Latest Inspection
This is the latest available inspection report for this service, carried out on 30th March 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Winscombe Care Home.
Annual service review
Name of Service: Winscombe Care Home The quality rating for this care home is: The rating was made on: two star good service 1 3 0 1 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Suzanne Magnier Date of this annual service review: 2 3 0 2 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Southwick Road North Boarhunt Fareham Hampshire PO17 6JF 01329834188 01329834708 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : physical disability Conditions of registration: Grosvenor Care (Hampshire) Limited Number of places (if applicable): Under 65 Over 65 28 0 The maximum number of service users to be accommodated is 28. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical disability (PD) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The home is situated in a rural position on the outskirts of a village. The home is all on one level and the majority of bedrooms are single with some shared rooms. The communal area is open plan and includes sitting and dining areas. The gardens are large and attractive. 1 3 0 1 2 0 0 9 Annual Service Review Page 2 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for since the last key inspection or annual service review. This included: The annual quality assurance assessment AQAA that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service and numerical information about the service. Surveys were sent to people using the service and to other people with an interest in the service. Written surveys completed by staff on behalf of ten residents were received, seven staff surveys and four surveys from health care professionals were received. The comments of which have been included within this annual service review. Additional information is also about how the service has maintained standards, made improvements and plans for the future. Evidence has also been received about how the home manages any complaints and safeguarding concerns and what the service has told us about things that have happened in the home, these are called notifications and are a legal requirement. We looked at the previous key inspection details, the results of any other visits that we have made to the service in the last 12 months and any relevant information received from other organisations. What has this told us about the service? The home sent us their annual quality assurance assessment when we asked for it. It was clear and gave us all the information we asked for. The AQAA advises that on admission to the home all residents have a copy of the up to date Service User Guide and Statement of Purpose which includes details of an advocacy service that home offers if residents would like to have support from the service. The AQAA advises that all residents have a documented pre assessment of their needs which is undertaken either at the home or at the prospective residents own place of residence before a placement is considered. The prospective residents relatives, social services and advocates are fully involved in the pre admission process. Prospective residents have a four week settling in period and following this time a review of the placement is undertaken to ensure that the homes staff have the skills and abilities to safely support and ensure that the needs of the resident are being appropriately met. Each resident has documented Handling Assessment to ensure that the homes staff support the resident correctly and if any further support is required an Occupational Therapist referral would be made. Annual Service Review Page 3 of 7 The AQAA advises that the care plan for the resident is person centred and includes the mental, physical, emotional, social and support needs of the resident. Both the care plans and risk assessment documentation are reviewed and any necessary changes made and documented in order to ensure that the residents changing needs are identified and the support and care offered continues to meet the residents needs. The homes management have identified that an improvement has been that all residents care files have been reviewed and currently provide more in depth information regarding each resident. The AQAA advises that the home has an activities organiser who provides entertainment and activities at the home on a weekly basis and supports residents within their local community. Several residents attend day centres in the local area and have engaged in college courses in a variety of subjects. One resident has an allocated one to one personal assistant who supports the resident to access their local community and residents have the use of the homes two minibuses. Staff support residents diversity regarding their religious or spiritual well being and a local vicar visits the home once a month to offer Holy Communion and residents are offered the choice to attend a local church if they choose to. Comments from residents stated written on their by staff stated Im very happy here they provide lovely meals and are supportive with my needs. What they could do better is to do things for me so I dont have to. They provide good care, what the home could do better is to purchase a reliable mini bus. The atmosphere could be a little better and the home could be a bit happier.The staff keep me busy. Going for pub visits more often would be good. The staff help me with my finances yet I would like to have more help for me to get my new wheelchair. They provide good activities yet I would like to have more one to one activities and have a tidier home. What the home could do better is to look after my clothes so I get them back once they have been laundered, they provide reliable transport and provide activities when the activities co-coordinator is on leave. The homes manager has identified improvements regarding the provision of meaningful activities for residents and these include the development of an activities room within the home which enables residents to take part in daily activities away from their day to day residential setting. It is reported that there has been excellent feedback from residents regarding this new development. Weekly trips to the local village to enable residents to purchase their own toiletries and any other items that they wish to purchase have been arranged and has supported residents to undertake more daily living skills to improve the quality of their daily lives. Residents relatives and friends comments received regarding the home included We are generally very satisfied. There is an issue about staffing from time to time due to the geographical location of the home for example lack of buses etc. The home provides social events and contacts. The home is clean and there are opportunities for outside visits to the shops and theatre. There are caring friendly staff. The staff are friendly, helpful and considerate. Some of the agency staff are not so considerate as they should be and are a bit off hand. My relative feels happy and safe at Winscombe and the staff care about the residents. The residents have regular service user meetings and their requests are generally granted and their views acknowledged. The manager is obviously happy in her job and it shows in the way the home is run and the
Annual Service Review Page 4 of 7 well being of the residents. Outside activities are excellent for the residents. It would be nice to have en suite bathrooms, parking could be improved and facilities to enable residents to do some cooking would be nice. The home gives a warm, friendly caring and family style atmosphere for our relative to enjoy and for us to be part of our frequent and regular visits. Our relative is happy and well cared for and I have an excellent working relationship with all the regular staff who do a good job. Winscombe provides a friendly family environment where my relative is provided with a service which meets their particular needs and also offers many opportunities outside the home should they wish to take advantage of them. My relative is kept nice and clean and tidy, the food and accommodation are very good. The AQAA advises that health care services remain available to all residents. The home have maintained their professional relationships with outside health care professionals including visits to and from their GP and having access to the primary care services including dentist, occupational therapist, district nurses, chiropodist and private physiotherapist. The homes management have identified that an improvement has been the communication with outside agencies over the last twelve months. Comments received from health care professionals regarding the home included The home looks after people with disabilities allowing them to be as independent as possible. The staff encourage residents to tidy and keep their rooms together, make their own beds and help each other. Resident forums are held where residents are able to make decisions about their care and social activities, the home hold lots of social activities for residents to take part in and residents can spend time and have freedom to spend time in their own rooms. Both people I have helped to be supported at Winscombe have enjoyed their stay and felt they were treated with respect and felt that the staff treated them well. The staff are approachable and do try and meet residents needs, the homes staff could communicate better and records could improve, the access to the premises are very open raising concern regarding security. Staff are very approachable and prepared to listen, learn and work with situations. The environment feels quite clinical and clients not taking part in anything tend to just sit around. The home has a formal complaints procedure. The AQAA advises that three complaints have been received by the home within the last 12 months and these have been satisfactorily concluded using the homes complaints procedure. The home advise that one safeguarding vulnerable adult referral has been made to the local authority. The commission have not been made aware of the current status of the referral and request clarification, in writing, regarding the outcome upon the providers receipt of this annual service review. The AQAA advises that staff are aware of how to report and have accountability to report any matters which may cause harm or abuse to the residents and staff are fully trained in the Safeguarding of Vulnerable Adults. Residents can have access to an advocacy service when they need help or advice regarding any matters in their life. The AQAA advises that the homes environment meets the needs of the residents and the home continues to have a refurbishment programme in place. The homes bathrooms and toilets are being refurbished and a sensory garden has been created and new thermostatic water valves fitted to several water outlets to ensure the safety and well being of residents. Annual Service Review Page 5 of 7 The recruitment and selection of staff ensures that all appropriate checks are made to make sure that residents are protected and safeguarded from any harm or abuse. The AQAA advises that improvements have been made regarding the vetting and recruitment systems and staff undertake a planned induction. Mandatory training is undertaken by all staff. The staffing section within the AQAA has not been completed regarding the achievement of staff attaining their National Vocational Qualification Award and the commission have requested this information, in writing, upon the providers receipt of the annual service review. Comments from staff Its a welcoming home, the home provides training courses to broaden your knowledge with all aspects of care. Encourages individuals to be as independent as possible. The manager is very approachable and deals with problems when they arise. The home could do better if they had more help from outside resources and also help with service users fitness regime. The home provides lots of training courses, theres a friendly atmosphere and the manager is approachable and deals with problems. The home provides a nice atmosphere for residents to live in. The staff and residents have a good understanding between each other and residents have bonded with staff and the home promotes a warm caring home for residents and staff to work and live in. The home would benefit from upgrading the property inside and out. The home provide a good standard of care with nutritional meals and are supportive to all residents concerns. The are seeking staff to reduce agency use. The home could do better by offering the residents more exercise and make sure that the care assistants work as a team and not just delegate jobs out, moving and handling residents is very hard to obey and there is a lot of strain on care assistants. The AQAA advises that the home have a Quality Assurance process which includes obtaining the views of residents, their family members and friends, visitors to the home including health care professionals who are involved in the home. The management of the home is consistent. The AQAA advises that the home has up to date policies and procedures and unannounced Regulation 26 visits continue to be undertaken in order to assess the quality of the service and address any shortfalls to ensure that residents well being and welfare continue to be promoted. The home continues to let the commission know about things that have happened since the last key inspection and they have shown that they have managed issues well. They work well with the commission and have shown us that their service continues to provide good outcomes for the residents who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by the 28th February 2011, however we can inspect the service at any time if we have concerns about the quality of the service or the safety of the residents using the service. Annual Service Review Page 6 of 7 Reader Information
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