Inspection on 17/01/06 for Wavertree House

This inspection was carried out on 17th January 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 12/12/06

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 Unannounced Inspection 17th January 2006 12:45 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.V283923.R01.S.doc Version 5.1 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.V283923.R01.S.doc Version 5.1 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 Mr Malcolm Richard Wood 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.V283923.R01.S.doc Version 5.1 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. 14th July 2005 Date of last inspection Brief Description of the Service: Wavertree House is a care home run by the Royal National Institute for 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. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection was carried out over a period of four hours on 17th January 2006. The inspection process included a tour of the premises, document reading and informal talks with the manager, three staff members and five of the residents. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were made during this inspection. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 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. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 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.V283923.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 Residents are provided with a contract/terms and conditions when they enter the home. Assessments are carried out on all prospective residents. EVIDENCE: All residents are provided with a contract/statement of terms and conditions, which are signed by the home and the resident or their relative. The current RNIB contract is under review and a new contract is due to be introduced. All prospective residents are assessed before they move into the home as this ensures that the home can meet all their needs. Often residents are visited by the Head of Care who would assess them in the areas of their physical health, mental health, mobility, personal care and domestic abilities. Residents can also be assessed whilst visiting the home. Relatives or friends are also encouraged to attend these assessments, as their input is also very important. The home does not provide intermediate care. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 & 11 Residents were seen to be treated with dignity and respect. All residents have had their wishes recorded regarding illness and dying. EVIDENCE: On the day residents were seen to be treated with dignity and respect by staff. Staff address residents by their preferred name and knock on their doors before entering. Residents who were spoken to stated that their privacy was respected. Residents have had their wishes recorded in their care plans as regards to illness and dying. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Visitors are always welcome in the home. EVIDENCE: Visitors are able to come into the home at most times of the day. Some regular visitors are offered swipe cards to enter the building on weekends and evenings. Visitors are able to stay for meals and they are also offered overnight stays if required. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Residents have their legal rights protected. EVIDENCE: All residents are registered on the electoral roll. The home has introduced an Advocacy Service for any resident who wishes to use it. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 24 The home is maintained to a high standard. Specialist equipment is provided. Residents live in self-contained accommodation. EVIDENCE: Wavertree House provides a very good standard of accommodation. All residents have their own individual accommodation in either self-contained studios or flats. Both the studios and flats are furnished to a high standard and are well maintained. The home employs full time maintenance staff. All rooms, corridors and exits are specially marked/signed for ease of moving safely around the building. The home provides a variety of specialist equipment for residents who have sensory impairments, which include a talking menu and activities machines, talking clocks and watches, talking CD’s, lifting equipment, Braille machine, CCTV machine that magnifies newspaper print and various other sight assisted equipment. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, The home has a caring and dedicated staff team. EVIDENCE: The home employs a large staff team and there are currently six vacancies with interviews being carried out shortly for these positions. During the morning shift there are six staff plus a supervisor on duty and in the afternoon there are four staff plus a supervisor. Over the nighttime period the home employs two waking staff and one sleep-in staff member. The majority of the current thirty-eight residents have fairly low needs. Several staff were spoken to during the inspection and the overall feeling was that they enjoyed their work and felt that the home was running well. They all stated that they worked in a caring and friendly environment and that they all got on well together as a team. They also felt well supported by management. Agency staff are being used, however the agency only sends staff that have worked at the home before and who are familiar with all the residents. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 & 38 The management approach of the home is very supportive. The home has a thorough quality assurance programme. There were no health and safety issues identified during the inspection. EVIDENCE: The home is managed in a friendly and supportive manner. Both residents and staff stated that they felt the home was run in an open and positive atmosphere. Again both residents and staff knew who to go to if they had any issues or concerns and they all felt that the manager was a very approachable person who they felt comfortable talking to. The home undergoes a number of RNIB internal and external audits throughout the year 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. Monthly Regulation 26 visits are carried out and Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 15 recorded by an external consultant. The home provides residents with a satisfaction feedback survey, which enables them to highlight any queries or concerns they may have regarding the care they receive at Wavertree House. Stakeholder satisfaction surveys are also sent to visiting professionals, such as doctors, district nurses etc. A tour of the home was conducted during the inspection and no health and safety concerns were identified. Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 16 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 4 X X 4 X 4 X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 4 X X X X 3 Wavertree House DS0000041270.V283923.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N0 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.V283923.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT National Enquiry Line: 0845 015 0120 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. 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