Inspection on 28/03/06 for Winslow House

This inspection was carried out on 28th 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

Winslow House 18/04/07

Winslow House 19/09/05

Winslow House 23/02/05

Winslow House 28/09/04

Winslow House 08/01/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Winslow House Springhill Nailsworth Glos GL51 9EY Lead Inspector Mrs Eleanor Fox Unannounced Inspection 28th March 2006 10:30 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 Winslow House DS0000044887.V287502.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. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Winslow House Address Springhill Nailsworth Glos GL51 9EY 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) 01453 832269 01453 836423 Winslow House Ltd Mrs Jean Ellen Walker Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2005 Brief Description of the Service: Winslow House is a Victorian property, which has been converted and extended to provide attractive accommodation for elderly residents who require personal care. It is registered to accept up to 35 people. The Home has been equipped with a shaft lift plus a number of disability aids to assist the frail elderly people living there. The communal areas consist of a large lounge/dining room on the first floor with one lounge, a dining room and a large conservatory/dining room on the ground floor. The gardens are attractively laid out and well maintained. Winslow House is situated within walking distance of Nailsworth town centre and has the benefit of attractive views of the surrounding countryside. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors undertook this unannounced inspection over a period of three hours. During the day they talked to four of the residents, read their care records, visited their bedrooms and observed their interaction with care staff working at the Home. One inspector also observed the service of the mid-day meal. The inspectors spoke with various members of staff, and looked at the personnel records relating to members of staff who had been recruited to the Home recently. Other documents, which were available in the home on that day, were also read. Comments and views of some of the people who met the inspector have been reflected in this report. Although the manager was not present in the Home on this day, the inspectors would like to thank the proprietor and all the members of her staff who provided time and information during the day, ensuring that the inspection process was successfully completed. What the service does well: The staff at Winslow House are to be complimented for the warm welcoming atmosphere in the Home. The staffing team appear to maintain good working relationships with residents and their families. Full assessments are undertaken on each person who would like to be admitted to Winslow House to ensure that the Home is able to meet all their particular needs. In addition, clear and comprehensive care plans are developed for each person; these are reviewed and updated regularly. Residents receive attentive care when they reach the final days of their lives The Home provides comfortable accommodation, which has been decorated and furnished to a very good standard. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 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. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 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 the following standard(s): 3, 5 and 6 A thorough assessment process plus an invitation to visit the Home, enables prospective residents to make an informed decision regarding their admission and gives them assurance that their needs will be met. EVIDENCE: While reading the residents’ care records, the inspectors saw evidence that thoroughly documented assessments had been undertaken for each person; these covered all aspects of the prospective resident’s care needs and provided clear guidance to the care staff when the person was admitted to the Home. One person who spoke to the inspector explained that both she and members of her family had had the opportunity to visit Winslow House before a final decision was made about admission. She had found the staff friendly and welcoming, and had been reassured to know that she would be able to bring in some of her own possessions to furnish her bedroom. Intermediate care is not provided in this Home. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 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 the following standard(s): 7, 9, 10 and 11 The care planning systems in place adequately provide staff with the information they need to satisfactorily meet residents’ needs. Medication systems, however, require some minor improvements to ensure that residents are not put at any risk of potential errors. The people living here are treated with respect and courtesy. They also receive attentive care when they reach the final days of their lives. EVIDENCE: Following admission of a resident, a care plan is developed based on an assessment of individual care needs. The plans seen on this visit were reviewed and amended in a timely fashion and did cover all the residents’ particular requirements. Thorough risk assessments are also completed. Although these are prepared in computerised format, records are also normally stored in each person’s bedroom, giving them ownership of the contents. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 10 Medication administration was not inspected in detail on this visit but the inspector was concerned to see that topical creams prescribed for specific residents had been left in one of the communal bathrooms. These were immediately returned to appropriate storage. Throughout the day, members of staff were observed and overheard addressing the residents in a respectful but friendly fashion. All personal care appeared to be given in privacy. One resident had passed away recently. Records showed that this person had received attentive care during his final days. The Home had also ensured that the resident had received medical attention as required, and that family members were aware of the deteriorating condition. The resident’s and the family’s wishes were clearly documented in the records Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 11 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): 15 The residents are offered a very good selection of appetising meals to suit their individual preferences. EVIDENCE: Most of the residents eat their meals in one of the communal dining areas although some people preferred to eat in the privacy of their bedrooms; the staff respected their wishes. Residents are offered a choice of food from the daily menus and it was observed that one person was given additional vegetables, at her request. It was also observed that those people who required assistance were helped in an unhurried fashion. One carer talked encouragingly to a lady, gently coaxing her to eat her lunch. Two residents confirmed that the pork they had been served was very tender and that they were enjoying the meal. The kitchen was well organised and reasonably clean. Stroud District Council has given the Home the ‘Fit to Eat award’ again this year. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: The Home met the key Standards at the last inspection. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 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 the following standard(s): 19 A safe and well maintained environment provides residents with a very good standard of comfortable accommodation. EVIDENCE: All areas of the building seen on this visit were attractively decorated, well maintained and furnished with comfortable furniture to meet the needs of the residents living at Winslow House. There is an ongoing programme of redecoration and refurbishment; the dining room and lounge are being addressed at the current time. There were vases of flowers throughout the communal rooms on both floors, enhancing the general appearance of the home in these areas. All the requirements identified at the last inspection have now been rectified. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 14 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): 27 and 29 Residents receive care from a stable competent workforce and the improved recruitment practice helps to ensure that residents are fully protected. EVIDENCE: There were thirty-four residents living in the Home on this day. The Deputy Manager and five carers were looking after the people living there that morning; with four carers due to cover the evening shift and two carers on duty overnight. Additional ancillary staff are employed to address catering, cleaning and general maintenance duties. The proprietor looks after the administrative functions in the home. Discussion with some of the residents and observation of the staff during the visit has led the inspectors to believe that these staffing numbers are adequate to meet the needs of the current residents. Discussion with staff and observation of all the available records relating to employees, who have joined the staffing team since the last inspection, shows that acceptable recruitment processes are followed at the Home. All the required criminal record screening is undertaken before the member of staff joins the team and information about their full employment history plus the reasons for any gaps in employment is also obtained. Written references are sourced for each new recruit. It is recommended that any personal information about medical matters should be maintained in a sealed envelope in the personnel files to ensure complete confidentiality. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 15 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): EVIDENCE: The Home met the key Standards at the last inspection. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 16 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 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 17 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. 1 Standard OP9 Regulation 13(2) Requirement All medications must be maintained in secure storage Timescale for action 01/04/06 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 OP29 Good Practice Recommendations It is recommended that any personal information about medical matters should be maintained in a sealed envelope in the personnel files. Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Winslow House DS0000044887.V287502.R01.S.doc Version 5.1 Page 19 - 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!