Inspection on 27/08/08 for Wayfarers

This inspection was carried out on 27th August 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wayfarers 07/11/06

Wayfarers 19/01/06

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 02/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wayfarers St Barts Road Sandwich Kent CT13 0BG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Grafton     Date: 2 7 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Wayfarers St Barts Road Sandwich Kent CT13 0BG 01304614155 01304620130 pauline.woodcock@kent.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Pauline Georgina Woodcock Type of registration: Number of places registered: Kent County Council care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 34. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home 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 Way) 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 Care Homes for Older People Page 4 of 30 Over 65 34 0 Brief description of the care home completed. There are attractive gardens to the rear of the home. The service is arranged over a single floor ensuring easy access throughout for all service users. All bedrooms are single occupancy. The home offers a dedicated respite service alongside the residential unit and there is also an integrated day centre attached to the home. Information on the home services and the CSCI reports for prospective service users will be detailed in the Statement of Purpose and Service User Guide. Care Homes for Older People Page 5 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. This was a Key Inspection of the service, which means that we reviewed all the information we have received since the last inspection and it included a visit to the home. We carried out an unannounced visit to the home on 27th August 2008 between 10:00 hours and 17:10 hours. We spent time talking with the manager, staff, residents and observing the home routines and staff practices. We looked at some records and also looked round all the communal areas of the home and a sample of bedrooms. Care Homes for Older People Page 6 of 30 The manager sent us some information prior to the visit, in the form of the homes annual quality assurance assessment. This has been looked at and used in the planning of the visit and the overall assessment of the service. Information from the previous inspection and that received since then, has also been considered. At the time of the visit, there were a total of 29 residents living in the home, including 5 people staying for short-term care. There was a friendly and welcoming atmosphere. At the time of this visit, the weekly fees for the service are a maximum of 379:00 pounds per week. What the care home does well: What has improved since the last inspection? They have developed the way they record information about the care people need, so that each persons care plan looks at them as a unique individual. This makes sure that the personal things that are important to people are known to staff and everyone has the right information to provide consistent care. They have improved the way they manage medicines in the home to make sure that people that are prescribed any medicines receive the right dose at the right time. They have involved people living in the home with fund raising activities and choosing events in the home and outings. Care Homes for Older People Page 8 of 30 They have made changes to the environment to make it more homely. This has included the refurbishment of two bathrooms with new baths and equipment. Two new shower facilities have been installed and offer people more choice. They have also provided new curtains in all bedrooms and attractive new tablecloths for dining tables. They have introduced questionnaires that are given to people living in the home, relatives and staff to seek their views about the home. They have used these to look at things such as the menus and staffing, to see how satisfied people are with the service they provide. As a result of listening to people, the menus and mealtimes have been changed and the staffing structure reviewed. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 30 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People considering moving into the home are given the information they need to decide if it is right for them. They have an assessment that tells staff about them and the support they need. This helps to make sure that their needs can be met. People who stay for respite or recuperation are helped to go back home. Evidence: People can read about the home in an informative Service Users Guide and Statement of Purpose, which are kept readily available in the entrance hall. Both documents have been reviewed and updated since the last inspection and are written in a format that makes it easy for people to read and understand. Between them they set out what is available to people living in the home. The manager makes sure that new people are shown the documents, which are explained to them and they are given Care Homes for Older People Page 11 of 30 Evidence: their own copies to keep, if they wish. We looked at three care plan files for people who live in the home, including one person who had stayed for short periods of respite and rehabilitation, before deciding to live at the home permanently. We spoke to this person, who said they had no regrets about this and commented, Were all well looked after, it’s very nice here. They went on to say that when they had previously stayed for short periods, the home had provided everything necessary to help them recuperate, so that they could return to their own home. People coming into the home are referred by their care manager, who has completed an assessment of their needs. Usually, people coming for longer stays, or to stay permanently, are known to the home, as they have previously used the day care service, or have had respite stays beforehand. When people move in, senior staff talk to them about the support they need and write it down in a care plan. Since the last inspection, the manager has developed the assessment documentation to make sure that it is a personal process that is relevant to the individual and covers a wide range of diverse needs. We looked at the sorts of things that are considered and saw that it shows what sort of help the person needs in all aspects of their daily lives and what assistance staff should give to encourage independence. We looked at all the information gathered for three people and saw that a comprehensive care plan is drawn up. We spoke to a carer who described the practical ways they help people with their everyday living needs, for example, moving about, using the toilet and bathing. We saw a carer welcoming two new people coming to stay for a respite period. The carer spent time with them, answering their questions and explaining things to them about the home. The home offers a dedicated short-term care service. Care plans are developed for individuals receiving respite care that focus on promoting and maintaining independent living skills to enable people to return home following their stay. Care Homes for Older People Page 12 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from having their own individual plan of care, that has the right information, to make sure that they get the personal care they need and good health care. People can be confident that staff understand their needs, their medication will be dealt with safely and they will be treated with respect. Evidence: Each person has their own plan of care that looks at them in an individualised way. They are involved in planning their own care, saying what things they need help with and what they can do for themselves. Any particular wishes are written down, together with guidance for staff, setting out the best ways of caring for each person. We looked at three care plans and saw that they contain detailed information to help staff know about the person as an individual, what they need to do and why. We saw that the plans contain information about helping with personal care, such as washing and dressing, or bathing; any health care needs and help with moving around, such as: how to help with moving from bed to chair, chair to stand, chair to Care Homes for Older People Page 13 of 30 Evidence: bed. Depending upon the persons abilities and needs, this might involve assistance from one carer, supervising a manoeuvre, or it might involve two carers when equipment such as a hoist is used. Whatever help is needed, tasks are clearly specified in the plans with clear instructions. We spoke to five people and two staff members about the care received and given. People that we spoke to say that the carers are good and give them all the assistance they need. One person, who needs a lot of help, said that they feel comfortable when staff assist them with moving and transfers and that staff are competent and helpful. They went on to say, staff are wonderful, very helpful, I like it here. We spoke to carers about the help that these people need and found that what they said confirmed the information we had gained from reading the care plans and talking to people. Carers have a good knowledge. For example they know about things that might be risky for people and take sensible steps to avoid accidents, like where a person wishes to use a hot water bottle, or where there is a risk of falling, when getting out of bed at night. Staff notice any changes in people that might indicate they are becoming unwell. They seek medical assistance promptly and we saw in peoples records where they have seen their doctor, or community nurses have visited for such things as wound dressings. People can look after their own medications if they wish and are able to. They are helped to do this and carers keep a check to make sure they are managing alright. Other peoples medications are looked after for them and given to them at the right times, by staff that have been properly trained and assessed as competent. We looked at the procedure for managing medications and found that things are in order. The Annual Quality Assurance Assessment (AQAA) showed that improvements have been made since the last inspection and this was supported by what we saw. They have introduced a system to check that the correct medicines are received from the pharmacy. We saw that medicines are securely stored. The procedure for administering medications is designed to make sure that the right medicines are given to the right people, at the right time. We looked at a sample of records completed each time a medicine is dispensed and saw that they are correctly completed. We also looked at two records of controlled drugs, including a sleeping tablet and one to allay anxiety, and saw that the remaining stock matched with the records. We spoke to five people and asked them what they think of the carers. They each praised the staff, saying that staff are friendly and respectful, that there is a nice atmosphere and one person summed it up by saying, Were well looked after here, you can do what you want, there is lots of choice, the staff are fine, you cant fault it Care Homes for Older People Page 14 of 30 Evidence: here. All of these things show that they have made improvements since the last inspection that have ensured the healthcare outcomes for people continue to be good. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a stimulating and friendly environment, where individual needs are recognised and respected, relatives and friends are welcomed and they are offered a choice of good quality food from a varied menu. Evidence: We saw that people have lots of opportunities to take part in activities of their own choice. These include group activities in the home, entertainers coming in, outings to places of interest that people have chosen themselves, or individual one to one sessions with a member of staff. We spoke to people about their daily lives. They say that they have lots of choices to take part in activities, both within the home and in the community. People have been asked what they would like to do and staff have responded by putting on activities that they want. For example, a recent Fun Day was held, which some people had been involved in organising. Two people told us about this occasion and recounted how they had won rosettes for the egg and spoon race and wheelchair relay. From the discussions with them and a staff member, plus entries seen in care Care Homes for Older People Page 16 of 30 Evidence: plan records, it was clear that this had been an enjoyable event in their lives. Several outings have taken place, over the last few months, to places of interest that people have chosen. These have all included a meal out. A pub trip was the next one being arranged. Some people are involved in fund raising and the planning of events. The next event is a garden fete planned for early September and we saw one person being involved in distributing flyers. We saw that Christmas events are already being planned and people have already chosen their own entertainment, with and a fancy dress theme. Relatives are involved too and a quarterly newsletter keeps people informed about what has gone on and what is planned. Some people spoke about enjoying activities such as dominoes, bingo, card games and doing anagrams. On the morning of the visit they were doing ones that were all flower names. Each person we spoke with said how much they enjoy taking part in the various different social activities. People are able to celebrate their religion, for example, a monthly communion service is held and people who wish to go to church are taken to a nearby church once a month. We saw that people of different faiths are encouraged and supported to celebrate their own faith. People say that they are encouraged to make their bedrooms homely. For example, by bringing in their own possessions, such as: ornaments and photographs, and small items of their own furniture. We saw examples of this in bedrooms we looked at. Some people like to spend most of their time in their room and this is respected. People say their families and friends are able to visit any time they wish and the home also has open days. People say they enjoy good food and that they have plenty to eat. We saw that meal times are relaxed, unhurried occasions. There is a choice of dish at each meal. People have a say in what they have, for example, the menus have recently been changed to include food that people have said they want. The beef stew served on the day of the visit looked and smelled appetising and people told us they had enjoyed their meal. We saw that the menus provide a varied diet and we were told that special diets are catered for. We saw that peoples care plans look at nutritional needs and where a risk of malnutrition, or dehydration, is identified, they have an action plan in place to reduce risk and to make sure of adequate nutrition. Care Homes for Older People Page 17 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that any complaints will be listened to and sorted out. Also, that staff practices will make sure they are kept safe. Evidence: A laminated copy of the Service Users Guide is kept by the visitors book in the reception area. This includes a very well written complaints procedure that is in plain language and easy to read. We looked at how the home deals with any complaints received. We looked at two complaints received since our last inspection and saw that they had been dealt with promptly and the people concerned informed about the conclusion and how it had been reached. We asked five people how they feel about raising a concern with the manager, or other members of staff. They all say that if they have anything worrying them, they know they can talk to the manager, or any of the staff. They also say that they have no concerns at the moment and praised the home. One person summed up their views, saying, I couldnt wish to live anywhere nicer. There are written procedures about protecting people and keeping them safe. All staff have to read these when they start work at the home and they also have specific training on this. We asked one carer about this who told us they had recently attended training on abuse awareness and on equality and diversity. They have a good Care Homes for Older People Page 18 of 30 Evidence: knowledge of the signs that would alert them to something not being right and know what action to take if this happens. We looked at the records of two incidents that had been reported to us since the last inspection and spoke to the manager. We saw that proper safeguarding procedures have been followed. The people we spoke with tell us they feel safe and secure living in the home. Care Homes for Older People Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home benefit from the improvements made during the last year to maintain a comfortable and homely environment. They are helped to get about and stay as independent as possible because the home has the specialist equipment and adaptations they need. People are protected because good practices are followed to maintain hygiene and prevent the spread of infection in the home. Evidence: Wayfarers provides a spacious environment for people, which is arranged on one floor in a way that makes it easy for them to move about. There are two distinct wings, which each have their own lounges and dining areas, plus breakfast bar/servery areas. The communal areas are spacious and welcoming, laid out to an open plan design. They are arranged in such a way so that people can choose to spend their time in small or larger groups, or have quiet time. Furnishings are comfortable throughout and a number of improvements have been made since the last inspection to add a homely feel. These include: new curtains in all bedrooms, new tablecloths in dining rooms and the complete refurbishment of the Care Homes for Older People Page 20 of 30 Evidence: bathing facilities in the home. People now have the choice of two new baths and two new shower rooms. These have been adapted to make them easier to use for people with disabilities. Bedrooms are all single occupancy and people are encouraged to bring in their personal possessions and decorate their rooms to their own taste. There is an on-going redecoration programme and a maintenance person is employed and does the decorating. Most bedrooms are painted in various different shades and we saw that people have chosen their own colour schemes. People can choose to buy their own wallpaper if they wish and the maintenance person will do the decorating. People we spoke to say they like their bedrooms and find the lounges comfortable. They also say that they like the new bathing facilities, some people like to shower and others prefer a bath. We saw that where lifting equipment is needed to help people, their bedrooms are spacious to allow enough room for this to be used safely. There is a well-tended garden that surrounds the building and offers a pleasant walking area and places for people to sit outside if they wish. There is also a separate room where people who live in the home can smoke if they wish. The manager completes an annual development plan for the home and has indicated in this that replacement carpets are required. We saw that carpets are worn in places and tape has been added where carpet joins have frayed. When new carpets are fitted, if metal strips are provided at doorway joins this might prevent a similar thing occurring in future. We saw that the home is clean and free from any unpleasant odours. Staff follow good practices to prevent the spread of infection in the home. These include hand washing, use of protective clothing and gloves, with plentiful supplies of liquid soap and paper towels. There is a well-equipped laundry room and two sluice rooms. The home has had a recent infection control audit carried out by the Health Protection Agency and one of the recommendations is to have a separate hand wash basin added in the laundry. We also recommend this. The manager also told us that the providers are considering the addition of a sluicing machine in each sluice room for the safer cleaning of commode pans. Again we endorse this recommendation. Information in the AQAA indicates that the building complies with the requirements of the fire and environmental health departments. Care Homes for Older People Page 21 of 30 Care Homes for Older People Page 22 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that they will be protected by the home’s recruitment practices and supported by competent and qualified staff. Evidence: We looked at the numbers of staff on duty and saw that staffing levels are set to take account of peoples needs and how many people are living, or staying at the home for short periods. There is always a team leader on duty in charge of the shift during the day and they sleep in at night as well, to be on call if needed. Minimum care staffing numbers are set at five in the mornings and four in the afternoons and evenings. Staff rotas and discussions with staff tell us that there is usually also an extra carer on duty at peak times, such as between 07.30 to 10.00 hours in the mornings and 17.00 to 22.00 hours in the evenings. There are two staff on waking duty at night. In addition, there are enough ancillary staff to do the cooking, cleaning, laundry, administration and maintenance. People say that the staff are good and look after them well. One person said They are so kind, nothings too much bother for them. Another said, The staff are wonderful, very helpful. One person did say that sometimes the staff are very busy and mentioned that lately a number had been on holiday, or off sick. However, they went Care Homes for Older People Page 23 of 30 Evidence: on to say that there are usually enough staff and they always have two staff to assist them when they need it. Staff spoke enthusiastically about their work, saying they like working at the home and praising the management for the many training opportunities they have. One staff member related a wide variety of courses they had attended. We met a Distance Learning Trainer working individually with a carer, doing a Palliative Care Course. This was being done privately in a separate training room. We also saw staff records of training, including a thorough induction programme when they first start work at the home. The home and organisation support staff to achieve their National Vocational Qualification (NVQ) in care and to date, 76 of the staff team have achieved their NVQ level 2 or above. The management complete a number of security checks on new staff before they start work at the home. We looked at two staff files and saw that all the checks specified in the National Minimum Standards and legislation had been done. These include: past employment history, written references, checking identity and criminal records checks. This is important to make sure that new staff are trustworthy and safe to be around the people living in the home. We spoke to two staff about their training and some of the things that they do. They have a good knowledge about a range of relevant things, such as how to help people move about safely, or how to support people who are anxious, or distressed. One carer we spoke to has qualified to train other staff in moving and handling people and takes an active role in assessing people and drawing up care plans. All the things we looked at confirm the judgement made at the last inspection that staff in the home are trained, skilled and in sufficient numbers to support people living in the home or using the service. Care Homes for Older People Page 24 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in a way that safeguards the best interests of the people living there, promoting and protecting their health, safety and welfare. Evidence: The manager has the qualifications and experience to run the home. She has worked at Wayfarers for a number of years and people say she is very approachable. Two people living in the home that we spoke to, praised the manager, one person said, The manager is really caring and went on to say that the manager came in and worked a shift one evening when the home was short-staffed, due to staff sickness. The management team do a number of things to involve people in the running of the home. They hold regular staff meetings, residents and relatives meetings, and they hold handover meetings at the beginning and end of each shift. This is important so that staff can discuss relevant things between themselves and share information about what is happening with people living in the home. One person said, We have meetings Care Homes for Older People Page 25 of 30 Evidence: where we can make suggestions. As well as talking to people, the manager has also introduced questionnaires that are given out to people living in the home, relatives and staff. Copies of questionnaires completed in April were about the menus. As a result of listening to people, changes have been made to the menus and mealtimes. Another questionnaire given out in May focused on staffing levels. These have been analysed by someone in the senior management group and a summary produced that is being used to look at ways of improving things in all homes owned by the organisation. There is an active Amenity Fund Group, involving staff, people living in the home, relatives and volunteers. We saw records of meetings held to discuss fund raising and what people want the money raised to be spent on, for example, entertainments and outings. The manager completed an Annual Quality Assurance Assessment (AQAA) and sent it to us when we asked for it. This was clear and gave us all the information we requested. It shows where the home has made improvements and identifies where things could be done better. There is an annual development plan in place that is reviewed and updated. A member of the senior management team visits the home once a month to monitor the quality of the service at the home. These are unannounced visits and we saw records indicating that the person talks to people living in the home and to staff to seek their views. They also look at a sample of records and look round the home. The last visit on 21st August identifies that the carpet needs replacing and that the feasibility of upgrading the sluicing facilities is being investigated. It also shows that staff spoken to feel that some shifts are short staffed, at which times they are only able to offer basic care. Staff said that they would like to be able to offer more activities. The manager says that this is followed up at senior management meetings. Peoples views at our visit indicate their satisfaction with the activities provided in the home and evidence shows there to be an excellent outcome for people in respect of activities at this time. However, the management need to consider staff comments about the short-staffed periods, look at how often they occur and what can be done to make things better. The last inspection report indicates that the home follows a good system for safeguarding peoples financial interests. The information in the AQAA indicates that the good standard identified at that time is being maintained. Care Homes for Older People Page 26 of 30 Evidence: The AQAA also indicates that the homes equipment is regularly serviced and health and safety is promoted through meetings, training and practice. Staff training records indicate that staff complete mandatory training, including: induction, health and safety, fire safety, first aid, food hygiene, moving and handling. No health and safety hazards were observed on the tour of the building. Care Homes for Older People Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 28 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 30 of 30 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!