Inspection on 27/05/05 for Walstead Place

This inspection was carried out on 27th May 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

Walstead Place 04/03/09

Walstead Place 07/03/07

Walstead Place 04/10/05

Walstead Place 16/11/04

Walstead Place 26/05/04

Walstead Place 27/06/02

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Walstead Place Lewes Road Walstead Lindfield West Sussex, RH16 2QC Lead Inspector Mr E McLeod Unannounced Friday, 27 May 2005 V223701 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. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Walstead Place Address Lewes Road, Walstead, Linfield, West Sussex, RH16 2QC 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) 01444 483885 Walstead Place Residential Home Limited Miss Jane Large Care Home 54 Category(ies) of Old Age, not falling within any other category registration, with number 54 Both of places Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16.11.04 Brief Description of the Service: Walstead Place is a care home registered to accommodate up to 54 service users in the category of old age, not falling into any other category.The premises are a converted and extended building in Lindfield, near Haywards Heath. Accomodation is provided on three floors, and there is a vertical lift. All rooms are for single occupancy.The registered providers are Walstead Place Residential Home Limited, for whom the responsible individual is Ms S. Turner. The registered manager in charge of the day to day running of the establishment is Miss J. Large. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was not announced, commenced at 9.45 a.m. and ended at 3.15 p.m. The inspector spoke with eight residents, five care staff, the activities co-ordinator, and the registered manager. Care records, adult protection and staff recruitment records were sampled, and a partial tour of the premises was made. Accident and complaints records were also viewed. The inspector would like to thank everyone who contributed to the inspection. What the service does well: What has improved since the last inspection? What they could do better: Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 6 The views of residents’ family, friends and advocates could be actively sought on how the service is performing. 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. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 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 Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 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) 1, 3, 5, 6 The home is ensuring that residents are properly assessed to ensure their needs can be met in the home. Clear information for residents and prospective residents are provided in the statement of purpose and service user’s guide. EVIDENCE: The home’s statement of purpose and service user’s guide, which provide information on the service, have been updated to include the relevant qualifications of the registered manager and number, relevant qualifications and experience of staff. The inspector looked at the pre-admission assessments carried out by senior staff on five residents, which indicated that residents are having their needs assessed. The care plans for those five residents show that the needs identified are contributing to the plan of care which is then agreed with residents. One resident interviewed said he had visited the home before he decided to move in, and one resident who had come from hospital said her family had visited the home on her behalf and recommended it to her. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 9 The home does not provide intermediate care. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 10 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 Residents have a care plan which advises them what care needs and health care needs have been identified and how these will be met. EVIDENCE: The care plans for five of the residents the inspector had talked to were sampled, and these were seen to include the care and health needs identified for the residents concerned. Residents gave examples of health care appointments which staff has assisted in arranging, including specialist health care appointments. The statement of purpose includes feedback to residents from a questionnaire given to residents in the home. This includes the statistics that 47 of residents have been involved in their own care planning, and 79 of residents understood their care plans. Involving relatives more in the care planning process was identified in the feedback as something the home intended to do more of. The activities co-ordinator said that musical exercise sessions are provided in the home. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 11 Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 12 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. 15 Residents are benefiting from the home’s links with local schools and churches, and the provision of activities and outings by the home. A varied and appealing menu is being provided for residents. EVIDENCE: Four of the five residents interviewed said they enjoyed joining in on activities in the home. On the day of the inspection the activities co-ordinator was taking some residents out to an art exhibition, and taking others out for a drive in the car. Residents interviewed appreciated that as well as doing group activities in the home, the activities co-ordinator spends one to one time with residents and does individual outings and activities with them. The activities co-ordinator told the inspector that all residents receive a copy of the week’s planned activities, and a copy of this was seen. She said bingo was popular, with 13 or 14 residents sometimes taking part. Residents interviewed also said they enjoyed the garden and the conservatory, and some of the more frail residents are assisted by staff or family to have walks around the garden in good weather. Church services are held in the home. The activities co-ordinator said that for frail residents who find it difficult to leave their bedrooms, hand massage was being considered as something which could be offered. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 13 There are also links with local schools, performers and churches, and these are included in the activities diary. One resident said that another resident also liked to play the piano every morning. Residents said their visitors were welcomed in the home and offered a cup of tea. The inspector spoke to some residents in the dining room towards the end of lunch. Many residents praised the meals and food, and a few said they would prefer meals more highly flavoured. The 2004 residents’ survey found that 79 of residents found the meals appealing, and 91 found the meals wholesome and nutritious. Most of the residents spoken to in the dining room said they had enjoyed their lunch. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 14 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) 16, 18 The home takes proportionate measures to ensure the safety of residents. EVIDENCE: The home has undertaken a recent adult protection process with other agencies which has included a Protection of Vulnerable Adults referral being made by the home. Records of this process were seen by the inspector. Discussions with registered manager Ms Large indicated that she fully understands the steps care homes must take to protect residents from potential abuse. The home has policies and procedures for complaints and adult protection, and adult protection training is being undertaken by staff. The complaints record was seen by the inspector. The results from the 2004 residents’ questionnaire carried out by the home indicates that 81 are aware of the complaints procedure, and that four out of five complainants felt that their complaint had been dealt with correctly. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 15 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, 22, 26 The premises, gardens and grounds are very well maintained, and the home is clean, pleasant and hygienic. Communal areas are pleasant and homely. EVIDENCE: Residents interviewed said they enjoyed the bedrooms and communal spaces provided, with one resident praising her “lovely room” and the “lovely gardens and lovely sitting room”. Most residents interviewed found the home clean and hygienic. The inspector did a partial tour of the premises, including some bedrooms, and found decoration, furnishings and maintenance to be of a very good standard. The grounds and gardens were noted to be being well maintained. One bedroom has been redecorated, re-carpeted and refurbished since the previous inspection, and exterior paving has been re-laid. The inspector found there to be good standards of cleanliness and hygiene in the home. The inspector found communal areas such as the sitting room, conservatory and dining room to be very pleasant and homely. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 16 A manual hoist and an electric standing hoist were seen, the electric hoist being a new purchase. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 17 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) 29, 30 Good procedures to protect residents are in place in the home. Care staff are receiving appropriate training which helps protect residents and provide a good standard of care. EVIDENCE: Recruitment records for two members of staff were sampled. The records seen included references, Criminal Records Bureau (CRB) checks, records of interview, induction training material and copies of identifying documents. New staff interviewed said they had received induction training, and had had an induction period during which they had shadowed shifts for two weeks as an extra member of staff. Registered manager Ms Large said that 11 care staff had the National Vocational Qualification (NVQ) in care at level 2 or 3, that 1 member of staff was presently doing NVQ2 in care, and that the deputy manager is presently undertaking the Registered Manager award. The inspector talked with a group of five care staff. Opinions expressed to the inspector by staff included the view that the home was providing good training and regular supervision, and that protecting residents was important to the home. Staff gave examples of training they had been on which they had found valuable. Staff said they felt they were working hard to ensure residents were well cared for, and would like to feel valued for that. Two staff trained in first aid were on duty on the day of the inspection. Staff interviewed thought that the activities Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 18 co-ordinator did a good job, and that residents were benefiting from the individual time she was spending with them. On the morning of the inspection, there were four care staff and one activities co-ordinator on duty. One member of care staff was off sick, and no other staff had been brought in to cover this. Registered manager Ms Large said that she had a budget to cover staffing shortages with agency staff. The inspector observed staff interacting well with residents, and in talking to staff found them caring and motivated. Residents said to the inspector that they were being looked after well, and that staff were friendly and “couldn’t do enough for you”. One resident said he liked that staff called him by his Christian name. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 19 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) 31, 32, 33 The home is well managed and run, and residents are confident they will be looked after well in the home. Residents benefit from the relaxed atmosphere in the home, and from their views on the service being noted and acted upon. A system for seeking the views of visitors, relatives, advocates and other professionals would assist the home in better meeting residents’ needs. EVIDENCE: Ms Large, the registered manager, has now completed the Registered Manager award, and has been managing the home for four years now. The inspector found the atmosphere in the home to be relaxed and friendly, and residents and staff felt free to speak their minds. Residents’ meetings are held. The home has published in the statement of purpose the results of their resident questionnaire survey, and Ms Large has undertaken to improve the three areas of practice identified in the resultant action plan. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 20 Letters of thanks and compliments from relatives were sampled by the inspector. No evidence was provided that the views of family and friends have been sought on how the home is achieving goals for service users. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 21 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 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 x x x 3 STAFFING Standard No Score 27 x 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 3 x 3 3 3 2 x x x x x Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 22 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 33 Good Practice Recommendations The views of family and friends and of stakeholders in the community (eg GPs, chiropodist, voluntary organisation staff) should be sought on how the home is achieving goals for service users. Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 Walstead Place H60-H11 S14820 Walstead Place V223701 270505 Stage 4.doc Version 1.30 Page 24 - 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!