Inspection on 30/08/05 for Windmill Care Centre

This inspection was carried out on 30th August 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

Windmill Care Centre 25/07/08

Windmill Care Centre 21/08/06

Windmill Care Centre 14/04/05

Windmill Care Centre 18/10/04

Windmill Care Centre 04/05/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE WINDMILL CARE CENTRE 104 Bath Road Slough Berkshire SL1 3SV Lead Inspector Julie Willis Unannounced 30 August 2005 @ 10:20 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 and 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 CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Windmill Care Centre Address 104 Bath Road Slough Berkshire SL1 3SV 01753 213010 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) Lifestyle Care plc Mrs Shanhnaaz Mohamed Care Home 53 Category(ies) of Older Person OP registration, with number Dementia DE of places Physical Disability PD WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: That Service User Categories DE and OP must be aged 60 years or over on admission Date of last inspection 14/04/05 Brief Description of the Service: This purpose-built Nursing Home for 53 residents caters for people with frailty associated with older age including mental frailty. It also caters for younger people with physical disabilities.The accommodation is arranged over three floors with separate facilities on each level including lounges, dining rooms and kitchenettes. There are two lifts that service the floors and basement within which is situated the catering, laundry, hairdressing and sensory room facilities. All bedrooms are single rooms with en suite facilities. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday morning and afternoon over a period of four and three quarter hours. A tour of the home was undertaken in which the service users accommodation and communal space were visited. A number of care records and health and safety documents were examined. The inspector spoke at length to 8 of the 53 service users plus others in small groups. The inspector spoke to one visitor and six of the staff. The inspector spoke with the Homes Deputy Manager at the beginning and end of the inspection when brief feedback about the inspector’s findings was provided. There were no outstanding requirements or recommendations from the previous inspection and no new requirements or recommendations were made as a result of this inspection. What the service does well: The home has a team of caring staff that provide good quality care to the residents. Service users feel that staff are friendly and kind and work hard to improve their quality of life. Residents are provided with an excellent choice of activities and trips out by the activities organisers who work hard to provide users with a wide variety of things to do. Written records are well kept and assist staff to provide the care needed by users in an effective way. The home is clean, well maintained and nicely decorated throughout. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 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. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6-10 and 18–21) (Standards 11–17) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37–43) WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. 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. Prospective service users have an opportunity to “test drive” the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 (OP) & 2 (YA) The home carries out a full pre-admission assessment on all service users to ensure that the home will be able to effectively meet their need. EVIDENCE: Examination of 7 service user plans evidenced that all residents are fully assessed by the home prior to admission. The tool used for the purpose is comprehensive and holistic in detail and covers all personal and health care needs, social & medical history and medication needs. The information contained in the pre-admission assessment is gathered from various sources including the service user and their relatives. The information forms the basis on which care will be delivered. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 9 The home accepts a number of referrals made by local Social Service departments. A copy of the summary of the Care Management assessment is on file for residents referred in this way. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6-10 and 18 –21 (Adults 18-65) 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. Including their physical and emotional health needs. 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. 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. Service users receive personal support in the way they prefer and require. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 7, 9, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7, 8 (OP) & 6 (YA) All users have a care plan which provides sufficient information to enable staff to effectively meet their needs. The health needs of users are well met with evidence of good multi-disciplinary working taking place on a regular basis. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 11 EVIDENCE: Examination of 7 service user plans evidenced that the care needs of users were well documented and up-to-date. The plans were well developed and included nursing tools to assess the risks associated with nutrition, manual handling, falls, skin integrity and use of cot sides. Where risk had been identified a comprehensive care plan was in place. A tour of the building evidenced that appropriate aids and equipment to reduce the risks identified were being deployed throughout the home. A number of users have been admitted to the home recently with wounds and pressure sores. Records indicate that these wounds are being treated and that the home pro-actively refers users to other healthcare professionals for advice and treatment when necessary. Several nurses have received training in tissue viability and take the lead in wound management in the home. The treatment of wounds and pressure sores were well documented. It would be helpful if photographs could be used as adjunct to the use of body maps to identify the size, shape and position of wounds and to evidence resolution. The inspector spoke to a number of service users who confirmed that the care they were receiving was appropriately meeting their needs and that they were regularly consulted on health issues. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 11 – 17 (Adults 18-65) are: 12. 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. Including opportunities for personal development. Service users engage in appropriate leisure activities. Service users maintain contact with family/ friends/ representatives and the local community as they wish. And have appropriate personal, family and sexual relationships. 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. 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15, 16 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 (OP) & 14 (YA) Service users have the opportunity to participate in a range of activities that provide physical and mental stimulation. EVIDENCE: The inspector spoke at length to the two activity organisers who engage users in a range of stimulating and worthwhile activities on a daily basis. A schedule of trips out to the seaside, Woburn Safari Park, Beale Park, pub lunches and shopping trips have been arranged for the summer and service users confirm that these trips have been enjoyable and worthwhile. The homes maintenance man has been funded by the home to drive vehicles provided by and rented from the Local Authority, which have helped to make frequent trips out possible. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 13 The activity organisers chair the residents monthly meetings where a range of issues is discussed including meals, care issues and service users choice of activities and fund raising events. Minutes of these meetings are provided to all users of the home and are copied to management for action. The minutes of the meetings indicate that outside entertainers are primarily employed by the home during the winter months when trips out are curtailed due to inclement weather. During the summer, users choose where they would like to go and what activities should be planned on a daily basis. Individual records of their activity choices are kept in the service user plans. The home provides a budget for activity equipment but this is supplemented by holding regular fundraising events. At the time of inspection users were enjoying sitting beneath the gazebos in the back garden. The funds to purchase the gazebos and other gardening equipment including greenhouse and potting shed were generously donated by relatives of a former resident. The garden is well used by residents and this year the users have entered the ‘Slough in Bloom’ contest. Service users were very enthusiastic about the garden and say that it provides them with a pleasant place to sit and talk to friends. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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. Including neglect and selfharm. The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 (OP) & 22 (YA) The home has a satisfactory complaints system with evidence that service users feel their views are listened to and acted upon. EVIDENCE: Examination of the complaint records indicated that there has been 1 anonymous complaint made to the home and to the CSCI about the home since the 1st January 2005. The complaint is well documented with copies of the investigation report provided to the CSCI. The complaint was found to be partly unsubstantiated. Service users confirmed that they felt confident that any concerns or complaints would be taken seriously by the home and that management would take action to remedy the concern in a timely fashion. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) 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. Shared spaces complement and supplement service users’ individual rooms. Service users have sufficient and suitable lavatories and washing facilities. Provide sufficient privacy and meet their individual needs. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. And lifestyles. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 (OP) & 24, 30 (YA) The standard of the environment within the home is good and provides users with a clean, attractive and homely place to live. EVIDENCE: A tour of the home evidenced that the home was clean and hygienic throughout. Staff confirm that they have received training in infection control and appropriate protective equipment is available to enable them to carry out the tasks of their job effectively including plentiful supplies of gloves and aprons. Several areas of the home have been redecorated since the last inspection including the first floor, which specialises in caring for users with mental frailty. Staff of this unit have recently received dementia training and as a result have WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 16 decided to redecorate the home in bright colours to aid users ability to negotiate their way around the building. All toilet and bathroom doors are to be repainted in a vivid primary colour and new uniforms are on order that will help users to recognise the staff more easily. Users selected the colour of the decoration on the ground floor and it has been recently repainted to their particular choice. The soft furnishings have been replaced to co-ordinate with the new décor. Users told management that they were having difficulty seeing the original television in the lounge, so a giant plasma screen has been purchased to replace it. Service users confirm that they like the new decoration and find the home appears more attractive and homely since it was decorated. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 36 (Adults 18-65) are: 27. 28. 29. 30. • • • Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. 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. Service users benefit from clarity of staff roles and responsibilities. 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 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the staffing standards were fully assessed on this occasion EVIDENCE: None of the staffing standards were fully assessed on this occasion WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 37 – 43 (Adults 18-65) are: 31. 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 a well run home and from competent and accountable management of the service. 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. Service users are confident their views underpin all self-monitoring, review and development by the home. 32. 33. 34. 35. 36. 37. 38. • The Commission considers standards 33, 35 and 38 (Older People) and Standards 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 (OP) & 42 (YA) Service users live in a safe environment where risks to their safety are assessed, minimised and managed effectively EVIDENCE: Examination of a number of health & safety records indicated that they were up to date and in good order. Routine servicing and maintenance of equipment is undertaken at appropriate intervals to maintain the home as a safe and risk free environment for users. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 19 Unnecessary risks to users are identified using a comprehensive risk assessment. As far as possible risks are reduced or eliminated by putting in place risk management procedures and strategies. Service users confirm that they feel safe and well cared for. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 20 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 x 2 x 3 3 4 x 5 x 6 x HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 x x x x x x 3 Score Standard No 7 8 9 10 11 Score 3 3 x x x Standard No 27 28 29 30 x x x x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 3 x x MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x 37 x 38 3 WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 21 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. 1. Standard Regulation Requirement There were no new requirements arising from this inspection 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. Refer to Standard Good Practice Recommendations There were no new recommendations qarising from this inspection. WINDMILL CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading RG7 4SA 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 CARE CENTRE H51-H01 11024 Windmill V234585 300805 Stage 4.doc Version 1.30 Page 23 - 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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