Inspection on 11/10/05 for Wynfield House

This inspection was carried out on 11th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 14 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wynfield House 28/01/09

Wynfield House 21/10/08

Wynfield House 22/07/08

Wynfield House 16/07/07

Wynfield House 25/09/06

Wynfield House 02/06/05

Wynfield House 23/11/04

Wynfield House 14/07/04

Wynfield House 11/03/04

Similar services:

SignHealth

Mere Hall View

Beechfield Lodge

Christopher Grange (Rhona House)

Sense

Auden House

Deafway

Sign, 100 Bowfell Road

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

CARE HOME ADULTS 18-65 Wynfield House 115 Newton Drive Blackpool Lancashire FY3 8LZ Lead Inspector Mrs Jennifer Dunkeld Unannounced Inspection 11th October 2005 10:00 Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 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 Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wynfield House Address 115 Newton Drive Blackpool Lancashire FY3 8LZ 01253 392183 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) Blackpool & Fylde Society For The Deaf Ms Frances Norma Stockell Care Home 19 Category(ies) of Sensory impairment (19) registration, with number of places Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 19 service users in the category SI (sensory impairment) 22nd April 2005 Date of last inspection Brief Description of the Service: Wynfield House is registered under the Care Standards Act 2000, to offer accomodation and personal care to up to 19 adults with a sensory impairment. The accomodation consists of 7 twin bedrooms and 5 rooms for single occupancy. There are 2 lounges on the ground floor and a dining room. One of the lounges is designated as a smoking area for the people who live at Wynfield House. A passenger lift operates between the ground and first floor. The home is relatively close to local ameneties and facilities with good transport links. In appearance the premises blend in with the neighbourhood. There are spacious gardens to the rear of the property that are well maintained, some of the residents like to help in the gardening activities. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second of two statutory inspections to be carried out this year. The inspection was carried out over 2 days. The inspectors were Mrs Jenny Dunkeld and Mrs Joy Howson-Booth. The first date was unannounced on 11/10/05 and was over a 5.45 hr period. The inspectors needed to speak with the Deaf Society regarding a number of issues and made arrangements for the 27/10/05 for the discussions. This was followed by a second visit to the home on the same day. In total the 2-day inspection was over 9.15 hours. The inspection was carried out to assess the home against the National Minimum Standards for Adults. An interpreter, with the skills of the British Sign Language, enabled the inspector to communicate with the residents. The residents knew the interpreter and this made the visit pleasant for the people who live at Wynfield House, and gave them confidence to speak freely and openly. In general people were happy with the care they receive at Wynfield House with comments such as ‘The staff are good and the boss is lovely’ – this referred to the manager Frances Stockell. Whilst some residents remained concerned about the limited activities and outings, there has been a great increase in the activities provided since the last inspection. People said they could come and go as they choose but many of them require staff support to go out and transport. One resident explained that she and a number of other residents couldn’t travel on the Deaf Societies minibus, as there is no tailgate to give access to wheelchair users. She further stated that taxis are expensive. The staff and manager told the inspector of the regular small group trips out in the minibus to various destinations, as well as the individual shopping trips. The inspectors viewed the homes ‘activity record book’ which was evidence of the outings, such as ‘Hot Ice Show, Haydock Race Course, Knowsley’s Safari Park and Blackpool lights. Four Immediate Requirement notices were served during the first day of the inspection in relation to the physical standards and a separate letter has been sent to the Deaf Society in relation to these. By the 2nd day of the inspection some of the necessary work to the building had been carried out or plans had been drawn for these to be rectified within the time scales given in the Immediate Requirement notices. The staff spoke positively about the manner in which Fran (the registered manager) is managing the home. The staff stated that she ‘is so patient’ and ‘I feel I could speak with her at any time and she would listen’. The staff further commented on the pleasant atmosphere in the home. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 6 It was apparent to the inspectors that the manager has had a positive impact on the home during the relatively short time she has been in post. The 2 comment cards received from residents indicated that they were generally content in the care they receive. One comment card was received from a relative of a resident which was positive about the services provided at Wynfield House and how she is always made welcome at the home and kept informed of any matters affecting her relative. What the service does well: What has improved since the last inspection? What they could do better: Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 7 The Deaf Society needs to act upon the requirements and recommendations made. A number of these require some money spending on the home to ensure the building is well maintained in a safe state of repair. By the second date of this inspection the registered manager had already acted on the advice offered to her, however she does not hold the budget for the decoration or repair of the home. Some residents felt their finances were controlled for them and that they had little input about expenditure. There is a need to ensure people have a greater say over how they spend their money unless a risk assessment states otherwise. Magnetic self-closing devices have been installed to doors recommended by the Fire department. Whilst there has been an increase in activities available to people there is a need to address the concerns of people with reduced mobility having access to transport to enable them to participate in trips out etc. Menus need to offer 2 choices of the main meal of the day and for people to be asked the previous day as to which of the choices they would like. This ensures people have a say in the meals they want. Indeed menus should be drawn up in consultation with the residents. 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. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Full information is not always obtained which would enable the home to make an informed judgement as to whether or not they can meet the prospective resident’s needs. EVIDENCE: Care files for two recently admitted residents were examined and found to contain an assessment from the funding Social Services Dept. However, one of these assessments was dated several months prior to the admission and may not have accurately reflected the resident’s current needs. The manager of the home has completed care assessments but these were not always fully completed and the information provided in the pen picture section was sparse. For example, one resident’s history states “Employment/Work – biscuit factory”. Both residents had a fully completed admissions sheet although the inventories would benefit from being more detailed. For example, although individual items like televisions are noted there is nothing to identify these (serial number, make, model). The residents confirmed that in general their needs are met. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The care plans currently in place do not adequately provide staff with the full information they require to meet resident’s needs. EVIDENCE: Three residents files were examined and, since the previous inspection, these have improved. However, the following were noted: The files would benefit from being better organised, maybe by being split into different sections (health, social, care plan, assessments, etc) as the files examined contained a lot of historical information and it was unclear about the current needs and how these are to be met. The care plans were physical based (personal care, medical) and did not reflect a holistic picture of the residents’ needs. The manager has taken on board the recommendations and is arranging to review all care plans to ensure people’s needs are identified and goals set to meet their needs. The resident or their representative should sign the care plan. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 11 Care records evidenced that incidents were being recorded, for example, resident X “slipped in the bath” and “unsteady – possible 2 carers when bathing” but there was nothing updated in the care plan nor was there a risk assessment carried out. Information for one resident outlined in the pre-admission assessment had not been transferred into the care plan. Similarly, for this home, it would perhaps be of benefit for the medical information to include information about their deafness - ‘deafened’, ‘acquired deafness’ etc. along with individual methods of communication. The manager was advised that for one resident there have clearly been restrictions put in place regarding smoking. As outlined in standard 6, any restriction should be discussed and agreed with the resident concerned, risk assessed and clearly documented in the care plan and reviewed every 6 months, or sooner if needed. No risk assessment had been undertaken regarding this restriction. For another resident there had been a referral to see a Psychiatrist. There was nothing in the care plan to acknowledge this and/or indicate to staff why or to provide staff with information over the resident’s presenting mental health needs and how they should provide support. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 and 17 The residents’ expectations of their social and recreational needs being met have improved. Arrangements for planning to have good nutritional food are limited with little input expected from the residents. EVIDENCE: The 4-week menus viewed by the inspectors gave insufficient detail as to the content of each meal. For example, the menu reflected for some tea meals ‘residents choice’, whilst a choice of meal is advisable the content of the meals should be recorded to ensure a varied and nutritional diet. There was no alternate choice of main meal recorded, albeit the cook stated he would always offer an alternative if a resident did not want the meal. People were unaware of what was for lunch and as such would be unable to ask for an alternative until the meal was presented, which would limit availability of choice. The Community Dietician states that people residing in Care Homes should be offered a choice of 2 meals at the main meal of the day. This could be put into Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 13 practice by asking people the day before as to which of the 2 main meals on offer they would prefer. After lunch staff should ascertain what the residents would like for tea from the options available in order that their choice can be catered for. The inspector will send a copy of the guidance document provided by the Community Dietician. The comment cards received from the residents reflected that the residents do not have a choice of what they want to eat. Since the last inspection some of the residents have had far greater opportunity for going out on shopping trips and other outings for example, trips to ‘Blackpool Lights’ The Hot Ice show’ ‘Hay dock race course’. Other outings are planned for the near future such as a trip to see a Pantomime and Christmas shopping trips. However due to increased frailty or physical disability some people will not be able to access the Deaf societies minibus, to participate in some of these outings. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 There is insufficient information in care plans regarding residents’ personal preferences and routines. Resident’s healthcare records are not accurately maintained to evidence that their healthcare needs are being met. EVIDENCE: Generally, from the previous inspection, the care files have improved. However the care plans examined did not reflect resident’s wishes regarding their personal care, daily routines or preferences. This renders staff reliant on memory to provide support in the way the individual resident prefers. One of the recently admitted residents is sharing a room. The records do not evidence that any discussion with the current or prospective residents took place or consent obtained. It was also felt that a post admission meeting should have taken place, to make sure both parties were still happy to share and to identify any issues. The daily communication book evidenced that some personal medical information had been recorded within it and the manager was advised this should have been in the resident’s individual file to ensure the individual could read the information recorded about them without having access to information about other people. The daily communication book could merely state ‘see (name of resident) individual file.’ Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 15 Healthcare records examined were not accurately maintained and/or did not evidence that follow-up actions had been taken. For example, one daily record noted that the resident had requested to see their Dentist – but nothing had been recorded to say whether this had been organised. The resident stated that her daughter had taken her dentures for repair. Similarly, one of the new residents was to be registered with the Doctors surgery to enable tests to be carried out. There was no record this had happened or that the District Nurse was carrying out the tests. The current system for recording information reflected that a number of healthcare visits were not recorded on the ‘medical visits sheets’ – For example, urine sample being taken, continence adviser visits and continence assessments. The residents stated that they are enabled to visit their GP as and when necessary or their GP visits them, depending upon their condition at the time. The residents were content in the care they receive and said that they believe they are well looked after by some very caring staff. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Residents are not being provided with adequate protection. EVIDENCE: The home’s abuse procedure is not in line with the recommended Department of Health’s document “No Secrets” and as such needs to be revised. The manager had listened to a concern raised by some of the residents and acted upon the information received. However this had not been recorded nor the outcome communicated to the residents concerned. The Inspectors offered advice in relation to this and the manager has agreed to follow the advice offered. All concerns/complaints must be recorded in future. From the communication and daily diaries examined, it was clear that not all accidents have been recorded in the accident book. For example, accidents on 17.8.05, 15.9.05 and 24.9.05 for one resident, accident on 9.9.05 for another resident and accidents on 10.8.05 and 21.9.05 had not been recorded in the accident book. The manager was also advised to put in place an inventory for the cigarettes retained for one resident, as there is currently no auditing of these. The advice offered during the previous inspection in relation to the storage of money on behalf of the residents and the recording of all transactions needs to be fully implemented ensuring the management and staff are not placed in a situation where allegations of financial abuse could be made. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Some physical standards have not been maintained and require attention in order to keep a safe environment for the residents. EVIDENCE: The residents said they liked their rooms and felt comfortable in them. There is a Parker bath for people who require assistance to bathe. The home has a passenger lift to enable people to move between the ground and first floor with ease. The two lounges have had new carpets laid and these have enhanced the homes appearance. There is a well-maintained garden to the rear of the home and people like to walk or sit in the garden when the weather permits. The inspectors toured the whole home during the first date of this inspection and noted a number of areas of concern, these were discussed with the home’s manager and Immediate requirement notices served in relation to \some of these. However the manager does not hold a budget for this and has liaised with the Deaf Society regarding the issues raised. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 18 The Deaf Society had some of the areas of concern raised with them as part of the last inspection. It is therefore disappointing that some of these requirements/recommendations have not been acted upon. When the inspectors visited the Deaf Society during the second day of this inspection, they were informed that there is a rolling programme of decoration and of the time scales for the implementation of advise offered. The home is generally hygienic and clean however as during the previous inspection there was once again no soap or towel in Bathroom/toilet room ‘L’. The inspector advises that a doorbell that activates a flashing light in the resident’s bedroom when someone wishes to enter the room would enhance the privacy of the occupant. This should be seen as an essential part of caring for people who are deaf. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 The recruitment procedure for the home is not being followed which means residents are not being provided with adequate protection. EVIDENCE: Four staff files were examined in the home including two fairly recently appointed staff and the following were found; Three of the four files contained an application form. Only one file had any proof of identity. Only one file had two references, for the other three there were no references in evidence. Three of the four had a health declaration form. Criminal Record Bureau (CRB) disclosure forms were seen on file, although for one person the CRB clearance had not yet arrived but a POVA check had been carried out. Inductions had not been satisfactorily completed for the four staff, with two files not having any induction training, another had the induction form completed but, given the amount information covered, would have been too much for a new staff member to take in just on one day. The fourth file was not signed by the member of staff to indicate they had received and understood the training. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 20 For one member of staff there was an interview record, however it would appear the registered manager has not always been involved in the interview process. It was explained to the inspectors that this had been due to the manager being away on holiday and the urgency of the appointments. The inspectors visited the Deaf Society to view the files held there and to discuss the areas of concern. The staff spoken with had a professional attitude to their work and a clear understanding of their role. They spoke of the pleasant atmosphere in the home and of how the staff work as a team. It was apparent that they enjoyed their work and were committed to ensuring the residents have a good quality of life. At weekends the care staff also have to make meals, which takes them away from their care role. The Deaf Society must ensure that care staff carrying out a catering role are super numeral to the staff required to meet the care needs of the residents. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 & 42 The service users are not confident that their views would always be listened to and acted upon. The health, safety and welfare of the residents are not consistently protected. EVIDENCE: Some of the residents had raised concerns with manager regarding an issue and whilst the manager had acted upon the information given to her, it had not been recorded nor related to the residents concerned. The manger has agreed to re address this issue, ensuring the residents are content with the outcome. Whilst the manager and staff endeavour to ensure the residents live in a safe environment where their safety is upheld, they do not hold the budget for repairs to the building. 4 Immediate Requirement notices were served during the first day of this inspection, which related to the physical environment of the home. The Deaf Society has now made arrangements for these to be addressed. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 22 The residents stated that they feel the home is well managed by the new manager who they state is very kind. The deaf Society has agreed to offer the names of two of the trustees who will act as the named Responsible Individuals on behalf of the organisation. The registered manager has commenced training towards the Registered Managers Award. Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 2 X X X Standard No 22 23 Score 2 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 2 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 2 X X CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wynfield House Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 X DS0000009729.V256862.R01.S.doc Version 5.0 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA39 Regulation 24(1)(a) Requirement The registered provider must ensure that residents are regularly consulted about the quality of care they receive and any concerns should be recorded and acted upon. The service provider must ensure that at all times there are sufficient staff working in the home to meet the needs of the residents. The service provider must ensure that the records relating to the staff employed in the home are fully completed and up to date. The service provider must ensure all parts of the home are maintained in a reasonable decorative manner. The service provider must ensure the home is maintained in a safe manner The service provider must ensure records relating to health needs are kept up to date The service provider must ensure records relating to personal support are kept up to date DS0000009729.V256862.R01.S.doc Timescale for action 30/11/05 2 YA34 18(1)(a) 30/11/05 3 YA34 17(2) 31/12/05 4 YA24 23(2)(d) 31/12/05 5 6 7 YA24 YA19 YA18 23(2)(b) 17(1)(a) 17(1)(a) 25/10/05 30/11/05 30/11/05 Wynfield House Version 5.0 Page 25 8 YA12 16(2)(m) 9 YA17 16(2)(i) 10 11 YA6 YA2 15(1) 14(1) 12 YA23 13(4)© 13 14 YA23 YA7 16(2)(l) 20(1) The service provider must ensure the residents have access to local, social and community activities. The service provider must ensure people are offered a healthy nutritional diet, with choices given The service provider must ensure the individual’s plan of care fully explains their needs The service provider must ensure a full written assessment is made of all residents prior to admission. The service provider must ensure the homes Adult Protection Policy refers to the Department of Health booklet ‘No Secrets’ The service provider must ensure that the service users are protected from financial abuse The registered provider must ensure that the service users have control over their finances unless they state they do not wish to or they lack the capacity 30/11/05 30/11/05 31/12/05 30/11/05 30/11/05 30/11/05 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Wynfield House DS0000009729.V256862.R01.S.doc Version 5.0 Page 27 - 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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