Inspection on 03/11/05 for Wray Park Care Home

This inspection was carried out on 3rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 02/05/07

Wray Park Care Home 27/01/06

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 HOMES FOR OLDER PEOPLE Wray Park Care Home Wray Park Care Home 55 Alma Road Reigate Surrey RH2 0DN Lead Inspector Cathy Clarke Unannounced Inspection 3rd November 2005 10:00 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 Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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) 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.V267605.R01.S.doc Version 5.0 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) 13th January 2005 Date of last inspection Brief Description of the Service: Wray Park Care Home is a substantial 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 are within easy reach. The accommodation for service users is provided on two floors with a complement of en-suite facilities. The standard of décor, fixtures and fittings is very high. The living spaces are shared in a number of communal areas dotted around the home. These comprise of the large lobby areas, comfortably furnished lounge and dinning 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 that incorporate a large maintained garden, mainly covered in lawn and with a number of prominent features. The home has a parking area for over fifteen cars. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of 3 hrs and was the first inspection to be undertaken in the Commission for Social Care Inspection Year April 2005 to March 2006. Lead Inspector Cathy Clarke was assisted throughout the inspection by the Registered Manager Mr. Anthony Coomb representing the establishment. A full tour of the premises was conducted. Twelve residents, five staff members and one relative were consulted. Care plans, activity plans, health care, complaints, and staff training were also inspected. The inspector would like to extend her thanks to the residents, staff and management at Wray Park Hall for their assistance and hospitality. What the service does well: What has improved since the last inspection? The statement of purpose was reviewed and now includes details of the process for making a complaint to the Commission for Social Care Inspection. NVQ Training has improved since the last inspection and the home is working towards a 70 achievement rate by the end of 2005. All policies and procedures have been reviewed and updated and there has been a heightened awareness of infection control measures. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 Page 6 External mandatory training has been undertaken with various training providers. 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. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,6 Prospective service users are provided with detailed information regarding the facilities available within the home, which enables them to make an informed choice prior to admission. Intermediate care is not offered by this service. EVIDENCE: The statement of purpose and service user guide have been reviewed and updated since the last inspection. The inspector recommended that the service change the complaints section of these documents to include a statement regarding the process for referring complaints at any time to the Commission for Social Care Inspection. This was undertaken and changed before the completion of the inspection and a copy given to the inspector for the service file. Since the last inspection the provider has developed a new contract outlining the terms and conditions of stay within Wray Park Hall. This has been undertaken with the assistance of a Trading Standards officer and has now been completed. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 Page 9 During the inspection the inspector asked a new resident to the home how she was settling in. She had settled in to her new environment quickly and was getting to know the staff and other residents. There is a key worker system in place. An assessment of the residents needs had commenced and would be completed over the coming weeks enabling a full and detailed assessment to take place and recorded accurately. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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, 8, 10 Records sampled showed evidence of health care checks and referrals to health care professionals where required. Service users spoken to confirmed that they are given privacy and treated with respect. EVIDENCE: The Inspector reviewed care plans which were accurate and of a good standard. Daily care plans have been introduced and the full care plan is kept in the residents file. Daily care plans have been laminated and the format is easy to read. It was evident that support and advice was sought on behalf of the service users from a range of health professionals. A chiropodist visits the home every six weeks and the home has a good relationship with local health care professionals. Residents spoken to during the inspection confirmed that they are treated with dignity and respect. Staff knock on doors prior to entry and the residents right to privacy is observed. One resident was being visited by her family in her room. All residents spoken to stated that they were happy with the care that they received. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 Page 11 All laundry and items of clothing must be marked and then checked by the home to ensure that service users belongings are not distributed to the wrong person. Please see recommendations section of this report. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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): 12,13,15 Residents within the home enjoy an atmosphere of calm with activities available for them taking into account their preferences. Family and friends are encouraged to visit them and take a full and active part in their lives. Meals within the home are of a high standard and the service users were seen to enjoy their meals at lunchtime. EVIDENCE: There is a full range of activities available within the home and these are posted on the notice board in the home. The hairdresser was in the home on the day of inspection and several of the residents were having their hair done. Family members were visiting at the time of inspection, including a small child who seemed to enjoy her visit to see her relative. A high standard of catering was in evidence, which accommodated individual preferences and met dietary needs. Staff assisting service users with their meal did so with due sensitivity. A pleasant, unhurried atmosphere was observed with recognition given to the social importance of mealtimes. The tables in the dining room are laid with napkins and tablecloths and the ambiance is conducive to enjoyable eating. The cook within the home takes pride in her work and keeps a very clean and efficient kitchen in order. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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 There is a complaints policy and procedure in place. All complaints must be recorded and made available for inspection. EVIDENCE: There is a complaints policy and procedure in place and this has been amended and updated in the statement of purpose to reflect the process for making complaints to the Commission for Social Care Inspection. There have been four minor complaints made to the home, which have all been investigated and resolved. One complaint which was received by the home since the last inspection was not recorded in the complaints book and the registered manager was advised to ensure that the complaint and the eventual outcome was fully recorded and available for the next inspection. Please see requirements section of this report. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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): 19, 24, 26 The homes décor and furnishings are of a high standard and the registered manager ensures that the residents live in a sage and comfortable home. EVIDENCE: The environment in which the residents live is of a high standard and the registered manager was seen during the inspection to be discussing with residents their preferences for furniture in their rooms. Rooms are all individually furnished and residents have brought their own possessions with them to the home. The registered manager has devised a system for monitoring the safety of residents who are likely to get up in the night and be at risk. The home is very clean, however a smell of mal odour was detected in one room, which was eradicated immediately. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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, 30 Wray Park Hall has won the best employer of under 250 employees award from Skills for Care for 2005. There were sufficient numbers of staff on duty at the time of inspection and staff are trained and competent to carry out their jobs. EVIDENCE: Since the last inspection Wray Park Hall has won the best employer of under 250 employees award from Skills for Care for 2005. Staff and management were able to attend a ceremony recently to receive their award. The home should be commended for this achievement. There were a number of care staff on duty and the registered manager informed the inspector that they have recruited a human resources manager for the home who will be commencing on the 21st November 2005. The registered manager is working towards a 70 completion rate for NVQs by the end of 2005. Staff have gained awards at level 2, 3 and 4 NVQ and the AI NVQ Assessors award. The home is to develop its own training suite within the proposed development to the home. Those staff spoken to during the inspection showed a good level of understanding and knowledge with regard to current good practice in care provision and training and development. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 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): 31 The registered manager has had many years experience of working with older people and has shown a consistent approach to excellence. EVIDENCE: During the inspection the manager has shown clear leadership with an open and inclusive style of management, which gives staff the ability to come forward and make suggestions and take ownership of their own roles within the home. The registered manager has completed the Registered Managers Award at Level 4 NVQ and encourages and develops his staff group through the provision of clear policies and procedures and training and development opportunities. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X 3 X X X X 3 X 3 STAFFING Standard No Score 27 4 28 X 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X X X X X Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP16 Regulation 17(2) schedule 4 22(8) Requirement All complaints must be recorded in full in the complaints book outlining any outcomes and action taken. These must be available for inspection. Timescale for action 31/12/05 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 OP10 Good Practice Recommendations It is recommended that laundry items are marked to prevent clothing being distributed incorrectly. Wray Park Care Home DS0000013843.V267605.R01.S.doc Version 5.0 Page 19 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 © 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.V267605.R01.S.doc Version 5.0 Page 20 - 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. 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