Inspection on 16/02/06 for Winton House

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Winton House 28/12/07

Winton House 27/02/07

Winton House 22/09/05

Winton House 15/02/05

Winton House 24/06/04

Winton House 24/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Langdale Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Winton House 51 Dedworth Road Windsor Berkshire SL4 5AZ Lead Inspector Susan Burton Unannounced Inspection 16th February 2006 09:35 X10015.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 Winton House DS0000011281.V279793.R01.S.doc Version 5.1 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. 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. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Winton House Address 51 Dedworth Road Windsor Berkshire SL4 5AZ 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) 01753 856466 Abbeyfield (Maidenhead) Society Limited Mrs Susan Mary Howick Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 Brief Description of the Service: Winton House is owned and managed by The Abbeyfield (Maidenhead) Society. The management and executive committee responsible for the home are all volunteers. The home is located on the main road one mile west of central Windsor and is purpose built and designed for older people needing care. All rooms are single and en-suite; all have television points and telephone lines. The home has a well-maintained attractive garden and is easily accessible. There is a large dining room, separate lounge, hairdressing room and conservatory. Winton House has an Activity Centre called Helen Cottage which provides a unique feature to the home. The cottage has cooking facilities and an active arts and crafts group. The home employs the services of an activity organiser who resources and provides a range of stimulating activities. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection on Tuesday the 16th of February 2006, which commenced at 09.35 am. The Registered Manager was on leave and the inspection process was assisted by the Deputy Manager and Care Consultant. The inspection followed up on previous requirements and recommendations and a number of management standards. Time was spent talking with two residents about the quality of life and the service they receive, one who had recently moved to the home and one individual who had been there a number of years. CSCIs pharmacy inspector had visited the home on the 9th of February 2006 and found that improvements had been made in the homes procedures for managing stock control of medication. This was generally a positive inspection apart from an immediate requirement, which was issued in regard to a new employee who had been recruited on the basis of a POVA and CRB check from a previous post. The home was required to supervise this new employee until her new POVA and CRB check had been received by the home. All other recruitment practices were seen as satisfactory. What the service does well: The home employs a Care Consultant two days a week who comes in and spends specific and focused time on a one-to-one basis with the residents which allows individuals to share any health problems, concerns or worries they may have in confidence and in a relaxed unhurried environment. This support is seen as excellent practice and the home is commended for its efforts in ensuring that the well-being of its residents are of the highest priority. Residents spoken to were happy to confirm their satisfaction with the care and attention given by the staff and the quality of the service they receive. The home provides a warm and friendly atmosphere for the residents. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 6 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. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Winton House DS0000011281.V279793.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were inspected at this time. EVIDENCE: Winton House DS0000011281.V279793.R01.S.doc Version 5.1 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 the following standard(s): 8, 9, 10 The information and level of detail recorded on care plans had improved to ensure that care needs are fully met. Nutritional assessments continue to improve. Medication administration practices have improved. Residents confirmed that they do feel they are treated with respect and that the staff are mindful of their privacy and dignity. EVIDENCE: The home has improved the level of detail and information now recorded on its care plans. New formats have been introduced to allow all aspects of an individuals care needs to be documented. The deputy manager advised the inspector that new nutritional assessment formats were being introduced for each individual in the home. Discussion took place in regard to how the home could manage the monitoring of an individuals dietary intake and how this could be recorded. Staff had discussed with one individuals GP their concerns in regard to her loss of appetite and appropriate nutritional supplements had been prescribed. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 10 The home has purchased sit on scales to enable the accurate recording of residents weights, which is good practice. CSCIs pharmacy inspector had visited the home previous week to follow up a requirement from the last inspection in regard to stock balances of medication being accurately recorded. This was seen to have improved and practice appeared satisfactory. Medication administration records had at that time evidenced gaps where staff should have signed to say if medication had been administered or not. The inspector audited the homes medication administration records during this inspection one week later and found practice had improved and no signature gaps was seen. Instructions were seen recorded to all staff from the manager that gaps were not to be left on medication charts. The inspector spent time talking separately to two residents about how staff treat them in regard to respect, privacy and their dignity. Both individuals confirmed most positively that the staff address them courteously and politely and are very respectful. Both individuals discussed the difficulties of getting used to having assistance when bathing, but both felt that the staff in the home were thoughtful and mindful of their privacy and dignity when bathing. The inspector spent some time talking to the homes Care Consultant. She is employed by the home two days a week to come and visit the residents and provide medical and professional advice if needed on any health concerns. The Care Consultant will spend dedicated time on a one-to-one basis with individual residents discussing and listening to any issues they may have in regard to their physical well-being and emotional well-being. This allows residents time to share any issues in a relaxed and comfortable setting and also supports the manager and her staff team in knowing and understanding any concerns that residents may have. This support is seen as excellent practice and the home is commended for its efforts in ensuring that the well-being of its residents are of the highest priority. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 11 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 the following standard(s): 12 The home provides a range of social, cultural and religious interests for the residents. EVIDENCE: Since the last inspection the staff member who had previously provided the activities in the homes dedicated Activity Centre had retired and a replacement would not be taking up her post until the following month. The notice board by the homes dining room provides information to the residents on events taking place, helplines and advice centres, bus timetables and information about trips out. Fellowship meetings take place on a regular basis within the home. One resident expressed her enjoyment of the skittles sessions that take place and how pleased she was that her suggestion for starting up a debating club to encourage lively and stimulating conversation for her fellow residents had been supported by staff. One meeting had taken place with 10 individuals attending and another session was planned following its success. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 16, 17, 18 Residents and their relatives are enabled to comment and complain and actions taken by the home in response are recorded. Residents access to the democratic process is enabled. Residents are protected from abuse by the homes policies and procedures and training. POVA and CRB checks for new staff prior to employment are required (see standard 29) EVIDENCE: A recommendation had been made at the last inspection that the home actions in regard to any complaints made were to be recorded. This had been addressed. Evidence was seen of new residents details being sent to the electoral register enabling them to vote at the next election. The homes policies and procedures on the protection of vulnerable adults were seen as appropriate, copies of the local Inter-agency guidelines were available. Training had also been provided for staff. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 13 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 the following standard(s): None of these standards were inspected on this occasion. EVIDENCE: Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 14 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29, 30 The homes recruitment procedures are generally satisfactory but new employees are to have POVA and CRB checks in place prior to the commencement of their employment. An immediate requirement was issued to ensure that a member of staff be appropriately supervised until the result of her POVA and CRB checks were returned. The home has an active training programme and encourages its staff to undertake NVQs and other basic mandatory training. Appropriate induction procedures are provided for all new staff. EVIDENCE: The recruitment files of three members of staff were examined. All were found to contain satisfactory and appropriate references and confirmation of identity. Two files also provided evidence of POVA and CRB checks. The most recently recruited member of staff had commenced working in the home but did not have a POVA and CRB check in place. The deputy manager advised the inspector that a CRB from the individuals last employer had been used. The inspector issued an immediate requirement that this individual be appropriately supervised while working in the home until the POVA and CRB check applied for by the home had been received. POVA and CRB checks are no longer portable and the Department of Health guidance was shown to the deputy manager to reiterate this. POVA and CRB checks should be received prior to the commencement of employment unless Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 15 serious risks to the health and safety of residents are evidenced by lack of staff. Employees files evidenced that appropriate induction procedures take place. The home uses TOPSS/Skills for Care specific training formats. Each individual member of staff is issued with a small handbook, which they complete as part of their induction process. Information from staff meetings evidenced that care practice issues and training requirements are discussed with the staff team. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35,38 in part The home is run in the best interests of the residents. Residents financial interests within the home are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The home conducts an annual quality assurance survey of which the next one will be due in March this year. Regular residents meetings are held within the home. The inspector examined the minutes of these meetings and found that nearly 50 of the residents attend the last meeting. The minutes evidenced a wide variety of subjects discussed and the responses from the manager and the organisation were also recorded. Issues discussed at the meeting included for example the use of the activity centre, requests for cheese and biscuits to Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 17 be provided as an alternative desert and expressions of thanks from the residents to the staff for the Christmas events and presents received. Residents discussed the timing of clothes sales, how talking books were to be returned and when the new entrance sign is to be installed. The responses from the manager and the organisation were wholly supportive and responsive and evidenced that residents concerns and comments are taken on board and acted upon which it is good practice. Residents spoken to confirmed that the home does respond to any comments and concerns expressed in a very satisfactory manner. The inspector was advised that each individual resident is provided with a small notebook within which they can record comments or their family can record concerns or complaints, which will be then passed on, to the manager and staff in a very confidential manner. The inspector was of the opinion that the organisation and staff team genuinely do have the best interests of their residents as a priority. The inspector audited with the assistance homes administrator the small sums of money kept on behalf of the residents. For those individuals who choose or are not able to manage their finances the home has a system where individual wallets are kept to contain cash, receipts and an account book. A random sample of records evidenced appropriate procedures and correct cash balances. The home has been visited by the Royal Berkshire Fire and Rescue Service recently and a fire deficiency notice had been issued for the fitting of intumescent strips to doors and the fitting of exit signs. The inspector was able to see evidence of the manager acting upon this notice immediately and a quote had been supplied to the home within two days to action these works. Accident records were examined and found to be well completed. The manager writes on the reverse of these reports the subsequent action she and the staff team has taken to address the incident, which is good practice. One report evidenced a request to the local community health team for a visit from the Falls Prevention Nurse. Generic risk assessments for the home were seen in place. No other areas of this standard were inspected. Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 18 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 19 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 2 Standard OP29 OP29 Regulation 19 19 Requirement Timescale for action 16/02/06 New employees are to be appropriately supervised while waiting for POVA & CRB checks. POVA & CRB checks are to be 16/03/06 obtained prior to commencement of employment for all new staff. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Winton House DS0000011281.V279793.R01.S.doc Version 5.1 Page 21 - 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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