Inspection on 14/03/06 for Winston House

This inspection was carried out on 14th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Winston House 04/11/08

Winston House 27/11/07

Winston House 23/05/07

Winston House 14/08/06

Winston House 21/11/05

Winston House 31/03/05

Winston House 01/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Winston House 68 - 69 The Promenade Southport Merseyside PR9 0JB Lead Inspector Mrs Margaret Van Schaick & Mrs Claire Lee Unannounced Inspection 14th March 2006 9:15 X10029.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 Winston House DS0000017265.V286397.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 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. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Winston House Address 68 - 69 The Promenade Southport Merseyside PR9 0JB 01704 532188 01704 530112 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) www.craegmoor.co.uk Parkcare Homes (No. 2) Limited Mrs Valerie Kay Care Home 64 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (34) of places Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Variation agreed for 1 named resident under pensionable age Service users to include up to 30 OP and up to 34 PD The service should employ a suitably qualified and experienced manager who is registered with the CSCI 21st November 2005 Date of last inspection Brief Description of the Service: Winston House is a large detached building, which was originally built in the late 1800’s and was converted into a nursing home in the 1940’s. The home is situated across from the marine lake on the promenade area of Southport, which is within easy access of the amenities of this seaside town. The care home offers nursing care for 34 younger adults with physical disability and 30 older persons with general nursing needs. The home is divided into 3 units over four floors with the older persons unit on the top floor and the two younger adult facilities on the basement, ground and first floors. There is ramp access to the front of the home and the two lifts access all four floors. A nurse call system is in place and suitably adapted bathrooms are situated throughout the home. Park Care Homes Ltd own Winston House and it is managed by Mrs Valerie Kay Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day and lasted 7 hours. This was the second unannounced inspection carried out as part of the regulatory requirement for care homes to be inspected at least twice a year. Two inspectors visited the home for the process of inspection. As part of the inspection process many areas of the home were viewed including residents bedrooms. Care records and other nursing home records were inspected also. Discussion took place with the registered manager, deputy manager, registered nurses, housekeeper and care staff. One to one interviews took place with three staff. Several residents were also spoken with. Five residents were interviewed on a one to one basis and their views obtained of how the home was run and the care provided. What the service does well: Since the upgrading of the facilities last year the home has become much more comfortable for the residents who live there. One of the residents spoken with stated, “I am happy to live here”. Some of the residents the inspectors met with were very complimentary about the new furniture and decoration and took pride in how the home looked now. One resident stated, “ I enjoy the new décor”. All of the residents spoken with were very happy with how they were cared for. Comments from residents included “staff are good, the foreign staff are very nice and good English is spoken generally” and “staff are very nice”. Other residents who were spoken with were also complimentary too with comments including “it’s a lovely home” and “the staff are lovely”. Two of the residents are going on holiday overseas with the aid of staff this year. One resident is going to Spain and another to Paris. Many of the other younger residents are going on holiday to Blackpool with staff in assistance where needed. Staffing numbers are satisfactory and through discussion with staff and residents it is apparent that they feel enough staff are on duty each day. One staff member stated, “we have fairly good staffing levels and sickness is covered” Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 6 Residents are encouraged where able to participate in home events, which enables them to be involved in the planning of activities in their home. The manager of the home is keen to run the home for the benefit of the residents and residents have found her to be approachable, responsible and have confidence in her ability to run the home effectively. The minutes of the previous residents meeting were viewed. Subjects included the proposed garden party to celebrate the Queen’s 80th birthday and the world cup event later this year. Some of the residents will be very involved in the setting up and planning of these two events therefore a further meeting has been planned. Residents were also keen to have a more secluded sitting out area and this has been included with the improvement plans for the home. New plants and pots have yet to be bought to enhance the area with residents’ views and support where able. Residents and staff were very complimentary about the manager’s ability to run the home. Comments from staff include “matron is very approachable” and “I am able to talk with Val (manager) and other senior staff, communication is very good”. Comments made by residents include “I am able to speak to Val if I’m worried about anything”. It is also apparent that the manager and other staff listen to what the residents are saying as some residents were able to discuss their care management and input their views During the inspection process it was evident that residents and staff were confident when approaching the manager with any queries. Friendly and respectful interaction took place during the visit with many residents and staff. What has improved since the last inspection? Residents are now involved in the setting up of their care plans and have copies of them with other residents who refuse to be involved in this process being identified in care files. All care is reviewed monthly with documentation evidencing this and following a one to one discussion with residents. Two of the young adults have recently commenced classes to include chair exercises and arts and crafts. The manager is at present trying to access further educational and leisure activities suitable for the younger residents who live in the home. The manager is also trying to access a qualified person to visit the home to assist with activities that are suited to the residents. Residents in the home have expressed their views positively with regard to the homes recent refurbishment. The outdoor garden areas have been improved to include a secluded sitting out area with easy access for residents who walk or wheelchair users. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 7 New staff files were viewed and these are to be implemented shortly, which will improve the standard of documentation held. 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. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 8 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 Outcomes 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, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 9 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. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) 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. (YA NMS 4) 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 the following standard(s): OP3 The assessment process needs to be improved so that a full and detailed assessment of prospective residents is undertaken to ensure the home can meet their needs. EVIDENCE: Standard OP 3 was assessed at the previous inspection and was found to not meet the required standard. The assessment process has not yet been improved. The manager was advised that all of the information required for a thorough assessment of prospective residents needs is as listed in the national minimum standards. The assessment form in use at present is not detailed enough therefore there is a risk of the home not identifying all of the prospective residents. This would then place the resident at risk of the home being unable to manage their care needs effectively. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 10 Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 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 the following standard(s): YA6, YA20 and OP8 9 10 Medication records are clear and generally well kept. There are occasional lapses were some of the registered nurses are omitting to sign following administration of medication therefore this needs addressing to ensure residents are getting their prescribed medication. Record keeping with regard to wound care needs to be improved to include care plans so that all staff are up to date with treatments and the progress any wound care. EVIDENCE: Residents are now involved in the setting up of their care plans and have copies of them with other residents who refuse to be involved in this process Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 12 being identified in care files. All care is reviewed monthly with documentation evidencing this and following a one to one discussion with residents. One of the younger residents has refused to comply and sign their self medication form therefore this resident is at present having their medication administered by staff The district nurse completes the documentation regarding wound care for one resident. This must be evidenced in care files also with accurate and up to date records of the progress and treatment of the wounds. The inspector recommends that the home meet with the district nurse during each visit to ensure they are fully informed with regard to this residents care. This information will then be included in the care plan so that all staff are aware of the care provided by the district nurse. The PCT (Primary Care trust) have provided additional equipment for one of the residents to enable them to use the shower facility. When asked about how well the home was meeting their healthcare needs one resident replied, “I am very happy with the home” and “I have had specialist treatment for my eyes”. Some of the residents interviewed were knowledgeable about their health needs and felt that they were able to access services were needed. The night manager has taken on the role of managing the medication in the home and carries out audits on a regular basis. The housekeeping of the medications including documentation is generally good. An external agency provides medication training for the adaptation students who are employed by the home. Adaptation students interviewed confirmed that they received the medication training during their induction period. Permanent registered nurses are assessed to ensure competence. Records of these assessments were viewed in staff files and where needed staff are identified that require further training. There is evidence that not all registered nurses are signing following administration of medication to residents. This needs to be addressed by identifying the individuals responsible and ensuring they are aware of their responsibility as a registered nurse to ensure all medication prescribed is administered to the residents and their signature needs to evidence this. Through discussion with residents during the inspection it is apparent that their privacy and dignity is maintained were able. One resident commented, “staff are respectful”. Staff were observed to knock on residents doors prior to being given permission to enter. Residents are assisted were needed to enable them to maintain personal hygiene and assist with the activities of daily living. Residents are able to access other health care professionals so that all needs are met. This is evidenced in care files and through discussion with residents. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 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. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 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 the following standard(s): YA 11 12 and OP 12 13 14 Management is at present trying to access additional educational and leisure pursuit activities for the residents in particular for the younger ones, which will enable a more varied routine. The suggestion of employing a qualified member of staff to arrange further activities/education will greatly enhance the choice for residents who live in the home. EVIDENCE: Two of the young adults have recently commenced classes to include chair exercises and arts and crafts. The manager is at present trying to access further educational and leisure activities suitable for the younger residents who live in the home. The manager is also trying to access a qualified person to visit the home to assist with activities that are suited to the residents. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 14 Two of the residents are going on holiday overseas with the aid of staff this year. One resident is going to Spain and another to Paris. Many of the other younger residents are going on holiday to Blackpool with staff in assistance where needed. Other residents in the home can come and go as they please with many able to go into town independently. Comments from residents include “I go out shopping occasionally and use a local transport facility”. Some residents go into town daily and make use of local facilities including cafes, pubs and other leisure facilities, which are within easy reach of the home. Daily routines are discussed at residents meetings including mealtimes, which gives the residents the opportunity to discuss and input on issues concerning them. During the inspection, one of the residents stated, “I would like a ‘bacon butty’ for a change”. This has been passed on to the registered manager. Some of the residents interviewed have regular interaction with friends and relatives. Comments form residents included “my daughter visits regularly” and “my visitors are made to feel welcome”. Through discussion with a resident who has regular visits from various members of their family it is apparent that visitors are able to visit the home when wished and are made very welcome by staff and offered refreshment. Local clergy visit the home on a regular basis also. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 15 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) 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 the following standard(s): EVIDENCE: These standards were not assessed on this occasion as they were met in full at the previous inspection. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 16 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 live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) 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 the following standard(s): YA24 OP20 Residents in the home have expressed their views positively with regard to the homes recent refurbishment. EVIDENCE: Winston House has undergone a large amount of work to improve the facilities and refurbishment of the home. Residents living in the home are very pleased with the changes that have taken place and take pride in their home. Public areas and bedrooms are now much more homely and domestic in style. Residents and staff have been involved in helping to choose colours. The Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 17 overall effect of this refurbishment has been reflected in how the residents and staff view their home. All of the responses to this upgrade have been positive with residents living in a much more homely environment. The home is large but the refurbishment has made the home look more personal and staff are working in a more pleasing environment, which is clean and fresh. Residents’ comments include “I am very happy in the home, I have a lovely big window where I can see lots going on”. It was apparent through a tour of many of the residents rooms that personal belongings had been brought into the home to enable residents to personalise their individual rooms. A group of residents who were using one of the lounges expressed their delight in the new furniture and decoration. Many of the residents thought the home was looking “very nice and bright”. The public areas include a smoking room, one large lounge, a large dining room and two smaller sitting areas. The home has an ongoing plan of improvement and maintenance. The outdoor garden areas have been improved to include a secluded sitting out area with easy access for residents who walk or wheelchair users. Automatic door access is available to the outside for all residents including wheelchair users. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): YA31, YA34 and OP27 The homes recruitment policy needs to be improved to safeguard residents who live in the home. Staffing numbers are satisfactory and through discussion with staff and residents it is apparent that they feel enough staff are on duty each day. EVIDENCE: Residents spoken with throughout the inspection were generally aware of the varying staff roles and were able to clearly identify who the manager was and other staff and their roles were. Four staff files were viewed during this visit. Three of the files evidenced Enhanced CRB (Criminal record Bureau) and POVA (Protection of Vulnerable Adults) checks were in place. One file evidences the standard check only therefore this needs to be updated to enhanced level. Some of the files generally contain sufficient information with one or two exceptions. References are not always dated therefore this needs addressing. Contracts are not signed. Dates of commencement of work are missing. One recent Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 19 employee has only one reference in place. An audit of all staff files needs to be carried out to ensure all necessary information and pre employment checks are in place. New staff files were viewed and these are to be implemented shortly, which will improve the standard of documentation held. Staffing numbers are satisfactory and through discussion with staff and residents it is apparent that they feel enough staff are on duty each day. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 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. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 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 the following standard(s): YA8 YA37 YA39 OP31 Residents are encouraged where able to participate in home events, which enables them to be involved in the planning of activities in their home. The manager of the home is keen to run the home for the benefit of the residents and residents have found her to be approachable, responsible and have confidence in her ability to run the home effectively. EVIDENCE: Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 21 Residents interviewed were able to clarify that they had on occasions attended residents meetings. The minutes of the previous residents meeting were viewed. Subjects included the proposed garden party to celebrate the Queen’s 80th birthday and the world cup event later this year. Some of the residents will be very involved in the setting up and planning of these two events therefore a further meeting has been planned. Residents were also keen to have a more secluded sitting out area and this has been included with the improvement plans for the home. New plants and pots have yet to be bought to enhance the area with residents’ views and support where able. There are two vacant rooms in the basement area that have been identified as being for the use of the younger adults who live in the home. Suggestions made include a kitchen/dining area. These have yet to be planned. Residents who wish to have been involved in the choosing and planning of holidays with two residents going overseas and eight others holidaying in Blackpool. The registered manager has been in post for approximately 31 months and was employed as the deputy Manager 5 years prior to this. The Manager continues to attend mandatory training and other relevant study. Residents and staff were very complimentary about the manager’s ability to run the home. Comments from staff include “matron is very approachable” and “I am able to talk with Val (manager) and other senior staff, communication is very good”. Comments made by residents include “I am able to speak to Val if I’m worried about anything”. It is also apparent that the manager and other staff listen to what the residents are saying as some residents were able to discuss their care management and input their views. During the inspection process it was evident that residents and staff were confident when approaching the manager with any queries. Friendly and respectful interaction took place during the visit with many residents and staff. Residents’ files are stored securely and information is only passed on to staff with regard to the support and care required to meet their needs. Confidentiality is discussed during the induction of new staff. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 22 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 2 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X ENVIRONMENT Standard No Score 19 X 20 3 21 X 22 X 23 X 24 X 25 X 26 X STAFFING Standard No Score 27 3 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 X 34 X 35 X 36 X 37 X 38 X Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 23 YES 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 OP3 Regulation 14 Requirement The Registered Person must ensure a thorough assessment has been carried out prior to admission to ensure the home is able to meet the varying needs of the prospective resident. This was a requirement in the previous inspection. The Registered Person must ensure a record is kept of all wound care and treatment with up to date information on the progress of the wound. The care plan must reflect any changes. The Registered Person must ensure all registered nurses sign the Aberdeen (medication record) following the administration of medication. The Registered Person must ensure all reference checks are authentic and in place. Two references are required for each new member of staff. One of which must be from the previous employer. Timescale for action 01/05/06 2. OP8 17 (1) (a) 17/04/06 3. OP9 13 17/04/06 4. OP29 19 (1) (c) 17/04/06 Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 24 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 YA11 Good Practice Recommendations The inspector recommends that the Registered Person should continue to develop opportunities for social rehabilitation in the home with particular reference to the provision of facilities for domestic training. The inspector recommends that further educational and training opportunities should be accessed for more of the younger residents with regard to how they personally develop and become more independent. The inspector strongly recommends that the identified basement space of two rooms is developed to provide the rehabilitative accommodation suitable for the younger adults. 2. YA12 3. YA24 Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. Winston House DS0000017265.V286397.R01.S.doc Version 5.1 Page 26 - 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. 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