Inspection on 14/02/06 for Walldene Court

This inspection was carried out on 14th February 2006.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Walldene Court 28/02/08

Walldene Court 07/02/07

Walldene Court 13/06/05

Walldene Court 25/02/05

Walldene Court 16/07/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Walldene Court Threap Gardens off Simonside Avenue Howdon Wallsend NE28 7HT Lead Inspector Anne Urwin Brown Unannounced Inspection 14th February 2006 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 Walldene Court DS0000028822.V255946.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. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Walldene Court Address Threap Gardens off Simonside Avenue Howdon Wallsend NE28 7HT 0191 263 3791 0191 234 3313 tracey.clayton@anchor.org.uk 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) Anchor Trust Miss Tracey Armstrong Clayton Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (41), Physical disability (1) of places Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2005 Brief Description of the Service: Walldene Court is a purpose built home in Howden. The homes operational policy is based upon group living and consists of four small units arranged over two floors. There are forty-two single rooms, known as flatlets, all with en-suite facilities. Some local amenities are within walking distance and access in and out of the home is good. There are plenty of communal and dining areas on each floor and sufficient assisted bathing and toilet facilities around the home. There is a good sized passenger lift in the centre of the building. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was over a period of 4 hours by two inspectors, Suzanne McKean and Anne Brown. This is the second unannounced inspection the home has had this year and the core standards have been examined over the inspections. Both reports should therefore be looked at for the full picture. Nine residents, five relatives and six of the staff were spoken to. The records examined included, four care plans and medication records, and the records for complaints and accidents. Staff files were also examined. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 6 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 Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 7 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): 3, 6 The care plans contained detailed pre admission assessments which identified the their needs prior to acceptance into the home. Residents referred for intermediate care are not accepted at Walldene Court. EVIDENCE: The care plans examined contained detailed pre-admission assessments, which followed the activities of daily life model as well as identifying any specific care needed. There was evidence that where specialist equipment was required this is noted during the pre admission period so that the Manager can obtain it from the necessary source. Intermediate care is not provided at Walldene Court. Records and discussion with the manager confirms this. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 8 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, 9, 10 Residents’ health, personal and social care needs are set out in an individual plan of care. The health needs of residents are appropriately met. The home has effective systems in place for dealing with medicines and ensuring that residents are receiving their medication in a safe and effective way. Residents feel that their privacy is respected and their right to privacy is upheld. EVIDENCE: There is evidence that all areas of care are assessed in the care plans and that arrangements are in place to meet the resident’s needs. Evidence was available to show that care plans are updated, however a more consistent auditing tool would improve the review of records. The care plans also show the likes and dislikes regarding food. There are risk assessments in place, which are detailed and are regularly updated to take into account changing needs. There is good evidence of specialist support being accessed on behalf of resident s i.e. physiotherapists and occupational therapists as well as other professionals. There is a very good level of information about residents’ care needs. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 9 Evidence from records and discussion with staff was available to confirm that residents’ health care needs are assessed and met. Appropriate assessment tools are used to assess heath care needs including pressure areas and nutrition. Falls risk assessments were in place. The home has policies and procedures in place to ensure the safe administration of medicines. The treatment room was clean and well organised. There was no over stocking of medication and minimum controlled drugs in use. A random check of the administration records and the controlled drugs found no discrepancies. Residents said that they were satisfied that staff respect their dignity. They said that staff are aware of issues relating to privacy and gave examples such as entering rooms and keeping mail private. Evidence was available from observation during the inspection that staff respond appropriately to residents. Staff said that respect and dignity are included in induction training. During the inspection staff knocked on residents’ doors and spoke respectfully to residents. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 10 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): 14, 15 Residents are assisted to exercise choice and control over their lives. A balanced diet is available for residents that provides choice and a variety of foods. EVIDENCE: Residents said that they are able to maintain control of their money. Staff confirmed that they encourage people to keep control of their money for as long as they are able to and have the capacity to do so. Residents said they were informed that they could bring in items from home for their rooms. Rooms showed evidence of this. Residents said they were aware that they could access their records. A review of the menus is being completed and the new menus are to be introduced on the week following this inspection. These menus provide greater choice for residents by making more alternatives available. Residents said they were very satisfied with the quality and quantity of food available. They said that staff know what their likes and dislikes are and that special diets are available for those who need or want them. The cook said that staff provide information about residents’ individual likes and dislikes to the kitchen staff. She confirmed that dietary supplements are available. The kitchen is well equipped and cleaning routines are in place. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 11 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): Standards 16 and 18 were examined and met at the last inspection EVIDENCE: Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 12 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, 26 Standards 19 and 26 were examined and met at the last inspection. The Home is comfortably furnished, well maintained and safe at the time of this inspection. The garden at the front of the building is well maintained. EVIDENCE: A tour of the home was conducted by both inspectors to assess the general condition of the home. The home is tidy and organised to make sure that the residents are able to use the home safely. It is purpose built and is well maintained with ongoing refurbishment and redecoration-taking place as necessary. The home is clean and odour free on the day and the residents’ bedrooms were personalised reflecting individual choices and preferences and the residents. Those asked about their bedrooms said they were happy with the decoration and that they were kept clean by the staff. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 13 The sluices were tidy, clean and odour free and the disinfectors operational. Staff were observed to follow infection control policies throughout the day. The laundry is well organised with wheeled racks and individual baskets for clean clothing. The equipment consists of appropriate numbers of commercial type washing machines and dryers. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 14 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, 29, 30 Appropriate numbers of staff are provided and there are qualified nurses on duty in sufficient numbers to meet the needs of the residents. The staff are recruited and selected using a system to ensure they can care for the residents are not a risk to their welfare through Criminal Record Bureau and the Protection of Vulnerable Adults List checks. EVIDENCE: Staffing rotas showed the Manager is ensuring that enough staff are on duty to meet the needs of the residents. Residents said that they feel satisfied with the staffing levels in the home. The records examined for recruitment and selection were complete and included all of the necessary information. Application forms were completed in detail and the records included two references, Criminal Records Bureau checks Protection of vulnerable Adults list checks. Gaps in employment history are being explored with staff as necessary. The Manager has a system to ensure that the qualified nurses are up to date with their NMC registration. The training programme is extensive and includes both statutory and clinical training. However, not all of the staff are currently up to date with their Moving and handling training updates. And although this is covered in the induction and has in the past been kept up to date current circumstances has meant that there has been a delay in this training being provided. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 15 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): 35, 36 Residents’ financial interests are safeguarded. Staff supervision has been affected by sickness of senior staff, but this is now being addressed. EVIDENCE: Records are kept of all transactions relating to money held for residents. Entries are double signed. Each resident has a bank account and money can be transferred to ensure enough funds are available for his/her personal use. Records were seen and these showed the balance of money held. Audits of the money are carried out at regular intervals. The frequency of staff supervision has been affected by sickness. A programme of supervision has been drawn up and it is anticipated that staff will have supervision at appropriate intervals. Staff reported that they feel well supported and able to raise issues with senior staff. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X 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 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X 3 X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 2 X X Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 2 Standard OP30 OP36 Regulation 13 (5) 18 (2) Timescale for action The staff must all receive moving 31/05/06 and handling training updates as planned. The staff supervision programme 31/03/06 must be undertaken as planned. Requirement 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 OP7 Good Practice Recommendations The planned programme of audit should be introduced as a means of quality assurance. Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Walldene Court DS0000028822.V255946.R01.S.doc Version 5.0 Page 19 - 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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