Inspection on 13/10/05 for Winchester House

This inspection was carried out on 13th October 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 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

Winchester House 26/06/07

Winchester House 21/03/06

Winchester House 16/03/05

Winchester House 11/08/04

Winchester House 09/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Winchester House 90 Frinton Road Kirby Cross Frinton On Sea Essex CO13 0HJ Lead Inspector Neal Wolton-Harragan Final Unannounced Inspection 13th October 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 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. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Winchester House Address 90 Frinton Road Kirby Cross Frinton On Sea Essex CO13 0HJ 01255 678813 01255 679196 lee.saunders@btinternet.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) Mr Lee Saunders Mrs Elizabeth June Saunders Mrs Elizabeth June Saunders Care Home 8 Category(ies) of Old age, not falling within any other category registration, with number (8) of places Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 65 years and over, only falling within the category of old age (not to exceed 8 persons) 16th March 2005 Date of last inspection Brief Description of the Service: Winchester House is owned by Mr and Mrs Saunders. registered manager. Mrs Saunders is the A large detached property; the home is registered for 8 older people. All accommodation is at ground floor level and all bedrooms are single, with most having en-suite facilities. Winchester House is well decorated and well maintained throughout and is very welcoming and homely in appearance. There are extensive well-maintained gardens to the rear of the property. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection at Winchester House on Thursday October 13th 2005, the first inspection at the home for the year 2005/2006. Mr and Mrs Saunders, the home’s proprietors and Registered Manager were not at the home on the day of inspection, as they were on holiday, although the carers on duty were able to contribute fully to the inspection process. During the inspection, 28 of the 38 standards were looked at; 27 were met (of which three were exceeded) and one was almost met with minor shortfalls. One standard was not applicable. This inspection included a tour of the home, discussions with service users and staff, as well as the opportunity to look at records of how people living at Winchester House are cared for and how the staff are recruited and trained. During the day of inspection two members of staff were spoken with, as well as three service users. Staff and service users spoke well of the home and of the owner, service users appeared at ease with the care staff and were happy to talk to the Inspector. Interactions between staff and service users observed during this inspection were positive. What the service does well: Winchester House provides a good standard of care to service users and this is reflected in the positive reports from those living at the home. The environment is of a very high standard and all rooms were well decorated and maintained. The home manages to create a relaxed, family style atmosphere that service users find appealing and staff supported people in a professional yet easy manner. Meals provided at Winchester House on the day of inspection was seen to be of a good quality and attractively presented. Food records showed that a variety of meals are offered and choices are provided. Special dietary needs are met as required. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 6 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. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 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 Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Prospective service users had the information they needed to make an informed choice about where to live, each service user had a written contract and service users and their representatives felt assured that the home could meet their needs. However, not all the needs of all the service users were fully assessed prior to admission to the home. EVIDENCE: The home had an appropriate Statement of Purpose and Service User Guide and records showed that service users were provided with a statement of terms and conditions of residence when moving into the home. Discussions with service users indicated that they felt comfortable that Winchester House could meet their needs and the services provided met with their expectations. Examination of service user records showed that not all the needs of the three people most recently admitted to Winchester House were fully identified and assessed. The home must ensure that attention is paid to assessing all the needs of prospective service users, including their social and psychological needs. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 The needs of service users were set out in individual plans of care and these needs were fully met. Service users felt they were treated with respect and their right to privacy was upheld. EVIDENCE: Examination of service user records showed that health, personal and social care needs that were identified within individual plans of care were reviewed at monthly intervals. Any changes to needs were identified and the plans revised to accommodate such changes and plans contained clear guidance for staff as to how these needs should be met. There were also meaningful and appropriate entries in service users daily records, indicating that the staff had a good understanding of the needs of individuals and that the identified needs of each service user were being met. Discussions with individual service users gave evidence that they were treated with respect at all times, as did the observation of staff going about their duties and their interactions with service users. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15 Service users found the lifestyle experienced at Winchester House met their expectations and they were able to maintain contact with family and friends. Service users were able to exercise choice and control over their lives and received a wholesome, appealing and balanced diet in pleasant surroundings. EVIDENCE: Discussions with service users gave evidence that life at Winchester House matched their expectations and that, while living at the home, they were able to maintain contact with family and friends as well as continue to participate within the local community. Although the home did not have a formal program of activities, service users spoken with felt that their recreational needs were met through daily life at Winchester House and through other social contacts. There were a range of books on offer, provided and regularly changed by the local library, and the proprietor/manager organised regular quizzes. Service users spoken with felt positive about the level of choice and control they had over their lives and felt comfortable that requests they made to the staff of the home would be accommodated. Food provided on the day of inspection was of a good standard and discussions with the service users and staff, as well as the examination of records, showed Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 11 that, although there was only one of formal choice of meal at lunchtime, alternatives were readily available should this choice not be to the liking of any individual service user. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 and 18 Service users felt safe at Winchester House and there were adequate arrangements in place to help protect service users from abuse. EVIDENCE: Winchester House had a robust and accessible complaints procedure that was supported by appropriate Protection Of Vulnerable Adults protocols that were understood by staff. Service users spoken with felt safe at the home and indicated that they could raise issues of concern with the proprietors and these would be acted upon. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Winchester House was well maintained throughout, comfortably furnished and pleasantly decorated. Individual rooms were safe and comfortable and service users were encouraged to bring possessions, ornaments and items of furniture into the home. The home was clean throughout. EVIDENCE: An environmental tour of the home provided evidence of the home being well maintained, clean and hygienic in all areas. There were no unpleasant odours and all rooms, both individual and communal, were decorated, furnished and lit in a homely manner. Service users spoken with were happy with the standard of furnishing, décor and equipment provided and felt the environment was one of the principal reasons for choosing to move into Winchester House. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28 The numbers and skill mix of staff was adequate to meet the needs of service users and to help ensure their safety. EVIDENCE: Records examined at the home showed that Winchester House was appropriately staffed to meet the needs of those living there. Staff had a good understanding of their roles and the needs of the service users. Service users spoke highly of the staff and felt that their needs were understood and met. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, and 38 Winchester House is well managed and run in the best interests of the service users, who benefit from the management approach. The policies, procedures and practices at the home promoted and protected the health, safety and welfare of service users, staff and visitors. EVIDENCE: Although the proprietor/manager was on holiday at the time of the inspection, staff were able to maintain services at Winchester House and this is a positive reflection on the way Mrs Saunders manages the home. Policies and procedures examined showed that the home protected and promoted the health, safety and welfare of service users, staff and visitors and observation of staff showed that these were appropriately interpreted and applied to working practices. Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 16 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 3 3 2 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 4 3 3 3 4 4 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X 3 Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 17 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 OP3 Regulation 14(1) Timescale for action The registered person must 31/01/06 ensure that service users’ needs are thoroughly assessed prior to admission. 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. Refer to Standard Good Practice Recommendations Winchester House DS0000017998.V259607.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: 0845 015 0120 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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