Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 22/09/05 for Windward Nursing Home

Also see our care home review for Windward Nursing Home for more information

This inspection was carried out on 22nd September 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The completed service user and friends / relatives comment cards indicate that the home is very good and the staff very kind and knowledgeable. Clients are assessed appropriately before admission. The manager and activities co-ordinator try to provide activities to suit both intellectual and practical abilities. The environment is comfortable and homely. The outdoor areas are well maintained and easily accessible to patients.

What has improved since the last inspection?

Attention has been to paid to improving the control of the temperature of hot water delivery within the home. It has been decided that the carpet on the first floor is to be renewed in the near future.

What the care home could do better:

There were no requirements or recommendations made following the inspection.

CARE HOMES FOR OLDER PEOPLE Windward Nursing Home Dartmouth Road Stoke Fleming Dartmouth TQ6 0QS Lead Inspector Mandy Norton Announced 22 September 2005 nd 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. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Windward Nursing Home Address Dartmouth Road, Stoke Fleming, Dartmouth, Devon, TQ6 0QS 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) 01803 770789 Mr Robert Henry Gunn Sally Marguerite Moyse Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (30) of places Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 15.03.05 Brief Description of the Service: Windward is located on the outskirts of the village of Stoke Fleming 2 miles from Dartmouth. There are several country lanes leading from the home, which can provide wheel chair walks for Service Users and their relatives. The home has a driveway leading to parking for several cars. The home is registered to provide care to Service Users requiring personal care with nursing. The home overlooks countryside and has sea views from the lounge and some Service Users rooms. A large patio area off the lounge also overlooks the sea. The home currently provides 25 beds; some rooms have wheel chair accessible ensuite facilities. All rooms have a nurse call bell and television point. A passenger lift is available to the first floor. There is a variety of equipment to support physically disabled Service Users needs and specialist equipment is available following an assessment of need. There is an assisted Parker bath; two assisted shower rooms are also available on the ground floor. A registered nurse is on duty at all times supported by a team of Health care assistants, administration, catering, domestic and maintenance staff. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced. It took place over 5 hours and 50 minutes (10am until 3.50 pm) and was conducted with the matron and her deputy. The owner also made himself available during the inspection. A completed pre inspection questionnaire and completed service user and visitor/ relative comments cards returned prior to the inspection were also used to write this report. The focus of the inspection was to assess the key standards. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made following the inspection. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 6 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. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 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 standard(s) 3 Comprehensive pre admission assessments are made and therefore people are admitted to the home appropriately. EVIDENCE: The matron explained that she (or the deputy) normally sees documentation about the joint assessment carried out by social services before carrying out a pre admission assessment visit to the prospective client in their current environment. The information gathered helps them to make a decision as to whether the home can meet a persons needs and helps to inform the initial care plan should they move in. Privately funded clients also have to have a pre admission assessment. Funded nursing care assessments are carried out soon after admission. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 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 standard(s) 9 and 10. The health care (in relation to medication) needs of the residents are identified and met. Interactions between staff and residents promotes and protects patients privacy and dignity. EVIDENCE: The procedures for receipt, recording, storage, handling, administration and disposal (especially in light of the change to waste management regulations in April 2005) examined and discussed during the inspection are all carried out in accordance with laid down legislation. Service User comment cards completed (5) indicated that patients feel well cared for and safe and have their privacy respected. A tour of the home confirmed that staff treat the patients and visitors with respect and dignity and interact with them appropriately. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 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, 14 and 15. The staff show a good understanding of the patients cultural, social and recreational needs and the importance of maintaining contact with family and friends and engage the patients in a variety of ways. The meals in the home are excellent offering both choice and variety and catering for special dietary needs. EVIDENCE: A range of activities are available to suit all preferences and abilities. An activities co-ordinator is employed for 30 hours a week ensuring that a variety of activities takes place within the home and grounds (weather permitting). Outings and trips are arranged on a more individual basis. During the inspection clients were seen reading the newspaper, walking in the grounds, watching different TV channels and listening to the radio. Visitors were seen coming and going during the inspection and can see their relative/friend either in their own room or in the communal areas. Documentation discussed confirms that clients can see who they wish to or not and are encouraged to handle their own financial affairs for as long as they wish to or are able to. Some rooms seen during the inspection were personalised with clients own furniture and belongings. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 11 Menus provided with the pre inspection questionnaire and comments on 4 of the completed ‘Service user comment cards’ indicate that the meals are enjoyed and are nutritious and suited to individuals needs. The cook is well known to the clients and will make sure all requests for meals /food likes are met. Drinks and snacks are available 24 hours a day. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 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 standard(s) 18 Clients in the home are protected by staff having a knowledge and understanding of Adult protection issues. EVIDENCE: The policies and procedures around adult protection are up to date and include a whistle-blowing policy. The training records indicate that most staff have attended training in ‘adult protection’ including whistle-blowing. This is carried out by an external trainer. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 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 standard(s) 19, 20,21 and 26. The standard of the environment within the home and the grounds is good providing clients with attractive and homely place to live. The overall quality of the furniture and fittings is good providing a safe environment. The home is clean and hygienic. EVIDENCE: The location and layout of the home is suitable for its stated purpose as adaptations to the building have been made over the years to make more room for large equipment and provision of some en-suite facilities. A tour of the home confirmed that all of the communal areas and the gardens are accessible to clients. There are 2 lounges and dining space on the ground floor. The furniture and decoration in the communal areas is of good quality and domestic in character. The building complies with the local fire service and environmental health department requirements. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 14 Clients rooms seen looked comfortable were clean and contained many of their own possessions. There are a variety of bathrooms and toilets throughout the home adapted to meet the needs of the clients. Domestic staff were seen cleaning the home during the inspection. The home was tidy, clean. The laundry has the appropriate equipment to deal with the laundry the home produces. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 15 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 and 30. Clients needs are met by a satisfactory mix of nurses, carers and ancillary staff who are trained and competent to do their job. EVIDENCE: The duty rota provided with the pre inspection questionnaire details the number of staff on duty and during the inspection people looked well cared for. The pre inspection questionnaire indicates that staff turnover is low. All 5 of the completed relatives/visitors comment cards returned prior to the inspection indicated that they feel that there are ‘sufficient staff on duty at all times’, and all 5 of the completed Service users comments cards returned prior to the inspection indicated they felt ‘well cared for’. Domestic, catering and administrative staff are employed to support the care staff in meeting the needs of the patients. Training records examined were up to date and covered a variety of subjects including all statutory training, PEG management, diabetes, care of the dying, subcutaneous infusion and catheter management. Future planned training includes continuation of the NVQ programme. Both the matron and the deputy are studying for their NVQ 4 (registered managers award). All staff have an induction period when first recruited and have a minimum of 3 days paid training per year. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 16 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) 31, 37 and 38. There is good leadership and guidance for staff to ensure residents receive consistent quality care. The systems in place in the home promote and protect the health and safety and welfare of the clients and staff. EVIDENCE: The registered manager is a first level nurse and has several years experience of managing a care home with nursing. She will soon complete her Registered Managers Award. She demonstrated a clear leadership style during the inspection and there are clear lines of accountability within the home. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 17 The staff files and clients files are stored in separate lockable filing cabinets. The matron has the key to the one containing staff files. Windows on the first floor were restricted. Some portable electrical tests (PAT) were being carried out on the day of the inspection. The fire-log book and accident book were examined and were found to be up to date. The hot water temperature within the home is better regulated than previously and ‘hot water’ signs are displayed where the temperature remains hot. Risk assessments carried out for use of bed rails on clients is comprehensive and details the risks involved with fitting such items. Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 18 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 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 x x x x x 3 3 Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 19 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 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 Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Windward Nursing Home D54-D07 S28776 Windward V237359 220905 Stage 4.doc Version 1.40 Page 21 - 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!