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Inspection on 10/08/05 for Wayfield Avenue Resource Centre

Also see our care home review for Wayfield Avenue Resource Centre for more information

This inspection was carried out on 10th August 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Residents expressed themselves as pleased with the quality of care received and the services given. They mentioned particularly the quality of the food and the helpfulness of staff. Staff were knowledgeable and enthusiastic, and said that Wayfield Avenue is a good place to work. The acting manager is appropriately qualified and has extensive relevant experience. Staff and residents said that she is approachable. The building is furnished and equipped to a high standard. Records are well kept.

What has improved since the last inspection?

Both requirements made at the last inspection have been addressed. The home has ensured that it holds all the required paperwork on staff appointed. The acting manager has submitted an application for registration as manager with the Commission for Social Care Inspection.

What the care home could do better:

The home should provide training in adult protection for staff who have not received training or refresher training recently. A fire door needs attention to ensure that it closes onto its stops and the alarm call system needs some attention to ensure that it is fully operative. Some care plans lacked some detail. It is recommended that all care plans are reviewed monthly. It is recommended that 50% of care staff achieve NVQ level 2 in care by 2005.

CARE HOMES FOR OLDER PEOPLE Wayfield Avenue Resource Centre 2 Wayfield Avenue Hove East Sussex BN3 7LW Lead Inspector James Houston Unannounced 10 August 2005 10:00 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. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wayfield Avenue Resource Centre Address 2 Wayfield Avenue Hove East Sussex BN3 7LW 01273 295880 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) Brighton and Hove City Council Mrs Evelyn Cobb Care Home 24 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (MD(E)),24 of places Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of service users to be accommodated is twenty-four (24). 2. Service users must be aged sixty-five (65) years or over on admission. 3. Only older people with mental health needs are to be accommodated. 4. One named service user with dementia may be accommodated. Date of last inspection 16 th March 2005 Brief Description of the Service: Wayfield Avenue is registered to provide accomodation and personal care to 24 older people with functional mental health needs. The home provides mostly long term placements,with three placements allocated to respite care. The registered provider is Brighton and Hove City Council. The responsible individual is Terry DSouza and the acting manager is Sarah Lines. Wayfield Avenue is located in Hove with access to local transport and amenities. The premises are set out over three floors. There is a passenger lift. All bedrooms are single and have en-suite facilities. There is a good range of communal space. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the morning and afternoon of the tenth of August 2005. Before the inspection papers held by the Commission for Social Care Inspection were read, and those standards to be inspected prepared. The inspection in the home took 7.2 hours. A tour was made of most of the premises. A variety of records including four care plans were read. The inspector met nine residents, four staff, the acting manager and the provider’s officer responsible for conducting their monthly visits to their establishments. Twenty-three residents were being accommodated on the day of the inspection. What the service does well: What has improved since the last inspection? 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. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 6 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 Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 7 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) 1,3,4,5 and 6. Full information is given to residents and their relatives/representatives to assist in the decision about admission. The home fully assesses prospective new residents. The home meets the needs of the current resident group. Residents are encouraged to visit the home before admission to assist them in the decision about whether or not to enter the home. EVIDENCE: The home’s statement of purpose and service user’s guide were inspected. They contained the required and recommended elements. Minor aspects needing alteration were dealt with during the inspection. Records inspected showed that Care Management assessment documents are obtained in respect of residents along with CPA (Care Programme Approach) papers. Appropriate specialist mental health advice and input is available to Wayfield Avenue. Discussion with residents, staff, the manager and the reading of a range of records indicates that the staff individually and collectively have the skills and experience to meet the needs of residents. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 8 Residents said that they had visited the home prior to admission, or that a family member had done so on their behalf. Staff said that a senior member visits residents in the setting where they then are before admission. Emergency admissions are made only rarely. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 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) 7and 8. Care plans need to contain more detail in some cases, and to be reviewed monthly. The healthcare needs of residents are well met. EVIDENCE: Four care plans were read in detail. Some plans contained sections not completed on details such as normal time of waking or personal hygiene. Risk assessments had been completed. Daily recording is made for each resident, and these entries were found to be up to date and well written. Staff said that the provider had given guidance on writing in such documents. Some files did not contain all the monthly reviews needed. Residents said that their health needs are well met and records inspected showed careful attention to this aspect. Residents said that they have access to a GP and staff said that they have the time to take individual residents to their GP for appointments. The manager said that links with the psychiatric services and community nurses are good. Records inspected showed that residents are weighed regularly. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13. Social activities are well managed and provide interest and variation for people living in the home. Visitors are made welcome. EVIDENCE: Residents said that they exercise choice about the routines of daily living such as times of getting up. Residents have the opportunity to exercise their choice in relation to religious observance. Residents said that they are free to participate or not as they choose in activities arranged in the home. Residents said that they liked the bingo, cards and quizzes organised and that they appreciate the outings organised to local places of interest. The acting manager said that most residents can go out on their own. The activities log inspected showed that individual residents are taken out very regularly by individual staff and at the end of the inspection two residents returned from such an outing with two staff. The home has access to the day centre minibus particularly at weekends, and also has its own car. Residents said that their visitors are made welcome and offered hospitality. Staff said that they see this as important. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. The home has suitable arrangements to deal with complaints made to it. The home’s procedures and processes are designed to protect residents in the event of any allegations of abuse or allegations of abuse. Relevant training is needed for some staff. EVIDENCE: The home has a suitable complaints policy, which is made available to residents. The log where complaints made to the home are held was inspected. This was well kept. A minor amendment to one recording was recommended. No complaints regarding the home have been received by the commission for Social care Inspection. The home has a suitable adult protection procedure and a copy of local guidelines for dealing with any allegations. Staff said that they were aware of these documents. Records showed that some staff need relevant training or refresher training. The procedures have not had to be invoked for anyone resident at the home since the last inspection. The home is currently running a series of sessions on managing challenging behaviour for all staff, given by the Registered Mental Nurse based in the home. Staff said that they are aware of the provider’s guidelines on not receiving gifts from residents. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,24 and 25. The home provides accommodation to a good standard. Some maintenance items need to be addressed. Communal and bedroom areas are well presented. Residents live in safe comfortable surroundings. EVIDENCE: Wayfield Avenue is a large detached building in its own grounds. The home is on three floors, all served by a passenger lift. There is level access into all areas of the home. The garden area is accessible to residents. It is large and well kept and residents said that they enjoy using it. The whole building is well maintained and equipped. The acting manager said that the carpets in corridors at first and second floor levels had been replaced recently. There is a plan to replace the all the windows in the home in the near future. There had been some issues with the call system just prior to this inspection and the engineers attended the home during the inspection. Matters were however not fully resolved and this needs to be rectified urgently for the well being of residents. One fire door needs adjusting so that it closes onto its stops. Some attention is needed to a second floor communal area over time. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 13 The home has a large communal area on the ground floor and further small lounge/dining areas with attached kitchenettes on the upper floors. These areas are well furnished and equipped and furniture and lighting are domestic in nature. Residents said that they enjoyed using them. Residents’ rooms are well furnished and decorated. Residents said that they liked their rooms. All room have en-suites and residents said that they have been able to bring their own furniture into their rooms. Several residents said that they have locks to their rooms, and that they have chosen to use them locking their rooms when they go out. Rooms are individually and naturally ventilated. Rooms are centrally heated, and heating can be regulated in the resident’s own room. Lighting is domestic in character. Hot water is tested regularly at the point of delivery to residents, and records inspected were satisfactory. A contractor checked recently for any risks from Legionella and a certificate is awaited. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 14 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 29. A competent staff team meets residents’ needs. Staff do not yet hold the recommended qualifications. The home has robust recruitment processes. EVIDENCE: A staff rota was available for inspection. Six staff are on duty in the morning five in the afternoon and two staff on waking duty at night. One of these staff is always a senior carer. A Registered Mental Nurse from the Health Authority is employed three days per week at the home. The home has in addition cooks cleaners, administrative staff, and help from driver/handymen who work in the daycentre which is part of the resource centre. Residents and staff said that there are sufficient staff on duty to meet the needs of residents. Residents and staff said that the level of staff turnover is not high. The acting manager said that when staff from the provider’s “bank” are used they obtain the same staff, giving continuity of care for residents. The acting manager said that she and senior staff from the provider are on call to staff and staff confirmed that they are well supported both by Brighton and Hove and by the health authority. The acting manager said that no staff aged under 21 are left in charge of the home. The home has 24 care staff. Five staff have NVQ level 2 in care and one level 3. One staff member is doing level 3 and one is doing level 2. Four staff will start level 2 in September 2005. The home has robust recruitment policies and records inspected showed that the records required by the regulations are held on staff. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 15 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) 31,34,36 and 37. A registered manager is needed. The home has suitable financial procedures. Supervision of staff is to a high standard. Records are well kept. EVIDENCE: The home’s acting manager has held the post since September 2004. She holds the required qualifications and has extensive relevant experience. It was a requirement of the last inspection that an application be made to the Commission of Social Care Inspection in respect of a registered manager and this has been done and is being processed. The acting manager undertakes periodic training to update her skills. A business plan for the home was made available to the inspector. It is reviewed regularly. The provider keeps a record of transactions entered into. The manager said that appropriate insurance is in place. Staff said that lines of accountability within the home are clear. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 16 Records inspected showed that care staff are supervised at least six times a year by their line manager. A senior staff member said that they supervised ancillary staff about four times a year. Those records inspected were found to be well kept. Residents spoken to said that they had not chosen as yet to ask to see records kept about them. The acting manager said that one resident have sought and been given access in the past year. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 17 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 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 3 x x x 3 3 x STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x 3 x 3 3 x Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 18 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. 2. 3. Standard 7 18 19 Regulation 15(1) 18(1)(c) (1) Requirement Complete some care plans in more detail. Provide training in adult protection for staff as needed. Timescale for action 31October 2005. 31 December 2005 19 August 2005 23(2)(m) Attend to maintenance issues &(4)(c)(1) identified at inspection. 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. 2. Refer to Standard 7 28 Good Practice Recommendations Review all care plans monthly. 50 of care staff have NVQ level 2 in care by by 2005. Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex BN21 4QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wayfield Avenue Resource Centre H59-H10 S31667 Wayfield Avenue V222005 100805 Stage 4.doc Version 1.40 Page 20 - 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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