Inspection on 28/12/07 for Winton House

This inspection was carried out on 28th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 27/02/07

Winton House 16/02/06

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 Andrea Leverett Key Unannounced Inspection 28th December 2007 11:30 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.V349759.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. 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.V349759.R01.S.doc Version 5.2 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.V349759.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2007 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. The current fees for the home are £475.00 per week. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key inspection took place on the 28th of December 2007. 7people who use the service were spoken with as well as 3 staff members and the manager. A tour of the premises was undertaken during the site visit and 3 people who use the services files and staff files were inspected. Judgements about quality of life and choices were taken from direct conversations with and observations of people who use the service, followed by discussion with support staff and evidencing records held at the home. Feedback from people spoken to have been taken into consideration and comments have been reflected in this report. The inspector concluded that people are given an excellent service at Winton House. A high standard of support and access to health services is provided here and the environment is maintained to a very high standard. The 2 requirements and 1 recommendation made at the last inspection have been met and 1 further recommendation has been made at this inspection. What the service does well: Residents care needs are identified and met. Risk assessments help staff keep service users safe. Residents are supported to keep well and take their medication. Staff respect service users privacy and treat them in a dignified way. The home provides service users with excellent opportunities for in-house and community activities. Residents are encouraged to make choices and be as independent as possible. The home welcomes visitors and helps service users to keep in touch with family and friends. Service users benefit from a varied and healthy diet, which they help choose. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 6 Residents know that they can make a complaint and that it will be handled properly. Staff are trained to know how to protect service users from potential abuse. Residents benefit from a homely and well cared for environment. They have good access to toilet and bathing facilities. The home is kept clean and hygienic to help prevent infection. Residents are supported by enough trained staff to meet their needs. Recruitment checks make sure that potential staff are safe to work with vulnerable service users. Residents can be confident that the home is well managed. The home seeks the views of service users and others to help develop the service. There are good health and safety systems in place to protect residents. What has improved since the last inspection? What they could do better: Although some residents did have keys to their rooms, several people told the inspector that they did not have a key and would like one. A recommendation Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 7 has been made that the Home consult residents about their wishes in this regard and subject to risk assessment take action to meet their wishes. 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. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 8 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.V349759.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, People who use the service experience good quality outcomes in this area. Residents can be confident that their needs will be assessed before they move into the Home and that these will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents assessments and care plans were inspected as part of a case tracking process including residents most recently admitted to the home. All records seen included local authority assessments and the homes own assessment. Assessment information was comprehensive and detailed and was completed prior to residents moving into the Home. Information included peoples needs in terms of mobility, personal care incontinence, Nutrition, Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 10 social, cultural and religious needs. Risk assessments were also in place for all key areas of need and care assistance required and this information was reflected in the residents care plans. Since the last inspection the Home has introduced a person centred assessment and care planning system to promote individual choice and enable people to take responsible risks to enhance their quality of life. Evidence seen on the day of the site visit showed that peoples right to make informed choices was promoted and valued including people with dementia and other complex needs. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 People who use the service experience good quality outcomes in this area. Residents benefit from having comprehensive health, personal and social care needs set out in an individual plan of care, which are followed. The home has a medication policy and medication records are up to date and Medication systems follow good practice Residents feel they are treated with dignity and respect and their right to privacy is upheld. This judgement has been made using available evidence including a visit to this service. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 12 EVIDENCE: Care plans for 5 residents were inspected and all contained up to date comprehensive information that reflected resident’s needs as detailed in their assessments. Good health records were maintained and it was evident that residents had access to routine and specialist health services as needed. GP visits were recorded and access to dentists and opticians was good. Records also showed that residents had access to physiotherapy services and specialist health dementia services. Social needs are also reflected in the care plans and included appropriate risk assessments that promoted peoples rights to take risks. Records also showed that care plans and risk assessments are regularly reviewed. An inspection of the homes medication administration and storage procedures was undertaken. The Home uses a Monitored Dosage system and records showed that these were maintained properly. Observation of medication administration showed that medication was being administered appropriately and safely. Training records showed that staff are appropriately trained to administer medication and the manager carries out in house competency tests as part of the staffs induction to medication administration. Feedback from residents and their families and observation on the day of this site visit showed that staff treat residents with respect and dignity. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience excellent quality outcomes in this area. Resident’s users find the lifestyle experienced in the Home matches their expectations and preferences and they can maintain contact with family and friends and contact with the local community as they wish. Residents receive a wholesome appealing balanced diet in pleasing surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home has a full time activities co coordinator and a range of activities is available to residents including exercise classes, musical movement, crafts, reminiscence, and outings and shopping trips. Religious services are also facilitated in the Home. Residents stated that family and friends are welcomed Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 14 in the Home and discussion with two relatives during the inspection confirmed that they were able to visit at any time. Feedback regarding food was overwhelmingly positive. It was evident that a choice of good quality food was provided in a clean and welcoming environment. Residents felt their preferences were respected and special dietary needs catered for. Fresh fruit and vegetables were prominent on the homes menus. Typical comments included: “ Very adequate food and very well balanced.” “ I am very happy with the activities, I do baking, preparing vegetables, I am very happy with the activities, and I do baking, preparing vegetables, exercises in the mornings, poetry and discussions.” “ The meals are very good, you get a good selection of vegetables and there is plenty of it. You can talk to staff about the food.” “ I do knitting for charity and read, I also go to pantomimes and the theatre.” “The food is very good and you can have drinks early in the morning and in the evenings. We have residents meetings and we can talk about the food.” “ There are too many activities, I prefer to read but I do like skittles.” “I do work on the computer, there are allsorts of things you can do here to keep your brain active.” “ I get my breakfast in bed and you can have early morning tea if you want it.” “ The chef will always oblige you and work out what you want.” Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. Service users are confidant that their complaints will be listened to, taken seriously and acted upon and that they will be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home has a complaints procedure, which includes all the information required by this standard and information seen during the inspected showed that concerns and complaints were managed effectively. Residents and families spoken to felt able to go to staff with concerns and were confident that action would be taken to resolve any issues. Staff records showed that staffs undergoes adult protection training and discussion with staff demonstrated a good understanding of adult protection issues and the procedures to follow. The Home has an appropriate adult protection policy and procedure, which includes whistle Blowing. Examples were seen of the Home acting quickly and openly to protect people from abuse and working effectively with social services to protect the interests of residents. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 16 Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use the service experience excellent quality outcomes in this area. The Home is decorated, furnished and maintained to a high standard and is clean and free from offensive odours throughout. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the premises showed that it is spacious, well maintained and decorated. Resident’s bedrooms seen were spacious and homely. The garden areas are well kept and have a range of garden furniture for the benefit of residents. Winton House has an Activity Centre called Helen Cottage which Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 18 provides a unique feature to the home. The cottage has cooking facilities and an active arts and crafts group. Residents spoken with were very happy about their accommodation and thought the Home was kept very clean and homely. Bathrooms are equipped to a very high standard. The three assisted baths have been replaced with ‘top of the range’ assisted baths with a Jacuzzi option, that can also dispense special oils and they self clean before the next person uses it. There is a walk in shower for those who prefer this. One of the bathrooms is also equipped with a full body dryer, which the manager says has proved popular with residents and has particularly benefited residents who have delicate skin. The full body dryer ensures skin is completely dry without the towel friction. The Laundry has suitable equipment including a washing machine with a disinfection/sluice programme. There is a machine for the disposal of soiled incontinence pads. A tour of the Home and information taken from the homes own assessment information evidenced that equipment and facilities at Winton House are maintained properly. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 People who use the service experience excellent quality outcomes in this area. Resident’s benefit from being supported by appropriate numbers of staff with the skills to meet their needs. The Home ensures that service users are supported by staff that are trained and competent to do their job. Service users are supported and protected by the homes recruitment policy and practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observation on the day of the site visit, an inspection of the homes rota’s and feedback from Residents and staff demonstrated that staffing levels are appropriate to meet resident’s needs. In addition to senior and support staff the Home has a team of ancillary and kitchen staff. It was clear from staff records and discussion with staff that training was given a high priority in the Home. A sample of staff records demonstrated that Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 20 comprehensive training was provided and over 50 of staff have NVQ level 2 or above and there is a rolling programmes to ensure that all staff can undertake this training. A sample of staff files were inspected including the most recently employed person. Records showed that recruitment practices were to a good standard, with files including all the appropriate checks and information to ensure the safety of service users. It was also evident that the Home ensures that new staff undergo proper induction training. Typical comments included: “ The carers are very polite and helpful when needed. They come when you call them, very willing and pleasant.” “ As people they are excellent I have been here for 5 years.” “ Very often I can’t sleep, if I ring my buzzer staff come and bring me a drink.” “ Staff are very good and very friendly.” Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 People who use the service experience excellent quality outcomes in this area. Residents live in a Home that is run in their best interest, with good leader ship and management. Service users financial interests are safeguarded. The health, safety and welfare of service users and staff are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 22 The Manager has NVQ 4 and the Registered Managers award. She has significant experience of managing services and undertakes a range of short courses to update her skills and knowledge. In addition the Home benefits from having a deputy manager who has an NVQ 3 qualification. There are clear lines of accountability within the Home and external management. It was evident from discussion staff that the manager communicates a clear sense of direction and leadership, which staff and residents can understand. Discussion with residents and their families indicated that action is taken to address any issues that they raise. Discussion with staff evidenced that formal staff supervision is now being undertaken every 2 months and staff spoken to felt supported by the management team. Records viewed, a tour of the premises evidenced that the homes facilities and equipment were appropriately maintained. The following comments were typical of the feedback given. “ I think its marvellous, its very comfortable and the management are very approachable and that’s important in a place like this.” “ I can’t find anything wrong with the place.” Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 23 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 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP10 Good Practice Recommendations It is recommended that the Home consult residents about their wishes in regards to having their own room keys and subject to risk assessment take action to meet their wishes. Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone, Kent ME16 9NT 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 Winton House DS0000011281.V349759.R01.S.doc Version 5.2 Page 26 - 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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