This inspection was carried out on 23rd February 2006.
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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Goodwins Residential Care Home 31 Bromley Mount Sandal Wakefield West Yorks WF1 5LB Lead Inspector
Susan Vardaxi Unannounced Inspection 23 February 2006 09:30 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 Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 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. Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Goodwins Residential Care Home Address 31 Bromley Mount Sandal Wakefield West Yorks WF1 5LB 01924 370515 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) Mrs P Saltmer Mrs P Saltmer Care Home 2 Category(ies) of Old age, not falling within any other category registration, with number (2) of places Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Goodwins Care Home is dormer bungalow registered to provide the facilities and resources for the care of two older people. There are two large single bedrooms at the front of the dormer bungalow that provide accommodation for the service users and also one bedroom occupied by the registered manager/owner. The managers children occupy the bedrooms on the first floor. There are two communal lounges and a dining room/kitchen. The bungalow is situated close to Wakefield City centre and all the local amenities. Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was announced inspection, which took place on 23 February 2006 and included a discussion with the service user and provider and checking some records. Thanks are extended to the service user and provider for their cooperation and hospitality. What the service does well: What has improved since the last inspection? 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. Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 6 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 Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 7 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 the following standard(s): 3 There have not been any admissions to the home since the last inspection. Intermediate care is not provided. EVIDENCE: Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 7,8 Records seen and observations made during the inspection confirm the arrangements for ensuring service user’s health and safety and respecting privacy and dignity remain satisfactory. EVIDENCE: There is one service user currently living at the home, their care plan was seen and was appropriate to their needs and reviewed monthly. Arrangements had been made for the physiotherapist to visit regularly, the district nurse and chiropodist also visit. A pair of specialised slippers had been purchased following a fall to help with mobility problems. Records of the service user’s weight had been kept. Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 9 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 the following standard(s): 12,15 The service user has the opportunity to retain links with relatives, friends and the community, is involved in social activities and is able to exercise choice in all activities of daily living. EVIDENCE: The service user said that they enjoy life at the home and are satisfied with the care and meals. The service user said they had attended the provider’s daughter’s wedding and said they had a wonderful time. The daily records seen show that the service user is involved in activities and outings with the provider and their family on a regular basis. The service user said they still enjoy talking with the providers and their family, listening to the radio, and watching a TV quiz programme, they have visitors and go out with their friend and the provider regularly. Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 10 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 the following standard(s): 16,17,18 The service user is satisfied with the care provided. The service user’s financial transactions should only be entered into by the relative who has Power of Attorney to ensure correct procedures are followed. EVIDENCE: The service user did not raise any complaints; they are able to vote at general and local elections. The provider said the service user no longer used a financial account open in the service user’s name and it was required that the account be closed immediately. The provider has informed the Commission since the inspection that this has been completed. Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 21,22,23,24. The home provides a very pleasant environment for service users to live in. EVIDENCE: The areas visited were cleaned and decorated to a high standard. The service user has access to all communal areas and gardens, which are located at the back of the home. The service user’s bedroom has been decorated since the last inspection; the provider said the service user had been involved in the choice of wallpaper. A room previously used as a bedroom has been decorated and furnished to provide a very pleasant lounge for the service user’s use. Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35,38 The relative who has Power of Attorney to ensure correct procedures are being followed should only enter into Service user’s financial transactions. EVIDENCE: Records of transactions to pay for hairdressing, chiropody made by the provider on behalf of the service user, had been kept and receipts had been obtained. An advocate represents the service user and a requirement has been made for financial transactions to be made by the relative who has Power of Attorney. The equipment service records were not seen on this visit however no health and safety issues were observed on the day. Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 14 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 X 3 X X X 3 X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 1 X X 3 Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 15 Are there any outstanding requirements from the last inspection? N/A 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 OP35 OP18 Regulation 13(6) Requirement The service user’s financial transactions must only be entered into by the relative who has Power of Attorney Timescale for action 23/02/06 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 OP28 Good Practice Recommendations The registered person should ensure that staff are registered to commence NVQ training in order to achieve 50 of qualified staff by 2005 as recommended by the National Minimum Standards Goodwins Residential Care Home DS0000006256.V277618.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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