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Inspection on 21/11/06 for Winton Nursing Home

Also see our care home review for Winton Nursing Home for more information

This inspection was carried out on 21st November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a warm and welcoming atmosphere. The residents looked comfortable and those that spoke to the inspector said that they felt they were well looked after, one commented `nothing is too much trouble for the staff`. Relatives said they felt comfortable visiting and were confident they could be involved in supporting their relative. They said communication was excellent and they were kept fully informed of their relative`s well being. Residents and relatives said the food provided was of a high standard, with plenty of fresh meat, fish and vegetables as well as fruit, homemade cakes and puddings.

What has improved since the last inspection?

Menu planning has been introduced and documentation is available to demonstrate that residents have had access to a nutritious and well-balanced diet. The employment procedure have improved and now ensure residents are protected. It has been developed to ensure that suitable references are obtained and gaps in previous employment fully explored. All relevant checks such as Protection of Vulnerable Adults (POVA First) and Criminal Records Bureau (CRB) are being completed prior to employment. A system to provide regular supervision and annual appraisal for care staff has been introduced. This enables the manager to identify individual training needs and to monitor staff performance. It also helps the training manager to plan staff training for the year.

What the care home could do better:

The residents have individual care files but they do not actually form a plan of care. Assessments have been completed and should give staff guidance on each person`s abilities and needs but the care needed by each resident is not always apparent. All of the homes policies and procedures need to be reviewed and updated as they were last reviewed in 2003 and do not reflect changes in legislation or current good practice. The home needs the staff training records to be updated to ensure that staff training needs are documented and ensure that further training can be planned. The provider, or their representative, needs to ensure that monthly visits are made to the home. A report on the conduct of the home should then be written based on talks to the residents and staff about the standard of care provided in the home and inspection of the premises and its record of events and complaints. Copies of these reports must be kept in the home and made available for the manager and for inspection It was also recommended that the home consider employing an activities coordinator, to ensure that appropriate and relevant activities are available for the residents in both parts of the home.

CARE HOMES FOR OLDER PEOPLE Winton Nursing Home Wallop House Nether Wallop Nr Salisbury Hampshire SO20 8HE Lead Inspector Pat Griffiths Unannounced Inspection 21st November 2006 10:00 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 Nursing Home DS0000012032.V321690.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 Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Winton Nursing Home Address Wallop House Nether Wallop Nr Salisbury Hampshire SO20 8HE 01264 781366 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 Evelyn Mary Cornelius-Reid Mrs Elaine Phelps Care Home 45 Category(ies) of Dementia - over 65 years of age (45), Old age, registration, with number not falling within any other category (45) of places Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31/01/06 Brief Description of the Service: Winton Nursing Home is one of three owned by Mrs Cornelius –Reid, two are in Hampshire and the other in Wiltshire. It is set in the village of Nether Wallop, a rural area, within easy reach of local amenities at Stockbridge and Andover. The home is registered as a care home providing nursing care and may accommodate up to forty-five service users who are older persons, or older persons with dementia. Accommodation is provided in two areas of the home, both on two floors with lift access to the first floor. The main house accommodates those who require assistance with personal and nursing care, whilst the annex accommodates those who have dementia and require assistance with personal and nursing care. There are thirty-five single and five double bedrooms and all have en-suite facilities. There is extensive communal space with several lounges, a garden room and dining room. There is a large landscaped garden, which is accessible to the residents. The current weekly fees are £525 - £650 per week. Extra services such as hairdressing and chiropody are usually billed monthly. Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This fieldwork visit was unannounced and took place on 21 November 2006. All key standards were examined and the visit included looking at areas of the home such as bedrooms, communal/shared areas and the home’s kitchen and laundry as well as the garden. Documents and records were examined and staff working practices were observed where this was possible without being intrusive. Residents, visitors and staff were spoken to in order to obtain their views of the service that the home provides. Visitors that spoke to the inspector were very positive about the care their relatives received. The home’s manager was on leave on the day of the visit, but the administrator was present throughout the visit, and the director of the group of homes was present for part of the visit, both were available to provide assistance and information when required. Other information included in this report is obtained from sources such as a pre-inspection questionnaire, completed by the manager, and information that the commission has received since the last visit made to the home in January 2006, such as notices received about incidents that have occurred in the home. What the service does well: What has improved since the last inspection? Menu planning has been introduced and documentation is available to demonstrate that residents have had access to a nutritious and well-balanced diet. The employment procedure have improved and now ensure residents are protected. It has been developed to ensure that suitable references are obtained and gaps in previous employment fully explored. All relevant checks Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 6 such as Protection of Vulnerable Adults (POVA First) and Criminal Records Bureau (CRB) are being completed prior to employment. A system to provide regular supervision and annual appraisal for care staff has been introduced. This enables the manager to identify individual training needs and to monitor staff performance. It also helps the training manager to plan staff training for the year. 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. Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 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 Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comprehensive pre-admission assessment is completed before a placement is offered, to ensure that all needs can be met. EVIDENCE: The files for three recently admitted residents were examined. Each contained a comprehensive assessment, which had been completed prior to admission. Prospective residents are invited to visit the home, but when this is not possible, assessments are completed by the manager in the resident’s current care home, as well as getting information from their GP and relatives. The pre admission assessments identified personal and social needs as well as health and nursing care needs. Areas that had been assessed included personal care; social, religious and cultural needs; dietary likes and dislikes; mobility, sight and hearing. Potential residents with dementia have additional Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 9 assessments completed and information is sought from any attending healthcare professionals, such as the psycho-geriatrician Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents files contain assessments of their individual abilities and needs, but no real plan of care. Residents’ health care needs are fully met. Good practices ensure safe medication administration. The residents’ rights to privacy, dignity and respect are upheld. EVIDENCE: The inspector looked at four care plans and found that thorough assessments had been completed, such as manual handling, nutrition and skincare and risk assessments. They had identified areas of physical risk, such as falls, with guidance for staff to follow to minimise the risk. There was evidence that the assessments were being reviewed regularly. These assessments gave staff guidance on each person’s abilities and needs but did not actually form a plan of care. It was necessary to read all of the paperwork to see what was needed for the care of the residents and if any changes or amendments had been Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 11 made. It was not clear that the individual likes and dislike of the residents had been identified, such as what time they liked to get up or go to bed or how often they would like a bath or at what time of the day they would like a bath. The staff that spoke to the inspector said that they knew the residents very well as they had been there a long time and any changes were always mentioned during report at shift handover. Nursing staff spoke to the inspector about care planning and one showed a ‘quick reference care statement’, which they are hoping to develop and implement for each resident. Staff thought that it would be helpful if they were kept discretely in the residents’ bedrooms, where care is usually provided. They would then be available as an up to date point of reference for the staff providing care. It would also enable residents, or their nominated representatives, to check on the care plans, to reassure themselves about the care being provided. A nurse on the dementia care wing discussed using a ‘person centred planning’ approach for the care plans for the residents in the wing and was hoping to develop it to suit the particular needs of the residents. The administrator said that the residents are registered with a local doctors surgery and they hold weekly clinics in the home as well as providing emergency visits when required. Residents confirmed that they were able to see their doctor when they wished. Other visiting healthcare professionals include the local dentist, optician and the chiropodist. The home has policies and procedures in place for the safe handling of medication, but they are dated 2004 and signed by the last manager. There was no evidence that they had been reviewed and updated by the current manager. The nurse on duty said that only qualified staff were permitted to administer medication and confirmed that the medication administration record was signed after each person had been given their medication to minimise the risk of accident. The administrator said there was an arrangement with the local surgery for the disposal of unused drugs, and a written record was kept. No information was available regarding the use of ‘homely remedies’, which is a list of medications that can be administered to residents which have not been prescribed by the doctor, such as paracetamol or cough linctus. The administrator said that staff had received training in maintaining the privacy and dignity of the residents and how to treat them with respect. The staff were observed throughout the inspection knocking on doors and waiting for permission to enter. All bedroom doors have locks fitted, so residents can have privacy if they want it. Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that there are a variety of activities available for the residents and there is an open visiting policy. Residents are encouraged to exercise control over their lives. Arrangements ensure contact is maintained with family and friends and a wholesome and balanced diet is available. EVIDENCE: The administrator said that a variety of entertainment was provided in the home, such as music and movement sessions, old time music and short plays, which she arranges. On the first Sunday of each month the local church choir attend the home and there is hymn singing for those who wish to join in. There are also extra activities arranged for the Christmas period, such as carol singing with the church the school choirs and a visiting pantomime show. Staff said that they are aware of the likes and dislike of the residents, but there is little documentation actually recording the residents likes and dislikes and what activities they are interested in. The home does not have an activities coordinator who could ensure that the activities were appropriate for the Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 13 residents and that they had an input into the activities available. The nurses and inspector discussed the need for more appropriate activities for the residents in the wing who are more mentally frail. The nurses said that they do attend some of the activities in the main part of the home and also have some activities in the ‘wing’. The availability of specialist training courses for activities coordinators was also discussed. Newspapers are delivered daily to the home for those who wish to read them and the library visits monthly. The administrator said that the home has an open visiting policy and visitors are always made welcome and may stay for meals if they book in advance. Several residents told the inspector that they do get out and about when their relatives take them out. Verbal and written feedback from relatives indicated that they felt included by staff in the care of the resident. Some visited almost daily and said they were always made welcome. They also felt that staff communicated well and kept them informed of anything affecting the wellbeing of the resident. Residents said they felt that they were able to make choices, such as what to wear each day or how to spend their time, and that staff helped with these choices. Staff also said that they thought that an important part of their role was to ensure that residents were supported to maintain their independence for as long as possible. The home has a new system for recording meals, which indicates a planned approach to meal provision. The cook was away on the day of the visit, but staff said that there is a menu in place, which is changed regularly and choices are available. Residents are asked daily about their menu choices and are advised of the choices available. The food such as meat, fish and vegetables is ordered from local suppliers and delivered several times a week. The residents are able to take their meals in their own rooms or in the dining room. There is a waitress service in the dining room, where the main meal is served on the plate to the residents and then waitresses serve dishes of vegetables, so everyone has as much or as little as they wish. Comments from residents that spoke to the inspector include ‘the food is good’ ‘no faults at all, I have know the place since I was a child as I was born in the village’ ‘I’m told that this is now my home’ ‘I am quite happy here, but have not been here long’ ‘I am more than happy with the care, I’ve been here for four years’ Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 14 Winton Nursing Home DS0000012032.V321690.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place, enabling residents, relatives and staff to make complaints should they wish. Staff training in Adult Protection promotes the safety of the residents. EVIDENCE: The home has a system for recording complaints but none had been received since the last inspection. The commission had not received any complaints in respect of the home. Residents that spoke with the inspector said that they knew they could complain if they needed to and knew who to go to, but the need had not arisen. The home has a copy of the local authority adult protection policy, as well as their own policies and procedures. The home is one of a group of three and now has a group training manager who is arranging training for all staff in the homes. The administrator said that staff have had some adult protection training as part of their induction training and that it is also been one of the sections of Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 16 the carers [NVQ] National Vocational Qualification training. More adult protection training is planned for the New Year. Winton Nursing Home DS0000012032.V321690.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements ensure the home is safe, well maintained, clean, and hygienic. EVIDENCE: The inspector was able to tour the home and see the communal areas, kitchen, laundry, and some of the bedrooms. The home has a reception area in the large hallway, which is staffed by the homes administrator. There are several sitting areas as well as a large lounge, dining room and conservatory on the ground floor. On the day of the visit the home was seen to be clean and tidy, with no unpleasant odours. The care staff in the home are supported by cleaners, laundry and kitchen staff. Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 18 The cook was away on the day of the visit and the kitchen staff showed the inspector round the kitchen. They explained that they were using the new ‘Safer Food, Better Business’ documentation for record the fridge, freezer, and cooked food temperatures as well the kitchen cleaning routines. The administrator said that more plastic storage bins would be obtained to ensure that foods such as flour and dried fruit were not stored in open packets. Following a visit from an environmental health officer the kitchen storage area has been re-plastered and new tiles fitted. The laundry is run by the laundress, who ensures that all laundry is done during the day and none is done overnight. The laundry room is accessible from the corridor, so dirty laundry is not taken through the kitchen or food preparation areas. The bedrooms seen by the inspector looked homely and had been personalised by the residents and their families, with their own furniture, pictures and ornaments. The administrator said that residents are encouraged to bring personal items with them. Some of the bedrooms are quite large so bigger items of furniture, such as desks and wardrobes, can be accommodated in some of the rooms. The inspector and administrator talked about making the bathrooms less clinical and more homely, by putting mirrors and pictures on the walls. Winton Nursing Home DS0000012032.V321690.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff ensure that needs of the residents are met. The home has a recruitment policy and procedure, which is now used properly to protect the residents and staff. Evidence of induction and staff training was not available to confirm that the staff have been trained to meet the needs of the residents. EVIDENCE: The home employs thirteen registered nurses and thirty-eight carers as well as ancillary staff such as cooks, cleaners and laundry staff. There are also maintenance and decorating staff and a team of gardeners. The administrator said that twelve staff have National Vocational Qualifications in care at level 2 or above and five were doing the course. The home currently employs thirty-eight care staff so the requirement of 50 of staff with NVQ 2 or above is nearly met. Staff are encouraged to obtain this qualification by being supported to study and being given more responsibility and pay for achieving it. Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 20 The recruitment procedure has improved, references are obtained and all staff have satisfactory Criminal Records Bureau disclosures. The inspector looked at the files of three new members of staff and found that all the relevant checks had been completed, such as obtaining references and Criminal Records Bureau [CRB] disclosures. Other staff files were checked and found to contain the correct information and there was evidence that the nurses have had Nurses and Midwives Council checks on their professional qualifications before starting work in the home. The home continues to have a large handwritten staff roster, which looks complicated but the staff find easy to use. Following the last inspection a separate record is also kept of who actually worked which shift in the home. The group of homes now has a training manager who will co-ordinate training in all of the homes. Supervision sessions have started and are being used to identify training needs for the staff. The administrator said that training arranged for this year so far has included moving and handling and fire safety; wound care and medication administration has been completed by the nursing staff. Staff said they had to complete an induction course before being able to work unsupervised in the home. A member of the care staff who has achieved an NVQ 3 is appointed as their mentor during induction. A copy of the new induction training booklet was seen, which care staff should complete over a three-month period. Staff training records were not available on the day of the visit and the training information held in staff files was not up to date, an action point has been raised, requiring a copy of the training record to available for inspection in the home. Winton Nursing Home DS0000012032.V321690.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements ensure that the home is well run, but residents’ views are not sought. The residents’ financial interests are safeguarded. Arrangements are in place to ensure that the health, safety and welfare of the residents and staff is protected. EVIDENCE: The manager was on leave on the day of the visit, and the administrator said that she is currently completing her registered managers’ award. She is supported in her role by a management team who are responsible for the dayto-day administration of the home. A resident commented ‘The home is well run, care is excellent and the staff are good’ Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 22 Residents and relatives felt the home was well run and that the needs of residents were considered when decisions about the day to day running of the home were made. A visitor commented that there did not seem to be enough staff to sit with the residents to talk to them, read to them or play scrabble. The administrator said that a quality assurance survey had been sent out but that results were not available on the day of the visit. The home does not have regular residents or relatives meetings as the manager or the provider are usually available for discussions. The inspector, the director and the administrator discussed the merits of relatives meetings, where perhaps people may volunteer to visit the home to read to or talk to residents The administrator said it was the policy of the home not to hold money on behalf of residents and that those who could not manage their own had to arrange for someone to do it for them. The home pays for any bills incurred by residents who do not manage their own money and then invoices the family for payment on a monthly basis. This includes sundries such as hairdressing and chiropody. The administrator said the provider visited the home at least weekly but the monthly visits required by Regulation 26 had not been carried out and no reports had been given to the manager. An action point was made previously that these monthly visits must be made and written reports and feedback kept in the home so that the registered manager is aware of the comments and requirements made by the provider. The home has a set of policies and procedures in place but they are dated 2003 and have not been reviewed or updated to reflect changes in legislation or current good practice. The completed pre-inspection questionnaire indicated that the service contracts for services such as the boilers, the fire safety equipment and the lift, were are all up-to-date. The weekly fire alarm tests was also examined and found to be up-to-date. A fire risk assessment for the home has been completed but following recent changes in fire safety legislation it may need to be reviewed. Winton Nursing Home DS0000012032.V321690.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement The registered person must ensure that an individual plan of care is written for each resident that outlines the care to be delivered and is based on the assessed needs of the resident. The in-house procedure for the protection of vulnerable adults must be reviewed to ensure it complies with the guidance in Hampshire’s adult protection procedure. The previous timescale of 25/04/06 was not met The registered person must ensure that staff training records are up to date and available for inspection. The registered provider must ensure that monthly visits, by them or their representatives, are made to the home and the reports of these visits must be kept in the home and made available for the manager and for inspection. DS0000012032.V321690.R01.S.doc Timescale for action 27/02/07 2 OP18 13 27/02/07 3 OP30 18 27/02/07 4 OP33 26 27/02/07 Winton Nursing Home Version 5.2 Page 25 5 OP38 12 The registered person must ensure that all of the homes policies and procedures are reviewed and updated to reflect any changes in legislation or current good practice. 27/02/07 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 2 Refer to Standard OP12 OP12 Good Practice Recommendations That feedback is obtained from residents about what activities they would like to see provided. The home considers employing an activities co-ordinator, to ensure that appropriate and relevant activities are available for the residents in both parts of the home. The home should consider having an ‘activities’ notice board to remind the residents or inform their visitors. 3 OP12 Winton Nursing Home DS0000012032.V321690.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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