Inspection on 06/03/07 for The Wansbeck Limited

This inspection was carried out on 6th March 2007.

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.

Other inspections for this house

The Wansbeck Limited 04/01/06

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Wansbeck Limited 36 Nightingale Road Southsea Portsmouth Hampshire PO5 3JN Lead Inspector Tim Inkson Unannounced Inspection 6th March 2007 09:30 The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 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 The Wansbeck Limited DS0000066186.V326880.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 Adults 18-65. 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. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Wansbeck Limited Address 36 Nightingale Road Southsea Portsmouth Hampshire PO5 3JN 023 92829240 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) The Wansbeck Limited Mrs M Neil Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: The Wansbeck is a small residential home that offers care for adults under the age of 65 who have mental health care needs. The home is in a residential area of Southsea, close to the shops and the esplanade and offers a safe and homely environment for 12 residents, both male and female. Potential residents are provided with written information about establishment’s facilities and services in a “service users guide”. A copy of the report of the last inspection of the home done by the Commission for Social Care Inspection is readily available in the entrance hall to the building. At the time of a site visit to the home on 6th March 2007 the fees ranged from £316 to £364 per week and this did not include, toiletries; confectionary, magazines, dry cleaning and transport. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site/fieldwork visit was part of the process of a key inspection of the establishment and it took place on 6th March 2007, starting at 09:20 and finishing and 14:10 hours. During the visit the accommodation was viewed including bedrooms, communal/shared areas and the home’s kitchen and laundry facilities. Documents and records were examined and residents, staff and visitors including a healthcare professional were spoken to in order to obtain their perceptions of the service that the home provided. At the time of the visit the home was accommodating 10 residents, and of these 8 were male and their ages ranged from 37 to 64 years. None was from a minority ethnic group. The home’s registered manager was present throughout the visit and was available to provide assistance and information when required. Other matters that influenced this was information that the Commission for Social Care Inspection (“the commission”) had received since the last inspection of the home on 4th January 2006, such as statutory notices about incidents/accidents that had occurred. What the service does well: What has improved since the last inspection? What they could do better: There were no matters of concern identified as a result of this key inspection process. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 6 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. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a system for identifying the help and assistance that potential residents needed before they moved into the home to ensure that the level of support they required could be provided. EVIDENCE: One resident had moved into “Wansbeck” since the last inspection of the home on 4th January 2006. The documentation and records that the home kept about that person were examined. It was apparent that from those as well as from discussion with another resident that the home obtained information about the type and degree of support individuals required before arrangements were made for them to move into their accommodation. The home’s registered manager also made available information she had been provided with by a local authority social worker/care manager. This consisted of details about the assessed needs of a potential resident due to move into the home the week following the site visit. Information about the needs of potential residents was obtained by staff from the home from a range of health and social care professionals. This was supplemented by information obtained by the home’s staff when potential residents visited the home and when individuals initially moved into the home for a trial period. One resident described how the home obtained knowledge about the help and support that he required: • “T assessed my needs. I came for dinner for 6 weeks before I moved in”. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had systems and procedures in place to ensure that: Detailed plans were agreed with individuals setting out the support they required. Individuals were supported to make informed decisions about their preferred lifestyle. Potential risks to individuals were identified and strategies were agreed with the persons concerned to minimise harm. EVIDENCE: Documents/records were examined of 3 residents accommodated in the home and they included plans outlining the help and support that the home’s staff would provide for those individuals with day to day living and also in accessing the community. There was evidence from the documents and also from discussion with residents that they were involved in the development of their plans and subsequent reviews of their plans. The plans set out agreed goals that each resident had agreed that they wanted to achieve and how staff would provide the support they required. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 10 There was evidence that plans were reviewed with residents at least bimonthly. At these reviews some simple targets for achievement were agreed and progress was assessed at subsequent reviews. The home employed a key worker system with a member of staff allocated responsibility for providing support with specific matters concerning an individual resident. Discussion with residents indicated that they were able to make decisions about what they wanted to do each day. Comments about the home’s routines included the following: • “I don’t join any of the activities in here. I keep myself occupied … I can stay up as long as I want, sometimes I stay up all night … I look after my money myself”. • • “The only rule is no smoking in the bedroom”. “The best thing about this place is the fact that I have this room and don’t get disturbed and my Dad can come and go when he wants”. There was information readily available in the home about local independent advocacy schemes and self-help groups. Potential risks to residents were identified arising from any routines and activities that they were involved including daily living skills as well as their leisure interests and using amenities in the community. Detailed plans/strategies were implemented in order that such risks were eliminated, reduced or managed appropriately. Two individuals commented about the ability of the home to support the residents living at the home. One was had been a regular visitor to the home for some years and worked closely with the local mental health services and also provided some support for one of the residents. Another was a healthcare professional and worked in a local mental health unit. • “Staff are very attentive to the residents needs … They are very supportive … I have known most residents when they have been ill in hospital and they are very much better here … My client seems well fed, well clothed and they won’t let him wander out an absolute mess although they recognise his freedom to do so”. • “The staff are lovely, absolutely fantastic … I work a couple of days on the wards and we had a patient who was a resident here who was quite challenging. I though they would kick him out but they didn’t …”. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home encouraged and supported residents to: access and use amenities in the local community; participate in a range of activities including education and work placements; and to maintain links with families and friends. Residents’ rights were promoted by the home and they were supported to eat healthily. EVIDENCE: At the time of the site visit none of the residents was involved in any form of employment. One resident said that before moving into the home he had attended an industrial therapy unit but he added that he preferred to occupy his time with hobbies and interest such as collecting stamps, postcards, coins and banknotes. There was a lot of information readily available in the home that had been collated by the staff about local amenities, including leisure and education facilities that residents could make use of. One resident was attending an “information technology” course at a local college. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 12 Residents spoken to indicated that they were able to maintain contact with their families and friends. The home’s registered manager and a visiting healthcare professional referred to a former resident that left the home during the previous year after he got married. One resident said that one of the best things about the home was that fact that, “My Dad can come and go when he wants All residents were accommodated in single rooms and were to lock their bedroom doors. Two residents spoken to indicated that they appreciated the privacy that their rooms provided. • “The best thing about this place is the fact that I have this room and don’t get disturbed …”. • “The bedroom is all right, I have my own books and no one is bothered about what I do in my own room …” . Residents’ preferred terms of address were used by staff and they were recorded in individuals care and support plans. Residents were able to choose when to be alone or in company and indicated that routines in the home were generally relaxed with few rules with the exception of smoking and the locking of the kitchen at night because of safety concerns and the risk of fire. Comments about the day-to-day life and routines in the home included the following: • “ I don’t join any of the activities in here. I keep myself occupied … I can stay up as long as I want, sometimes I stay up all night”. • • “The only rule is no smoking in the bedroom”. “They lock the kitchen at 10:30 at night but that is the only restriction”. Residents were complimentary about the food that the home provided and indicated that they were provided with choices. Staff spoken to said that they had attended specialist training courses about nutrition. There was evidence that the home was monitoring the diet and nutritional intake of residents who had specific needs e.g. a diabetic, an individual whose eating habits were erratic and another with concerns about their weight. Resident’s dietary needs and preferences were recorded in their care and support plans. A number of residents had kettles and tea and coffee making facilities in their rooms and there was also facilities for residents to make their own drinks and snacks at any time in the dining room. Fresh fruit was also readily available and one resident said: • “The food is very good. There is a notice in the kitchen that tells us what is on for the day and a notice that that if we want something else to let The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 13 them know. There is a bowl of fruit in the dining room so I can have a banana with cereal for breakfast”. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensured that residents’ personal and health care needs were promoted and that their medication was managed safely. EVIDENCE: At the time of the site/fieldwork visit the support that the residents accommodated at Wansbeck needed with their personal care needs was limited to advice or prompting with some help with aspects of personal hygiene. The home maintained contact with local mental health services and the registered manager said that regular reviews of residents’ conditions and medication were done in partnership with the home. There was evidence from records/documents and from discussions with residents and health care professionals that residents’ saw various health care professionals when they were unwell and also for regular health checks or specific treatment e.g. dental care, eyesight tests and speech therapy. Some individuals made such arrangements themselves but others had appointments arranged for them and were accompanied by staff depending on the level of support that they needed. One resident said: • “I arrange things for myself like eye tests and I got two pairs of new glasses recently”. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 15 Health care professionals spoken to had a high regard for the abilities and competence of the staff and said that communication with the home was good. “The staff are very good, they have a difficult bunch of clients. The manager is very helpful. Any problems and they contact us. It does not mean that there is always necessary to do anything but they keep us informed. They are excellent”. The home had a written policy and procedure concerning the management and administration of medication and it operated a monitored dosage system. A local pharmacist provided most prescribed medication every 28 days in blister packs for each person concerned. Other medicines that could not be put into blister packs because they could spoil, such as liquids or those that were to be taken only when required were dispensed from their original containers. Medication was kept secure in a locked cupboard and also a locked medical refrigerator. Records were kept of the ordering, receipt, administration and the disposal of medicines and with the exception of one omission from a medication administration record they were accurate and up to date. The omission for the record and the storage and recoding of the administration of controlled drugs was discussed with the registered manager and the home’s deputy manager. It was agreed that the home would obtain a suitable controlled drugs register and comply with the guidance issued by The Royal Pharmaceutical Society of Great Britain at paragraph 9.4 of their 2003 publication “The Administration and Control of Medicines in Care Homes and Childrens’ Services”. (This can be obtained from www.rpsgb.org.uk). In accordance with best practice it recommends that as a safety precaution that a “controlled drugs register” is used as an additional means of recoding the dispensing of controlled drugs and recorded the balance of such medication. It was also suggested that a more up to date copy of the British National Formulary (BNF) be obtained. At the time of the visit one resident had been assessed by the home as able to manage his own medication. He kept a record of the medication that he took that was made available to the home’s staff. He also had facilities in his bedroom for locking way his medicines. Good practice noted during the fieldwork visit included: • Recording the temperature of the refrigerator used for storing some medication • Promotion of independence i.e. self medication • Retention of patient information leaflets about prescribed medication Residents spoken to appreciated the support they received from the home’s staff with ensuring that they received regular prescribed medication and acknowledged the importance of their medication in keeping them well. • “They look after my medicine for me”. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 16 • • “They always remember my medication and remind me to go for my injection every Thursday at the Cavendish centre”. “They look after my medication. I don’t want it lying around my bedroom”. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had systems and procedures in place to address the concerns of residents and protect them from harm. EVIDENCE: The home had a written complaints procedure and a copy was prominently displayed in the home’s hallway. All residents spoken to were confident about raising any concerns with the home’s staff. A record was kept in the home of any complaints made. It had received none since the last inspection on 4th January 2006 and similarly, none had been received by “the commission” during the same period. Written policies and procedures were available in the home that were concerned with the protection of vulnerable adults from abuse and there was evidence that all staff had received training in these matters. The home looked after money for 2 residents and the records kept were checked with the balances being held and everything was correct. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s premises were well maintained and kept safe and there were systems and procedures in place to ensure residents were protected from the risk of infection. EVIDENCE: The home is a large older terraced property located in a residential area close to the sea front in Southsea. It’s use as a care home is not apparent, as it cannot be distinguished in any way from surrounding properties. The local amenities include shops, restaurants, pubs, churches, post office, theatre, and library, are all within easy and level walking distance. The accommodation extends over 4 floors and the facilities including furnishings are domestic in character. The interior and exterior of the premises and furnishings were in reasonable repair and generally well maintained and there were no offensive odours anywhere in the building at the time of the fieldwork/site visit. The home had a planned maintenance and renewal programme and when such work was completed a record was maintained. Regular audits of the condition of the building and furnishings were done and recorded and a record was also kept of everyday maintenance and repairs. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 19 Residents spoken to said that the home was kept clean and that it was looked after. One visitor spoken to about the condition of the premises said: • “They keep on top of things”. A washing machine and tumble drier were suitably located ion the ground floor of the building and the room was kept locked because cleaning chemicals were also stored in there. The home had a written policy and procedure concerned with infection control and all staff had received training in health and safety subjects including infection control. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home had procedures in place to ensure that staff were properly recruited, trained, and deployed in sufficient numbers and with the skills necessary to meet residents’ needs. EVIDENCE: At the time of the fieldwork/site visit to the home it employed 8 staff including the registered manager who was also the owner/provider. Out of the staff group (including the registered manager) 6 had obtained National Vocational Qualifications (NVQ) to at least level 2 in care i.e. 75 . The registered manager and deputy manager both had obtained NVQ level 4 in management and care. Staff were normally deployed as follows: 08:30 to 16:30 3/4 16:30 to 22:30 2 22:30 to 07:00 2 sleeping 07:00 to 08:30 2 The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 21 Comments about the attitude and abilities of staff working in the home included: • “They are very helpful. They have a hard job and the do it well” (resident). • • • “The staff here are great” (resident) “The staff are lovely, absolutely fantastic” (visiting health care professional). “Staff are very attentive … They are very supportive” (visiting clergy). All staff spoken to about the residents whose records were examined (see section about “Individual Needs and Choices” above) were able to describe the specific needs of those individuals e.g. communication, preferences, etc. The staff team was stable and staff turnover in the home was low. The most recently recruited member of staff started work in the home in December 2005 and all the necessary pre-employment checks had been completed before that. She had completed the home’s induction programme and completed a training programme “working in care” organised through a local training agency and subsequently obtained an NVQ level 2 in care. Several staff records were examined and it was apparent that individual had a training and development assessment profile and training needs that were identified as a result were then acted upon. Records and discussion with staff also indicated that individuals were provided with support through regular individual one to one formal supervision meetings with the home’s management. The registered manager said that she enjoyed and was committed to staff training and development. Staff spoken to commenting about these matters said: • “We have both progressed and have opportunities to get on”. • “We are now pursuing specialist mental health training. We arranged training in care management approach and now looking at subjects like schizophrenia and bi-polar disorders”. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was effectively managed and there were systems in place for monitoring the quality of the service the home provided and ensuring that the health and welfare of people living and working in the home was promoted. EVIDENCE: The home’s registered manager was also the owner/registered provider of the home. She had been responsible for the operation of the establishment for some 7 years and had obtained NVQ level 4 in management and the Registered managers Award in 2005. At the time of the inspection she was participating in a training course in business development. Staff and residents spoken to appreciated the registered manager’s knowledge and experience and were confident in her abilities as well as appreciative of her personal qualities. • “Sue (registered manager) is very good” (resident). The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 23 • “She is fantastic. You could not wish for a better boss. I respect her because she has done so well and she genuinely does care. She never argues if we ask for anything such as extra materials for craft-work or if something is tatty she will replace it” (member of staff). “She is more of a friend than a manager. She is very open and you can turn to her if you have any problems” (member of staff). • It was also apparent from discussion with the registered manager that she was enthusiastic, motivated and had a comprehensive understanding of the needs of the residents accommodated in the home. One healthcare professional said: • “The manager is very helpful …” Questionnaires were used by the home were among methods the home used to obtain the views of residents about the quality of the service it provided. It was apparent from discussion and evidence of responses in questionnaires that the home had acted on some of the issues raised by residents. The home also held regular residents meetings at which individuals could express their views about the way that the home was managed. Regular audits were also done of the home’s environment to ensure that a good standard of accommodation, and its decoration and furnishings was maintained. It was suggested that further audits of the home’s management information systems (e.g. care plans, medication administration records) could strengthen and improve the home’s quality assurance systems. Comments form residents and staff about living and working in the home included the following: • “I try to enjoy living here … We have residents meetings … We do a lot of laughing which helps …” (resident). • • • “It is all right … I feel safe here … We have meetings and we talk about different things and they (staff) do listen to us” (resident). “It is good … “ (resident). “It is a home from home. It is so friendly, everybody gets on and it is very relaxed. We treat it as their home. It is not clinical” (member of staff). The home had a number of written health and safety policies and procedures. Records examined indicated that the home’s systems were checked and serviced at appropriate intervals i.e. fire safety equipment portable electrical equipment; and hot water system. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 24 Records were kept of accidents. Staff spoken to said that they had attended fire safety and other health and safety training. There was evidence that all the residents living in the home had also completed training in fire safety. It was suggested that all windows above the ground floor were checked to ensure that window restrictors were operating effectively as one window examined could be opened fully presenting a potential risk to the room’s occupier. The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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 The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 The Wansbeck Limited DS0000066186.V326880.R01.S.doc Version 5.2 Page 28 - 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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