Latest Inspection
This is the latest available inspection report for this service, carried out on 20th May 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Windsor Road Mental Nursing Home.
What the care home does well People who responded to our written survey and those we spoke with during our visit were very complimentary about the service provided. Comments included; `Ever since I came to Windsor Road the staff have treated me like a person not an illness.` `Good food, staff show interest and concern for me, good days out, very supportive.` `It always feels warm and homely`, `always someone to listen to you.` `Provides support, listens to service users - ensures all service users and staff are happy.` `Provides support for service users to reach their full potential. Identify relevant training and ensure staff receive it.` `Provides support in all areas for the clients, planning activities, always puts the clients needs first.` In discussion one resident commented ``I feel my life has turned around completely since I came here - I can`t believe how far I have moved on.``We viewed a number of residents` care plans and found that they contained a very good level of information about all aspects of people`s needs. It was apparent when viewing the plans that the residents themselves had been involved in their development and encouraged to express their views about things that were important to them. We viewed the care plan of one resident who had experienced some health problems. The additional support she required was clearly detailed and we saw evidence that the home were working well with community health care professionals to ensure that the resident was provided with all the support she needed. We viewed the care plan of a resident who at times, required intensive support in relation to behaviours. We noted that the support needed was clearly detailed and there was a good level of information for staff about how to de-escalate challenging situations effectively. All the care plans we viewed contained a good level of information about people`s social care needs, such as their hobbies and significant relationships. Residents we spoke with told us that they had lots of opportunities to take part in things they enjoyed and we also noted that the staff team had recently been increased to ensure that the developing social activity programme could be provided. We spoke with one resident who had recently enjoyed a trip out to a Zoo and was eagerly anticipating a forthcoming concert. We noted that the home had a very comprehensive assessment process in place to establish the level of support people require with their medication. After this assessment the level of support people require is clearly documented and regularly reviewed. A number of people who live at the home manage their own medication and we noted that there were thorough risk assessments in place to ensure that they could do so competently and safely. We were pleased to note that the home encourages independence and as such, any resident wanting to manage their own medication but assessed as not being able to do safely, had structured support in place to help them develop the necessary skills. We viewed the home`s medication stock which was well organised and stored securely. In addition, records of medication administration were in good order and well maintained. We noted that the home has systems in place to ensure that regular audits are carried out on medication and records. This is good practice as it means that any errors can be quickly identified and rectified. The manager also confirmed that all staff who handle residents` medication are assessed to ensure that they are competent in this area before doing so. Everyone who responded to our written survey and those we spoke with during our visit told us that they knew how to raise concerns or make a complaint. The home has a detailed complaints procedure in place that advises the reader about how to go about making a complaint and also provides important contact details of agencies such as The Care Quality Commission and local social services departments. We noted that the complaints procedure was included in the home`s Service User Guide as well as being posted in a number of areas around the home. The manager advised us that the procedure is available in a variety of formats such as large print, to help ensurethat more people have access to the information within it. The home has processes in place for recording complaints, their outcome and subsequent action taken. We noted that the home had received one complaint since their last inspection and that the manager had responded appropriately and within the correct timescales to this complaint. All homes are required to have procedures in place that must be followed in the event that it is alleged or suspected that a resident has been the victim of abuse. These are generally referred to as safeguarding procedures. We were able to confirm that these procedures were in place and that the manager and staff had a good understanding of them. Training records showed that all new staff are provided with training in safeguarding vulnerable adults in the first two weeks of their employment. More advanced training is provided at a later date and helps ensure that carers are fully aware of their responsibility to safeguard people in their care. What the care home could do better: No requirements were made as a result of this inspection. Two recommendations were made to help support further improvement in the management of people`s medications. The home has good process in place to ensure that all staff who administer residents` medication are competent to do so and formal assessments are carried out by the manager. We made a recommendation that these assessments be periodically reviewed or reviewed in the event that a staff member has been involved in a medication error. We made a recommendation that all hand written entries on residents` medication administration records be signed, witnessed and countersigned. This helps avoid any errors being made. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Windsor Road Mental Nursing Home 30 Windsor Road Ansdell Lytham St Annes Lancashire FY8 1AH three star excellent service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Marie Cordingley Date: 2 0 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Windsor Road Mental Nursing Home 30 Windsor Road Ansdell Lytham St Annes Lancashire FY8 1AH 01253731424 01253731114 paula.leah@richmondfellowship.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Kirsten Sharrock Type of registration: Number of places registered: Conditions of registration: Category(ies) : Richmond Fellowship care home 10 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 10 The registered person may provide the following category of service only: Care Home with Nursing - Code N To Service Users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding Learning Disability or Dementia - Code MD The maximum number of Service Users whocan be accommodated is: 10 Date of last inspection Brief description of the care home Windsor Road Care Home provides accommodation for up to ten young adults presenting with enduring mental illness. The home is a purpose built establishment with facilities on two levels, the upper floor being served by a passenger lift. All
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home accommodation is offered in single bedrooms, several of which provide bed-sit type facilities, including kitchen areas. All bedrooms have en-suite bathrooms with both bathing and shower facilities. However, additional assisted bathing and shower facilities are available if help is required. There are two lounge areas, one activity room plus a conservatory leading to a well-maintained rear garden. The home is situated in Ansdell, near Lytham and is within a short walking distance of shops, churches, public houses and the beach. The home provides a range of services and activities for the people living there and staff are able to meet a diverse range of needs, led by a team of experienced managers. Placements at Windsor Road Care Home are block booked by the local Primary Care Trust. Additional charges are incurred for hairdressing, toiletries, activities, holidays and chiropody. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The inspection of this home included a site visit which was carried out on an unannounced basis. As the visit was unannounced the manager, staff and residents did not know it was going to take place until we arrived. During the visit we held discussions with people who live at the home, staff and managers. We also viewed a selection of paperwork including residents personal files and medication records. We carried out a tour of the home viewing all communal areas and a selection of peoples private accommodation. Prior to our visit we wrote to the manager and asked them to complete a comprehensive self assessment. This was completed to a very good standard and received within agreed timescales. The self assessment gave us a lot of information about daily practices within the home as well as numerical information such as numbers of staff and their qualifications. We also wrote to a selection of staff and residents and asked them to share their views and opinions about the service provided at the home. We received a good response and a number of completed questionnaires were returned to us. The purpose of this inspection was to ensure that the home were maintaining excellent standards as assessed in their last key inspection carried out in May 2007. The two areas that we focused on during this inspection were Personal And Healthcare Support and Complaints and Protection. What the care home does well:
People who responded to our written survey and those we spoke with during our visit were very complimentary about the service provided. Comments included; Ever since I came to Windsor Road the staff have treated me like a person not an illness. Good food, staff show interest and concern for me, good days out, very supportive. It always feels warm and homely, always someone to listen to you. Provides support, listens to service users - ensures all service users and staff are happy. Provides support for service users to reach their full potential. Identify relevant training and ensure staff receive it. Provides support in all areas for the clients, planning activities, always puts the clients needs first. In discussion one resident commented I feel my life has turned around completely since I came here - I cant believe how far I have moved on. Care Homes for Adults (18-65 years) Page 4 of 9 We viewed a number of residents care plans and found that they contained a very good level of information about all aspects of peoples needs. It was apparent when viewing the plans that the residents themselves had been involved in their development and encouraged to express their views about things that were important to them. We viewed the care plan of one resident who had experienced some health problems. The additional support she required was clearly detailed and we saw evidence that the home were working well with community health care professionals to ensure that the resident was provided with all the support she needed. We viewed the care plan of a resident who at times, required intensive support in relation to behaviours. We noted that the support needed was clearly detailed and there was a good level of information for staff about how to de-escalate challenging situations effectively. All the care plans we viewed contained a good level of information about peoples social care needs, such as their hobbies and significant relationships. Residents we spoke with told us that they had lots of opportunities to take part in things they enjoyed and we also noted that the staff team had recently been increased to ensure that the developing social activity programme could be provided. We spoke with one resident who had recently enjoyed a trip out to a Zoo and was eagerly anticipating a forthcoming concert. We noted that the home had a very comprehensive assessment process in place to establish the level of support people require with their medication. After this assessment the level of support people require is clearly documented and regularly reviewed. A number of people who live at the home manage their own medication and we noted that there were thorough risk assessments in place to ensure that they could do so competently and safely. We were pleased to note that the home encourages independence and as such, any resident wanting to manage their own medication but assessed as not being able to do safely, had structured support in place to help them develop the necessary skills. We viewed the homes medication stock which was well organised and stored securely. In addition, records of medication administration were in good order and well maintained. We noted that the home has systems in place to ensure that regular audits are carried out on medication and records. This is good practice as it means that any errors can be quickly identified and rectified. The manager also confirmed that all staff who handle residents medication are assessed to ensure that they are competent in this area before doing so. Everyone who responded to our written survey and those we spoke with during our visit told us that they knew how to raise concerns or make a complaint. The home has a detailed complaints procedure in place that advises the reader about how to go about making a complaint and also provides important contact details of agencies such as The Care Quality Commission and local social services departments. We noted that the complaints procedure was included in the homes Service User Guide as well as being posted in a number of areas around the home. The manager advised us that the procedure is available in a variety of formats such as large print, to help ensure
Care Homes for Adults (18-65 years) Page 5 of 9 that more people have access to the information within it. The home has processes in place for recording complaints, their outcome and subsequent action taken. We noted that the home had received one complaint since their last inspection and that the manager had responded appropriately and within the correct timescales to this complaint. All homes are required to have procedures in place that must be followed in the event that it is alleged or suspected that a resident has been the victim of abuse. These are generally referred to as safeguarding procedures. We were able to confirm that these procedures were in place and that the manager and staff had a good understanding of them. Training records showed that all new staff are provided with training in safeguarding vulnerable adults in the first two weeks of their employment. More advanced training is provided at a later date and helps ensure that carers are fully aware of their responsibility to safeguard people in their care. 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 20 Competence assessments in relation to medication administration should be periodically reviewed and reviewed after any staff member has been involved in a medication error. This is to help ensure that all staff dealing with peoples medication are competent to do so. Any handwritten entries on residents medication administration records should be witnessed and countersigned. This is to help reduce the risk of any errors. 2 20 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
