Inspection on 25/04/05 for Wayside

This inspection was carried out on 25th April 2005.

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 13/07/06

Wayside 16/12/05

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 Kathy Allen Unannounced 25 April 2005 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 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 H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wayside Address High Street, Rusper, Horsham, West Sussex, RH12 4PX Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01293 871365 01293 876818 Hope Keith Villagers Trust Miss Carol Ann Collins CRH 13 Category(ies) of OP Old age - 13 registration, with number of places Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 03 December 2004 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 within the village of Rusper, West Sussex close to a local shop and a 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 H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 since the last inspection and included an analysis of incident report and monthly visits on the conduct o the home by the responsible individual. The inspection took place on Monday 25th April 2005 from 9am to 3.30pm. On the day of the inspection a tour of the premises was made and discussions held with all of the residents at the home and case tracking undertaken on three of them. The manager, her deputy and one care assistant were interviewed. In addition, the inspector sat in on a handover meeting when information about residents, appointments and staffing matters were passed on from one shift to another. A selection of statutory records were seen as well as residents care plans. What the service does well: What has improved since the last inspection? What they could do better: Two people said that there was not enough to do at the home or opportunities to go out. Three people said that the food was “variable” and that there was “not enough variety” on the menu. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 Page 6 Both matters were discussed with the manager who was asked to talk to residents about their wishes and make arrangements for the improvement of the menu and opportunities for residents to follow their interests. 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 H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 standard(s) 3 People using the service do not move into the home without having their needs assessed first. EVIDENCE: All service users said that they felt their needs were being met “otherwise I wouldn’t be here”, said one lady. A sample of three assessments were seen and they all contained information on health and well being, social contacts and personal interests, thereby providing the necessary information to ensure the home is appropriate for the person concerned. Details of individuals daily needs was also kept and this included any registered nursing input required, such as attending to a dressing on one ladies leg and overseeing the monitoring blood sugar levels for another person. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 The health, personal and social care needs of service users are met as detailed in individual care plans. Medication is managed safely. Staff treat residents with respect so that they feel their dignity is preserved. EVIDENCE: A sample of three care plans were seen by the inspector all of which had been signed by the resident concerned. These records showed that they were reviewed each month and updated. Residents said that they could “see the GP on request”, see the community nurse when she calls at the home and make direct appointments with the optician and chiropodist. One resident had a dressing on her leg and she confirmed that the community nurse was attending to this. Good records are kept of all visits by the community nurse and GP as well as hospital appointments and their outcome. Three residents told the inspector that they looked after their own medication and the manager and the records confirmed this. Residents described staff as “kind”, “caring”, “helpful”, “reliable” and “supportive”. One person said that they “don’t forget you” and another said, when talking about the help she receives, that they “see it before you do so Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 Page 10 you don’t have to ask”. Staff were seen talking and listening to residents and noted that they were careful to be invited into residents rooms rather than simply walking in. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 standard(s) 12, 15 Resident’s needs are met although some said they would like more to do. Not all residents were satisfied with the meals. EVIDENCE: One resident told the inspector that she can “carry on her own lifestyle”. Everyone starts the day at the time of their choosing and are provided with supplies so that they can prepare their own breakfast. On the day of the inspection one person was just finishing her breakfast at 11am and said, “sometimes I forget this is a home”. Two volunteers come to the home each Wednesday and provide activities. Everyone enjoys these saying that they are “very imaginative”. However two people felt they would like more to do, in particular, gentle exercise and Bridge. The manager and her Deputy are aware of these requests and agreed to consult the residents concerned to see if their wishes could be met. The majority of residents enjoy the food provided and one person stated, “it’s like you would get at home”. However, three people said that it needs to be more varied (“there are too many casseroles”). The menu showed that dishes were repeated at times and this was discussed with the manager who agreed to consult all residents to see what changes could be made. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 standard(s) 16. Residents are listened to and understand how to raise a complaint should they wish to. EVIDENCE: No complaints have been received by the Commission for Social Care Inspection or at the home. Residents told the inspector that they knew who was in charge and who to take any concerns to. One person had a meeting with the manager the day before the inspection and said that she was “very understanding”. One person requested a ground floor room and this was agreed as soon as possible. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 standard(s) 19, 26 The home is a good environment for residents. It is clean and hygienic. EVIDENCE: The inspector made a tour of the building. All areas of the home are nicely decorated and furnished in a homely style and well maintained. All residents enjoy the garden, which is also well maintained. One person told the inspector that she has planted some seedlings and “opens and closes the greenhouse door for the gardener”. The report of the last visit by the fire service confirmed that the fire safety measures were satisfactory. All areas of the home are clean and hygienic. One resident said that it is “always a very clean home”. The inspector met the person responsible for cleaning and she was very clear about her duties and the importance of maintaining a clean environment. A separate laundry room is located on the ground floor and it is well equipped. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Adequate staffing is provided to meet the needs of residents. EVIDENCE: The inspector saw the staffing rota and asked residents if there were sufficient staff for the help and support they needed. Residents confirmed that staff were always available including at night “when I need support to go to the toilet”. A cook and cleaner are employed and were on duty at the time of the inspection thus freeing up care staff to attend to residents. Records and discussion with residents showed that staff did not change very often and therefore knew the residents needs and wishes very well. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35. Resident’s financial interests are safeguarded. EVIDENCE: All residents told the inspector that they took care of their own money, sometimes with the help of relatives or a solicitor. The manager confirmed this and said that they had recently liaised with the son of a resident to ensure that she had access to a bank account locally. One resident informed the inspector that although she managed her own money there was a safe at the home where money could be deposited if she needed it. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x x Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 Page 17 No Are there any outstanding requirements from the last inspection? 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 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 12 & 15 Good Practice Recommendations The homes quality monitoring system should pick up issues relating to some disatisfaction in the provision of food offered to residents and the ability of residents to go out/engage in activities outside of the home. 2. Wayside H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 H60-H11 S14823 Wayside V223326 250405 Stage 4.doc Version 1.30 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. 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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