Inspection on 08/02/07 for Goodwins Residential Care Home

This inspection was carried out on 8th February 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Goodwins Residential Care Home 03/02/09

Goodwins Residential Care Home 23/02/06

Goodwins Residential Care Home 23/08/05

Goodwins Residential Care Home 08/12/04

Goodwins Residential Care Home 18/06/04

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

CARE HOMES FOR OLDER PEOPLE Goodwins Residential Care Home 31 Bromley Mount Sandal Wakefield West Yorks WF1 5LB Lead Inspector Susan Vardaxi Unannounced Inspection 9 am 8 February 2007 th 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.V323620.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. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Goodwins Residential Care Home Address 31 Bromley Mount Sandal Wakefield West Yorks WF1 5LB 01924 373458 01924 373458 steve.saltmer@altodigital.com 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.V323620.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd February 2006 Brief Description of the Service: Goodwins Care Home is a 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. There are two communal lounges and a dining room/kitchen. The bungalow is situated close to Wakefield City centre and all the local amenities. The weekly charges for the service in February 2007 are £359. Information in respect of the service and the Commission is provided when enquiries are made and in the service users guide which are provided in service users’ bedrooms Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key visit, which formed part of the overall inspection of the home and was completed on the 8th February 2007 extending over 3.5 hours. Information in respect of the service was obtained through talks with the service users, checking information provided on comment cards received by the Commission from service users, relatives, a GP and a social worker, talking with the manager who is also the registered person and her husband. Some records were checked and a walk round the areas in the home accessed by service users completed. What the service does well: What has improved since the last inspection? What they could do better: The banking arrangements for a service user’s personal funds were not satisfactory and a requirement has been made in respect of this. It has also been recommended that individual receipts for purchases are obtained for future purchases made. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 6 A recommendation has been brought forward from the previous inspection for staff to have NVQ training and for records of the actual training provided at staff inductions be recorded. 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. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The assessment and admission arrangements are satisfactory. Intermediate care is not provided at the home. EVIDENCE: Records seen showed that a social care assessment had been completed prior to the service user being admitted to the home. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and their relatives are satisfied with the overall care provided at the home. The records seen and observations made during the inspection confirm service users needs are identified and action is taken to meet them. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 10 EVIDENCE: Care plans seen included service users’ identified needs, which had been reviewed regularly and changes in need recorded. The comment cards completed by the service users and their relatives showed that they are satisfied with the care provided. Records of daily events completed by the manager showed that the GP and other health professionals had been contacted when needed. Care management reviews had been held after a new service user’s admission to the home. Nutritional assessments had been completed and service users’ weights entered in the daily events diary. The medication records were seen, no signature omissions had occurred. It was the last day of the medication monthly cycle; one tablet was in stock which balanced with the records. Medications were stored securely and records of medication reviews were recorded. No incidences were seen that could have compromised service users’ privacy and dignity. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users have maintained links with relatives and friends. They are included in family events and are encouraged to exercise choice in all activities of daily living. EVIDENCE: The record of daily events seen showed that service users are included in family outings and events. The manger said service users had been taken to a restaurant for lunch at Christmas and some relatives had also been in the same restaurant. Service users said they go with the manager on short walks, to visit the supermarket and have lunch at the pub on occasions. A record seen showed a visitor had joined their relative for lunch. Relatives had made positive comments on the comment cards received by the Commission. Service users said they enjoy watching TV and a wide screen TV had been provided for them. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 12 A service user’s relative has Power of Attorney and the manager said a service user handles their own finances. The service users said they have visitors who can visit them in their bedrooms, they go out with the manager and are included outings with the manager’s family. Service users said they can have visitors and privacy is given to their visits if requested. A record of meals provided was seen, a service user’s diet was discussed with manager who said the diet and service user’s weight would be monitored. A service user said they have “too much food and the meals are lovely” Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know how the make a complaint if needed. The safeguarding training currently being provided and the homes recruitment process will ensure service users are provided. EVIDENCE: The homes complaints book was seen and no complaints were recorded. Service users spoken with and information provided on two comment cards confirmed that they had not made any complaints. The complaints procedure is included in the copy of the copy of the service user guide available in their bedrooms. The manager said they take the service users to vote at the polling stations if they want to vote at local and general elections. The manager said she is currently providing safeguarding training for staff. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a very pleasant homely environment for service users to live in. EVIDENCE: The communal lounges used by the service users were clean, comfortable and decorated and furnished to a high standard. Service users bedrooms had been redecorated to a high standard and were personalised. No incidences of cross infection were observed at the visit. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for ensuring the home is appropriately staffed are satisfactory. The recruitment procedure ensures service users are protected. EVIDENCE: A record of the homes staffing arrangements to the time of the visit was seen and was satisfactory. Three part time staff are employed to cover the times the manager is off duty. The manager is on call at night. The manager has an NVQ qualification. Records seen showed that some staff training updates are needed. This was discussed with the providers who said they would arrange this. A new member of staff had been recruited since the last visit and according to the records, a CRB check and two satisfactory references had been obtained prior to them commencing work. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 16 The manager said she arranges staff induction training, which she said includes identifying how the service users needs, and the action to be taken to meet them. However this had not been recorded. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 17 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 35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The current banking arrangements for money to be used for service users’ personal purchases are not satisfactory. EVIDENCE: The manager who is also the registered person has the NVQ level 2 care qualification. Discussions with service users and the daily events records showed the manager consults with them on a daily basis about all aspects of their care and the events occurring in the home. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 18 A service user’s records were checked, the records showed a reducing balance and receipts for purchases made by the manager on their behalf were available and those checked could be cross referenced to the entries made in the records. No discrepancies were observed. However, individual receipts had not been obtained and the current banking arrangements do not meet regulatory requirements. A co owner said he is a trained Fire Marshall at his works he trains staff and arranges fire drills at the home. Records of smoke detector checks, standing and running hot water temperature checks were seen. The report of a food hygiene inspection was seen and no risks had been identified. Information in respect of an accident had been recorded appropriately in the accident records. Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 19 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 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 3 17 3 18 3 3 X X X 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 X X 1 Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? NO. 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 Regulation 20(1)(a) Requirement The registered person shall not pay money belonging to any service user into a bank account unless the account is in the name of the service user, or any of the service users, to which the money belongs. Timescale for action 19/02/07 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 A record of staff induction and training provided should be developed. Individual receipts should be obtained for purchases made on service users behalf. 2. 3 OP30 OP35 Goodwins Residential Care Home DS0000006256.V323620.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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. 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