Inspection on 25/09/06 for Wynfield House

This inspection was carried out on 25th September 2006.

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 10 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 11/10/05

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 25th September 2006 9:30 Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 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.V287143.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 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.V287143.R01.S.doc Version 5.2 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 New manager not yet registered. Care Home 19 Category(ies) of Sensory impairment (19) registration, with number of places Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 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) 11th October 2005 Date of last inspection Brief Description of the Service: Wynfield House is registered under the Care Standards Act 2000, to offer accommodation and personal care to up to 19 adults with a sensory impairment. The accommodation 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 amenities 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 service users like to help in the gardening activities. The current fees per week are £343.25. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was carried out over a day. The inspectors were Mrs Jenny Dunkeld and Mrs Joy Howson-Booth. The visit was unannounced on 25/9/06 and was over a 5.5 hr period. The inspection was carried out to assess the home against the National Minimum Standards for Adults. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of service users during the site visit. All records relating to these individuals are examined. An interpreter, with the skills of the British Sign Language, enabled the inspector to communicate with the service users. Some of the service users 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 new boss is nice’ – this referred to the manager Mr Grenhalgh. Some service users remained concerned about the limited activities and outings. People said they could come and go as they choose but many of them require staff support to go out and transport. The homes ‘activity record book’ reflected outings, such as ‘Hot Ice Show, Haydock Race Course, Knowsley’s Safari Park and Blackpool lights. Three Immediate Requirement notices were served during the inspection in relation to the physical standards and a separate letter has been sent to the Deaf Society in relation to these. A satisfactory response has been received in relation to these. The staff commented on the pleasant atmosphere in the home. One service user said ‘we have been here a long time and we are all friends’ Another commented ‘The staff are really good, nothing is too much trouble’ What the service does well: The service has the best interest of the service users at heart, which is apparent from the service users stating that they are well looked after. The manager is keen to make improvements to the care plans and took on board the advice offered during this visit. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 6 The manager and staff are endeavouring to ensure that people have a life style according to their needs and wishes with some in-house activities being offered to stimulate people. The service ensures that the staff are enabled to communicate with the people who live in the home by encouraging them to learn the British Sign Language. Other training is also available for staff for example Food Hygiene. The staff consult the service users as to their preferred meal. What has improved since the last inspection? What they could do better: The Deaf Society needs to act upon the requirements made to ensure; The building is well maintained in a safe state of repair. That service users have their health and personal care records kept up to date. That people have a wide choice of activities and access to the local community. Some service users felt their finances were controlled for them and that they had little input about expenditure. People living at Wynfield House have same rights as anyone else, including their right to control their own expenditure. There is a need to ensure people have a greater say over how they spend their money unless a risk assessment states otherwise. Ensuring service users receive a copy of their individual bank statements would help towards their knowledge of their financial state. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 7 Magnetic self-closing devices have been installed to some doors and a number of other doors are going to have these fitted to ensure the prevention of fire spreading. Fire doors must not be wedged open other than in a manner that ensures they automatically close should the fire alarm be sounded. 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.V287143.R01.S.doc Version 5.2 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.V287143.R01.S.doc Version 5.2 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 The quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The home does not always gather information about the resident to ensure it can meet the individuals needs’. EVIDENCE: The care files for the last 3 people admitted to the home were viewed as part of the case tracking process. These revealed that none of them had a pre admission assessment carried out by the organisation prior to admission; one of the service users did not have a social work assessment either. There is a requirement to carry out an assessment prior to people being admitted to ensure their diverse needs can be met. This was outlined in the report following the last inspection 11 months ago. There is a need to ensure that the staff are aware of the service users medical conditions in order that their health can be monitored. The care plans examined lacked detailed information and as a result staff are unaware of peoples medical needs and therefore are unable to offer the correct care. While the service users said they are happy with the care they receive, there is a need to ensure all their needs are fully assessed to ensure they can be met within the home. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 10 It is from the assessment that the care plan should be drawn up to ensure residents diverse needs are addressed with a clear plan of how the individual wishes them to be met. The overall assessment process at the home did not confirm that all residents needs could be properly met and cited one example in particular was discussed with the management team. At this visit three single beds were situated in a double bedroom. This is in conflict with the National Minimum Standards for a care home. The situation was remedied at the time of the visit. People don’t always get an opportunity to visit the home before becoming a resident due to them coming from some distance away. This limits people’s rights to choice and decision-making. This home is one of a limited number that care for people who are deaf, and potential service users should be invited to pay a visit prior to taking up residency or the home should make arrangement to ensure people are provided with good information to help them make an informed choice. The service has developed a Statement of Purpose and a Service Users Guide, which provides basic information about the service and the specialist care the home offers, this enables prospective service users to have some information about the home, prior to admission. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 11 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): 6,7& 9 The quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The care plans for service users are adequate but may not address the individuals needs fully, which results in them not achieving their goals. EVIDENCE: The care plans viewed as part of the case tracking process had a section on ‘routine/likes/dislikes’ for 2 people this had not been fully completed. The individual’s religion is recorded but not how the person will be supported to follow their religious beliefs. The care plan for another resident states ‘at risk of falling’ but there was no risk assessment on file. The manager stated he is currently reviewing the existing plans of care and introducing new ones that give a comprehensive picture ensuring peoples diverse needs are met. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 12 The new care plans cover comprehensive areas but they had not been fully completed and were not dated. There was a pen picture included on the some of the service users care files reflecting their background such as history of employment, social interests etc. This enables care staff to have a greater understanding of the individual. The care plans overall are adequate. However the files contain an abundance of information making it difficult to know what are current needs.There are daily notes recorded about each individual. The personal files for people include a contract with the Society (Blackpool and Wyre Deaf Society) for the society to retain £7 out of personal allowance for ‘clothes trips out and any other personal expenses’. Each person has a bank account that this is paid into. However the statements for the bank accounts go to the society and leave the service user with no idea of how much money they have. In the report following another inspection the Society was advised that they must ensure each service user receives their own bank statement. There was no evidence of this having been carried out and the manager was not aware of any bank statements being sent to the individuals. Some service users who smoke have their cigarettes managed by the home, in that they are kept in the office from where service users request one. There is nothing recorded on their files to explain why this is necessary. This takes away their equal rights to decide how much they smoke and when. People should be able to look after their own cigarettes unless a risk assessment dictates otherwise. As there are no pre admission assessments, risk is not assessed and risk strategies are not in place. Risk assessments must be carried out in order to minimise risks to the individual. The service users generally spoke positively about the home and of the care they receive, comments included ‘the staff are really good’ ‘it’s good living here’ and ‘It’s wonderful here’ ‘We can get up when we want’. However some people felt there was a lack of activities and one service user said she would ‘like to go out sometimes as she gets bored’ whilst another said she doesn’t ‘want to go out as my legs are not good now and I am happy to read and sign with my friends’ Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 13 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): 12,13,15,16 & 17 The quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The meals in the home are good offering both choice and variety. Residents lack fulfilment in their lives because of the lack of activities. EVIDENCE: In general there is a lack of fulfilment for some of the people living in the home. One Service user said she would like to go out as she gets bored. Albeit she spoke of an outing she’d had ‘with the new boss’. The homes communication book reflected that the following activities periodically occur: • • • Pat-a- dog, An outing to Lowther Gardens A day at Blackpool Zoo. In addition the daily diary reflected some people go to church, go out for a walk, or out to the pub. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 14 The service users are diverse in their needs, and accordingly there needs to be a wider range of activities available. The diverse needs of people in relation to activities must be assessed and people fully consulted in order that their full holistic needs are catered for. Residents need to have information about their savings, so that those who want to and are able to can decide to how to spend their saving and this would contribute to the residents sense of fulfilment The service users commented ‘the meals are good and we get a choice now’. The menus viewed covered a 4 weekly cycle and reflected choices at all mealtimes. The menu’s showed a healthy balanced diet was offered. During the lunch meal it was noted there was good presentation in that people could help themselves to potatoes and vegetables. Tables were well laid but the place mats needed replacing as they had become tired looking and dirty. People were using their fingers to push the desert onto their spoon a desert fork would have been useful, as would serving spoons to go with the tureens. The addition of napkins would further enhance the overall appearance of the dining room and the dignity of the people who live there. Equally drinking glasses should be used and not plastic tumblers unless a risk assessment dictates otherwise. Service users were observed to wipe their fingers on their clothes as there were no napkins. One persons mealtimes needs were not being met. Food had not been cut up for the person. In addition the dessert was not provide in a suitable dish for the person. All service users were very pleased with the quality of meals and said how much better the meals are since the last inspection of the home. They stated that the new chef was very good. There is also a chef at weekend and this has proved to be beneficial as care staff can now concentrate on their duties of caring for people without having to prepare the main meal of the day. The care staff at the end of the lunch meal asked each service user what they would like for tea and this was recorded in order that their requests could be met. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 15 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 & 20 The quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. Health care needs of residents are not always recorded and consequently staff are unaware of the service users medical requirements. EVIDENCE: There was evidence on the care files of District Nurse, chiropodist, optician visits, also of Psychiatric involvement and Community Psychiatric nurse where appropriate. However for one service user there is no information about the type of her dementia or how this will impact on her needs. The staff were not aware of her having a dementia. Indeed there was no medical record for this resident. Then staff have not received training in the care of someone with a dementia and consequently have limited understanding of this service users needs. There were no disclaimers on file to reflect the individuals’ wishes in relation to medication, whether they wish to administer their own medication or have the staff administer it to them. Whilst 2 staff have a certificate for the safe handling of medication these need updating. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 16 It was noted that eye drops had not been dated as to when they were opened and therefore could be being administered after the dispose date (after one month of opening.) A consultant psychiatrist made the following comment on a comment card to the CSCI ‘Staff are committed to their patients, open to advice and approach GP and ourselves appropriately.’ Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 17 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): 22 & 23 The quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The staff lack training in the protection of vulnerable people from abuse, which may result in service users not being safeguarded. EVIDENCE: The residents spoken with as part of the care tracking process stated that they had no complaints but if they did they would tell the staff or the manager. The Service Users Guide contains the homes complaints procedure, however the residents spoken with did not know where their copy of the Service Users Guide was. The displaying of a guide in the hallway of the home would be beneficial in helping service users know how to complain The complaints procedure displayed on the office notice board does not give adequate information and needs up dating. The staff spoken with were aware of the action to take should there be a complaint made but not what the policy is in relation to allegations of abuse. The homes protection from abuse policy is in line with the Department of Health guidance ‘No Secrets’ Not all staff have received training in relation to safeguarding adults and protection from abuse. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 18 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 The quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The home lacks monitoring of maintanance and leaves the service users living in an environment that may not be safe. EVIDENCE: Immediate requirement notice was served in relation to fire doors being wedged open. The Fire Department should be consulted about methods of holding fire doors open without jeopardising the safety of the service users. An immediate requirement notice was also served in respect of a large window on the main stair well which had a hole in it and needed boarding up until it is replaced, in order to safe guard the residents. There are parts of the home that require decorating and this requirement was made following the previous inspection of the home. There has been a quote for the decorating of the stairs and hallway. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 19 Bedroom G has a linoleum type floor cover and this should be covered with carpeting to meet the needs of the current occupant. Some beds do not have headboards and these should be supplied unless a risk assessment dictates otherwise. There was an odorous atmosphere in one bedroom; actions should be taken to overcome this for the dignity of the person who sleeps in the room. Input from the continence advisor may be beneficial. An immediate requirement notice was served in relation to 3 beds being used in a room registered to take 2 people. It became apparent that the home while registered to take 19 people only has space to admit 18 people. The provider should apply to reduce the registration to 18 places. The homes manager is looking to introduce bell pushes to bedroom doors that would produce a flashing light in the residents bedroom to alert them to the fact that someone is about to enter. This is following the advise offered during a previous inspection. The home offers equality of access to the building as people who are disabled have entry without steps at the rear of the home. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 20 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): 32, 34 & 35 The quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The homes recruitment procedures ensure that the staff employed are of good character therefore safeguard the residents. EVIDENCE: All records that were examined in the staff recruitment files were satisfactory and staff siad that they had undergone all of the employment checks before starting work at the home. The staff spoken with had a professional attittude to their work and in general good understanding of the needs of the residents. The residents spoke positively about the staff, comments included; ‘the staff are great’ and ‘nothing is too much trouble’ The staff require training in relation to the protecting vulnerable adults from abuse. One carer on duty had not received training nor had sight of the homes procedure leaving her unsure of actions to take should become aware of any abuse. However she stated she would tell the manager. All staff receive formal supervision which enables their training needs to identified. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 21 3 service users commented that occassionally there were not enough staff on duty. Staff rotas were viewed and in general the staffing level meets the needs of the residents. Occassionally this dropped if a member of staff had phoned in sick at short notice. Agency staff have been used to cover for staff vacancies. The home has had a high staff turnover which is now beginning to settle. 6 staff had left between November 2005 and May 2006. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 22 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): 37, 39 & 42 The quality in this outcome is adequate. This judgement has been made using available evidence including a visit to this service. The new manager at this home is establishing himself and his new systems. Staff and residents are, in the main, satisfied with the homes management. EVIDENCE: Mark Greenhalgh has been appointed as the manager of the home and is applying to be registered with the Commission for Social Care Inspection. The manager is endeavouring to ensure the home is managed effectively. He spoke of how people in the home are consulted on a regular basis to ascertain if they happy with the service on offer. This could be formalised by periodically offering the service users a simple questionnaire to complete. The Deaf society has not as yet offered formal supervision to the manager. This is important in order that he feels supported. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 23 The deaf society has not ensured the health and safety of service users, resulting in the three immediate requirement notices being served The recently appointed manager is endeavouring to ensure the home is a safe environment for the service users to live in, by regularly checking the home for health and safety issues. Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 24 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 Standard No Score 1 x 2 2 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 2 STAFFING Standard No Score 31 x 32 2 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 x 2 x LIFESTYLES Standard No Score 11 x 12 2 13 2 14 x 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 x 2 x 2 x x 2 x Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 25 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 service users are regularly consulted about the quality of care they receive and any concerns should be recorded and acted upon. 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 The service provider must ensure the service users have access to local, social and community activities. Timescale for action 14/11/06 2. YA24 23(2)(d) 31/12/06 3. YA24 23(2)(b) 31/10/06 4. YA19 17(1)(a) 14/11/06 5. YA18 17(1)(a) 30/11/06 6. YA12 16(2)(m) 14/11/06 Wynfield House DS0000009729.V287143.R01.S.doc Version 5.2 Page 26 7. YA2 14(1) The service provider must ensure a full written assessment is made of all service users prior to admission. 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 The service provider must ensure the staff receive appropriate training. 14/11/06 8. YA23 16(2)(l) 30/11/06 9. YA7 20(1) 14/11/06 10. YA35 18(1)© 30/11/06 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.V287143.R01.S.doc Version 5.2 Page 27 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.V287143.R01.S.doc Version 5.2 Page 28 - 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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