CARE HOMES FOR OLDER PEOPLE
Winters Park Pategill Road Penrith Cumbria CA11 8RG Lead Inspector
Cath Wilson Unannounced 06 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Winters Park Address Pategill Road Penrith Cumbria CA11 8RG 01768 867939 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Care First Care Homes Ltd (BUPA Care Services) Jennifer Ainslie Care Home 44 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia, over 65 of places Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for a maximum of 44 service users to include: up to 44 service users in the category of OP (Older people) up to 4 service users in the category of DE(E) (Dementia over 65 years of age) 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 06 January 2005 Brief Description of the Service: Winters Park is a purpose built care home and is registered to accommodate forty-four service users over the age of 65 years. The home is owned and operated by Care Homes First Limited, a wholly owned subsidiary of BUPA Care. The home is situated in a residential area of the market town of Penrith, approximately one mile from the town centre and local amenities and facilities. In addition to private bedrooms, two of which can be used as double rooms if required, there are two large lounges adjoining each other. There is a lounge at the front of the building that can be used by residents who want to smoke. There are laundry facilities and a large kitchen on the premises. Car parking facilities are provided to the side and front of the building. There are shaded seating facilities in the courtyeard. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out throughout the morning and afternoon. People were met by the inspector during the inspection in the lounge areas and in their own rooms and shared their views and opinions about their lives in the home. The manager and staff were also met separately and in the company of residents. A number of records were assessed and a tour of the home was made. What the service does well: What has improved since the last inspection?
The home continues to redecorate and refurbish areas of the home although there some areas that are still awaiting the planned attention.
Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 6 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. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 5 Information about the services and care that will be provided are available. The homes Statement of Purpose and Service User Guide are informative and enable people to make an informed decision about admission to the home. EVIDENCE: People informed the inspector about their initial visits to the home some of whom had initially stayed in the home for respite care. They said this experience had been ‘so lovely’ and they had been ‘so well cared for’ that they had been pleased to make this their home. Staff ‘know what I like’ and ‘see to all my needs, they have time for me’. Assessments are recorded and the comprehensive needs of people are well detailed with staff being fully informed of these. The Statement of Purpose and Service User Guide are available to people and their relatives and are kept up-to-date to ensure people are fully and accurately informed. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 There is a clear care planning system in place that comprehensively details peoples care needs. The medication is very well managed promoting positive health care. Staff are fully informed of people’s individual care requirements which greatly limits any possible or potential risk to people. EVIDENCE: People’s individual health, personal and social care needs are identified in their plan of care. These and related documents are kept up-to-date so that staff are fully aware of people’s changing needs and wishes. People in the home ‘liked the way’ the manager and staff attended to them personally and did so ‘with such respect and kindness’. The inspector was informed how people’s personal care is ‘so sensitively seen to’ and ‘I feel the manager and staff have time for me’. The home has very good relations and contact with the community health care personnel. The medication system in the home is securely stored, recorded and administered by designated trained staff. From the evidence provided during this inspection people are safeguarded and protected in a very caring and nurturing manner by the registered manager and staff. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 14 People can participate in a variety of interests and activities and observe their cultural and religious wishes. Family and friends are encouraged to visit the home and do so in a relaxed and welcoming environment. EVIDENCE: There are a variety of activities and interests provided in both the home and community that people are involved in. People also have their own pastimes that they choose to do on their own or in the company of others. People had a very clear voice’ in the way they lived their lives in the home and ‘it is my decision whether or not I want to do something. The inspector was given many examples of how people in the home feel valued and their wishes respected by the manager and staff. This was ‘cherished’ by people as were the many special things the manager and staff attended to for them. Visits are also made into the community and at the time of the inspection some people were going off for the afternoon on a ’mystery tour’ that people were looking forward to. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17 and 18 The home follows the vulnerable adults procedure and the manager and staff’s awareness of these matters protects people in the home. The complaints procedure is satisfactory and available to people and their relatives. EVIDENCE: People who met with the inspector were very clear about how to raise any matters that concerned or worried them. The manager has systems in place to ensure people were heard and procedures are in place to act on matters raised. People said they were able to approach both the manager and staff on anything they wished. The manager had also completed a survey of people’s views about the way services and care are provided and the actions taken to respond to issues raised. Staff had had training in adult protection and arrangements are in place for this to be updated when needed. The manager and staff are aware of the procedures to follow to protect people people’s safety and welfare. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. People are provided with safe, comfortable and relaxing surroundings that include specialist facilities and adaptations. EVIDENCE: There is a recorded programme in place to maintain the furnishings and fittings and this has been time-scaled for completion. There are two corridors in the home that are earmarked for improvements and these should be completed in the stated timescale. These two areas do detract from the pleasant surroundings in the remainder of the home. People are very comfortable with their own rooms and ‘love’ having the rooms the way they want them. The home has a range of specialist equipment to help people’s independence and appropriately placed call bells to assist people. The garden area is attractively maintained and there are shaded seating areas for people to use when the weather permits. The home throughout is clean and pleasant. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 People in the home are supported and nurtured by a manager and staff group who have their interests uppermost and who are trained to meet their comprehensive needs. EVIDENCE: The manager and staff are very knowledgeable about people’s individual needs and wishes and provide a high standard of care that people in the home are comfortable with. Care staff are involved in a positive training and development programme that provides them with the appropriate skills to meet the needs of residents. People were very complimentary about both the manager and staff and the way they attended to people in the home and their family and friends when they visited. They felt that whilst staff were busy in their work they ‘always had time for them’ and ‘made their lives enjoyable and comfortable’. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 37 and 38 The registered manager provides very positive leadership, guidance and supervision for staff to make sure that people receive a consistent quality of care. People are assured that their views and opinions are listened to and acted upon. The practices in the home promote and safeguarded the health, safety and welfare of people in the home EVIDENCE: The registered manager is highly qualified and experienced in a managerial position. The practices that are promoted in the home are for the benefit of people who live there and are the focus of attention. People in the home said they felt valued and listened to and there are procedures in place that achieved this. Staff had had regular formal and informal supervision and are appropriately informed of people’s care needs and wishes. The records
Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 15 inspected ensure that people’s rights and best interests are safeguarded and promoted. These are confidentially maintained and up-to-date. Records indicated that fire drills and instructions had taken place regularly. Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 4 3 3 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 x
COMPLAINTS AND PROTECTION 3 3 3 3 x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 4 4 4 x x 3 x x Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Winters Park F58 F10 s22701 winters park v232537 060705 ui stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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