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Inspection on 29/06/05 for Four Winds Residential Home

Also see our care home review for Four Winds Residential Home for more information

This inspection was carried out on 29th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users reported high levels of satisfaction with the homely, friendly atmosphere and high standards of care. They get on very well with the staff team. Service users commented on the attractive location and outlook of the building. They also liked the material standards of the home, with many recognising the substantial improvements to the premises carried out in the recent past. Service users said that they were treated as individuals and their privacy and dignity were respected. They enjoyed the varied programme of social and recreational activities. Staff members are well trained: for example, all care staff members have National Vocational Qualifications at level 2 or above.

What has improved since the last inspection?

A new bathroom has been installed upstairs. The old stair lift has been replaced by a vertical passenger lift of good size. The new conservatory has been decorated and the rear-garden landscaping has been completed. A new laundry and separate boiler room are operating on the lower ground floor. High standards of furniture, fixtures and fittings were evident throughout, along with good decoration and carpeting. The home is using questionnaires and a suggestion box as part of its quality assurance checks on its performance.

What the care home could do better:

There is not much wrong with this service and it is continuing to improve. One of the issues it should address is the provision of suitable locks on bedroom doors.

CARE HOMES FOR OLDER PEOPLE Four Winds Elwick Road Hartlepool TS26 0DD Lead Inspector Stephen Ellis Unannounced 29 June 2005 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 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. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Four Winds Residential Home Address Elwick Road Hartlepool TS26 0DD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01429 869019 Mr Matt Matharu Mrs Christine Noble Care Home 22 Category(ies) of Older People (22) registration, with number of places Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual who is in the category MD (mental disorder) is allowed to reside in the home. 2. Total number of shared accommodation will remain at four bedrooms. Date of last inspection 11th October 2004 Brief Description of the Service: Four Winds is a care home for older people who require personal care. The home is situated in its own grounds in a residential area close to Ward Jackson Park in Hartlepool.The home is a large converted house, which has been extended to give both single bedroom accommodation and double bedrooms for those who choose to share.A passenger lift is available for service users to access the upper floor. The home provides lounge and dining facilities for service users who wish to socialise. Car parking is available to the front of the building for visitors. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours. The inspector looked around the building, examined a number of records and spoke with 9 service users, plus one relative and 2 friends who were visiting. Comments were also received from 3 staff, the registered manager and the owner. What the service does well: What has improved since the last inspection? A new bathroom has been installed upstairs. The old stair lift has been replaced by a vertical passenger lift of good size. The new conservatory has been decorated and the rear-garden landscaping has been completed. A new laundry and separate boiler room are operating on the lower ground floor. High standards of furniture, fixtures and fittings were evident throughout, along with good decoration and carpeting. The home is using questionnaires and a suggestion box as part of its quality assurance checks on its performance. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 6 What they could do better: 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. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 No service user moves into the home without having had his/her needs assessed and been assured that these will be met. EVIDENCE: Service users and visitors commented that the care home understood service users’ needs very well. These included their health and social care needs. Service users and visitors expressed great confidence in the staff team in these matters. Full, detailed assessments of need were evident in service users’ plans of care. The home’s policy and practice ensured that only those service users whose needs could be fully met by the service were admitted. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 Service users’ health, personal and social care needs are set out in individual plans of care. Service users’ health care needs are fully met. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Service users and their visitors spoke very positively about the care arrangements at this home. As one relative said about the care of his mother over the past two years: “You couldn’t wish for better…the home has been great…we chose the home because of its ‘atmosphere’, the good food and warmth…we liked it straight away and we haven’t been disappointed.” Service users and their visitors expressed much satisfaction with the health and social care provision. They also indicated that they felt they were treated with respect and their right to privacy was upheld. These comments were borne out by the case files and care plans, that were very well organised, detailed and comprehensive; and by staff comments and staff training. Staff members clearly enjoyed their work and had a very good rapport with service users and their visitors. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 14 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. They are able to maintain contact with family, friends, representatives and the local community as they wish. They are helped to exercise choice and control over their lives. EVIDENCE: Service users and visitors were very complimentary in their comments. As one service user said: “It’s very homely and friendly here. The meals are very good. The staff are very nice, so kind and helpful…you couldn’t have better. When the weather’s nice, I am taken into the park in my wheelchair. I went to a town hall function 3 to 4 weeks ago (about 8-12 of us went) where we had music from the 1960s and a dance. I am free to choose whether I join in any activity. It’s nice and easy going here.” A varied programme of social and recreational activities is provided, including regular social events at the home involving service users, relatives and staff. Also, there are outings to places of interest, using a specially adapted bus, hired for the purpose. Two members of care staff take responsibility for leading on social and recreational activities. Recent activities include bowling, baking and a theatre visit. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 11 Individual records of social and recreational activities are kept and these confirmed comments received from residents, visitors and staff. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. EVIDENCE: Service users and visitors described the management and staff as being helpful, friendly and approachable. They said they would have no hesitation in making a complaint or expressing a concern about any matter to staff or the manager. They were confident that any concern or complaint would be taken seriously and acted upon appropriately. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 Service users live in a safe, well-maintained environment. EVIDENCE: A tour of the building revealed the premises to be well maintained and subject to on-going improvement. For example, a new bathroom has been installed on the first floor and a new passenger lift has taken the place of the former stair lift that had been removed. The home was clean and well decorated, with good quality fixtures and fittings. The rear garden has been attractively landscaped and is accessible to people with mobility problems. The new conservatory provides pleasant, additional communal space with tables and chairs, with good views over the garden. Service users and visitors spoke highly of the refurbishment work already undertaken. They had a positive interest in the developments planned for the near future. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 14 Most bedroom doors were not supplied with a safe and suitable lock. Although this did not appear to be an issue of concern for service users or their visitors, such locks should be installed in the interest of privacy and choice. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 Service users’ needs are met by the numbers and skill mix of staff and are in safe hands at all times. Staff are trained and competent to do their jobs. EVIDENCE: Service users said that they got on well with staff and felt that there were sufficient numbers of staff to meet their needs. Visitors also felt that there were sufficient staff with the right mix of skills. This view was reflected in staff comments as well. Staff morale was reported to be good. During the day (07.00 – 22.00) there are two care staff on duty, one of whom is a senior. In addition, between 08.00 and 12.00 and between 16.30 and 19.30, a third carer is deployed. At night, there are 2 care staff on duty, one of whom is designated as being in charge. The manager and/or the deputy are on call. The home’s manager is full time and her hours are dedicated to management duties (she is supernumerary). Catering and domestic hours are appropriate. A good staff training programme is evident. For example, all care staff have achieved NVQ level 2 in care and a good number have achieved NVQ level 3 as well. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The home is run in the best interests of service users. EVIDENCE: Comments received from service users, visitors and staff were very positive and complimentary about the way the home was run. Very good communication was evident between service users, visitors, staff and management. Quality assurance questionnaires and a suggestion box are provided. A social evening is held most weeks, involving service users, relatives and staff. The registered manager is a first level registered nurse and is part way through her NVQ level 4 Registered Manager’s Award (RMA). Her deputy has NVQ level 3 in care and intends to start the RMA. Both the manager and Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 17 deputy have many years of experience at a senior level in providing care for older people. The registered owner, Mr Matharu, visits the home most days and is well known by service users and their families. The manager said that Mr Matharu was supportive and helpful concerning the home’s aims and objectives and in promoting improvements. Formal supervision of care staff takes place at least six times per year and there is an ‘open door’ policy so far as staff consultation is concerned. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x x Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 24 Regulation 23 Requirement Suitable locks should be fitted to service users bedroom doors, in the interest of privacy and choice. These should be easy to use and safe, so that staff can gain entry in emergency by using a master key. Timescale for action 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 31 Good Practice Recommendations The registered manager should try to obtain the Registered Managers Award before the end of 2005. Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection No.1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 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 Four Winds B54 S 45233 Four Winds V223773 290605 stage 4.doc Version 1.40 Page 21 - 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. 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