Inspection on 27/09/05 for Wintofts Residential Home

This inspection was carried out on 27th September 2005.

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

Wintofts Residential Home 27/08/08

Wintofts Residential Home 31/05/07

Wintofts Residential Home 29/11/06

Wintofts Residential Home 22/02/06

Wintofts Residential Home 17/02/05

Wintofts Residential Home 12/08/04

Wintofts Residential Home 06/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Abbey The

Grayling

Pennine Camphill

Snydale Care Home

Muston Road (70)

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Wintofts Residential Home Wintofts Farm Lendales Lane Pickering North Yorkshire YO18 8ED Lead Inspector Karen Ritson Unannounced Inspection 27th September 2005 09:30 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 Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 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. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wintofts Residential Home Address Wintofts Farm Lendales Lane Pickering North Yorkshire YO18 8ED 01751 4752333 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 Sylvia Rosalind Robson Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Old age, not falling within of places any other category (4) Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service Users to include upto 6 LD, upto 6 LD(E) and upto 4 OP up to a maximum of 6 Service Users. The National Care Standards Commission must be consulted in advance of the admission of any new service user. No service user who is not independently mobile may be accommodated above ground floor level. No emergency placements may be accepted. Date of last inspection 17th February 2005 Brief Description of the Service: Wintofts Farm offers residential accommodation to a maximum of six service users who can be accommodated by virtue of a learning disability or old age and infirmity. It is situated on a working arable farm. The accommodation for service users is provided in part of the adapted farm buildings. The registered provider and her family occupy other parts of the premises. The home is on two floors with bedrooms and facilities on both floors. Communal space is on the lower floor. The registered provider and her staff provide personal care, catering, laundry and domestic services. As the home’s position is secluded, being over two miles down a narrow lane, access to any outside facilities would depend on the provision of private transport as there is no public service to and from the home. The registered provider has a motor vehicle for use by service users. Transport to day care placements is provided by the local social services department. The home is owned and managed by Mrs Sylvia Robson. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on September 27th 2005 and took ten hours to complete which includes time to prepare and to write the report. The service users were both at home, having agreed to miss part of day care in order to speak to the inspector. A member of staff attended just before lunch time and took the service users out over the middle hours of the day. Both service users were spoken to separately in private and said they were very happy with their accommodation, the food and the way they were treated. A member of staff was interviewed who said that the owner had the service users best interests at heart at all times, and that the service users were very well cared for. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 6 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) Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 7 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): 3 and 6 (older people) and 2 adults) Service users are assured that their care needs are assessed. EVIDENCE: Needs assessments and care plans were seen for each of the two service users. Intermediate care is not offered. One of the service users said she decided what she wanted to do and then a way was found for this to happen, if deemed possible and appropriate. For example, one of the service users had identified she wanted to learn to read. A member of staff now helps with this in one to one time. Another service user enjoys dancing and this has been facilitated for her. As needs have changed the assessment on file showed that it had been regularly reviewed. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 8 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): 7,8,9 and 10 (Older people) and 6,9,16,18,19,20, (Adults) Service users are assured their care needs will be met. EVIDENCE: Care plans were detailed and individualised with evidence of regular reviewing. The service users reported going out for meals, shopping trips, and frequent trips out by car at the weekends to places chosen by them. Risk assessments were seen for activities of daily living. Care plans were detailed and individualised with evidence of regular reviewing. All GP and outpatient appointments are recorded on file. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 9 No regular medication is kept in respect of the service users and any homely remedies are purchased and handled by the service user following a risk assessment. The service users reported being treated with dignity and with regard to privacy. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 10 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): 12,13,14 and 15 (Older people) and 12,13,15 and 17 (Adults) Service users’ social and cultural needs are met. EVIDENCE: The service users spoke at length about their social and recreational lives. In addition to attending various day services, both become involved in the domestic routine in the home according to capacity. There are also regular outings, meals out, and other social events. The manager/proprietor employs four members of staff to assist at different times and this is in the main to help with activities. The service users said they had regular outside social and family contacts and had ample opportunity to choose how to spend their time. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 11 Meals were decided jointly with the manager who encouraged the service users to include healthy options in their diet. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 12 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): 16 and 18 (Older People) and 22 and 23 (Adults) Service users are protected from abuse and complaints are acted upon. EVIDENCE: The home has policies and procedures on complaints and the protection of vulnerable adults. The service users said they were listened to if they had a problem and all concerns were taken seriously. Both service users have many outside contacts and influences in their lives and their welfare is monitored through day care. The manager spends a great deal of time speaking with the service users and felt sure she would soon be made aware if there was anything worrying either service user. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 13 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): 19 and 26 (Older people). 24 and 30 (Adults) Service users live in a well- maintained, clean environment. EVIDENCE: The home is safe and well maintained. Laundry is carried out in the homes’ domestic washing machine, which is adequate for the needs of these service users. Policies were seen for the control of infection. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 14 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): 27,28,29,30 (Older people) and 32,34 and 35(Adults) Service users welfare is protected through well trained staff in sufficient numbers. EVIDENCE: The home is well staffed. One member of staff is on duty three mornings a week to help with getting up and dressed. Another member of staff is employed four hours a week do engage service users in activities and another for eight hours to assist in the evenings with activities also. The manager attends to all other care needs. Staff are well trained and have been recruited according to policy and procedure. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 15 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): 31,33,35,38. (Older people) and 37,39 and 42 (Adults) Service users welfare is protected by the health and safety systems, consultative process and the experience of the manager. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 16 EVIDENCE: The registered manager is working towards NVQ 4 in care. The home has devised a questionnaire for service users which members of staff are to assist in filling out. Evidence is recorded in file notes of service users being consulted over the way they live their lives. Service users also said they were often asked their preferences and that their wishes were acted upon. A member of staff was spoken to and she reported that the manager involved the service users in informal ways in decision -making and in shaping the way the service was provided. The manager enables service users to develop independence financially. Personal allowances are given to the service users and a record is kept of all amounts given out; however, the manager is further attempting to balance the amount of personal allowance service users spend, which is not possible due to them not keeping a record themselves. It is recommended that the manager either allows service users to use this personal allowance as they wish without recording further, or consult with service users over whether they should have moneys issued to them on a needs basis, which could then be recorded accurately. The home is maintained with regard to health and safety. Water temperatures are now all adjusted to provide the correct temperature throughout the house. All fire records, maintenance certificates, and personal risk assessments were seen, along with the environmental health report. All were up to date. External environmental risk assessments are required. This is an outstanding requirement form the last inspection. An assessment was forwarded following the inspection but must be developed to describe action to be taken in order to minimise risk in the given areas. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 17 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 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 X 33 2 34 X 35 2 36 X 37 X 38 1 Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 18 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 38 Regulation 12,13 Requirement Risk assessments for the external area of the home must be prepared. Whilst an assessment was forwarded following the inspection this is not in adequate detail. Timescale for action 30/11/05 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 2 3 Refer to Standard 31 33 35 Good Practice Recommendations The manager must be qualified to NVQ level 4 care and management by end 2005 The quality assurance system should be developed to include written questionnaires. The recording procedure should be altered to show personal allowances given in a block, or moneys given out when required. See relevant section. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. Wintofts Residential Home DS0000007831.V257176.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!