Inspection on 18/11/08 for Wayside

This inspection was carried out on 18th November 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wayside 29/11/07

Wayside 13/07/06

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 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Wayside High Street Rusper Horsham West Sussex RH12 4PX     The quality rating for this care home is:   one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah MacLennan     Date: 1 8 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Wayside High Street Rusper Horsham West Sussex RH12 4PX 01293871365 01293876818 wayside@rusperwestsussex.freeserve.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Hope Keith Villagers Trust Type of registration: Number of places registered: care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 13. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home 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 and a newly fitted stair 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 Care Homes for Older People Page 4 of 26 Over 65 13 0 Brief description of the care home is no regular 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. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The Commission for Social Care Inspection has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This unannounced visit formed part of a ‘key’ inspection and was carried out by Sarah MacLennan, Regulation Inspector. The acting manager was present as the representative for the establishment. It was a thorough look at how well the service is doing. It took into account detailed information provided by the manager and any information that CSCI has received about the service since the last inspection. Care Homes for Older People Page 6 of 26 A tour of the premises took place. On the day of this visit the inspector met with some people who use the service and some on-duty staff. Three people who use the service returned surveys. Some of the comments made to the inspector and made on the survey forms are quoted in this report. Observations of the interactions between staff and the people who use the service were also used to form the judgements reached in this report. The home completed an annual quality assurance assessment (AQAA) prior to the visit and care plans of people who use the service, staff recruitment and training records, menus, health and safety check lists, activity records, policies, procedures, medication records and storage facilities were all sampled on the day of this visit. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. We would like to thank the people who use the service and staff for their time, assistance and hospitality during this visit. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users had been assessed prior to admission to the home to ensure that the home can meet their needs. The home does not offer intermediate care. Evidence: The inspector was advised that the acting manager carries out a pre-admission assessment on all prospective people who will use the service. This assessment includes a visit to the prospective service users home and then a visit to Wayside is arranged. The purpose of the visit to Wayside is to fully assess the service users mobility within the home and how they will fit in with the existing service user group. There is also the opportunity for an overnight visit; all admissions are on a months trial. Care Homes for Older People Page 10 of 26 Evidence: Three service user care plans were seen and contained a comprehensive pre-admission assessment form. The form covered all elements of physical, mental, and social needs. It included person centred information and personal preferences including dislikes sprouts and last eye test one month ago. All people who use the service surveyed and spoken to felt they had received enough information prior to moving to the home. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans, procedures and practices were in place to ensure the service users health care needs are met; however, all service users did not have risk assessments. Evidence: The service user care plans and files were randomly sampled; three care plans and daily statements were looked at in detail. The people who use the service had care plans, parts of which were detailed and comprehensive, with some risk assessments being completed. Some of the files sampled did not have risk assessments for moving and handling or falls. Two of the care plans sampled did not contain any evidence of monthly review. A requirement has been made in respect of the care plans. The daily statements evidenced that aspects of the care plans were followed and provided some details of the people who use the services 24hr day. Care Homes for Older People Page 12 of 26 Evidence: The people who use the service surveyed and spoken with were complimentary regarding the care that they received in the home. Comments included, the staff are very caring and helpful. The people who use the service were registered with a local GP and had access to other health care services including chiropodist, optician, dentist and district nurses as required. The homes medication storage facilities and administration records were seen and found to be in order; however there were no instructions regarding as required medications, the acting manger was planning to address this shortfall. Conversation with staff and the people who use the service evidenced that the service users are encouraged to be as independent as possible and to make their own choices, such interactions were observed. When asked if they received the support they required comments included yes, its a lovely place. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The daily routines at the home promoted independence, individual choice and freedom of movement. Evidence: The home activities programme was displayed on the notice board. Activities included quizzes and word games, bingo, arts and crafts and reminiscence. The home also had visit entertainers including a local artist and music for health. The people who use the service confirmed that they could choose what they wanted to do. This was evidenced by the daily records kept for each service user, which included the comments reading in bed until 23.30, reading his newspaper in the lounge after walking to the shop and enjoyed lunch. The home has links with the local church. A communion service takes place at the home every 4 to 6 weeks; however the people who use the service are able to visit the church if they prefer. All of the people who use the service who were surveyed and spoken to said that they were happy with the food provision within the home. Service users were observed to Care Homes for Older People Page 14 of 26 Evidence: eat lunch during the inspection. The menu was on a three weekly rota and some alternatives were available on request. No cultural diets are currently provided. Conversation with staff, relatives and service users evidenced that the people who use the service are encouraged to make their own choices, such interactions were observed. Staff were observed to treat the people who use the service with respect and care was provided in an unobtrusive and dignified manner. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home had a simple and accessible complaints procedure; the people who use the service felt safe. Despite the lack of training in the protection of vulnerable adults, staff were aware of their responsibilities. Evidence: The home had a simple and accessible complaints procedure; a copy is given to all the people who use the service in the service users guide. Service users spoken to during the inspection were aware of who to speak to should they have any complaints and felt confident that they would be listened to. Comments included the staff are lovely and kind. There had been one concern raised since the acting manager had been in post; this had been appropriately dealt with. No complainants had contacted the Commission with information concerning the service. Safeguarding adults and whistle blowing policies and procedures were in place and readily available to staff. These policies and procedure were not very clear and concise, the acting manager was aware of this shortfall and in the process of updating all the homes polices and procedures. The home also had copies of the Sussex MultiAgency Policy and Procedures for Safeguarding Vulnerable Adults. All staff spoken to were aware of these policies and procedures and their whistle blowing responsibilities. There was no evidence that staff had received any training in the protection of vulnerable adults since 2002; however all staff spoken to were very clear regarding Care Homes for Older People Page 16 of 26 Evidence: what constituted abuse and the procedure for reporting any allegations. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe and well maintained environment for the people who live there. Evidence: The inspector toured areas of the home. The people who use the service were able to access all areas of the home and grounds. Service users were able to access upstairs via passenger lift of the newly fitted stair lift. The décor was domestic in nature and free from offensive odours. In the AQQA, to demonstrate what the home does well, the acting manager stated that they provide a safe and well maintained environment. The inspector was informed that upstairs windows were restricted and thermostatic valves were fitted to all taps in service user areas and checked regularly. Some of these valves were replaced in August. Care Homes for Older People Page 18 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing arrangements in place on the day of the inspection were sufficient to meet the needs of the people who use the service. Evidence: Discussion with the acting manager, staff and the people who use the service demonstrated that the staffing numbers and skill mix were appropriate to meet the assessed needs of the people living in the home. The duty rota demonstrated that the home maintains staffing number of two to three carers in the morning, two during the afternoon and evening and one waking and one on call at night. Two staff files were seen during the visit and found to contain the required information and documents specified in paragraphs 1 – 9 of Schedule 2 of The Care Homes Regulations 2001 (as amended by The Care Standards Act 2000(Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004). The staff training certificates were seen, they evidenced that staff had received training in manual handling, fire safety, risk assessment and first aid. Only five staff had up to date training in the administration of medication. It is required that all staff that administer medication are appropriately trained. Care Homes for Older People Page 19 of 26 Evidence: Service users spoken with were complementary about the staff at the home. Comments included this is a lovely place, the staff are great. All interactions observed between the staff and service users were caring and respectful. Care Homes for Older People Page 20 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who use the service benefit from the management approach at the home, which provided an open, positive and inclusive atmosphere. The acting manager demonstrated a good knowledge and awareness of the needs of the people who use the service. Evidence: The acting manager has been in post since January and has not yet submitted an application to the commission to become registered manager. Prior to becoming the acting manager, she had been the homes deputy since August 2007. The acting manager stated that she will begin her application process within the next month and was advised to consult the commissions website for up to date information on registering as a manager. The people who use the service were seen to interact readily with her and an open and inclusive atmosphere was evident within the home. Comments from staff included …is marvellous and …is wonderful. Care Homes for Older People Page 21 of 26 Evidence: All staff and people who use the service appeared happy, contented and relaxed with the inspection process. The atmosphere within the home during the inspection was lively and cheerful. The acting manager stated that various quality audit systems were in place to ensure the staff and service users had a forum for airing their views. These included staff meetings, residents meetings and staff supervisions. The minutes of these meetings were randomly sampled and there was evidence that action was taken following comments made. The acting manager stated that no residents had attended the recently arranged meeting, so she had distributed questionnaires to obtain the service users views. Samples of these questionnaires were seen and comments included the management is very good and the home is well run. The people who use the service who were spoken to felt that their views were usually listened to and taken seriously. A regular newsletter is distributed to ensure that the people who use the service are kept up to date. Procedures were in place to safeguard the financial interests of the people who use the service. No staff members were appointees for service users. The acting manager was aware of the need to maintain a safe environment for service users and staff. Required policies, procedures and safety checks were in place; samples of which were seen. Staff were observed to be following appropriate health and safety practices as they went about their work. Care Homes for Older People Page 22 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 15 That care plans are fully and 18/12/2008 regularly reviewed and accurately reflect service users current care needs. To ensure that the needs of the people who use the service are met. 2 7 13 That service users risk of 18/12/2008 falls is assessed and is regularly reviewed, including the management of any risk. To ensure that the needs of the people who use the service are met. 3 18 13 That all staff are trained in safeguarding vulnerable adults. To ensure that the people who use the service are safeguarded. 18/02/2009 4 29 13 That all staff that administer 18/12/2008 medication are appropriately trained. Care Homes for Older People Page 24 of 26 To ensure that the people using the service are safeguarded. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 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!