Inspection on 31/05/05 for Wey Valley House

This inspection was carried out on 31st May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wey Valley House 17/06/08

Wey Valley House 28/06/07

Wey Valley House 27/01/06

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Wey Valley House Mike Hawthorn Drive Farnham Surrey GU9 7UQ Lead Inspector Catherine Campbell-Ace Announced 31 May 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wey Valley House Address Mike Hawthorn Drive, Farnham, Surrey, GU9 7UQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01252 712021 Abbeyfield Wey Valley Society Limited Mrs Shelley Tina Hartley CRH Care Home 27 Category(ies) of DE(E) Dementia - over 65, 6 registration, with number OP Old Age, 27 of places PD(E) Physical Diasbility - over 65, 8 Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age range of the persons to be accommodated will be: Over 65 years. 2 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). Date of last inspection 12 August 2004 Brief Description of the Service: Wey Valley House is a large, purpose built property set in private grounds. 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. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted 5 hours. The General Manager, Deputy Manager, service users and staff assisted the inspector, who was made very welcome during the inspection. Daily records, risk assessments, medication records, recruitment files and activities of daily living were written clearly, with care plans signed by service users or family members. One service user told the inspector: ‘The home is kept so very clean and I am so lucky to have this room to sit in,’ meaning sitting by large windows in the lounge facing the gardens. Another service user said: ‘If you are looking for perfection, you’re at the right place.’ Volunteers were much in evidence during the inspection, serving hot drinks to the service users. What the service does well: The home has a relaxed and friendly atmosphere, which helps the service users feel at home. The staff were observed to have good relationships with the service users and there was laughter and fun heard. Service users knew which staff were on duty each day as a notice board with staff names was evident in the main hallway. Outings and activities were advertised in the hall together with the times of church services. The General Practitioner had commented in writing to the inspector that: ‘ The team always seem to provide a caring and professional environment that shows respect to the residents.’ The home offers varying activities to the service users, which include yoga, film shows and outings. Recently a VE Day celebration supper was enjoyed by the service users. Ten service users were going on an outing on the afternoon of the inspection. The home has a core staff employed for many years, and when the inspector spoke to them they said that they always have enough staff. The Chef was Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 6 thanked by a service user who said: ‘thanks for all the fresh vegetables-well done!’ What has improved since the last inspection? 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. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4. The Statement of Purpose and Service Users Guide are excellent, providing service users and prospective service users with details of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: The Statement of Purpose included information regarding name of Registered Provider, Registered Manager, staffing numbers and names, NVQ achievements by staff, service users involvement in the running of the home, personal care carried out in private, lockable doors, accommodation, facilities, social activities, activities organiser, meals for guests, aims and objectives, privacy, dignity, independence and choice, rights and fulfilment. Service users care plans were evidenced and full assessments of needs were carried out either at home or in hospital, before the person became a resident in the home. Families were encouraged to take part in this process and both prospective service user and family could visit the home beforehand. Service users usually had one month to make up their mind whether they would become a permanent resident, and were allowed longer if necessary. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11 There is a clear and consistent care planning system in place that provides staff with the information they need to satisfactorily meet the service users needs. The systems for administrating medication are good with one recommendation from this inspection. EVIDENCE: Care plans were evidenced to be clear, concise and updated as and when necessary. They were signed either by the service user or family member. The plans included wishes in the event of death, with family involvement in these wishes, mobility assessments, elimination records eating, and drinking likes and dislikes special dietary needs, oral hygiene plan, dates of hearing and eyesight tests, activities, washing and dressing, communication, needs /likes at night and social history, which included the type of work the service user did before admission to the home. Risk assessment included: falls, manual handling pressure area risks with action plans to follow. It was pleasing to note that if a service user had three recent falls, he/she was referred to the falls clinic at the local hospital. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 10 The medication policy was examined and samples of staff signatures were evident. The medication administration records were in order and all medication was stored correctly. A recommendation has been made that service users photographs be placed in the medication administration records. Service users had keys to their doors and had a lockable cupboard in their room. They could consult with the GP privately in their rooms. One of the written comments from the Community Registered Nurse stated: ‘Wey valley staff care for their residents with respect and dignity. They have high standards of care towards the residents. The staff are updated frequently with new procedures’ Another Community RN Stated: ‘ Helpful and skilled staff, offering a dignified and caring environment.’ The home has a ‘death and dying’ policy and care for the service users sympathetically and sensitively. They are cared for at the home on the wishes of themselves and family. The Deputy Manager said that the staff were very discreet when service users die. One thank you letter stated: ‘Convey thanks to your excellent team at WVH for all the care and compassion you gave our father. He felt secure and loved with you all.’ Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15, Service users were seen to experience a full life with opportunities to take part in varied activities. Links with the community are good and support and enrich service users social opportunities. The meals in this home offer both choice and variety and cater for special diets. EVIDENCE: It was evidenced that the service users were offered varied activities in the home. The Chef said that she holds cookery demonstrations with the service users taking part. One service user belongs to the women’s institute and another works voluntarily in the local charity shop. On the afternoon of the inspection, ten service users were going out for an outing. Activities include exercises, yoga, film shows and themed suppers. The activities for the week arre posted up on a notice board for the service users information. The activities plan for May included shopping at M S, Lunch with a member of the committee, picnic at Southsea and an outing to Wisley Gardens One relative had written to the home saying: ‘Mother enjoyed all that you arrange during the year to give pleasure, from themed lunches, entertainment and day trips to your wonderful Christmas programme.’ Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 12 Family and friends were visiting the service users at the time of inspection and could visit in private. Service users spoke well of the food. One service user said: ‘ I have a choice of two meals at lunch and supper. We have the menu the day before, a light supper and sweet trolley in the evening’ Menus were examined and found to be varied, nutritious and balanced, catering for special diets such as low fat or soft pureed food. The chef has a book in which she writes any likes or dislikes the service users have over the food served and makes improvements accordingly. One of the service users had written in the book that the food was lovely. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 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 standard(s) 17,18 Service user’s legal rights are protected by the homes policies and procedures. Staff have excellent knowledge of Adult Protection Issues which protects service users from abuse. EVIDENCE: The Deputy Manager said that the service users legal rights were protected as they had signed contracts for residency at the home and knew about the fees, and had knowledge of notice that they may have to give if they decided to leave the home. The service users have their own bank accounts, which are accessible to them. Some of the service users had voted in the General Election. Others said that they had not voted, but they were given the opportunity to vote if they wished. The home has a policy on abuse, and when the staff were asked about abuse policies and procedures, they were able to answer correctly. They had knowledge of the Protection of Vulnerable Adults Procedure and had attended training in this subject. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 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 standard(s) 19,20,23,25,26 The standard of the environment is high, providing service users with a safe, attractive and homely place to live EVIDENCE: The home is attractive and affords bright airy communal rooms for the service users. Risk assessments on the safety of the home were examined and found to be detailed and in date. Service users could bring with them small items of furniture, photographs and ornaments to decorate their rooms. The communal rooms were bright and homely with the main lounge having a large window where the service users were sitting near. Another lounge opened out onto a balcony. Service users rooms were comfortable and safe. Risk to service users in their rooms had been assessed and action plans were laid out. All rooms were carpeted and fitted with locks with the service user holding the key. The home was very clean with bright and airy communal rooms. One of the service users said: ‘ the place is so very clean.’ Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29,30 Service users are supported and protected by the home’s recruitment policy and practices, with staff trained and competent to do their jobs. EVIDENCE: Recruitment files were evidenced and found to be robust. All necessary documentation was in place including references, and CRB checks. The home has a stable and well-trained staff. Service users said that they were friendly and approachable. One service user had written: ‘ staff are a credit to Abbeyfields Society.’ Training files were examined and 50 of staff had achieved NVQ 2 3. Staff training included Control of Substances Hazardous to Health, Protection of Vulnerable Adults, Health and Safety, Food Hygiene, Fire Safety, Medication Assessments and Manual Handling. An induction package was in place for new staff members, with extended support provided. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,36,38 The Manager is supported by a well-supervised team, who are protected by the home’s policies and procedures and efficient record keeping. EVIDENCE: Quality assurance questionnaires had been given to he service users to assess the quality of the care, facilities and food. The health, safety and welfare of Service users were reviewed regularly and goals were identified, with a further date for follow up review. Regulation 26 audits were sent regularly to the CSCI. The home does not manager finances and service users financial affairs but invoices service users for any purchases made. This was evidenced at the time of inspection. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 17 Staff receive formal supervision at least 6 times a year and staff files sampled confirmed this. They contained aspects of practice, philosophy of care in the home and career development needs. Staff are trained in COSHH, Health and Safety, Manual Handling, Food Hygiene, First Aid and Fire Safety. Safety checks were evidenced to have been carried out on wheelchairs, call bells, Parker Bath, hoists, lift maintenance, Fire detection panels, Fire fighting equipment, water analysis and PAT testing. Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 x 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x 3 3 x x 3 x 3 3 x 3 Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 9 Good Practice Recommendations The Registered person is to consider service users photographs to be placed in the Medication Administration Records Wey Valley House H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 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 © 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 H58_s13827_Wey Valley House_v219037_310505_stage 4.doc Version 1.30 Page 21 - 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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