Inspection on 21/01/09 for Raynesway View

This inspection was carried out on 21st January 2009.

CSCI 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

Raynesway View 30/11/06

Raynesway View 28/11/05

Raynesway View 22/07/05

Raynesway View 21/09/04

Raynesway View 14/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Raynesway View Raynesway View Foyle Avenue Chaddesden Derby Derbyshire DE21 6TZ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Rob Cooper     Date: 2 1 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Raynesway View Foyle Avenue Raynesway View Chaddesden Derby Derbyshire DE21 6TZ 01332718300 01332718300 diane.rose@derby.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Derby City Council Name of registered manager (if applicable) Mrs Diane Rose Type of registration: Number of places registered: 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 who can be accommodated is: 35 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Raynesway View Care Home provides personal care to 35 older people. The home is owned by Derby City Council (the registered provider) and is situated in Chaddesden near to the city of Derby. Raynesway View is a two-storey building, which has staircase, shaft lift and stair lift provision enabling access to the first floor. All bedrooms are single occupancy. Support services are in place including general Care Homes for Older People Page 4 of 30 care home 35 Over 65 35 0 Brief description of the care home practitioner, district nursing, chiropody, dental and optician services. The weekly residential fee at the time of this inspection was £318.00 Additional services not included in this fee were hairdressing, chiropody and purchases such as newspapers, magazines and toiletries. Care Homes for Older People Page 5 of 30 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 stars. This means the people who use this service experience good quality outcomes. This was an unannounced visit as part of the key inspection process, so that no one at Raynesway View knew that the inspection visit was going to take place. The visit took approximately six hours through the middle of the day, with one inspector and an expert by experience present. Ane expert by experience is a person who has a view of this type of service either through personal experience or interest. In preparing for this inspection, the information that the Commission holds about this care home was reviewed, this included looking at the last inspection report, the Care Homes for Older People Page 6 of 30 inspection record, considering any complaints or concerns that have been made about the service, and reviewing any notifications made relating to incidents that affect the well being of people living at Raynesway View. The methods used during this key inspection and visit were to visit Raynesway View, where a method called case tracking was used; this involved identifying four people who live at the care home and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was followed by a partial tour of the home, looking at the activities on offer, and the expert by experience talking to eleven people who live at the care home and two relatives. In addition three members of staff were spoken to about the quality of the service, and their experiences of living and working at Raynesway View. Raynesway View were also sent an Annual Quality Assurance Assessment (known as an AQAA) as part of the inspection methodology, this allows care homes like Raynesway View to self assess their service. Information provided by the home helped to form the judgements in this report. We also sent out ten surveys asking for views and information to people who live at the home, five to relatives and five to staff. Of these, we did not receive any back in time to inform this report. The registered manager Diane Rose provided much of the information during this key inspection visit. On the day of this inspection there were thirty three people living at Raynesway View. People who might want to live at Raynesway View can obtain information about the home direct from them, and this would include seeing previous inspection reports prepared by the Commission for Social Care Inspection. In addition information about Raynesway View and the services it provides can be found at the following web site: www.derby.gov.uk. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 30 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 30 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. People, who live at Raynesway View, and those who would want to in the future, have access to detailed information about the services on offer. People have contracts or a service agreement and they receive a comprehensive assessment of their needs, which allows the people to make an informed decision about whether the home can meet their needs. Evidence: Both the statement of purpose and service user guide for Raynesway View were seen during the inspection visit. These documents contained a great deal of useful information about the care home, and were available in different formats, from large print to a variety of different languages, although copies would have to be requested from the City Council, if an alternative format was required. Currently both documents are being updated, and draft copies were seen, which showed a number of improvements. Discussions with three people who live at Raynesway View showed that Care Homes for Older People Page 10 of 30 Evidence: they had been given copies of the service user guide, and copies were seen in peoples bedrooms. As part of the case tracking process four people who live at the care home were identified, and their files were seen, each one contained an agreement from Social Services to fund their placement, and a copy of the terms and conditions of residence, or a private contract which outlined the terms and conditions. Each of the four files that were seen contained a formal assessment of need. The assessments had all been completed in-house, and had been completed before the individual moved into the care home. The assessments covered areas such as: the risk of falls, continence, dependency, and nutrition. The evidence showed that the information provided by these assessments had been used to draw up the care plans. In their AQAA Raynesway View said in relation to what we do well: Assessments on admission, completion of person centred care plan and risk assessments, respect dignity and privacy, choices respected. Raynesway View does not offer intermediate care, and therefore this National Minimum Standard was not assessed. Care Homes for Older People Page 11 of 30 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. People have their personal care given in a professional and caring manner by the staff, which means that individuals are having their health and personal care needs met at Raynesway View. Evidence: Each of the files that were seen contained a plan of care, which identified personal goals and identified peoples needs and how to meet them. Evidence was seen that care plans were being reviewed regularly, and there were daily entries by care staff, to record progress and any issues relating to individuals care. The care plan format is currently being reviewed, and draft copies were seen. The new format is being introduced on a phased basis over the coming weeks. All of the files that were seen contained a section related to health, which included health care plans. These also had information relating to visits by health care professionals such as the doctor, or district nurse, and any hospital visits. The files also contained tissue viability risk trigger tools, nutritional assessments and risk Care Homes for Older People Page 12 of 30 Evidence: asessments related to moving and handling, all of which supported the monitoring of each individuals good health. Two people who live at the home said that if they needed a doctor the staff would make sure they saw one, and they said that they were happy with the arrangements for seeing a doctor. Boots the chemist provides Raynesway View with their medication. An inspection of the medication systems showed that medication is handled safely. Administration records were seen and found to be complete. No one currently living at the home selfmedicates. All aspects of the medication procedures that were seen showed a clear audit trail for medication, and indicated that people living at the care home were safe. Staff training records were seen to evidence that staff involved in the medication procedures had been adequately trained. During the course of the inspection visit a local G.P. and pharmacist arrived at the home to carry out medication reviews on people living at the home, as part of the review and evaluation of peoples care. The expert by experience spent a great deal of time talking to people who live at Raynesway View and the following is a mixture of her observations and comments from the people she spoke to: There were notice boards at various points in the building giving information about the activities programme, although one must have been out of date as it did not match the others, a bonus ball competition, a request that visitors not to arrive at meal times, although a member of staff said that they would understand if a visitor had travelled a long way, or got held up in traffic, a list of dates of monthly residents meetings, the notes from a meeting on 1st November 2008 were displayed, rules about food brought in by visitors. The four lounge, dining rooms all had televisions and radio and CD players. All the TVs were on all the time, even if no one was watching them. The lounges had lots of natural light and were pleasantly decorated. They were furnished to give a homely feel, with pictures, lamps, etc. In one lounge, I noticed a pack of oversized playing cards and a game with large wooden pieces. There was a window open in a lounge and I heard a member of staff asking occupants if they were warm enough with it open, showing interest in their comfort. When I asked if visitors were allowed to bring in dogs, a staff member said they were as long as they were on leads. In one lounge, I saw a Service Users Guide. Parts of it had last been updated on 20th august 2004, so some information was out of date. Any residents that I asked said that the staff gave them their medication. Comments received from people living at Reynesway View included: The staff are Care Homes for Older People Page 13 of 30 Evidence: very good. It is nice to live here. It is very good. Ive have been at Raynesway since October, and I visited before moving in and been given information, but I did not think there is an information brochure in my room. My money is kept in the office. If my family telephone, the staff come and get me. The staff are very good and the the food is excellent. I have put weight on since I have been here. Recently, a resident had a slight stroke. She told me that staff immediately called a doctor, they dont fool about here. I can please myself when I go to bed. Sometimes I stay up watching TV. In the morning, I get myself up when I am ready. Staff always knock on my door and they bring me a cup of tea at about 7am. I can have a bath or shower, which ever I prefer. A carer helps me. Everything I need is in the bathroom. I dont want a key to my room and I like the staff to check me during the night. The hairdresser who visits on Thursday is a very nice lady. She has not attended a residents meeting but said that the dates were on the notice board. I am very happy here. I am here for good. My family are happy that I am looked after and they do not have to worry. I have been at Raynesway View for over a year. The staff do their best. My room is very nice. I go to bed when I want to, but they get me up. I dont play the games, because I cannot walk. I did not come to look round before moving in, but my daughter may have done. I see my visitors in my room. Staff collect her when there is a telephone call from her daughter in Australia. The staff are marvellous. They help you if you need it. I definitely feel safe here. Two residents said: that they often sit in the lounge together watching TV in the evening until they decide to go to bed. Staff bring us a drink. I have been at Raynesway for five weeks and came to look round before moving in. My room is nice, not bad. I could do with more space, but I am used to it now. My spending money is kept in the office and my family deal with it. There is a telephone downstairs that we can use. I have lost my money in it twice. When asked if she had told anyone, she said No, as it was probably my fault as I had not used it correctly. The staff are very nice, all of them. I am comfortable. A doctor had been called in the night, when I was ill. Staff check I am all right during the night. Another resident said I have not been here long. It is a different life. It takes time to adjust. Staff make my daughter welcome. My room is quite good. I have some of my own things in it. I have no reason to complain, but if I did my daughter would deal with it. The staff are very nice and good. They always knock before coming into my Care Homes for Older People Page 14 of 30 Evidence: room. I am always warm enough. I have been here one and a half years. It is smashing here. I please myself when I go to bed and get up. The staff are okay, all right. A bit cheeky (said with a smile). I prefer to rest in the afternoon rather than take part in activities. I have no problems with laundry. I have no complaints, and if I had I would tell the carers, as they are all right. The staff are very good. I am going to play games later. I have lived here since 2005, after I came to to look round. It is all right living here. A resident showed me his room. It was spacious, which allowed him to move round in his wheelchair. He showed me ornaments and a picture of his late wife. A member of staff collects a newspaper for me. I like to sit outside when the weather is good. I go to bed when I choose, as I can undress myself, but I need help to get dressed. The doctors and dentists are called to visit the home when needed. A lady living at the home said: I have been here since October. I like it here. Apparently, a social worker had arranged it. I have a nice room with some of my own things in and there is a telephone to use. The lady had no complaints, but if she had one, she would: tell the Manager. She is a very patient woman. Staff are very good. I can go to bed when I want, but they like you up for breakfast. Sometimes when I am depressed, I stay in bed. She told me she does not want a key for her room. The lady said that she had attended one residents meeting, which was all right. You get back your laundry if the things have names on, but they are pretty good at finding those without labels. She also said that she had visited ASDA, Homebase and Morrisons with a carer. A gentleman who was spoken with, has been here since July. His family chose it as it was round the corner from where he lived. My room is very nice. I have photos of my family. I have a TV but dont watch it much. Staff are all right. They come and get me if I get a telephone call. I have got into the way it is run here. My room is always warm. I do not want a key. He said that he had no complaints, but if he had, he would tell the Manager and his son and daughter. A resident said: My room is small but good. Everything I want is in it. There are enough staff on. If you need someone, they come quickly. He does not want a key to his room. His valuables are in the office and he can ask for them at any time. A residents daughter said that they could visit anytime except meal times. The staff are lovely, I have no complaints. My mother is happy and settled here. The residents Care Homes for Older People Page 15 of 30 Evidence: granddaughter said, It is better than another home I have visited. A relative said: I can visit at any time and I am made welcome. A resident came in after a fall at home and his family are happy that he is being looked after. They had been worried about his safety. I asked if residents are allowed alcoholic drinks and she said that they were, but her father is not allowed any alcohol. A resident at the home said they have a hospital appointment next Wednesday and a member of staff will accompany him. A relative said: His father had had a fall and went into hospital. I was worried about my father going home because of the stairs and leaving the cooker on. Social Services completed a review. The nearest home had no vacancies, so the son visited this one and suggested it. He told me about the kitchenette where he can go and make them a drink at any time, without asking anyone. Staff are so friendly. We have the run of the place. It is like visiting my father in his own home. I am happy and reassured now he is here. If I had a complaint I would ring the City Council. He believes that there are outings when the weather is good. During the morning, I saw one member of staff singing with a service user. In the afternoon, a member of staff was in the large lounge. Another member of staff (not care staff) was doing paperwork in the lounge. A cleaner was vacuuming the corridors and asked service users who were in their rooms, if she could vacuum their room. I had little opportunity to talk to staff as they were busy. One told me she used to be a Home Care Aid, but preferred being at Raynesway. She already has NVQ II, but was doing other training, eg. Manual Handling. Another told me she was a Home Care Aid, but was making up her hours at the home. She really preferred to work with people in their individual homes, as it was less demanding. A third member of staff thought there were not enough staff on in the mornings, as they were very busy. Raynesway View is a pleasant, spacious home, with four lounges and a courtyard in which residents can spend time. Bedrooms can be personalised. Residents were happy with the food and complimentary about the staff. Staff seemed to have time to chat to residents in the afternoons. Staff were polite and caring to residents. All communication was appropriate. I would have liked to see a greater range of activities Care Homes for Older People Page 16 of 30 Evidence: taking place and residents encouraged to take part, however, the volunteer who helps with activities was ill when I visited. Brief details relating to peoples wishes at the time of their death were available in the care files, however this information was not availabvle in every file, and in several examples the information was both brief and not precise, so that staff would not be certain who to contact, or what the individuals wishes would be at the time of their death. Care Homes for Older People Page 17 of 30 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. People have a lifestyle that reflects their cultural, social and religious interests, and needs, and there is clear evidence that their social care needs are being met. Evidence: Raynesway View employ an activity co-ordinator who arranges a varied programme of activities at the home. The expert by expreience spoke to several people who live at the home and their relatives. Several positive comments were made and the following is a mixture of her observations and comments received from people living at the home: There were large print library books in the link corridor, which are changed every three months. There are games of skittles, dominoes and bingo with toiletries as prizes. One resident said that she plays bingo and there were entertainers at Christmas. The activities list was on the notice board. Another resident said he is not interested in activities, but the staff had tried to get him to play bingo. Another resident said he is aware of the activities on offer. There was a band last week and I joined in the Care Homes for Older People Page 18 of 30 Evidence: singing. Sometimes there is a church service. It is very good indeed. Four relatives were spoken with during this inspection visit by the expert by experience. All four made positive comments, and said that they were made to feel welcome, and that the staff were friendly and approachable. Among the comments received were: The staff are lovely, I have no complaints. My mother is happy and settled here. and It is better than another home I have visited. I can visit at any time and I am made welcome. Staff are so friendly. We have the run of the place. It is like visiting my father in his own home. I am happy and reassured now he is here. Staff were observed to see how well they interacted with the people who live at Raynesway View, and whether choices were being offered. This was seen to be a positive situation with choice offered particularly around drinks and activities. The expert by experience spoke at length to people who live at the home, and her lengthy report in outcome area 2 (earlier in this report) includes many comments which demonstrate that people living at Raynesway view are offered a wide range of choices on a regular basis. On the day of this inspection visit there was a good choice of meal on offer including a vegetarian option if required. Information related to peoples likes and dislikes was also seen in the kitchen. The food was well presented, and the dining room was attractively laid out. Comments made to the expert by experience by people living at the home related to food included: The food is good. Food is very good. You can ask for more if you want it. The food is quite good. There is a bit of choice and you get enough. The food is lovely. Always a choice. There is plenty and you can have more if you want. A resident had just finished his lunch. The soup was lovely. I really enjoyed it. The food is always good. The food is very good, with a menu giving choices in the morning. There is plenty to eat, in fact, today I had second helpings. Food is very good. I cant eat it all, there is so much and a choice. The food is passable, I am not over the moon about it. The expert by experience also made the following observations: When lunch was served, all tables had table mats, but not table cloths, glass tumblers, a jug of water, paper serviettes and salt and pepper. The food looked appetising and well presented. A dish of vegetables and a jug of gravy were put on each table. Staff assisted some service users who were not able to help themselves to these items. This was done sensitively. There was a choice of four puddings. In the afternoon, a resident said that she would like some ice cream and a member of Care Homes for Older People Page 19 of 30 Evidence: staff went and got her a choc ice. Care Homes for Older People Page 20 of 30 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. People are safe, as a result of the policies, procedures and systems that are in place at Rayneway View, and people living at the care home and their relatives are confident that their complaints will be taken seriously and dealt with. Evidence: Raynesway View have received one complaint since the last key inspection in November 2006. A review of this complaint showed that it had been dealt with in line with the homes complaints procedure, which is on display in the foyer, and also forms part of the service user guide. In their AQAA the home said in relation to what we do well: Respond to complaints within the timescales as specified in complaints procedure, follow all complaints through and ask Service Manager to sign off as needed. Comments from people living at the home made to the expert by experience included: I have no complaints. If she had a complaint, she would tell the lady in charge, as she is very nice. The staff are marvellous. They help you if you need it. I definitely feel safe here. A review of the staff training records in relation to safeguarding adults, showed that fifteen out of sixteen care staff had undertaken this training in the past. The training is aimed at raising staff awareness of abuse, and issues around abuse and through raising those issues, offering people greater protection against abusive practice, while Care Homes for Older People Page 21 of 30 Evidence: also making sure that the staff understand the correct policy and procedure to follow if abusive practice is found. The records showed that some of the staff had not received refresher training since attending the original training, and a period of over two years had elapsed. Three members of staff were asked about safeguarding adults training and they said that they were aware of the issues, and had undertaken this training, however two staff members said it had been some considerable time since they had been trained, and they had not had a refresher course. Care Homes for Older People Page 22 of 30 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. People live in a safe, clean, well maintained and comfortable home, with their personal possessions around them, this means that people are living in homely surroundings that meet their needs. Evidence: A partial tour of Raynesway View showed that it was comfortable and well maintained, with good quality fixtures and fittings. Comments made to the expert by experience included: I like my bedroom as it has my own things in it. I dont have a door key, but Im not bothered about having one. My room is very nice. I get the sun in it. I have a key to drawers in my room, to lock things away. I have a nice little room with lots of soft toys in it. I have a key to my room, but do not need it. My bedroom is quite good. It is always warm in the lounge. I have a nice room with some of my own things in and there is a telephone to use. Domestic staff were seen cleaning in different parts of Raynesway View during this inspection visit, and discussions with staff showed that there were systems in place for cleaning, and that Raynesway View had a good supply of cleaning materials. The building was found to be clean, and smelt fresh. Care Homes for Older People Page 23 of 30 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. Staff at Raynesway View have been recruited professionally, and are competent and trained to do their jobs, which means that the people who live at the care home are safe, and have staff who are able to meet their needs. Evidence: The staffing rota for the home was reviewed and this showed that there was enough staff currently employed to meet peoples needs. Several people living at the care home were asked about staffing levels, and they said that they thought there were enough staff. Discussions with the manager and a review of the weekly rota showed that extra staff have been brought in to Raynesway View following the redeployment of staff working in the City Councils Domiciliary Care service, which has improved staffing levels, and care delivery. The care industry considers National Vocational Qualifications (NVQ) to level II in care to be the basic qualification for staff working in residential care. A review of the staff training records showed that currently there are sixteen care staff at Raynesway View, of whom there are thirteen staff with NVQ level II. Certificates and details were seen in the staff training files, and this information was also recorded in the AQAA. The files of four members of staff were seen, to check that they contained all of the Care Homes for Older People Page 24 of 30 Evidence: information that would show that staff at Raynesway View had been recruited in a safe manner, namely that applicants had filled out an application form, provided two written references and had had a Criminal Records Bureau check. The documentation showed that the homes recruitment policy and procedure had worked to protect the people living there. Discussions with three members of staff about their recruitment showed that they had gone through all of the pre-employment checks, and had not started working until those checks had been completed. In their AQAA the home said in relation to what we do well: Recruitment and selection, induction training of all new staff, ensure all training is completed and kept up to date with regular refresher courses. The staff training records showed that Raynesway View does have a training plan for its staff, with training mainly coming from the City Councils training department or organbised in-house at the home. The training records showed that staff were receiving the training to help them to do their jobs. Discussions with three staff members, and a review of the staff training file provided evidence of the training courses staff had attended, including training in the mandatory areas such as: fire safety, moving and handling and health & safety etc. Care Homes for Older People Page 25 of 30 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. Raynesway View is a safe, well managed care home with good systems for ensuring its quality in place, which means that people living at the home have their needs met by the management structures and staffing procedures in place. Evidence: Diane Rose is the Registered Manager. She is suitably qualified and experienced, and she has been judged by the Commission for Social Care Inspection to be a fit person to run a care home. Diane became the registered manager in February 2006. Dianes personal file with evidence of her training and experience was seen during this inspection visit. Raynesway Views quality assurance system relies on questionnaires being filled in by people living at the home, relatives and visitors. This happens on a three monthly basis, and copies of several questionnaires were seen together with evaluation of the results. Raynesway View do hold meetings for the people who live there, although they Care Homes for Older People Page 26 of 30 Evidence: are rather infrequent, with the last one having taken place on 10th August 2008, the minute for this meeting were seen. A suggestion boxes are available within the home, and the manager said that they do receive comments and suggestions which will be discussed at a staff meeting. A number of cards and positive comments from relatives and visitors were seen, and the manager shares these with the staff. Raynesway View has a system for peoples small cash needs. This is operated on behalf of some of them by the staff (dependent on individual choice and their ability to manage the money, or relatives involvement). Four peoples finances were checked at random. All of the cash tallied with the records, and receipts were seen, which enabled a clear audit trail of the individuals financial expenditure to be followed. Raynesway View has a formal staff supervision system in place, in which staff receive supervision, either with the manager or with one of the other senior members of staff. This is usually in a one to one meeting. Formal supervision offers staff support and guidance in carrying out their work, and is seen as an essential management tool in residential care. Three members of staff were asked about formal supervision, and they all said they felt well supported, and were receiving regular supervision sessions, however a review of the documentation showed that the National Minimum Standard of six formal supervision sessions for every member of staff during the year was not being achieved. A range of different health & safety records were seen, including the fire safety records, water temperature checks and the Control of Substances Hazardous to Health (COSHH) records, all were found to be correct and up-to-date, which shows that people are living and working in a safe environment. In addition staff training records relating to health & safety were seen, showing that staff were being trained in matters relating to fire safety, and general health & safety matters. Discussions with three members of staff showed they had been trained in a range of different health & safety matters. Care Homes for Older People Page 27 of 30 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 28 of 30 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 11 All of the people living at Raynesway View should have their wishes identified and recorded in respect of when they die. Relatives should also be involved, so that when the time comes, staff are clear about what individuals want to happen. All staff should receive refresher training in safeguarding adults procedures, at least once every two years. Regular formal meetings for the people who live at the home should be held, a minimum of once a month, with minutes of the meetings kept to allow people to have a voice and raise issues. Every member of staff should have a minimum of six formal supervision sessions a year. 2 3 18 33 4 36 Care Homes for Older People Page 29 of 30 Helpline: 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 We want people to be able to access this information. 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