Inspection on 19/01/06 for Wayfarers

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 14/09/05

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 Announced Inspection 19th January 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 Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 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. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Wayfarers Address St Barts Road Sandwich Kent CT13 0BG 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) 01304 614155 01304 620130 Kent County Council Pauline Georgina Woodcock Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2005 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 DS0000037895.V268169.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 19th January 2006 and lasted for around 6.5 hours. During the course of the inspection discussions took place with service users, relatives, staff and the registered manager. A tour of the premises was also undertaken and a range of documentation was viewed including service user files, staff files, health and safety information and other records relating to the running of the home. Service users gave positive feedback about the quality of care with comments such as, “the staff are really caring”, “I’m well cared for” and “the food is good”. One visitor stated that they are “always made to feel very welcome” and another said “It’s nice to know that my mother is being well cared for.” Staff were also positive about the atmosphere in the home emphasising that there is a supportive team and that is enjoyable working in the home. What the service does well: What has improved since the last inspection? The home continues to provide sensitive and thoughtful care for older people and the registered manager and staff aim to continually improve the quality of Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 6 service provided, which was evident from much of the feedback given. A number of staff who had been long-term absentees have now returned, which has reduced the burden on the rest of the staff team. 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 DS0000037895.V268169.R01.S.doc Version 5.0 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 Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 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): 3, 4, 5 and 6. Service user’s needs are assessed prior to admission and the home ensures that it will be able to meet those needs. Prospective service users have the opportunity to visit the home. People admitted for intermediate care are helped to retain their independence. EVIDENCE: All referrals are made through care management and the home receives joint assessments, care management plans and details of social and medical history prior to admission. This applies both to people admitted for longer term care and short-term care. The home also uses a number of assessment tools to back up these systems. All service users have a plan of care developed upon admission, which is based on the information gained upon assessment. The home ensures that it can meet the needs of all service users through assessment and on going monitoring. The home benefits from an experienced and motivated staff team who possess good skills and receive appropriate training. The staff liaise well with other healthcare professionals in the multidisciplinary team. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 9 Prior to admission to the home prospective service users are offered opportunities to visit the home providing the chance to meet staff and residents, look around the home and have a meal should they wish to do so. In the case of emergency admissions all key criteria are met within 48 hours. The home offers a short-term care service and is looking to expand this provision in the future based on the expressed needs of service users, families and purchasers. The home develops specific care plans for individuals receiving respite care focussed on promoting and maintaining independent living skills to enable people to return home following their stay. There is a day centre within the home and a number of the people referred for short-term care are well known to the service due to attendance at the day service or due to the fact that they have regular respite admissions. There are dedicated rooms set aside for people receiving intermediate care. The home ensures that specialist services continue to be offered for these individuals. Staff demonstrated sufficient competence in addressing the needs of people in respite care. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 10 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): 7, 8 and 11. Individual plans of care are developed, but require updating to ensure needs are adequately addressed. Healthcare needs are fully met. Issues surrounding arrangements in the event of death are sensitively handled. EVIDENCE: A number of individual service user plans were viewed at random, which varied in the quality of information to address assessed needs. All plans identified relevant needs for each service user, but some plans contained minimal guidelines to enable staff to meet those needs. In some cases the actions did not adequately address the stated needs. A discussion regarding care-planning information was held with two team leaders and the registered manager. Refer to requirement 1. The home has a satisfactory system of risk assessments, although it was noted that a number of risk assessments are in a generic format and efforts should e made to individualise these risk assessments. A care plans and risk assessments are regularly reviewed. Information regarding the healthcare needs of service users is well kept and up to date. The home ensures that specific needs in this area are monitored and any problems or complications are appropriately referred. Good lines of Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 11 communication are established with local GPs, district nurses and other healthcare professionals. The home has clear policies and procedures relating to issues surrounding the death of service users. Funeral arrangements are documented and discussed with service users and/or the next of kin. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 12 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, 14 and 15. Service users are able to maintain contact with family and friends. Residents are enabled to exercise choice in their day-to-day lives. A healthy and balanced diet is offered. EVIDENCE: The home has a friendly and welcoming atmosphere and friends and families are encouraged to visit and maintain contact. The home is spacious and provides adequate space for people to meet in private should they wish to do so. One service user stated, “I get lots of visitors and they are made to feel very welcome by the staff.” The home aims to maximise the autonomy and choice of service users enabling individuals to maintain control of their own finances where possible. Residents are encouraged to bring in personal possessions with them to furnish their bedrooms. Information is available regarding advocacy services. The home has an open access policy relating to personal records in accordance with the Data Protection Act 1998. The home has two dedicated cooks and provides a wholesome and balanced diet with choices available at each mealtime. Comments about the quality of food included, “The food is always good” and “I enjoy most of the meals; I get a choice of what I want.” Any special diets are catered for and the cook on duty demonstrated a good understanding of service user’s needs and likes “It’s Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 13 important to get the food right, we try our best.” There are two separate dining rooms, which provide a conducive and relaxed atmosphere for service users to enjoy meal times. Snacks and drinks are available throughout the day and on request. The kitchen was clean and hygienic with evidence of good quality food in stock. The home has recently received a clean food award from the environmental health department. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 14 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): 18 Service users are protected from abuse. EVIDENCE: There are clear, comprehensive and robust policies and procedures regarding protection against abuse. These include signs and symptoms of abuse, forms of abuse and reporting and recording procedures. All staff address the topic of abuse through the home and organisation induction procedures. Additional training is also offered to staff regarding adult protection awareness. Resident finances are managed by the individual where possible, otherwise through care managers or relatives. The home maintains clear financial records of incoming and outgoing transactions and safe storage is provided. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 15 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, 20, 21, 24, 25 and 26. The home is suitable for the needs of the service users providing adequate communal, bedroom, toilet and bathing facilities. The home is clean and hygienic. EVIDENCE: The home is set out over a single floor and accessible to all. The service is located on the outskirts of the town of Sandwich close to public transport links. The home is separated into two wings each with dedicated facilities including lounges and dining rooms. There is an attractive and functional garden surrounding the building. There is also a small shop run by a voluntary group providing a regular service. The communal areas are substantial in size and, despite an open plan design, are arranged to enable service users to spend time in small or larger groups or have quiet time. There is one dedicated smoking room available for residents. The dining rooms are spacious and each has a breakfast bar/servery. There are good quality furniture and fittings throughout. All bedrooms are single occupancy and residents are encouraged to bring in personal possession and decorate their rooms to personal tastes. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 16 An adequate number of suitably equipped toilets and bathrooms are located around the building. The home, at the time of inspection, was clean and hygienic and appeared well cared for. Policies and procedures are in place to ensure the control of infection and staff address such issues through the induction programme and additional training. Laundry facilities are adequate for the needs of the service. The building complies with the requirements of the fire and environmental health departments. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 17 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 and 29 There are sufficient numbers of staff on duty at all times. Recruitment processes are adequate. EVIDENCE: The home has a 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. There are 2 waking night staff on duty and 1 team leader sleeps-in through to the morning. A number of staff files were viewed demonstrating robust recruitment practices. All relevant information was kept on file including two references, CRB checks and proof of identity. The personnel files are well managed and clear. All staff receive job descriptions and statements of terms and conditions of employment. The induction programme includes an introduction to the organisation training event. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 35, 36 and 38. The home has an experienced and well-qualified manager. There is a positive ethos throughout the home. Service user’s financial interests are safeguarded. There is a good system of supervision in place. The health and safety of service users and staff is promoted. EVIDENCE: The registered manager has a number of years of management experience within the home. She has achieved her Registered Managers Award/NVQ level 4 and continues to undertake additional training courses to further her professional development. She has established clear lines of accountability within the home and has a clear job description. There is a positive and inclusive atmosphere within the home with clear lines of accountability. Tasks and duties are delegated to team leaders and other care staff to help build strengths. Service users, relatives and other stakeholders Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 19 are encouraged to offer their views in order to contribute to the development of the service. A number of financial records were viewed at random. The records were well kept clearly showing all incoming and outgoing transactions. The home offers safekeeping for resident finances and does not take on appointee roles for any individuals. The home has robust systems of supervision and appraisal. The inspector viewed some supervision records, which were up to date and demonstrated that effective and regular supervision is offered by senior staff members. There is always a senior member of staff on duty ensuring that suitably experienced and knowledgeable staff are available to oversee care practice. All health and safety records were well-maintained, clear and up to date. Safety and service certificates were all present and valid. Fire safety records are routinely maintained and accident records up to date. Environmental risk assessments are completed and reviewed. Staff are provided with mandatory training and policies and procedures underpin safe working practices. Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 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 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 X X 3 3 X 3 Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 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. 1 Standard OP7 Regulation 15 Requirement To ensure guidelines in care plans clearly address the actions required by staff to meet individual needs. Timescale for action 01/03/06 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 Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Wayfarers DS0000037895.V268169.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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