Inspection on 30/08/06 for Windmillbanks

This inspection was carried out on 30th August 2006.

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

Windmillbanks 31/07/08

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Windmill Banks Windmill Banks 1 Windmill Banks Higham Ferrers Northants NN10 8JF Lead Inspector Ms Sarah Jenkins Unannounced Inspection 30 August 2006 07:40 th Windmill Banks DS0000065013.V298631.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 Windmill Banks DS0000065013.V298631.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. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Windmill Banks Address Windmill Banks 1 Windmill Banks Higham Ferrers Northants NN10 8JF 01933 315321 01933 317321 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 Claude Fonseka Mrs Viola Fonseka Vacancy Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Where there are 3 people accommodated in the home within the category of LD, no further persons may be admitted under this category. No person under the age of 25 years who falls within categories LD may be admitted to the home. No person over the age of 65 years who falls within categories LD may be admitted to the home. Not applicable. New service Date of last inspection Brief Description of the Service: Windmill Banks is a registered service for 3 people with Learning Disabilities. It was registered at the end of last year. The home has been developed from the purchase of two small houses next door to the Registered Owners other Registered home, Kings Lodge. Major internal building works have been undertaken recently at Windmill Banks and there are now 8 bedrooms available although only three of these are registered. The premises of the area created by the purchase of the second house, and now part of Windmill Banks, have not yet been registered. Building works are now complete and the Fire Officer has authorized the use of the premises although the full Building certificate for the new area is not yet available. Development of the garden area, which is currently not available to Service Users, is ongoing, and some redesigned parts of the home are not yet fully operational, e.g. the kitchen. The home has been, and to some extent is still being supported organizationally by the staff and facilities of Kings Lodge during the period of development. It was closed for a short period of approximately 7 weeks during the main part of the internal building alteration and was only reopened during the week of the inspection. The home is situated in a residential area of the village of Higham Ferrers close to local amenities and on a bus route. Premises are likely to offer a quality environment when fully operational and prospective Service Users should seek information from the Registered Owner as to when this will be. Full information on the service is available from the Registered Owner in the Statement of Purpose and the Service Users Guide and various policy Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 5 documents. The Registered Owner stated that the range of fees at the home at the time of the inspection was around £1000 per week depending on the level of service required. This is assessed and agreed during the preadmission process. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 1 service user and tracking the care they receive through meeting with the service user, a review of their records, discussions with the care staff and observation of care practices. The Inspector visited during the early morning to observe practices by staff and to meet with service user. The Inspector spent an hour and a half preparing for the inspection and three and a half hours in the home. The pre-inspection questionnaire normally submitted by the home was not available at the time of the inspection. Feedback information from Service Users, relatives and visiting professionals was very limited due to the short period that the home has been open and the closure and alterations during this time. The Inspector received no negative comments. What the service does well: The home is currently offering responsive individual care to the sole Service User. This Service User has been enabled to participate as fully as they wish with the social life at Kings Lodge. Documentation in relation to the home is generally professionally drawn up with evidence of the ethos of empowering Service Users, and promoting their rights and individuality. The service has been, and is being developed to provide a pleasant environment for Service Users. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 7 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. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 8 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 Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. 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. Admission procedures and processes promote the informed choices of prospective Service Users and pre admission assessments ensure admissions are appropriate. EVIDENCE: Details on files evidenced the admission procedure had explored Service Users needs and wishes prior to admission. Staff described to the inspector the flexibility of the process which enables Service Users and their relatives to visit and make informed decisions about the ways in which the home would meet the needs of Service Users. The Statement of Purpose and Service Users Guide were available and showed comprehensive information about the management, principles and values of the service. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users individuality is recognized and responded to and their care plans reflect this. EVIDENCE: Care plans were comprehensive and showed that the Service Users preferred ways were documented for staff to ensure consistency. The Inspector observed that the Service User was offered choices in all aspects of her daily routines and that staff enabled her to make informed decisions about her life with the knowledge that assistance and support would be available to her. Risk assessments were clear and relevant but the records lacked evidence of the necessary regular review and updating. Staff are aware of current good practice and their practice promotes the development of skills and self esteem of Service Users. Windmill Banks DS0000065013.V298631.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users lead an active and stimulating lifestyle, fully supported by staff. EVIDENCE: There was evidence that Service Users are encouraged to maintain and develop their skills, and updated information on care plans showed that staff are successful in helping Service Users work towards achieving their potential. Service Users are supported to visit local amenities such as parks and the local library. They are enabled to make shopping trips as needed. Service Users relationships with friends and families are fully supported and visitors are welcomed with warmth and hospitality. Staff demonstrated that they were fully aware of the values and principles of good care, showing respect for Service Users individuality, and ensuring Service Users dignity and privacy were properly maintained. Staff were Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 12 observed to maintain a quiet and calm atmosphere through quiet speech and warm relationships, even when there were external pressures on them. Choice was offered at mealtimes and staff had a full knowledge of Service Users individual preferences. Drinks and refreshments were regularly offered. Advice was given on the need for a more appropriate dining table as the one in use was too small. The owner informed the inspector that a new one was on order and was being delivered on the day of the inspection. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are properly supported with their health and personal care, but records could be improved in this area. EVIDENCE: Service Users are well supported in health and personal care. Staff spoke with the inspector discreetly about Service Users routines and how these were achieved sensitively and with a proper regard for Service Users wishes. Staff support Service Users to access Community healthcare professionals, this was evidenced in discussions with staff who were able to demonstrate through some documentation that Service Users healthcare needs are being met. Advice was given on the organization of the records, which do not promote easy access to Service Users healthcare history. The Inspector observed the administration of morning medications, at Willow Banks, by a trained staff member who properly followed good practice guidelines. Medication management is currently undertaken in Kings Lodge and therefore was not fully inspected at this visit. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 14 Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are protected and supported by a knowledgeable staff group who are aware of the issues in relation to the protection of vulnerable adults. EVIDENCE: There have been no complaints at Willow Banks since its opening. The Registered Owner maintains close contact with Service Users and relatives and feels that the ongoing good communication pre-empts complaints being made. There are policies and procedures available on complaints and some of the Quality Audit documentation is in user-friendly formats. Staff have received training in Safeguarding Vulnerable adults, and policies and procedures give good information on Protection and Whistle blowing. There is an ethos at the home that encourages individuals to voice any feedback or concerns in the knowledge that the Registered Owners response will be positive and that he will look at issues objectively with possible improvements in mind. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The available premises on the day of inspection were very pleasant but not fully functional. The home had only just been reopened after substantial building work. EVIDENCE: The home has been extended by 5 additional bedrooms. The Registered Owner had not forwarded an application for variation to increase the numbers of Service Users at the time of the inspection but informed the inspector this application was imminent. The occupancy at the time of the inspection was one Service User who had moved back into the home in the last few days. The Inspector confirmed with the Service User that the arrangements had been to her satisfaction and that she was pleased to be back, but some parts of the home were not fully functional at the time of the inspection. There was one to one staffing at the time of the inspection to support the Service User in orientation around the new premises as her bedroom area had been altered. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 17 The kitchen area was not in use and food was being provided from Kings Lodge. The lounge area was furnished but the dining furniture was not adequate. The garden area was being landscaped at the time of the inspection and promises to be a pleasant aspect of the home with raised and sensory gardens for the production of home grown vegetables. The home was clean throughout with the exception of some areas where building or refurbishment work not fully completed, e.g. kitchen area. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent and caring. Recruitment processes meet the Standards. EVIDENCE: The ratio of staff to Service Users at the time of the inspection was one to one. The rota, which is held at Kings Lodge shows designated staff work at Windmill Bank, and currently there is only one on duty throughout the 24 hour period with back up from Kings Lodge if required. Staff records showed competent trained staff. Training is ongoing and staff spoken to show commitment and enthusiasm for learning and development. The inspector discussed the recruitment process with a staff member and also reviewed the staff files. The recruitment process was judged to be competent and professional with good outcomes for Service Users. Records show ongoing staff training, including specific training in Learning disabilities, and the effective supervision of staff. There were minor shortfalls in the regularity of supervision due it is understood, to the staff having been working with the Service Users at Kings Lodge during the building works. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management of the home is competent and effective to deliver quality care to Service Users and promote professionalism. EVIDENCE: There is no Registered Manager at the home at present although an advertisement has been placed to employ one. Currently the Registered Owner is Acting Manager, and is suitably qualified and experienced to assume this role. Quality Audit processes are undertaken and formats are available in userfriendly formats. The Inspector observed Quality Audit in process in the verbal checks on Service Users satisfaction during the inspection. Health and safety is generally properly considered although the Inspector observed a shortfall where the staff member on duty was not carrying the key Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 20 to a fire door and had to fetch this key from Kings Lodge. The Registered Owner assured the Inspector that the Fire Officer was happy with the Fire Protection procedures in place and that the staff member should have been carrying the key. The Registered Owner was advised that safety procedures must be in place at all times. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 21 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 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 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 2 x Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 22 N/A 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. 1 2 Refer to Standard YA9 YA42 Good Practice Recommendations Risk assessments on Service Users activities should evidence regular review. Fire safety procedures should be adequate at all times. Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. Extracts may not be used or reproduced without the express permission of CSCI Windmill Banks DS0000065013.V298631.R01.S.doc Version 5.2 Page 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. 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