Inspection on 30/08/07 for Wayside Residential Care Home

This inspection was carried out on 30th August 2007.

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 Residential Care Home 29/02/08

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 30th August & 6th September 2007 09:30 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.V340946.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.V340946.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 Navindranuth Atma 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.V340946.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th April 2007 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 aging. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection. The purpose of the visit was to monitor the progress to the requirements and recommendations from the last unannounced site visit in April 2007 and review the standard of care provided to the residents at the Wayside. On 18th May 2007 a meeting took place following the site visit to the home in which the improvement plan in order for the home to comply with the requirements made was discussed and reviewed. Mr Seegum, at this meeting, demonstrated a commitment in meeting the regulations. The home was required to develop an improvement plan in response to failure to demonstrate compliance to requirements from previous inspections. This was used to plan the inspection process and followed up during this visit. The focus of the site visit was on the general care of a sample group of residents and the environment, including an extensive tour of the premises. This provided a good opportunity to observe residents as well as allowing for informal conversations with individuals and the staff supporting them. Three members of staff were spoken with during the inspection, in addition to the registered provider/manager. The home has been sending information in respect of regulation 37 notices of events affecting the well being of the residents and these were used as a focus for the site visit along with annual quality assurance audit completed by the home, and also comment cards received prior to the site visit: relatives (7) and health/social care professionals (2). The site visit was conducted over a period of two days for 7 hours. What the service does well: On the whole, with the exception of one incident, staff were observed as being respectful, warm in manner and sensitive towards the residents within a relaxed homely environment. The manager and staff have built a good rapport with individuals and are knowledgeable about the care needs of the residents living in the home. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 6 Prospective residents and/or their families have all relevant information to make a decision about the services and facilities provided at the home. Prospective residents needs are assessed prior to admission to determine the suitability of placement to ensure that their needs can be met. What has improved since the last inspection? All fifteen requirements and three recommendations made at the last site visit to the home have been met. Concerns were identified at the site visit that was undertaken at the home in December 2006 in respect of medication administration, storage and auditing of medication; this is an area that had not improved at the site visit that was undertaken at the home in April 2007, therefore at that time, in order to ensure the safety and protection of residents, the inspector requested that a pharmacy inspector for the Commission visit the home to look at practices within the home. This took place and the requirements made were fully reviewed at this visit and it was found that the manager had worked diligently to ensure that all of these issues had been addressed. No concerns were found with medication administration, recording or systems in place during this visit. Individual’s needs are being monitored accordingly as the home review residents care plans monthly and review meetings take place with care managers, residents and their relatives to monitor the service and care being provided by the home. It was noted at both previous site visits to the home that there were a number of areas that require attention in respect of the environment, all these have been addressed and the home has met these. However additional requirements and recommendations were made as a result of this visit and full information about this can be read within the main body of this report. The home is able to show the activities residents have been offered, as records of social activities are better maintained. Residents can feel safer in respect of fire safety at the home as the Registered provider was able to demonstrate that the home has fully assessed the potential risks in the event of a fire. Mr Seegum has expanded upon the fire risk assessment that is in place; Furthermore records seen evidenced that staff have received sufficient fire safety training. Residents can feel confident that their property is clearly accounted for as the home have ensured that all residents have an inventory of their belongings in place. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 7 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.V340946.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.V340946.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents or their families have all relevant information to make a decision about the nature of the home. Prospective residents needs are assessed prior to admission to determine the suitability of placement to ensure that their needs can be met. EVIDENCE: The home has in place a detailed statement of purpose this was found to contain all of the required information in order that individual’s can make an informed choice as to whether the services and facilities provided can meet their needs. The document is readily available to residents and their relatives. This document contains information about the management structure of the home, information about staff ratios and training, information about the home and how individuals are supported in aspects of their life, as outlined within their individual plan of care. The statement of purpose outlines the aims and objectives of the home. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 10 Furthermore there is information about the admissions process and how individuals can make a complaint if they are not happy. Comprehensive care management and care plans have previously been seen on file. The home has developed comprehensive person centred care plans based on wishes and choices from the information provided by the residents as part of the ongoing placement within the home. The daily records maintained within the home provide clear evidence that individual’s current and changing needs are identified and met. Clear information was in place to show the involvement of specialist services and professionals, ensuring a multidisciplinary approach. Clear contractual arrangements are in place, which outline rights and responsibilities of both the residents and the management, information includes facilities and services to be provided and information about the fees. Wayside Residential Care Home DS0000066092.V340946.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 poor. This judgement has been made using available evidence including a visit to this service. Individualised planned care is well documented in terms of individuals’ full care needs. Residents’ health care needs are met, however an individual’s emotional needs require additional support. Staff have a good awareness of individuals needs and treat the residents in a warm and respectful manner, which means that they should expect to receive care and support in a sensitive way. However one individual’s privacy and dignity was observed as not being respected and this must be improved upon. EVIDENCE: The care and associated documentation for three residents were fully examined during this site visit. All care plans reviewed showed a clear understanding of individuals’ needs, they contained clear guidelines for staff. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 12 In addition to the main care plan the home also had information about behavioural strategies to support individuals with complex needs and daily support information. These care plans had been developed since the last site visit and it was clear that these had been given a great deal of time and attention, they were comprehensive. The plans had been reviewed monthly and therefore the requirement made at the last site visit to the home in respect of this had been met. Care plans seen had been updated following review meetings reflecting the residents’ current needs. Thorough examination of care documentation evidenced that individuals are well supported with their health care requirements in order to access services. In order to ensure that one individuals emotional needs are fully supported it is required that consultation with the GP should take place in order to seek advice as to whether an individual’s additional mental health support should be facilitated. One Comment card received from a health professional prior to the site visit said that the home the home communicates clearly and works in partnership with them, that staff demonstrate a clear understanding of the care needs of residents and that they are satisfied with the overall care provided to individuals at the home. The following requirements and recommendations were reviewed during this site visit: • • • • • • Clear strategies should be in place to ensure that medication prescribed to be given ‘as and when required’ is given in the best interests of the individual. Controlled medication must be stored in accordance with the Royal Pharmaceutical Guidelines. Medication administration records must correspond with medication given. Stock held medication must be clearly accounted for. Photographs must be in place with medication records. Labels must be clear on administered medication. Procedure for medication administration, handling, records and storage were assessed. The home had policy and guidelines on medication. A local pharmacy provides medication using a monthly monitored dosage system. A check of the packs indicated that medication had been administered as recorded. It was found following a full review of administration and staff practice that the above requirements and recommendations had been met. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 13 Some discussion took place with Mr Seegum as to how individuals living at the home could be supported with their short term memory, it was recommended that consideration be given to the home having a reminiscence board on which information could be provided about who was on duty, the date, current news and information. The atmosphere in the home on the day of the inspection was relaxed. Staff, the manager and residents were observed to have good relationships. Staff on the whole, responded to residents in a sensitive and professional manner. Wayside Residential Care Home DS0000066092.V340946.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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Links with the community are good and support is given to residents with their social opportunities. Residents would welcome more activities to provide daily variation. EVIDENCE: The visitor’s book showed that there are a number of visitors to the home. Residents confirmed that families are always made welcome by the home and can visit at any time. It was recommended at the last site visit to the home that records of activities should be better maintained. This had been implemented, however it was clear through looking at these records that very little in the way of activities or recreational activities were being provided on the home. Furthermore a relative visiting on the day of the site visit said that their relative can become ‘bored’ on occasion and there seems very little for residents to do. Comments received from relatives prior to the site visit to the home also confirmed a lack of social/community activities provided. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 15 In order that residents can make choices and have options available to them it is required that activities must be provided, these should be tailored to the preferences of residents who should be consulted. There is a clean, well stocked kitchen. Individuals are offered choices and individuals special dietary needs are catered for, it was also seen that individuals likes and dislikes were recorded and responded to appropriately. Wayside Residential Care Home DS0000066092.V340946.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. There are robust and comprehensive policies in place to manage complaints or allegations of abuse. The home has a satisfactory complaints system in place with evidence that residents feel their views are listened to and acted upon. EVIDENCE: No complaints have been received by either the home or the Commission for Social Care Inspection. No areas of concern were recorded on care documentation. Residents are protected to some degree from the risk of harm or abuse by staff as the home has in place guidance in the form of South Gloucestershire Council’s `protection of vulnerable adults from abuse’ policies. There was also evidence in the staff training records that some staff have attend training on the protection of vulnerable adults from abuse, to help ensure residents are protected. A requirement was made at the last site visit to the home that inventories must be in place for all residents in order that their valuables are clearly accounted for, these were seen to be in place and items were well documented. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 17 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, 26. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There have been some improvements to the environment since the last site visit; however further improvements are required in order to ensure that the facilities and equipment provided to residents are of a good standard. EVIDENCE: Wayside is a detached property in keeping with the local neighbourhood. There are shops and local amenities within walking distance. The home is situated within close proximity of the Avon Ring Road. There are bus routes approximately 300 yards from the home. The home is within easy reach of local retail and leisure outlets. Accommodation is on two floors with a stair lift in place for those with mobility difficulties. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 18 A number of requirements were made during the last site visit to the home undertaken in April 2007 and are detailed below: • The bedroom identified during the inspection to be redecorated. • The fan in the kitchen to be cleaned. • ‘Splash marks’ on a wall must be cleaned. • Identified carpets must be cleaned or replaced • Identified toilet must be cleaned. All of these areas were fully reviewed and seen during this visit and it was found that areas of deficit had been addressed and the requirements had been met. Since the last visit to the home some works have been undertaken on the property including the redecoration of a resident’s bedroom, the fan in the kitchen has been cleaned, ‘splash marks’ on a resident’s wall and toilet areas have been cleaned and flooring has been replaced. It was recommended at the last site visit to the home that on the first floor there is a toilet seat, which needs replacing, this had not been done. Mr Seegum stated that he will be replacing the whole suite in this bathroom area (see below) and therefore this will be reviewed at the next site visit to the home. Following a review of the environment the following requirements were made: The toilet on the ground floor of the home must be cleaned, the broken toilet frame in the bathroom on the ground floor must either be replaced if used by residents or if not then it must be removed from use. This is to ensure that appropriate hygiene standards are in place at the home and that equipment provided at the home is safe for residents’ use. Upon arrival to the home a gate on the path leading into the home was unable to be open due to it being padlocked, thus preventing people to enter and restricting residents ability to leave the home. A requirement was made that the front gate at the entrance to the home must not be locked. There is a lounge/dining area for residents’ use, since the last visit to the home the dining area has been redecorated and Mr Seegum confirmed that the lounge would be redecorated shortly. It was noted that there are large patio windows in this room, the view from one of these panes was obstructed for residents due to condensation, it is required that attention is given to this in order that residents can clearly see out. At this site visit the inspector was given information from a contractor that the following works would be undertaken at the home: flooring to be laid in the lounge and a bedroom, to alter and remake a toilet and bathroom area to include a new bath, toilet and wash basin and to also install a new walk in shower for the benefits of those residents who are less mobile, all of these work should be completed by the end of October and will be reviewed by the inspector at the next site visit to the home. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 19 The environment was viewed throughout. Most residents have a single bedroom; there is one room where two residents share. These rooms were different in shape and size and decorated to reflect the different tastes of the individual. Rooms seen were well equipped and all had personal items such as pictures and photographs giving them an individual feel. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 20 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 poor. This judgement has been made using available evidence including a visit to this service. The residents enjoy a good relationship with staff. The Home’s recruitment procedure offers protection to residents. There is adequate numbers of staff to meet the needs of the residents, however staff must receive sufficient training in order to ensure they fully have the skills required to undertake their duties. EVIDENCE: The manager and staff were able to demonstrate that they and the small 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 generally well recorded in individual’s records. Staff were positive about their roles and the commitment of the provider. All staff consulted with during the site visit stated that Mr Seegum was supportive and that he listened to them. A requirement was made during the last site visit to the home that all staff must have two references in place. Staff recruitment records were looked at and showed the necessary checks and safeguards are in place i.e. 2 references, application form shows full information including employment history, Criminal Record Checks (CRB) are undertaken. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 21 Staff complete an induction programme on starting their employment. All staff in the home have had CRB checks and references were in place and these were seen on this inspection. Following a review of staff training records it was found that staff have not received enough training in order to fully support them in their role. A requirement was made at this inspection that staff must receive sufficient amounts of training per year. It was further required that dementia awareness training should be provided for staff and that staff must undertake core training in order that they have been provided with the knowledge and skills to support residents fully. During this site visit to the home the inspector observed that while two care staff were walking a resident into a bathroom area, one of the staff members was talking on their mobile phone, speaking in a different language with total disregard for the resident who at this time was ignored by the staff member and would not have been able to comprehend the conversation taking place. It is required that staff are reminded that the dignity and privacy of residents must be respected at all times and this must be reflected within their practice. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 22 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, 32, 34, 36, 37, 38. Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The manager is experienced and competent to manage the care home. Good care practices are promoted. However further safeguards need to be in place in order to ensure the health, safety and welfare of the people using this service. Staff are appropriately supervised. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 23 EVIDENCE: Mr Seegum is experienced in working with older people. Mr Seegum was able to demonstrate a clear understanding of his role and responsibilities and how this would influence the service delivered at the home to ensure that services were delivered as outlined within the individual’s care plan. Mr Seegum was aware of his role and responsibilities as the registered provider. A number of records were reviewed as part of this inspection process, these included care documentation, staffing records, health and safety records and policies and procedures, which direct and guide practice at the home. Mr Seegum confirmed that relatives/carers meetings are not held at the home. In order that there are processes in place to aid communication at the home it is recommended that relatives and careers meetings are held at the home on a regular basis and minutes of these meetings should be recorded. Supervision notes were viewed for four staff. These contained areas of care practices and training requirements and also recorded how individual residents would be supported, demonstrating a commitment in ensuring the continuity of service for residents and effective communication between management and staff. At night there is one waking member of staff on duty and the potential for danger is present and therefore it is required that the home develop a Lone working policy and risk assessment in order to evaluate and ensure the protection and safety of both staff and residents. Three requirements in respect of concerns over fire safety were made at the last site visit undertaken at the home and were reviewed during this site visit; the requirements were as follows; A requirement, which has been outstanding at the home since 14th December 2006 was that the home should expand upon the current fire risk assessment, a requirement was also made that staff at the home must receive sufficient fire safety instruction and that attention must be given to the self-closure on the lounge door. All of these requirements have been met. The home has an ‘in depth’ fire risk assessment which covers individual residents support needs and also what the procedure would be to follow at night. A review of staff training evidenced that staff have undertaken appropriate and sufficient training in this area and no concerns in respect of the environment and fire safety were observed during this site visit. The records that relate to fire safety practices and checks were examined and indicate that checks and practices are conducted at the stipulated frequencies. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 24 Each individual had in place a manual handling assessment of their moving and handling support needs. However the inspector was concerned to note that in the assessments techniques recorded to move residents were outdated and some of the practices are now deemed to be unsafe. It is required that manual handling risk assessments must be fully reviewed to ensure that safe handling techniques and advice to staff are in place. A requirement was made at the last site visit to the home following a review of residents records that there must be photographs of all residents in place at the home, the home has complied with this requirement and this was not a concern during this visit to the home. It is the home’s policy not to manage resident’s financial affairs. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 25 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 2 3 3 X 2 STAFFING Standard No Score 27 1 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X 3 X 2 3 1 Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. 4. 5. 6. Standard OP27 OP27 OP27 OP10 OP26 OP22 Regulation 18 (1) c (i) 18 (1) c (i) 18 (1) c (i) 12(4) a 13(3) 23(2) n Requirement Dementia awareness training must be provided for staff. Core training must be completed for all staff members. Staff must receive sufficient amounts of training. Staff must respect the dignity and privacy of residents. Toilet on the ground floor must be cleaned. The toilet frame on the ground floor must be replaced if required by residents or must be removed. The gate at the front of the house must not be locked restricting resident’s movements. Manual handling risk assessments must be reviewed. Activities/entertainment must be provided for residents. Consultation must take place with an individual’s GP to ensure their mental health needs are being supported. Attention must be given to the lounge window. Lone working policy must be DS0000066092.V340946.R01.S.doc Timescale for action 30/12/07 30/12/07 30/12/07 30/08/07 30/08/07 30/08/07 7. OP38 13(7) 30/08/07 8. 9. 10. OP38 OP12 OP8 13(5) 16(2) m 13(1) b 30/10/07 30/10/07 30/09/07 11. 12. OP19 OP36 23 (2) b 13(4) c 30/10/07 30/11/07 Page 27 Wayside Residential Care Home Version 5.2 13. OP38 13(4) c developed. Risk assessment for lone working 30/11/07 must be developed. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP32 OP14 Good Practice Recommendations Relatives/carers meeting to be arranged. Reminiscence/reality orientation/information board for residents to be provided. Wayside Residential Care Home DS0000066092.V340946.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Regional Office 4th Floor, 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.V340946.R01.S.doc Version 5.2 Page 29 - 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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