. The home was very clean and the residents looked happy and well cared for” The manager said they would like to be able to have an extra member of staff on duty to help new people settle in but this is difficult when people are coming from hospital because the home has no control over the time of admission. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Overall people’s personal and health care needs are met and the care records are continuing to improve to help make sure that care is delivered in a way that is consistent and takes account of people’s wishes. EVIDENCE: Four sets of care records were looked at. The care plans are based on an assessment of needs and show how personal, health, and social care needs will be addressed. They are reviewed monthly. There was evidence that people living in the home and/or their representatives are involved in planning how care needs will be met. The manager said they are continually working to improve the care plans to make sure that they give a detailed picture of how people’s needs are to be met. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 12 Risk assessments are done for falls, nutrition, pressure sores, bed rails and moving & handling. Where necessary there are care plans showing what is being done to manage the risk. People’s weights are recorded every month. The manager said nutritional supplements and smoothies have been introduced to help people who are nutritionally at risk. Link staff have been nominated to take the lead in different specialist areas such as nutrition, continence, skin care and palliative care. They have attended training on their specialist subject. Their role is to identity needs in that particular area and to lead the team in meeting those needs. Overall people living in the home are satisfied that they get the care and support they need. The majority of relatives told us they are satisfied that people are getting the care and support they need. The following are some of the comments we received: • “The home (Wingfield) has improved my father’s health and well-being since he moved from --------------. Wingfield has been a real blessing for my father” “ I find that Bingley Wingfield does everything possible to meet my Mum’s needs” “Good care of people with mobility problems” “Its excellent here, food is good, staff helpful” • • • Two people said personal care was not always as good as it could be. They said some staff did not take enough care when helping people to get dressed and sometimes people were not helped quickly enough to change soiled clothing. The manager was aware of these concerns. Medicines are stored and managed safely. The home promotes a person centred approach to care aiming to ensure that people’s individuality is recognised and respected. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are opportunities for people to take part in a variety of group and individual activities. The home is continuing to develop this aspect of the service to help make sure that people are supported to live their lives as they choose. EVIDENCE: Generally people living in the home are satisfied that they are offered a range of suitable activities. Some people prefer not to join in group activities and this is respected. One said, “Although there are plenty of activities, through my own choice I don’t take part in them all. I enjoy reading and watching TV I also like to go out shopping and go out for meals” People living in the home are given the opportunity to discuss ideas and suggestions for activities. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 14 The activities organiser keeps an individual activities record for everyone. The records show what people have taken part in, when people have declined to take part and whether or not people enjoyed the activity. A number of relatives said the activities organiser is very good; one person said, “The carer/activity officer is really good at bringing residents together – if they want to be involved”. The home organises some outings and other people go out with family and friends. Two people said the activities programme could be improved by giving people more opportunities to go out and by having more than one activities organiser. One person who is blind continues to go to a local club for blind people every week and goes out to church every week. Staff support him to maintain his independence for example by making sure that they leave things as he has arranged them in his bedroom. Everyone living in the home at the moment is of the Christian faith and ministers and priests from local churches visit. The home has changed its policy on pets and over the past year 3 people have been able to bring their pets (2 cats and a dog) with them when they moved in. There are no restrictions on visiting and people can see their visitors in private. We asked people living in the home if they liked the meals. Five said they always enjoyed the food, one person said “smashing meals”. Most other people said they usually enjoyed the food. One person said they thought it could be better. Another person said they would enjoy their cooked breakfast a lot more if it were hot when it was served. Most relatives said they thought the food was good, one person said, “The food must be good because she looks well and she doesn’t lose weight”. One relative said the “Quality, preparation and choice of food is poor”. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. More needs to be done to make sure that everyone using the service is familiar with the complaints’ procedure and that complaints are dealt with appropriately so that people can be confident that any concerns they have will be listened to, taken seriously and acted upon. EVIDENCE: The home has a complaints’ procedure. Fifteen people living in the home returned our questionnaires; eight of them said they know how to make a complaint. Half of the relatives (5 of 10) who completed our questionnaire said they are aware of the complaints procedure. Four of ten relatives said the home always responded appropriately when concerns are raised. One person said they never had any cause to complain. They said “The home has regular meetings for friends, relatives and residents to air views on both sides” One person said senior staff were too ready to go on the defensive no matter how pleasantly concerns were raised and another said that although complaints were eventually resolved it was not without a lot of “distress and upset.” Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 16 Since the last inspection the home has recorded one complaint, the manager said smaller issues are dealt with as they arise. We received one concern about the service; this was referred back to the home and dealt with appropriately. The home has the required policies and procedures relating to the protection of vulnerable adults. The manager is familiar with the procedures for reporting concerns to the local adult protection unit. All staff have training on adult protection during induction and the manager said they attend external training as soon as possible after starting work. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is clean and comfortable. Improvements are being made but more resources need to be allocated to the refurbishment programme to make sure that the home continues to provide a pleasant place for people to live. EVIDENCE: People said the home is usually fresh and clean. One person said, “My bedroom is clean” and another said “The home looks reasonably clean”. Five bedrooms have been refurbished in the last year and frayed carpets have been replaced. Work has also been done to improve the emergency lighting and to make sure the electrical wiring is safe and meets current standards. Further refurbishment and redecoration is planned to make sure the home provides a pleasant place for people to live. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 18 The following are some of the comments made by relatives of people living in the home: • • • • “Major strides have been made over the last year to improve many issues – lift, decorations, garden” “Home kept smelling fresh and clean” “General hygiene leaves room for improvement and the home would benefit from overall refurbishment and decoration”, “Decoration of home and rooms could be improved” A number of people raised concerns about the laundry, these included concerns about clothing being damaged by being washed at too high a temperature, people wearing other people’s clothes and clothing going missing. The manager said these issues are being dealt with. There are systems in place to reduce the risk of cross infection; these include providing anti bacterial hand cleaning gels. Earlier in the year the home had an outbreak of the winter flu virus; this was dealt with appropriately. The home has been given a 3 star rating (5 is the maximum) by Environmental Health for its standards of food safety and hygiene. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are usually enough staff on duty but people said they do not always get the help they need as quickly as they should. The home has good recruitment procedures but they are not always followed and this creates the opportunity for people to be placed at risk. Staff are supported in developing the skills and knowledge they need to meet people’s needs. EVIDENCE: The duty rota for the week of 9 July 2007 showed 9 staff on duty in the morning, 6 during the afternoon and evening and four at night. There is always at least one nurse on duty. The manager is not included in these numbers. The home employs separate staff for housekeeping and catering and has a handyman and administrator. The activities organiser works as a care assistant until 10am and the remainder of her shift, until 4pm, is dedicated to social care. The manager said that staffing levels are adjusted to take account of people’s changing needs and the level of experience of the staff team. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 20 Some people said they thought the home was short staffed and another said, “They seem to have a big turnover of staff”. One person said they would like more help when they needed the toilet and another said it sometimes took a long time for the buzzer to be answered. Another person said staff were usually available when needed, “not all the time but more or less.” Someone else said, “Sometimes they take their time to get things, depending which member of staff is on”. A number of people said staff are “friendly and helpful”. Information provided by the home showed that 48 of care staff have an NVQ (National Vocational Qualification) at level 2 or above. Six more staff are doing NVQ training, two of them have almost completed. The files of 3 newly appointed staff were looked at. PoVA (Protection of Vulnerable Adults) checks had been done for all three and CRB (Criminal Record Bureau) checks had been applied for. One of the files showed that all the required checks had been done before the person started work. One file only had one reference but the manager explained this person had not started work and had only been in the home for induction training. The third file did not have any written references and the person had started work. The manager said he was working under supervision pending receipt of his references however there is no provision in the regulations for this. All new care staff have induction training based on the Skills for Care induction standards. All new staff attend a one-day theory induction before they start work. Each member of staff has an individual training record, the manager said she aware that some of them were not up to date and this was being dealt with. The records showed that staff have attended training on a variety of subjects including infection control, palliative care, dealing with challenging behaviour, adult protection and dementia care. One person said, “Staff appear well trained and pleasant”. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Overall the home is well managed. People are consulted about the running of the home and given the opportunity to share their views about the quality of the services provided. EVIDENCE: The manager is a nurse and is experienced in the care of older people. She said she has attended several training courses over the past year. The deputy manager left last year and has not been replaced, the manager said she does not consider it necessary to have a deputy; she is supported by 2 senior nurses. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 22 The manager said the owners visit the home regularly but do not always do a report from these visits. The most recent report available was from March 2007. When the owners are not managing the home on a daily basis they are required to complete formal visits every month and the reports from these visits must be available for inspection. This is to make sure that they are involved in monitoring the quality of the service and to provide support for the manager. The home sent questionnaires to people using the service in December last year; the manager said they are due to be sent out again soon. The manager does a monthly audit of accidents, pressure sores, and wounds. There was a meeting for residents and relatives in June, the items on the agenda included activities, staffing, fundraising, and security. There are meetings about every 6 weeks for people living in the home; these are usually to discuss activities and menus. Five of the ten relatives who completed our questionnaires said they were always kept informed about important changes affecting their relatives who live in the home. The home does not have staff meetings, the daily handover is used as a team meeting, and the manager said this worked better than staff meetings. The home does not get involved in dealing with people’s personal finances. A small amount of money is kept for some people to cover expenses such as hairdressing. The home keeps this money in a separate non-interest bearing bank account. Records are kept of all transactions made on behalf of people. One person said that invoices were not sent regularly. Another said that post sent to the home was not always sent to relatives so there was a delay in dealing with things if people did not visit regularly. Staff appraisals are done every year. The manager said staff supervision takes place but is not recorded. One of the nursing staff is booked to go on training on staff supervision and she will then take on the responsibility of supervision for care staff. Moving and handling equipment is serviced every 6 months to make sure that it is maintained in safe working order. A selection of maintenance records were looked at, they were up to date. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 3 X 3 2 2 3 Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP2 Regulation 5A Requirement People must be provided with a statement, by no later than the day of admission, specifying the fees payable by, or in respect of, the resident for the provision of accommodation, including food, nursing, and personal care so that people have clear and accurate information about the fee structure. Previous timescale of 31/10/06 not met. 2. OP16 22 The home must make sure that people using the service are given information about the complaints’ procedure so that they know how to raise concerns and are clear about how their concerns will be dealt with. 30/11/07 Timescale for action 30/11/07 3. OP19 23 The programme of refurbishment 30/11/07 must be continued to make sure that the home provides a pleasant place for people to live. Previous timescale of 31/10/06 not met. Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 25 4. OP29 19 5. OP32 26 New staff must not start work 31/08/07 until all the required checks have been completed and all the information and documents specified in Schedule 2 are available. The owners must make an 31/08/07 unannounced visit to the home at least once a month. The visit must include discussions with people using the service and working in the home, an inspection of the premises, and an inspection of records of events and complaints. Records of these visits must be available for inspection. This is to make sure they can monitor the quality of the service and take appropriate action to make sure the home continues to meet the needs and expectations of the people living there. 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 Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Bingley Wingfield Nursing Home DS0000029135.V341196.R01.S.doc Version 5.2 Page 27 - 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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