This inspection was carried out on 12th May 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
CARE HOMES FOR OLDER PEOPLE
WARNEFORD HOUSE CARE CENTRE Tenter Balk Lane Woodlands Doncaster DN6 7EE Lead Inspector
Alan Bartrop Unannounced 12 May 2005 08:15. The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Warneford House Care Center Address Tenter Balk Lane Woodlands Doncaster DN6 7EE 01302 337111 01302 337113 None Ashbourne Homes Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Tracy Atkins N CRH Care Home with Nursing 40 Category(ies) of OP Old Age - 40 registration, with number of places WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: 1. A condition of registration is that the home can provide care for 1 named person to reside at the home at present under 65 years of age. Date of last inspection 25 October 2004 Brief Description of the Service: Warneford house is situated in a residential area of Adwick-Le-Street and is within a short distance of shops, library and churches. The home is registered to provide personal and nursing care for 40 older people 65 years of age and older. The accommodation comprises of 36 single rooms and 2 double rooms. However the double rooms are currently designated for single occupancy. The home is a single story building with easy access to the patio and garden, which is well maintained. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was Unannounced and took place over 5.5 hours starting at 08:15, and included reading service users care plans, policies and procedures, speaking to 11 residents, observing two meals, a tour of the building and discussions with staff members. 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.
WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 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 standard(s) 3 There is a good assessment process which is followed leading up to the time of the residents admission to the home, and this information is followed on in the care plan and daily records resulting in a good quality of care for the person concerned. EVIDENCE: All the files inspected had a standard assessment form completed and this information had been used to inform the cape plan. The elements of the care plan were also reflected in the records of care given on a daily basis, by the staff. This indicated that the care given to the residents during the day was provided on an individual basis and aligned to their individual needs. Residents confirmed that the manager had been to see them and discuss the care they needed before they were admitted, so that they could get to know the manager and tell her what they wanted. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 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 standard(s) 7,9 The care of the residents during the day is of a high standard within a friendly atmosphere. At night everyone is checked on a regular basis rather than on an assessed individual need, this can cause a disturbed nights sleep which in some cases is unnecessary. EVIDENCE: A care plan was identified where there was no indication that the resident needed checking on at night but checks had been carried out on a two hourly basis. This meant that the resident was having their sleep disturbed unnecessarily. Discussion with the manager revealed that the checks were carried out to satisfy the staff’s piece of mind which is not putting the resident’s needs first. Residents said that they were happy with the way the staff treated them during the day and several commented on how friendly the home Was. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 9 There was a lot of evidence to show that different residents were addressed in an individual manner and that they were encouraged to be as independent as possible. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 There is a good activity program offered and the residents are well informed of what is going off to enable them to get the maximum benefit from their day. EVIDENCE: The activities that are planned are displayed on the notice board and when asked the residents said that the staff come round and tell them when something is about to start so that everyone has a chance of attending. There was a good range of activities offered and the residents said how much they enjoyed trips out of the home, especially the seaside. A relative confirmed that they were always made welcome and that they were able to visit every day. This was an important factor for them when choosing the home. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 There is a comprehensive complaints procedure which is well publicised to ensure that people know how to use it if the need arises. EVIDENCE: The complaints procedure is corporate wide and there are copies in the procedure manual for staff to access. It is also displayed on the notice board near the dining room and every resident is given a copy on admission so that each family knows the procedure. The last complaint was made in September last year and this was investigated appropriately with the outcome being passed to the complainant. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 The home is very well maintained and safe. There has been a need identified for a change in provision within part of the home and there are plans to carry out the building work necessary to meet this provision. EVIDENCE: Inspection of the home indicated that there was a rolling program of maintenance which means that any minor damage is quickly put right to a high standard. Residents confirmed that the home is always as well maintained as it was on the day of the inspection. All chemicals and dangerous substances were appropriately used or stored and the staff using them had a good knowledge of how they should be handled. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 There was an adequate number of staff on duty to meet the needs of the service users regarding personal care. The home was clean and the kitchen staff able to prepare meals that were appetising nutritious and enjoyed by the residents. EVIDENCE: The staff rota was seen and evidenced that there were enough staff on duty to meet the needs of the residents. Residents confirmed that the staff were always there to help and that they did not have to wait long if they asked for something. The staff had a mature attitude towards helping the residents so that they did not draw undue attention to the fact that individuals needed help with personal care issues. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Health and safety commands a high priority within the home which has resulted in a safe environment in which to care for older people. EVIDENCE: There are good health and safety procedures that are company wide and the staff were seen following good practice in their daily routines. This resulted in working practices to minimise injury. Risk assessments were seen to be in place that addressed different aspects of work and different areas of the home, indicating that a good deal of thought had been put into minimising risks. WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x
COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 16 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 Timescale for action Checks made on residents during 1st July the night must be based on 2005 Identified residents needs Requirement 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 9 Good Practice Recommendations The Medication Administration Record and Request should be checked on a regular basis to ensure that there are no inappropriate gaps left by the people administering the medication WARNEFORD HOUSE CARE CENTRE CS0000015876.V201832.R01.doc Version 1.30 Page 17 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster South Yorkshire DN4 5HZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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