Inspection on 31/05/07 for Wintofts Residential Home

This inspection was carried out on 31st May 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wintofts Residential Home 27/08/08

Wintofts Residential Home 29/11/06

Wintofts Residential Home 22/02/06

Wintofts Residential Home 27/09/05

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 Gill Sample Key Unannounced Inspection 31st May 2007 09:40 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.V335103.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. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 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 vacant post 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.V335103.R01.S.doc Version 5.2 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 emergency placements may be accepted. No service user who is not independently mobile may be accommodated above ground floor level. Date of last inspection 29th November 2006 Brief Description of the Service: Wintofts Farm offers personal care and 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. Sitting and dining space is on the ground floor. The registered provider and her staff provide personal care, catering, laundry and domestic services. As the home’s location 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 people living at the home. The home is owned and managed by Mrs Sylvia Robson. Information is given to new and existing service users to the home detailing the accommodation, facilities and services provided. In May 2007, the weekly fee was quoted by the provider as being from £345.00 per week. Additional charges not covered by the fee are private chiropody and hairdressing, some holidays, some transport costs and some toiletries. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: ● ● ● ● Reviewing information which has been received about the home since the last inspection Information provided by the manager on a pre-inspection questionnaire Comment cards returned from people living at the home A visit to the home on 31st May 2007 The visit to the home lasted just over three and a half hours. The inspector spoke to two people who live at the home, the registered manager Mrs Sylvia Robson and one member of staff on duty. Records relating to people living there, staff and the management activities of the home were inspected. Care practices and routines of the home were seen. This helped the inspector to gain an insight into what life is like at Wintofts Residential Home for the people who live there. The registered manager Mrs. Sylvia Robson assisted the inspector and Mrs. Robson and her husband were given feedback at the end of the visit. What the service does well: What has improved since the last inspection? The home has been improved to the benefit of people who live there. Outside areas of the home have been levelled so that the risk of tripping is reduced. Areas of the home have been redecorated and some furniture has been Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 6 replaced. Building work has started to create a new laundry facility for the home. 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. Wintofts Residential Home DS0000007831.V335103.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) Wintofts Residential Home DS0000007831.V335103.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): 3. Standard 6 does not apply. (Older People) Standard 2 (Adults 1665) People who use the service experience good quality outcomes in this area. They can be assured that their needs will be properly assessed and recorded before entering the home and make an informed choice about going to live there. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Records showed that an assessment of people’s needs had been made prior to them moving into the home. Written information about the home is available so that people considering moving in know what the service provides. Records seen confirmed that where a care manager had been involved the information from their assessment was used as a basis for Mrs. Robson’s assessment and in developing people’s care plans. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 9 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): Standards 7, 8, 9 and 10 (Older People) and Standards, 6, 9. 16, 18, and 20 (Adults 18-65) People who use the service experience good quality outcomes in this area. They can be assured that their health needs will be properly monitored and dealt with and that their physical, social, psychological and emotional needs will be recognised and met. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 10 Care records showed that the health and personal care needs of people living at the home were being recognised and addressed. The medication system showed that only one person had assistance with prescribed medication and that a medication administration chart is used to record when this medication is given from its original packaging. Information on the chart did not match the information on the medication packaging. One person deals with their own medication with staff support to remind them. Storage of medication was secure and orderly and medication was administered using hygienic and safe handling methods. One record seen had information about all people living at the home. Individual records need to be kept so that personal information is confidential and the requirements of data protection are met. Observation of practice showed that people are treated with respect and dignity. Care staff dealt professionally with one person who greeted her arrival by hugging her. Mrs. Robson described instances where she had supported people to have confidence in themselves, particularly when outside the home. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 11 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): Standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 16-65) People who use the service experience good quality outcomes in this area. People living at the home can be assured that their choices will be respected and they will have the support of staff in their daily life and social activitiies. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Care records examined confirmed good practice. Individual records set out the areas of support needed and the areas of personal development for individual Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 12 service users. People were seen being collected by organised transport to attend day services. A car is available for people to be taken to local towns and amenities by care staff. People contribute to this travel by paying for the fuel used. General observation of practice at the home showed that people living there followed their own chosen routines. One person said that she would reach retirement age and would then stop going to organised day services, “I’ll be happy then – I retire in September”. Two people share a bedroom at the home and one confirmed that this was by choice. A person was being taken into the local town and was discussing with Mrs. Robson and a member of staff where she would like to go and what she would like to eat for lunch when out. Pre inspection information detailed the offered menus of the home. One person was at the home at lunchtime and had her meal in her own room. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 13 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): Standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 16-65) People who use the service experience good quality outcomes in this area. They are able to make a complaint using information provided by the home and are protected by the awareness of staff of potential abuse. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Written surveys from people who live at the home said that they knew how to make a complaint about their service if they wished. People spoken with were able to say who they would speak to if they had any concern or complaint to make about the service. Policies and procedures on how service users can complain about their service and about the protection of vulnerable adults are in place. Service users are involved with others outside the home, such as day centre activities, and have opportunities to express any concern to the registered provider, who provides the majority of care and support at the home and demonstrated an in depth knowledge of service users. Discussion with Mrs. Robson showed she advocates for the rights of people living at the home. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 14 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): Standards 19 and 26 (Older People and Standards 24 and 30 (Adults 16-65) People who use the service experience good quality outcomes in this area. They live in a clean and well maintained environment suitable for their needs. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: General areas of the home were seen, three bedrooms, the bathroom and the home’s laundry facilities. The sitting room and one bedroom had been Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 15 redecorated and all areas seen were clean and hygienic. The home provides a homely setting for people to live. Building work was being done to re-locate the home’s laundry to a small outbuilding. Mrs. Robson said that the work will be completed later in the year. She was advised to take advice from the Environmental Health Officer. Outside the building, work has been done to make path surfaces level so that tripping hazards are reduced. This had been required at the last visit to the service. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 16 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 and 30 (Older People) and Standards 32, 34 and 35 (Adults 16-65) People who use the service experience good quality outcomes in this area. People living at the home are supported by a caring staff team and are protected by robust recruitment procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Staffing rotas supplied prior to the visit showed that staff are on duty at peak times of the day to provide personal care to assist service users to get up washed and dressed each morning and to provide one to one activities inside and outside the home. At the visit assistance was given to people so that they were ready to go for organised day services, to spend leisure time outside the home and to be looked after at the home. People living at the home showed that they liked the staff who look after them. A staff member returning from leave was greeted by a resident with pleasure and affection. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 17 Examination of staff files confirmed practice in the recruitment and selection of staff. These showed that written application is required, two written references are taken up and a clear criminal records disclosure is required for any potential staff. Pre inspection information and staff files seen confirmed that mandatory health and safety training is completed by staff and subjects pertinent to the care of older people, such as dementia awareness. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 18 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 and 38 (Older People) and Standards 37, 39 and 42 (Adults 16-65) People who use the service experience good quality outcomes in this area. They can be assured that the service is managed by a competent person whose style enables them to have any issues discussed and resolved. We have made this judgement using a range of evidence, including a visit to this service. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 19 EVIDENCE: Mrs. Robson has obtained an NVQ level 4 in management and care. She has had many years experience in providing care for people and is able to demonstrate an in depth knowledge of the people in her care. Mrs. Robson works on a daily basis at the home and is available to discuss any issues as they arise. The philosophy of the home is apparent in the way in which care is provided in that people are supported to make choices and their needs are met by the service. The requirements and recommendations made at the last visit to the service have been addressed by Mrs. Robson. There is a quality assurance system in place based on a written questionnaire which service users complete. These were seen on records examined. Care records noted the expressed wishes and dislikes of service users. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 20 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 1 8 3 9 3 10 2 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 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 19 Requirement All records relating to people living at the home must be maintained individually. Timescale for action 30/06/07 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 OP9 Good Practice Recommendations Information on the medication administration chart should match information on the original packaging of medication. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. Wintofts Residential Home DS0000007831.V335103.R01.S.doc Version 5.2 Page 23 - 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!