Inspection on 23/05/07 for Winston House

This inspection was carried out on 23rd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 14/08/06

Winston House 14/03/06

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 Rukhsana Yates Unannounced Inspection 10:00 23 & 24th May 2007 rd 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.V340956.R01.S.doc Version 5.2 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.V340956.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Winston House Address 68 - 69 The Promenade Southport Merseyside PR9 0JB 01704 532188 01704 530112 winston.house@craegmoor.co.uk www.craegmoor.co.uk Parkcare Homes Limited 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) 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.V340956.R01.S.doc Version 5.2 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 14th & 15th August 2006 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. Weekly fees range from £319.50 to £1311.50, with additional charges for hairdressing, chiropody, newspapers and magazines. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In order to find out about the experiences of people living at Winston House, an unannounced visit was carried out, with a total of 21 hours spent at the home. The time was spent talking with people about their daily life in the home, watching the ways in which staff supported them, talking with staff, and looking at paperwork relating to care and safety. A pharmacist inspector looked at medication arrangements during the visit. The findings of the inspection take account of comments made by people living and working there, and also written information received from the former manager and from those living at Winston House. The service was inspected against key standards for older people and younger adults to see how well it was meeting a range of needs. These standards cover moving in, the care provided, daily routines and lifestyle, complaints, safety, comfort and cleanliness, how staff are employed and trained, and how the service is managed and developed. The term preferred by the people consulted during the visit was “residents”. This term is, therefore, used throughout the report when referring to those living at the home. What the service does well: What has improved since the last inspection? The way medicines are stored has improved since the last inspection and the storage is now safe. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 6 It has not been possible for many improvements to be made or identified, partly because there was no manager in place at the time of the 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. The summary of this inspection report can be made available in other formats on request. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 7 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.V340956.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 (OP); 1,2 (YA): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. People are not assured before they move in that the service will be able to meet their needs. EVIDENCE: Some residents consulted had an opportunity to visit the home before moving in, but all stated that they were not provided with information that they understood. The administrator confirmed that a pack, including a statement of purpose, is given to the resident or a family member after they have moved in. The statement of purpose is in small print, not in plain English and is not produced in alternative formats to take account of differing needs. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 9 It does not reflect the current range of needs in evidence, such as mental health needs, learning disabilities and challenging behaviour. As the home aims to provide a service for older people and younger adults, service user guides need to be available to both groups of people. The support and facilities, or specialist services and strategies for communication need to be included so that people are well informed before moving in, and further shortfalls include the need for a clear complaints procedure, reference to inspection reports or access to them, and service users’ views. The file of a person who was admitted recently was looked at. The social worker’s assessment stated that the person wanted to gain independence again and the person’s views were included. The home’s admission folder and care file showed that the resident had signed a blank contract without fees specified, and there were no references to the person’s wishes and goals, or mental health needs evident transferred from referral information. There was no evidence of the resident’s participation in the admission and care planning process. Four residents spoken with said they did not receive information prior to admission. One typical comment from younger people was “Its for older people. Its not suitable for me”. A senior staff member said “its hard to run this place, we have such a big range of needs”. Standard 6 is not applicable to this service. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 (OP); 6, 9, 18, 20 (YA): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Care planning and practices do not adequately consider individuals’ needs, abilities, or rights to privacy. Medication administration is poor and does not protect the health of individuals. EVIDENCE: Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 11 Observations made of the care provided to older people with nursing needs highlighted some caring and patient attitudes from nursing and care staff. One of the people consulted said “I’m looked after”. The person’s care plan reflected the person’s needs and included a wide range of areas and strategies. However, in examining care planning and delivery for six residents, particularly the younger adults, several shortfalls were apparent. Some entries were not positive or inclusive. For example, one resident was described in the care plan as “very demanding” and “headstrong”. The “diversional therapy” part of the plans did not reflect the interests of the resident. Plans of care required updating as monthly evaluations showed that some areas of care plans were not applicable. For example, one plan referred to catheter care, even though the resident had not used a catheter for several months. None of the residents consulted had seen their care plan, or discussed, agreed or signed one. A nursing care format is used for all residents with no recognition of positive risk taking and promotion of independence. Care staff consulted did not recognise the differing needs of older people and younger adults. One nurse said “I don’t see any problems, they all get on most of the time”. In respect of promoting independence a care worker said “I wouldn’t trust any of them to make a drink”. Care plans do not include people’s goals, aspirations and personal preferences. The new manager recognised this and said a new format is to be introduced in the near future. Residents’ privacy was not fully respected. During the visit, staff were seen to either not knock on a resident’s door before entering, or entering straight away without waiting for an answer. One housekeeping staff member was said by a resident to “burst in whenever she wants. She doesn’t respect that it is my room”. The pharmacist inspector looked at the way the staff in the home store, record and administer medication. At a previous inspection it was found that medicines were not handled well. There have been many improvements in the way the medicine records are kept, but the records still do not have enough information on them to show that medicines are being given properly or that people are receiving the correct doses. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 12 On the day of inspection one person had run out of some medicine, another person had not been given their medication although a nurse had signed the record sheet indicating that the medicines had been given and a third resident had been given a different dose of medicine than was written on the dispensing label. All of these residents’ health was put at potential risk. No regular audit of how medicines are handled was in place and these risks had not been noticed. It is essential that an auditing system for medicines is put in place to make sure residents are safe. The storage of all medicines including controlled drugs had improved greatly and was now of a good standard, the only exception was of how creams were stored. The nurses said that no one was able to self medicate it was suggested that all residents were assessed to see if they could look after some or all of their own medicines which would help promote peoples independence Winston House DS0000017265.V340956.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 (OP); 12, 13, 15, 17(YA): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents feel that their basic social and dietary needs are met. EVIDENCE: Some of the residents consulted were satisfied with their daily routines, the meals and the activities offered. One said “staff take their time. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 14 I wake up when I want – I like some of the staff”. Another said, “I like the days out, especially the mystery tours”. All residents in the home are encouraged to participate in local activities including bowling, cinema, shopping and local pubs, restaurants and cafes. At the last inspection there was a plan to have a separate sitting/dining area next to the kitchen area for some of the more independent residents. A separate small lounge was seen but it was locked and not used by residents. All meals and activities took place in main dining room. There were mixed views about the food. Some wanted more variety, but were generally satisfied. The lunchtime meal taken with residents highlighted some issues. For example, the vegetables were overcooked and very soft, which may have been suitable for some of the residents, but not for those having no difficulty with chewing. Residents requiring assistance with their meals were helped to eat, but there was no attempt to talk with the residents being assisted. All residents were given drinks in plastic cups, regardless of their ability to use glasses as they would outside of the home. The chef said he does not meet with residents but does try to provide variety and alternatives. None of residents reported assisting with any meal preparation. Staff confirmed that all meals are prepared in the kitchen and brought to the dining room. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18(OP); 22, 23 (YA): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents do not feel that they are listened to and their concerns taken seriously. EVIDENCE: The home has no complaints recorded. None of the residents consulted were aware of the complaints procedure and said they had never seen one or had it explained to them. Residents’ meetings have been used as the main way of obtaining views and complaints, but are seen by residents as ineffective. One said “Residents’ meetings are a waste of time”. A staff member said “residents complain that things need fixing. It gets reported to head office then you don’t hear anything”. This was also highlighted by a resident who said “I don’t know about any complaints procedure. I’ve been waiting 3 months for the shower to be repaired. People have looked at it and said something will be done. Nobody seems to want to know.” Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 16 Staff spoken with were aware of adult protection procedures, and of the whistle-blowing policy. Residents generally felt they were well treated by staff during the day. They said that some of the night staff were “not nice” and one resident said night staff “treat the place as if they own it”. There is a system for managing residents’ personal monies in the form of a central account with computerised records. The administrator described how the figures can be 3 weeks out of date on the computerised system, so residents wanting to know exactly how much money they have cannot always obtain an accurate figure. The centralised, communal account reduces individual control and ready access to monies. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26(OP); 24, 30(YA): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents’ comfort and safety is compromised by the lack of attention to environmental shortfalls. EVIDENCE: Some parts of the home, and equipment in the home needed attention. For example, cutlery, salt and pepper pots, and some wheelchairs were not clean. In terms of maintenance, the handyman reported several problems, some outstanding for several weeks. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 18 For example, corridor lights on one floor not working, carpets in need of replacement, problems with fire doors, and showers not working. Although some aids and adaptations were seen throughout the home, particularly in bathrooms, further consideration was needed for wheelchair users, for example, by having wall light switches at a lower height on the wall. Further thought needs to be given to the best use of separate areas for the younger adults. At present the lounge room with the pool table is only used by staff. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30(OP); 32, 34, 35(YA): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents feel that their basic care needs are met by staff at the home. EVIDENCE: Residents feel there are adequate numbers of staff on duty and described some staff as “brilliant”. Staffing rotas show sufficient staff on duty, including domestic staff. Residents’ views with regard to staff in the home are generally positive, with some unfavourable comments made about the attitudes of some of the night staff. Records show that the induction process for new staff is inadequate, with a comprehensive list of areas signed off in one day. One staff member said he did not have supervision, training or development plan. Of five staff members consulted one recalled having an appraisal meeting. The remainder said there were no supervision meetings. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 20 Recruitment records were in order, with all necessary background checks carried out. Training files showed that mandatory training is kept up to date. Training provided for the staff includes manual handling, first aid, fire safety, COSHH (Control of Substances Harmful to Health), BFH (Basic Food Hygiene), health and safety, POVA, abuse, infection control, equal opportunities and management of violence and aggression. Staff interviewed felt they had received sufficient training to carry out their role effectively. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38(OP); 37, 39, 42(YA): Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Suitable arrangements are not in place to ensure that the home is run in residents’ best interests. EVIDENCE: Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 22 There was no registered manager at the time of this inspection. There is no quality assurance system in place. In terms of environmental health and safety, current certificates were in place for the lift and for gas and electrical installations. However, ongoing issues compromise residents’ safety. These include fluctuating water temperatures and unsafe fire doors, as noted in the minutes of the home’s health and safety meeting. Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 23 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 1 2 X 3 1 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 1 17 X 18 2 ENVIRONMENT Standard No Score 19 2 20 X 21 X 22 X 23 X 24 X 25 X 26 2 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 1 32 X 33 1 34 X 35 2 36 X 37 X 38 1 Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 24 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 YA1 Regulation 5(1) Requirement The registered person must ensure that prospective residents have information about the service in a format they understand so that they know whether the home is suitable to meet their needs. The registered person must ensure that prospective residents are involved in a full assessment so that they are assured that their needs are understood and will be met. The registered person must ensure that care plans and practices reflect the needs, preferences and aspirations of residents so that the support provided promotes individuality and residents’ wellbeing. Previous timescale of 11.12.06 not met. DS0000017265.V340956.R01.S.doc Timescale for action 31/07/07 2 YA2 14(1) 01/07/07 3 YA6 15(1) 15(2) 01/07/07 Winston House Version 5.2 Page 25 5 OP9 13(2) 6 OP9 24(1) 7 OP9 13(2) 13(4) 8 OP16 22 9 YA22 22 10 OP19 23(4) -All medicines must be administered as prescribed to make sure residents’ health is not at risk. -An accurate record of administration is made to make sure that residents are given the correct dose of medicines. Previous timescale of 14/09/06 remains unmet. A system for maintaining the quality of medicines handling must be established. A regular documented audit should show that all medicines are accounted for and given as prescribed. Previous timescale of 14/09/06 remains unmet. All residents must have a risk assessment that is regularly reviewed to assess if they are able to wholly or partially look after their own medicines. Previous timescale of 14/09/06 remains unmet. The registered person must provide residents with complaints procedure in a clear and accessible format that they understand and can have confidence in. The registered person must provide residents with complaints procedure in a clear and accessible format that they understand and can have confidence in. The registered person must ensure that fire doors are properly maintained for residents’ safety. DS0000017265.V340956.R01.S.doc 23/05/07 01/07/07 01/07/07 01/07/07 01/07/07 01/07/07 Winston House Version 5.2 Page 26 11 OP26 23(2) The registered person must ensure that the premises are clean and hygienic. 01/07/07 12 YA32 18(1) 13 OP33 24(1) 14 OP38 13(4) The registered person 31/07/07 must ensure that staff (in particular, the night staff) have the training, supervision, support and skills to promote risk taking and independence for disabled people so that residents have confidence in a competent and effective staff team. A quality assurance system 31/07/07 must be put in place that puts the views and needs of residents first, and works towards improving and developing the service in residents’ best interests. Previous timescale of 11.12.06 not met. Water temperatures must 25/06/07 be regulated, and corridor lights must be in working order so that the environment is safe for residents. 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 Winston House DS0000017265.V340956.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V340956.R01.S.doc Version 5.2 Page 28 - 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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