Inspection on 30/01/09 for St Winifreds

This inspection was carried out on 30th January 2009.

CSCI found this care home to be providing an Good service.

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

St Winifreds 21/01/10

St Winifreds 11/01/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 27/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Winifreds 236 London Road Deal Kent CT14 9PP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Geoffrey Senior     Date: 3 0 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: St Winifreds 236 London Road Deal Kent CT14 9PP 01304375758 01304370911 st.winifreds@nellsar.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Nellsar Ltd Name of registered manager (if applicable) Mrs Janet Louise Spree Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 59. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE). Date of last inspection Brief description of the care home St Winifreds is a large care home situated on the London Road in Deal. The property has been extended over a number of years to its current size, which provides accommodation for 59 service users. The home is located half a mile from the town centre of Deal and is on a local bus route. There is off street parking to the front and the side of the home. Care Homes for Older People Page 4 of 24 care home 59 Over 65 0 59 59 0 Brief description of the care home Accommodation comprises 51 single and four double rooms, mainly situated on ground and first floors, with two rooms at second floor level. All areas are accessible via the two shaft lifts, one at either end of the home. All bedrooms have a wash hand basin and a large proportion of the single bedrooms have en suite facilities. All rooms are provided with a telephone. The home has five lounge cum dining areas and also a porch, which serves as an additional small sitting area. Kitchen facilities are provided for service users able to make themselves drinks and snacks. Service users also have the benefit of well maintained and accessible gardens in which to enjoy the sunshine and fresh air. The current fees for the service at the time of the visit range from £320 to £525. Information on the home`s services and the CSCI reports for prospective service users should be detailed in the Statement of Purpose and Service User Guide. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We arrived at the home at 13:30 on 30th January 2009 and stayed until about 17:10 pm. We spoke with a number of the service users and they all said that they were happy living in the home and get on well with everyone who lives and works there. We also spoke with the Manager and staff. The staff were busy with the service users but took time to answer questions and said that they enjoy working at the home, have developed good relationships with the service users and are encouraged to take up the many training opportunities that are offered. As well as viewing records and documents on the day we also considered information sent to us in the Annual Quality Assurance Assessment (AQAA). This had been completed by the manager in November 2008. She updated some information verbally and confirmed that Health and Safety tests were still up to date. The last key Care Homes for Older People Page 6 of 24 inspection to this home took place on 11/01/2007 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home ensures that a detailed assessment of needs is carried out for all prospective service users. The service users and their representatives know that the home will be able to meet their needs.The home does not offer intermediate care placements Evidence: People who are interested in living at the home are invited to visit before moving in. They may use the opportunity to meet and spend time with the existing residents and staff, view the accommodation and find out about the lifestyle and routine they could expect to experience at St Winifreds. Written information about the home is already available but the Manager has produced an updated brochure with pictures and information about staff and fees. Prior to any admission to the home the manager undertakes an assessment that explores all the relevant areas of care including social needs, medical history, mobility and physical care needs to determine a persons Care Homes for Older People Page 10 of 24 Evidence: suitability for living at the home. Information is also gathered from hospital staff, care managers and relatives. All the information is brought together to decide whether or not the home will be able to meet the service users assessed needs. This then forms the basis for developing the care plan. The home tries to avoid emergency admissions. There is a good mix of youth and experience in the staff team who have the knowledge and experience to meet the assessed needs of the service users in their care. Staff communicate well with the service users and the atmosphere was relaxed. The service users spoken with were happy and content with the home and felt that their needs were being met. One said that she felt really welcomed to the home and is well settled whilst another commented on how kind the staff are and how good the meals are. Specialist services, facilities and equipment are available to any of the service users as the need arises. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health personal and social needs are met and set out in a care plan, which is available to all staff. There are working practises in place, which enable service users to have a good experience of care provision. Evidence: Service users said that the staff care for them very well. I feel safe here and dont have to worry about anything. They also confirmed that they are asked how they like to be cared for and about their preferred routines. The care plan format has been changed, they are now much more detailed. Staff commented that they are clear and anyone could pick one up and understand what to do. They identify the needs of the service users and how the care staff are expected to meet them, also taking into account the preferences of the service users. Risks are identified and there are guidelines in place to explain how they are to be minimised. Each care file contains a profile and information about the individual. Reviews are carried out regularly and the service users are reportedly invited to be involved throughout the process. There are regular visits from the chiropodist, optician and dentist. The local Mental Health team Care Homes for Older People Page 12 of 24 Evidence: is also accessed as necessary. The service users are encouraged to exercise and to mobilise around the home and garden. The Home uses a monitored dose system for administering medication. Only staff that have received the appropriate training can administer medication and a list of these staff and their signatures has been compiled. Arrangements for storage are satisfactory and records seen were up to date. Staff were seen assisting and responding to service users in a calm and friendly manner. Service users may receive their visitors in their own room, the main lounge or in one of the quieter communal areas. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are encouraged to maintain contact with relatives and friends. The dietary needs of the service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. There is a range of in house and outside activities offered for service user enjoyment. Evidence: Visitors are welcome within the home at all reasonable times and staff respect the wishes of the service users should they not wish to see someone. Service users are able to receive their visitors in the privacy of their own rooms or in the quiet communal area. It was noted that staff took time to chat to visitors as they arrived and as they departed. Service users are encouraged to be involved with the local community and the manager tries to ensure that any one who wishes to go out receives the support and assistance to do so. There is however no transport other than staff cars. A wide range of activities,entertainment and social events is offered. Different things were seen to be happening at the same time in the various lounges in the home. A classic DVD snacks and crisps in one whilst another had staff sitting with individuals and giving Care Homes for Older People Page 14 of 24 Evidence: them their sole attention. Service users confirmed they can join in or decline as they wish, they have plenty to occupy them inside and out and said that they are seldom bored. We were told that the layout of the home has been opened up and is no longer seen as having a separate unit for the more confused service users. This has reportedly led to a greater level of integration, understanding and tolerance. Service users have a choice of menu and of when and where to eat. Some prefer rooms; others like to mix in the dining room. Special dietary needs are catered for, as are particular tastes and preferences. Menus are compiled on a weekly basis and provide a range of meals that all Service Users spoken to said they enjoy. Service Users are provided with three meals a day, with the main meal being taken at lunchtime. Service Users also felt that they could ask for extra drinks and snacks at any time. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information on the complaints process is available within the home. The rights of the service users are acknowledged and upheld and staff are trained in the protection of vulnerable people from the risk of abuse. Evidence: A copy of the complaints procedure is displayed and available to all interested parties. The service users spoken to were aware of what they had to do if they wished to make a complaint but said they were happy with the home and knew staff would help them if they needed it. The manager reported that one complaint was received in the past year and was appropriately resolved. Staff have attended training in Protection of Vulnerable Adults, managing abusive and disruptive behaviour and The Mental Capacity Act. The staff spoken to were aware of the appropriate action to take if they had concerns. The recruitment process undertakes checks on potential staff prior to commencement of duties. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The Home provides a clean, pleasant and safe environment for the service users. Evidence: During an accompanied tour of premises all areas were seen to be clean, tidy and free from undue odours. There is a team of 6 domestic staff. There is an ongoing redecoration programme and all rooms are decorated as they become vacant. Each room may be furnished with service users own belongings or they may prefer just to bring a few mementos. All may have their own key although some doors were temporarily without locks as they were being replaced with upgraded fire doors. Bathrooms have been upgraded and two wet rooms provided on the ground floor. There are adequate facilities for laundry and catering. Externally there is an enclosed garden that service users may enjoy using or looking at from their room. Maintenance contracts ensure rapid response for repairs and maintenance and safety checks. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff have received induction and training to ensure a clear understanding of their roles. The home operates a robust and thorough recruitment procedure to protect vulnerable service users from the risk of harm. Evidence: The home employs a total of 51 care staff working to a rota which allows for 11 Carers and the Management team on duty in the morning, 10 in the afternoon and 5 at night. In addition to this, the Home employs 2 cooks,3 domestic staff and a laundry person. The Home does not rely on agency staff at present and has a generally stable and static workforce. All the service users spoken to said that they feel there are enough staff on duty at any one time to meet their needs. A robust recruitment process ensures appropriate checks and references are sought before employment is commenced and this was verified from looking at the staff files. All staff receive a comprehensive and thorough induction including workbooks from the Dementia services development centre. Staff spoken with indicated a satisfaction and enjoyment of their role and felt they were well supported and supervised by the management. A training timetable and matrix on display in office indicated that mandatory training Care Homes for Older People Page 18 of 24 Evidence: was up-to date for all members of staff and was on-going. Specialist training is in place to help staff meet service users needs. 26 of the 51 staff employed by the home have now obtained NVQ level 2 or above and a further 15 are currently studying at level 2. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and provides a caring and supportive service. The views of service users, families and other interested parties are sought and contribute to the quality assurance system. Systems are in place to promote the health and welfare of the people who live at the home Evidence: The manager presents as a well-motivated and informed individual who has worked hard to develop an open and inclusive atmosphere in the home. She encourages staff, relatives and service users, where possible, to feedback about the service. She has completed the Registered Managers Award and NVQ 4 in Care. She is also keen to promote appropriate and relevant training for her staff. Monthly quality monitoring visits are carried out by at least one of the Directors ensuring that the standard of care and relevant documentation is maintained and that the premises are in good order. Discussions are held with staff and service users. Quality assurance surveys are carried out but management team said they have found day to day contact more Care Homes for Older People Page 20 of 24 Evidence: enlightening. Relatives comments are also actively sought and issues acted upon. We were told that all health and safety check and equipment maintenance is up to date and satisfactory. The staff feel that the home is run in the best interests of the people who live there. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 23 of 24 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!