Inspection on 17/06/08 for Wey Valley House

This inspection was carried out on 17th June 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

Wey Valley House 28/06/07

Wey Valley House 27/01/06

Wey Valley House 31/05/05

Wey Valley House 12/08/04

Wey Valley House 27/06/04

Similar services:

The Shelley

Thorndene

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Wey Valley House Wey Valley House Mike Hawthorn Drive Farnham Surrey GU9 7UQ Lead Inspector Mavis Clahar Unannounced Inspection 17th June 2008 09:10 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 Wey Valley House DS0000013827.V365624.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. Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wey Valley House Address Wey Valley House Mike Hawthorn Drive Farnham Surrey GU9 7UQ 01252 712021 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) weyvalley3@btconnect.com Abbeyfield Wey Valley Society Limited Mrs Shelley Tina Hartley Care Home 27 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (27), of places Physical disability over 65 years of age (8) Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: OVER 65 YEARS Of the 27 (twenty-seven) older people (OP) accommodated, 6 (six) may be in the category of DE (E) and 8 (eight) in the category PD (E). 28th June 2007 Date of last inspection Brief Description of the Service: Wey Valley House is a large, purpose built property set in private grounds on the bank of river Wey. The home is in a quiet area of Farnham, within easy walking distance of the town centre. Wey Valley Society Ltd., operate the home and a sister home, which is very close by. The service provides 24-hour care for up to 27 older people. All bedrooms are used as single size and a number have en-suite facilities. It is planned to undertake further building work during Autumn 2007 to create additional ensuite facilities to rooms which do not currently have this. There is a large lounge, dining room and a number of smaller lounge areas leading onto balconies that look out onto the gardens. The service provides a range of activities and events for service users to attend, both in-house and within the local community. Car parking is available to the front of the property. The fee at this service is £580.00 per week. There is an additional cost for hairdressing, chiropody and personal toiletries. Wey Valley House DS0000013827.V365624.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 unannounced site visit, which forms part of the key inspection to be undertaken by the Commission for Social Care Inspection, (CSCI) was undertaken by Mrs Mavis Clahar on the 17th June 2008 and lasted for seven hours and ten minutes; commencing at 09:10 hours and concluding at 16:20 hours. The CSCI Inspecting for Better Lives (IBL) involves an Annual Quality Assurance Assessment (AQAA) to be completed by the service, which includes information from a variety of sources. This initially helps us to prioritise the order of the inspection and identify areas that require more attention during the inspection process. This document was received by CSCI (us) and is referred to throughout the report. The registered manager of the home was on annual leave and the deputy manager supported by the Operations manager assisted on this inspection. The majority of the service users spoken to were able to express their thoughts and feelings about the care they receive. The information contained in this report was gathered mainly from observation by the inspector, speaking with a number of service users, with the deputy manager and Operations manager and with care staff. Further information was gathered from records kept at the home. The first part of the inspection was spent discussing and agreeing the inspection process with the deputy manager. The operations manager joined us at this point, followed by a tour of the home, which included time spent in discussion with service users, care workers and the Chef. The manager and staff are aware of the Laws regarding equality and diversity and this was reflected in the staff mix. All service users in this home are Caucasian and reflect the population of the area in which the home is situated. All records sampled were up to date with care plans being signed by the service users or by relatives. No requirement or was made on this visit. The final part of the inspection was spent giving feedback to the deputy manager and operation manager about the findings of this visit. Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 6 We would like to thank all the service users and care staff that made the visit so productive and pleasant on the day. What the service does well: What has improved since the last inspection? The AQAA informs us personal care is delivered according to each service user’s plan of care and this was evidenced by the signing of the care plans by the service user /relative to demonstrate their involvement. The manager has amended the daily shift plans to make them more explicit. We were told this has been implemented to make people more accountable for what they do, to take responsibility for carrying out specific duties, to help improve the systems that they follow and help in monitoring the delivery of care services in the home. Care staff spoken to supported this new way of working, saying they felt supported and more responsible for what they are doing and feel they can discuss issues they feel unsure about with the acting manager. Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 7 Two members of staff are now trained to be responsible for the daily activities of the service users. Service users told us that activities are now more enjoyable and varied. Care workers training opportunities have increased and there is now documented evidence to show care workers are being encouraged and supported to undertake training suitable to equip them to fulfil their roles, based on the assessed needs of the service users in their care. 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. Wey Valley House DS0000013827.V365624.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 Wey Valley House DS0000013827.V365624.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): 36 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. Prospective service users and their relatives have the information needed to choose a home, which will meet their needs and service users are being assessed to ensure the home is capable to meet the needs of the service users prior to being admitted into the home. EVIDENCE: Review of service users documents and identified policies demonstrated the home has a policy and procedure on admission and discharge of service users. Within the admission policy all service users must have an assessment prior to being admitted into the home. The Manager, and in her absence, the deputy manager who is trained in the principles of assessment of service users’ needs based on what the care the home says it will provide carries out all pre Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 10 admission assessments of service users prior to them being admitted into the home. Re admission assessment following discharge from hospital is also carried out to ensure the home is still able to meet the needs of the service users. Review of a random sample of service user’s files including one recently admitted service user, demonstrated that pre admission assessments are being carried out and relatives were being involved in the assessment process. The home does not provide for respite care. Wey Valley House DS0000013827.V365624.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 People who use the service experience good quality outcomes in this area. This judgement has been using a range of evidence including a visit to this service. The home has a good and clear care plan in place for each service user and this includes appropriate risks assessments. This forms the basis for care based on the agreed care needs of the service users and demonstrated that trained staff met service users’ health and personal care needs. The home’s medication policy on receiving, storing and administering of medication was in place and being adhered to thereby ensuring the safety and protection of the service users. Care workers treated service users with respect and maintain their dignity and privacy when delivering personal care. EVIDENCE: The randomly selected care plans were clear and easy to read, identifying potential and actual risks to service users and detailing how these risks would Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 12 be managed. The daily work sheet along with discussion with service users and care workers demonstrated that service users care needs are fully met. The service user or relative signed the care plans to indicate their involvement in deciding what care they received. It was evidenced that care staff undertaking the development and monthly review of the care plans also signed and dated them. Information contained in the home’s Annual Quality Assurance Assessment (AQAA) states “ Each care plan is written in a manner which each client and staff member can understand and follow to ensure all the needs of the service users are met”. Personal discussions on the day of the visit with service users revealed that they were involved in the assessment of their care needs. All service users are registered with a local General Practitioner (GP) of their choice and visits are recorded, with access to specialist healthcare professionals through their GP practice as required and these visits are also recorded in the service user’s folder. Service users are offered access to chiropody service and weekly hairdressing facilities are available at a cost to the service users. In discussion with the Company’s operational manager, the deputy manager of the home and care workers they were extremely proud of the high standard of care they provided to all service users in the home. This was supported by the service users spoken to and by the review of the many letters of thanks received by the home. Care staff identified as capable to administer medication are requested to leave a sample of their signature, which is dated in the medication trolley. All service users have a recent photograph included in their personal folder and medication record, to reduce the risk of mistakes happening during medication administration. We were told by care workers that one service user on the day of the site visit was assessed as capable to self medicate. This aspect of medication management was supported in discussion with the service user, and we reviewed the home’s policy on self-medication. Medication records were checked and found to be correct as documented on the Medication Administration Record (MAR) sheet, Control Drugs records were also satisfactory. Review of the home’s record of receipt and disposal of medication was satisfactory, dated and signed. We saw no relatives on the day of the visit. However, on signing out we observed that a few relatives had visited the home during the inspection visit. We observed that care workers wore name badges to enable visitors and service users with memory impairment to be sure of whom they are speaking with. We observed Service users being treated in a friendly but respectful manner by care workers. Service users spoken to rate the personal care they receive as very good. Service users unanimously said, “We are treated with respect”. They said the staff team are friendly and they attend all appointments accompanied either by staff or if their relative decides to accompany them. Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 13 In discussion with service users they told us that they are treated with respect and dignity, and that they are able to make their own choice. One service user told us “I am very happy here. Everything is so nice. I have my own room; I can have as much privacy as I want”. Another service user said “We have good staff here; they do not ill treat me. I have help to choose my own clothing every day”. Another service user said “its hard moving from my own home to live in one room, but I am settling well into the home and the staff are so kind and this is a friendly home. My family made a good choice”. Wey Valley House DS0000013827.V365624.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 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. Service users lifestyles matched their needs and preferences and where possible they are able to maintain contact with family, friends and the local community. Service users are able to make choices in accordance with their abilities and were provided with a balanced diet in pleasant surroundings and in an unhurried way. EVIDENCE: The home has trained two members of current staff to manage the activities programme for the service users. They in agreement with the service users and their relatives provide a range of activities based on the individual assessed and agreed needs, including their preferences, cultural beliefs and customs. The AQAA informs us that wherever possible relatives are encouraged to participate in the planning and carrying out of service users’ Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 15 activities. Activities provided include basketball, skittles, scrabble, pub quiz afternoons, bingo and a wide range of board games. We have an indoor library which the Surrey mobile library restocks on a regular basis”. We observed the monthly activities programme posted at various points around the home and on the day of the inspection visit we observed the service users being made ready for their weekly outing. We commented on the beautiful skirt one service user was wearing and she told us she bought it herself last week on her outing to Camberley. In discussion with the service users they were very excited about today’s outing. One service user told us “I am really looking forward to the outing. When I was at home I was house bound as I was unable to go out, now since I have been living here I go out every week”. The home also has outside visiting entertainers to the home to provide extra activities for the service users. We were told the home has good contact with religious denominations and Holy Communion is provided for all service users who would like to participate. In discussion with service users we were told the home respects those service users who wish not to participate in an activity on any given day. A record of each service user’s daily activity is recorded in their care plans and their files demonstrated activities undertaken and refused. Service users told us visiting is open, and that they can entertain their guests in their bedrooms in private or in the spacious communal areas of the home. We observed that a variety of fresh fruits were made available for service users and their visitors in the home. Six of the service users spoken to said they had choice in their clothing and sometimes they receive help from their key worker. On the day of inspection all service users were dressed appropriately for the weather. We were told the Chef who has been at the home for a long time operates from a four-week menu and there is always a choice of three hot meals per day at mid-day, or salad at mid-day or the service user can choose their own food e.g. omelette etc. One service user told us the Chef is very good and she comes around every day to make sure we are satisfied with our food. There is always a choice of two hot dishes for the evening meal, or we can choose to have sandwiches filled with our own choice. Morning coffee and afternoon tea is served daily and our visitors are also served the same as us. We observed jugs of fruit juices and squash with glasses were placed in the lounges whilst service users were present, and staff was seen offering drinks to service users. There were ample amount of fresh fruit, available in the home in the lounges and dining rooms so that service users could help themselves if they wished. The inspector did not sample the lunch, but service users said the food was very good, tasty and the right amount. The inspector observed the presentation of the food was done in a way to stimulate appetite. A choice of wine, sherry or fruit juices were served with lunch, which was served in the Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 16 dinning room unless a service user requested to have their meal in their bedroom. We observed care workers interacting in a friendly but dignified manner with service users during the lunch time, being present in the dining room but just politely far enough not to crowd the service user but to be able to offer assistance should the need arise. We noted that on the day of the visit lunch was served half an hour earlier than usual and we were told that on outing days this is done to enable service users to spend as much time as possible at the place they are visiting. This was an agreement made with service users at their meeting. Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 17 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 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service The home has a satisfactory complaints policy and procedure and training in place that evidenced that service users and relatives concerns are listened to and acted upon. Robust Safeguarding adults’ policies are in place to protect the service users from abuse. EVIDENCE: CSCI received no complaints about the home. No complaints were logged at the home, and the deputy manager informed us that both her and the registered manager of the home are in touch with service users on a daily basis and issues raised are dealt with immediately; this prevents any need for service users to complain. Service users spoken to said they have no need to complain, as they are able to discuss everything with the manager/deputy. The home has a complaints procedure and policy, which is adhered to. The care workers were aware of the homes’ policy and procedure on Safeguarding Adults and felt secure in the knowledge that if they had to use the whistle blowing procedure the manager/ Society would support them. It was observed that the home’s guest information pack situated in reception contained a complaints procedure and policy, whistle blowing policy, statement Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 18 of purpose and a recent copy of the last CSCI inspection report for the benefit of all visitors to the home. The home has received a number of complimentary letters and cards from relatives of service users, commenting in a positive way about the care their relatives’ received at the home. A random sample of care workers training record demonstrated that care workers are being trained to undertake the duties of meeting the service users assessed needs, thereby protecting them from abuse. Planned programme of update on Protection of Vulnerable Adults (POVA) is planned for next year. Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 19 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 26 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables service users to live in a safe, well- maintained and comfortable environment, which encourages independence, and protect their privacy and dignity. EVIDENCE: The management and staff encourage service users to see the home as their own home. It presents as a comfortable, attractive home, which has all the specialist adaptations, needed to meet the service users needs. It was noted that call bells were left within reach of each service users and service users said the bells are answered promptly. We observed building works are in progress at the home and we were told that this is to ensure all bedrooms Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 20 have en-suite facilities. We also observed service users safety is promoted and there is suitable separation between the part of the home that is being upgraded and service users’ living space. The home has attractive gardens, which are well maintained and there is good access to the gardens from various parts of the home. Some service users told the inspectors that they try to go out daily weather permitting to enjoy the gardens. The inspector noted that adverse weather would not stop service users enjoying the garden, as the windows are low enough to allow service users to view the gardens from their armchairs. It was noted that service users were able to personalise their bedrooms with small items of furniture, paintings on the wall and many family photographs. Generally, the home presents as clean, safe, pleasant, hygienic and tidy and free from offensive odours. Random review of care workers training record demonstrated they have had training in infection control and this was evident in the storage of waste. The AQAA informs us staff are trained on the safe disposal of clinical waste and are provided with protective clothing to minimise the risk of spreading infection. We observed staff wearing disposable gloves and aprons whilst undertaking tasks during the visit. Wey Valley House DS0000013827.V365624.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 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of the service users. EVIDENCE: The staff rota demonstrated the number and grade of staff on duty to provide care and attention to service users for any twenty-four period was suitable to meet the assessed care needs of the service users. The home has a programme of planned training in place and all members of staff have an individual training record. Over 75 of care workers have attained the National Vocation Qualification at Level 2 (NVQ L2) or above. Currently 20 of carers are undertaking NVQL2. Care workers are encouraged and enabled to undertake developmental training as well as the mandatory training. All newly appointed staff undertakes the Skills for Care Common Induction programme. The home ensures that staff undertakes the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the deputy manager, and operations manager and review of carers’ training records. Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 22 It was noted that staff turnover at the home is relatively low. All care workers are Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checked prior to commencing employment, and they are in receipt of terms and conditions of employment, as evidenced in their randomly selected files, which contained the information required under care Homes Regulations 2001 Schedule 2. The deputy manager told us that supervision records were up to date and this was verified during random sampling of care workers files. Documented evidence indicated that the home ensures that care workers receives the mandatory training with yearly updates as necessary to maintain their competency to fulfil their duties. This was evidenced through discussion with the deputy manager and care workers. Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 23 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 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to the service. The manager has the experience to run the home and works to continuously improve services and provide an increased quality of life for the service users. There is a strong ethos of being transparent and open in all areas of running the home and the views of service users and their relatives are actively sought. Service users financial interests are safeguarded and the health, safety and welfare of service users and staff are protected and promoted by the homes’ policies and procedures. EVIDENCE: Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 24 The AQAA informs us that the manager has demonstrated that she has kept herself updated on issues relating to care of the service users and staff in her charge. She has attained the Registered Managers Award and also the National Vocational Qualification Level 4 in care. In discussion with the operations manager she confirmed this. In discussion with the deputy manager it was evident she was knowledgeable about the care needs of the service users and the training needs of the care workers to meet these identified needs. There are clear lines of accountability within the home, each member of staff spoken to on the day of inspection aware of their role and responsibilities. We were told that the majority of the service users are capable to be fully involved in the running of the home, and their relatives are encouraged to be as involved as their time allows them to be The residents of the home are treated as part of a large family and meetings are held at regular intervals to allow service users, their relatives, carers, and the deputy manager to discuss issues pertaining to the smooth running of the home. Every one is then able to contribute to the running of the home, whether it is to change the four weekly menus or to replace major items in the home. The operations manager explained that this approach is preferable by all concern parties as any occurrence in the home affects us all. The home does not become involved in service user’s finance. The relatives/court manages all their finance. Good records are kept with receipts for any expenditure. Review of documented records demonstrated that health and safety checks are routinely carried out at the home. All equipment examined on the day was properly maintained. The QAAA informs that fire drills, fire alarm, and water temperature were regularly checked and records kept verifying this. Random sample of care workers’ training files demonstrated that up to date and relevant training were carried out by care workers to protect service users’ health, welfare and safety. Throughout the service there is a highly evolved understanding of the equality and diversity needs of the individual service users. Care workers are confident in delivering high quality outcomes for service users in the areas of age, sexuality, gender, disability and belief. Although the care workers are knowledgeable about issues relating to race and equality and diversity, they are not able at the moment to put this knowledge into practice, as the current service users are all Caucasians. Wey Valley House DS0000013827.V365624.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 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wey Valley House DS0000013827.V365624.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. 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. Refer to Standard Good Practice Recommendations Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Wey Valley House DS0000013827.V365624.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!