Inspection on 02/05/07 for Wray Park Care Home

This inspection was carried out on 2nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Wray Park Care Home 08/04/09

Wray Park Care Home 27/01/06

Wray Park Care Home 03/11/05

Wray Park Care Home 13/01/05

Wray Park Care Home 25/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

1 Marten Road

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Wray Park Care Home Wray Park Care Home 55 Alma Road Reigate Surrey RH2 0DN Lead Inspector Susan McBriarty Unannounced Inspection 15th May 2007 09:00 X10029.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 Wray Park Care Home DS0000013843.V335297.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 and Care Homes for Adults 18 – 65*. 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. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wray Park Care Home Address Wray Park Care Home 55 Alma Road Reigate Surrey RH2 0DN 01737 242778 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) wraypark@btconnect.com Mr Antony Coomb Mr Antony Coomb Care Home 24 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (6), Mental disorder, excluding learning of places disability or dementia (4), Old age, not falling within any other category (19), Physical disability (2), Sensory Impairment over 65 years of age (4) Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The age/age range of the persons to be accommodated will be: OVER 65 YEARS OF AGE Of the 24 service users the home may accommodate up to two male/female service users who are over 59 years of age with a physical disability (PD) Of the 24 service users the home may accommodate up to two male/female service users who are over 59 years of age with dementia (DE) 27th January 2006 Date of last inspection Brief Description of the Service: Wray Park Care Home is a substantial older detached property that has been converted to provide accommodation for twenty-four service users. The home is owned and operated by Mr Anthony Coomb who is also the registered manager. The home is located in Reigate, near the M25. Access to shops, church, public transport and other local services is within easy reach. The accommodation for people who use the service is provided over two floors. The home has twenty-one bedrooms three of which are doubles. Fourteen of the bedrooms are provided with en-suite facilities, ten being on the lower ground floor. Access to the first and ground floors is by stairs or stair lift. Residents share the use the comfortably furnished lounge and dining room on the ground floor. In addition there is the Georgian room that is mainly used for social events, reading room or a quiet area for service users. The home is located in substantial grounds with a large well-maintained garden. The garden is mainly laid to lawn with the surrounds planted. The home has a parking area for over fifteen cars. Fee levels for 2006/2007 are £575 to £750 per week. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit formed part of the key inspection process and was the first key inspection carried out by the commission. The inspection took place over eight hours (8) hours, commencing at 9:00am and ending at 5pm. Ms Susan McBriarty, Regulation Inspector, carried out the visit. The manager was available throughout the inspection. The inspection took into account the records held at the home including residents’ files, staff personnel files, training, medication administration and daily records. The inspector made observations of interactions between staff and residents during the visit and spoke with some of the residents and staff. An oversight on the part of the commission meant that the pre-inspection information and comment cards were not received by the home. What the service does well: What has improved since the last inspection? Only one recommendation was made during the last inspection of the 27th January 2006. No requirements or recommendations were made during this visit. Quality assurance audits about the service provided by the home and a separate one about the food provided had been completed and action taken to further improve the service. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 6 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. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 3 for Older People and Standards 2 and 5 for Younger Adults were assessed. Standard 6 for Older People did not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that people who use the service are assessed before moving into the home and a contract is in place setting out the terms and conditions of the placement. EVIDENCE: A number of resident’s files were sampled. All those sampled held a completed pre-admission assessment identifying the needs of the prospective resident. All but one had been signed and dated by the member of staff Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 9 completing the assessment. The management were advised to make sure that all assessment documents were signed and dated. In order to further confirm good practice the home would benefit from adding the role of the person completing the assessment. The manager informed the commission that at the time of this visit none of the residents were under the age of sixty five (65) years of age. The manager told the commission that in 2006 the home had been involved with the Office of Fair Trading to confirm their contracts were fair. A number of contracts were sampled and had been signed and dated by the resident accepting a placement at the home. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 for Older People were assessed and Standards 6,7,9 and 20 for Younger Adults. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessed and changing needs of people who use the service are met and the policy and practice of the administration of medication supports and protects people who use the service. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 11 EVIDENCE: A number of care plans were sampled. The manager and a senior member of the care staff said that the home was in the process of changing their care plans. Both styles of care planning were viewed and found to have the information needed to make sure that the assessed needs of the people who use the service were met. Members of staff had recorded clearly when reviews had taken place and the outcome; the reviews were signed and dated. The management were advised to make sure that all reviews were carried out consistently, as some seen had been reviewed two weekly and others not for two months and the remainder every month. One person spoken with said that the home met their needs and they had no concerns about the home. Letters, documents and record entries made by health care professionals confirmed the health care needs of the people who use the service were met. One professional was visiting the home at the time of this visit and told the commission that they were confident that the members of staff at the home would follow any advice offered and that regular contact was kept to make sure residents’ needs were met. A number of medication administration records were sampled, no recording errors were found. A policy and procedure were in place making clear the expectations of the home. A senior member of staff spoken with said that senior staff administer medication and only after appropriate training had been completed. The commission were told that at a recent meeting the staff had talked about introducing dividers and photographs into the medication administration record, this would further confirm good practice. In discussion with a senior member of staff and the manager the commission noted that the home had been proactive in dealing with problems with medication following a discharge from hospital. This confirmed that the home was aware of the importance of the medication in question. Where people who use the service self-administer medication, risk assessments were in place. One resident spoken with preferred to keep their independence as much as was possible, including self administering some part of their medication. The home had good practice guidelines in place based on the General Social Care Council code of conduct and discussion with members of staff and observations made by the commission during the visit confirmed that people who use the service are treated with respect. One member of staff spoken to told the commission that she had learnt by working at the home that the residents were all individuals. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 for Older People and Standards 12,13, 14, 15 and 17 for Younger People were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service were supported to attend activities within the home and the local community and freshly prepared varied meals were provided by the home. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 13 EVIDENCE: A number of activities were provided by the home including music and movement and reminiscence sessions. A board was on the wall in the hall setting out the activities available and posters placed on the notice board stating the day and time those activities took place. The posters used photographs and pictures to help identify the activity. One resident spoken with talked about their unpaid job at a local shop and how much enjoyment the job had given them. The manager said that a member of staff had been identified as the activities co-ordinator taking about an hour a day of their time to make sure activities were in place. Other members of staff assisted as necessary. In discussion with the manager and in sampling care plans and daily records it was confirmed that records of attendance by people who use the service were not made. The management were advised that maintaining a record of attendance, including any places of worship, would be good practice and indicate that residents attending such activity sessions did so because they were enjoyable and met their needs. The home employed a chef who, in discussion with the manager and feedback from people who use the service, takes into account stated preferences. The management of the home had carried out a quality assurance audit with the residents about the food served at the home. The commission viewed the information provided. Fifteen people had responded to the audit, the outcomes showed which foods residents preferred and the manager confirmed that the chef was provided with the information to inform menu setting. The manager said that fresh foods were provided for meals and evidence of fresh produce and fresh fruit was observed during the visit. The menu seen in the kitchen showed that a variety of food was provided. Meals were taken in a separate dining room. During this visit we observed that dining tables were set in an appealing way, at small tables where residents could choose to talk to each other if they chose. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 for Older People and Standards 22 and 23 for Younger Adults were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service and their relatives can be confident that their views are listened to and acted upon; some work was needed to further confirm that residents continue to be supported and protected by care staff who are aware of safeguarding matters. EVIDENCE: A policy for dealing with complaints was in place. No complaints had been received by the home or the commission since the inspection of 27th January 2006. The home had kept the written compliments received from relatives and other professionals and a number were viewed during the visit. A policy and procedure for safeguarding adults was viewed and change was needed to show that any referral received would go to the local authority and the commission would be notified of the referral and the date made. The procedure viewed stated that the commission would be informed and then a decision made. A copy of the local authority guidelines for 2005 was available for use in the home. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 15 At the time of this visit six (6) of the seventeen (17) members of staff had received training in safeguarding matters. A number of others had received training prior to starting work at the home and the home’s induction training schedule viewed included time with a senior member of staff to discuss safeguarding matters. The training matrix and appraisals seen identified that the home was aware of which members of staff still required training. The manager and another member of staff confirmed that training had been sought but to date they had not been successful. The commission were informed that in one instance the trainers had turned staff that attended for training away as they were not considered to be senior enough to attend the course. Those members of staff who had received training were the most senior working at the home. Please also see the Staffing section of this report. The management of the home confirmed that they would continue to seek appropriate training to ensure that all members of staff had received training and would know what to do if an allegation of abuse were made. No safeguarding referrals had been made or received by the home or the commission since the inspection of the 27th January 2006. A policy on the use of restraint was in place at the time of this visit. The content of the policy indicated that it was being considered for use by the home. The commission confirmed that policies on restraint would require members of staff to receive accredited training and for documents to record any restraint to be in place. The manager confirmed that it was not within the home’s expectation to restrain any resident and immediately had the policy removed. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 for Older People and Standards 24 and 30 for Younger Adults were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service live in a safe well-maintained environment that is kept clean and hygienic throughout. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 17 EVIDENCE: A tour of the home took place, all the communal areas and some of the bedrooms were seen. It was not possible to view all the bedrooms due to the time taken during the visit. Those bedrooms seen had been personalised with items belonging to the resident. At the time of this visit nineteen people were living at the home. Access to the lower ground and first floor was by stairs or stair lift. The home had twenty one (21) bedrooms three (3) of which had been registered as doubles. Fourteen (14) of the bedrooms were provided with ensuite facilities ten (10) of which were on the ground floor. Adequate bathing and toilet facilities were available. The communal areas were in use throughout the day and residents were able to choose where to spend their time including staying in their bedroom. The person responsible for the maintenance of the home was spoken with during the visit. The commission were informed that, as the house is a larger older property, work to maintain the home in good order was continuous. The maintenance supervisor said that repairs and other work were found either by himself when checking the home, the manager or other members of staff and residents bringing matters to his attention. A priority was then put on the work necessary and completed as soon as was possible. The maintenance supervisor also oversees the maintenance of another home in the organisation. The garden was viewed. A large area was laid to lawn and used for activities such as barbeques during the better weather. A risk assessment had been completed including access arrangement. A small fire had been lit at the rear of the garden away from the area in main use and in discussion with the management of the home it was agreed this matter would be added to the risk assessment in use. The manager confirmed to the commission that plans to extend the property further were still in place and that additional bedrooms, communal and training facilities would be available on completion. The home was clean, pleasant and hygienic throughout. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 and 30 for Older Adults and Standards 32,34 and 35 for Younger Adults were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service are supported and protected by the home’s policy and practice for the recruitment and training of members of staff. EVIDENCE: The commission spoke with six (6) members of staff during the visit including two (2) senior staff and four (4) care staff. One of the care staff had returned to work at the home and was being mentored as part of their introduction to the residents. All the members of staff spoken with discussed the training provided by the home including access to and completion of National Vocational Qualifications (NVQ). In discussion with the manager and some of the care staff it was Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 19 confirmed that NVQ level 3 and level 4 were available as part of their progress of achievement. Additional training for senior staff included the registered managers award, two of which had completed the course. The training and development document kept by the home indicated that in 2006 nine (9) members of the care staff had completed a qualifying course. A number of staff personnel files were sampled. The files contained a front sheet setting out what recruitment information had been received. On sampling the files it was confirmed that appropriate information had been received and or provided including; application forms, confirmation of identity, employment contracts and other relevant information. In one instance the commission could not locate the second reference and in another an alternative referee had been used. In discussion with the management the commission advised the home that it might be useful to extend the front sheet in order that more detailed information may be provided confirming the documentation received and identifying any difficulties. The home has a multi-national staff team and ensures that the ability to speak and read the English language is supported. One person said that the home had assisted her with language lessons. Members of staff reflect the gender of the residents living at the home that would enable residents to make a choice about the gender of the staff member assisting them. We observed members of staff talking about different beliefs and cultures during the day confirming that they were aware of cultural and religious differences. Criminal Records Bureau (CRB) checks had been completed for each of the members of staff sampled. The home had a central record setting out the name of the person and the disclosure number ensuring that appropriate records were kept. Copies of the CRB application form or CRB disclosure were found in some files, the management of the home said they were aware that these documents should have been disposed of within the timescales set and stated that action would be taken to remove those documents from the files. The home had developed a training schedule for staff that set out what courses were required including qualifying training, when they were completed and if they were planned to take place. Other training required by the home included manual handling, food hygiene, fire safety, continence and dementia. The management of the home confirmed that the training information available needed updating to make sure it included all the training completed and planned. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 31,33,35 and 38 for Older People and Standards 37,39 and 42 for Younger Adults were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who use the service benefit from a well run home that takes into account their views and those of their relatives and promotes and protects their health, safety and welfare. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 21 EVIDENCE: The owner of the home was also the manager. The manager informed the commission that he continues to access the same training as members of the care staff team in order to maintain his knowledge and skills. The manager had also completed the NVQ Level 4 and the registered managers award. A quality assurance audit had been completed for 2006 and the commission viewed a copy of the outcomes. The outcomes noted residents’ views and what action had been taken to assist or resolve matters raised. Residents meetings were held at least twice a year the last in April 2007. The minutes of the meeting were placed on the notice board in the entrance hall. The minutes set out what issues the people who use the service felt were important to them and what action had been taken by the home. Members of staff spoken talked about attending staff meetings and documents were seen that identified time for new members of staff to meet and discuss important issues such as care practices and safeguarding matters. The manager and another member of staff told the commission that the home does not assist residents with finances. The manager brought to the attention of the commission a recent visit from an officer from the Environmental Health office and said that no recommendations were made. The manager also expected a visit from a fire safety officer within the next few weeks. A number of policies and procedures were viewed including hazardous chemicals (COSHH), manual handling, accidents and health and safety. The policies and procedures sampled had been reviewed in June 2006. The recording of accident and incidents was viewed and found to provide the details necessary including action taken by the members of staff. Matters discussed during the visit identified that the home was aware of some areas in the home that needed attention to make sure that all information available was up to date and accurate. These matters included training and activity records and change to the safeguarding procedure. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 22 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 X 2 3 3 3 4 X 5 X 6 N/A 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 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 X 33 3 34 X 35 3 36 X 37 X 38 4 Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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. Wray Park Care Home DS0000013843.V335297.R01.S.doc Version 5.2 Page 25 - 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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