Random inspection report
Care homes for adults (18-65 years)
Name: Address: Windsor House 9 Cabbell Road Cromer Norfolk NR27 9HU one star adequate service 02/12/2008 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Ruth Hannent Date: 2 2 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Windsor House 9 Cabbell Road Cromer Norfolk NR27 9HU 01263511438 01263511141 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Sarah Jeans,Mr Robert Jeans care home 10 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 10 Ten (10) people with a Learning Disability may be accommodated. Date of last inspection Brief description of the care home Windsor House is a care home providing personal care and accommodation for up to 10 adults with learning disabilities. The Registered Providers are Sarah and Robert Jeans. The present manager is not registered with the Commission. The home is located very close to the sea in the coastal town of Cromer and is close to shops, pubs and all local amenities. Windsor House is a large Edwardian terraced property with accommodation on four floors. The property has been in a poor state of repair but the Proprietor is in the process of making some improvements in the home. Service users are accommodated on the first three floors. The weekly fee is between £295 and £360. 0 2 1 2 2 0 0 8 Care Homes for Adults (18-65 years) Page 2 of 9 What we found:
On the day of this random inspection visit we found two staff on duty with 3 residents who had stayed at home with 2 away at various day care placements. We spoke to staff and residents to establish the care support offered in this home. We walked around the building to check on the outcomes of the past requirements and the senior carer was called to the home to assist with questions. Both the manager and owner were unavailable and no keys to access the office had been handed to the senior in charge. The environment is still in a poor condition with stained carpets, partial completion of internal alterations that have been ongoing for months and dirty unlit areas were still evident. 1 residents bedroom was noted to have a very stained bed base and another had a lot of clutter and dust about. One requirement at the inspection of Dec 2008 was for the removal of trailing wires from across a bedroom sink. This has now been rectified. Another requirement was the need to ensure taps ran with hot, temperature controlled water and this has also been fixed. Out of the 12 requirements set at the last inspection these two were the only ones complied with and with no access to the office some information could not be gathered to check such as residents finance records. The senior person in charge told us that she is unable to use the stairs and therefore relies on staff and residents to fetch and carry from floor to floor as and when anything is required. In an emergency this staff member would not be able to act responsibly and appropriately and resident could be at risk, especially when no other staff member is on duty. Another reason for this random inspection was to check all the CRBs to date with a requirement and promise of a current one outstanding being sent for and available for inspection. This could not be checked due to the absence of the owner and no access available to office records. Residents and staff spoken to reflected on the home being unsettled and this has led to some residents asking to be moved. Comments found in care plan reports of one resident shows there are problems with the care and support for this person and the most appropriate professional management approach to this problem does not appear to be in place. What the care home does well: What they could do better:
The home must comply with requirements within the timescales set.
Care Homes for Adults (18-65 years) Page 3 of 9 The environment must be improved. There is so many rooms that are half completed and have been in the same state for at least 6 months. Staff must be trained and experienced in the correct care for people with complex needs to ensure person centred care is understood, in action and recorded. The home must be managed by an experienced qualified person who is suitable to carry out this professional role. This person should be registered with the Commission as soon as possible. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 4 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 24 23 The home must ensure that appropriate, robust furnishings and fittings are suitable for the residents accommodated. To offer residents a suitable and comfortable environment. 01/04/2009 2 24 23 (2) b c The registered person must produce a time bound plan for ongoing care and maintenance of the premises. The home must provide a programme for building works and refurbishment to show areas completed. (Repeated requirement) The home must be comfortable and homely. 31/03/2008 3 24 23 01/04/2009 4 26 23 The home must ensure the soft furnishings are suitable for the needs of the residents. Mattresses/duvets/pillows and curtains/fittings need replacing. 01/03/2009 5 36 18 The staff should be supervised and meeting 01/02/2009 Care Homes for Adults (18-65 years) Page 5 of 9 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action recorded at least 6 times per year. (repeat requirement) To ensure continuity and support is correct for the staff member to carry out their duties correctly. 6 37 9 The home must provide a registered manager who is qualified to carry out the position The home has been without a registered manager for a number of years. 7 39 24 The home must have a system in place to review and improve the care delivered To ensure the quality of the service is reviewed on a regular basis. 8 41 26 The home must ensure all 01/03/2009 records for testing, servicing and maintaining are held and ready for inspection. To safeguard the residents and ensure the building is safely maintained. 9 41 17 The manager must have the 01/02/2009 full record of all transactions taken on behalf of the resident fully up to date and available for inspection (schedule 4) To ensure residents money is managed correctly and
Care Homes for Adults (18-65 years) Page 6 of 9 01/06/2009 01/06/2009 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action safely. 10 42 26 The provider must carry out 01/02/2009 regular checks in the home to ensure records are up to date and the service delivery is correct and safe. To ensure a monitoring process is in place to help protect the residents from poor practices. Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
