Inspection on 29/02/08 for Wayside Residential Care Home

This inspection was carried out on 29th February 2008.

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

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 Residential Care Home 30/08/07

Wayside Residential Care Home 16/04/07

Wayside Residential Care Home 14/12/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Wayside Residential Care Home 8 Whittucks Road Hanham South Glos BS15 3PD Lead Inspector Odette Coveney Key Unannounced Inspection 29th February 2008 08:30 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 Residential Care Home DS0000066092.V360399.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 Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wayside Residential Care Home Address 8 Whittucks Road Hanham South Glos BS15 3PD 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) 0117 967 3314 0117 961 2338 Mr Navindranuth Atma Seegum Mrs Simla Devi Seegum Mr Navindramuth Seegum Care Home 10 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (10) of places Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August & 6th September 2006 Brief Description of the Service: Wayside, Residential Care Home is a detached house; it is well established in the area and has been a care home for many years. The home is registered to provide accommodation and personal care for 10 persons aged over 65 years in the OP category. The home also provides a service for those who have a dementia and those who have sensory and physical impairments associated with ageing. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This was an unannounced visit that was undertaken by one inspector for the Commission for Social Care Inspection. The visit took place in one day and took 7.5 hours to complete. The purpose of the visit was to establish if the home is meeting the National Minimum Standards and the requirements of the Care Standards Act 2000 and to review the quality of the care provision for the individuals living in the home. During this visit both of the Registered Providers Mr Navindramuth Atma Seegum and Mrs Simla Devi Seegum were present. At this visit time was spent speaking with those who live and work at the home. A number of documents were examined during this visit and some of these included; care plans, risk assessments, daily reports, accident records, and staffing information. Throughout the visit the registered manager and staff spoken with were informative and engaged fully with the inspection. Those we talked to spoke favourably of the care and attention they receive from the staff at the home. We received a number of comment cards from those who live at the home and from relatives and healthcare professionals. These have been shared with the management and have also been incorporated into the main body of the report. The last full inspection of this service was undertaken in September 2007 and during that visit the service provided at Wayside was deemed to be poor for those who lived at the home. Mr and Mrs Seegum have worked extremely diligently to meet all 13 requirements made at that visit and it was evident that standards had been met and the service for those living at Wayside had also improved. What the service does well: Those living at the home have a dementia. People were relaxed and settled in their home, they indicated they were happy and appeared well cared for. A number of comment cards were received from visiting professionals and relatives of those living at the home and these said that individual’s needs were being well met by ‘a caring and supportive staff team’. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 6 Relationships between those who live at the home and staff are well established and effective methods of communication both verbal and nonverbal have been developed. Staff know people well and know how they like to be supported. It was clearly evident that the registered provider and the staff team are committed to ensuring that all of the needs of individual’s at the home are met, this is done through consultation and observation and previous knowledge and an understanding of individuals through a person centred individualised process. Care plans are well written and detailed, these provided clear information about peoples needs, and provide guidance to staff in order that they can support people in the way they want to be cared for. What has improved since the last inspection? There has been a significant improvement in the service that is provided for those who live at this home since the last site visit and Mr Seegum and the staff team are to be commended for this. Mr Seegum demonstrated that he is committed to providing a well-maintained environment for those who live at the home. All of the requirements made during the last site visit, in respect of improvements needed in the environment, as detailed within the main body of this report had been adhered to. In order to ensure the protection and safety of both residents and staff it was required that the home developed a lone working policy; furthermore that a detailed risk assessment should also be completed in conjunction with this. Both of these requirements had been met. Mr Seegum had also reviewed individual’s manual handling assessments to ensure that the care staff are using safe handling practices. Staff members had been reminded of their role and responsibilities in order to ensure that those who live at the home are treated with respect, dignity and right to privacy. Individuals support needs are met as the home consults with health professionals to discuss how people could be better supported with their mental health. Those who live at Wayside and their relatives can feel confident in the ability of staff as they are provided with the knowledge and skills needed to undertake their role. Staff complete core training and also receive sufficient amounts of other training including training in dementia care. Those who live at Wayside are provided with opportunities to engage in social and leisure activities. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 7 Those who live at the home are supported with their memory impairments as a reality orientation/reminiscence/information board has been provided for residents. 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. The summary of this inspection report can be made available in other formats on request. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 8 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 Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. There is clear information about the services and facilities provided at the home and there are clear contractual arrangements in place for those that live at the home. EVIDENCE: The Statement of Purpose and service users guide were in place and these documents were found to be fully comprehensive and contained all of the relevant information required. The Statement of Purpose contained the aims and objectives of the home and spoke of treating individuals with dignity and respect, to promote independence and encourage individuals to make choices with aspects of their lives. Since the last visit to the service the home has updated this document to include information about the ‘no smoking’ policy at the home, the contact details for the Commission have been updated and there is updated information in respect of staff training. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 10 We reviewed the ‘terms and conditions’ of the placement. These clearly recorded what individuals fees are and also outlined the rights and responsibilities of those who live at the home and the registered provider. People who live at this home have a dementia and some, at times, are not able to clearly say what they need and want. We saw in people’s records that staff have established caring relationships with individuals and have recorded the complex indicators that people use such as body language and behaviour; this demonstrates a commitment from the staff team to ensure that the needs of individuals are met. Information seen in care records showed that when specialist advice had been required in order to fully support people this had been sought; examples of external support included care mangers, consultant psychiatrist and the community district nursing service. Intermediate care is not provided at this home. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual’s personal and health care needs are being met. Individuals are protected by the home’s medication practices and procedures. EVIDENCE: Three care files reviewed during this site visit showed evidence of preadmission assessments to enable staff to develop personalised care plans for those who live at Wayside. These record how the needs were to be met. Care plans we saw were detailed and explicit. Daily reports contained entries of what, when and how care was provided. Information at the home that had been written about the care and support needed was extremely detailed. All of the care records had been written in a person centred way and had been tailored to the specific requirements of individuals. It was clear that information had been gathered through observation of individuals and that their preferred lifestyle had been well documented. Information recorded in care plans covered areas such as how people would be supported with their dementia, with their personal, physical, healthcare and other emotional areas Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 12 of support with guidelines in place to direct and guide staff practice. It was clear that support provided was flexible and tailored to individuals identified and requested support needs. People we spoke with who live at the home told us they were happy, they smiled when we asked them about their care and one person said ‘the staff here are diamonds, they are friends to me’. During the last visit to the home we found that one person had not been fully supported with their emotional needs, a requirement was made that consultation must take place with an individual’s GP to ensure their mental health needs are being supported. A review of this same person’s records found that advice was sought and support was provided as needed. A staff member was asked to give examples of how individuals are able to make choice and to have some control over their lives, they were able to tell us of individual’s decisions, all of which cross referenced with information seen in individuals’ care documents and also what had been observed during the visit. Individuals were seen to be ‘at home’, were walking freely around the home, individuals were relaxed and at ease in the presence of others. We saw that individuals had risk assessments in place. Each assessment is tailored to the individual and the factors affecting their well being had been considered. All were dated and signed and there was evidence in place to show that assessments are reviewed on a regular basis. Assessments in place included; being supported with aspects of personal care, physical care, daily living and manual handling transfers. The health needs of individual’s are well met with evidence of good multi disciplinary working taking place on a regular basis. All of those living at the home are registered with a general practitioner; evidence was in care records to confirm that individuals are supported with their primary healthcare needs such as optician, dentist and chiropody and that specialist advice is obtained when needed such as support from the community psychiatric nurse and psychiatric consultant. It was evident at this visit that the staff spoken with are sensitive to the emotional, physical and health needs of those living at the home and through observation and discussion demonstrated respect to the wishes of individuals living at the home. Systems of medication administration, storage and recording were reviewed at this visit. We have seen at previous visits that the home has clear policies and procedures in place to direct staff and provide instruction. Medication is stored in a locked cabinet with an additional facility for the storage of controlled medication. A monitored dosage system of medication administration is in Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 13 place at the home and this appears to work well. Medication records clearly outline in what circumstances ‘as and when required’ medication is to be given. Comment cards received prior to the visit to the home from relatives stated: ‘We have been very happy with the care our relative receives’, ‘a caring and homely environment’, ‘The care home treats all relatives with consideration and due respect’ ‘we are always kept well informed of important issues affecting our relative, since Mr Seegum has taken over the home we have seen a great improvement, both on the décor and the quality of care provided’. The staff were observed going about their duties in a friendly and calm manner and responding to the residents in a familiar style. There was friendly banter between the residents and the staff, evidencing that the home is a good place to live. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those living at the home are enabled to maintain contact with families, friends and local communities. Choices are provided to people in respect of meals and mealtimes. There are some social opportunities provided for those who live at Wayside and they are supported to maintain contact with family and friends who visit. EVIDENCE: All of the people who live at Wayside have some memory impairments and all need support of varying degrees with this. Some people need reassurance and guidance others need prompting with some basic tasks. During this visit we saw that staff were friendly, polite and caring in their approach. They were seen to be supportive. We saw them listening to people and answering questions, providing reassurance and comfort. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 15 On the day of the visit many of those living at the home were having their hair done by a visiting hairdresser, it was evident that this was quite a social event with lots of chat and interaction. Due to minimal variety of social opportunity being available to those who live at Wayside a requirement was made during the last visit to the service that activities/entertainment must be provided for residents. We saw that the home has purchased board games and craft work for people to participate with and Mr Seegum confirmed that people had been supported to make cards for Valentines Day, we also saw that entertainers do come into the home, that there have been film shows and that a real effort is made to celebrate birthdays at the home. We discussed that some people may have a short attention span and that more one to one activities based on individuals choices would benefit people. Mr Seegum said that this is an area for further development and consultation. This area will be reviewed at the next visit to the service. We spoke with people who live at the home and staff that confirmed to us that the home supports people to maintain contact with friends and family and the local community. One person spoken with stated, “My daughter visits when she can and my family comes to see me regularly and are always made welcome by the staff”. A relative we spoke with said that the staff were always helpful and kind, cheerful and polite. In order to keep people updated about arrangements within the home and to provide an opportunity for people to have their say about how the home is run it was recommended at the last site visit that a relatives/carers meeting be arranged. We saw that Mr Seegum had placed a notice requesting and actively encouraging relatives and visitors to have their say. Mr Seegum told us about the one to one meetings he had had with relatives and we saw notes of these, demonstrating a commitment to engage with people and to ask for their view, and to improve the service provided to people who live at the home. In order to assist those at the home who have memory impairments we recommended at our last visit to the home that a reminiscence/reality orientation/information board for residents should be provided, upon arrival at the home we saw this information board at the home and residents referred to this when we spoke with them. During lunch people were seen enjoying their meal in the dining room, the menu we saw showed that choices are offered and fresh fruit, meat and vegetables are provided. Special diets are also catered for. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those living at the home are protected from the potential of abuse and complaints are dealt with appropriately. Staff demonstrated a clear understanding in this area with clear policies and procedures in place. EVIDENCE: The policies and procedures relating to the Protection of Vulnerable Adults were in place. There was good evidence that the home ensures that staff are trained to enable them to identify abuse and follow correct procedures for reporting suspected or alleged abuse, however all staff must undertake this training, see staffing section of this report. Mr Seegum has contacted the Commission for Social Care Inspection to inform of incidents that have affected the wellbeing and safety of those living at the home and these had been responded to appropriately in order to ensure the safety and wellbeing of individuals. It was noted that a copy of how to raise concerns or make a complaint was in individuals rooms. Comment cards received from relatives recorded that people knew who to speak with if they had any concerns and this was Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 17 confirmed when talking to visiting relatives we spoke with during the day. No issues of concern were raised during this visit. Records of recently employed staff members were viewed and contained personal information and record of identity. Other information seen included, record of previous employment, and satisfactory Criminal Record Bureau disclosures. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those at Wayside live in a homely, comfortable and safe, clean and wellmaintained environment. EVIDENCE: Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 19 Wayside is a small residential care home, set within the residential area of Hanham; the home is two storeys and is semi - detached. There are enclosed rear and front gardens for people to enjoy. There have been no changes in the services and facilities provided at the home since the previous inspection. The location and layout of the home is suitable for its intended purpose. Wayside is a residential home, registered for 10 older people and at the time of this visit there was one vacancy. The house is furnished to a good standard. Those who live at the home have benefited from re-decoration of the exterior of the house. The home is situated in Hanham and blends in with the local community. One of the people who lives at the home showed us their room, it was comfortable and ‘homely’, they said ‘I love my room and all my things around me’. The room was personalised with photographs, plants, books and ‘nick knacks’. The home is a two-storey house and is appropriately adapted to meet the needs of the current group of people who live in the home. Specialist equipment has been obtained for individual’s following identified need; examples of these include mobility, sensory aids, chair lift and an over the bath chair hoist. Three requirements were made during the last visit to the service; these were that attention must be given to the lounge window as it had condensation within the double-glazing, making it difficult for people to see out, this window had been replaced. Also that the toilet on the ground floor must be cleaned, all toilet areas were viewed at this visit and all were satisfactory. Also due to rusting it was required that the toilet frame on the ground floor must be replaced if required by residents or must be removed. A new frame had been purchased. It was noted at this visit that a different window in the lounge had condensation within the glazing, again making it difficult for those who live at the home to look out. It is required that this window is replaced. A requirement was made during the last visit to the service that the gate at the front of the house must not be locked restricting resident’s movements. Upon arrival at this visit the gate was not locked. Staff and Mr Seegum confirmed that the locking of this gate is no longer a practice at the home. Some discussion took place with Mr Seegum about the difficulties that may arise in the warmer weather when people sit outside and may decide to walk away from the home and potentialy get lost. Mr Seegum confirmed that staff would stay with residents when they sit outside in order to support them. There had been some improvements in the environment since the last visit, bedrooms have been re decorated, the rear patio had been jet washed and the Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 20 tubs tidied, the front of the house had been re painted. Those who live at the home have also benefited from the lounge being re decorated and new curtains fitted. Lighting within the home is domestic in style and of a good standard, emergency lighting is provided throughout the home, this is checked on a monthly basis. The home has sufficient toileting and bathing/showering areas for individuals’ use. These areas are close to people’s rooms. A hand test of the water temperature found the temperature was not excessive and was at a safe level, the temperature in the home was warm and comfortable. At this visit all areas seen were clean, tidy and odour free. All of those living at the home have access to their personal and communal space. The home has a paved, patio area at the rear of the home, this was well tended. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home ensures that all staff have been employed following robust recruitment and selection processess. Staff are trained to support older people, however this would be improved if all staff undertook training in adult protection practices. EVIDENCE: There is a well-established staff team at Wayside. During the visit staff were able to demonstrate a clear understanding and knowledge of the individuals who use the service, and of their role in the home. Mr Seegum was able to demonstrate that he and the staff team have developed good relationships with those who live at the home and have a sound understanding of their needs, wishes and aspirations. These are well recorded in individual’s records. A comment card received prior to the site visit, which had been completed by a relative of someone who lives at the home, recorded that ‘all staff appear to be caring and considerate’. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 22 Morale is high within this home and staff spoke positively about their role and the work they do and were able to give a number of examples of areas within their role which gave them job satisfaction such as one to one time with individuals, supporting residents in they way they prefer and building relationships based on trust. Staff said that Mr Seegum was a supportive manger who was very much ‘hands on’, that he had a good understanding of the needs and wishes of those who lived at the home and that he was committed to providing a good service for those who lived at Wayside. Staffing provision appeared to be consistent with levels and skills needed due to assessed care needs of the individual’s. The staff team have a varied range of knowledge and skills, they were observed by us to be good listeners, effective communicators and were interested and motivated in meeting the needs of those living at the home. On duty on the day of the visit were Mr Seegum; three care staff and a domestic. Information contained within individual staff files were all of a consistent standard. The files for two staff were reviewed; including the most recently recruited staff member. All of the required documentation was in place in respect of robust recruitment and selection practices. During the last visit to the service a requirement was made that staff must received sufficient, appropriate training in order to fulfil the aims of the home and to meet the changing needs of those who live at Wayside, it was also required that dementia awareness training must be provided for staff and that core training, such as first aid and fire safety must be completed for all staff members. Staff spoken with and certificates seen in the office provided confirmation that the training had been undertaken and staff were positive about how training, including National Vocational Qualification in care practices, had influenced their practice and improved their skills in caring for people with individualised complex needs. We saw that staff have participated in training such as manual handling, first aid and health and safety. It was further noted that six staff members are booked to undertake continence awareness training within the next week. However the review of staff training found that not all staff have received training in the area of adult protection, this is required in order that all staff are fully aware of their role and responsibility in this area and also that they can identify the signs of abuse. During this visit we saw that staff were respectful to those who live at the home and their privacy was respected. Staff spoke to residents discreetly and politely, doors were knocked before entering and staff were heard asking residents permission and did not presume that it was okay to enter. Mr Seegum confirmed that during the night one member of staff, who is awake, is on duty to support the residents. It was at the last visit to the Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 23 service we required that a lone working policy must be developed. This was to ensure the safety of those who live and work at the home. We saw that this policy was very comprehensive and covered all aspects such as fire and emergency situations. Since the last visit the staff have been provided with an employment handbook, this outlines individuals contract of employment and covers areas such as equal opportunities, health and safety, confidentiality and the homes ‘whistle blowing’ policy, this policy enables staff to report incidents which give cause for concern. Also since the last visit staff have been provided with a safety handbook, this gives staff information about the responsibilities of the management and themselves in respect of fire safety, first aid and risk assessment. This handbook will ensure consistency and clear guidance for all about their role and responsibilities and of their duty of care for those who live at Wayside. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed ensuring that individual’s interests and rights are promoted and protected by a knowledgeable and experienced staff team. EVIDENCE: Mr Seegum is the registered provider of the home and has many years experience within the care profession. Mr Seegum undertakes periodic training in order to maintain his knowledge and skills. Since the last visit to the service Mr Seegum has undergone training in areas such as residential care home safety, accident reporting, infection control, fire safety and manual handling. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 25 Mr Seegum fully engaged with us during this visit and was able to locate all necessary information and documents easily. This evidences that the home has good systems in place and is well run. The manager has a very “hands-on” approach and is very involved with the day-to-day care of those who live at the home and working alongside the staff team. Staff meetings are held on a regular basis and there was evidence that everyone is encouraged to make suggestions about how the home is run and what happens, staff spoken with also confirmed this. From talking with staff it was evident that they felt supported in their role by the manager. Mr Seegum had a good understanding of the care needs of the individuals. Positive relationships were observed between the manager, staff and the people who live at the home. Staff stated that the manager is approachable and operates an open door policy. There are clear equal opportunities policies within the home and these are available to staff. Staff meetings are held regularly and there are also other strategies for enabling staff, those who live at the home and other stakeholders to voice concerns and to affect the way in which service is delivered. These included staff supervision, review meetings, quality assurance, and an open and approachable management approach. We viewed the fire logbook for the home. The home was completing the appropriate checks on the fire equipment and the recording of training, fire drills and the testing of equipment were satisfactory. We saw the fire panel in working order. In order that those living at the home are moved in a safe, appropriate manner with information held being accurate it was required during the last visit to the service that manual handling assessments must be reviewed. We looked at the assessments for all of those living at the home and saw that all have been reviewed and updated on a regular basis and in particular when an individuals need had changed, furthermore we saw that assessments had been drawn up for people who had moved into the home two weeks ago. As there are occasions when staff work alone at the home it was required during the last visit that a risk assessment for lone working must be developed. Following the last visit to the service we met with Mr Seegum, he showed us both the lone working policy and the lone working risk assessment which he had written, both were sufficiently detailed and provided clear guidance and direction for the safety and protection of those living and working at the home. We viewed accident reports; we saw that incidents had been well recorded with clear information to show that situations had been responded to Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 26 appropriately ensuring that incidents are risk assessed with action taken to prevent further accidents occurring. The homes stair lift was serviced in December 2007 and portable electrical appliances were checked for safety in November 2007. Mr Seegum confirmed that no money is held on behalf of residents for safekeeping at the home. Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 27 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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 28 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. 2. Standard OP30 OP19 Regulation 13 23 Requirement Staff must undertake protection of vulnerable adults training Lounge window to be replaced. Timescale for action 29/05/08 29/05/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wayside Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection South West Regional Office Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: 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 © 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 Residential Care Home DS0000066092.V360399.R01.S.doc Version 5.2 Page 30 - 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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