Inspection on 30/05/07 for Wayfield Avenue Resource Centre

This inspection was carried out on 30th May 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wayfield Avenue Resource Centre 24/04/06

Wayfield Avenue Resource Centre 19/12/05

Wayfield Avenue Resource Centre 10/08/05

Wayfield Avenue Resource Centre 08/03/05

Wayfield Avenue Resource Centre 30/07/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Wayfield Avenue Resource Centre 2 Wayfield Avenue Hove East Sussex BN3 7LW Lead Inspector Jane Jewell Unannounced Inspection 12:00 30th May 2007 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 Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 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. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wayfield Avenue Resource Centre Address 2 Wayfield Avenue Hove East Sussex BN3 7LW 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) 01273 295880 01273 295900 Sarah-lines@brighton-hove.gov.uk www.fosteringinbrightonandhove.org.uk Brighton & Hove City Council Sarah Louise Lines Care Home 24 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (24) of places Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is twenty-four (24) Service users must be aged sixty-five (65) years or over on admission Only older people with mental health needs are to be accommodated. Date of last inspection 24th April 2006 Brief Description of the Service: Wayfield Avenue was opened in 1997 and is owned by Brighton and Hove City council and is registered to provided accommodation and personal care for up to twenty-four older people with functional mental health needs. The vast majority of placements are long term with several respite and short term care beds available placements also available. The home is a three story detached property situated in a residential area on the outskirts of Hove. Resident’s accommodation consists of all single accommodation with en-suite facilities. There is a range of communal space including rear gardens and patio areas. In addition there is a day care resource centre based on the ground floor. The homes literature states that they aim to provide empowering care in accordance with the needs and wishes of individuals. The fees for residential care are currently in the range of up to £684.53 per wee. Extras such as: newspapers, hairdressing, chiropody, and toiletries are additional costs. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The information contained in this report has been comprised from an unannounced inspection undertaken over seven hours. The inspection involved a tour of the premises, observation, examination of records and discussion with residents and staff. Following the inspection the inspector also spoke with other stakeholders involved in residents lives, this included health care professionals and relatives to seek their views on the home. The inspection was facilitated by Sara Lines (Registered Manager). The focus of the inspection was to look at the experiences of life at the home for people living there and to establish the progress made towards meeting the shortfalls in practices noted at the last inspection. There were twenty-two people living at the home at the time of the inspection. The Care Standards Act 2000 and the Care Homes Regulations 2001 use the term service user to describe those living in care home settings. However for the purposes of this report those living at the home preferred to be referred to as residents. In order that a balanced and thorough view of the home is obtained, this inspection report should be read in conjunction with the previous inspection reports. The Inspector would like to thank the residents, staff and management for their assistance and hospitality during the visit. What the service does well: The home now admits in the main residents who have functional mental health conditions. It was clear that the home balance well the range of residents needs being accommodated to ensure that individual lifestyles and preferences are respected. A sample of comments made about residents experiences at the home include: “Very nice – everybody really helpful”; “I like the company”; “ Everything is fine”; “It has got much better lately”; “Best bit is having peace and quiet when I want to and company when I do”. Much good practice was evident in how resident’s privacy and dignity is promoted and in the care of residents who are terminally ill. Central to the ethos at the home is promoting resident’s individuality and rights to make choices in their daily lives. Meal arrangements are excellent ensuring a variety of well-presented meals eaten in a relaxed and informal atmosphere. Resident’s comments regarding the food include: “excellent” and “food very good you get two choices of meals”, Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 6 Residents’ benefit from a stable, well-trained and enthusiastic staff team that know them and who are suitable recruited and employed in sufficient numbers as is necessary to meet their needs. Comments made regarding staff include: “staff do a lovely job”; “kind very patient with people who try their patience”; “All the staff are very good”; “alright” and “there is always someone around to help you”. Resident’s lives are enriched by the various opportunities for occupation and leisure provided. Links with families are valued and supported by the home. 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. The summary of this inspection report can be made available in other formats on request. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 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 Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 2 3 4 5 and 6 People who use the service experience adequate quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents do not have access to a range of up to date information about the homes services, facilities and costs to help them make informed choices about whether to live at the home, however work is currently being undertaken to address this. The home is able to identify and meet the needs of residents, prospective residents are only accommodated following an assessment of their needs by the home or Social Services. EVIDENCE: A new resident spoke of not being provided with information about the home as they were admitted from hospital. The manager was aware of the need to improve the level and type of information made available to prospective residents about the home services, facilities and costs and was in the process of addressing this with the local social services assessment teams. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 9 There is some literature about the home available to help inform prospective residents about the services and facilities offered. It has been required for some time that there is an up to date statement of purpose to ensure that there is a range of information available to prospective residents. The manager reported that although now in draft format there has been a significant delay in finalising this document, as there has been some uncertainly as to the future type of service the home would be offering. The manager reported that they will ensure that this document is now made final and made available to residents and other interest parties. Not all residents had been provided with a written statement of their terms and conditions of residency with the home. This is necessary in order that residents and their representatives are aware of additional charges and their rights and responsibilities whilst staying at the home. All admissions to the home over the last twelve months has been for short term care only. The manager reported that this is due to the homes services currently being under review while the primary care trust develops the commissioning strategy for Mental Health Services for Older Peoples locally. In compliance with previous requirement a senior care officer and Registered Mental Nurse (RMN) undertake a comprehensive assessment of all prospective residents. Staff consulted with and the manager demonstrated a clear understanding of the needs that could be safely met at the home. Residents and their representatives consulted with spoke of being provided with the opportunity to visit the home in advance to assess the quality, facilities and suitability of the home. The length and type of visit is dependant upon the individual preferences of the resident. There is a range of residents needs accommodated, which includes some residents who have dementia and residents who have functional mental health issues. In the last twelve months it is residents who have functional mental health conditions that have in the main been admitted to the home. This is in line with changes in the homes aims and objectives. There was clear evidence that the home manages well the mix of residents needs and have provided staff with additional training in mental health. Staff showed a good understanding of the aims and objectives of the service and all residents consulted with spoke positively about their experiences at the home. A sample of their comments include: “Very nice – everybody really helpful”; “I like the company”; “ Everything is fine”; “It has got much better lately”; “Best bit is having peace and quiet when I want to and company when I do”. A relative said: “generally a very nice atmosphere” The first six weeks of occupancy is looked upon as trail occupancy. Where social services are the placement authority it is usual practice that within this period a review be undertaken to determine whether the residents wishes to remain at the home. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 and 11 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The arrangements for planning care is good, this helped to ensure that residents assessed needs are identified and appropriate guidance provided for staff. Much good practice was evident in how resident’s privacy and dignity is promoted and during the care of residents who are dying, these practices are to be commended. Arrangements were in place for meeting the health care and medication needs of residents. EVIDENCE: Much work has been undertaken to implement new care planning documentation since the previous inspection. Care plans sampled provided clear and comprehensive guidance for staff on the assessed needs of each resident and how these needs can be met. Care plans seen were individualised according the needs of each resident, for example some care plans contained a specific mental health plan, developed by the RMN, or a night time plan. Staff demonstrated a good working knowledge of the individual needs of residents Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 11 and the type and level of support needed. The standard of daily recording was good with a clear account of actions and events that had occurred. A system for regularly reviewing care plans demonstrated that changes in needs and preferences are being identified and recorded. As part of the homes quality assurance process care plans are checked by senior staff to ensure their accuracy and quality. It was clear that most residents had been involved in the development of their care plan but all residents consulted expressed little or no interest in being involved in its review, but felt that they could ask to see what is recorded about them at any time. In order to comply with previous requirements the risks faced and posed by residents are being assessed, recorded and any actions identified in order to reduce or manage the risk are included in the residents care plan A part time RMN is based at the home. The manager described their role as to provide additional support to staff, training and care planning. Records of medical intervention showed that the home also works closely with other health care professionals including GP’s, District and specialist nurses and chiropodists to ensure residents receive a range of health care support and intervention. Residents consulted said that when they have asked for medical intervention then this has been sought promptly. Visiting health care professional consulted with also spoke of staff seeking prompt medical advice and intervention and that when they have provided staff with guidance or advice these have then been followed. The system for the administration of medication are good with clear and comprehensive arrangements being in place to ensure residents medication needs are met. Following shortfalls in medication practices noted at the last inspection the manager reported that further medication training has been provided for staff with only a few staff yet to attend. Staff were seen to be respectful and considerate to Staff spoke knowledgeable about good practices privacy and dignity. A resident said “Staff always they come in”. The inspector observed a resident dignity following an incident. all residents and visitors. in preserving resident’s knock on my door before being treated with much Staff spoke sensitively about the care and support they had recently provided to residents and their families when the residents had become terminally ill and the support and guidance that they had received from health care professionals. Staff said that additional staff had been employed during his time and there was regular meetings and updates to ensure that the needs and wishes of the residents and their families were being respected. Health care professionals involved in supporting the staff during this time said how well they had managed and that the staff went out of their way to ensure that the residents were comfortable and to also care for the relatives. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 and 15 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s lives are enriched by the home providing various opportunities for occupation and leisure. Links with families are valued and supported by the home. Residents are helped to exercise choice and control over their lives with flexible routines being an integral part of daily practice at the home. Meal arrangements are excellent ensuring a variety of well-presented meals eaten in a relaxed and informal atmosphere. EVIDENCE: A rolling activities programme has recently been developed in consultation with residents. The programme has been devised into a booklet, which residents can refer to at any time and includes such actives as quizzes, outings, bingo, exercise groups, video sessions, crafts and current affairs. Staff spoke of the programme providing them with structure so they knew what they had to do but can sometimes be hard to motivate residents to join in. Residents said that they could join in whatever sessions they wanted and staff respected their decision if they chose not to participate. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 13 Staff support the choices made by residents to participate in the local community if they wish for example attending local churches, community groups as well as local shops. Visitors commented upon how welcomed they are made to feel during their stay, this included being offered beverages or meals and staff being friendly and approachable. A resident said “ My visitors can come at any time and see me” another resident spoke of the importance of having their own phone in order to stay in contact with family and friends. The home continues to work closely and sensitively with relatives to ensure that their views, although considered, in the care of their relative it is the resident’s needs and wishes that remain the homes priority. There was much evidence that residents are treated as individuals and their individual preferences respected, for example in the flexible routines regarding going to bed, rising and bathing. Staff spoke knowledgeable about resident’s cultural or religious needs and how they supported them to observe them. A staff member was observed offering choices to residents using different levels of options in accordance with the residents comprehension. A staff member spoke of the importance of offering choices in order to give residents some control over their lives. These practices are to be commended. The meal served at inspection was presented well with resident’s individual preferences respected. Residents said that if they did not like the meal that they are provided with something else. A sample of comments made about the food include: “excellent”, “food very good you get two choices of meals”, “eating everything they give me you get a choice of meals which is nice” and “very good they ask you what you want”. In addition most residents are able to make themselves a hot drink and snacks in the kitchenettes when they want. Staff were observed eating the meal with residents and engaging residents in conversation and orientation. The environment was relaxed with staff reporting that some residents eat better when the environment is relaxed and staff sit at the same table. These practices are to be commended Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. An effective complaints procedure and appropriate adult protection policies and training for staff protect the rights and interests of residents. EVIDENCE: There is a complaints procedure for residents, their representatives, and staff to follow should they be unhappy with any aspect of the service. Residents and relatives consulted with said that they felt able to share any concerns they had with staff or the manager. Records of concerns and complaints showed that these are dealt with in accordance with the homes policies and timescales. Monthly meetings are held with a MIND advocate where residents said that they could also raise any concerns that they had. There are written policies covering safeguarding adults and whistle blowing. These make clear the vulnerability of people in residential care, and the duty of staff to report any concerns they may have to a responsible authority for investigation. In line with previous requirements the manager reported that all staff have now attended safeguarding adults training. Staff consulted with showed a good understanding of their roles and responsibilities under safeguarding adult’s guidelines. A health care professional involved in safeguarding adults said that “staff were reasonable aware of their roles and responsibilities and what forms to fill out”. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 20 21 22 24 25 and 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident live in a clean, spacious and homely environment with their private accommodation personalised to suit their taste. Residents have the specialist equipment they require to maximise their independence. EVIDENCE: The home is a large detached purpose built premises in its own grounds. It is located on the outskirts of Hove with some local shops a ten-minute walk away. Bus routes into Brighton and Hove are close by. The home was previously required to complete a plan of redecoration and repair plan in order to address the shortfalls in the environment noted at the last inspection. The manager reported that a service improvement plan has Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 16 been completed which identified the areas in need of improvement. Works already undertaken have included the re-decoration of some communal areas and new carpets in some bedrooms. Resident’s benefit from having a number of communal areas spread throughout the home. This includes dining rooms, lounges, hairdressing and smoking rooms. Residents are able to choose which area they wish to spend time in. A group of residents who like to use the smoking lounge said that the home has been very accommodating to their smoking needs and have recently fitted an extractor fan to help maintain air quality in this room. There is a garden surrounding the home, which consists of a series of small patio seating areas that residents can access independently. There are plans to re-develop the garden area to make it more inviting and accessible. Resident’s bedroom doors are fitted with locks, with many residents choosing to lock their rooms when they are not using them. All rooms seen had been individualized with personal belongings and in some cases items of small furniture. All residents consulted with said that they liked their bedroom. A relative said “lovely room and it is always clean”. There is sufficient number of toilets and bathrooms located around the home, including all bedrooms providing at ensuite facilities. There was a range of individual aids and adaptations to assist resident’s mobility and independence, including raised toilet seats, walking aids, hoists, varying height beds, grab rails, assisted baths and showers. Fitted throughout the home are call points, which enable assistance to be summoned when pressed. These are also an intercom enabling staff to talk to the caller. A resident had been provided with a neck pendent enabling them to easily call for assistance and said that whenever they have used it “staff always come very quickly” The home was found to be clean and free from offensive odours. Staff ensure a high standard of hygiene and cleanliness and there are procedures in place to ensure that these standards are maintained throughout the home. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a stable, well-trained and enthusiastic staff team that know them and who are suitable recruited and employed in sufficient numbers as is necessary to meet their needs. EVIDENCE: Both staff and residents felt that there was sufficient numbers of staff on duty for staff to undertake their roles in a timely manner and for residents to receive the support they needed, when they wanted it. In addition to care staff a registered mental nurse also works part time at the home providing additional support to residents and advice for staff. There is a core group of staff who have worked at the home for a number of years and have considerable experience with working within a care setting. The use of agency and bank workers is now minimal and where they are used staff said that every effort is made to ensure that they use the same workers in order to promote continuity. Staff consulted with were knowledgeable about residents individual assessed needs and interactions between staff and residents, observed during the inspection, were courteous and respectful. A sample of comments made regarding staff include: “staff do a lovely job”; “kind, very patient with people Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 18 who try their patience”; “All the staff are very good”; “alright” and “there is always someone around to help you”. The home has been proactive in ensuring that half of the staff have completed National Vocational Qualifications (NVQ ) in Care. Staff undertake a comprehensive induction into the home, which involves attending a five-day council run induction programme as well as following skills for care induction programme guidance. The personal files of a newly appointed staff was inspected and this showed that a recruitment process is followed which includes the use of an application form, interviews, CRB checks and written references prior to employment commencing. The shortfalls in recruitment practices noted at the last inspection have now been addressed. Staff consulted with said that they had undertaken all of the compulsory training such as Moving and Handling, First Aid, food hygiene and Fire safety in order to work safely with residents. With the change in the resident’s needs who are now being admitted to those with functional mental health conditions specialist mental health training has been provided for staff. Staff felt that this was useful training and helped equip them to support effectively residents with a range of mental health conditions. The manager reported that training records are now computerised which has significantly improved the overall management of training, as the system enables them to identify the training needs of staff. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31 32 33 34 35 36 and 38 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from an experienced and established manager who ensures a clear ethos and values of the home that enables staff to provide good quality care to residents. The health, safety and welfare of residents and staff are generally promoted and protected, however this needs to be further promoted by the regular assessment of fire risks within the home. EVIDENCE: The registered manager has been in post since September 2004 and holds the required qualifications. They have many years experience of working with people who have mental health problems. They reported that they undertake Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 20 training in order to keep updated in good practices and legislation in the care of people who have mental health conditions. The manager has managed well the potentially unsettled situation over the uncertainty in the type of service the home may provide in the future, as this has not impacted on residents wellbeing. Additional support measures had been put in place to help ease any staff anxieties. All those consulted with continue to speak positively about the manager. A sample of comments made regarding the manager include: “fine” “very supportive”; “if doesn’t know will find out”; “she is very involved with residents and is a member of the team” and “responsive supportive and I feel listened to”. In order to address the previous concerns regarding the competencies of care staff left in charge in the absence of the manager and senior staff the manager reported that experienced care staff now undertake duty officer training. In addition a handbook has been developed as a reference guide. A health care professional said, “duty officer who are really helpful I can always get the information I need from them”. There are several mechanisms in place for the home to obtain feedback on the quality of the services provided and whether it is achieving its aims and objectives. This includes residents placement reviews, formal recorded visits by the registered provider, monthly quality audits and residents meetings. In addition, an annual consultation week is undertaken which aims to seek feedback from other stakeholders involved in residents care for example GP’s and relatives, on the services and facilities provided. Residents have the option of meeting as a group with a MIND advocate once a month. Residents spoke of the importance of this meeting as it enables them to raise any issues with the advocate about the home or individual concerns that they might have. In order to address the previous concerns regarding the lack of sharing of information with residents regarding changes in practices, the manager reported that they now undertake regular themed meetings to discuss specific topics. This had lead to some changes in practices and the development of an activities programme. All staff consulted with continue to feel well supported by management to undertake their roles and said that they received regular formal supervision from their line manager. Senior staff were observed providing direct supervision to staff when working along side care staff. Residents are encouraged to retain control of their own finances for as long as they are able to do so and if unable then this responsibility is taken on by a relative or another responsible persons external to the home. The manager reported that where monies are held at the home for individual residents a clear audit trail is maintained. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 21 There is extensive guidance available on issues related to health and safety issues. Records submitted by the manager stated that all of the necessary servicing and testing of health and safety equipment has been undertaken. Some systems were in place to support fire safety, which included: regular fire alarms and emergency lighting checks, staff training and maintenance of fire equipment and fire drills were reported to have been undertaken. However the fire risk assessment had not been reviewed for several years. This is necessary to ensure that the actions being undertaken to ensure fire safety precaution in the home are sufficient relevant to ensure residents safety. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 22 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 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 2 Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES 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. OP2 Standard Regulation 5(1)(b) (ba) (bb) (bc) (bd) Requirement Timescale for action 30/08/07 2 OP38 13(4)(c) That all service users have a written statement of the terms and conditions of residency. For Service users admitted since the 1/09/06 this contracts must include a description of the services offered, the arrangements for charging and paying of additional services and a statement whether any of the above conditions are different where a service users care is being funded by another party other than the service user. That following consultation with 30/08/07 the fire authority that a fire risk assessment be undertaken which is reviewed frequently, records significant findings and the action taken to ensure adequate fire safety precaution in the home. Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 24 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 Wayfield Avenue Resource Centre DS0000031667.V337327.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 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 © 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 DS0000031667.V337327.R01.S.doc Version 5.2 Page 26 - 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!