Inspection on 16/12/05 for Wayside

This inspection was carried out on 16th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 13/07/06

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 Announced Inspection 16th December 2005 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.V263008.R01.S.doc Version 5.0 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.V263008.R01.S.doc Version 5.0 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 Miss Carol Ann Collins Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 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 toilets 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 within the village of Rusper, West Sussex close to a local shop and church. There is a bus service providing two buses a week to the nearest town and a ‘Good Neighbours’ transport scheme to help 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.V263008.R01.S.doc Version 5.0 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 manager completed a pre-inspection questionnaire and Comment Cards were distributed via the home to residents, relatives and visitors. Six were completed and returned to the inspector. The inspection took place from 10am over four and a half hours. During the inspection six residents were spoken to privately and two in communal areas. A discussion was held with one of the trustees, the manager, a new member of the care staff and the cook. In addition a number of records were seen. Residents said “the carers are very kind and helpful” “you can’t better the place” and “I have no complaints”. 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.V263008.R01.S.doc Version 5.0 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.V263008.R01.S.doc Version 5.0 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): 6 The home does not provide intermediate care. EVIDENCE: All of the residents are accommodated on a permanent basis. Wayside DS0000014823.V263008.R01.S.doc Version 5.0 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): None EVIDENCE: Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 9 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 & 15 Resident’s lifestyles match their expectations. They receive a satisfactory diet in very pleasant surroundings. EVIDENCE: Residents follow their own routines, including when they wish to get up. They have choices regarding leisure activities, food, friendships and religious observance. An art class had been started at the home and all those who attend said how enjoyable it was. It was evident that they looked forward to the weekly class and that it was an opportunity to carry on an existing interest or to develop a new talent. Some people kept in touch with village events, like weddings at the church, which were signalled by the bells. A Christmas party was due to be held. Family and friends were invited as well as older people from the village. A varied diet is provided which includes fresh fruit and vegetables. The menu is changed regularly and a written copy is made available to residents. They have a choice of main course as well as tea/supper. The dining room is very pleasant and affords comfortable and spacious surroundings for residents to enjoy their meal. Some residents said that they were not always satisfied with the way some meals were cooked. This was passed on to the manager and cook in order for Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 10 them to consult residents about their views and make adjustments accordingly. Wayside DS0000014823.V263008.R01.S.doc Version 5.0 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 the following standard(s): 16 & 18 Residents and relatives complaints are listened to and acted upon. Residents are protected from abuse. EVIDENCE: There is a written complaints policy and procedure, which is made available to residents and relatives. A recent complaint shows that the home followed this procedure and that the complaint was dealt with well, with a satisfactory outcome. There is a written procedure for staff to follow should they be concerned that a resident is being abused in any way. This is made known to new staff and is in line with West Sussex Multi-Agency Adult Protection Procedures. Wayside DS0000014823.V263008.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 13 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): 29 & 30 Residents are supported by the homes recruitment policy and practices. Staff are trained and competent to do their job. EVIDENCE: Two references are obtained on each new employee as well as a Criminal Records Bureau (CRB) check, which includes a further check of the Protection of Vulnerable Adults register. Staff receive a statement of terms and conditions. New staff receive accredited induction training which includes training on the principles of care, safe working practices and the particular needs of individual residents. There is an on-going training programme, which enables staff to continue with their development. It includes courses on deaf awareness, Parkinson’s Disease, continence, bereavement and adult protection. Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 14 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): 33 & 38 The home is run in the best interests of residents however this could be improved by developing the quality assurance systems. The health and safety of residents and staff is promoted very well and they are protected. EVIDENCE: There is no written development plan for the home or continuous selfmonitoring. The views of family and friends are not routinely sought although some do write to the home with compliments. Others involved in the home, such as visiting professionals and volunteers are not asked to make comments on the service through, for example anonymous questionnaires. Residents said that they were asked how they were very regularly although they were not directly consulted about the service provided at the home. One person said that they had seen one of the trustees and was therefore aware that they visited the home. Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 15 A monthly report is produced under Regulation 26 of the Care Standard Act 2000 and a copy provided for the CSCI. Residents are informed of planned inspection and they are asked for their views via Comment Cards issued by the CSCI. Policies and procedures are regularly reviewed. The manager ensures safe working practices through regular training in all matters relating to the health and safety of residents and staff. There are maintenance contracts in place for the regular servicing of boilers, central heating, electrical equipment, the lift and hoist. Water temperatures are tested and risk assessments are undertaken. All accidents are recorded and monitored. Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 16 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 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 4 Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 17 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. Standard Regulation Requirement Timescale for action 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 OP15 Good Practice Recommendations Residents should continue to be consulted about the food provided Wayside DS0000014823.V263008.R01.S.doc Version 5.0 Page 18 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.V263008.R01.S.doc Version 5.0 Page 19 - 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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