Inspection on 07/03/06 for Windward Nursing Home

This inspection was carried out on 7th March 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

Windward Nursing Home 26/02/07

Windward Nursing Home 22/09/05

Windward Nursing Home 15/03/05

Windward Nursing Home 09/09/04

Windward Nursing Home 11/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Windward Nursing Home Dartmouth Road Stoke Fleming Dartmouth Devon TQ6 0QS Lead Inspector Mandy Norton Unannounced Inspection 7th March 2006 11:20 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 Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 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. Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Windward Nursing Home Address Dartmouth Road Stoke Fleming Dartmouth Devon TQ6 0QS 01803 770789 01803 770827 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 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 (25) of places Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 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 en-suite 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 DS0000028776.V269106.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 3 hours and 40 minutes (11.20 am – 3pm) and was conducted with the deputy matron, with the assistance of the administrator. A variety of documentation was examined and a tour of the home took place. Patients were observed during the inspection but not spoken to individually. The focus of the inspection was to assess the core standards not assessed during the last inspection. What the service does well: 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. Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 6 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 Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 7 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): None of these standards were assessed during this inspection EVIDENCE: Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 8 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 The health care and personal needs of the residents are identified and met. EVIDENCE: The plans of care examined included general information about the patient, a detailed daily statement about their wellbeing, nutritional assessments, tissue viability assessments and manual handling assessments. They detailed the actions to be to be taken by care staff (day and night separately) to ensure health/ nursing, personal and social needs of the patient are met. The plans had been reviewed as required. Carers complete a ‘shower book’ daily with information about the care given to a patient during their shift this is used to inform the care plan. The nurses have also recently used the Liverpool Care Pathway assessment tool when providing palliative care to a patient. A tour of the home confirmed that equipment necessary for the promotion of tissue viability and the prevention or treatment of pressure sores was available throughout the home and in sufficient quantity for the size of the home. Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 9 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): None of these standards were assessed during this inspection EVIDENCE: Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 10 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 The home has a satisfactory complaints procedure. EVIDENCE: The complaints procedure is displayed on the wall by the front door. The deputy matron could not find the complaints file but said that there had been no complaints since the last inspection. She said that any issues are raised with her or the matron, as they see the patients and relatives regularly, these are then acted upon immediately and resolved. She said that issues are also discussed during the daily staff handover so that all staff are aware if there are any concerns or problems to be aware of. Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 11 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 (partially) The overall quality of the furniture and fittings is satisfactory providing a safe environment. EVIDENCE: A tour of the home confirmed that the environment had been improved - one of the first floor corridors has had a new carpet fitted and at least one room has had a new carpet. Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 12 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): 29 The homes recruitment policy and practice protect the residents. EVIDENCE: The deputy matron said that there is a standard procedure which includes getting 2 written references, one of which must be from the last employer, and a CRB check. The staff recruitment policy/checklist, request for reference form and the application form examined confirmed this. She said the matron interviews potential staff using a standard set of questions. The home has some overseas staff and the recruitment practices were discussed with the administrator, who was also able to produce relevant documentation relating to their employment. Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 13 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, 33 and 35 There is good leadership and guidance for staff to ensure residents receive consistent quality care. The home regularly reviews aspects of its performance through a programme of self review and consultation, which includes seeking the views of the residents, relatives and staff. The systems in place in the home promote and protect the welfare of the clients and staff. EVIDENCE: The matron and the deputy matron who are both level 1 registered nurses have both achieved a level 4 NVQ registered managers award. During the inspection it was clear that are clear lines of accountability within the home and with external management. Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 14 The last satisfaction survey was done in June 2005 the results of which are displayed in the entrance hall. Any issues raised in the surveys are dealt with accordingly on an individual basis. The staff, patients and relatives are able to approach the matron (or any other staff) if there are any concerns knowing they will be taken seriously. The home has a family atmosphere and the staff and patients enjoy this quality and so strive to maintain it. Patients who are able to manage their own finances are encouraged and facilitated to do so. If money is kept by the home for any patient they have an individual form with the current balance on this is recorded any incoming or outgoing money. Receipts are kept as proof of the transaction. The money is stored securely and only the matron has access to it. Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 15 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 16 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. 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. Refer to Standard Good Practice Recommendations Windward Nursing Home DS0000028776.V269106.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Ashburton Office 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 DS0000028776.V269106.R01.S.doc Version 5.1 Page 18 - 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!