Inspection on 13/07/06 for Wayside

This inspection was carried out on 13th July 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

Wayside 18/11/08

Wayside 29/11/07

Wayside 16/12/05

Wayside 25/04/05

Wayside 03/12/04

Wayside 20/04/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Wayside High Street Rusper Horsham West Sussex RH12 4PX Lead Inspector Mrs K Allen Unannounced Inspection 13th July 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wayside DS0000014823.V302039.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. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wayside Address High Street Rusper Horsham West Sussex RH12 4PX 01293 871365 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) Hope Keith Villagers Trust Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th December 2005 Brief Description of the Service: Wayside is registered to provide care and accommodation for thirteen older people over the age of sixty-five. The premises provide each resident with a single room on the ground or first floor both of which are serviced by a passenger lift. Most rooms have en-suite toilet and wash-hand basins and one room is used to accommodate people who wish to have a short break at the home. It is situated in the village of Rusper, West Sussex close to a local shop and a church. There is no bus service but a Good Neighbours transport scheme helps people get to appointments such as hospital visits. Whilst the home fronts onto the village high street there are large grounds to the rear of the property which are accessible and enjoyed by all residents. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the inspection a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service. The inspection took place from 10am over five and half hours. During the inspection eight residents were spoken to either in their own room or in the communal lounge. One visiting relative was spoken to and discussion was held with the manager. Observation was made of care practice and handing over of information between staff shifts. In addition a number of records were seen. Residents said the manager was ”supportive” that “staff were kind” that they enjoyed the garden and the food was “appealing”. Two requirements have been made to ensure that care plans are complete and that quality assurance in improved. 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. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Wayside DS0000014823.V302039.R01.S.doc Version 5.2 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 the following standard(s): 3&6 The outcome for residents was good. New residents are assessed prior to coming into the home. Intermediate care is not provided. EVIDENCE: Two new people had moved into the home in the last three months. There was a written assessment for both people. They confirmed that they had been assessed for a place at the home and that account had been taken of their needs. Both people had come to stay for a short period whilst deciding whether to take up permanent residence and both had decided to stay. No-one was at the home for intermediate care. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 The outcome for residents was adequate. Not everyone had a comprehensive care plan. Residents make decisions about their own lives with assistance. They are protected by the homes policy and procedure on medication. They feel they are treated with respect and their right to privacy is upheld. EVIDENCE: The majority of residents had a written care plan, however all of the details were not completed for newer residents. For example, one person did not have a record of her social interests so that there were no details about how these would be met. Risk assessments are not routinely recorded, for example to consider what steps need to be taken to prevent falls. Care plans are reviewed each month and residents are involved in drawing them up and the review. Residents confirmed that they could see a GP when necessary and that regular appointments were made for check ups at the optician, chiropodist or dentist. Some people make their own arrangements and simply inform staff when they are going out to an appointment. Most residents are supported by family members who will accompany them to appointments if they wish. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 9 All resident were well presented and it was evident that staff support them in their own capacity for self care. Staff also monitor residents well being and obtain professional advice should this be necessary. One person had recently been into hospital for an operation and she said that “it was a relief to come back, staff couldn’t do enough for me”. Residents are able to get around the home independently and some can go further afield. However, staff ensure that they have sufficient exercise by providing them with support on short walks in the local area and around the garden. Four residents manage their own medication and staff support others to ensure that they have that which is prescribed for them. This is stored securely and administered safely. Good records are kept. All resident have their own room, which gives them privacy when they need it. They confirmed that staff treat them with respect and use their preferred name, which is recorded. Any post is delivered personally to residents and they are able to make private telephone calls in their own room. Staff always knocked the door when entering resident’s rooms and were courteous and considerate when going about their duties. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 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 the following standard(s): 12 ,13, 14 & 15 The outcome for residents was good. Residents were satisfied with their lifestyle at the home. They maintained contact with family and friends and could exercise choice and control over the lives. A balanced diet was provided in pleasing surroundings. EVIDENCE: Residents are independent and enjoy each other’s company. Currently an art class and quiz or bingo are conducted once a week. Plans were in hand for some people to go to the local flower show and residents keep in touch with events in the village through a parish magazine. During the nice weather a number of residents are enjoying the garden, some undertaking small tasks which they evidently enjoy. The manager has, however, nominated a member of staff to be the activities co-ordinator with the intention of offering more choice to residents, including trips out for which a car is provided. All residents have contact with family and friends, some more than others. They are welcomed at the home and residents have facilities in their room to make tea or coffee. The home does not manage any resident’s money although some deposit small amounts for safekeeping. This is safely stored and accounted for. A notice board is used to keep residents informed and it provides information about advocacy services and how to contact other outside agencies. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 11 Meals are served in a very pleasant dining room where residents sit at small tables. The menu is on a three weekly cycle and offers a varied diet. Residents are expected to make their own breakfast and have suitable facilities in their own rooms. They can also make their own drinks and are provided with milk daily. The acting manager has recently done a survey of residents regarding menu choices and intends to revise the menu accordingly. One person said she was not happy with the food and the manager confirmed that she is in regular discussion with this person to try and meet her needs. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 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 & 18 The outcome for residents was good. They are confident that their complaints will be listened to and acted upon. They are protected from abuse. EVIDENCE: There is a written procedure for people to follow should they wish to make a complaint. This is made available to residents when they come to stay at the home and is posted up on their notice board. A complaint received in the last six months was dealt with thoroughly and included an investigation by the Trustees of the home. This led to a positive outcome for residents. The acting manager has introduced residents meetings to enable them to voice their opinions about the running of the home. Good records are kept of these and they show that residents are able to discuss matters in an open and friendly manner. There is a written policy and procedure for staff to follow should they receive an allegation of abuse of residents. This includes referral to the local social services department in order for them to look into the matter. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 13 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 & 26 The outcome for residents was good. They live in a safe and well-maintained environment, which is clean and hygienic. EVIDENCE: The home is located in a small village with limited amenities. It was acknowledged by the acting manager that this would not suit everyone, but those living at the home said they appreciated it’s location. The home is well maintained and each room is decorated after it is vacated. The garden is a particular feature of the home and is well kept with plenty of interest. The premises comply with the requirements of the local fire and environmental health service. They are clean throughout and residents were pleased with the way that they rooms were kept. A laundry is situated away from food preparation areas and has satisfactory facilities. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 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 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, 28, 29 & 30 The outcome for residents was adequate. Their needs are met by the number and skill mix of staff. They are protected by the homes staff recruitment procedure and receive training to do their jobs, although this could be improved. EVIDENCE: Residents said there was always enough staff to help them when necessary. There is a recorded rota showing which staff are on duty at any time during the day or night. There are two staff on duty at all time (often including the acting manager) and this is supplemented by a cook and cleaner. At night one person is awake on duty and another on call. The acting manager confirmed that she had the authority to increase the number of staff should the needs of residents require it. One person has National Vocational Qualifications (NVQ) Level 3 and the manager is qualified. This means that the home does not meet the recommended standard of 50 of staff having an NVQ qualification. Staff recruitment practises include taking up two references and a CRB check. No new staff have been recruited in the last six months and therefore this was not verified on this occasion. There is an ongoing staff training programme which includes manual handling, food hygiene, infection control and risk assessments. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 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 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, 33, 35 & 38 The outcome for residents was good. They live in a home, which is run and managed by a person of good character, and in their best interests. Their financial interests are safeguarded and the health and safety of residents and staff is protected. EVIDENCE: There is currently no registered manager. However, the acting manager was previously registered with the Commission for Social Care Inspection at another residential establishment for older people and holds the Registered Manager Award. It is anticipated that an application for registration will be forwarded, by the Trustees of the home, to the CSCI in the near future. Arrangements for the support of the acting manager are satisfactory. Quality assurance measures are in place and include a survey of residents each year. In addition, the acting manager holds meeting with residents regularly. A monthly report is submitted to CSCI from a representative of the Trustees, on the running of the home. However, the acting manager confirmed that the Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 16 views of other people involved in the home for example, volunteers and visiting professionals are not sought. As previously stated, the home does not manage any resident’s financial affairs. They do, however, look after small sums for everyday expenses and these are safely stored and suitably accounted for. Safe working practices are supported by the homes training programme, which includes manual handling, first aid, infection control and risk assessments. There are maintenance contracts in place for the heating system, fire safety equipment and passenger lift. Hazardous substances are safely stored and there is an annual check on the water system regarding Legionella. All fire fighting equipment is checked in accordance with advice from the fire service and staff receive training in fire safety procedures. Accidents are recorded. Wayside DS0000014823.V302039.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 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 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 18 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. 2. Standard OP7 OP8 Regulation 15 31 Requirement All residents must have a comprehensive written care plan An application must be submitted for a registered manager for the home Timescale for action 31/08/06 30/11/06 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. 2. 3. Refer to Standard OP15 OP28 OP33 Good Practice Recommendations Residents should continue to be consulted about the food provided An NVQ training programme should be established Quality assurance measures should be further developed Wayside DS0000014823.V302039.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Wayside DS0000014823.V302039.R01.S.doc Version 5.2 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. 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