Inspection on 01/08/07 for Winthorpe Residential Home

This inspection was carried out on 1st August 2007.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Winthorpe Residential Home 21/01/09

Winthorpe Residential Home 21/07/07

Winthorpe Residential Home 04/10/06

Winthorpe Residential Home 19/10/05

Winthorpe Residential Home 06/06/05

Winthorpe Residential Home 28/09/04

Winthorpe Residential Home 29/06/04

Winthorpe Residential Home 09/02/04

Winthorpe Residential Home 10/12/02

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Winthorpe Residential Home 84 Westcotes Drive Leicester Leicestershire LE3 0QS Lead Inspector Keith Charlton Unannounced Inspection 1st August 2007 09:30 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 Winthorpe Residential Home DS0000006448.V340748.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 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. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Winthorpe Residential Home Address 84 Westcotes Drive Leicester Leicestershire LE3 0QS 0116 233 2107 0116 2339170 winthorperch@aol.com 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 Patricia Smith Mrs Patricia Smith Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is able to admit the person of category LD(E) named in variation application number V10279 4th October 2006 Date of last inspection Brief Description of the Service: Winthorpe Residential Home is registered to provide care to up to seventeen adults with learning disabilities. The home is a three-story Victorian house situated close to the centre of Leicester. Residents are accommodated in one single and eight shared rooms. In addition to their rooms, residents have access to two lounge / dining rooms and a kitchen. There is a garden to the side of the property. Fees typically range from £338 per week to individually negotiated fees for service users with higher dependencies - this information was provided on the day of the inspection. There are costs for extras - hairdressing, toiletries, holidays, transport etc. The Deputy Manager stated that residents and representatives can be provided with the home’s Statement of Purpose, describing the home’s services, and reference to the last Inspection Report upon request. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they received through looking at their records, discussion, where possible, with them and staff and observation of care practices. This was an unannounced Inspection. The Registered Manager and Deputy Manager were present on the first inspection day with the two Deputy Managers also present on day two. Planning for the Inspection included reading the last Inspection Report and reviewing incidents of concern reported to the Commission for Social Care Inspection. There have been no complaints received regarding the service since the last inspection. The Inspection took place between 09.45 and 15.00, which included the inspection of records and direct and indirect observation of care practices. The Inspector spoke with five residents (though a number of residents have communication difficulties so full conversations were not able to be held), the Registered Manager and a Deputy Manager. A survey has been received from a resident which said that staff treated him well and he could make decisions about what he did during the day. The Inspector completed the Inspection with a Deputy Manager the next day, which included a tour of the building. What the service does well: The service focuses on residents’ individual needs, e.g. residents spoken with said they liked living in the home and thought staff were friendly, that they could choose to go out or stay in and that they liked their bedrooms. Care Plans are generally comprehensive and detailed to assist staff to deliver care that fits individual residents care needs. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 6 Staff were found by the inspector to be positive and friendly in their dealings with residents, and encouraged them to make choices. Facilities are kept in a clean and tidy condition. What has improved since the last inspection? What they could do better: To ensure there is more comprehensive meeting and protection of residents needs a number of features need to be put into place – specifying what jobs residents do in the home and their agreement to do them, to ensure that residents do not carry out any care tasks, to ensure that proper Moving and Handling techniques are used as necessary, that the food supplied is reviewed to introduce more healthier options, reviewing staffing to ensure that there are staff on duty are fresh by reducing the working week for management staff as long hours are worked which could cause fatigue and impaired work performance, to ensure that the Protection of Vulnerable Adults check is taken up with staff before they work in the home, to make sure residents are protected from any adverse Health and Safety issues, e.g. ensuring fire safety issues are in place, and protection from burning by following up the Risk Assessments for all radiators. Health and safety issues were the Requirements of the last Inspection Report and have not been met and it is important they are properly covered or the Commission for Social Care Inspection will need to consider regulatory action if these issues are not attended to. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 7 It is recommended that the quality of the furniture is reviewed and replaced as needed and there is redecoration of the premises based on residents wishes. Some chairs need to be repaired as their seats were damaged and headboards need replacement as they are worn. The Quality Assurance system needs to include residents views and that of other interested parties to ensure all services are of the highest order. 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. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An assessment system to meet residents needs is in place. EVIDENCE: All residents have been living in the home for a considerable time. There are Social Service Department assessments on file for current residents, which covers their stated needs. No resident has been admitted without this assessment. All of the residents selected for case-tracking purposes had appropriate contracts in place. The Deputy Manager stated she will be converting all word documents for residents to a format they understand by the use of photos. Where this is not possible, writing with symbols is recommended. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 10 Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual needs and choices of people living in the home are met. EVIDENCE: Residents spoken with thought they were well looked after and no one thought they were restricted in any way. The inspector case tracked two care records, which generally demonstrated that residents needs are being monitored and supported whilst living at the home. There are regular reviews to ensure that Care Plans are still relevant to residents needs. One Care Plan was inspected which was did not fully cover a resident’s current Moving and Handling care needs following a fall and the need to drink a lot of fluids. Another Care Plan needed a Risk Assessment regarding the use of Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 12 garden equipment when this resident did some gardening. Care records were sparse in detail as to residents lives and some had not been completed for over three weeks. The Deputy Manager said she had noticed this and was taking it up with staff. Records, observations and discussions with residents demonstrate that they make decisions about their lives and have independent life styles e.g. many residents are able to go out on their own and take a packed lunch with them, residents can get up when they like – a number of residents were seen to use the kitchen with staff supervision. Residents said they could go to bed when they wanted. Staff said residents can make decisions about their own lives wherever possible e.g. what time to get up and go to bed, to clean their own bedrooms, to help out in domestic chores if they wish. The Deputy Manager said they are asked their views on all important issues, and more frequent meetings have now been organised which are recorded, though it is recommended that other issues apart from food preferences are included, e.g. views on staff, activities, outings, facilities etc are raised at the meetings. The survey received from a resident said that staff only sometimes listen and act on what he says – this needs to be reviewed and discussed with staff and management. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents living at the home have the opportunity to have a lifestyle that generally meets their needs. EVIDENCE: Some residents spoken to said they liked going out whilst others were happy to stay in the home. One resident goes out to town every day. Some residents go to drop in centres. Another resident goes to work. Residents said that they use a range of community facilities including local shops, pubs, the park, the post office, to get their money as well as attending specific groups for people with learning disabilities. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 14 There was some evidence of activities –crafts, college, discos, walking around town, taking the dog for a walk etc. Though activities again appeared limited on the surface, residents spoken to did not want to have any more. The Deputy Manager said that all residents had a weekly activity sheet of things that they liked to do. Discussions with residents demonstrate that they can make most decisions about their lives and independent life styles are encouraged, e.g. that residents are encouraged to do household chores, do as much of their personal care as possible, and they are asked where they want to go on holiday etc. One resident said he liked to go walking though staff assistance was needed to take him out. The Deputy Manager said this would be followed up. She also stated that she had applied to the Social Service Department regarding additional funding for some residents so that more community based activities could be arranged. Residents are asked their views in their meetings and these are recorded regarding food. Residents said they could have their visitors to the home and that there were no restrictions on visiting times. There were comments received from residents regarding the food being good. Lunch that day consisted of fish or meat pie with chips and peas followed by apple pastry and ice cream. Fruit and yogurts are also available. Food records showed that residents were given a choice of food for each meal. There is the opportunity to have three hot meals a day. The inspector recommended that there is a review of food in consultation with a dietician, as there were a high proportion of high calorie meals, so that tasty healthier food is more predominant on the menu. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents physical and emotional health needs are being met in general though need to be improved in some important areas. EVIDENCE: There is comprehensive information kept in Care Plans, which details all medical appointments and check ups on an individual basis - from nurses, GPs, dentist, chiropodist etc. Staff were observed to be working with service users in a friendly way and understood that residents wanted to chat and be around them for company. Care Plans indicate all main aspects of residents health care needs are covered – e.g. personal care, communication, social skills, work and play etc. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 16 Accident Records were checked and it was found that in general staff had reacted appropriately to situations presented, though there was one incident where there was a head injury but no referral to medical services. The Deputy Manager said that if there were head injuries in the future they would be referred to medical services for assessment. This record also lacked detail as it only described the incident and not what happened after the fall – assistance given, monitoring etc. The Registered Manager said that a resident has helped to lift another resident when she falls. This is not an acceptable practice as it has health and safety implications for both residents and proper Moving and Handling procedures need to be followed. The Deputy Manager said that she trained staff as to supplying the medication. It is recommended that the pharmacist trains staff that deal with medication, to ensure that this is comprehensive. Medication records were checked by the inspector and found to be up to date, with only one query where creams had not been signed for. This was because they are self administered. The Deputy Manager said she would indicate this on the record and carry out Risk Assessments to indicate that residents are safely able to carry this out. Medication is kept securely locked away. Returned medication recording was checked and found to be in order. There was still no evidence that GPs had authorised the administration of homely remedies, though there was recording when remedies were issued to service users. The Deputy Manager said this would be followed up. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents welfare is generally protected by the procedures of the service. Staff training needs to be provided to ensure the proper process of protecting residents from abuse is followed. EVIDENCE: Residents said that if they were worried about anything they would speak to staff and they thought it would be followed up. There were no records in the complaint book of residents complaining – the Deputy Manager said that there have been no complaints for a number of years. The Commission for Social Care Inspection has also received no complaints regarding the service. The Complaints Procedure seen by the inspector reflected the National Minimum Standard, though needs to be altered to direct the complainant to the local Social Service Department, who are now responsible for complaints investigations. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 18 A staff member on duty was asked about the understanding of whistle blowing procedures, and demonstrated a generally good understanding of the protection of residents from abuse though was not aware of all the main Agencies to contact if needed. The Deputy Manager said this would be followed up. There is a copy of the ‘No Secrets’ procedure to refer to in the event of the suspicion of abuse. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Facilities are looking dated and looking to need refurbishment. A good standard of hygiene is maintained. EVIDENCE: Residents said they liked their bedrooms and they could have their things in them. The inspector looked at the bedrooms of residents and the communal areas. Some bedrooms did not have many personal possessions, pictures etc in them but this is how they have always been and residents appear satisfied with this provision. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 20 The Deputy Manager acknowledged in 2006 that décor needs improvement as paintwork was scraped in a number of areas, and said this was planned to be completed in 2007 though this does not appear to have been carried out. There was an issue outstanding from the last inspection in that headboards on beds were still in need of replacement as they were still worn. There were also a number of easy chairs with damaged seats, which needed repair/replacement. The Deputy Manager said these were being dealt with at present. A lot of the furniture looks old and worn and the inspector recommended that new furniture be bought. Standards of cleanliness were generally good in the home, though the survey received from a resident said that windows were not always clean. Please review this and take action as needed. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a dedicated staff group, but the staff shift system and insufficient staff training may not meet residents needs. EVIDENCE: Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 22 The residents spoken to were again very happy with staff and saw them as their friends. There are generally two to three care staff on duty when residents are in the home. The Deputy Manager said that the awake staff member at night will be reduced to splitting the shift to sleeping in as there is minimal residents activity at night though if this changed then this would revert back to a full awake staff on at night. As shown on the rota, frequently staff shifts are still very long – over forteen hours - one staff member was working over ninety hours and another working over sixty hours, plus carrying out sleeping in duties. This was the case as found in last year’s inspection and needs to be further reviewed as it could well cause fatigue and impaired staff performance. The Deputy Manager said that a new staff member was being sought with an advert being placed in the main local newspaper. Agency Staff records now had Criminal Records Bureau / Protection of Vulnerable Adults numbers though other important documentation (copies of references) were not currently available – this was followed up by the Deputy Manager. The Deputy Manager stated it is still her intention to undertake the National Vocational Qualification level 4 training. There is currently only one staff with a National Vocational Qualification level 2 qualification, which does not meet the 50 target of the National Minimum Standard. However the Deputy Manager said one other staff will sign up to do this training. The Deputy Manager agreed that training identified last year that all staff need has largely not taken place – the Person Centred Planning system which identifies service users individual needs, Food Hygiene, Fire, First Aid, Medication, Protection of Vulnerable Adults, Mental Health, Challenging Behaviour, Communication, Learning Disability Award Framework training etc. This now needs to be in place. The Deputy Manager sent in an Action Plan to cover this issue and a training matrix to indicate who needed training in which issue. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. More attention needs to be paid to fully ensuring full protection for residents regarding health and safety systems. EVIDENCE: Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 24 Residents again thought all the management team were good. There was evidence of a staff meeting though management only attended. The inspector recommended that all staff attend to ensure staff are always aware of service users changing care needs, can put forward suggestions on the running of the service, be a forum for staff training etc. The Deputy Manager said she will ask residents if anyone wants to attend meetings as well to put their views forward. There is a Quality Assurance system but this has not included residents views or the views of others – GPs, Nurses, relatives etc on the way the home is run. This needs to be carried out and for the Registered Provider to analyse the results of surveys and include this information in the home’s information for current and prospective service users. Residents monies records were viewed which were up to date, though no transactions were signed by the resident and staff or two staff. The Deputy Manager said this would be carried out. Fire records showed that regular testing of fire bells and emergency lighting was in place and there are regular fire drills. However when the inspector arrived for the inspection, fire doors to the lounge and kitchen were again propped open. The Registered Provider said that the fitted fire enclosures were not working. The inspector said fire doors must be kept closed unless the fire closures were properly working, or there was an agreed written Risk Assessment with the Fire Officer. A staff member was asked as to the fire procedure though could not recall the full, procedure. The Registered Provider needs to ensure that all staff know the full procedure. A fire risk assessment is in place though the Fire Officer asked for this to be improved in April 2005, which was stated in the 2006 Inspection Report. The Deputy Manager said a consultant would be looking at this with her and that all relevant issues will be acted upon by November 2007 to ensure fire safety. There are still no Risk Assessment for hot radiators. The Deputy Manager said this would be carried out and where needed the fitting of radiator covers to protect residents from heat injuries will be put in place. The hot water temperature was measured and found to be 41c, within the National Minimum Standard of close to 43c. Health and Safety Policies and Procedures and Risk Assessments were in place. However when the inspector arrived it was noticed that a mattress used for staff sleeping in was propped against the dining / lounge room wall. The Deputy Manager agreed this was a health and safety risk and should have been cleared away. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 25 Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 1 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 1 X X 3 X 2 X X 1 X Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? Yes 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 YA19 Regulation 13 Requirement Residents healthcare needs must be protected in terms of proper Moving and Handling practices and referral to medical services for significant injury. Furnishings need to be upgraded to ensure they are kept in a good state in respect of easy chairs and headboards. A staff training programme must be delivered to provide relevant training to all staff. Timescale for action 02/08/07 2. YA24 16 02/10/07 3. YA35 18 02/02/08 4. YA42 23 (4) Health and safety systems must 06/10/07 ensure that residents are protected from all risks including that there are adequate arrangements for containing fires and protection from hot radiators. Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 28 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 YA24 Good Practice Recommendations That there is a review of the décor and furnishings of the home to upgrade facilities. That the home achieves the National Minimum Standard of 50 of care staff with the level 2 National Vocational Qualification. That the length of staff shifts and the number of hours worked per week is reduced, to ensure that there is not impaired staff performance. That the full Quality Assurance system, including residents and other relevant parties views, is carried out for 2007 to ensure that services are of a high quality. 2. YA32 3. YA33 4. YA39 Winthorpe Residential Home DS0000006448.V340748.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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