Inspection on 02/03/06 for Wallis Court Nursing Home

This inspection was carried out on 2nd March 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 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 01/11/05

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 Devon TQ2 5NY Lead Inspector Jane Gurnell Unannounced Inspection 2nd March 2006 11:00 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 Wallis Court Nursing Home DS0000028761.V252779.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. Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 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 01803 292530 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) The National Westminster Staff Foundation Janet Susan Middleton Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40), Physical disability (40) of places Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Only 10 beds on 1st floor for the provision of nursing care Service Users 60 years and over 40 Service Users within the Physical Disability cateogry may reside at the home. 40 Service Users within the Old Age category may reside at the home. Date of last inspection 26/10/05 Brief Description of the Service: Wallis Court is a 40-bedded Care home with Nursing arranged over 4 floors. The first floor contains 7 bedrooms, 3 of which have shared accommodation, for those residents who require nursing care. The remainder of the bedrooms are on the 2nd, 3rd and 4th floors: a passenger lift provides access to all floors. On the ground floor there are two large lounge rooms and a dining room. The home is equiped to provide care for physically disabled residents. A registered nurse is on duty 24 hours a day for those residents who require nursing care. 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 DS0000028761.V252779.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on 2nd March 2006. Janet Middleton, the Registered Manager, was present and she and her staff team assisted the inspector throughout the inspection. The inspector made a tour of the building, spoke to residents and care, ancillary and maintenance staff, and examined documentation relating the care of the residents as well as the management of the home. 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. Wallis Court Nursing Home DS0000028761.V252779.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 Wallis Court Nursing Home DS0000028761.V252779.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, 5 Prospective residents can be confident that thorough pre-admission procedures ensure that their care needs can be met. EVIDENCE: Either the Registered Manager or the senior Registered Nurse undertake preadmission assessments to ensure that the care needs of prospective residents are identified. Residents can be confident that following this assessment their needs can be met at Wallis Court. Prospective residents are invited to visit to home to meet the care staff and other residents prior to making a decision to move in. One resident described how she had come for a short stay before moving in permanently. Wallis Court Nursing Home DS0000028761.V252779.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, 11 Residents’ health, personal and social 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: Residents said that they feel very well cared for and can ask at any time for assistance, with nothing being too much trouble for the staff. Many said that they thoroughly enjoyed living at the home and valued the kindness and professionalism of the staff and the friendship of the other residents. The home was described as “absolutely marvellous”. Those care plans examined described the residents’ personal care and health needs in detail and showed that these needs were reviewed and re-assessed regularly in consultation with the resident and/or their representative. Those residents with failing health or terminal illness are able to remain at the home if hospitalisation is not required as nursing care can be provided. Medication, including controlled drugs, is stored safely and administration practices protect residents from risk. Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 9 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, 14, 15 Residents are encouraged to maintain contact with their family and friends as well as the local community. Meals are varied and nutritious. EVIDENCE: Residents described Wallis Court as a very pleasant place to live. The residents described that activities are routinely organised and include weekly bingo sessions, music evenings, choir visits, attending church and sightseeing events. Residents have continued to pursue interests such as attending the bridge club and the yacht club. Relatives and friends are encouraged to visit and made welcome. Residents described the food as “excellent”. Lunch is the main meal of the day providing three courses with a choice of three main meals. There is a choice for breakfast of fresh fruit, cereals, toast and a cooked breakfast and the evening meal offers a choice of two or three cooked meals. A cheese board is offered later in the evening. The dining room is very pleasantly decorated and provides waitress service. Residents have access to fresh filtered coffee and cooled filtered water at all times. The extensive plans to celebrate a residents’ 100th Birthday demonstrated the commitment by the staff team as a whole to ensure every resident lives in a happy, supportive and “family-like” environment. Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 10 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, 17, 18 Complaints and suggestions from residents, relatives or other visitors to the home are treated seriously. Residents’ rights are respected. EVIDENCE: Residents said that Ms Middleton, the Registered Manager, and her staff team were very approachable and they were confident that any issues of concern would be listened to and dealt with. No complaints had been received since the last inspection. Care staff had received training in issues relating to the protection of vulnerable adults. Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 11 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, 20, 21, 23, 24, 25, 26 The residents live in a very pleasant, well-maintained home that is comfortable, safe and warm. Sufficient facilities are provided to meet health, personal and physical care needs. EVIDENCE: The home is in an excellent state of repair; it provides very comfortable communal and private accommodation many of which have view over the bay. All areas examined, including the laundry room and kitchen, were found to be very clean and tidy indicating that regular cleaning is taking place. Continued investment in the home ensures that facilities are upgraded as necessary and there are sufficient aids and adaptations to meet the care needs of those residents with poor mobility or physical disabilities. All bedrooms provide en suite toilet and bathing facilities. An additional bathroom provides a bath suitable for use by residents with physical disabilities. All radiators were covered and hot water temperatures controlled to prevent the risk of injury to the residents. Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 12 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, 28, 30 Residents are cared for by well-trained and motivated staff in sufficient numbers to meet the needs of those currently living in the home. EVIDENCE: Residents described the staff as very kind and caring and confirmed they responded promptly to requests for assistance. Care staff are supported by catering, domestic, administrative and maintenance staff and they confirmed that there are sufficient staff to meet the needs of those currently living at the home. The National Westminster Staff Foundation has a very positive approach to training: the Registered Manager confirmed that she has an “open” budget for training. All care staff either have a NVQ qualification or are in training. Care staff receive in excess of the 3 days paid training a year identified in the National Minimum Standards and receive regular updates to ensure they have the knowledge and skills to care for older people and to deal with health emergencies. Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 13 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, 32, 35, 38 Residents live in a well managed home. The Registered Manager and her staff team strive to provide a stimulating, safe environment that respects and protects residents’ rights. EVIDENCE: Residents said that they feel safe and secure in their home and that the home was well managed. Staff said that the Registered Manager has an “open-door” policy and they are kept informed of significant events relating to the running of the home and the welfare of the residents through regular meetings. The Registered Manager confirmed that she is well supported and has regular contact with senior managers within the organisation. Residents or their relatives retain responsibility for managing their finances and the care staff have no dealings with residents’ money. Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 14 A record of accidents in the home was maintained and the Registered Manager keeps these incidents under review to identify any indication of changing needs of the residents or hazards around the home. The fire logbook was examined and this provided evidence that the fire alarm system is tested every week and that staff have received regular fire safety training. Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 15 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 4 X 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X 3 X X 3 Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 16 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wallis Court Nursing Home DS0000028761.V252779.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton 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. 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