Care Home: St Winifred`s Nursing Home

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What the care home does well The home is well managed and is run in the best interests of people living there. The views of people living in the home are asked for at meetings and through surveys. Staff listen to peoples` comments and take appropriate action. Anyone thinking of moving into St Winifred`s can go and look around and get written information about the home, the Service User Guide. If they decide to move in, staff from the home will carry out an assessment to make sure they can meet that persons needs and arrange a day for admission. Staff are quick to involve Gps and other health care professionals to make sure people`s health care needs are met. People living in the home and/or their relatives are involved in the care planning process. This means that they have a say about the care and support they receive. The medication system is well managed. this means that people get their medication at the right times. Relatives and friends are made to feel welcome and can visit at any time. There are activities on offer for people to join in with if they want to. Meals at the home are good offering choice and variety. Improvements to the environment are ongoing. There is a program of redecoration and refubishment to make sure the home is kept in good condition. People living in the home like the staff. Staff are well trained and competent to do their job. What has improved since the last inspection? Improvements are being made to the care planning system to make information about people`s needs easier for staff to find. This will make it easier for them to check what support people need. What the care home could do better: Staff need to make sure that people`s preferences are included in their care plan. This will make sure they get the care and support they want. Inspecting for better lives Key inspection report Care homes for older people Name: Address: St Winifred`s Nursing Home 89 Crowtrees Lane Rastrick Brighouse West Yorkshire HD6 3LR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Paula McCloy     Date: 0 9 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: St Winifred`s Nursing Home 89 Crowtrees Lane Rastrick Brighouse West Yorkshire HD6 3LR 01484720100 01484722689 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Vishomil Limited Name of registered manager (if applicable) Mrs Amanda Jane Woolford Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: One named service user under 65 years of age with a physical disability. Date of last inspection Brief description of the care home St Winifreds is situated in Rastrick; there are shops, library, pub, hairdressers and pharmacy near by. St Winifreds is a care home with nursing. It is a stone built property, which has been extended to provide accommodation for 38 older people. The building is very well maintained, pleasantly decorated and comfortably furnished. There is a car park to the front of the building and a courtyard in the middle of the building where people can sit in the nice weather. There are single and double bedrooms available many of which have en suite facilities. 0 Over 65 38 care home 38 Care Homes for Older People Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The current weekly charges at St Winifreds range from 371- 640 per week. Additional charges are made for hairdressing, chiropody and newspapers. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforement action will be Care Homes for Older People Page 5 of 26 taken. The last key inspection took place in February 2007. This inspection was carried out to assess the quality of care provided to people living at the home. The inspection process included looking at the information we have received about the home since the last key inspection as well as a visit to the home, which lasted approximately 6 hours. During the visit we spoke to 10 people living in the home, 7 members of staff, the manager and 1 relative. We also observed staff delivering care, looked at various records and looked around the home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get Care Homes for Older People Page 7 of 26 printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People get written information about the service and can visit to see for themselves if they think it is suitable. No one moves into the home unless staff are sure they can meet their needs. Evidence: There is a Statement of Purpose and Service User Guide, which give people information about St Winifreds and the service they offer. Copies of these documents are readily available in the reception area, together with the last inspection report from us. This means that people get information about the home before they move in. A member of staff from St Winifreds will go and assess anyone thinking of moving into the home. There is an assessment document that staff complete, which means that peoples needs are identified and that staff are sure they can meet those needs before people move in. Care Homes for Older People Page 10 of 26 Evidence: Staff said that they encourage people to come and have a look around before they move in, although it is more usual for relatives to do this. One person told us that her daughter had visited the home and she thought that she had made a good choice. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health and personal care needs are being met. Evidence: We looked at a selection of care plans because we wanted to see what individual needs had been identified and what action staff are expected to take to meet those needs. The people we talked to told us that they receive the care and support they need. New care plans are in the process of being implemented. The new plans are well organised and it is easy to find information quickly. All of the necessary risk assessments have been completed. This means that action is taken to eliminate or reduce any risk that is identified. For example if someone is at risk of developing a pressure sore the care plan shows clearly what measures have been put in place to reduce this risk. Staff who are writing the care plans need to make sure that they make sure they include peoples preferences. For example on one persons file staff had recorded that Care Homes for Older People Page 12 of 26 Evidence: they would like a shower every day. In his care plan it stated that he needed a bath once a week. Staff also need to make sure they include care plans for any medical conditions such as epilepsy and diabetes, so that staff have clear information to follow should anything untoward happen. we talked to the manager about this. She will be auditing the new care plans herself to make sure they have been completed properly and that peoples wishes have been included. Care plans are being reviewed on a monthly basis. On admission relatives are asked how frequently they want to be involved in their relatives care plan reviews and their wishes are documented. We could see from the care plans and from talking to a relative that they are kept informed and consulted about their relatives care. Peoples health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are being involved as necessary. Details of any visits by health care professionals are clearly documented in the residents care plan, together with the advice that has been given. The medication system is well managed. People are asked on admission if they want to keep their medication themselves or if they want staff to administer it. One person keeps their own inhalers. Service users are receiving their medication at the prescribed times and records are well maintained. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are activities on offer to keep people stimulated. Relatives are welcome to visit at any time. Meals at the home are good offering choice and variety. Evidence: The care plans we looked at all contained a life history and details of peoples personal preferences and likes and dislikes. This information is important so that staff can support people in an individual and appropriate way. There is an activities co odinator who works for 3 hours on two afternoons. People told us they like the activities. They also told us that some trips out had been organised, one particularly mentioned a trip to Hebden Bridge. The manager has revised the duty rotas and is hoping to provide activities every afternoon. Outside entertainers are booked every month. There is a notice board in the dining room and by one of the lounges that gives details of the activities on offer. Relatives confirmed that they can visit at any time and that they are made to feel welcome. Visits take place in the communal areas or in service users bedrooms if they want privacy. Care Homes for Older People Page 14 of 26 Evidence: Every service user has a telephone in their room where they can make or receive calls in private. They can also telephone reception with any questions or queries they have. Generally people told us that the meals are good. There is a choice available for every meal and people can have their meals where ever they choose. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints and adult protection issues are being dealt with properly. This means that staff are listening to people and keeping them safe. Evidence: The homes complaints procedure is detailed in the Service User Guide. We asked people if they knew who to speak to if they knew who to talk to if they were unhappy. Everyone said that they did and that they were confident any problems would be sorted out. We looked at the home complaints log. We could see that a complaint that had been received recently, about the lack of hot water in a bedroom, had been dealt with properly. A response had been sent to the complainant and the plumbers have been booked to fix the problem. Most of the staff have completed or are booked on adult protection training. This means that staff are clear about the different types of abuse and about the reporting procedures. The manager is clear about her role and is making appropriate referrals to the adult protection co ordinator. This means that people living in the home are being kept safe. Care Homes for Older People Page 16 of 26 Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, tidy and well maintained home. Evidence: St Winifreds is situated in Rastrick; there are shops, library, pub, hairdressers and pharmacy near by. There is car parking to the front of the building. There is a courtyard, which provides a pleasant sitting area for people in fine weather. At their last visit Environmental Health awarded the kitchen four stars for hygiene. There is a program of redecoration and refurbishment that is on going. This makes sure that the home is well maintained. The home was clean and tidy and people told us that this is the norm. People told us that the laundry system works well. We saw the laundry person returning laundered clothing to peoples rooms on coat hangers and putting it away tidily. The home has an infection control policy and necessary protective clothing is available. Staff have also completed infection control training. This means that they know how to Care Homes for Older People Page 18 of 26 Evidence: prevent the spread of infection. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff on duty to meet peoples needs. Staff are well trained and competent to do their job. Staff are properly checked before they start working in the home to make sure they are suitable and safe to work with older people. Evidence: There is a qualified nurse on duty throughout the day and night. There are five care assistants on duty in the mornings and four care assistants in the evening. There three care assistants on duty at night. The care staff team are well supported by cooks, domestics, laundry assistants, a receptionist, an activities organiser and maintenance person. Staff told us they felt there were enough staff on duty to meet peoples needs. The manager has revised the rotas and will be increasing the staffing levels for a period of time during the day. This is being done to cut down on the use of agency staff and to provide additional cover over lunch and tea time period. The registered manager works supernumerary to the rota. She takes responsibility for the induction training of all new care staff. The induction program for the two most recently appointed care staff was seen. This is comprehensive and meets the requirements of the Skills for Care training. There are 85 of the care staff who are qualified or working toward their National Care Homes for Older People Page 20 of 26 Evidence: Vocational Training (NVQ) level 2 or 3 in caring for older people. This means that they are qualified and competent to do their job. The NVQ assessor was visiting the home to support one of the care staff. She said that there was a good staff group at the home who were friendly and welcoming. The manager has looked at everyones training needs and people have been booked on relevant courses to make sure their training is up to date. Recruitment procedures at the home are robust. Staff files confirmed that the necessary checks are being completed to ensure the suitability of new staff. This means that staff are safe to work with older people. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed and run in the best interests of the people who live there. People are involved in the running of the home and consulted about their care and support. Evidence: There is a new manager at the home who is a qualified nurse and an experienced manager. She was the manager at St Winifreds about 6 years ago so is familiar with the building and some of the staff who are long serving. She is in the process of completing the documents she needs to in order to apply for registration with us. People living in the home are consulted about the running of the home in residents meetings, through the annual quality assurance questionnaires and through the care planning process. Details of the last quality assurance survey have been published and are available on the notice boards. A residents and relatives meeting is due to be held on 23 February. Care Homes for Older People Page 22 of 26 Evidence: Two of the people we spoke to said they feel able to raise issues at the residents meeting and thought that any ideas they had would be listened to. There is also a suggestions box in the reception that people can use if they want to bring anything to the attention of the manager. The owners visit regularly and once a month write a report about the home. This report identifies any action they need to take or agreements that have been made with the manager. This means that the owners keep themselves informed about what is happening at the home and that it is being managed properly. The manager does not hold money on behalf of people living in the home. People or their relatives are then invoiced for any additional services they receive such as hairdressing and chiropody. There is a written Health and Safety policy. Staff receive moving and handling, food hygiene, fire safety, first aid and infection control training. We looked at a selection of service records for equipment that is in use. We found that these were all up to date. The manager audits all of the accident reports to check if any further action needs to be taken or if any trends are developing. For example are there more accidents at any particular time of the day. This means that practices in the home promote the health, safety and welfare of the residents. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 31 The manager should complete her application for registration. This will make sure there is someone legally responsible for the management of the home. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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