Inspection on 09/07/07 for Walmer House

This inspection was carried out on 9th July 2007.

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

Walmer House 24/08/06

Walmer House 17/03/06

Walmer House 30/08/05

Walmer House 09/11/04

Walmer House 24/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Walmer House 6 Ash Hill Road Torquay Devon TQ1 3HZ Lead Inspector James Rose Unannounced Inspection 9th July 2007 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 Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 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. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Walmer House Address 6 Ash Hill Road Torquay Devon TQ1 3HZ 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) 01803 292734 01803 292734 keychangewalmer@aol.com Keychange Charity Mrs Ena Beatrice Pauline Bell Care Home 17 Category(ies) of Dementia - over 65 years of age (17), Old age, registration, with number not falling within any other category (17) of places Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2006 Brief Description of the Service: Walmer House is a large detached Victorian house which stands in its own grounds. The home provides 24-hour care for up to 17 persons who require care by reason of old age or dementia. Accommodation is provided in single rooms throughout, 14 bedrooms have on suite facilities available. A large comfortably furnished communal lounge is situated on the ground floor. Meals are taken in a dedicated dining room at small tables seating up to four persons. A vertical lift is provided and appropriate aids for persons with mobility issues. At the front of the home there is a large off road parking area, to the side and rear of the building there is a well-tended garden with extensive views of the surrounding area. Walmer House is run as a Christian charity by Keychange. The home is situated approximately half a mile from the town centre of Torquay. The weekly cost of care is, lowest £299.26 and the highest £470.00. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over 6.5 hours during July 2007. Samples of the care records were examined and four residents were asked for their views of the service provided at the home, this was undertaken individually and in private. Evidence was also obtained from visiting relatives and friends of residents and healthcare professionals that provided a service to the home. Three members of the care team were also asked for their views. The inspection was undertaken with the assistance throughout of the registered manager. What the service does well: What has improved since the last inspection? Requirements were raised in the last report calling for complete assessments to be undertaken and complete care plans to be provided for all residents in the home. Good progress has been made by the manager and health needs are very well provided for. Social needs are recorded and these are going to be developed further to ensure that an appropriate service is provided to each resident. Issues were raised in the last report concerning the administration of medication in the home. These matters were examined at this inspection and it was found that the administration undertaken was appropriate and that secure storage was available for all prescribed medication. This approach ensures that residents are adequately protected by the procedures followed. A requirement was made concerning the quality assurance systems in the home in the last report. Good progress has also been made here residents are Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 6 regularly consulted and asked to comment on the service provided and the new administration approach is poised to start a recording process. Large areas of the outside of the home have been redecorated and the facia boards have been renewed. New easy chairs have been provided in the lounge and some carpets have been replaced. The home has an appropriate redecoration and maintenance programme running that ensures residents have a well furnished and appropriately decorated environment. Outside the grounds are well tended and residents regularly use this facility in good weather. 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. The summary of this inspection report can be made available in other formats on request. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. The home undertakes comprehensive detailed assessments of prospective resident ensuring they will be offered an appropriate service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four assessments were examined at this inspection, these were detailed and covered residents’ needs in the areas of health, personal and social. Healthcare professionals and family are consulted where required and all the residents consulted advised that all their needs were met by the service provided at Walmer House. One resident remarked, “ If I had known how good this would be I would have come earlier”. Standard 6 refers to a service not provided at this home. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. Comprehensive care plans were available for residents; some development of the social needs element is required. Health needs are well covered. The home’s procedure for the administration of medication ensures that residents are safe. All the residents consulted felt they were always treated with respect and that their privacy was maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual care plans were available for each resident in the home and four of these were examined in detail. They were found to be comprehensive and covered residents needs in the areas of health, personal and social. The social element was much improved from the time of the last inspection and is going to be developed further to approach care planning and a ‘client centred’ way to ensure that an appropriate service is proved to match the needs of the individual. It was clear from conversations undertaken with residents and staff that the home actually provides more social activities and social elements for the Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 10 individual than are currently recorded in the care plans. This was discussed with the manager who has undertaken to record these items in future. Consultations were undertaken with the residents in the home both on an individual basis and in groups. They all advised that they were very happy there and felt that the service provided was of high quality and met all their needs; they were also very positive about the care team and the manager. The recordings undertaken by the home of the administration of medication were examined and thee were found to be clear and up to date. Prescribed medication was check and booked in when received and a detailed issue record was maintained. Unused medication was returned to the pharmacist. Appropriate secure storage was provided for all medication and facilities were available for medication that required low temperature storage. Residents that wished were able to self medicate subject to a risk assessment approach to ensure they had the capacity and were safe. All the residents consulted in the home advised that they were treated with respect at all times and that their personal privacy was seen as most important and care was taken to ensure it was maintained. This was also confirmed from observations made during the inspection process. Three healthcare professionals were consulted about the service provided at Walmer House and they were all very complimentary and had no concerns. Two visitors were also consulted and they advised that they were more than satisfied with the way they observed the care being delivered and the way residents were treated at the home. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. Residents found the lifestyle in the home to their liking and advised their needs were met. Visitors can come at anytime and residents are able to come and go as they wished. Residents make their own choices and feel they have control over their lives. Wholesome, balanced meals are provided that are to the liking of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents were consulted individually in private and in small groups, they advised that they enjoyed their life at Walmer House and did not have needs that were not catered for. They said they had enough recreational activities available and did not want this area expanded. One resident stated, “There’s plenty of things to do, more than enough”. Relatives and friends can visit at anytime and residents can come and go as they wish. From observations made during the inspection it is clear that the care team go out of their way to give residents time and space to make their own decisions about what they wanted and did not rush residents when they were assisted during mobilising. Residents said they were consulted about matters that Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 12 affected them and felt in control. One resident said, “This couldn’t be better for me” and another remarked, “I choose what I want to do” Consultation takes place on a regular basis about what food a person would like to eat and choice is always available. Residents confirmed that they liked the food provided at the home and stated that the dining room was light and airy and that they had plenty of room to get to their tables. When a resident is in poor health the home takes particular care to ensure they have the food they would like. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. Residents can be confident that if they raised an issue with the staff it would be dealt with appropriately. Service users are protected from all forms of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All the residents consulted were confident that if they raised an issue with staff it would be taken seriously and the matter resolved quickly to their satisfaction. A copy of the home’s complaints procedure is given to each resident as part of an information pack. The home has an adult protection policy and procedure that is appropriate and carers are trained in its use. Three care staff were interviewed during the inspection process all were conversant with the processes and were aware of the different forms of abuse possible. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. Walmer House has a well-maintained, comfortable environment that is safe for the people who live there. The home is clean throughout with high standards of hygiene apparent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complete tour of the home was undertaken as part of the inspection process and all rooms were seen. The home was well maintained and some redecoration and replacement of carpet had been undertaken since the last inspection. Two of the external walls had been redecorated and facia boarding replaced, and the gardens were well tended which was a facility being enjoyed by residents at the time of the inspection. Some new easy chairs had been provided in the lounge of the home, which improved the environment for residents. All the residents consulted were keen to say how much they enjoyed their rooms and the facilities of the home. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 15 The home was clean throughout, no malodour was present and high standards of hygiene were evident. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. There are always sufficient numbers of staff available to ensure that residents’ needs are appropriately met. Residents are safe and protected by the home’s recruitment policies and procedures and the care team is trained and competent to fulfil their role. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has an appropriate care team who are able to meet the needs of the residents appropriately. Residents confirmed in conversations that they were well cared for by the staff team and that their emergency bell system was answered in a timely fashion when used. The personnel files of staff were available and four were examined in detail, all the necessary documentation was in place and appropriate checks had been undertaken, this ensures residents are safe. Three care staff were interviewed as part of the inspection process; this was undertaken individually in private. They advised that they liked working at the home and had a good working relationship with the residents and the registered manager. These carers were aware of the adult protection policy and procedure and were able to demonstrate appropriate knowledge about the different kinds of abuse possible. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 17 Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is good. Walmer House is managed by an experienced person who is of good character and fit to be in charge. The home is run in the best interest of the residents. The financial interests of the residents are safeguarded and the welfare and health and safety of staff and residents are given priority. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager of Walmer House is experienced and competent and manages the home appropriately giving residents’ needs and views priority. The manager undertakes to consult residents individually and at residents meetings about the serviced provided in the home. An anonymous questionnaire process is also undertaken to ensure all views are expressed. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 19 For the residents that are assisted with their pocket monies, clear records are maintained of all transactions undertaken. Receipts are retained of all purchases made by the home on behalf of residents. This system ensures that residents’ personal pocket monies are appropriately safeguarded. Health and safety and welfare issues are seen as most important by the management of the home and these are given priority. The recordings of the fire precautions undertaken by the home were examined and were found to be clear and up to date. The regulations concerning the safe use and storage of harmful chemicals were in place and appropriate reports were undertaken of incidents that were experienced in the home. Electrical appliances and the installations were checked and maintained appropriately and all equipment was regularly serviced to ensure it was working and safe. The water system in the home was also checked to ensure it was clear of unwanted bacteria. Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 20 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 21 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 Walmer House DS0000018447.V345348.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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