Inspection on 14/09/05 for Wayfarers

This inspection was carried out on 14th September 2005.

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

Wayfarers 27/08/08

Wayfarers 07/11/06

Wayfarers 19/01/06

Wayfarers 23/12/04

Wayfarers 14/04/04

Wayfarers 28/01/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Wayfarers St Barts Road Sandwich Kent CT13 0BG Lead Inspector Joseph Harris Unannounced 14/09/2005 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 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. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wayfarers Address St Barts Road, Sandwich, Kent CT13 0BG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01304 614155 01304 620130 Kent County Council Pauline Georgina Woodcock Registered Care Home 34 Category(ies) of Old Age registration, with number of places Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23/12/04 Brief Description of the Service: Wayfarers is a Kent County Council run home offering up to 34 beds for older people requiring residential care. The home is separated into two distinct wings (Hollyside and Cherry Tree) with their own dining areas and communal spaces. However residents are able and encouraged to participate in joint activities and social events. The home is set in a relatively quiet, residential area of Sandwich, close to the town centre with good access to the local amenities and popular tourist and recreational facilities. The home has been well maintained and planned redecoration and refurbishment is routinely completed. There are attractive gardens to the rear of the home. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 14th September 2005. The visit lasted for around 4 hours during which time discussions were held with the registered manager, staff and service users. A partial tour of the premises was also undertaken. A range of records and documents were viewed including service user plans, medication records, staff training and personnel information and health and safety records. No requirements or recommendations were made as a result of this inspection. What the service does well: What has improved since the last inspection? The service has continued to develop documents relating to service users including pre-admission assessments, care plans and risk assessments. Improved methods for ensuring the review of care plans has also been introduced. A new NVQ provider is now being used, which received positive feedback from staff members. Staff continue to receive supervision on a regular basis and some staff acknowledged the benefits of regular support. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 6 What they could do better: 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. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 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 standard(s) These standards were not inspected during the course of this visit. EVIDENCE: Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10. Service user plans set out the needs of residents in adequate detail. Health care needs are met. Medication processes are well maintained. Service users are treated with respect and their privacy is maintained. EVIDENCE: A number of service user plans were viewed, which demonstrated that the holistic needs of each individual are addressed. The plans are based on needs assessments gained prior to admission and on-going assessments completed by the home in conjunction with visiting professionals. The staff team and key workers have continued to develop care plans providing improved levels of information and guidance to enable a consistent approach to care and personal support. Key issues regarding individual’s health needs are also adequately addressed. Plans are regularly reviewed on a monthly basis and a clear structure for review has been introduced ensuring this occurs routinely. The home involves service users in the planning of care where possible. Risks are suitably assessed and risk management plans developed where a perceived risk is identified. There are some generic risk assessments in use, which supplement individualised assessments based on need. The home ensures that the health care needs of service users are adequately addressed enabling access to their own GP and other health professionals. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 10 Where an issue is recognised the staff ensure that appropriate professional input is sort. Health care records are well maintained demonstrating the input received and the outcome of any consultations. The home maintains the oral hygiene of service users and assesses the likelihood and measures to prevent the incidence of pressure sores including the use of body maps. The nutritional needs of service users are monitored and addressed as required. Access is enabled to supplementary healthcare services such as chiropody and dentistry. Medication systems are adequately maintained and all record keeping was up to date and clear. There are policies and procedures relating to all aspects of medication in place. Storage facilities are adequate for the needs of the home. All staff who administer medication are provided with the necessary medication training and updates as required. There are satisfactory facilities and procedures in place for the safe maintenance and storage of controlled drugs. Two senior staff members are responsible for the ordering and upkeep of medication and staff members spoken to demonstrated a good awareness of general medication issues. Staff treat service users with dignity and respect. One service user commented that “the staff are lovely” and “I’m well looked after”. Residents’ choices with regard to personal care are respected and documented. Kent County Council provide induction training for all staff addressing issues such as respect and confidentiality, which is further underpinned by the culture and training within the home. All service users are offered single rooms. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13. Service users are provided with activities to suit their interests and needs. The home is welcoming ensuring residents maintain contact with friends, family and the local community. EVIDENCE: The home offers a good range of regular activities that can appeal to various interests. These include quizzes, bingo, art and craft and gentle physical exercise. In addition to this outside entertainers visit the home offering music, sing-a-longs and drama amongst other things. The service arranges special seasonal events on a regular basis and plans were being finalised on the day of the visit for a harvest fete with entertainment, bric-a-brac stalls and other activities. The home receives support from a voluntary organisation providing shop services for a number of days each week. The staff team were enthusiastic about their involvement in activities and recognise that they are an important aspect of day-to-day life. There are some opportunities provided for trips out in small groups to local resources, especially in the summer months. One resident stated that “There is always things to do to pass the time” and another service user said that “I enjoy the Bingo, especially when I win a prize”. Activities are clearly advertised and staff remind residents prior to different activities beginning. The home has a friendly and welcoming atmosphere and friends and families are encouraged to visit and maintain contact. The home is spacious and Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 12 provides adequate space for people to meet in private should they wish to do so. One visitor stated that “It’s nice to know my mother is well cared for”. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. There is an adequate complaints process in place. EVIDENCE: The home has a clear, comprehensive and accessible complaints procedure addressing all necessary issues. The registered manager aims to address any concerns or complaints in an informal manner in the first instance, but should this prove unsatisfactory then there are formal processes to follow involving senior managers as required. A copy of the complaints procedure is displayed in the home and accessible. A record of complaints is maintained. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 and 26. The home is safe and well maintained with comfortable and adequate communal facilities. The environment is clean and hygienic. EVIDENCE: The home is set out over a single floor, providing access throughout for all service users. All bedrooms are single occupancy and there is a good range of largely open-plan communal spaces. The premises are well maintained and the home employs a dedicated maintenance man, in addition to this there are planned programmes of redecoration and refurbishment. A gardener has also recently been employed and the outdoor space is accessible and well maintained. The building complies with environmental and fire safety legislation. Where requirements regarding the premises have been made in the past the providers have acted in a timely manner to address any issues raised. The home is split into two main areas, each with their own communal spaces. The lounges are large, airy and relatively comfortable. The shared space is mainly open plan, but has been thoughtfully arranged to encourage small groups of people and areas for residents to have some quiet time. There is a dedicated smoking room, which does not impinge on any other individuals. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 15 There is also the benefit of some private rooms for meetings, visitors and consultations. The dining rooms are of sufficient size and have breakfast bars to aid serving and the making of refreshments. At the time of the visit the home was clean, hygienic and odour-free. There are policies and procedures in place regarding the control of infection and staff have received additional training in this. Laundry and sluicing facilities are suitable for the needs of the home. All areas had a good standard of cleanliness. There are adequate hand washing facilities throughout the home. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30. There are adequate numbers of staff to meet the needs of the service users. There is a good staff development programme including NVQ and training courses. EVIDENCE: The home operates a fairly flexible system of staffing ensuring that adequate numbers of staff are on duty at all times, with additional staff at peak hours. The registered manager is on duty generally through 9-5 office hours. A team leader is also on duty throughout the day and night. 6 further care staff are on duty in the morning until 10am, then 5 staff work up to 1.30pm. 4 staff work until 5pm when the numbers then rise to 5 up to the night shift. 2 waking night staff and 1 team leader sleeps-in through to the morning. There is a stable staff team, although sickness rates are fairly high at the present time with 3 long-term absentees. There is a bank of relief staff who cover sickness and holidays. There is a good staff development programme with the home exceeding the 50 NVQ target. All new workers work through an induction programme and complete mandatory training within set timescales. Updates and refresher courses are also provided in addition to other supplementary training. Some staff members stated that it is not always easy to be accepted for their chosen courses because of limited places offered by the organisation. The staff team demonstrated an eagerness and commitment to lifelong learning. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 38. There are good quality assurance processes in place and the health, safety and welfare of service users and staff is maintained. EVIDENCE: The home is subject to monthly monitoring visits from a senior manager who speaks to staff, residents and visitors. Records are audited and the environment evaluated on this basis. The reports are provided to the Commission in a timely fashion. There are opportunities for staff, service users and other stakeholders to feedback about the service. At the time of the visit a staff meeting took place, which was positive and action-focussed. There is a robust management structure in place with clear lines of accountability. All documents relating to health and safety issues were up to date and complete and regular monitoring in this respect takes place. Fire logs and accident books are completed and issues reported as required. All routine maintenance checks had been carried out and copies of all certificates were available for inspection. Environmental risk assessments are completed and Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 18 reviewed on a regular basis. The registered manager ensures safe working practices through training and policies and procedures. There are good lines of communication and accountability within the home to ensure that staff are aware of any issues and developments. Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x 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 x 15 x COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x x x 3 Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Wayfarers H56-H05 S37895 Wayfarers V244993 140905 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 11th Floor, International House Dover Place Ashford Kent TN23 1HU 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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