Care Home: Wintofts Residential Home

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What the care home does well The service offers a homely care environment for three people who have lived in the home for a number of years. The manager is good at assessing what care people need and ensuring they receive this. People get out into the community and have good opportunities to mix with others and have good nutritious meals. The home employs two members of staff who are well recruited and safe to work with vulnerable people What has improved since the last inspection? The written records kept by the home have improved greatly since the last key inspection. The manager has taken advice and produced detailed plans of care for staff to follow. Recording about people`s access to health care professionals is clearer, what people do with their time is recorded and what they choose to eat. Records of daily living show that people live full and interesting lives according to their choice. People living at the home also say they enjoy their lives at Wintofts. The environment has been made safer and it now complies with the local fire service. A new kitchen has been built for the sole use of people living at the home. The home is recording safety audits more consistently so that it is easy to see that the home is kept safe for people at all times. What the care home could do better: The home could improve the environment further by replacing old and worn furniture. The manager should develop a quality assurance system where it can be shown that people have been consulted over their preferences in the way their care is offered. The manager should make sure the second lounge is available as a communal space for people at any time they wish to use it. The addition of a new kitchen has reduced the first lounge space considerably and whilst the kitchen is a good addition, people need access to this second lounge as an alternative space to relax in. It is not acceptable to close this off except for special occasions. It should be heated adequately when in use. CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Wintofts Residential Home Wintofts Farm Lendales Lane Pickering North Yorkshire YO18 8ED Lead Inspector Karen Ritson Key Unannounced Inspection 27th March 2009 10:00 X10029.doc Version 1.40 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 Wintofts Residential Home DS0000007831.V374859.R02.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 Older People and 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. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wintofts Residential Home Address Wintofts Farm Lendales Lane Pickering North Yorkshire YO18 8ED 01751 4752333 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) Mrs Sylvia Rosalind Robson Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Old age, not falling within of places any other category (4) Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service Users to include upto 6 LD, upto 6 LD(E) and upto 4 OP up to a maximum of 6 Service Users. The National Care Standards Commission must be consulted in advance of the admission of any new service user. No emergency placements may be accepted. No service user who is not independently mobile may be accommodated above ground floor level. 27th August 2008 Date of last inspection Brief Description of the Service: Wintofts Farm offers personal care and accommodation to a maximum of six people who can be accommodated by virtue of a learning disability or old age and infirmity. Communal and bedroom accommodation is provided in part of the adapted farm buildings. The registered provider and her family occupy other parts of the premises. The home is on two floors with bedrooms and facilities on both floors. Sitting and dining space is on the ground floor. The registered provider and her staff provide personal care, catering, laundry and domestic services. As the home’s location is secluded, being over two miles down a narrow lane, access to any outside facilities depend on the provision of private transport as there is no public service to and from the home. The registered provider has a motor vehicle for use by people living at the home. The home is owned and managed by Mrs Sylvia Robson. Information is given to new and existing service users to the home detailing the accommodation, facilities and services provided. Additional charges are made for one to one support, private chiropody and hairdressing, some holidays, some transport costs and some toiletries. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection for this service took twenty-four hours. This includes time spent gathering information and examining documentation before and after a number of site visits, the latest of which was on 27th March 2009, and time writing the report. The lead inspector was accompanied by another inspector on one random visit and by an enforcement inspector on two subsequent visits. Information for this inspection was gathered from the following: 1. A visit to the home. 2. Speaking with people living at the home. 3. Speaking with staff. 4. Speaking with Adult and Community care staff. 5. Case tracking three people on the day of the site visit. 6. Looking at information provided by the manager prior to the site visit. 7. Notifications sent to the commission from the home since the last inspection. 8. Examining policies, procedures and records kept at the home. 9. Examining information regarding the home on the file kept by CSCI. All key standards were looked at during this inspection. The manager was available throughout the day of the site visit. 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 services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the service does well: The service offers a homely care environment for three people who have lived in the home for a number of years. The manager is good at assessing what care people need and ensuring they receive this. People get out into the community and have good opportunities to mix with others and have good nutritious meals. The home employs two members of staff who are well recruited and safe to work with vulnerable people. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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. The summary of this inspection report can be made available in other formats on request. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 3 People who use this service experience good quality outcomes in this area. The homes assessment procedure ensured no one would be admitted to the home unless his/her needs could be met. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 9 There have not been any admissions to the home since the last inspection however the manager said that following receipt of a referral for admission she would visit the prospective resident in his/her own home or hospital so that an assessment could be carried out and to determine if the home would be able to meet the persons needs. If the referral were made by a social services department the application would be accompanied by an assessment from a care manager. Prior to admission the prospective resident would be invited to visit Wintofts either for a short visit or for a holiday. Following admission there would be a trial period during which time the new resident could decide if he/she wished to remain at the home. Since the last inspection assessments have been updated to include all areas of care and risk. This ensures that people receive care, which meets their changing needs. The home does not offer intermediate care therefore Standard 6 of the National Minimum Standards for Care Homes for Older People does not apply. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service Users, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 People who use this service experience good quality outcomes in this area. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. We have made this judgement using a range of evidence, including a visit to the service. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 11 EVIDENCE: The personal files belonging to the three people currently living in the home were examined. Care plans have been improved so that each person living in the home now has a plan of care based on a thorough assessment showing how needs can be safely and appropriately met. Regular reviews have been held and recorded so that changing needs are recognised and appropriate action taken. Advice regarding the upkeep of records has been taken and this was apparent in new and well-organised files for each person living at the home. Risk assessments were updated and relevant to the care of each person living at the home. Clear strategies were in place to manage risk appropriately. This ensures people are cared for safely, whilst retaining as much independence as possible. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service Users have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 People who use this service experience good quality outcomes in this area. They are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. We have made this judgement using a range of evidence, including a visit to the service. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 13 EVIDENCE: Conversation with the manager, a member of staff and examination of records revealed two of the three residents engage in regular and appropriate daytime activities. Two of the people at the home go out regularly and the proprietor employs a person to spend time with them either in the home or making visits into the community and attending clubs according to individual choice. Although one of the rooms is isolated from the rest of the home, when the care plan for the person in this room was examined it became clear that this did not impact in a negative way on her wellbeing. The care plan has been drawn up with professional health care advice and addresses the complex needs of this person. Mrs Robson visits this person at regular intervals throughout the day to ensure care needs are met. The people living at the home clearly got along well with both the manager and the member of staff and the atmosphere was relaxed and friendly. Staff spoke to the people living at the home in a respectful way. The home has a visiting policy and procedure and visitors are welcome at any reasonable time to fit in with daily routines. The manager has had a new kitchen built since the last key inspection. This is for the sole use of people living at the home and for the preparation of meals. There was some concern at the last inspection about the quality of food offered to people, as there were poor records available for reference. The proprietor now keeps a record of all meals chosen, both at the home and in cafes or on outings. From these and from examining the menus it was clear that people had access to a varied and interesting range of nutritious food. The kitchen contained stores of fruit, vegetables and meat for the evening meal. People also said they enjoyed their food. One person said: ‘we get nice food and we go out to the cafe.’ Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service Users feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using this service experience good quality outcomes in this area. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Care plans showed that people living at the home are assisted in the way they prefer. Daily routines are flexible and assistance is given in a way which promotes independence. Evidence for this was gained from reading daily notes and from speaking with the manager, staff and the people living at the home. Recording was much improved regarding health care needs and visits from health care professionals were detailed. A previous concern regarding one person’s access to the GP was resolved when records showed that the GP had Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 15 in fact been consulted at regular intervals and that a district nurse had recently visited to offer a ‘flu injection to one person. The manager is aware that people must be enabled to have access to regular health care checks, which include attention to eyes, hearing and dental care. If a person refuses a health care visit this must be recorded to show that an attempt has been made to ensure the health and wellbeing of each individual. All access to health care support is now well recorded. At the last inspection one person was observed wearing a torn dress and was sitting on a sagging chair with a cushion that was covered with a black bin liner. This person now has a new chair, and her clothing is in good repair. Her continence is managed through regular toileting visits. Medication is well handled with an updated recording sheet for medication administered and safe suitable medication storage. The previous concerns regarding a person living at the home who self administered no longer apply, as this person has moved out of the home. The manager is aware that any person who self medicates in future must have a risk assessment in place regarding this. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience good quality outcomes in this area. They are able to express their concerns, and have access to an effective complaints procedure, are protected from abuse, and have their rights protected. We have made this judgement using a range of evidence, including a visit to the service. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 17 EVIDENCE: The home has policies and procedures informing the people living in the home how to complain if they are dissatisfied about the care they receive. Policies are also in place to safeguard residents and to protect them from abuse. People said they knew they could speak to the manager if there was a problem. At the last key inspection one of the people living at the home had made a complaint about inadequate provision of hot water, this had not been adequately addressed. During the previous key inspection water was still not hot enough or discharged at a sufficiently fast rate to provide a bath at around 43 degrees. The manager has since purchased a new boiler and water is now discharged at the correct temperature, although the flow remains slow. There have been no complaints since the last inspection. One person said they could talk to the manager or the member of staff if there was a problem. The manager is aware that if a person makes a complaint, this must be acknowledged and acted upon in order to put things right. People are protected by the home’ s policy on abuse. The member of staff has received raining on abuse awareness and was clear what should be done if she suspected abuse had taken place. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. People who use this service experience good quality outcomes in this area. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The accommodation is provided on ground and first floor levels in parts of the farmhouse and adjoining adapted outbuildings. The manager and her husband occupy the remainder of the building. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 19 Several areas of concern were highlighted at the last key inspection: • The en-suite facility in the downstairs bedroom has various pieces of polystyrene packaging secured to the wash hand basin and doorframe; when questioned about this the manager stated it was to stop the occupant of the room banging her head. Risk assessments have been conducted and the packaging removed. • Bottles of bleach and cleaning fluid were left unattended in bathrooms. These have been removed and are now stored appropriately and safely. • The second lounge area was cold and smelled of damp. At this key inspection the second lounge was warm, but the manager said this was not always kept as warm as the rest of the building as people did not often choose to sit in here. The room should be heated if people choose to sit in here. The manager agreed this would happen, and the room was always heated if the room was in use. • Radiators were guarded but some of the guards were not properly secured. Radiators have been secured to the wall. • The kitchen area was cramped and untidy and was situated at the end of a room that is part of the manager’s accommodation. Access was via an external door or through the manager’s private lounge. A new kitchen has been built which is within the home accommodation. Building control has been involved and has provided a certificate stating the work is satisfactory. • Furniture was old and worn. One chair has been replaced. The manager should give thought to a programme of upgrading of furniture. • The home was very cluttered and untidy. At this key inspection the home was less cluttered and tidier. • The barn has an uneven floor and is filled with old furniture, machinery as well as straw and the oil storage tank. This was a concern at the last key inspection as people living at the home had direct access to this barn where they could be at risk of injury. The barn has since been made inaccessible to people living at the home. The local fire service have visited the home since the last key inspection and found a number of areas that required improvement, including fire risk assessments. These improvements have now been achieved and CSCI has received a letter from the fire service stating that the home now meets its requirements. A walk around the building revealed it to be free from unpleasant odours and reasonably well maintained, several carpets have been replaced since the last inspection, window restrictors have been fitted and the bedroom occupied by two people has been redecorated. Some other areas have also been re painted. At the last random inspection the temperature of the communal areas was too low. The temperature at this key inspection was sufficient for comfort Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 20 and safety. The manager asked if the second lounge could be used for special occasions only. This room must continue to be available as a choice for people living at the home. If people choose to use this room, it must be adequately heated. It must be kept aired at all times to provide a pleasant alternative to the main lounge, which is rather small. The laundry is sufficient for the needs of those living at the home. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 People who use this service experience good quality outcomes in this area. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 22 The management and administration of the home is based on openness and respect, quality assurance systems should be developed to ensure care is informed by the views of those living at the home. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The manager has the necessary qualifications in management and care and has many years experience of working with people with learning disabilities. The people living in the home had been given a satisfaction questionnaire to complete however this was approximately two years ago. There was no evidence of any other form of quality assurance mechanism to measure whether or not the needs of people living in the home were being met and whether they were satisfied with the service, although the manager has begun health and safety audits to ensure the home remains safe. People manage their own personal allowances. Risk assessments, staff training and regular auditing by the manager promote the health and safety of those living at the home. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 X 6 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 2 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 1 34 X 35 N/A 36 X 37 X 38 3 Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 24 No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP19 OP33 Good Practice Recommendations The manager should make sure the second lounge is available as a choice for people to sit in to ensure there is sufficient communal space. The manager should ensure she develops a quality assurance system based on the views of those who use the service; to make sure the service is informed by those who live at the home. The manager should give thought to a programme of replacing old and worn furniture to improve the DS0000007831.V374859.R02.S.doc Version 5.2 Page 25 2 OP19 Wintofts Residential Home environment for the people living at the home. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Yorkshire and Humberside St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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 © 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. Wintofts Residential Home DS0000007831.V374859.R02.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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