Inspection on 22/02/06 for Waynes The

This inspection was carried out on 22nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Waynes The 03/04/07

Waynes The 12/08/05

Waynes The 25/01/05

Waynes The 24/08/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Waynes The 7 Marton Road Bridlington East Yorkshire YO16 7AN Lead Inspector David Blackburn Unannounced Inspection 10:45 22 February 2006 nd 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 Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 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. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Waynes The Address 7 Marton Road Bridlington East Yorkshire YO16 7AN 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) 01262 672351 Mrs Ann Louise Benson Mrs Ann Louise Benson Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th August 2005 Brief Description of the Service: The Waynes is a large detached building situated on the outskirts of the town. A former dwelling house on two floors it has been extended and adapted to provide accommodation for 30 older people. Its’ location makes it convenient for access to the amenities and facilities of the Old Town. Public transport to and from the town centre passes the door. There is a large car park. The home is on three floors. Level access is available to all ground floor external doors. There is a passenger lift. Internally the home has been designed to give maximum independence to those residents with mobility problems. The ground floor has communal areas together with a number of bedrooms and service areas, for example the kitchen. The upper floor has residents’ bedrooms. Accommodation is provided in a range of single and shared rooms, some of which have an en-suite facility. Communal bathrooms and toilets are suitably located throughout the building. There are a number of communal sitting and dining rooms. There is a secluded garden. The home accommodates people admitted by virtue of old age and infirmity. Permanent places, short stay, respite and holiday stays are provided. The staff team provides personal care, an in-house catering service, laundry service and a domestic service. Staffing cover is available throughout any 24 hour period. Leisure and recreational facilities are offered in-house by the staff. Some residents are able to access social facilities outside the home. The home has its’ own mini-bus that is used on a daily basis. Each permanent resident is registered with a local medical practitioner who addresses their primary health care needs. Those not on permanent placement in the home can access local medical services in an emergency. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection upon which this report is based was the second to be carried out in the inspection year April 2005 to March 2006. It was carried out over five hours including preparation time. The focus was on those key standards not assessed at the first inspection in July 2005 together with those parts of other standards subject to a requirement or recommendation. A small number of other standards were re-assessed. An inspection of some parts of the premises including a small number of bedrooms was undertaken. Documents including policies and procedures were examined. Discussions were held with the registered person who was registered as provider and manager, care and ancillary staff. A number of residents were spoken with either in a group communal setting or in the privacy of their rooms. Their comments are recorded in this report. What the service does well: The care, services and facilities provided by the registered person and her staff generated many positive comments, complimentary remarks and a sense of overall satisfaction from residents. The high standards attained in each of these elements was appreciated and welcomed by residents. None expressed any concerns or worries about any part of their care rather they paid compliment upon compliment to the registered person and staff. In all aspects inspected they were very satisfied with what was provided and the manner in which it was delivered. Residents were relaxed and at ease. They enjoyed a positive and good relationship with staff and obviously appreciated the level of care and services on offer. A wealth of compliments to staff was recorded “You won’t find anywhere better.” “This is the best place to be.” “We’d been here for holidays and knew how good it was.” Everything done within the home was for the benefit of the residents. They were the primary focus of staff attention and their needs were of prime importance. One resident said “There are no rules and regulations. Routines are for my benefit not theirs (staff).” Another commented “I am well looked after without being stifled. I value my independence and they realise this.” All the standards inspected and reported on reflected this philosophy giving the residents an independent lifestyle but with the knowledge that help and assistance were readily available if and when required. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 6 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. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 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 Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 0. None of these standards was assessed. EVIDENCE: Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 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 the following standard(s): 6 and 9. There was a clear and consistent care planning system in place that adequately provided staff with the information they needed to satisfactorily meet residents’ needs. The medication system at the home was well managed promoting good health. EVIDENCE: All residents including those on short term or respite care had been provided with a care plan by the registered person. A number of residents’ files were examined. All contained a care plan devised and completed by the registered person and her staff. Some files also contained an original care plan from the placing or funding authority. Those plans seen were clear and precise giving staff the required information to enable them to provide the necessary care to meet assessed needs. All care plans seen had been signed. Reviews were undertaken annually by some funding authorities. On all the care plans examined reviews had been carried out by the registered person Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 10 and staff at six monthly intervals. Monthly updates reflecting any changes needed in care and services were also on file. The files contained clear references to the provision of care by other professionals, for examples doctors and district nurses. Daily records of events and happenings as they affected the individual resident were maintained. Proper systems were in place for the receipt, storage, administration, recording and return of medicines including any controlled drugs. Nominated staff took responsibility for the overall management of the system. In discussion with staff it was evident these procedures were being followed. They had received training from the home’s pharmacist. Certificates were seen. It was recommended that the registered person made enquiries about the possibility of further external medication training. A number of residents self-medicated. They had been provided with suitable storage facilities. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15. Residents’ dietary needs were well met with a balanced and varied selection of food available that met their tastes and choices. EVIDENCE: The home had a designated cook. She was not on duty at the time of the inspection. The catering duties were being undertaken by the assistant cook. He was well able to discuss the menus, provision of food and the dietary and specific nutritional needs of residents. Menus were varied and provided a nutritional and balanced diet. Residents were able to choose between the options on offer for the main meal of the day (lunch). Breakfast and tea were a free choice. Cooked options were available at all mealtimes. A light supper was also provided. Hot and cold drinks were readily available. A number of residents had tea/coffee making facilities in their room together with a small refrigerator. Meals were served in the two dining rooms or in residents’ bedrooms if they so wished. Residents expressed their total satisfaction with the food on offer praising the quality and quantity of that provided. “Meals are lovely. You could not get better.” All the meals are good. We’re well looked after.” Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Good procedures were in place to protect residents thereby minimising or eliminating the possibility of harm or abuse. EVIDENCE: The home’s complaints procedure was seen. This showed how to complain, to whom and timescales for any response. Clear reference was made to the regulatory authority. The procedure was displayed on the notice board and formed part of the Service User Guide. The registered person had a copy of the multi-agency agreement on the protection of vulnerable adults (POVA). She said that an updated procedure was being produced and she would request a copy when available. All staff had undertaken POVA training through an external training organisation. Certificates were seen. The registered person had completed training arranged through the local POVA co-ordinator. Staff appeared confident in the actions to be taken should abuse be alleged or suspected. A referral under POVA had been made in November 2005. Following a thorough investigation by local authority personnel it was stated there was no substance to the allegations. No further action was taken. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 13 The registered person said the home had a policy of non-involvement in residents’ financial affairs. Arrangements had to be made by the resident themselves or through a third party. Residents said they were confident their concerns and worries would be quickly addressed by the registered person and her staff. A number stated that any worries would be discussed with the registered person who they were confident would resolve any issues quickly and quietly. None had any complaints about any aspect of their care within the home. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Continued investment ensured the home was a safe and comfortable environment for those living there and visiting. EVIDENCE: The premises were maintained to a very high standard internally and externally. A brief tour was undertaken in which the communal areas, service areas and some bedrooms were seen. Throughout the home a very high standard of cleanliness was noted. The areas seen were warm, tidy and free from any offensive odours. Residents praised the domestic staff for their close attention to all parts of the home to ensure those high standards were maintained. “It’s a credit to them.” “It’s nice to live in a clean place with clean beds and bedding.” “It’s always warm and comfortable here. It couldn’t be better.” Most bedrooms were occupied on a single basis though shared accommodation was available where requested. All the bedrooms seen were of a good size Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 15 with many being used as bed-sitting rooms. The rooms of permanent residents were well personalised. Some rooms had en-suite facilities. For those without this provision communal toilets and bathrooms were conveniently located on each floor. A number of communal areas were available throughout the building giving residents the choice of where to sit and with whom. Specific designated areas were allocated for those who wished to smoke. The laundry was sited on the ground floor. Access was available without recourse to communal areas. Good systems were in place to minimise the risk of infection and cross contamination. The environmental issues identified in a previous inspection report had been fully addressed and resolved. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28. Staff impressed as a well-trained, motivated and committed team that worked positively with the service users to promote and improve their whole quality of life. EVIDENCE: There was a stable staff team with a number having worked at the home for many years. This led to a good and consistent care regime for the residents. Sufficient staff were deployed to ensure residents’ needs were fully met. Extra staff were on duty at peak times. Two waking night staff were employed. Care staff were supported by the registered person, catering and domestic staff. Of the 17 care staff, 15 had a National Vocational Qualification in care to at least level 2 with a number having achieved the award to level 3 and 4. One of the domestic staff had also achieved the award to level 2. Two care staff had a National Vocational Qualification in management to level 4. Residents were extremely complimentary in their comments about the registered person and her staff. They praised the manner in which care and attention was given. An obvious rapport existed between the two with exchanges seen as friendly and warm but undertaken with dignity and respect. “All the staff are nice.” “You couldn’t get better staff anywhere.” “They’re lovely and so kind.” “They have masses of patience. I’m glad because I don’t.” Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 38. The home was well managed with the registered person demonstrating clear leadership and forward planning for the home that gave residents the confidence they lived in a safe and secure environment. EVIDENCE: The registered person had many years experience in the running and management of a care home. She had successfully completed a National Vocational Qualification in management to level 5 and in care to level 4. She demonstrated a good knowledge of the residents in her care and the skill and expertise required to meet their individual needs. The registered provider also showed a good level of business acumen and ability. The registered person involved staff in the running of the home and this led to a high level of morale among the staff team. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 18 A full and independent health and safety audit had been carried out in October 2005. The recommendations made had been addressed. A food safety audit had been completed in January this year. Risk assessments undertaken by the registered person had also been carried out. A number of policies and procedures related to the safety of the building were available. Work had been undertaken to provide emergency call points to all areas in the home. Radiators were now suitably protected. A number of safety reports, books and certificates were seen including the fire logbook, training certificates for health and safety, first aid and fire training, and the gas safety certificate. The registered person said the electrical supply and installation had been checked in March 2005 though no safety certificate could be found. The registered person agreed to ask the contractor for a copy. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X X X X 1 Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? NO. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation 13(4) Requirement A safety certificate for the electrical installation and supply is required. Timescale for action 15/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations The registered provider should make enquiries of local colleges and training companies with regard to the provision of medication training for staff. Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Waynes The DS0000019759.V280343.R01.S.doc Version 5.1 Page 22 - 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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