Inspection on 02/06/05 for Wynfield House

This inspection was carried out on 2nd June 2005.

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.

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 11/10/05

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 HOMES FOR OLDER PEOPLE Wynfield House 115 Newton Drive Blackpool Lancashire FY3 8LZ Lead Inspector Jenny Dunkeld Unannounced 02 June 2005 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 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. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wynfield House, Address 115 Newton Drive, Blackpool, Lancashire. FY3 8LZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01253 392183 Blackpool & Fylde Society For the Deaf Frances Norma Stockell CRH Care Home 19 Category(ies) of SI Sensory Impairment 19 registration, with number of places Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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) Date of last inspection 23rd November 2005 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 impairement. 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. The residents may participate in activities at the local Deaf Club if they so choose. Others due to their increasing age choose to stay in the home and read or knit etc Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two to be carried out this year. The inspection was carried out over 2 days. The first date was unannounced on 22/4/05 but as there was no registered manager in post and no-one available in the home from the Deaf Society a second visit was arranged for 2/6/05 when the newly appointed Registered manager would be in post and available to discuss the issues of concern from the 22/4/05. The inspection was carried out to assess the home against the National Minimum Standards for Adults. On the 22/4/05 during the unannounced part of this inspection some of the records the home is required to maintain within the home were not available during the first day of the inspection, such as the record of residents finances, that are given to the home for safe keeping, or because the resident is not able or wish to look after their own money. The staff spoken with during on this day stated they were tired from working additional hours to cover the home during the time of there being no manager in post. Although the staff were doing the best they could the home lacked guidance and effective management. One senior carer commented that they are looking forward to the new manager starting and hoped that she would have a good impact on the home for the sake of the people who live there. The arrangements for the safe handling and storage of medication were not adequately maintained and the Mr Simon Hill the pharmacist Inspector has sent a separate letter to the home about these issues. 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 kind’ ‘There is a new member of staff who is black but she is fine’ ‘The food is good’. Their main concern was the lack of activities and outings. Whilst people said they can come and go as they choose, many of them require staff support to go out and this is not helped by the current staffing situation for example, no manager, the desire for outings is further hampered by the home’s mini bus being in need of repair. 2 residents said they would like to go dancing another said she would like to go out for a drink. 3 people said that the staff don’t sit and chat/sign with them. Some people commented that they were bored and if they could they would Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 6 like to go home. One person summed it up by recognising that although they are older now they ‘ Want to live, we are not dead yet’. The home required guidance to ensure the physical standards were maintained to protect the privacy and dignity of the residents, such as ensuring toilet doors were not wedged open and that all bathrooms and toilets have towels and soap available. The atmosphere in the home felt depressing to the inspector. On the 2/6/05 the date of the second part of this inspection, the homes registered manager had been in post but a few weeks, however the effect of her presence in the home was praiseworthy. Many of the concerns raised during our visit on the 22/4/05 had been addressed and acted upon. As the inspectors entered the home there was a feeling of life. The residents were interacting and acknowledging that someone had entered their home and greeted the inspectors. The staff spoke positively about the manner in which Fran (the registered manager) is managing the home. The staff stated that she ‘has consulted with us’ and ‘asked our opinions of what needs to be done to improve the quality of life for the residents’ and ‘has listened to our concerns and acted to improve the home’ 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 Pharmacist inspector was pleased with the improvements that had been made in relation to the home’s administration and storage of medication, he stated that all the issues he had raised on the 22/4/05 had been addressed and rectified by the 2/6/05. The maintenance of standards such as soap and towels being available in bathrooms and toilets had been addressed and put in place. The records required by the Care Home’s regulations, to be maintained in the home were now available for inspection and were being well maintained. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 7 What the service does well: What has improved since the last inspection? People are enabled to go out of the home to various destinations enabling them to be known in the area and feel part of the local community. People are encouraged to have a more fulfilling lifestyle, by the staff finding out about each persons wishes and acting accordingly for example people are being consulted about activities and holidays. The home is beginning to introduce people to the home for the benefit of the residents e.g. ‘PAT the dog’ This is an organisation that will bring a trained dog into the home for the residents who wish, to stroke and befriend. The kitchen has had a face-lift, with new fridges, chopping boards etc and appears clean and tidy. The residents state that the food is good and there are adequate stocks of food in the home. The home has been awarded the Investors in People Award and is waiting for the certificate to arrive. This is an award that shows that the home is committed to providing training and support for the staff who work there which means that the residents benefit from having people who are skilled and knowledgeable in care work helping them in their daily lives. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 8 The home now has a registered manager. In order to be registered the inspector carried out a number of checks on the manager. Those check are intended to make sure the person asking for registration is properly qualified, skilled and experienced to run a care home. The lounge carpets have been replaced, and give a more homely appearance to the 2 rooms. The homes atmosphere is pleasant and people appear more content in life. What they could do better: The home has a registered manger who is enabling a number of improvements within the home for the benefit of the residents such as listening to the wishes of the residents about a social life. However the service needs to apply to have a person(s) named to as responsible for the home on behalf of the organisation; this could be one or two of the trustees/ the company Director and or secretary. This person(s) would then ensure the home is managed according to the organisation’s expectations and the requirements of the Care Standards Act 2000. The comments below are not a reflection on the current manager as she has only been in post a short time, however these are issues which need addressing; Currently the people living at Wynfield are not provided with the opportunity to go on holiday and during the inspection visit some residents did say they would like to go on holiday. It is important that the home takes into account these comments so that residents are able to lead fulfilling lives. Currently the home has some rooms in need of re-decorating such as the back stair way, the home would benefit from having a rolling programme for decoration etc. In order to ensure an effective staff team and listen to the concerns of the staff the manager is beginning to ensure that all staff receive formal supervision at least 6 times per year,. (This is a process whereby the work performance and training needs of the individual are discussed with him/her.) this needs to continue Similarly each member of staff needs to receive thorough Induction training programme when appointed to ensure the needs of the residents are known and consistently met. Each person living at Wynfield House has a plan of care identifying their needs and setting goals in order their needs can be met. However there are times when the needs are not explicit, for example ‘Needs assistance with bathing’ Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 9 the reader would not know what assistance to give, the plan must be explicit e.g. ‘needs assistance to get into the bath’ There is currently no hand-washing facility in the staff toilet area and therefore the manager has agreed to consult with the Environmental Health Dept. to find an acceptable solution to this issue. The home has a thorough recruitment policy including advertising in the local newspaper however the manager must ensure that advertisements for new care staff are explicit and do not say ‘Hours to suit’. This statement could mean hours to suit the applicant rather than the needs of the people who live at Wynfield House. 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 v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 10 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 Standards Statutory Requirements Identified During the Inspection Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 11 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Whilst the home endeavours to meet the needs of people, they are admitted to the home without a prior assessment of need. EVIDENCE: The inspector looked at the files containing the plans of care for 3 residents and found no pre admission assessments. Indeed the Service User’s Guide ( a brochure all about the home and the services on offer) that is given to each prospective resident explains that the home carries out their own assessment during the first 4 weeks of the trial residency. The manager and staff confirmed that this is the normal practice. Whilst in general people did not complain that their needs are not met perhaps if an assessment had been carried out prior to the admission the management might have been aware of the total likes and wishes of the person, for instance ‘likes to go dancing’ or ‘likes to go out for a drink’. These aspects of life might not be discovered once the person has lived at the home for 4 weeks as the individual will not have had opportunity to do them. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 12 This Section of the National Minimum Standards requires that persons are only admitted to the home following a detailed assessment of needs to ensure the service is capable of meeting the needs. The CSCI accepts that this is not always possible as the person may be being admitted from another part of the country. Upon such occasions the Social worker should provide the initial assessment and the home then carries their own assessment as soon as possible following admission. A plan of care should then be developed from the assessment ensuring that the individuals needs are met in the most appropriate way. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 13 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9,10 Arrangements to meet the health care needs of the residents are good. The residents have their needs including Health, personal and social care identified and are outlined in the individuals plan of care. The residents are treat with dignity and respect. EVIDENCE: The individual plans of care for 3 residents were viewed, these contained a record of all health professionals visiting the resident for example, their Doctor, Chiropodist, Dentist and the dates the visits took place. The visits were at the frequency required by the individual resident. The residents stated they are assisted to go to see the Doctor or he calls to see them, depending on their condition. They also stated that they are given their medication regularly and at the time they should have them. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 14 The residents all appeared healthy at the time of this visit. However some of the plans of care need to be expanded upon statements such as ‘needs assistance with a bath’ should reflect precisely what assistance is needed. The staff spoken with were aware to uphold the privacy and dignity of the privacy and dignity of the residents. However as the residents are deaf the staff would get no response if they knocked on the bedroom door. The provision of a doorbell on each door that triggered a flashing light bulb when someone wished to enter would be an asset in further promoting the privacy and dignity of the residents. The staff stated that all personal care such as toileting and bathing is given in privacy ensuring doors are closed. Cupboards are provided in each bathroom/toilet for storing incontinence pads and gloves to protect the dignity of the residents. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 15 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 &15 The residents on the date of the first visit had low expectations of their social and recreational needs being met. Arrangements for planning to have good nutritional food are good. The residents are provided with good food to ensure healthy living EVIDENCE: On the first date of this inspection some of the residents were not happy about their social life which they felt was none existent. One lady commented ‘We want a life, we are not dead yet’. 2 people stated they would like to go dancing, another said they’d like to go for ‘a drink’. 3 people said they wish the staff would just sit and communicate with them. People who require support to go out said they were bored and if they could they would go home. The mini bus is broken and that has added to their boredom and lack of outings. By the second date of this inspection the registered manager was in post and had listened to the concerns of the residents about their boredom, and along with the staff looked at ways of resolving the issue. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 16 The mini bus has been repaired and people are going out on a fairly regular basis to various destinations. People are also being enabled to go shopping on an individual basis with staff support to purchase new clothes of their choosing. This increase in activity has had a positive effect upon the residents who were more alert and content in life. There are plans to look at some people choosing a holiday. The inspector viewed the menus and whilst the meals recorded were nutritional not all meals were detailed, some entries stated ‘residents choice’. It is good that people are able to choose what they wish to eat; the actual choice of meal needs to be recorded. Most residents made positive comments about the food they receive, such as ‘the food is good’ and ‘ oh we get good food here.’ However one lady who has no teeth said ‘the meat is sometimes hard and chewy’ It may be that she needs a softer option at some meal times depending on the content. The manager stated that the new chef has had a good impact on the catering. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The arrangements for dealing with complaints are good. Residents can share their views and feel they are listened to. EVIDENCE: The home has a well written policy on complaints, however this makes reference to the National Care Standards commission which was replaced in April 2004 by the Commission for Social Care Inspection (CSCI) The policy needs to reflect the change and ensure the address and phone number of the Commission are included in the complaints procedure. It may also be useful to point out that the CSCI office has a mini com, to aid communication with deaf people. The complaints procedure is contained in the homes Service Users Guide as well as displayed on the notice board, thereby ensuring people are aware of their rights to make a complaint. The staff stated that try to act upon ‘niggles’ before they become a complaint, to ensure the residents are happy in their home. The home has a complaints book where concerns are recorded and acted upon. The residents said they had no complaints, but would tell the staff if they had. This aspect of care was addressed during the first inspection when the interpreter was present, and before the new manager commenced her duties. It is evident from talking with the staff that the manager takes on board the concerns of the residents and the staff and addresses the issues. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 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 also, 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 the following, which was discussed with the homes manager who will ensure these are addressed; Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 19 The Gents toilet door was wedged open, which would offer little privacy. Room F had a broken door handle Room G had lino on the floor which needs to be replaced with carpet in order to offer greater comfort to the resident. Whilst the resident has not complained about this, he is a very kind man who would not wish to cause any extra work. The back stairway has some missing wall paper and this detracts from the homeliness of the house. Bathroom L needs a toilet roll holder and there was no soap or towels. The laundry door was wedged open and as this is a fire door there is a health and safety issue that needs addressing. Doors should only be wedged open by magnetic self closing devices, these are devices that hold the door open but once the fire alarm is sounded they would automatically release the door. The curtains in room H are thin and cream and as such do not keep out the light and may cause the resident difficulty in sleeping. The dining room door does close effectively into it’s frame and needs attention The dining room furniture is beginning to look tired. The pedal bin in the gents ground floor toilet needs replacing as the pedal is missing. It was noted that the kitchen was looking much improved. Cleanliness has been addressed and new fridges etc installed. During the second part of this inspection with the guidance of the manager many of the observations raised above had been addressed. The staff toilet that has no hand washbasin is to be discussed with the Environmental Health to ask them for some guidance on a way forward to improve the current practice of walking to another room up the corridor to wash their hands. The office window requires curtains or blinds to offer some shade from bright sunlight. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 20 The home needs to have a rolling programme of maintenance to ensure the home is maintained at a level that meets the requirements of the National Minimum Standards and the needs of the residents. Risk assessments need to be maintained reflecting how any hazards are to be addressed. Radiator guards have been installed to prevent the residents from burning themselves against very hot radiators. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 21 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 There are good recruitment and selection processes being used at this home and this means that only suitable people are employed and resident enjoy a degree of protection from poor practice. EVIDENCE: The inspector viewed the homes rota and noted that the current staff vacancies are being filled by existing staff working additional hours and by agency staff being employed. Whenever possible the same agency staff are used to minimise any inconsistencies in care. The care staff stated that the home was more likely to recruit if the minimum wage of £4.85 per hour was exceeded. The residents stated that the staff are kind and that nothing was too much trouble for them. The staff were observed carrying out their role in a friendly and polite manner. A selection of the Staff Records were viewed and these reflected a job application form 2 references Criminal Records Bureau disclosures A Photograph of the member of staff Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 22 The above information outlines that the recruitment practices have improved and that the residents are protected by the recruitment procedure. However there were no ‘health declaration forms’ this is a form where staff state they are physically and mentally well enough to do the job. A recent advert for care staff was badly worded in that it states ‘Hours to Suit’ Obviously the hours that are required of a new employee must be to meet the needs of the residents rather than to suit the individual’s desirable working arrangements. Adverts need to be specific so as not to mislead applicants into thinking they can work whatever hours they choose. The records of staff formal supervision/appraisals were viewed on the first date of this inspection. It was evident that not all staff have received supervision at the required frequency of 6 times per year. The manager is aware of the need to ensure this practice is put into operation and is making arrangements to ensure it is carried out. The current staff induction programme for newly appointed staff needs to be reviewed to ensure it affords the staff member with a sound basis upon which to develop good working practices. The registered manager stated that the staff have been very good since she commenced and have already enabled her to bring about the positive changes within the home. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 23 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 & 38 The arrangements to protect resident’s money and property are good. Resident’s money and property are safeguarded. Experienced management run the home. The residents live in a well managed home. There are good arrangements for ensuring the health and welfare of the residents. EVIDENCE: Where possible the residents are encouraged to handle their own finances. However the majority of people choose to save an amount of money on a weekly basis have given consent in writing to the Deaf Society for them to deduct the savings from their weekly allowances. The inspector viewed the signed documentation, which is reviewed on an annual basis or sooner if the resident should choose. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 24 Each residents savings go into a bank account and statements are sent for each individual to the local Deaf Society office. The inspector has advised that the Bank Statements should go to the individual in future. They can then decide what they wish to do with their savings e.g. buy new clothes, go on a holiday/trips out. Some of the people who live at Wynfield House are unable to manage their own finances and the manager then arranges for their weekly money to be securely stored within the home in order that the individual can have cash as and when they choose/need. A record of all transactions is made on an individual basis. The inspector viewed the records, which were accurate. However there is a need for the two people witnessing the transactions to sign the documentation and not merely put their initials. The cash boxes for each individual are checked at each staff shift change over, thereby enabling a quick identification of when transactions have been inaccurately recorded. This is a good practice. The plans of care for each resident reflect that their health care needs are promoted and protected. The manager makes regular inspections of the building to ensure the safety of the people who live there. The Fire and Environmental Health Departments have inspected the home in the last 12 months and have made recommendations, which have been addressed. The home has recently been assessed for the Investors in People Award and is currently awaiting their certificate. Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 25 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x 3 Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 26 yes 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 31 Regulation 17(2) Sch4(6af) 13(2) Requirement Information and documents as outlined in Schedule 4 (6) of the Care Homes Regulations 2001 must be kept at the care home in respect of each staff member. The manager must ensure all medicines are securely stored with reference to medicines requiring cold storage.(Not previously met) The manager must ensure the individual plans of care are explicit e.g.needs assistance with bathing There is a need to state what kind of assistance The manager must ensure there is a thorough Induction Programme for all new staff The manager must ensure all staff receive formal supervision at least 6 times per year The manager must ensure a rolling programme of decoration to ensure the home is suitably decorated. The manager must arrange for a pre-assesment of potential residents needs before admitting the person to the home. Thereby ensuring their needs can be met at Wynfield House Timescale for action 30/07/05 2. 9 30/06/05 3. 7 15(1) 01/08/05 4. 5. 6. 29 29 19 18(1) 18(2) 23(2d) 15/08/05 15/08/05 31/08/05 7. 3 14(1) 30/08/05 Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 27 8. 16 22(7) The manager must ensure the homes complaints procedure includes the name, address and telephone number of the Commission 30/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard 32 19 19 29 14 Good Practice Recommendations 50 of care staff should achieve NVQ Level 2 The manager should talk with the Fire Dept. about an appropriate device for holding fire doors open, that would release the door if the fire alarm was activated The manager should consult with the Environmental health dept. regarding the facility for staff to wash their hands after using the toilet The manager should ensure that advertisements for recruiting new staff are explicit. The manager should ensure that people wishing to have a holiday are enabled to do so Wynfield House v217698 f57-f09 s9729 wynfield house v217698 220405 stage 41.doc Version 1.30 Page 28 Commission for Social Care Inspection 2nd Floor, Unit 1 Tustin Court, Portway 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. 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