Inspection on 01/11/05 for Wallis Court Nursing Home

This inspection was carried out on 1st November 2005.

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

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

Other inspections for this house

Wallis Court Nursing Home 31/05/07

Wallis Court Nursing Home 02/03/06

Wallis Court Nursing Home 30/03/05

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Wallis Court Nursing Home Wallis Court Head Office Matlock Terrace St Lukes Road Torquay, TQ2 5NY Lead Inspector Andrea Peryer Unannounced 1st November 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wallis Court Nursing Home Address Wallis Court Head Office, Matlock Terrace, St Lukes Road, Torquay, Devon, TQ2 5NY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01803 292530 The National Westminster Staff Foundation Janet Susan Middleton Care Home with Nursing 40 Category(ies) of Physical Disability (40), Old age - not falling registration, with number within any other category (40) of places Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) Only 10 beds on 1st floor for the provision of Nursing Care 2) Service Users 60 years and over 3) 40 Service Users within the Physical Disability category may reside at the home 4) 40 Service Users within the Old Age category may reside at the home. Date of last inspection 23.02.05 Brief Description of the Service: Wallis Court is a 40-bedded Care home with Nursing arranged on 4 floors. The first floor containing 7 rooms; 3 of which have shared accommodation provides for Service Users who require registered nurse support. The ground floor accommodation provides two lounge areas and a dinning room for Service Users use. The three further floors provide accommodation for Service Users requiring personal care. The home is equipped to provide care for physically disabled Service Users. A registered nurse is on duty for Service Users requiring nursing 24 hours a day supported by a team of Health Care Assistants. The home is situated close to the centre of Torquay. It is owned and run by the National Westminster Staff Foundation, which is a registered charity. Places at the home are restricted to retiring and serving staff of the Royal Bank of Scotland and their dependants. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a day. The inspector spent time in discussion with the qualified and unqualified staff, residents, relatives and the visiting trustees. The homes manager was on holiday on this visit to the home and a senior carer acted as the homes representative. A range of documentation was considered and discussed, including residents care plans and staff employment records. The inspector toured the home and the inspector had an opportunity to see residents in private in their own rooms or in the homes lounge areas. What the service does well: What has improved since the last inspection? Staff had attended training on report writing/care plans, which has improved the level of detail being included in care plans and daily reporting system. The home had continued to update and upgrade large areas of the home such as replacing windows and re-covering the kitchen floor. At the previous inspection discussion took place about the use of door wedges to wedge open fire doors on this inspection door wedges were not being used, this demonstrates good health and safety/fire practice and the commitment from the homes staff in responding positively to improvements and suggestions. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 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. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x Not inspected on this occasion EVIDENCE: Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 Residents health care needs are fully met and are set out in an individualised plan of care. Residents are treated with dignity and respect and their privacy is upheld. EVIDENCE: Four residents files, which included care plans and risk assessments were examined. The care plans and assessment documents are part of a system of recording, which gives details of all sorts of health and social care needs that have been considered, addressed and monitored. This included weight charts, discussions with outside professionals, daily progress reports made by the staff in the home and a record of how the meets the residents needs. These records indicate a consistent approach to meeting residents needs. Four resident’s care was examined in detail and documentation matched what staff said about the care this person needed and received indicating that this residents care needs were being fully met. The inspector spent time with the four residents and discussed with them the kind of care the home provided. Each resident confirmed that staff help them with a range of things from providing personal care, helping them with washing and dressing and making sure they attend outside appointments. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 10 Since the last inspection staff have completed training on recording and care plans and this is reflected in the improved care plans and daily records which were much more detailed and showed much clearer the needs of the residents and how the home were meeting those needs. Members of staff were observe entering rooms after knocking the door and the residents said that this was normal practice in the home. Residents talked about very positive relationships with staff and the homes senior carers, and they consistently said that they felt staff respected their wishes and privacy. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14, Residents maintain contact with their family and friends and the local community and their lifestyles match what they prefer and met their interests and needs. EVIDENCE: Residents described a completely flexible routine in the home, with residents moving around the home and community independently or supported by staff or their family. Residents described regular visits from family and friends and the homes pre inspection questionnaire and service users guide also provided information on the activities service users take part in. The homes pre inspection questionnaire lists a range of activities including weekly bingo sessions, music evenings, choir visits, attending church and sightseeing events. Residents have continued to pursue interests attending clubs related to interests such as the bridge club and the yacht club. On the day of the inspection trustees for the Organisation were visiting the home as part of their regular contact with residents to ensure that residents were well cared for in the home. Residents and members of staff talked about a real sense of community in the Organisation, supporting each other to be as independent for as long as possible and the residents had clearly enjoyed chatting to the trustees. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x Not inspected on this occasion EVIDENCE: Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,26 Residents live in a safe, well- maintained home, with access to safe and comfortable indoor and outdoor facilities: including sufficient washing facilities and specialist equipment. Resident’s rooms like the rest of the home are comfortable, clean, hygienic and personalised. EVIDENCE: The inspector toured the premises and the home appeared clean and comfortable having been furnished and decorated to a high standard. Resident’s rooms were personalised with items they had brought from home such as small items of furniture, photographs and fresh flowers. The homes pre-inspection questionnaire and discussion with staff gave details of redecoration and significant investment in the home such as new windows throughout the home, ceilings being replaced as further fire prevention/protection and updating the kitchen floor and one of the homes shower room. Residents said that the homes staff had a routine of cleaning in the home and that the home was always clean not just on the day of the inspection. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 14 A range of specialist equipment was in evidence in the home, including hoists and special mattresses, reducing the risk of poor manual handling and residents developing sores. The home has one large lounge, one small lounge and a dining room, giving residents a choice of places to relax. A conservatory area is also available but this not accessible to all Service Users because of steps to access this area and on the day of the inspection this area was being used as a storage area. This conservatory area could be a pleasant room for more residents to use if the stored items were removed and the stairs were replaced by a ramp. At the previous inspection discussion took place about the use of door wedges to wedge open fire doors on this inspection door wedges were not being used, this demonstrates good health and safety/fire practice and the commitment from the homes staff in responding positively to improvements and suggestions. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 Resident’ needs are met by the numbers of staff and the skills of staff who are trained and competent to do their jobs. Residents are protected by the homes recruitment practices. EVIDENCE: The homes pre-inspection questionnaire lists a range of training staff have completed including manual handling, first aid, basic food hygiene and dealing with violence or aggression. Staff spoken too confirmed that the manager valued training for staff and staff were encouraged to continue a range of training through, induction, supervision of staff and NVQ training. The staff spoken too confirmed that training had gone ahead as planned including regular updates in health and safety including manual handling. The home has a core team of staff who have been employed at the home for some time (some years). When talking to staff it is clear that they have a detailed knowledge of the residents care needs and of residents likes and dislikes. The inspector examined two staff files, for staff who had been recently been appointed to the home. The files examined included detailed application forms, reference checks, job descriptions, contracts of employment and records of induction and supervision. Induction records show that the home are following nationally recognised standards for induction for care staff which are linked to NVQ qualifications. The member of staff in charge confirmed that Police checks were in place for all staff and the inspector was given access to these checks. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,38 The home is run in the best interests of the residents and staff with their health, safety and welfare promoted and protected. EVIDENCE: The homes staff consistently described ways to ensure that resident’s needs were fully met, including flexible routines to suit the more able residents and more structured care to meet those needs of very frail residents cared for on the nursing floor. The manager and staff team have responded to meeting the interests of the residents and staff by ensuring that training and support for staff is kept up to date and by implementing changes to continually improve the service such as the training in record keeping. The residents described their different lifestyles and how the home tried to accommodate their preferences and help them to pursue interests and hobbies and this was reflected in the homes care plans and risk assessments. This demonstrates that the home are trying to meet the best interests of residents Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 17 while taking into account health care needs and possible risks to the well being of residents. A range of health and safety policies and procedures including manual handling plans, risk assessments, accident books, medication charts, environmental health and the homes fire log were examined and had been well-maintained. Discussion took place about the risk assessment for the home, which was dated last year and staff contacted senior managers to confirm that the risk assessment was in the process of being updated and the works identified in the assessment was either completed or in the process of being completed. Discussion also took place on accident reporting and staff confirmed that a series of incidents logged in the accident book had been investigated by the manager with action taken to make sure no further injuries took place to a particular resident and that staff were aware of how to report injuries correctly. Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x 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 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x x x x 3 Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 20 Good Practice Recommendations explore ways for to give ramped access to the conservatory/lounge on the first floor Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon, TQ13 7UP 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 Wallis Court Nursing Home D54-D07 S28761 Wallis Court V242783 011105 Stage 4.doc Version 1.40 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!