Inspection on 12/12/06 for Wavertree House

This inspection was carried out on 12th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Wavertree House 17/01/06

Wavertree House 17/01/05

Wavertree House 27/07/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Wavertree House Wavertree House Somerhill Road Hove East Sussex BN3 1RN Lead Inspector Merle Blakeley Key Unannounced Inspection 12th December 2006 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 Wavertree House DS0000041270.V318804.R01.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. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wavertree House Address Wavertree House Somerhill Road Hove East Sussex BN3 1RN 01273 262200 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) RNIB Mrs Maxine Helen Miles Care Home 44 Category(ies) of Sensory impairment (4), Sensory Impairment registration, with number over 65 years of age (44) of places Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That no more than forty four (44) residents are to be accommodated at any one time. That no more than four (4) people under the age of 65 years will be accommodated. 17th January 2006 Date of last inspection Brief Description of the Service: Wavertree House is a care home run by the Royal National Institute of the Blind (RNIB). The home is registered to care for up to forty-four people with sensory impairments. The property is situated in a residential area of Hove and is very close to local transport, parks, the seafront and shopping areas. Accommodation comprises of thirty-three studios, seven one-bedroom flats and two 2-person flats. All contain en suite facilities and self-contained kitchenettes. The larger flats situated in the older wing also have entry halls and lounges. All flats have their own front door. The building comprises of two areas; the older wing with seven flats and the new purpose built premises, which contain the studios, flats and a guest flat. Accommodation is presented over three floors, which are all served by lifts. Communal areas within the home include a large dining area, a commercial kitchen, separate laundry area, an assisted bath on each floor, therapeutic spa, a library, a dedicated activities room, lounges, a reception and large lobby and a minibus for transport. Residents also have the use of a pleasant rear courtyard garden. The current fees for this home range from £545.00 for a studio flat, £590.00 for a one bedroom flat and £655.00 for a two bedroom flat. Additional fees are payable for hairdressing and chiropody. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out over a period of six and a half hours on the 12th December 2006. As well as this site visit information was also gained from a returned pre-inspection questionnaire, eighteen returned resident feedback survey forms, informal talks with five residents, five care staff, two ancillary staff, the head of finances, the head of care and the manager. The site visit consisted of a tour of the premises, looking at the needs of five particular residents, document reading and observations of staff interacting with residents. There are currently fort-three residents residing at Wavertree House. What the service does well: What has improved since the last inspection? What they could do better: No recommendations or requirements were made during this inspection. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 6 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. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 7 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 Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 8 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home carries out a thorough before a prospective resident moves into the home. EVIDENCE: The manager or head of care will carry out an assessment on all prospective residents who wish to live at Wavertree House. Residents usually visit the home and have lunch and discuss their care needs, this will ensure that the home is able to meet their assessed needs. Relatives/friends are also encouraged to attend these assessments. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 9 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 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and reviews are informative and up to date. Resident’s healthcare needs are being met. The home administers and records all medications correctly. Residents were seen to be treated with dignity and respect. EVIDENCE: Five care plans were viewed and these records were seen to be very informative and up to date. Reviews of care plans are carried out six monthly and both residents and their relatives are involved in this process. An overview of residents healthcare needs were looked at and there are currently eleven residents who have high needs in this area. Nine of these residents have mental health needs and professional input has been sought. Residents also have access to district nurses, CPN’s, dentists, opticians, occupational therapists and dieticians etc. On this day two residents were in hospital. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 10 Medication records were checked and found to be in order. The home stores all medications in a locked trolley on the ground floor. Residents who self medicate have an assessment carried out monthly to ensure that they continue to be able to manage and understand their medicines. Medication records were checked and no errors were found. The homes pharmacy carries out an audit every three months. During the day staff were observed interacting with residents and they were seen to be treated with dignity and respect. Residents who were spoken with also confirmed this and said that they were treated well by the staff. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 11 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs a part-time activities coordinator. Visitors are always welcome in the home. Residents feel they can make certain choices and decisions about their lives. Residents receive a well-balanced and varied diet. EVIDENCE: The home employs a part-time activities coordinator who organises a number of activities for residents. The home is hoping to appoint another part-time coordinator as one has recently left the home. A lot of residents said they were disappointed that this coordinator had left, as she had been at the home for ten years. The home offers a weekly programme of exercises, carpet bowls, bingo, story reading and quiz afternoons. There is also an on site library with print/Braille books and audiocassettes. The home also holds a ‘holiday fortnight’ where residents are offered numerous day trips and lunches out. The home has its own mini-bus. As this visit was close to Christmas the weekly timetable was offering carol singing, pub lunch, entertainers including variety singers coming into the home. A couple of residents commented that they felt Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 12 there were not enough activities but other residents commented that they felt they were enough. Residents are encouraged and supported to maintain contact with their relatives and friends. The home is often busy with visitors coming and going and they are able to visit at any time of the day. Some relatives have been provided with swipe cards to get in and out of the home after hours. Visitors are also able to stay for meals for their relative. Several residents were asked as to whether they felt they had control and choice in their lives. They all said that within reason they made their own choices and decisions about their lives and would seek the help of staff if it were necessary. They all felt that they could approach the manager or head of care if they have any concerns. Wavertree House has a large and fully equipped kitchen plus a very large dining room to cater for up to forty-four residents. The weekly menu is available as an audio message, so that residents are aware of what meals are being offered. Weekly menus were viewed and they showed that various options are available such as vegetarian, diabetic and soft diets. Of the nineteen surveys that were returned only one person stated that they did not like the food. The kitchen was seen to be clean and well organised by the chef. As well as the chef the home also employs six full and part time catering assistants to assist the chef and to serve the meals to residents. The inspector had a brief chat with the chef who stated that residents do come to him and ask for certain dishes to be put on the menu. He also said that he regularly seeks feedback from residents to ensure that they continue to be happy with the meals that are offered. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 13 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 & 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has produced an effective complaints policy and procedure and an adult protection policy and procedure. EVIDENCE: The home has produced a policy and procedure regarding complaints. The complaints record was viewed and there were a number of complaints made. The majority were of a minor nature, which had been dealt with immediately. Six complaints had been investigated and substantiated with satisfactory outcomes. All complaints had been responded to and dealt with within a 28day period. The home has produced a policy and procedure for the protection of vulnerable adults. The vast majority of staff have attended training in adult protection and the home ensures that all new staff undergo CRB checks before they commence employment. There have been no adult protection issues in the home. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 14 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 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Wavertree House is specifically designed for people with sight loss. The home is kept very clean and tidy. EVIDENCE: Wavertree House is made up of two properties; the old wing and the newer purpose built wing. Accommodation is provided in self-contained studios and flats, which all provide en suite facilities and kitchenettes. All corridors, stairways and communal areas are kept free of any obstacles to ensure that residents can move around the home in safety. The home provides a variety of specialist equipment for residents who have sensory impairments. The property remains safe and very well maintained. A full time maintenance person is employed by the home. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 15 The home was found to be very clean and tidy. The home employs three full time domestic staff. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 16 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, 29, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs a team of nineteen care staff. Over 50 of care staff hold an NVQ qualification. The home carries out suitable employment procedures and staff are provided with adequate training. EVIDENCE: The home currently employs nineteen care staff and twelve ancillary staff. For the morning shift there are normally five care staff plus a supervisor, for the afternoon shift four care staff and a supervisor and for the night shift there are two waking night staff plus the night supervisor. During the day some staff members were asked as to whether they felt there were enough staff on duty to meet residents current needs and all responded that they felt the home was adequately staffed. The home carries out five handovers a day and the inspector was able to be present for the handover to the afternoon staff team. The head of care stated that staffing arrangements are assessed on a regular basis. The home feels they provide a staff team, which has a good mix of skills and experience. Five care staff have left since the last inspection and there are currently four full time vacancies. The head of care said that many of these shifts are being covered by permanent relief staff. Agency staff are also being used. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 17 Staff who were spoken to on the day said that they were quite happy in their work and they felt that the morale of staff had improved a lot recently. Residents who were spoken with also stated that staff were friendly and caring. The home has a good ratio of staff that have completed various NVQ qualifications. Eleven staff hold NVQ Level 2 plus three staff are due to finish NVQ Level 3 in December 2006. Another three staff are nearing completion of the NVQ Level 2 Award. Four staff recruitment files were viewed and they were found to contain all the required information. The home offers staff a good level of training and recent courses staff have attended include fire training, food hygiene, manual handling, first aid, infection control, sight loss, challenging behaviour, diabetes, emergency procedures, care planning and falls awareness. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 18 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 & 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 run in a professional and friendly manner. The home has a quality assurance programme. Resident’s finances are safeguarded. The home continues to ensure that the health and safety of residents and staff is met. EVIDENCE: The home has a good management structure with the manager being responsible for the line management of the head of care, head of support services, head of finances and the activities coordinator and reception. The head of care manages all care staff and domestic staff. Residents who were spoken to felt that the home was well managed and organised and that they Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 19 could approach the manager if they had any concerns or queries. They also found other management staff helpful and supportive. Staff also stated that they felt well supported by management. The home undergoes a number of RNIB internal audits throughout the tear and these cover all aspects of care, staffing and housekeeping. Annual audits are also carried out on the kitchen and the maintenance of the property. An external body carries out monthly Regulation 26 visits. Resident satisfaction surveys are carried out and the home also seeks feedback from visiting professionals. The results from these surveys were viewed and 14.6 of residents felt the home was excellent, 14.2 found it good and 3.5 found it average. All residents handle their own financial affairs with assistance where necessary from family and friends. There is one resident that the home supports to draw their pension. The home does hold small amounts of ‘pocket money’ for residents, which does not exceed £50.00. Each resident has a lockable facility to store his or her money in. Any monies held, received or returned to the residents are recorded. The inspector checked the finances of three residents and they were all found to be correct. A health and safety check was carried out and no concerns were raised. The home continues to ensure that all health and safety measures are in place to protect both residents and staff. Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 20 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 3 Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Wavertree House DS0000041270.V318804.R01.S.doc Version 5.2 Page 23 - 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. 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