CARE HOMES FOR OLDER PEOPLE
Wey Valley House Wey Valley House Mike Hawthorn Drive Farnham Surrey GU9 7UQ Lead Inspector
Kathy Martin Unannounced Inspection 27th January 2006 09:00 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.V277568.R01.S.doc Version 5.1 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.V277568.R01.S.doc Version 5.1 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) weyvalleyhous@ukonline,co.uk 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.V277568.R01.S.doc Version 5.1 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). 31st May 2005 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 in Farnham in a quiet area not far from the town centre. An employed manager and staff team, along with regular involvement and support of the proprietors, Wey Valley Society Ltd, operate the business. 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. 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. Parking is available and the local amenities are within a short drive from the home. Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second CSCI inspection for 2005/2006. The previous inspection was undertaken on May 31st 2005. All the key national minimum standards for older people have now been assessed over both inspections. The inspection was unannounced which means that staff and residents were not aware that this visit would take place beforehand. The manager was not present throughout the inspection. She was also receiving a visit from her General Manager that day. The home was clean and well maintained. The atmosphere was relaxed and residents were being attended to, as it was a busy time of the day. The environment was homely. The staff were having a brief at the beginning of their shift in the manager’s office to find out any changes in the care of the residents and any events that needed to be communicated to each other. There was also some internal decoration underway. The inspector met many residents during this visit and many had good comments to make such as their bedrooms being cosy and they were able to bring in a lot of their private possessions when they moved in Wey Valley House and are encouraged to maintain independence. Mostly residents had their own routines and were encouraged to take control of their lives and what they enjoyed doing. One resident talked to the inspector about their families and the activities in the town as they maintained contact with the local community events. Interactions between the staff and the residents were observed as patient, caring and kind. There was a very friendly atmosphere. The staff also spoke openly with each other and with the manager. The inspector also looked at records and toured the building during this visit. The inspector wishes to thank all those who helped in providing the information to write this report especially the residents who spoke about their lives and experience living in Wey Valley House, which was very positive. What the service does well: Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 6 Interactions between residents, visitors and staff were well established. The inspector observed the manager in conversations with relatives which was encouraging and demonstrated that she knew the residents well. Residents stated that they liked living in the home and had everything they needed and felt integrated in the home. For instance a few residents were laying the table for lunch and generally looked out for one another. One resident regularly visits the home next door (Hatch Mill) to see her friend. There was evidence of residents being encouraged to be independent as they were able to come and go as they wished, have visitors, socialise, participate in activities and relax. The manager has gained several years of experience working with residential clients (those who received social care as opposed to nursing) and has a good grasp of the ethos of the home, which she is keen to maintain. The staff team is also reported as stable, which provides continuity of care. What has improved since the last inspection? What they could do better:
During this inspection no requirement were made. The home met all the key national minimum standards for older people over both inspection visits this year 2006-2006. However two recommendations were made: Standard 7: to increase the level of detail in the care plans and for the daily notes to be more comprehensible and contain more meaningful information rather than “care as given”. The daily records should serve as an ongoing communication sheet between all staff and also to record any events/ interactions about the resident, etc… that have taken place.
Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 7 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. Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 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.V277568.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed during the inspection in May 2005. EVIDENCE: Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 10 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The care plans were maintained on each resident and there was evidence that they participated in their care. The care plans sampled were found to contain most details although needed to provide more comprehensive information. The daily notes were written and needed to offer meaningful information. EVIDENCE: Although this section was assessed in full during the previous inspection in May 2005, three care plans were sampled at random. On average the majority of the details expected were there including areas of needs as assessed and regularly updated information. Risk assessments were also present, such as falls, moving and handling, pressure area care (although this was very clinical in nature). A recommendation was made for the care plans to be more detailed. It is acknowledged that there are varying degrees of detail in each care plan sampled, as they were not all written by the same person. For this reason alone it is advisable for staff to maintain consistency and develop their care planning skills to ensure they wrote the same level of detail in each of the care plans. Care plans were signed and dated and residents also signed these.
Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 11 Daily notes were maintained and this is acknowledged as good practice. However on many occasions comments such as “care given as planned” were noted. This was not seen as meaningful documentation and it was recommended that staff are encouraged to write factual events and comments on their actual interactions with residents and what has happened in that particular resident’s life during their shift. These may include visitors, activities, state of mind, what they did and any conversations with staff and not limited to care given as expected in the care plans. The daily notes should therefore serve as a continuous record of events. Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 There were opportunities available for residents to participate in activities either in the home itself or outside in the community. Residents were encouraged to maintain contact with their family and friends and exert control over their own lives as much as possible and in accordance with their abilities. EVIDENCE: This section was fully assessed during the inspection in May 2005 and the level of interactions remained as high as then. Residents were involved in the community as much as possible and in line with their own abilities to do so. Some were able to walk outside regularly and one resident visited the nextdoor home regularly. Visitors are encouraged to come to the home. Some residents go out with their relatives. Internal events are organised and parties seemed to be enjoyed. One resident told the inspector about the many parties/ get together during the festive seasons. Many residents enjoyed chatting to each other and also looking out for each other whilst some preferred to have time on their own. Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 13 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 There are procedures in place in the home to ensure residents’ views are heard and their complaints answered in a proactive manner. The staff are given training and procedures to ensure the protection of vulnerable adults. EVIDENCE: The residents received copies of the complaints procedures when they come to live in the home. The staff logged all complaints received in a book and follow up any concerns raised. Residents’ visitors are encouraged to talk to the staff and the inspector had opportunities to discuss this with residents who stated that they could ask to speak to staff and the manager anytime. The home offers training in the protection of vulnerable adults. The training records indicated that this was done every year. There was one case referred by the home under the Vulnerable Adults procedures and this was resolved. Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 14 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): This section was assessed during the inspection in May 2005. EVIDENCE: Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 The home has a full establishment in place and the numbers are sufficient to run the home efficiently. EVIDENCE: There is a core staff team with several members of staff having been in the home for several years. The team is reported as stable and efficient. There is a vacancy for a carer at the moment. There is good skill mix, which took on board staff experience and qualifications thus tasks are delegated and responsibilities allocated as appropriate. All staff have a clear job description to ensure they all understood their roles. All staff received regular supervision and an appraisal. Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 There are health and safety procedures in place to ensure the safety of residents and staff is maintained. EVIDENCE: There are policies and procedures in place to assist staff to deal with all issue relating to health and safety in the home. Staff are also given training such as food safety, manual handling, fire precautions, first aid and abuse which help them to do their jobs more effectively. Repairs are carried out promptly and the home is well maintained. Equipment is serviced regularly and alarms are tested. All these are recorded in dedicated files. Senior managers regularly review all risk-assessments. There were no issues relating to health and safety brought to the inspector’s attention or noted during this inspection.
Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 17 Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 18 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 7 Good Practice Recommendations Increase the details on the care plans for these to provide details of holistic care and encourage staff to document daily meaningful notes. Wey Valley House DS0000013827.V277568.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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