Inspection on 17/11/09 for Wayside

This is the latest available inspection report for this service, carried out on 17th November 2009.

CQC found this care home to be providing an Good 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.

Other inspections for this house

Wayside 29/11/07

Wayside 13/07/06

Wayside 16/12/05

Wayside 25/04/05

Wayside 03/12/04

Wayside 20/04/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report Care homes for older people Name: Address: Wayside High Street Rusper Horsham West Sussex RH12 4PX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Nigel Thompson     Date: 1 7 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Wayside High Street Rusper Horsham West Sussex RH12 4PX 01293871365 01293876818 wayside@rusperwestsussex.freeserve.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Hope Keith Villagers Trust Name of registered manager (if applicable) Mrs Catherine Payne Type of registration: Number of places registered: care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 13. 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: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Wayside is registered to provide care and accommodation for thirteen older people over the age of sixty-five. The premises provide each resident with a single room on the ground or first floor both of which are serviced by a passenger lift and a newly fitted stair lift. Most rooms have en-suite toilet and wash-hand basins and one room is used to accommodate people who wish to have a short break at the home. Care Homes for Older People Page 4 of 26 Over 65 13 0 1 8 1 1 2 0 0 8 Brief description of the care home It is situated in the village of Rusper, West Sussex close to a local shop and a church. There is no regular bus service but a Good Neighbours transport scheme helps people get to appointments such as hospital visits. Whilst the home fronts onto the village high street there are large grounds to the rear of the property, which are accessible and enjoyed by all residents. The current weekly fees at Wayside, as of 17 November 2009, range from £495.00 £540.00. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place over four hours, between 11.30 and 15.30, in November 2009. It found that all of the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. On the day of the inspection there were ten residents living at the home. The inspection process involved observation of working practices, examination of the homes records and discussion with four residents, three residents relatives, two members of staff, the manager and the deputy manager. Communal areas throughout the home were seen and all residents bedrooms were viewed. Care Homes for Older People Page 6 of 26 The focus of the inspection was on the quality of life for people who live at the home. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The thorough admission policy and procedures ensure that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Documentation, including the Statement of Purpose and Service User Guide, ensures that prospective residents and their relatives have sufficient information about the home and the services provided. Evidence: Information is available to prospective and existing residents in various formats. The recently updated Statement of Purpose and Service User Guide are both comprehensive and informative. Through discussions during the inspection, it is evident that the manager and deputy manager are fully aware of the importance of a thorough needs assessment, as part of the admission procedure. Care Homes for Older People Page 10 of 26 Evidence: Following a referral to the home, the manager confirmed that she or her deputy carries out a comprehensive pre admission assessment including all personal care and support needs, any mental health and mobility issues, social and cultural needs and family involvement. Since the previous inspection there have been four residents admitted to the home. In each case there was documentary evidence of a full and thorough assessment having been carried out., The manager confirmed that prospective residents and their relatives are encouraged to visit the home and have the opportunity to look around and meet members of staff and existing residents. There is also the opportunity for an overnight stay. Having moved into the home, there is an initial four week trial period, of continual assessment, during which time the suitability of the service and the compatibility of the resident can be established. Residents and relatives, spoken with as part of the inspection process, were able to confirm that the home meets their individual needs and aspirations. The staff here are all very kind and cant do enough for you. Ive certainly got no complaints. We cant praise it highly enough. I cant fault the place. Everyone here is so kind and helpful. They make my mother feel loved and special and allow her to be an individual and this gives me peace of mind. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health care needs are met and individual care plans enable staff to meet their assessed needs in a structured and consistent manner. The systems for service user consultation and participation are good and residents are treated with respect and, where appropriate, are encouraged to make decisions about their day-to-day living. Evidence: Residents care plans that were viewed were found to be generally well maintained and up to date. They showed clear links with the individuals assessed needs and contained details of action and intervention to be taken by staff to ensure consistency of care. There was also evidence of plans being regularly reviewed and updated. The manager confirmed that residents and their relatives are given the opportunity to take part in developing and reviewing individual care plans. However, in plans that were examined, there was little documentary evidence of residents or their relatives being involved in this process. It is recommended that this issue be addressed. Care Homes for Older People Page 12 of 26 Evidence: All residents are registered with local GPs and have access to other health care professionals, including district nurses, via the surgeries. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Nutritional screening is carried out as part of the initial assessment procedure. As part of their induction programme, the manager confirmed that all staff receive instruction on the principles of dignity and respect. This was evident, through discussions during the inspection, comments from relatives and from direct observation of staff interacting sensitively and professionally with residents. Satisfactory and up to date policies and procedures are in place for the control, storage, safe administering and recording of medication. The manager confirmed that all staff involved in administering medicines receive appropriate training. This was supported by documentary evidence and through discussions with care staff. She was also able to confirm that, following risk assessments, there are currently no residents in the home who maintain responsibility for self administering their medication. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are enabled and supported to maintain contact with family and friends, as they wish. They benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. Evidence: The manager confirmed that, in accordance with the wishes of the residents, visitors to the home are welcome, at any reasonable time. However, they are asked to respect mealtimes. Residents may see friends or relatives in one of the lounges or in the privacy of their own room. Residents and relatives, spoken with as part of the inspection process, commented on the effective communication with the home. Although we live close by and visit regularly, we are kept informed of whats going on and are always made very welcome when we go there. Residents are provided with a varied, wholesome and nutritious diet. At lunchtime a choice of main meal is available and special diets are catered for. As part of a four week rolling menu, a daily menu is displayed, reflecting residents preferences and Care Homes for Older People Page 14 of 26 Evidence: including seasonal variations. Positive comments received from residents demonstrate overall satisfaction with the choice and standard of the meal provided. The food here is always very good. As previously documented, residents social and recreational interests and preferences are now recorded, as part of the pre admission assessment process. An activities programme was displayed on the notice board. Activities included quizzes and word games, bingo, arts and crafts and reminiscence. Visiting entertainers include a local artist and music for health. The people who use the service confirmed that they could choose what they wanted to do. This was evidenced by daily records examined. Varied and flexible daily activities in the home reflect individual preferences and abilities and are evidently preferred to a structured weekly programme. As well as organised group activities and supported outings, the manager confirmed that time is also given to individuals who prefer to spend time alone or remain in their room. Wayside continues to maintain links with the local church. A communion service takes place at the home every 4 to 6 weeks and residents are also enabled and suported to visit the nearby church if they prefer. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The open and inclusive atmosphere within the home enables residents, staff and visitors to express any concerns, confident that they will be listened to and acted upon. Residents are safeguarded from abuse through relevant staff training and robust policies and procedures. Evidence: The home has a simple and accessible complaints procedure; a copy is given to all the people who use the service in the Service User Guide. Residents, relatives and members of staff spoken to described how the manager operates an open door policy and is clearly considered to be very approachable and understanding. They confirmed that they would have no hesitation in speaking to her or making a complaint if necessary and each person was confident that they would be listened to. Everything at the home is to my satisfaction. Weve absolutely no complaints but would certainly have no hesitation in talking to the manager or any of the staff if we had any concerns. Safeguarding adults and whistle blowing policies and procedures were in place and readily available to staff. The home also had copies of the Sussex Multi Agency Policy Care Homes for Older People Page 16 of 26 Evidence: and Procedures for Safeguarding Adults. All staff spoken with were aware of these policies and procedures and their whistle blowing responsibilities. Staff have undertaken specific training, in accordance with the multi agency guidelines for the safeguarding adults. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is accessible, safe and homely and remains clearly suitable for its stated purpose. Residents benefit from accommodation that is comfortable, well maintained and decorated to a satisfactory standard. Evidence: The physical environment at Wayside remains largely unchanged and the home clearly continues to meet residents individual and collective needs. The well maintained decor and good quality furniture and furnishings provide a comfortable, pleasant and homely environment for residents. The manager confirmed that individuality and independence continue to be promoted within the home, as far as is practicable. This was evident from the personalising of residents rooms, which clearly reflects individual tastes, preferences and interests. Positive comments from residents, spoken with during the inspection, reflected a high level of satisfaction with the home and the services provided. Im very happy with my room, its so comfortable here. I couldnt fault it here. Its clean and comfortable and has everything that I need. Care Homes for Older People Page 18 of 26 Evidence: As with many of the environmental standards, the situation at Wayside regarding shared space remains largely unchanged. Adequate communal areas are provided to meet the individual and collective needs of the residents, including a pleasant dining room and a spacious lounge. All communal areas are decorated and furnished to a high standard. Furniture and lighting throughout the home is domestic in character All necessary specialist equipment is made available to meet residents assessed mobility needs, including assisted baths, wheelchairs and hoists. The home also provides a stair lift and there are grab rails as necessary in bathrooms and toilets. Levels of cleanliness and hygiene remain high throughout. Infection control procedures are in place and closely adhered to. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient trained and competent staff on duty at all times to meet the assessed needs of the residents. Robust recruitment procedures and appropriate staff training help to ensure the safety and protection of residents. Evidence: The stable and dedicated staff team remains clearly able to meet the assessed, individual and collective needs of residents within the home. All new employees are provided with a comprehensive job description and staff spoken demonstrated a sound understanding of their individual role and responsibilities. The manager confirmed that staffing levels within the home are sufficient to meet the current care and support needs of residents and there is always some flexibility for additional staff hours should the need arise. This was further evidenced by the current rota, viewed during the inspection, which details which staff are on duty at any given time and includes their designation. Residents, relatives and members of staff, spoken with as part of the inspection process, confirmed that staffing levels within the home are adequate. Theres always someone around and they are all so kind and helpful. Care Homes for Older People Page 20 of 26 Evidence: The manager continues to operate a thorough and robust recruitment policy. Personal files relating to recently appointed members of staff, examined during the inspection, were found to be generally well maintained, containing necessary information, including employment history, two references and satisfactory Criminal Record Bureau, CRB, and Protection of Vulnerable Adults, POVA, disclosures. The manager stated that appropriate induction, foundation and core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. Staff have also undertaken specific training relating to dementia awareness. This was confirmed by staff and supported by training records examined. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a sound management structure and adequate quality assurance systems. Satisfactory health and safety policies and procedures, within the home, help to ensure the protection of residents and staff. Evidence: The manager, who is a qualified nurse was registered in January 2009. From direct observation and through discussions with residents, relatives, and members of staff, it is evident that the manager continues to demonstrate a clear and positive sense of leadership and direction. She is conscientious, motivated and approachable and, ably supported by an effective and efficient deputy manager, creates an open and inclusive atmosphere within the home. The home continues to operate effective quality monitoring systems, including satisfaction questionnaires for residents, their relatives and other visitors to the home. A regular newsletter is distributed to ensure that the people who use the service are kept up to date. Care Homes for Older People Page 22 of 26 Evidence: The health, safety and welfare of residents and staff remains of paramount importance within the home and staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. COSHH assessments and guidelines are in place. Temperature regulators are fitted to all hot water outlets, accessible to residents and all accidents, incidents and injuries are recorded and reported, as required. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 7 It is recommended that, where appropriate and practicable, the resident or a relative or representative be consulted regarding the reviewing of individual care plans and that this involvement be recorded. Care Homes for Older People Page 25 of 26 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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