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Inspection on 01/12/08 for Walton House

Also see our care home review for Walton House for more information

This is the latest available inspection report for this service, carried out on 1st December 2008.

CSCI found this care home to be providing an Good service.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People living at Walton House are supported by an established and motivated team of staff who have a good understanding of their needs. Staff are provided with excellent training opportunities to equip them with the skills and knowledge to meet the individual needs of the people they support. We spoke with two people who live at the home and they told us that they like living at Walton House and that the staff are nice. A member of staff spoken with considered the service is well managed and that the new manager has made a number of improvements in the best interests of people living at the home. The service has received a number of compliments to include one from a professional regarding how well they have supported one individual to develop and maximise his communication skills by taking on board specific advice to ensure he reaches his full potential. People`s health needs are well met because the staff monitor their health and work closely with health and social care professionals in their best interests.

What has improved since the last inspection?

The last key inspection of this service was undertaken on 10th December 2007. The 3 requirements we made are considered met. The findings of this inspection evidence that the service is now performing well and outcomes for people living at Walton House are much improved. People now have a detailed support plan, which are person centred and focus on individual`s strengths and personal preferences and provide staff with the information required to ensure people`s needs are met. People living at Walton House now lead the lifestyle they want and are supported to develop their daily living skills. For example staff have supported one person to travel to his work placement independently by providing him with travel training. He has also been supported to do more home cookery and recently enjoyed making a pizza. He said, "One day I want to have my own flat and staff are helping me to develop my independence". The home has a new manager who intends to submit her application for registration very shortly. She is familiar with the individual needs of the people at Walton House and is clearly committed to improvement. People have been involved in making improvements to their home through choosing new colour schemes, designs, furniture and soft furnishings. Improvements include a refitted kitchen, redecoration of the lounge, dining room, kitchen and two bedrooms. Many floor coverings have also been replaced. The new manager intends to continue to improve the home in order to provide people with a more comfortable and homelyplace to live. One person was keen to show us his room with matching curtains, bedding and wallpaper that he chose and he was clearly delighted with the changes made to his room. Staff receive excellent training opportunities and have attended numerous training events to include learning disability, diabetes, dementia, mental capacity act, lone working, health and nutrition and various health and safety training events. The member of staff on duty spoke positively about the many changes that have been implemented. She stated "The environment has improved, people are doing more activities, record keeping is better and staff are very motivated. We have done so much training and are working hard to develop people`s independence, it`s a huge difference".

What the care home could do better:

No requirements or recommendations have been made as a result of this inspection. We hope that the service can sustain its performance and continue to provide positive outcomes for the individuals who live at Walton House.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Walton House 4 Walton Crescent Lanesfield Wolverhampton West Midlands WV4 6DX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Becky Harrison     Date: 0 1 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Walton House 4 Walton Crescent Lanesfield Wolverhampton West Midlands WV4 6DX 01902563223 01902683320 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Arcare (West Midlands) Ltd Type of registration: Number of places registered: care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: Date of last inspection Brief description of the care home Walton House is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and care for up to three adults with a learning disability. The home is one of four services owned and managed by Arcare (West Midlands) Limited. The property is semi-detached and situated in a residential area of Lanesfield; approximately 3 miles from Wolverhampton City Centre and is accessible to local amenities, transport and relevant support services. Accommodation is provided over two floors offering single bedrooms and shared areas to include a lounge, dining room and kitchen. A small garden is provided at the rear of the property. People who use the service and their representatives are able to gain information about this service from the Statement of Purpose and Service User Guide. Inspection reports produced by CSCI can be obtained direct from the provider or are available on our website at www.csci.org.uk The fees charged range from Four hundred and twenty one pounds to Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 3 Brief description of the care home four hundred and ninety one pounds per person per week. This fee information applied at the time of the inspection and the reader may wish to obtain more information about fees charged direct from the service provider. Care Homes for Adults (18-65 years) Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: One inspector carried out the unannounced inspection over 4 and half hours. A range of evidence was used to make judgements about this service to include the Annual Quality Assurance Assessment, discussions held with two people who use the service, one member of staff and the new manager. We did a tour of the home, reviewed the homes quality assurance processes and sampled a number of records to include complaints and protection, staff training, recruitment and health and safety records. Two people who live at the home were case tracked this involves establishing individuals experience of using this service by meeting or observing them, discussing Care Homes for Adults (18-65 years) Page 6 of 29 their care with staff, looking at care files and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. We reviewed all of the key standards for care homes for younger adults and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. What the care home does well: What has improved since the last inspection? The last key inspection of this service was undertaken on 10th December 2007. The 3 requirements we made are considered met. The findings of this inspection evidence that the service is now performing well and outcomes for people living at Walton House are much improved. People now have a detailed support plan, which are person centred and focus on individuals strengths and personal preferences and provide staff with the information required to ensure peoples needs are met. People living at Walton House now lead the lifestyle they want and are supported to develop their daily living skills. For example staff have supported one person to travel to his work placement independently by providing him with travel training. He has also been supported to do more home cookery and recently enjoyed making a pizza. He said, One day I want to have my own flat and staff are helping me to develop my independence. The home has a new manager who intends to submit her application for registration very shortly. She is familiar with the individual needs of the people at Walton House and is clearly committed to improvement. People have been involved in making improvements to their home through choosing new colour schemes, designs, furniture and soft furnishings. Improvements include a refitted kitchen, redecoration of the lounge, dining room, kitchen and two bedrooms. Many floor coverings have also been replaced. The new manager intends to continue to improve the home in order to provide people with a more comfortable and homely Care Homes for Adults (18-65 years) Page 8 of 29 place to live. One person was keen to show us his room with matching curtains, bedding and wallpaper that he chose and he was clearly delighted with the changes made to his room. Staff receive excellent training opportunities and have attended numerous training events to include learning disability, diabetes, dementia, mental capacity act, lone working, health and nutrition and various health and safety training events. The member of staff on duty spoke positively about the many changes that have been implemented. She stated The environment has improved, people are doing more activities, record keeping is better and staff are very motivated. We have done so much training and are working hard to develop peoples independence, its a huge difference. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home currently has no vacancies however information is readily available to help people looking for a residential service make an informed choice about whether the home is appropriate to their needs. The home has an admissions procedure in place and individuals are only admitted following an assessment of their needs to ensure the service is appropriate for them. Evidence: Information about the service is readily available in the Statement of Purpose and Service User Guide. Both documents provide people with information to help them understand the services that Walton House provides. There have been no new admissions to the home since our last inspection, however the home has appropriate procedures in place and have previously demonstrated that they obtain the necessary information to ensure they are able to meet the needs of prospective residents prior to admission. Care Homes for Adults (18-65 years) Page 11 of 29 Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service now have a detailed support plan, which informs staff about their individual needs and how they prefer these to be met, providing an individualised service. Individuals are provided with greater opportunities to make decisions, with support if they need it. This is because the staff promote their rights, choices and empower them. People are supported to take risks to enable them to remain independent. This is because the staff have appropriate information on which to base decisions. Evidence: People living at Walton House now have a detailed support plan in place, which helps staff understand their needs, and how they wish to be supported. Person Centred Plans have also been developed with individuals and contain information that is Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: important to them. Since our last inspection people have also been formally reviewed by the placing authority and others close to them. A member of staff spoken with stated The support plans and risk assessments have definitely improved and we are doing so much more to empower the people who we support. Both the manager and a member of staff spoken with demonstrated a good understanding of peoples preferred communication styles, which are also documented in support plans. The service has received a compliment from a professional regarding how well they have supported one individual to develop and maximise his communication skills to reach his full potential. One person has been allocated an independent advocate to act in his best interests due to personal circumstances. The other two people are able to make their wishes known and have families to provide assistance if required. Minutes of residents meetings and discussions with two people evidence that people living at the home are provided with greater opportunities to make choices and decisions such as choice of meals, activities and routines. Risks are now managed positively, which enables people to lead the life. For example one person travels to his work placement independently using public transport. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged to maintain contact with people close to them and are provided with greater opportunities to develop and maintain their social and recreational interests so that they can lead their life in a chosen way. People receive a healthy, varied diet according to their assessed requirements and choice. Evidence: Discussions with two people who live at Walton House indicate that they lead the lifestyles they choose and are now provided with greater opportunities to partake in daily living tasks and also access the community. One person said I want my own flat one day and staff are helping me to become more independent. I go to college and have a work placement. All activities undertaken are recorded on a monthly activity Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: log and activities include bowling, a trip to the Black Country Museum, cinema, pubs, shopping trips, walks, circle of friends, pizza hut and McDonalds. People with family are supported to maintain contact through visits, telephone calls and are invited to attend formal reviews. One person told us I see my family a lot and Im looking forward to spending Christmas with my brother. The Statement of Purpose for the home includes the philosophy of care covering privacy, dignity, rights, respects, choice and equality. Preferences in relation to choices, routines, likes and dislikes were documented on the support plans examined, which also include peoples goals and aspirations. Discussions held with a resident and a member of staff indicate that people are now being encouraged to help out more with the daily living tasks such as cooking, laying the tables, washing up and maintaining a clean home and routines are flexible. Staff should continue to support individuals to maximise their potential. The home has a four week menu in place and both of the people we spoke with said that they enjoy the meals. The menu appears balanced and takes into account specific dietary requirements. One person is currently accessing a cookery course at college and on the day of the inspection returned home with a Christmas cake that he had made. He said I enjoy cookery, I would like to do more. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs, which are closely monitored and regularly reviewed. The management of medication has improved providing greater protection to people who require help with their medication, supporting their continued good health. Evidence: Both the manager and the support worker on duty demonstrated a good understanding of the health and personal care needs of the individuals they support. Peoples personal care needs are clearly recorded in their support plans, which help the staff understand how individuals prefer their needs to be met. Both people seen were very well presented and one person told us I like to wear a shirt and tie and look nice. Both people we spoke with indicated that they are satisfied with the support that they receive and regularly attend healthcare appointments as evidenced on records of appointments and outcomes documented on their files. Staff now have access to a useful health resource pack which has been developed in conjunction with professionals based in the local team. The pack provides an excellent Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: source of information to include diabetes, epilepsy, down syndrome and mens health. Each individual has a health record and all appointments and outcomes are clearly recorded. Peoples health needs are monitored closely and if staff have any concerns they are quick to refer and seek advice from the appropriate health professional ensuring peoples health needs are met. One person who has a health condition attended training with staff to help him learn more about his condition and how its best managed. The home has received a number of compliments from professionals. One person stated I always find the residents clean, well presented and settled when I visit. The staff are friendly and take on board any advice given regarding specific treatments and follow through any requests. Peoples medication is managed effectively. The manager demonstrated a clear understanding of how people are supported with the management of their medication and procedures appeared satisfactory at the time of this inspection. A new policy and procedure for the receipt, storage and administration of medication has been implemented and all staff have received training in the monitored dosage system and safe handling of medicines. Information has been developed to provide people with details about the medication that individuals are prescribed, how its to be administered and the possible side effects. There have been no medication errors since our last inspection. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. If people have concerns with their care, they or people close to them, know how to complain. Their concern would be looked into and action taken to put things right. The service safeguards people from abuse by ensuring staff are trained in adult protection and action taken to follow up any allegations. Evidence: The people we spoke with had an understanding of what to do if they were not happy about the service they receive and have access to a complaints procedure. We have not received any concerns or complaints about the service since our last inspection. The home has recently received one complaint from a relative and records evidence that this has since been resolved within the required timescale. The service has a copy of the local Multi-Agency Adult Protection Policy and the organisation has developed their own policy linked to the local policy that is currently being revised, following advice from the Adult Protection Manager. All staff have attended training in recognising and reporting abuse and all but one has attended It Couldnt Happen Here training. No referrals have been made under safeguarding adult procedures since the last inspection however the manager has a clear understanding of the local procedures and the referral process. All of the staff have recently attended training on the Mental Capacity Act to ensure they are familiar with the new Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: legislation. Two staff have received training on the management of actual and potential aggression (MAPA) and the remainder are due to attend shortly but have received other training in understanding behaviours and dealing with incidents to support their lone working. All three people receive support to manage their finances. People with spoken with indicated that they are happy with how their money is managed. The home now has a written policy and procedure in place for managing finances and new support plans detail how finances are managed. Records of all transactions are appropriately maintained and signed by two members of staff where possible. It would be good practice for people to sign their own transactions, where possible, and for financial records to be checked as part of monthly Regulation 26 visits, undertaken by the provider. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Walton House are provided with a homely, clean and comfortable place to live where they feel safe and secure. Evidence: People living at Walton House are provided with a comfortable and homely place to live. Many improvements have been made in consultation with the people living at the home to include redecoration of two bedrooms, the lounge and dining room. A refitted kitchen, new floor coverings to a number of areas and some furniture has been replaced and more is on order. The home has a maintenance plan in place and the manager reported that the home still requires some added touches to make the home less sparse and more comfortable and homely. We spoke with two people who said they enjoy living at the home and are happy with the improvements made. People are provided with a clean home, free from offensive odours and staff support them to keep their home clean and tidy. Products hazardous to health are appropriately stored and data assessments available. All but one member of staff have received training on infection control procedures. Care Homes for Adults (18-65 years) Page 21 of 29 Care Homes for Adults (18-65 years) Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff work positively with the people they support and receive excellent training opportunities to equip them with the skills and knowledge to meet the individual needs of the people living at the home. Evidence: Staff were seen to interact well with the two people who returned home from their college and day service placements. Observations made evidence that positive working relationships have been developed. It was reported that three out of four support staff have obtained a care qualification known as NVQ at level 2 and above. People are supported by a well established staff team. The usual staffing ratio is one member of staff to support up to three people although additional staffing is made available when required. No new staff have been recruited since the last inspection therefore we did not assess the homes recruitment procedures on this occasion. However given shortfalls identified at the providers other establishments the manager is aware of her responsibility to ensure recruitment procedures are robust should she need to recruit new staff in the future. Training certificates seen evidence that staff now receive service specific and Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: mandatory training to include learning disability qualification, diabetes, dementia care, health acting planning, medication, adult protection, food hygiene, health and safety. The manager stated that staff are booked to attend first aid training shortly. An annual training needs assessment has been developed, which identifies a need for training in health action planning and MAPA. One person who lives at the home participated in a training event about a health condition to gain a greater insight into his condition and how best to manage this. The member of staff on duty confirmed that she is in receipt of formal supervision at the required frequency and that staff and residents meetings are regularly held, as seen in the minutes held in the home. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have confidence in the service because it is run and managed effectively in the best interests of the people living and working at the home. Quality assurance processes enable the home to identify peoples thoughts on the service provided and make changes to improve outcomes for people using the service. Walton House provides a safe environment for people living and working at the home because the necessary health and safety practices are carried out in order to safeguard people. Evidence: Since the last inspection a new manager has been appointed and is in the process of submitting an application for registration. The manager is also the registered manager of another local care home managed by the provider and it is anticipated that she will become the registered manager for both services, subject to our approval. The manager has many years experience in working in the care sector and has attended Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: numerous training courses relevant to her role. She has a clear vision for the service and has worked hard to improve the service in the best interests of people living at Walton House. The views of people who use the service are taken into account through feedback gained in satisfaction surveys that are distributed to people living at the home, their relatives and day services. This helps assess how the service is currently performing and evaluate outcomes for people and aid future planning. One relative stated I am very pleased with the care X is receiving. He is a lot happier and has settled down. The home has received a compliment from a professional stating I am very impressed with how the care manager of this home strives to be enthusiastic, motivated and proactive in providing the highest possible of care for her service users. Monthly visits required by Regulation 26 are generally undertaken at the required frequency and an annual development plan for the service has been developed. The Annual Quality Assurance Assessment (AQAA) forwarded to CSCI reflects both the strengths and areas of improvement for the service. It is envisaged that a computerised system will be installed shortly to improve the quality of paperwork. The AQAA also stated We will adopt any procedure identified or recommended to improve the quality of care. Health and safety procedures have improved. Maintenance checks are undertaken in the home to ensure that the equipment is safe and in full working order. Service certificates are now readily available in addition to risk assessments and other safety records required. We advised the manager to undertake a risk assessment on the radiators. Both the Environmental Health Officer and Fire Officer have visited since out last inspection and the minor deficiencies identified have been attended to. Staff are in receipt of training in safe working practices to include food hygiene, infection control and health and safety. Care Homes for Adults (18-65 years) Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!