Care Home: Wyncourt

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well The internal and external appearance of the home provides a clean, pleasant and comfortable environment for residents to live in. Residents spoke favourably about the environment in which they lived and those residents who could express a view liked their bedrooms and felt the standard of cleanliness in the home was always good. The atmosphere in the home during the two visits was relaxed, friendly and welcoming. The home carries out detailed assessments of each prospective resident before they are admitted to the home and this information was used to develop the care plans. Residents were registered with a General Practitioner (GP) and were supported to receive professional input from other health professionals as needed. Staff showed their skills in communicating with residents and their representatives. The relationships between the staff and the residents/relatives were friendly and it was evident they knew them well. From the observations during the inspection it was evident the residents were treated with respect and dignity and their right to privacy was upheld. Residents spoken to said they could have visitors at any time. The computerised care planning system is detailed and extensive and staff have the skills to use this appropriately. The residents and relatives spoken to during this inspection visit said they were satisfied with the way staff treated them. Relatives spoken to felt involved in the care and were kept informed of changes in their relatives` healthcare needs. A choice of menu is available at each mealtime and residents made positive comments about the food provided. One resident said; "the meals are great and there is always plenty to eat." The home encourages and supports staff to undertake training courses according to their needs. The staff are professional in their approach and are committed and enthusiastic. 75% of care staff at the home have successfully completed NVQ training at level 2, senior staff are working towards level 3. Residents and relatives said they knew who to speak to if they had any concerns or wanted to make a complaint. All ten responses from residents or relatives in the surveys stated they knew how to make a complaint. What has improved since the last inspection? Since the last inspection the home has provided more equipment to meet the needs of the residents, for example, profiling beds, overhead hoists, specialist mattresses and nursing chairs. The home continues with an on-going redecoration and maintenance programme, which includes plans for new carpets in the lounges in the next six months. Since the last inspection the home have included a section to show that residents and relatives are involved in the care planning process. Improvements have been made to updating and reviewing the policies and procedures in the home. CARE HOMES FOR OLDER PEOPLE Wyncourt 162 Park Road Timperley Cheshire WA15 6QH Lead Inspector Elizabeth Holt Unannounced Inspection 20th and 21st December 2007 10:00 X10015.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 Wyncourt DS0000006732.V348518.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. 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. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyncourt Address 162 Park Road Timperley Cheshire WA15 6QH 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) 0161 962 1290 0161 718 0442 Mrs Susan Mattinson Mrs Susan Mattinson Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0), Terminally ill (0) of places Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All service users require nursing care. Persons accommodated shall be aged over 60 years and require general nursing care, except that: a) a maximum of 10 persons may be aged 50 - 59 years; and b) a maximum of 4 persons aged over 50 may be accommodated who require palliative nursing care. That staffing levels as stated in the Notice issued under Section 25(3) of the Registered Homes Act dated 6 April 2001, shall be maintained. 14th December 2006 3. Date of last inspection Brief Description of the Service: Wyncourt Nursing Home is a large detached property. The home can accommodate 28 service users for general nursing care. Within this maximum number the home provides specialist nursing for those who require palliative care. The management of the home has been under the present Proprietor since 1997. The most recent extension to the premises has increased the facilities within the home in line with the National Minimum Standards. This has included an additional 9 bedrooms with en-suite facilities, 2 assisted bathrooms and a passenger lift. There is ramp access to both the front and rear of the building. There is a large well-maintained garden at the front and a smaller garden at the rear. A well-furnished, sheltered patio area is available for service users to enjoy during the summer months. There is adequate parking provision at the front and side of the building. The current scale of charges at the home are £550.00-£675.00. Costs in addition to the fee are hairdressing £5.50-£25.00, private phone bills, newspapers and magazines. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection, which included a site visit, took place over two days on Thursday 20th December 2007 and Friday 21st December 2007. The manager of the home was not told beforehand of the inspection visit. All key inspection standards were assessed at the site visit and information was taken from various sources which included observing care practices and talking with residents who live at the home, visitors, members of the staff team, the manager and the home owner who was present during the course of the site visits. We sent the manager a form called an Annual Quality Assurance assessment (AQAA) before the site visit to tell us what they thought they did well, and what they need to improve on. We considered the responses and information the manager provided and have at times referred to this in the report. Before the site visit residents, relatives, staff and health professionals were sent surveys asking them to comment on the service. A number of survey reports were returned and where possible some of the information has been used in the report. A tour of the building was conducted and a sample of care and staff records was looked at, including employment and training records, staff duty rotas and resident’s care plans. What the service does well: The internal and external appearance of the home provides a clean, pleasant and comfortable environment for residents to live in. Residents spoke favourably about the environment in which they lived and those residents who could express a view liked their bedrooms and felt the standard of cleanliness in the home was always good. The atmosphere in the home during the two visits was relaxed, friendly and welcoming. The home carries out detailed assessments of each prospective resident before they are admitted to the home and this information was used to develop the care plans. Residents were registered with a General Practitioner (GP) and were supported to receive professional input from other health professionals as needed. Staff showed their skills in communicating with residents and their representatives. The relationships between the staff and the residents/relatives were friendly and it was evident they knew them well. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 6 From the observations during the inspection it was evident the residents were treated with respect and dignity and their right to privacy was upheld. Residents spoken to said they could have visitors at any time. The computerised care planning system is detailed and extensive and staff have the skills to use this appropriately. The residents and relatives spoken to during this inspection visit said they were satisfied with the way staff treated them. Relatives spoken to felt involved in the care and were kept informed of changes in their relatives’ healthcare needs. A choice of menu is available at each mealtime and residents made positive comments about the food provided. One resident said; ”the meals are great and there is always plenty to eat.” The home encourages and supports staff to undertake training courses according to their needs. The staff are professional in their approach and are committed and enthusiastic. 75 of care staff at the home have successfully completed NVQ training at level 2, senior staff are working towards level 3. Residents and relatives said they knew who to speak to if they had any concerns or wanted to make a complaint. All ten responses from residents or relatives in the surveys stated they knew how to make a complaint. What has improved since the last inspection? What they could do better: Although an activities organiser is employed at the home and a range of activities are provided, the manager should consider how the social care needs can be met for those residents who do not choose to join in group activities. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 7 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. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The needs of prospective residents are assessed prior to moving into the home to ensure that Wyncourt can meet in full the needs of individuals. EVIDENCE: A service user guide and a statement of purpose are available and contained all the information required in the National Minimum Standards. Initial enquiry forms are filled in to start the process for a prospective resident. The manager or senior nurse will then visit the person at their own home or in hospital to carry out a full assessment of their needs and wishes to ensure the service can meet in full the residents needs. Prospective residents and or their representatives are encouraged to visit the home for a look around, a meal or a trial visit. A resident’s husband who was sitting with his wife and visited the home every day said, “I just knew this Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 10 place was right as soon as I visited and it is.” One of the replies by a relative in the survey sent out by the Commission said, “ We were given every opportunity to assess the home.” Three residents were case tracked. Pre-admission assessments had been carried out for all three and the information had been transferred on to the home’s computerised care planning system. One resident was put on the Integrated Care Pathway in hospital prior to admission to the home and the manager gathered a lot of information to assist in the admission process for this individual and consulted with other health professionals to support them. One resident was due to be admitted on the day of the visit and the manager had been to visit her in her own home and met with one of her relatives. Details of the resident’s care needs had been clearly recorded and this included some information provided by the prospective resident’s relative. Copies of care management assessments were available for residents who were funded by the local authority. Information from the assessments was used to start the care planning process. Wyncourt does not provide intermediate care services. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. 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 feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The systems and practice for monitoring the changing health, personal and social care needs of the residents accommodated are consistent. EVIDENCE: Three residents were case tracked. The records showed sufficient detail to enable the staff to understand the care they needed to provide and to assist them to monitor the progress and condition of the residents. The home has a computerised system for the recording of the individual residents’ needs. The system was detailed, comprehensive and included risk assessments and showed evidence of monthly reviews. Care plans were detailed to give a detailed overview of the residents needs and were reviewed monthly or sooner if necessary. Any changes in a resident’s health care were clearly identified and addressed, for example, the care plans and risk assessments for a poorly resident who had required close Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 12 monitoring of the progress and deterioration of their wounds showed the detailed recordings from the registered nurses and the support given by the tissue viability nurse to provide the appropriate care for this resident. There was evidence in the care plans of where the staff made attempts to meet specifically the social and religious needs of the residents. Risk assessments were in place to make sure that any potential or identified hazards had the appropriate strategies in place to minimise the risks to residents. Moving and handling assessments, pressure sore prevention, falls and bed rails risk assessments were detailed and appeared accurate. Nutritional risk assessments were reviewed and updated and included specialist advice/input from the nutritional specialist as needed. The manager and the staff involved residents and relatives or their representatives in the development and on going review of the individual’s care plan. The staff demonstrated a good knowledge of the residents and were aware of how to respond to changes in a residents mood or behaviour, which may be linked to an infection, or other change in healthcare. Staff were observed being respectful and kind to residents in the way they spoke to them and were seen knocking on residents’ bedroom doors before entering. Staff spoke sincerely and respectfully of individual residents and their families and the inspector felt a genuine sense of caring, respect and “going the extra mile” to make the residents and their families feel supported and cared for. There was evidence of updated turn charts and fluid balance charts for residents whose care plans showed this level of monitoring was needed. Records showed that nursing staff provided subcutaneous fluids for residents who were not able to take fluids orally in order to keep them hydrated. From the CSCI surveys returned all said they were kept well informed about any changes in the healthcare of their relative’s condition and on the day of the visit three relatives/friends said how satisfied and happy they were with the care provided at Wyncourt. There were records to show that residents had access to the range of medical services available in the community. A visiting GP spoke positively about the care his patients received in Wyncourt and he said, “I cannot praise the staff enough for their commitment, the action they take and the way they care for the residents here.” A community Macmillan nurse wrote in the CSCI survey that; “Staff are always trying to and achieving the best possible care for their residents”. A relative said, “My husband seems very settled and well cared for in a pleasant environment. As a family I don’t think we can ask for more.“ The home uses a pre-dispensed monitored dosage system. Medication administration records (MAR) were appropriately recorded which included a Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 13 record of checks when the drugs were received into the home. The medication policy had been updated in June 2007 and staff spoken to were aware of the updated changes. One of the care plans looked at showed how the staff had used a pain monitoring tool to assist them in caring for a resident who could not express their needs verbally. Controlled drugs were appropriately stored and the records were appropriately maintained. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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 maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities were provided and residents were supported and encouraged to maintain contact with family and friends; This allows residents to exercise some choice and control over their lives. Meals served to the residents were well presented and gave a nutritionally balanced meal. EVIDENCE: Residents spoken to during the visits gave different views about the activities offered in the home. Some felt the activities offered were enough and gave positive views about these. One resident very proudly showed me her candle decoration which she had enjoyed making and said she also went out locally, on trips with her family. Another resident said she would like to go out on trips more often, however she was aware this was sometimes not possible due to the dependency needs of the residents living at Wyncourt. Photographs were on display in the hallway following a charity raising fun day that staff and residents had been involved in for Children in Need Day 2007. Some residents said this was a great day and they had really enjoyed themselves. In the Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 15 AQAA, the manager recorded there were plans to try to introduce a more diverse range of social activities and to arrange more outings. One of the relative’s survey responses said, “Visitors or phone calls are welcome at any time. I’ve never tried but I’m sure if I arrived to visit in the middle of the night, I’d still be welcome. My two young children are also frequent visitors and are made comfortable”. The home is used for a placement for student nurses and students on a Health and Care module. These staff were encouraged to provide mental stimulation for residents and play dominoes, bingo, cards or just chat. Occupational therapy is provided on a weekly basis and residents who could express a view found this enjoyable. A policy was in place that informed residents and their families/friends that visitors are welcome at reasonable times. Meals served in the home were pleasantly presented and were nutritious. Residents spoken to said that an alternative would be provided if the meal was not to their liking. Residents could choose where they wanted to eat and those who ate in the dining room were happy with the environment. One resident said, “There is nothing wrong with the meals. Sometimes I don’t like what is provided, but there is always an alternative to choose from. The cook always obliges.” Some residents said they enjoyed their breakfast in bed whilst others were in the conservatory and said they had enjoyed their breakfast. Other residents who enjoyed a later breakfast were sitting in the dining room around small tables enjoying porridge, eggs on toast or cereal and toast and marmalade. Staff were seen to support residents in appropriate ways with their meals. A discussion with the cook highlighted how she provided specific diets to meet the resident’s needs, for example, diabetic diets and soft diets. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 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’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to safeguard residents from harm and residents and relatives know how to make a complaint about the service. EVIDENCE: The home had a complaints procedure which was available in the hallway. A resident spoken to said; “I would speak to the manager or one of the senior staff but I am very happy here.” The home had a procedure in place to record any complaints made however, the home had not received any upheld complaints since the last inspection. Residents and relatives spoken to during the visits were aware of how to make a complaint and had no hesitation to talk to the manager. All ten completed survey forms from the residents and or their representatives stated they were aware of how to make a complaint. The home had a policy on the Protection of Vulnerable Adults and discussions with some staff members highlighted they were aware to contact Trafford Social Services in the event of an allegation of abuse. Since the last inspection all staff had received awareness training in adult protection and the home had followed this up with some in-house training to make sure they were aware of Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 17 the procedures to follow in order to fully protect the residents living at the home. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents’ benefit from living in a well-maintained, safe, clean, homely and pleasant environment. EVIDENCE: During this unannounced visit a partial tour of the home was carried out. This included resident’s bedrooms, the communal areas and the bathrooms and toilets. Equipment was provided to promote the comfort and well being of the residents. A number of bedrooms have specialist beds and overhead hoists to assist the staff to meet the assessed needs of the residents. Other equipment was available to assist residents to have their physical needs met in a supportive manner. The bedrooms had been personalised with personal effects and Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 19 furnishings. All the bathrooms have tilting Parker baths and residents spoken to said, they enjoyed bathing in pleasant surroundings. One of the relative’s surveys said, “The home is very clean, well maintained and pleasant, good garden area where residents sit out under umbrellas during the summer. Relatives are encouraged to sit out with them when visiting.” Another relative said, “The rooms are nice and clean.” Other residents and relatives spoke favourably about the cleanliness of the home. There was evidence of an ongoing programme of decoration and refurbishment, which included plans for new carpets in the lounge areas in the next few months. All parts of the home were free from unpleasant odours. All staff were aware of the policy on infection control and appropriate protective equipment was available. Hand washing facilities are available in every bedroom and alcohol hand rubs are situated throughout the home. Routine maintenance work was carried out efficiently and a record of this was available. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The needs and wishes of the residents are met by a well-trained staff team and are protected by the recruitment procedures. EVIDENCE: At the time of the inspection the home accommodated 27 residents in receipt of nursing care. The staffing levels reflected the needs of the residents, which included higher levels of staff on the morning shift to meet the residents’ needs. The staff teams are planned according to the dependency needs of the residents so the most experienced staff meet the care needs of those residents with the more complex care needs. Residents and relatives said there seemed to be enough staff to ensure the residents’ needs could be met. Three staff files were looked at. Each file contained a copy of the application form, two written references, confirmation of Criminal Records Bureau checks and proof of identification. Photographs of individual staff members were available on the computer. The home continues to provide an emphasis on training and is using the Trafford training consortium to ensure the staff have the appropriate skills to Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 21 meet the needs of the residents. A training programme was evident which showed some obligatory training and optional courses available. Staff spoken to were positive about the courses they had done and found the home to be a stimulating learning environment. Further specific training and training to make sure the staff are competent to carry out certain procedures is provided by health professionals; examples include training in diabetes management, enteral feeding and the care of gastrostomies. Staff have all been trained in using the Gold Standards framework and the Integrated Care Pathway, which is specific training to improve the Care of the Dying. Staff spoken to felt they provided a high standard of care to all residents. The manager reported that home employed 28 permanent care staff with 19 of these staff having successfully achieved NVQ level 2 and a further 7 staff working towards NVQ level 3. One care worker who had recently started at the home said there were great opportunities for training and he had learnt such a lot already in a short space of time. The general atmosphere in the home was relaxed and the staff were seen to be engaged in positive interactions with residents. Comments about the staff by residents and relatives were positive, for example, “The staff here are very kind and will do anything for you”, another comment was, “Staff are never too busy to listen to me and help me, they are a great bunch”. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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 the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is managed in the best interests of the residents and the rights of the residents are promoted. EVIDENCE: The manager has ten years experience as a homeowner and manager. She holds a professional nursing qualification and is fully aware of her responsibilities. The manager clearly demonstrated her knowledge and understanding of the residents well and her effectiveness at managing this care home. During the visit, residents and relatives were seen calling into the office to have a chat with members of the staff team or the manager. One former Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 23 resident’s relative had come back to visit residents she had established a friendship with and spoke very highly of the care that her late husband had received at Wyncourt. A system was in place for all the policies and procedures to be reviewed and updated. A procedure was in place to maintain the pocket monies only for residents. The home provides an annual quality assurance questionnaire to gather the views of residents about the service provided at the home. Residents and relatives commented, “The manager does a good job here” and were complimentary about her. Health and Safety risk assessments and policies and procedures were available for staff to access. Procedures are in place, for example resident/relative, staff meetings to find out what people think of the service. Staff spoken to confirmed these meetings were carried out monthly. The home was maintaining an accurate fire log with the required checks and fire drills carried out. A fire risk assessment was available and staff had been trained in fire safety. Maintenance contracts were in place to regularly monitor the health and safety aspects of the home. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 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 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 25 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 Refer to Standard OP12 Good Practice Recommendations The manager should make sure all residents are given the opportunity to take part in their preferred social activities and the care records include the resident’s involvement and enjoyment of these. Wyncourt DS0000006732.V348518.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Wyncourt DS0000006732.V348518.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. 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!